LEHIGH VALLEY HOSPITAL-HAZLETON: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- LEHIGH VALLEY HOSPITAL-HAZLETON (EIN 23-2421970)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-05
- IRS object ID
- 201213149349301611
- Schema version
- 2011v1.2
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-05T14:55:44-00:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232421970 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MOLLY P STETTLER | InCareOfName |
| Name Control | NORT | NameControl |
| Phone | 5705014000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E BROAD STREET | AddressLine1 |
| City | HAZLETON | City |
| State | PA | State |
| ZIP Code | 18201 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM C BAUER | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 5705016292 | Phone |
| Date Signed | 2012-11-05 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAZLETON GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | James D Edwards | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E Broad St | AddressLine1 |
| City | Hazleton | City |
| State | PA | State |
| ZIP Code | 18201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 126323245 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.ghha.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | HGH provides inpatient, emergency, diagnostic, maternity, rehabilitative, outpatient therapeutic medical services conducts community education programs/services delivers these programs serv with compassion high standards of quality, without discrimination or abiliy to pay | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 765 | TotalNbrEmployees |
| Total Nbr Volunteers | 14 | TotalNbrVolunteers |
| Total Gross UBI | 482680 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -91792 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 679023 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 457478 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 103823236 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 108232158 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1374899 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1379323 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1294718 | OtherRevenuePriorYear |
| Other Revenue Current Year | 591783 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 107171876 | TotalRevenuePriorYear |
| Total Revenue Current Year | 110660742 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 47511705 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 49477190 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 25680 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 1109 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 71118 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 44932923 | OtherExpensePriorYear |
| Other Expenses Current Year | 46330897 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 92470308 | TotalExpensesPriorYear |
| Total Expenses Current Year | 95809196 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 14701568 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 14851546 | RevenuesLessExpensesCY |
| Total Assets BOY | 100364723 | TotalAssetsBOY |
| Total Assets EOY | 109712096 | TotalAssetsEOY |
| Total Liabilities BOY | 65346402 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 76296473 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 35018321 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 33415623 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HGH commits to service health needs in the Hazleton area, through its inpatient, emergency, diagnostic, maternity, rehabilitative, outpatient therapeutic medical services by providing community education and delivering programs services with compassion high standards of quality without discrimination. | MissionDescription |
| Significant New Program Services | true | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 80750419 | Expense |
| Revenue | 110660742 | Revenue |
| Description | Hazleton General Hospital provides hospital inpatient, outpatient, rehabilitation care, maternity care and emergency room services to the residents of Greater Hazleton regardless of race, religion or economic status. The hospital provides a full range of medical care to inpatients and outpatients, including therapeutic, diagnostic, imaging and rehabilitation services See Schedule O for new projects in 2011 done to enhance the quality efficiency of our mission. View our community report at www.ghha.org | Description |
| Total Program Service Expense | 80750419 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | true | InvestTaxExemptBonds |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | true | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 94 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 765 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | true | NonDeductibleContributions |
| Non Deductible Disclosure | true | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | FINANCE DEPARTMENT | NamePerson |
| Telephone Number | 5705014989 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E BROAD ST | AddressLine1 |
