ELK REGIONAL PROFESSIONAL GROUP INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ELK REGIONAL PROFESSIONAL GROUP INC (EIN 25-1875183)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-10
IRS object ID
201101309349301115
Schema version
2009v1.7
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

FieldValueIRS element (for citing)
Timestamp2011-05-10T09:25:34-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251875183EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ELK REGIONAL PROFESSIONAL GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELKRNameControl
Phone8147888000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1763 JOHNSONBURG ROADAddressLine1
CityST MARYSCity
StatePAState
ZIP Code15857ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLAURIE MACDONALDName
TitleVP FINANCE/CFOTitle
Date Signed2011-03-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGREG BAUERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1763 JOHNSONBURG ROADAddressLine1
CityST MARYSCity
StatePAState
ZIP Code15857ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3331653GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionINITIALLY DESIGNED TO INTEGRATE AND ASSIST THE PHYSICIANS OF HOSPITAL- BASED DEPARTMENTS, ERPG HAS BECOME AN IMPORTANT PHYSICIAN EMPLOYMENT VEHICLE FOR ERHS TO RECRUIT AND RETAIN HIGH QUALITY PROVIDERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees38TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8848228ProgramServiceRevenuePriorYear
Program Service Revenue CY3330653ProgramServiceRevenueCY
Investment Income Prior Year1136InvestmentIncomePriorYear
Investment Income Current Year1000InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8849364TotalRevenuePriorYear
Total Revenue Current Year3331653TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9261338SalariesEtcPriorYear
Salaries Etc Current Year4186766SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2473995OtherExpensePriorYear
Other Expenses Current Year1344033OtherExpensesCurrentYear
Total Expenses Prior Year11735333TotalExpensesPriorYear
Total Expenses Current Year5530799TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2885969RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2199146RevenuesLessExpensesCY
Total Assets BOY2084682TotalAssetsBOY
Total Assets EOY1142762TotalAssetsEOY
Total Liabilities BOY19941269TotalLiabilitiesBOY
Total Liabilities EOY21198495TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-17856587NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-20055733NetAssetsOrFundBalancesEOY
Mission DescriptionNONEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2135895Expense
Revenue1212881Revenue
DescriptionERPG ALSO PROVIDES ANESTHESIA AND CRNA SERVICES TO THE HOSPITAL. THE PHYSICIANS THAT ARE PART OF THIS GROUP PROVIDE EXCELLENT ANESTHESIA SERVICES TO OUR HOSPITAL FOR APPROXIMATELY 260 INPATIENT AND OUTPATIENT SURGERIES EACH MONTH.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1518859Expense
Revenue1532959Revenue
DescriptionERPG PROVIDES ER PHYSICIANS TO THE 24-HOUR STAFFED EMERGENCY ROOM AT THE HOSPITAL. APPROXIMATELY 1,490 VISITS ARE MADE TO THE ER EACH MONTH FROM THE SURROUNDING COMMUNITY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense569572Expense
Revenue376950Revenue
DescriptionELK REGIONAL PROFESSIONAL GROUP, INC., (ERPG) IS A PRIVATE, NOT-FOR-PROFIT CORPORATION SERVING AS A PHYSICIAN EMPLOYMENT BRANCH OF THE SYSTEM. IT PROVIDES FAMILY MEDICINE PHYSICIAN OFFICES TO SERVE THE COMMUNITY. MANY OF THE OFFICES ARE LOCATED ON THE ERHC CAMPUS WITH A FEW OTHER LOCATIONS TO BETTER SERVE THE COMMUNITY.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp522108TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev207863TotalOfOtherProgramServiceRev
Total Program Service Expense4746434TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109620NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees38NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLAURIE MACDONALDNamePerson
Telephone Number8147885505TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1763 JOHNSONBURG ROADAddressLine1
CityST MARYSCity
