EPHRATA COMMUNITY HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- EPHRATA COMMUNITY HOSPITAL (EIN 23-1370484)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-12
- IRS object ID
- 201111329349300201
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-12T06:53:04-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ParenteBeard LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 Market Street Suite 4500 | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231370484 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ephrata Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EPHR | NameControl |
| Phone | 7177330311 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 169 Martin Ave PO Box 1002 | AddressLine1 |
| City | Ephrata | City |
| State | PA | State |
| ZIP Code | 175221002 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John A Holmes | Name |
| Title | CFO | Title |
| Phone | 7177330311 | Phone |
| Date Signed | 2011-05-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Julius Green CPA | Name |
| Phone | 2159720701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | John Porter | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 169 Martin Ave PO Box 1002 | AddressLine1 |
| City | Ephrata | City |
| State | PA | State |
| ZIP Code | 175221002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 181570590 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.ephratahospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1940 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | HOSPITAL PROVIDING PREVENTIVE, PRIMARY, ACUTE CARE, DIAGNOSTIC AND REHABILITATIVE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 21 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2112 | TotalNbrEmployees |
| Total Nbr Volunteers | 250 | TotalNbrVolunteers |
| Total Gross UBI | 1378584 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 344084 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1222012 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 831866 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 166796129 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 172158472 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 34748 | InvestmentIncomePriorYear |
| Investment Income Current Year | 484789 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2278346 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1481201 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 170331235 | TotalRevenuePriorYear |
| Total Revenue Current Year | 174956328 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 38800 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 6736523 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 85511730 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 89168575 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 420482 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 78631939 | OtherExpensePriorYear |
| Other Expenses Current Year | 79619153 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 164182469 | TotalExpensesPriorYear |
| Total Expenses Current Year | 175524251 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6148766 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -567923 | RevenuesLessExpensesCY |
| Total Assets BOY | 131933826 | TotalAssetsBOY |
| Total Assets EOY | 131353186 | TotalAssetsEOY |
| Total Liabilities BOY | 66238643 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 70969210 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 65695183 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 60383976 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission of Ephrata Community Hospital:1) To assure community access to health care services that are high in quality, compassionate and cost-effective.2) To partner with employees, physicians, volunteers, and other health care organizations to meet the health care needs of the communities we serve.3) To combine advanced medical technology with professional, personalized care. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 162561082 | Expense |
| Grants | 6736523 | Grants |
| Revenue | 171514769 | Revenue |
| Description | Ephrata Community Hospital is an acute care hospital providing care for residents of northern Lancaster County and surrounding communities. For the fiscal year that ended June 30, 2010, program services included 8,270 inpatient acute, sub-acute, behavioral health, acute rehab and newborn admissions, for a total of 31,387 patient bed days.Additionally, outpatient services included 441,629 patient visits. These services included imaging studies (x-ray, ultrasound, MRI, CT, Mammography), lab testing, physical, occupational and speech therapy, non-invasive cardiology procedures including echocardiograms and EKG's, behavioral health counseling, radiation and medical oncology, emergency department visits, prenatal care through our Healthy Beginnings Plus program, sleep testing, home care and additional therapeutic and diagnostic services. Beyond these services, the hospital provides a range of community wellness and health education programs. In the fiscal year that ended June 30, 2010, there were 150 programs offered, serving 52,291 people in our community. These programs include health screenings, diabetes education, and weight management, smoking cessation, instruction in CPR and first aid, support groups, immunizations, community health fairs and health education newsletters and television programming. Many of these programs are offered for free or at a minimal cost to participants.Because the Hospital's mission is to provide care to all, regardless of ability to pay, we work with patients who have difficulty paying their bills. During the fiscal year ending June 30, 2010, the Patient Financial Services took an active role in promoting the ECH Cares program that assists needy patients, with Ephrata ultimately providing $5,002,000 in charity care. | Description |