| City | HAZLETON | City |
| State | PA | State |
| ZIP Code | 18201 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 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 |
|---|---|---|---|---|---|---|---|
| J EDWARDS | |||||||
| CHIEF EXECUTIVE OFFICER | 040.00 | X | X | 0 | 523071 | 32427 | |
| J FLETCHER | |||||||
| CHIEF OPERATING OFFICER | 040.00 | X | 0 | 277677 | 9096 | ||
| W BAUER | |||||||
| CHIEF FINANCIAL OFFICER | 040.00 | X | 0 | 245805 | 32264 | ||
| A VALENTE | |||||||
| VP MEDICAL AFFAIRS | 030.00 | X | 0 | 226725 | 31694 | ||
| L MILLER | |||||||
| CHIEF ADMINISTRATIVE OFFICER-HWC | 040.00 | X | 0 | 190072 | 23350 | ||
| M GOLDEN | |||||||
| CHIEF NURSING OFFICER | 040.00 | X | 0 | 189949 | 30469 | ||
| E PERRONG | |||||||
| VP HUMAN RESOURCES | 040.00 | X | 0 | 157007 | 23729 | ||
| J DANISH | |||||||
| ASST SECRETARY OF BOARD / DIR ADM SVC | 040.00 | X | 0 | 102594 | 27521 | ||
| J CIOTOLA MD | |||||||
| PHYSICIAN | 032.00 | 241909 | 0 | 16857 | X | ||
| D PATTEN MD | |||||||
| PHYSICIAN | 032.00 | 241327 | 0 | 16857 | X | ||
| J AMENTLER | |||||||
| PHYSICIAN | 040.00 | 196392 | 0 | 8663 | X | ||
| D POGAR | |||||||
| PHARMACIST | 040.00 | 106802 | 0 | 27864 | X | ||
| S KING | |||||||
| PHARMACIST | 040.00 | 106325 | 0 | 1060 | X | ||
| T KENNEDY ESQ | |||||||
| BOARD CHAIR | 001.00 | X | 0 | 0 | 0 | ||
| A SRINIVASAN MD | |||||||
| BOARD VICE CHAIR | 001.00 | X | 0 | 0 | 0 | ||
| J MADDEN PhD | |||||||
| BOARD SECRETARY | 001.00 | X | 0 | 0 | 0 | ||
| J OSIECKI | |||||||
| BOARD TREASURER | 001.00 | X | 0 | 0 | 0 | ||
| SISTER MARY MARGARET OSF | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| A ARIAS | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| P BENYO MD | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| A CUSATIS | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| M LEIB | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| M LOBITZ DO | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| D PALERMO | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| J SNYDER DO | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| A VEGLIA MD | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| M WASHINSKY DO | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 892755 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1912900 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 281851 | TotalOtherCompensation |
| Number Individuals GT100 K | 13 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HAZLETON ANESTHESIA SERVICES PC | |||||
| 10 COMMERCE DR | NEW ROCHELLE | NY | 10801 | ANESTHESIA SERVICES | 1515414 |
| LABORATORY CORP OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | LABORATORY SERVICES | 1002301 |
| PHILIPS HEALTHCARE | |||||
| 22100 BOTHELL EVERETT HWY PO BOX 30 | BOTHELL | WA | 980218431 | BIOMEDICAL MAINTENANCE SERVICE | 702448 |
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | DIETARY MANAGEMENT | 652060 |
| PHARMACY SYSTEMS INC | |||||
| 5050 BRANDENTON AVE | DUBLIN | OH | 43017 | PHARMACY MANAGEMENT SERVICES | 489706 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 27 | NumberOfContractorsGT100K |
| Government Grants | 333797 | GovernmentGrants |
| All Other Contributions | 123681 | AllOtherContributions |
| Total Contributions | 457478 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Net patient service revenue | 900099 | 108148007 | 107665327 | 482680 | |
| Pharmacy sales | 900099 | 28286 | $28,286 | ||
| Cafeteria sales | 624200 | 55865 | $55,865 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 108232158 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1179595 | TotalRevenueColumn |
| Exclusion | $1,179,595 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 138445 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 138445 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 138445 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15816359 | Securities |
| Other | 30796 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15636830 | Securities |
| Other | 10597 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 179529 | Securities |
| Other | 20199 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 199728 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 61520 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 15076 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 46444 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Equity in affiliates | 900003 | 9876 | 9876 |
| MSA revenue - HWC | 541610 | 189566 | 189566 |
| Group rebates | 900099 | 83264 | 83264 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 124188 | TotalRevenueColumn |
| Related Or Exempt Function Income | 124188 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 406894 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 110660742 | TotalRevenueColumn |
| Related Or Exempt Function Income | 108072221 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 482680 | UnrelatedBusinessRevenue |
| Exclusion | $1,263,746 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37784155 | Total |
| Program Services | 31150290 | ProgramServices |
| Management And General | 6587200 | ManagementAndGeneral |