StatePAState
ZIP Code15857ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
GREG BAUER
VICE CHAIRMAN/CEO1.0XX027240525426
JOE GRIBIK
SECRETARY/TREASURER1.0XX000
DR DEAN STOKES MD
PHYS./DIRECTOR/MD STAFF PRES40.0X166998015000
ROB O'LEARY
DIRECTOR1.0X000
MARY AGNES MARSHALL
DIRECTOR1.0X000
FRANK SCUTELLA
DIRECTOR1.0X000
DR ADRIENNE FUEG MD
DIRECTOR1.0X252106049579
LARRY ZIMMEL
DIRECTOR1.0X0552900
LAURIE MACDONALD
CFO/VP OF FINANCE40.0X11966321913
DR UPHENDRA THAKER
PHYSICIAN40.0512306050793X
DR JAMES PITTMAN
PHYSICIAN40.041726400X
DR CONRADO VALDES
PHYSICIAN40.0392474018000X
DR TED ESHBACH
PHYSICIAN40.0327015051015X
DR JULIA WONDERLING
PHYSICIAN40.032414501793X
JIM BYHAM
FORMER CHAIRMAN021388223630X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2392308TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs661240TotalReportableCompFrmRltdOrgs
Total Other Compensation257149TotalOtherCompensation
Number Individuals GT100 K36NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
HEALTH CARE BILLING CONSULTANTS
PHYS. BILLING SVC139363
REGIONAL HEALTH SERVICES INC
ER LOCUMS251625
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE62111033293613329361
OTHER REVENUE62111012921292
FieldValueIRS element (for citing)
Total Program Service Revenue3330653TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1000TotalRevenueColumn
Exclusion$1,000ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3331653TotalRevenueColumn
Related Or Exempt Function Income3330653RelatedOrExemptFunctionIncome
Exclusion$1,000ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total483683Total
Program Services483683ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3046934Total
Program Services2600039ProgramServices
Management And General446895ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total257467Total
Program Services216019ProgramServices
Management And General41448ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total228227Total
Program Services198726ProgramServices
Management And General29501ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total170455Total
Program Services148477ProgramServices
Management And General21978ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total731434Total
Program Services556518ProgramServices
Management And General174916ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total162443Total
Program Services124716ProgramServices
Management And General37727ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total59840Total
Program Services46751ProgramServices
Management And General13089ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1183Total
Program Services830ProgramServices
Management And General353ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total31649Total
Program Services24726ProgramServices
Management And General6923ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total35776Total
Program Services27950ProgramServices
Management And General7826ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total187727Total
Program Services187727ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DUES & SUBSCRIPTIONS390427651139
RECRUITMENT EXPENSE1175091802570
MEDICAL SUPPLIES118327118327

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5530799Total
Program Services4746434ProgramServices
Management And General784365ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY87871BOY
EOY82618EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY20815BOY
EOY20815EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1335208BOY
EOY611284EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY187701BOY
EOY14538EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis918826LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec505319LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY453087BOY
EOY413507EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2084682BOY
EOY1142762EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY507820BOY
EOY428248EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19433449BOY
EOY20770247EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19941269BOY
EOY21198495EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-17856587BOY
