LOWER BUCKS HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
LOWER BUCKS HOSPITAL (EIN 23-2879667)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201101369349306595
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)
Timestamp2011-05-16T20:17:53-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ZELENKOFSKE AXELROD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12370 YORK ROAD SUITE A-5AddressLine1
CityJAMISONCity
StatePAState
ZIP Code18929ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232879667EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOWER BUCKS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLOWENameControl
Phone2157859200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 BATH ROADAddressLine1
CityBRISTOLCity
StatePAState
ZIP Code19007ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameALBERT MEZZAROBAName
TitleCEOTitle
Phone2157859200Phone
Date Signed2011-05-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameZELENKOFSKE AXELROD LLCName
Phone2159182277Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALBERT MEZZAROBANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1501 BATH ROADAddressLine1
CityBRISTOLCity
StatePAState
ZIP Code19007ZIPCode
FieldValueIRS element (for citing)
Gross Receipts105247127GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.lowerbuckshospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionHealthcare-community hospitalActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees1096TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1446868ContributionsGrantsPriorYear
Contributions Grants Current Year1000000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year108412006ProgramServiceRevenuePriorYear
Program Service Revenue CY102971130ProgramServiceRevenueCY
Investment Income Prior Year216763InvestmentIncomePriorYear
Investment Income Current Year98217InvestmentIncomeCurrentYear
Other Revenue Prior Year2680978OtherRevenuePriorYear
Other Revenue Current Year1134278OtherRevenueCurrentYear
Total Revenue Prior Year112756615TotalRevenuePriorYear
Total Revenue Current Year105203625TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year54066171SalariesEtcPriorYear
Salaries Etc Current Year49176260SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year9021TotalFundrsngExpCurrentYear
Other Expense Prior Year65509530OtherExpensePriorYear
Other Expenses Current Year63417968OtherExpensesCurrentYear
Total Expenses Prior Year119575701TotalExpensesPriorYear
Total Expenses Current Year112594228TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6819086RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-7390603RevenuesLessExpensesCY
Total Assets BOY65361808TotalAssetsBOY
Total Assets EOY64386854TotalAssetsEOY
Total Liabilities BOY67722282TotalLiabilitiesBOY
Total Liabilities EOY73799313TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-2360474NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-9412459NetAssetsOrFundBalancesEOY
Mission DescriptionADVANCED HEALTHCARE FOR THE COMMUNITYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense94756500Expense
DescriptionHEALTHCARE TO THE COMMUNITYDescription
Total Program Service Expense94756500TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1096NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2157859325TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1501 Bath RoadAddressLine1
CityBristolCity
StatePAState
ZIP Code19007ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
anthony melio
board member1.00X000
ranga rao
board member1.00X000
pasquale deon sr
vice chairman1.00X000X
phillip bracken
board member1.00X000
ronald j selzer
chairman1.00X000X
gladys mendieta
board member1.00X000
delores brown
treasurer1.00X000X
harry fawkes sr
board member1.00X000
yagnesh chokski
board member1.00X000
harry fawkes jr
board member1.00X000
robert leipziger
board member1.00X000
john mchale
vp, information technolo40.00000XX
albert mezzaroba
presiDENT/ceo40.00000XX
michael olivieri
cfo40.00000XX
PATRICIA BAIN
DIRECTOR PATIENT CARE40.00000X
anna sosnovsky
neonatologist40.0019303400X
brad millman
otolaryngologist40.0017156100X
kim clabbers
orthopedic surgeon40.0026998200X
edward armbruster
orthopedic surgeon40.0037140000X
tatyana chernova
pathologist40.0020401700X
austin cleveland
PRESIDENT/ceo40.00000X
michael c drabot
cfo40.00000X
dorothy carey
FORMER vp, patient care40.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1209994TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO
PO BOX 905374CHARLOTTENC28290MANAGEMENT OF DIETARY SERVICES1869280
PINNACLE MID-ATLANTIC
13601 PRESTON ROADDALLASTX75240ANESTHESIA SERVICES1783324
horizon mental
2941 south lake vista drivelewisvilleTX75067mental health administration991030
LBH RADIOLOGY
501 BATH ROADBRISTOLPA19007RADIOLOGY SERVICES975380
saul ewing
1500 market street 38th floorphiladelphiaPA19102legal firm827398
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants1000000GovernmentGrants
Total Contributions1000000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
Descriptionhospital physicials &pDescription
Business Code621110BusinessCode
Total Revenue Column102971130TotalRevenueColumn
Related Or Exempt Function Income102971130RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue102971130TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column60137TotalRevenueColumn
Exclusion$60,137ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column38080TotalRevenueColumn
Exclusion$38,080ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real424456Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real43502Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real380954Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column380954TotalRevenueColumn
Related Or Exempt Function Income380954RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
other misc patient ser621110592088592088
advanced specialty phy621300161236161236
FieldValueIRS element (for citing)
Total Other Revenue753324TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column105203625TotalRevenueColumn
Related Or Exempt Function Income104105408RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$98,217ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total509472Total
Program Services130000ProgramServices
Management And General379472ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total297863Total
Program Services22258ProgramServices
Management And General275605ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total39320465Total
Program Services34246749ProgramServices
Management And General5065327ManagementAndGeneral
Fundraising8389Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total600000Total
Program Services498000ProgramServices
Management And General102000ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5456669Total
Program Services4526050ProgramServices
Management And General930619ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2991791Total
Program Services2584356ProgramServices
Management And General406803ManagementAndGeneral
Fundraising632Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2945981Total
Management And General2945981ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total72250Total
Management And General72250ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total16278178Total
Program Services12763158ProgramServices
Management And General3515020ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total134243Total
Program Services840ProgramServices
Management And General133403ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total255717Total
Management And General255717ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total177449Total
Program Services6543ProgramServices
Management And General170906ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1952601Total
Program Services1952601ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total90473Total
Program Services89593ProgramServices
Management And General880ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total915287Total
Program Services915287ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6312014Total
Program Services6312014ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total4379130Total
Program Services3847882ProgramServices
Management And General531248ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
supplies1198510311571888413215
baed debt expense87006668700666
program expense-agency50292494277047752202
equipment rental and ma394128421066451834639
dues and subscriptions24834320492343420

