2012-11-05T14:55:44-00:00 2011-12-31 990 2011-01-01 232421970 NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION % MOLLY P STETTLER NORT 5705014000 700 E BROAD STREET HAZLETON PA 18201 WILLIAM C BAUER 5705016292 2012-11-05 false 2011 2016-02-24 21:20:13Z HAZLETON GENERAL HOSPITAL James D Edwards 700 E Broad St Hazleton PA 18201 126323245 false X www.ghha.org X 1985 PA HGH provides inpatient, emergency, diagnostic, maternity, rehabilitative, outpatient therapeutic medical services conducts community education programs/services delivers these programs serv with compassion high standards of quality, without discrimination or abiliy to pay 15 14 765 14 482680 -91792 679023 457478 103823236 108232158 1374899 1379323 1294718 591783 107171876 110660742 0 0 47511705 49477190 25680 1109 71118 44932923 46330897 92470308 95809196 14701568 14851546 100364723 109712096 65346402 76296473 35018321 33415623 X HGH commits to service health needs in the Hazleton area, through its inpatient, emergency, diagnostic, maternity, rehabilitative, outpatient therapeutic medical services by providing community education and delivering programs services with compassion high standards of quality without discrimination. true false 80750419 110660742 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 80750419 true true false true false false false false false true false false true true false true true false false false false false false true false true true false false true true true false false false true false true true true false false false false false true true true true false true 94 0 true 765 true true true false false false true true true true false false false false X 15 14 false true false false true true true true true false false true true true true true true true true true true PA X X FINANCE DEPARTMENT 5705014989 700 E BROAD ST HAZLETON PA 18201 J EDWARDS 040.00 X X 0 523071 32427 J FLETCHER 040.00 X 0 277677 9096 W BAUER 040.00 X 0 245805 32264 A VALENTE 030.00 X 0 226725 31694 L MILLER 040.00 X 0 190072 23350 M GOLDEN 040.00 X 0 189949 30469 E PERRONG 040.00 X 0 157007 23729 J DANISH 040.00 X 0 102594 27521 J CIOTOLA MD 032.00 X 241909 0 16857 D PATTEN MD 032.00 X 241327 0 16857 J AMENTLER 040.00 X 196392 0 8663 D POGAR 040.00 X 106802 0 27864 S KING 040.00 X 106325 0 1060 T KENNEDY ESQ 001.00 X 0 0 0 A SRINIVASAN MD 001.00 X 0 0 0 J MADDEN PhD 001.00 X 0 0 0 J OSIECKI 001.00 X 0 0 0 SISTER MARY MARGARET OSF 001.00 X 0 0 0 A ARIAS 001.00 X 0 0 0 P BENYO MD 001.00 X 0 0 0 A CUSATIS 001.00 X 0 0 0 M LEIB 001.00 X 0 0 0 M LOBITZ DO 001.00 X 0 0 0 D PALERMO 001.00 X 0 0 0 J SNYDER DO 001.00 X 0 0 0 A VEGLIA MD 001.00 X 0 0 0 M WASHINSKY DO 001.00 X 0 0 0 892755 1912900 281851 13 false true false 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 27 333797 123681 457478 Net patient service revenue 900099 108148007 107665327 482680 Pharmacy sales 900099 28286 28286 Cafeteria sales 624200 55865 55865 108232158 1179595 1179595 138445 138445 138445 15816359 30796 15636830 10597 179529 20199 199728 61520 15076 46444 Equity in affiliates 900003 9876 9876 MSA revenue - HWC 541610 189566 189566 Group rebates 900099 83264 83264 124188 124188 406894 110660742 108072221 482680 1263746 0 0 0 0 0 0 37784155 31150290 6587200 46665 0 8954004 7785820 1148410 19774 2739031 2305784 429677 3570 0 435775 435775 58036 58036 0 1109 1109 0 0 462078 27301 434777 1450984 875375 575609 665984 665984 0 1456606 1341382 115224 132084 109084 23000 0 70038 25143 44895 1961195 1961195 0 5854473 5854473 855220 855220 PURCHASED SERVICES 4619998 3085274 1534724 MEDICAL SUPPLIES 10468612 10434597 34015 PROVISION FOR DOUBTFUL COLLECTIONS 7745461 7745461 EQUIPMENT RENTAL AND MAINTENANCE 4143312 3560839 