EOY-20055733EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-17856587BOY
EOY-20055733EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2084682BOY
EOY1142762EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7438OtherCostOrOtherBasis
Depreciation2231Depreciation
Book Value5207BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis892723OtherCostOrOtherBasis
Depreciation493434Depreciation
Book Value399289BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18665OtherCostOrOtherBasis
Depreciation9654Depreciation
Book Value9011BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings413507TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$20,770,247Amount
FieldValueIRS element (for citing)
Total Of Amounts20770247TotalOfAmounts
Total Revenue3331653TotalRevenue
Total Expenses5530799TotalExpenses
Excess Or Deficit For Year-2199146ExcessOrDeficitForYear
Excess Or Deficit Per FS-2199146ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3331653TotRevenueEtcAuditedFinclStmt
Revenue Subtotal3331653RevenueSubtotal
Total Revenue Per Form9903331653TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5530799TotExpensesEtcAuditedFinclStmt
Expenses Subtotal5530799ExpensesSubtotal
Total Expenses Per Form9905530799TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
JIM BYHAM
015707000056812055670180630237512
GREG BAUER
024392800028477072260182000297831
DR DEAN STOKES MD
1650010144505520150000001819980
DR ADRIENNE FUEG MD
250421014450240049000057903016850
DR UPHENDRA THAKER
447501014450633600490000179305630990
DR JAMES PITTMAN
39538402029601584000004172640
DR CONRADO VALDES
319445014450715840180000004104740
DR TED ESHBACH
32398601445015840490000201503780300
DR JULIA WONDERLING
30952301445013177000179303259380

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4B457(F) PLAN EMPLOYEE CONTRIBUTIONS JIM BYHAM $14,500 GREG BAUER $4,500
BONUSESSCHEDULE J, PART I, LINE 6APHYSICIANS AT ERPG RECEIVE BONUSES BASED ON THEIR PORTIONS OF THE EMG ANCILLARY SERVICES, IN WHICH ALL PHYSICIANS SHARE IN THE PROFIT. 50% OF THE TOTAL PROFIT IS SHARED EVENLY BY THE EMPLOYED PHYSICIANS. IN ADDITION, DR. JAMES PITTMAN'S CONTRACT ALLOWS FOR AN INCENTIVE BONUS. THE BONUS IS CALCULATED AS 50% OF THE PRACTICE INCENTIVE BONUS POOL, WHICH IS CALCULATED AS DIRECT REVENUE OF THE PHYSICIAN LESS ACTUAL EXPENSES OF EMPLOYMENT AND OPERATIONS OF THE PRACTICE.
CEO COMPENSATIONSCHEDULE J, PART I, LINE 3A RELATED ORGANIZATION, ELK REGIONAL HEALTH CENTER, USES A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1A SUBSIDIARY OF ELK REGIONAL HEALTH SYSTEM (ERHS), ERPG WAS INITIALLY DESIGNED TO INTEGRATE AND ASSIST THE PHYSICIANS OF HOSPITAL-BASED DEPARTMENTS, SUCH AS ANESTHESIA AND EMERGENCY SERVICES. SINCE ITS INCEPTION, HOWEVER, ERPG HAS BECOME AN IMPORTANT PHYSICIAN EMPLOYMENT VEHICLE THROUGH WHICH ELK REGIONAL HEALTH SYSTEM IS ABLE TO SUCCESSFULLY RECRUIT AND RETAIN HIGH QUALITY PROVIDERS. SINCE ITS INCORPORATION, ERPG HAS GROWN INTO A LARGE AND EFFECTIVE MULTI-SPECIALTY GROUP WHICH INCLUDES THE FOLLOWING SERVICES/SPECIALTIES: ANESTHESIA; EMERGENCY MEDICINE; EMG; FAMILY AND GENERAL MEDICINE; GENERAL SURGERY; INTERNAL MEDICINE; OB/GYN; ORTHOPEDIC SURGERY; PAIN MANAGEMENT; PATHOLOGY; UROLOGY. ERPG OFFICES COVER A LARGE GEOGRAPHIC RADIUS WITH PRACTICES LOCATED IN: BENNETT'S VALLEY; EMPORIUM; JOHNSONBURG; KERSEY; ST. MARYS; RIDGWAY; WEEDVILLE. THE TALENT AND COMMITMENT OF THE ERPG PHYSICIANS ENABLES ERHS TO PROVIDE THE HIGHEST QUALITY OF CARE AT THE LOWEST POSSIBLE COST, AND TO CREATE A HEALTH CARE SERVICE DELIVERY SYSTEM WHEREIN QUALITY, PATIENT SAFETY, CUSTOMER SERVICES, AND CONTINUITY OF CARE IS OF THE HIGHEST IMPORTANCE. THROUGH THE ERPG PROVIDERS, ERHS BUILDS ON ITS COMMITMENT TO THE COMMUNITY BY PROVIDING A FULL COMPLEMENT OF COMPREHENSIVE HEALTH CARE SERVICES WITHIN ONE HEALTH CARE SYSTEM, AS WELL AS CREATING EASY ACCESS TO HEALTH CARE AND SEAMLESS TRANSITION FROM ONE HEALTH CARE SETTING TO ANOTHER. OTHER PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE GENERAL SURGERY, ANCILLARY EMG, OB/GYN, ORTHOPEDIC SURGERY, PAIN MANAGEMENT, PATHOLOGY, AND UROLOGY.