| Fundraising | 46665 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8954004 | Total |
| Program Services | 7785820 | ProgramServices |
| Management And General | 1148410 | ManagementAndGeneral |
| Fundraising | 19774 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2739031 | Total |
| Program Services | 2305784 | ProgramServices |
| Management And General | 429677 | ManagementAndGeneral |
| Fundraising | 3570 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 435775 | Total |
| Management And General | 435775 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58036 | Total |
| Management And General | 58036 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1109 | Total |
| Fundraising | 1109 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 462078 | Total |
| Program Services | 27301 | ProgramServices |
| Management And General | 434777 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1450984 | Total |
| Program Services | 875375 | ProgramServices |
| Management And General | 575609 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 665984 | Total |
| Management And General | 665984 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1456606 | Total |
| Program Services | 1341382 | ProgramServices |
| Management And General | 115224 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132084 | Total |
| Program Services | 109084 | ProgramServices |
| Management And General | 23000 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70038 | Total |
| Program Services | 25143 | ProgramServices |
| Management And General | 44895 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1961195 | Total |
| Management And General | 1961195 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5854473 | Total |
| Program Services | 5854473 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 855220 | Total |
| Program Services | 855220 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED SERVICES | 4619998 | 3085274 | 1534724 |
| MEDICAL SUPPLIES | 10468612 | 10434597 | 34015 |
| PROVISION FOR DOUBTFUL COLLECTIONS | 7745461 | 7745461 | |
| EQUIPMENT RENTAL AND MAINTENANCE | 4143312 | 3560839 | 582473 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5951041 | Total |
| Program Services | 5594376 | ProgramServices |
| Management And General | 356665 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95809196 | Total |
| Program Services | 80750419 | ProgramServices |
| Management And General | 14987659 | ManagementAndGeneral |
| Fundraising | 71118 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 750 | BOY |
| EOY | 950 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7984833 | BOY |
| EOY | 19465249 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9972520 | BOY |
| EOY | 8585106 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 182687 | BOY |
| EOY | 134334 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 774073 | BOY |
| EOY | 728987 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 803335 | BOY |
| EOY | 966839 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 85202884 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 57169591 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29024355 | BOY |
| EOY | 28033293 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43815734 | BOY |
| EOY | 46217380 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7806436 | BOY |
| EOY | 5579958 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100364723 | BOY |
| EOY | 109712096 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8406242 | BOY |
| EOY | 9650395 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33731677 | BOY |
| EOY | 32714151 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23208483 | BOY |
| EOY | 33931927 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65346402 | BOY |
| EOY | 76296473 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34380164 | BOY |
| EOY | 32675981 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 638157 | BOY |
| EOY | 739642 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35018321 | BOY |
| EOY | 33415623 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100364723 | BOY |
| EOY | 109712096 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 14851546 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -16454244 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
| Public Support Percentage509 | 0.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
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
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 123394 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 123394 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 95685802 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 95809196 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 254738 | CurrentYearMinus3 |
| Current Year Minus2 | 269218 | CurrentYearMinus2 |
| Current Year Minus1 | 224478 | CurrentYearMinus1 |
| Current Year | 123394 | CurrentYear |
| Total | 871828 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $1,307,742 | LobbyingCeilingAmount |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Included On FS | false | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1139734 | OtherCostOrOtherBasis |