582473 5951041 5594376 356665 95809196 80750419 14987659 71118 750 950 7984833 19465249 9972520 8585106 182687 134334 774073 728987 803335 966839 85202884 57169591 29024355 28033293 43815734 46217380 7806436 5579958 100364723 109712096 8406242 9650395 33731677 32714151 23208483 33931927 65346402 76296473 X 34380164 32675981 638157 739642 35018321 33415623 100364723 109712096 X 14851546 -16454244 X false true true X false X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 123394 123394 95685802 95809196 1000000 250000 254738 269218 224478 123394 871828 1307742 false 1139734 1139734 53048120 37739839 15308281 28044832 18452846 9591986 2970198 976906 1993292 28033293 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 5579958 Accrued Pension Costs 23975719 Third Party Settlements 6984468 Pension Payable 1112869 Capitalized Leases 1025221 Malpractice Insurance Liability 614926 Other Liabilities 218724 33931927 110660742 95809196 14851546 -447948 -16107781 -16555729 -1704183 110267087 -447948 -447948 110715035 -54293 -54293 110660742 95856377 95856377 -47181 -47181 95809196 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 X X X false PA Golf Tournament 61520 61520 3067 9979 1317 713 61520 61520 3067 9979 1317 713 15076 46444 true true true X true X true true true false true true 2364094 2364094 0.02470 13250536 10914753 2335783 0.02440 15614630 10914753 4699877 0.04910 410757 105555 305202 0.00320 117118 12875 104243 0.00110 274905 274905 0.00290 166875 166875 0.00170 969655 118430 851225 0.00890 16584285 11033183 5551102 0.05800 200068 200068 0.00210 21197 21197 0.00020 11853 11853 0.00010 168962 168962 0.00180 402080 402080 0.00420 true 1578525 915545 36391755 36746439 -354684 X true true Beltway Health LP Medical Office Space Rental 0.43780 1 1 Northeastern Pennsylvania Health Corporation dba Hazleton General Hospital

700 E Broad St Hazleton PA 18201

X X X 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. X X X false false false false false false false false false 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 5834 205054 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 10000000 488231 200000 10000000 2008 false false true true 4000000 210831 80000 3709299 2011 false false true true false false false false true false false false false true false true false false false false false true false false true true Eugene Gorski MD Refinancing of Debt X 250000 134334 false true true Michael Bono MD X 70000 70000 false true true 204334 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 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. Greater Hazleton Health Alliance 700 E Broad St Hazleton PA 18201 232831830 Management Services PA 501c3 11 N/A false Hazleton Health & Wellness Center 700 E Broad St Hazleton PA 18201 232580968 Staffing Services PA 501c3 3 Northeastern Pennsylvania Health Corp DBA Hazleton General Hospital false Hazleton Professional Services 700 E Broad St Hazleton PA 18201 205880364 Physician Services PA 501c3 3 Greater Hazleton Health Alliance false Hazleton Surgical Alliance 700 E Broad St Hazleton PA 18201 202038456 Surgical Services PA 501c3 3 Northeastern Pennsylvania Health Corp DBA Hazleton General Hospital false Hazleton Surgery Center LLC 17480 Dallas Parkway Ste 210 Dallas TX 75287 201232531 Surgical Services TX Hazleton Surgical Alliance Related false true 0.66840 Hazleton Saint Joseph Medical Office Building Inc 700 E Broad St Hazleton PA 18201 232500981 Medical Office Rental PA Northeastern Pennsylvania Health Corp DBA Hazleton General Hospital C Corp 1.00000 false false false false false false false true true true true true false true true true true true 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