BUSINESS RELATIONSHIPSFORM 990, PART VI, SECTION A, LINE 2GREG BAUER, ERPG VICE CHAIRMAN, AND FRANK SCUTELLA, ERPG BOARD DIRECTOR, ARE BOARD MEMBERS OF PENNSYLVANIA MOUNTAIN HEALTH ALLIANCE, OF WHICH JOE GRIBIK, ERPG BOARD SECRETARY/TREASURER, IS CEO.
MEMBERSFORM 990, PART VI, SECTION A, LINES 6, 7A, & 7BTHE ORGANIZATION'S SOLE CORPORATE MEMBER IS ELK REGIONAL HEALTH SYSTEM (ERHS), A RELATED PENNSYLVANIA NON-PROFIT CORPORATION. THE CORPORATE MEMBER IS ENTITLED TO VOTE IN THE ELECTION OF FOUR OF THE DIRECTORS OF ERPG. THE BOARD SHALL CONSIST OF SIX TO TEN VOTING DIRECTORS, PROVIDED THAT AT ALL TIMES 20-30% ARE PHYSICIANS EMPLOYED BY ERPG. THESE PHYSICIAN DIRECTORS ARE ELECTED BY A VOTE OF THE PHYSICIANS EMPLOYED ON A FULL-TIME BASIS BY ERPG. ALL OTHER DIRECTORS ARE APPOINTED BY THE CORPORATE MEMBER. A BOARD MEMBER SELECTED FROM AMONG THOSE APPOINTED BY THE CORPORATE MEMBER SHALL SERVE AS PRESIDENT OF ERPG. ALL POWERS OF THE ORGANIZATION ARE EXERCISED AND AUTHORIZED BY THE BOARD OF DIRECTORS, PROVIDED THAT THE BOARD OBTAINS APPROVAL OF ERHS BEFORE ACTION ON ANY OF THE FOLLOWING MATTERS BECOMES FINAL AND EFFECTIVE: 1. AMENDMENT OF THE ARTICLES OF INCORPORATION OR OF THE BYLAWS 2. THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF ERPG 3. MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION 4. DISSOLUTION OF ERPG 5. APPROVAL OF AN ANNUAL BUDGET 6. ANY TRANSFER OF FUNDS BY GRANT, GIFT, OR LOAN FROM ERPG 7. ANY OTHER MATTER THAT BY LAW WOULD REQUIRE THE APPROVAL OF THE CORPORATE MEMBER OF A NONPROFIT CORPORATION
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11ATHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE DRAFT FORM 990 IS REVIEWED BY THE CFO AND THE CONTROLLER. AFTER ALL SUGGESTED CHANGES FROM THE CFO AND CONTROLLER ARE MADE, THE UPDATED DRAFT FORM 990 IS GIVEN TO THE FINANCE COMMITTEE. AFTER ANY FINAL CHANGES ARE MADE, A COPY IS PROVIDED TO THE FULL BOARD BEFORE FILING.
CONFLICT OF INTEREST POLICY COMPLIANCEFORM 990, PART VI, SECTION B, LINE 12CTHE WRITTEN CONFLICT OF INTEREST POLICY IS GIVEN TO BOARD MEMBERS ANNUALLY ALONG WITH A LETTER AND DISCLOSURE STATEMENT. THE CHAIRMAN OF THE BOARD REVIEWS THESE DISCLOSURE STATEMENTS AND SUBMITS A REPORT TO THE EXECUTIVE COMMITTEE CONCERNING ANY CONFLICTS OF INTEREST. THE BOARD MEMBERS ALSO COMPLETE A SEPARATE QUESTIONNAIRE DEVELOPED TO HELP ANSWER THE NEW FORM 990 QUESTIONS. ANY INDIVIDUAL HAVING A CONFLICT OF INTEREST WITH RESPECT TO ANY MATTER WILL NEITHER VOTE NOR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. THIS INDIVIDUAL WILL ALSO NOT BE COUNTED IN DETERMINING THE QUORUM FOR ANY ACTION ON THE MATTER IN QUESTION. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE OF THE INTEREST, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. COMPENSATION DETERMINATION FORM 990, PART VI, SECTION B, LINES 15A & 15B ELK REGIONAL HEALTH CENTER'S (ERHC) CEO HAS AN ANNUAL CONTRACT REVIEW BY ERHC'S BOARD. AS PART OF THIS PROCESS, ERHC'S BOARD USES SALARY SURVEYS AS COMPARABILITY DATA. NO OTHER OFFICERS RECEIVE THIS SALARY REVIEW. THE PROCESS IS DISCUSSED WITH THE EXECUTIVE COMMITTEE OF ERHC'S BOARD OF DIRECTORS BUT IS NOT DOCUMENTED IN THE MINUTES. THE CHAIRMAN OF ERHC'S BOARD DOES, HOWEVER, SIGN THE CONTRACT APPROVING ANY CHANGES AS AGREED UPON.