| Book Value | 1139734 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 53048120 | OtherCostOrOtherBasis |
| Depreciation | 37739839 | Depreciation |
| Book Value | 15308281 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28044832 | OtherCostOrOtherBasis |
| Depreciation | 18452846 | Depreciation |
| Book Value | 9591986 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2970198 | OtherCostOrOtherBasis |
| Depreciation | 976906 | Depreciation |
| Book Value | 1993292 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 28033293 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (11 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from Affiliates | |
| Investment in Hazleton Surgical Alliance | 778126 |
| Investment in Beltway Health LP | 1058872 |
| Investment in Hazleton Health Wellness Center | 326000 |
| Deferred Financing Expense | 693659 |
| Assets Under Trust Indenture - Current | 586371 |
| Other Current Assets | 432123 |
| Investment in Hazleton St Joseph Medical Office Building | 291896 |
| Other Long Term Assets | 91668 |
| Goodwill | 1045210 |
| Covenant not to compete | 276033 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5579958 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued Pension Costs | $23,975,719 |
| Third Party Settlements | $6,984,468 |
| Pension Payable | $1,112,869 |
| Capitalized Leases | $1,025,221 |
| Malpractice Insurance Liability | $614,926 |
| Other Liabilities | $218,724 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 33931927 | TotalOfAmounts |
| Total Revenue | 110660742 | TotalRevenue |
| Total Expenses | 95809196 | TotalExpenses |
| Excess Or Deficit For Year | 14851546 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -447948 | NetUnrealizedGLOnInvestments |
| Other | -$16,107,781 | OtherAmount |
| Total Adjustments | -16555729 | TotalAdjustments |
| Excess Or Deficit Per FS | -1704183 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 110267087 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -447948 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -447948 | RevenueNotRptdF990 |
| Revenue Subtotal | 110715035 | RevenueSubtotal |
| Other Revenues Not Included | -54293 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -54293 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 110660742 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 95856377 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 95856377 | ExpensesSubtotal |
| Other Expenses Not Included | -47181 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -47181 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 95809196 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| XI | 8 | Minimum Pension Liability Adjustment 11,262,403 |
| XI | 8 | Write down intercompany receivable 4,762,378 |
| XI | 8 | Goodwill impairment 83,000 |
| XII | 4b | Net revenue from Hazleton St Joseph Medical Office Building, a related entity 54,293 |
| XII | 4b | Operating expense from Hazleton St Joseph Medical Office Building, a related entity 47,181 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | false | AgreementRefFundraising |
| Licensed States | PA | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1 |
| Gross Receipts Event1 | 61520 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 61520 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 3067 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 9979 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 1317 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 713 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 61520 | GrossReceiptsTotal |
| Gross Revenue Total Events | 61520 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 3067 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 9979 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 1317 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 713 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 15076 | DirectExpenseSummaryEvents |
| Net Income Summary | 46444 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2364094 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2364094 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02470 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13250536 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10914753 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2335783 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02440 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15614630 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10914753 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4699877 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04910 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 410757 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 105555 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 305202 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 117118 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12875 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 104243 