BLAIR-BEDFORD PAROCHIAL MEDICAL CENTER INC: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- BLAIR-BEDFORD PAROCHIAL MEDICAL CENTER INC (EIN 20-8556087)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-09
- IRS object ID
- 201241309349201254
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-09T11:49:05-07:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RITCHEY RITCHEY & KOONTZ CPAS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 336 E PITT STREET | AddressLine1 |
| City | BEDFORD | City |
| State | PA | State |
| ZIP Code | 155221439 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208556087 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLAIR-BEDFORD PAROCHIAL MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BLAI | NameControl |
| Phone | 8142763477 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 BRIAR VALLEY RD | AddressLine1 |
| City | BEDFORD | City |
| State | PA | State |
| ZIP Code | 155228549 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SETH STOLTZFUS | Name |
| Title | TREASURER | Title |
| Phone | 8142763477 | Phone |
| Date Signed | 2012-05-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRAD M KOONTZ | Name |
| Phone | 8146239510 | Phone |
| Date Prepared | 2012-05-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 184117 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 43789 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 135738 | ProgramServiceRevenue |
| Membership Dues | 0 | MembershipDues |
| Investment Income | 0 | InvestmentIncome |
| Gross Amount From Sale Of Assets | 4290 | GrossAmountFromSaleOfAssets |
| Cost Other Basis And Sales Expenses | 3528 | CostOtherBasisAndSalesExpenses |
| Gain Or Loss From Sale Of Assets | 762 | GainOrLossFromSaleOfAssets |
| Gaming Gross Income | 0 | GamingGrossIncome |
| Fundraising Gross Income | 0 | FundraisingGrossIncome |
| Special Events Direct Expenses | 0 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 0 | SpecialEventsNetIncomeLoss |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Gro Profit Loss Sales Of Inventory | 0 | GroProfitLossSalesOfInventory |
| Other Revenue Total | 300 | OtherRevenueTotal |
| Total Revenue | 180589 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 121542 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 560 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 8775 | OccupancyRentUtilitiesAndMaint |
| Other Expenses Total | 76299 | OtherExpensesTotal |
| Total Expenses | 207176 | TotalExpenses |
| Excess Or Deficit For Year | -26587 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | -33270 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -59857 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13115 | BOY |
| EOY | 5029 | EOY |
Land And Buildings LandAndBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10236 | BOY |
| EOY | 2614 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3360 | BOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26711 | BOY |
| EOY | 7643 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59981 | BOY |
| EOY | 67500 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -33270 | BOY |
| EOY | -59857 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | Health care provider | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | PROVIDED LOW COST HEALTH CARE SERVICES TO LOCAL RESIDENTS. | DescriptionProgramServiceAccom |
| Program Service Expenses | 207176 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 207176 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| STEVEN J MARTIN | ||||||
| 794 RT 36 SOUTH | DUNCANSVILLE | PA | 16635 | Chair | 5.00 | 0 |
| WENDELL MARTIN | ||||||
| 225 SLOANS HOLLOW RD | BEDFORD | PA | 15522 | Vice chair | 5.00 | 0 |
| MERVIN WEAVER | ||||||
| 1183 LAFAYETTE RD | NEW ENTERPRISE | PA | 16664 | President | 5.00 | 0 |
| MERVIN FOX | ||||||
| 226 CREPS RD | MARTINSBURG | PA | 16662 | VP | 5.00 | 0 |
| LAVERNE NOLT | ||||||
| 2705 HENRIETTA RD | MARTINSBURG | PA | 16662 | Secretary | 5.00 | 0 |
| SETH STOLZFUS | ||||||
| 1212 BRIAR VALLEY RD | BEDFORD | PA | 15522 | Treasurer | 5.00 | 0 |
| MERVIN Z MARTIN | ||||||
| 2225 COVE LANE RD | MARTINSBURG | PA | 16662 | Board | 1.00 | 0 |
| DR GREG MOCK | ||||||
| RR 2 BOX 140 A | MARTINSBURG | PA | 16662 | Board | 40.00 | 91425 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | true | MadeLoansToFromOfficers |
| Loans To From Officers | 27000 | LoansToFromOfficers |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SETH STOLTZFUS | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 BRIAR VALLEY RD | AddressLine1 |
| City | BEDFORD | City |
| State | PA | State |
| ZIP Code | 15522 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8146237863 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 39900 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 55938 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 39039 | CurrentTaxYearMinus1Year |
| Current Tax Year | 43789 | CurrentTaxYear |
| Total | 178666 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 111745 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 150431 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 160319 | CurrentTaxYearMinus1Year |
| Current Tax Year | 140028 | CurrentTaxYear |
| Total | 562523 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 151645 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 206369 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 199358 | CurrentTaxYearMinus1Year |
| Current Tax Year | 183817 | CurrentTaxYear |
| Total | 741189 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 741189 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 349 | CurrentTaxYearMinus3Years |
| Total | 349 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 349 | CurrentTaxYearMinus3Years |
| Total | 349 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 2784 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1354 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 356 | CurrentTaxYearMinus1Year |
| Total | 4494 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 746032 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99350 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99140 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00050 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00060 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| Facts And Circumstances Test | OTHER INCOME PART III, LINE 12; DESCRIPTION: OTHER; 2008: 2784.; 2009: 1354.; 2010: 356.; | FactsAndCircumstancesTest |
Schedule L IRS990ScheduleL
Loan Table LoanTable (3 entries)
| Purpose Of LoanPurposeOfLoan | Loan To OrganizationLoanToOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| MERVIN WEAVER | ||||||
| short term operations | X | $10,000 | 10000 | false | true | true |
| SETH STOLZFUS | ||||||
| short term operations | X | $12,000 | 12000 | false | true | true |
| MERVIN FOX | ||||||
| short term operations | X | $5,000 | 5000 | false | true | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 27000 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990EZ, Part I, Line 8 | OTHER 300. |
| Form 990EZ, Part I, Line 16 | MEDICAL SUPPLIES 26993. BAD DEBTS 905. OFFICE & ADMINISTRATIVE 3193. DUES & SUBSCRIPTIONS 865. INSURANCE 62. MISC 69. ANSWERING SVC 1611. CONTINUING EDUCATION 1610. COMPUTER/INTERNET 1347. EVENING CALLS 432. MALPRACTICE 10685. HEALTH INS 6919. PAYROLL TAXES 9022. WC INSURANCE 1297. ELECTRICITY 1200. PAGER 64. CELLPHONE 1163. TELEPHONE 3273. GARBAGE 1495. DEPRECIATION 4094. |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE 794. PAYROLL TAXES PAYABLE 1687. LOANS PAYABLE 57500. 67500. |
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