GOVERNING DOCUMENT AVAILABILITYFORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST FROM LORI SCUTELLA, ADMINISTRATIVE SECRETARY. DOCUMENTS MAY BE MAILED, E-MAILED, FAXED, OR HELD FOR PICKUP BY REQUESTING PERSONS.
BOARD MEMBER COMPENSATIONFORM 990, PART VIINO DIRECTORS RECEIVE ANY COMPENSATION FOR THEIR DIRECTOR DUTIES. JIM BYHAM, FORMER CHAIRMAN, IS EMPLOYED BY ELK REGIONAL HEALTH CENTER (ERHC) AS VP OF FINANCE/CONSULTANT. GREG BAUER, VICE CHAIRMAN, IS EMPLOYED BY ERHC AS CEO/PRESIDENT. DR. DEAN STOKES, DIRECTOR, IS EMPLOYED BY THE ORGANIZATION AS A PHYSICIAN AND PRESIDENT OF THE MEDICAL STAFF. HE ALSO RECEIVES A 1099 FROM ERHC FOR THE EKG READS PROGRAM. DR. ADRIENNE FUEG IS EMPLOYED BY THE ORGANIZATION AS A PHYSICIAN. CONSOLIDATED FINANCIAL STATEMENTS FORM 990, PART XI THE ORGANIZATION RECEIVES AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS WITH THE ORGANIZATIONS LISTED IN SCHEDULE R. THE ORGANIZATION'S TOP MANAGEMENT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT, AS WELL AS THE CHOICE OF AN INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ELK REGIONAL HEALTH CENTER
763 JOHNSONBURG ROADST MARYSPA15857250585280HEALTH CAREPA501(C)(3)3NA
ELK REGIONAL HEALTH SYSTEM FOUNDATION
763 JOHNSONBURG ROADST MARYSPA15857251636685SUPPORTPA501(C)(3)11A INA
ELCO HOUSING
759 JOHNSONBURG ROADST MARYSPA15857251639115HOUSINGPA501(C)(3)7NA
ELK REGIONAL HEALTH SYSTEM AUXILIARY
763 JOHNSONBURG ROADST MARYSPA15857251429093SUPPORTPA501(C)(3)7NA
ELK REGIONAL HEALTH SYSTEM
763 JOHNSONBURG ROADST MARYSPA15857251636723HEALTH CAREPA501(C)(3)9NA
COMMUNITY NURSES HOME HEALTH & HOSPICE
757 JOHNSONBURG ROAD STE 200ST MARYSPA15857250996070HEALTH CAREPA501(C)(3)9NA
COMMUNITY NURSES HOME SUPPORT SERVICES
757 JOHNSONBURG ROAD STE 200ST MARYSPA15857251623601HEALTH CAREPA501(C)(3)9NA
COMMUNITY NURSES INC
757 JOHNSONBURG ROAD STE 200ST MARYSPA15857251623598HEALTH CAREPA501(C)(3)7NA

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ELK REG MRI CTR
763 JOHNSONBURG ROADST MARYSPA15857251924737MRI CENTERPANA
REG AMBUL SURG CTR
1376 BUCKTAIL ROADST MARYSPA15857251873083SURGERY CENTERPANA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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