2011-05-16T20:17:53-05:00 2010-06-30 ZELENKOFSKE AXELROD LLC 2370 YORK ROAD SUITE A-5 JAMISON PA 18929 990 2009-07-01 232879667 LOWER BUCKS HOSPITAL LOWE 2157859200 501 BATH ROAD BRISTOL PA 19007 ALBERT MEZZAROBA 2157859200 2011-05-16 1 ZELENKOFSKE AXELROD LLC 2159182277 2009 2016-02-24 21:20:13Z ALBERT MEZZAROBA 501 BATH ROAD BRISTOL PA 19007 105247127 0 X www.lowerbuckshospital.org X 1956 PA Healthcare-community hospital 12 6 1096 0 0 0 1446868 1000000 108412006 102971130 216763 98217 2680978 1134278 112756615 105203625 0 0 54066171 49176260 0 9021 65509530 63417968 119575701 112594228 -6819086 -7390603 65361808 64386854 67722282 73799313 -2360474 -9412459 ADVANCED HEALTHCARE FOR THE COMMUNITY 0 0 94756500 HEALTHCARE TO THE COMMUNITY 94756500 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1096 1 0 0 0 0 0 0 0 12 6 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 0 PA X CFO 2157859325 501 Bath Road Bristol PA 19007 X anthony melio 1.00 X 0 0 0 ranga rao 1.00 X 0 0 0 pasquale deon sr 1.00 X X 0 0 0 phillip bracken 1.00 X 0 0 0 ronald j selzer 1.00 X X 0 0 0 gladys mendieta 1.00 X 0 0 0 delores brown 1.00 X X 0 0 0 harry fawkes sr 1.00 X 0 0 0 yagnesh chokski 1.00 X 0 0 0 harry fawkes jr 1.00 X 0 0 0 robert leipziger 1.00 X 0 0 0 john mchale 40.00 X X 0 0 0 albert mezzaroba 40.00 X X 0 0 0 michael olivieri 40.00 X X 0 0 0 PATRICIA BAIN 40.00 X 0 0 0 anna sosnovsky 40.00 X 193034 0 0 brad millman 40.00 X 171561 0 0 kim clabbers 40.00 X 269982 0 0 edward armbruster 40.00 X 371400 0 0 tatyana chernova 40.00 X 204017 0 0 austin cleveland 40.00 X 0 0 0 michael c drabot 40.00 X 0 0 0 dorothy carey 40.00 X 0 0 0 1209994 0 0 5 0 1 0 SODEXHO PO BOX 905374 CHARLOTTE NC 28290 MANAGEMENT OF DIETARY SERVICES 1869280 PINNACLE MID-ATLANTIC 13601 PRESTON ROAD DALLAS TX 75240 ANESTHESIA SERVICES 1783324 horizon mental 2941 south lake vista drive lewisville TX 75067 mental health administration 991030 LBH RADIOLOGY 501 BATH ROAD BRISTOL PA 19007 RADIOLOGY SERVICES 975380 saul ewing 1500 market street 38th floor philadelphia PA 19102 legal firm 827398 5 1000000 1000000 hospital physicials &p 621110 102971130 102971130 102971130 60137 60137 38080 38080 424456 43502 380954 380954 380954 other misc patient ser 621110 592088 592088 advanced specialty phy 621300 161236 161236 753324 105203625 104105408 0 98217 509472 130000 379472 297863 22258 275605 39320465 34246749 5065327 8389 600000 498000 102000 5456669 4526050 930619 2991791 2584356 406803 632 2945981 2945981 72250 72250 16278178 12763158 3515020 134243 840 133403 255717 255717 177449 6543 170906 1952601 1952601 90473 89593 880 915287 915287 6312014 6312014 4379130 3847882 531248 supplies 11985103 11571888 413215 baed debt expense 8700666 8700666 program expense-agency 5029249 4277047 752202 equipment rental and ma 3941284 2106645 1834639 dues and subscriptions 248343 204923 43420 112594228 94756500 17828707 9021 776715 8867274 2038090 295 11660846 11619187 1556957 1806615 2586476 2467105 3394717 120872966 87514372 39336467 33358594 429291 412121 5289722 4148190 65361808 64386854 35933491 42771544 25939118 24816406 5849673 6211363 67722282 73799313 X -3915824 -10968001 1555350 1555542 -2360474 -9412459 65361808 64386854 X 0 0 0 X 0 0 0 0 0 0 0 0 0 0 1040412 1040412 44467729 30399889 14067840 75364825 57114483 18250342 33358594 DEBT SERVICE BOND FUND 2251800 due from related party 1896390 4148190 DUE to RELATED PARTy 6211363 6211363 105203625 112594228 -7390603 338618 338618 -7051985 golf outing LOWER BUCKS HOSPITAL

501 BATH ROAD BRISTOL PA 19007

X X X X X X 0 0 0 0 0 0 0 0 0 anna sosnovsky 193034 0 0 0 0 0 0 0 0 0 193034 0 0 0 brad millman 171561 0 0 0 0 0 0 0 0 0 171561 0 0 0 kim clabbers 269982 0 0 0 0 0 0 0 0 0 269982 0 0 0 edward armbruster 371400 0 0 0 0 0 0 0 0 0 371400 0 0 0 tatyana chernova 204017 0 0 0 0 0 0 0 0 0 204017 0 0 0 RONALD SELZER CHAIRMAN OF THE BOARD ALSO 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 HOSPITAL 0 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 MEMBER ALSO a member of the hospital's medical staff. 0 PHILLIP BRACKEN BOARD MEMBER PARTNER 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 MEMBER ALSO 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 MEMBER ALSO a member of the hospital's medical staff. 0 austin cleveland president and ceo individual 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 Form 990, Part VI, Section B, line 11 FORM 990 IS REVIEWED BY THE CEO AND CFO/CONTROLLER PRIOR TO FILING. Form 990, Part VI, Section B, line 12c THE CEO REVIEWS THE CONFLICT OF INTEREST POLICY STATEMENTS ANNUALLY. Form 990, Part VI, Section B, line 15 THE 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 19 FORMS ARE AVAILABLE UPON REQUEST. BUCKS COUNTY HEALTH FOUNDATION 501 BATH ROAD BRISTOL PA 19007 208367267 OPERATIONAL SUPPORT PA 501(C)(3) ADVANCED PRIMARY CARE PHYSICIANS 501 BATH ROAD BRISTOL PA 19007 261429053 HEALTHCARE PA 501(C)(3) LOWER BUCKS HEALTH ENTERPRISES INC 501 BATH ROAD BRISTOL PA 19007 232547355 HEALTHCARE PA 501(C)(3) ADVANCED SPECIALTY PHYSICIANS GROUP 501 BATH ROAD BRISTOL PA 19007 262414312 HEALTHCARE PA 501(C)(3) bucks county insurance company ltd 501 BATH ROAD bRISTOL PA 19007 980490086 self insurance PA 501(C)(3) 0 0 1 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 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 bucks county partners in pet llc 1455 broad street 4th floor bloomfield NJ 07003 331040092 healthcare PA 0 0 0