| Total Program Service Expense | 162561082 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 216 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2112 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 0 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 21 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | John A Holmes CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7177386753 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 169 Martin Ave PO Box 1002 | AddressLine1 |
| City | Ephrata | City |
| State | PA | State |
| ZIP Code | 175221002 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Dean A Stoesz | |||||||
| Chairperson | 2.00 | X | X | 0 | 0 | 0 | |
| R Fred Groff III | |||||||
| Vice Chairperson | 1.00 | X | X | 0 | 0 | 0 | |
| E Richard Young Esq | |||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |
| Linda L Kling | |||||||
| Assistant Secretary | 1.00 | X | X | 0 | 0 | 0 | |
| Linda H Weaver | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| Aaron L Groff Jr | |||||||
| Assistant Treasurer | 1.00 | X | X | 0 | 0 | 0 | |
| Edward G Camerino MD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Charles M Evans MD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| William C Funk DMD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Robert A Garvin DO | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Michael P Kane Esq | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Richard C Lewis | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Ronald L Miller CPA | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| C David Noll DO | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Gilbert L Sager | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Bonnie R Sharp | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Earl D Shirk | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Chris M Theodoran DO | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Kent C Trachte PhD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Dale Whitebloom DO | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Paul M Zimmerman Jr | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| John M Porter Jr | |||||||
| President/CEO | 40.00 | X | 503776 | 0 | 42150 | ||
| VINCENT D GLIELMI DO | |||||||
| VP, Medical Affairs | 40.00 | X | 233390 | 0 | 39951 | ||
| Robert F Graupensberger | |||||||
| Executive VP/COO | 40.00 | X | 223282 | 0 | 39253 | ||
| John A Holmes | |||||||
| CFO | 40.00 | X | 211506 | 0 | 35188 | ||
| Peter C Cote MD | |||||||
| Physician | 40.00 | 465537 | 0 | 42150 | X | ||
| Wilfred A Layne MD | |||||||
| Physician | 40.00 | 432667 | 0 | 37250 | X | ||
| William Loretan DO | |||||||
| Physician | 40.00 | 375566 | 0 | 37250 | X | ||
| Steven W Zebert DO | |||||||
| Physician | 40.00 | 331987 | 0 | 42150 | X | ||
| Il Jun Chon MD | |||||||
| Physician | 40.00 | 298987 | 0 | 37359 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3076698 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 352701 | TotalOtherCompensation |
| Number Individuals GT100 K | 54 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Navin Haffty and Associates LLC | |||||
| 200 Cordwainer Drive | Norvell | MA | 02061 | Computer Consulting/Implementation | 337832 |
| Barley Synder LLC | |||||
| 126 East King Street | Lancaster | PA | 17602 | Legal Services | 221291 |
| ParenteBeard LLC | |||||
| 1650 Market Street Suite 4500 | Philadelphia | PA | 19103 | Accounting/Tax Services | 142449 |
| Steve's Painting | |||||
| 49 East Summit Drive | Stevens | PA | 17578 | Painting | 134541 |
| Wilmington Professional Associates | |||||
| 307 Ruther Drive | Newark | DE | 19711 | Billing Services | 134195 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Fundraising Events | 34075 | FundraisingEvents |
| Government Grants | 131322 | GovernmentGrants |
| All Other Contributions | 666469 | AllOtherContributions |
| Total Contributions | 831866 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net patient service re | 621400 | 171095645 | 171095645 | |
| Lab Courier Revenue | 621500 | 721595 | 721595 | |
| Medical Equipment | 541900 | 341232 | 341232 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 172158472 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 343369 | TotalRevenueColumn |
| Exclusion | $343,369 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1337461 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1555965 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -218504 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -218504 | TotalRevenueColumn |
| Unrelated Business Revenue | 51498 | UnrelatedBusinessRevenue |
| Exclusion | -$270,002 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4917126 | Securities |
| Other | 68355 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4844061 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 73065 | Securities |
| Other | 68355 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 141420 | TotalRevenueColumn |
| Exclusion | $141,420 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 352126 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 34075 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 164449 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 187677 | TotalRevenueColumn |