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 274905 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 274905 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 166875 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 166875 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 969655 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 118430 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 851225 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16584285 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11033183 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5551102 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05800 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 200068 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 200068 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 21197 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 21197 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 11853 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 11853 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 168962 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 168962 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 402080 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 402080 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,578,525 | BadDebtExpenseAmount |
| Amount Attributable To | 915545 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 36391755 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 36746439 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -354684 | 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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Beltway Health LP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Medical Office Space Rental | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.43780 | OrganizationProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Northeastern Pennsylvania Health Corporation dba Hazleton General Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E Broad St | AddressLine1 |
| City | Hazleton | City |
| State | PA | State |
| ZIP Code | 18201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part I line 3c | Hazleton General Hospital uses the FPG to determine eligibility for providing free and discounted care. All uninsured patients with family incomes greater than 300 of the Federal Poverty Guidelines FPG receive an Uninsured Discount of 70 off billed charges. This discount lessens the financial burden on uninsured patients and allows them access to discounts comparable to those offered to insured patients. |
| Part I line 3c | Patients with family incomes at 300 of FPG or less are eligible for greater financial assistance discounts. |
| Part I line 6a | Hazleton General Hospital community report activities are included with the Greater Hazleton Health Alliance annual community report, which is available by request or on our website at www.ghha.org |
| Part I line 7 | Amounts used in the calculation of Charity Care and Other Community Benefits at Cost were calculated utilizing the optional supplemental worksheets provided by the IRS instructions to Schedule H. |
| Part II | The community building activities promote the health of the community. These activities include Patient Advocate Services, Interpretation Services and Patient Satisfaction Surveys, which assist the patients with the quality of care that they receive |
| Part III line 4 | The footnote to our financial statements that describes the bad debt expense is as follows Accounts receivable, patients are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based on managements assessment of individual accounts. The allowance for doubtful collections is estimated based upon a periodic review of the accounts receivable aging, payor classification, and application of historical write-off percentages. |
| Part III line 4 | Bad debt expense is calculated using the worksheet provided by IRS instructions. The bad debt expense attributable to patients eligible under our charity care policy, was estimated using a sampling of accounts transferred to bad debts that were written off. We ran the patient information that we had through a 3rd-party software package to determine estimated eligibility for charity care had the patient provided the information necessary to complete the charity care application. |
| Part III line 8 | For 2011, the Medicare shortfall is 354,684 using only allowable costs however, if all costs are considered, a shortfall would exist of 2.4 million. |
| Part III line 9b | Patient inquiries will be referred to a financial counselor who will assist the patient with the application process, as well as application for available government insurance programs. Once the application is completed, appropriate discounts will be determined. |
| Part III line 9b | A 100 Charity Care discount will be provided to patients with incomes up to 150 of the Department of Health Human Services poverty level published on an annual basis. For patients with incomes between 150 and 300 of the poverty level, a percentage discount between 70 100 applies. A 70 Uninsured Patient Discount applies for patients with incomes greater than 300 of the poverty level. |
