2011-05-10T09:25:34-04:00 2010-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2009-07-01 251875183 ELK REGIONAL PROFESSIONAL GROUP ELKR 8147888000 763 JOHNSONBURG ROAD ST MARYS PA 15857 LAURIE MACDONALD 2011-03-11 true Brian D Todd 4178658701 2009 2016-02-24 21:20:13Z GREG BAUER 763 JOHNSONBURG ROAD ST MARYS PA 15857 3331653 false X N/A X 2000 PA INITIALLY 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. 8 3 38 8 0 0 8848228 3330653 1136 1000 0 0 8849364 3331653 0 0 0 0 9261338 4186766 0 0 0 2473995 1344033 11735333 5530799 -2885969 -2199146 2084682 1142762 19941269 21198495 -17856587 -20055733 NONE false false 2135895 1212881 ERPG 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. 1518859 1532959 ERPG 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. 569572 376950 ELK 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. 522108 207863 4746434 true false false false false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 20 0 true 38 true false false false false false false false false false 8 3 true false false false true true true true true false false true true true true true false false false false X LAURIE MACDONALD 8147885505 763 JOHNSONBURG ROAD ST MARYS PA 15857 GREG BAUER 1.0 X X 0 272405 25426 JOE GRIBIK 1.0 X X 0 0 0 DR DEAN STOKES MD 40.0 X 166998 0 15000 ROB O'LEARY 1.0 X 0 0 0 MARY AGNES MARSHALL 1.0 X 0 0 0 FRANK SCUTELLA 1.0 X 0 0 0 DR ADRIENNE FUEG MD 1.0 X 252106 0 49579 LARRY ZIMMEL 1.0 X 0 55290 0 LAURIE MACDONALD 40.0 X 119663 21913 DR UPHENDRA THAKER 40.0 X 512306 0 50793 DR JAMES PITTMAN 40.0 X 417264 0 0 DR CONRADO VALDES 40.0 X 392474 0 18000 DR TED ESHBACH 40.0 X 327015 0 51015 DR JULIA WONDERLING 40.0 X 324145 0 1793 JIM BYHAM X 0 213882 23630 2392308 661240 257149 36 true true false HEALTH CARE BILLING CONSULTANTS PHYS. BILLING SVC 139363 REGIONAL HEALTH SERVICES INC ER LOCUMS 251625 2 0 NET PATIENT SERVICE REVENUE 621110 3329361 3329361 OTHER REVENUE 621110 1292 1292 3330653 1000 1000 0 0 0 0 0 0 0 3331653 3330653 1000 0 0 0 0 483683 483683 0 3046934 2600039 446895 257467 216019 41448 228227 198726 29501 170455 148477 21978 0 0 0 0 0 0 731434 556518 174916 0 162443 124716 37727 0 0 59840 46751 13089 1183 830 353 0 31649 24726 6923 0 0 35776 27950 7826 187727 187727 DUES & SUBSCRIPTIONS 3904 2765 1139 RECRUITMENT EXPENSE 11750 9180 2570 MEDICAL SUPPLIES 118327 118327 5530799 4746434 784365 0 87871 82618 20815 20815 1335208 611284 187701 14538 918826 505319 453087 413507 2084682 1142762 507820 428248 19433449 20770247 19941269 21198495 X -17856587 -20055733 -17856587 -20055733 2084682 1142762 X false true false X false X 7438 2231 5207 892723 493434 399289 18665 9654 9011 413507 0 DUE TO RELATED PARTIES 20770247 20770247 3331653 5530799 -2199146 -2199146 3331653 3331653 3331653 5530799 5530799 5530799 FIN 48 FOOTNOTE SCHEDULE D, PART X, LINE 2 MANAGEMENT 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. false true false false false true false false false JIM BYHAM 0 157070 0 0 0 56812 0 5567 0 18063 0 237512 GREG BAUER 0 243928 0 0 0 28477 0 7226 0 18200 0 297831 DR DEAN STOKES MD 165001 0 1445 0 552 0 15000 0 0 0 181998 0 DR ADRIENNE FUEG MD 250421 0 1445 0 240 0 49000 0 579 0 301685 0 DR UPHENDRA THAKER 447501 0 1445 0 63360 0 49000 0 1793 0 563099 0 DR JAMES PITTMAN 395384 0 20296 0 1584 0 0 0 0 0 417264 0 DR CONRADO VALDES 319445 0 1445 0 71584 0 18000 0 0 0 410474 0 DR TED ESHBACH 323986 0 1445 0 1584 0 49000 0 2015 0 378030 0 DR JULIA WONDERLING 309523 0 1445 0 13177 0 0 0 1793 0 325938 0 SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B 457(F) PLAN EMPLOYEE CONTRIBUTIONS JIM BYHAM $14,500 GREG BAUER $4,500 BONUSES SCHEDULE J, PART I, LINE 6A PHYSICIANS 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 COMPENSATION SCHEDULE J, PART I, LINE 3 A RELATED ORGANIZATION, ELK REGIONAL HEALTH CENTER, USES A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 A 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 RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 GREG 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. MEMBERS FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B THE 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 PROCESS FORM 990, PART VI, SECTION B, LINE 11A THE 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 COMPLIANCE FORM 990, PART VI, SECTION B, LINE 12C THE 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 AVAILABILITY FORM 990, PART VI, SECTION C, LINE 19 THE 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 COMPENSATION FORM 990, PART VII NO 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. 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