| Exclusion | $187,677 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 81662 | GrossSalesOfInventory |
| Cost Of Goods Sold | 49787 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31875 | TotalRevenueColumn |
| Exclusion | $31,875 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Cafeteria Revenue | 722210 | 583608 | $583,608 | |
| COMMUNITY HEALTH EDUCA | 611710 | 348913 | 348913 | |
| Tobacco/Champus Revenu | 900099 | 166285 | $166,285 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 381347 | TotalRevenueColumn |
| Related Or Exempt Function Income | 70211 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 264259 | UnrelatedBusinessRevenue |
| Exclusion | $46,877 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1480153 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 174956328 | TotalRevenueColumn |
| Related Or Exempt Function Income | 171514769 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1378584 | UnrelatedBusinessRevenue |
| Exclusion | $1,231,109 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6736523 | Total |
| Program Services | 6736523 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1328496 | Total |
| Program Services | 535876 | ProgramServices |
| Management And General | 792620 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64888425 | Total |
| Program Services | 60951069 | ProgramServices |
| Management And General | 3797863 | ManagementAndGeneral |
| Fundraising | 139493 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3869565 | Total |
| Program Services | 3620387 | ProgramServices |
| Management And General | 240888 | ManagementAndGeneral |
| Fundraising | 8290 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14485529 | Total |
| Program Services | 13508269 | ProgramServices |
| Management And General | 946461 | ManagementAndGeneral |
| Fundraising | 30799 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4596560 | Total |
| Program Services | 4297478 | ProgramServices |
| Management And General | 288149 | ManagementAndGeneral |
| Fundraising | 10933 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262830 | Total |
| Management And General | 262830 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155186 | Total |
| Management And General | 155186 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97026 | Total |
| Program Services | 97026 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15195606 | Total |
| Program Services | 12975258 | ProgramServices |
| Management And General | 2113672 | ManagementAndGeneral |
| Fundraising | 106676 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 365105 | Total |
| Program Services | 359530 | ProgramServices |
| Management And General | 88 | ManagementAndGeneral |
| Fundraising | 5487 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34628797 | Total |
| Program Services | 34521319 | ProgramServices |
| Management And General | 87897 | ManagementAndGeneral |
| Fundraising | 19581 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5583743 | Total |
| Program Services | 5308241 | ProgramServices |
| Management And General | 275502 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 401918 | Total |
| Program Services | 375972 | ProgramServices |
| Management And General | 25786 | ManagementAndGeneral |
| Fundraising | 160 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147776 | Total |
| Program Services | 101876 | ProgramServices |
| Management And General | 45090 | ManagementAndGeneral |
| Fundraising | 810 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1631318 | Total |
| Management And General | 1631318 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7424241 | Total |
| Program Services | 7424241 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1609910 | Total |
| Management And General | 1609910 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices | FundraisingFundraising |
|---|---|---|---|---|
| UBI TAX | 27762 | 27762 | ||
| Bad Debt Expense | 9820562 | 9820562 | ||
| Repairs & Maintenance | 1039529 | 1762 | 1037767 | |
| Licenses & Dues | 387276 | 111476 | 274995 | 805 |
| Professional Developmen | 289389 | 41 | 289348 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 551179 | Total |
| Program Services | 325345 | ProgramServices |
| Management And General | 128386 | ManagementAndGeneral |
| Fundraising | 97448 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175524251 | Total |
| Program Services | 162561082 | ProgramServices |
| Management And General | 12542687 | ManagementAndGeneral |
| Fundraising | 420482 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5466 | BOY |
| EOY | 4662 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9920665 | BOY |
| EOY | 11091495 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158473 | BOY |
| EOY | 87363 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22327114 | BOY |
| EOY | 20794502 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6079955 | BOY |
| EOY | 5768758 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 887175 | BOY |
| EOY | 2151518 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 140328652 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 73562048 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69001778 | BOY |
| EOY | 66766604 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13258668 | BOY |
| EOY | 14389275 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 918948 | BOY |
| EOY | 900069 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9375584 | BOY |
| EOY | 9398940 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131933826 | BOY |
| EOY | 131353186 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14887797 | BOY |