| Part V | Northeastern Pennsylvania Health Corporation, dba Hazleton General Hospital, is a licensed general medical surgery community hospital who provides 24-hour emergency room care. |
| Part V | Signage is posted in registration waiting areas notifying patients of the availability for Charity Care and other financial assistance. Correspondence and/or billing statements will also inform patients to contact a financial counselor if they are having difficulty in payment for services. In the patient handbook, it is posted that, in keeping with our mission, we offer Charity Care at free reduced rates. Patients need to contact a financial counselor to see if they are eligible. |
| Part V | All uninsured individuals received a 70 discount in 2011. The hospital monitors the overall collection rates experienced from commercial carriers as well as that of Medicare and uses the average of the two to gauge the discount applied to the bills of uninsured individuals. The uninsured discount is a higher percentage discount than the average of our top 3 insurance carriers. |
| Part V | To assess healthcare needs, the organization utilizes admission information and determines services, physician needs, programs and community education beased on top diagnoses. A continual review of reasons for patient migration to other areas for care is also made. A formal community healthcare needs assessment will be conducted in 2013 to further help in identifying community needs. |
| Part V | We serve 3 counties - lower Luzerne, and portions of Carbon and Schuylkill counties. The population of our primary and secondary market areas is estimated at 100,000 primary area 66,500 secondary area 33,000. Population is mainly Caucasian but has seen a recent influx of the Hispanic population - 13,000 in 2010 compared to 1,600 in 2000. Over 50 of residents in our primary secondary market areas are over 65. Our hospital saw 53 Medicare and 13.8 Medicare patients in 2011. |
| Part V | HGH promotes a healthy community through free health screenings education, access to care for all patients through an employed physician group that ensures sufficient appropriate physicians are available in the community, leadership through a community board, partnership with local non-profit health human services organization, as well as schools, colleges univerisities, publishing a community newsletter weekly articles penned by our physician for local newspapers. |
| Part V | Greater Hazleton Health Alliance consists of various entities to promote good health and healthy living including Hazleton General Hospital HGH, Hazleton Professional Services, d/b/a Alliance Medical Group AMG, Hazleton Surgical Alliance HSA and Hazleton Health Wellness Center HWC. |
| Part V | HGH is a 150-bed inpatient acute care and emergency services facility AMG is an employed physician group that provides a health network of medical surgical services HSA is a provider of surgical services and HWC provides staffing to the hospitals offsite outpatient testing and rehab center. All entities work together to provide a continuum of medical care and other health services, programs and wellness/prevention education to the community. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg |
|---|---|---|---|---|---|---|---|---|
| J EDWARDS | ||||||||
| 398071 | 125000 | 25077 | 7350 | 555498 | ||||
| J FLETCHER | ||||||||
| 222677 | 55000 | 1746 | 7350 | 286773 | ||||
| W BAUER | ||||||||
| 198305 | 47500 | 24914 | 7350 | 278069 | ||||
| A VALENTE | ||||||||
| 181725 | 45000 | 24879 | 6815 | 258419 | ||||
| L MILLER | ||||||||
| 152572 | 37500 | 17653 | 5697 | 213422 | ||||
| M GOLDEN | ||||||||
| 152449 | 37500 | 24772 | 5697 | 220418 | ||||
| E PERRONG | ||||||||
| 125757 | 31250 | 18990 | 4739 | 180736 | ||||
| J CIOTOLA MD | ||||||||
| 241909 | 16857 | 258766 | ||||||
| D PATTEN MD | ||||||||
| 241327 | 16857 | 258184 | ||||||
| J AMENTLER | ||||||||
| 196392 | 2828 | 205054 | 5834 | |||||
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| Health Services Authority of Hazleton | ||||||
| 232710214 | 422025BJ4 | 2006-12-28 | 10000000 | Expansion projects | false | false |
| Health Services Authority of Hazleton | ||||||
| 232710214 | 422025BM7 | 2007-01-30 | 4000000 | Expansion projects | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 10000000 | 488231 | 200000 | 10000000 | 2008 | false | false | true | true |
| 4000000 | 210831 | 80000 | 3709299 | 2011 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch |
|---|---|---|---|---|
| false | false | false | false | true |
| false | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | true | false | false | false | false |
| false | true | false | false | true | true |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Eugene Gorski MD | ||||||
| Refinancing of Debt | X | $250,000 | 134334 | false | true | true |
| Michael Bono MD | ||||||
| X | $70,000 | 70000 | false | true | true | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 204334 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Jodi Lenko MD | |||