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total112594228Total
Program Services94756500ProgramServices
Management And General17828707ManagementAndGeneral
Fundraising9021Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY776715BOY
EOY8867274EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2038090BOY
EOY295EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11660846BOY
EOY11619187EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY1556957BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1806615BOY
EOY2586476EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2467105BOY
EOY3394717EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis120872966LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec87514372LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY39336467BOY
EOY33358594EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY429291BOY
EOY412121EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5289722BOY
EOY4148190EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY65361808BOY
EOY64386854EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY35933491BOY
EOY42771544EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY25939118BOY
EOY24816406EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5849673BOY
EOY6211363EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY67722282BOY
EOY73799313EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-3915824BOY
EOY-10968001EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1555350BOY
EOY1555542EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-2360474BOY
EOY-9412459EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY65361808BOY
EOY64386854EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year0CurrentYear
FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1040412OtherCostOrOtherBasis
Book Value1040412BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis44467729OtherCostOrOtherBasis
Depreciation30399889Depreciation
Book Value14067840BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis75364825OtherCostOrOtherBasis
Depreciation57114483Depreciation
Book Value18250342BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33358594TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DEBT SERVICE BOND FUND2251800
due from related party1896390
FieldValueIRS element (for citing)
Total Book Value Other Assets4148190TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE to RELATED PARTyDescription
Amount$6,211,363Amount
FieldValueIRS element (for citing)
Total Of Amounts6211363TotalOfAmounts
Total Revenue105203625TotalRevenue
Total Expenses112594228TotalExpenses
Excess Or Deficit For Year-7390603ExcessOrDeficitForYear
Net Unrealized GL On Investments338618NetUnrealizedGLOnInvestments
Total Adjustments338618TotalAdjustments
Excess Or Deficit Per FS-7051985ExcessOrDeficitPerFS