| Michael A Washinsky, DO, a board member, is Ms Lenkos parent | 20000 | Education agreement | false |
| Marval Medical | |||
| Anthony Valente, MD, VP of Medical Affairs is a partner in this business | 272393 | Hospitalist Professional Fee | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990 Part III | 2 | New programs services at HGH include bedside medication verification, 24-hour pharmacy coverage, driver safety course for seniors an employee wellness program. We also initiated the process for Trauma Center Level III designation, continued the development of our Electronic Medical Record. We also enhanced our services with Nursing Unit campus entrance renovations and new Lab Chemistry Automation Analyzers, the opening of a second Healthy Beginnings Plus clinic, expanded our Senior Choice ED Fast Track Programs. In addition, we have partnered with other facilities to provide Electrophysiology Services, Telehealth Services, a Breast Cancer Support Program, as well as health education and health screenings. |
| Form 990 Part VI | 6 | Greater Hazleton Health Alliance, a PA non-profit corporation is Northeastern Pennsylvania Health Corporations sole member. There are no stockholders. |
| Form 990 Part VI | 7a | Greater Hazleton Health Alliance, the sole member, appoints the directors. |
| Form 990 Part VI | 7b | Greater Hazleton Health Alliance, the sole member, makes and ratifies the decisions as specified in Northeastern Pennsylvania Health Corporations bylaws. |
| Form 990 Part VI | 11a | IRS Form 990s for Greater Hazleton Health Alliance entities i.e. GHHA, HGH, HPS, HSA, HWC are prepared by the Finance Department and then reviewed by the CFO. A detailed summary of the 990s is presented to the Finance Committee and, subsequently, in accordance with the Finance Committees wishes, a brief summary is presented to the Board. Board members are provided with a draft copy of the 990s during the presentation. Upon approval, the 990s are then submitted to the IRS. |
| Form 990 Part VI | 12c | Yearly, all board members and executive staff receive the conflict of interest policy are are asked to complete a statement sheet reporting any possible business or personal conflicts. All statements are reviewed by the Compliance Officer. If any Board member has a conflict with a specific discussion at a Board meeting, he / she either removes himself / herself from the discussion or is included in the discussion, but is not allowed to vote on the matter at hand. |
| Form 990 Part VI | 15 | Compensation surveys are used to make a recommendation on the CEO payrate, for approval by the compensation committee. Compensation surveys are also used to make recommendations to the CEO on payrates for the other officers and the compensation committee reviews and approves those rates as well. |
| Form 990 Part VI | 19 | Greater Hazleton Health Alliance and affiliated entities makes the governing documents, conflicts of interest policy, tax return and financial statements available upon request. Also, Form 990 is available on www. guidestar.com |
| Form 990 Part XI | 5 | Minimum Pension Liability Adjustment of 11,262,403 |
| Form 990 Part XI | 5 | Writedown of intercompany receivables of 4,762,378 |
| Form 990 Part XI | 5 | Goodwill impairment of 83,000 |
| Form 990 Part XI | 5 | Net unrealized loss on investments of 447,948 |
| Form 990 Part XI | 5 | Increase in temporarily restricted net assets of 101,485. |
| Form 990 Part III Line 2 New programs services at HGH include bedside medication verification, 24-hour pharmacy coverage, driver safety course for seniors an employee wellness program. We also initiated the process for Trauma Center Level III designation, continued the development of our Electronic Medical Record. We also enhanced our services with Nursing Unit campus entrance renovations and new Lab Chemistry Automation Analyzers, the opening of a second Healthy Beginnings Plus clinic, expanded our Senior Choice ED Fast Track Programs. In addition, we have partnered with other facilities to provide Electrophysiology Services, Telehealth Services, a Breast Cancer Support Program, as well as health education and health screenings. Form 990 Part VI Section A Line 6 Greater Hazleton Health Alliance, a PA non-profit corporation is Northeastern Pennsylvania Health Corporations sole member. There are no stockholders. Form 990 Part VI Section A Line 7a Greater Hazleton Health Alliance, the sole member, appoints the directors. Form 990 Part VI Section A Line 7b Greater Hazleton Health Alliance, the sole member, makes and ratifies the decisions as specified in Northeastern Pennsylvania Health Corporations bylaws. Form 990 Part VI Section B Line 11a IRS Form 990s for Greater Hazleton Health Alliance entities i.e. GHHA, HGH, HPS, HSA, HWC are prepared by the Finance Department and then reviewed by the CFO. A detailed summary of the 990s is presented to the Finance Committee and, subsequently, in accordance with the Finance Committees wishes, a brief summary is presented to the Board. Board members are provided with a draft copy of the 990s during the presentation. Upon approval, the 990s are then submitted to the IRS. Form 990 Part VI Section B Line 12c Yearly, all board members and executive staff receive the conflict of interest policy are are asked to complete a statement sheet reporting any possible business or personal conflicts. All statements are reviewed by the Compliance Officer. If any Board member has a conflict with a specific discussion at a Board meeting, he / she either removes himself / herself from the discussion or is included in the discussion, but is not allowed to vote on the matter at hand. Form 990 Part VI Section B Line 15 Compensation surveys are used to make a recommendation on the CEO payrate, for approval by the compensation committee. Compensation surveys are also used to make recommendations to the CEO on payrates for the other officers and the compensation committee reviews and approves those rates as well. Form 990 Part VI Section C Line 19 Greater Hazleton Health Alliance and affiliated entities makes the governing documents, conflicts of interest policy, tax return and financial statements available upon request. Also, Form 990 is available on www. guidestar.com Form 990 Part XI Line 5 Minimum Pension Liability Adjustment of 11,262,403 Form 990 Part XI Line 5 Writedown of intercompany receivables of 4,762,378 Form 990 Part XI Line 5 Goodwill impairment of 83,000 Form 990 Part XI Line 5 Net unrealized loss on investments of 447,948 Form 990 Part XI Line 5 Increase in temporarily restricted net assets of 101,485. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Greater Hazleton Health Alliance | |||||||||||
| 700 E Broad St | Hazleton | PA | 18201 | 232831830 | Management Services | PA | 501c3 | 11 | N/A | false | |
| Hazleton Health & Wellness Center | |||||||||||
| 700 E Broad St | Hazleton | PA | 18201 | 232580968 | Staffing Services | PA | 501c3 | 3 | false | Northeastern Pennsylvania Health Corp DBA Hazleton General Hospital | |
| Hazleton Professional Services | |||||||||||
| 700 E Broad St | Hazleton | PA | 18201 | 205880364 | Physician Services | PA | 501c3 | 3 | false | Greater Hazleton Health Alliance | |
| Hazleton Surgical Alliance | |||||||||||
| 700 E Broad St | Hazleton | PA | 18201 | 202038456 | Surgical Services | PA | 501c3 | 3 | false | Northeastern Pennsylvania Health Corp DBA Hazleton General Hospital | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hazleton Surgery Center LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17480 Dallas Parkway Ste 210 | AddressLine1 |
| City | Dallas | City |
| State | TX | State |
| ZIP Code | 75287 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201232531 | EIN |
| Primary Activity | Surgical Services | PrimaryActivity |
| Legal Domicile State | TX | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hazleton Surgical Alliance | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeType |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | true | GeneralOrManagingPartner |
| Percentage Ownership | 0.66840 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hazleton Saint Joseph Medical Office Building Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E Broad St | AddressLine1 |
| City | Hazleton | City |
| State | PA | State |
| ZIP Code | 18201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232500981 | EIN |
| Primary Activity | Medical Office Rental | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northeastern Pennsylvania Health Corp DBA Hazleton General Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C Corp | TypeOfEntity |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (17 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Greater Hazleton Health Alliance | ||
| k | 8314178 | Actual Expense |
| Greater Hazleton Health Alliance | ||
| o | 26481 | Actual Payments |
| Greater Hazleton Health Alliance | ||
| p | 7125311 | Actual Payments |
| Greater Hazleton Health Alliance | ||
| q | 15913 | Actual Write Off |
| Hazleton Professional Services dba Alliance Medical Group | ||
| h | 32670 | Actual Expenses Paid |
| Hazleton Professional Services dba Alliance Medical Group | ||
| i | 3000 | Actual Rent Amount |
| Hazleton Professional Services dba Alliance Medical Group | ||
| j | 6158 | Actual Rent Amount |
| Hazleton Professional Services dba Alliance Medical Group | ||
| k | 180000 | Actual Managment Fee |
| Hazleton Professional Services dba Alliance Medical Group | ||
| l | 19117 | Actual Revenue Amount |
| Hazleton Professional Services dba Alliance Medical Group | ||
| o | 1237587 | Actual Expenses Paid |
| Hazleton Professional Services dba Alliance Medical Group | ||
| p | 131362 | Actual Expenses Paid |
| Hazleton Professional Services dba Alliance Medical Group | ||
| q | 4431893 | Actual Write Off |
| Hazleton Professional Services dba Alliance Medical Group | ||
| r | 59073 | Actual Expenses Paid |
| Hazleton Health & Wellness Center | ||
| k | 9568 | Actual Management Fee |
| Hazleton Health & Wellness Center | ||
| n | 3771528 | Actual Wages for contract employees |
| Hazleton Health & Wellness Center | ||
| p | 139912 | Actual Expenses Paid |
| Hazleton Health & Wellness Center | ||
| q | 252667 | Actual Write off |
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