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1golf outingNameOfEvent1

Schedule H IRS990ScheduleH

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOWER BUCKS HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1501 BATH ROADAddressLine1
CityBRISTOLCity
StatePAState
ZIP Code19007ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 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 OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
anna sosnovsky
193034000000000193034000
brad millman
171561000000000171561000
kim clabbers
269982000000000269982000
edward armbruster
371400000000000371400000
tatyana chernova
204017000000000204017000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationshipDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
RONALD SELZER
CHAIRMAN OF THE BOARDALSO SERVES ON THE BOARD OF RELATED PARTY ORGANIZATIONS LOWER BUCKS HEALTH ENTERPRISES, BUCKS COUNTY HEALTH FOUNDATION AND BUCKS COUNTY INSURANCE COMPANY. ADDITIONALLY PRESIDENT OF SELZER COMPANY WHICH PROVIDES INSURANCE BROKERAGE SERVICES FOR THE HOSPITAL0
PASQUALE DEON
VICE CHAIRMAN OF THE BOARD.ALSO SERVES ON THE BOARD OF RELATED PARTY ORGANIZATIONS LOWER BUCKS HEALTH ENTERPRISES, BUCKS COUNTY HEALTH FOUNDATION. ADDITIONALLY PRESIDENT OF WBCB RADIO WITH WHICH THE HOSPITAL ADVERTISES, AND AFFILIATED WITH JINGOLI & SON CONSTRUCTION A COMPANY THE HOSPITAL CONTRACTED WITH AND PAID FOR CONSTRUCTION PROJECTS.0
joseph bednarek
BOARD MEMBERALSO a member of the hospital's medical staff.0
PHILLIP BRACKEN
BOARD MEMBERPARTNER OF LOWER BUCKS RADIOLOGY ASSOCIATES WHICH CONTRACTS WITH THE HOSPITAL FOR PROFESSIONAL RADIOLOGY SERVICES, is on the hospital's medical staff and president of lower bucks open mri llc of which lower bucks hospital is a 40% owner.0
RANGA RAO
BOARD MEMBERALSO a member of the hospital's medical staff, is related by blood to one of the people who provide transcription services to the hospital.0
PETER SERPICO
BOARD MEMBERALSO a member of the hospital's medical staff.0
austin cleveland
president and ceoindividual also serves on the Boards of all other related parties Lower Bucks Health Enterprises, Advanced Primary Care Physicians, Advanced Specialty Physicians Group, and Bucks County Insurance Company.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11FORM 990 IS REVIEWED BY THE CEO AND CFO/CONTROLLER PRIOR TO FILING.
Form 990, Part VI, Section B, line 12cTHE CEO REVIEWS THE CONFLICT OF INTEREST POLICY STATEMENTS ANNUALLY.
Form 990, Part VI, Section B, line 15THE HOSPITAL USES SURVEYS FROM DELAWARE VALLEY HEALTH COUNCIL (dvhc) AND KEEPS TRENDS ON WHAT OTHER AREA HOSPITALS ARE DOING.
Form 990, Part VI, Section C, line 19FORMS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSection
BUCKS COUNTY HEALTH FOUNDATION
501 BATH ROADBRISTOLPA19007208367267OPERATIONAL SUPPORTPA501(C)(3)
ADVANCED PRIMARY CARE PHYSICIANS
501 BATH ROADBRISTOLPA19007261429053HEALTHCAREPA501(C)(3)
LOWER BUCKS HEALTH ENTERPRISES INC
501 BATH ROADBRISTOLPA19007232547355HEALTHCAREPA501(C)(3)
ADVANCED SPECIALTY PHYSICIANS GROUP
501 BATH ROADBRISTOLPA19007262414312HEALTHCAREPA501(C)(3)
bucks county insurance company ltd
501 BATH ROADbRISTOLPA19007980490086self insurancePA501(C)(3)
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType
BUCKS COUNTY HEALTH FOUNDATION
D
LOWER BUCKS HEALTH ENTERPRISES INC
D
LOWER BUCKS HEALTH ENTERPRISES INC
C
LOWER BUCKS HEALTH ENTERPRISES INC
L
ADVANCED PRIMARY CARE PHYSICIANS
J
ADVANCED PRIMARY CARE PHYSICIANS
E
ADVANCED PRIMARY CARE PHYSICIANS
D

Form990 Schedule R Part VI Form990ScheduleRPartVI

Name Of Business NameOfBusiness

FieldValueIRS element (for citing)
Business Name Line1bucks county partners in pet llcBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11455 broad street 4th floorAddressLine1
CitybloomfieldCity
StateNJState
ZIP Code07003ZIPCode
FieldValueIRS element (for citing)
EIN331040092EIN
Primary ActivityhealthcarePrimaryActivity
Legal Domicile StatePALegalDomicileState
All Partners C3 S0AllPartnersC3S
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner

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