| EOY | 16279412 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 157594 | BOY |
| EOY | 144102 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36435000 | BOY |
| EOY | 33210000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 564404 | BOY |
| EOY | 320000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14193848 | BOY |
| EOY | 21015696 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66238643 | BOY |
| EOY | 70969210 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64248711 | BOY |
| EOY | 59341319 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 904837 | BOY |
| EOY | 445901 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 541635 | BOY |
| EOY | 596756 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65695183 | BOY |
| EOY | 60383976 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131933826 | BOY |
| EOY | 131353186 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $97,026 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 97026 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | Lobbying activities consisted of phone calls and meetings by two independent contractors to lobby on behalf of the Hospital at both the federal and state level for healthcare issues, grant money, and appropriations money. The lobbying firms were paid $96,000 for this service. The Hospital also pays dues to the Hospital & Healthcare Association of Pennsylvania ("HAP"). The portion of dues used by HAP for lobbying purposes was $1,026. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4800601 | OtherCostOrOtherBasis |
| Book Value | 4800601 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 55628223 | OtherCostOrOtherBasis |
| Depreciation | 22235165 | Depreciation |
| Book Value | 33393058 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4797598 | OtherCostOrOtherBasis |
| Depreciation | 2649057 | Depreciation |
| Book Value | 2148541 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70666440 | OtherCostOrOtherBasis |
| Depreciation | 46897574 | Depreciation |
| Book Value | 23768866 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4435790 | OtherCostOrOtherBasis |
| Depreciation | 1780252 | Depreciation |
| Book Value | 2655538 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 66766604 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Other Assets | 525273 |
| Beneficial Interest in Perpetual Trusts | 596756 |
| Due from Affiliate | 8276911 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 9398940 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Charitable Gift Annuities | $111,244 |
| Estimated third-party payor settlements & advances | $1,300,341 |
| PENSION LIABILITY | $16,951,783 |
| Cash Flow Derivative Financial Instrument | $1,573,758 |
| Deferred Compensation | $1,074,798 |
| Other Liabilities | $3,772 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 21015696 | TotalOfAmounts |
| Total Revenue | 174956328 | TotalRevenue |
| Total Expenses | 175524251 | TotalExpenses |
| Excess Or Deficit For Year | -567923 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 343603 | NetUnrealizedGLOnInvestments |
| Other | -$5,086,887 | OtherAmount |
| Total Adjustments | -4743284 | TotalAdjustments |
| Excess Or Deficit Per FS | -5311207 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 171805733 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 343603 | NetUnrealizedGainsInvestments |
| Other Revenues | -5231439 | OtherRevenues |
| Revenue Not Rptd F990 | -4887836 | RevenueNotRptdF990 |
| Revenue Subtotal | 176693569 | RevenueSubtotal |
| Other Revenues Not Included | -1737241 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -1737241 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 174956328 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 177124116 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1737241 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1737241 | ExpensesNotRptdF990 |
| Expenses Subtotal | 175386875 | ExpensesSubtotal |
| Other Expenses Not Included | 137376 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 137376 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 175524251 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | The Hospital accounts for uncertainty in income taxes recognized in its financial statements using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. Management determined there were no tax uncertainties that met the recognition threshold in 2010 and 2009. |
| Part XI, Line 8 - Other Adjustments: | Pension liability adjustment: -4688053. Unrealized loss on derivative financial instrument: -461131. Valuation gain on beneficial interest in perpetual trusts: 55121. Prior Period Adjustment: 7176. | |
| Part XII, Line 2d - Other Adjustments: | PENSION LIABILITY ADJUSTMENT: -4688053. UNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT: -461131. VALUATION GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS: 55121. Grant Repayment: -137376. | |
| Part XII, Line 4b - Other Adjustments: | Rental Expense: -1523005. Special Events Expense: -164449. Gift Shop Expenses: -49787. | |
| Part XIII, Line 2d - Other Adjustments: | Rental expense: 1523005. Special Events Expense: 164449. Gift Shop Expenses: 49787. | |
| Part XIII, Line 4b - Other Adjustments: | Grant Repayment: 137376. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Starlight Gala | NameOfEvent1 |
| Gross Receipts Event1 | 224085 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 20475 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 203610 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 25321 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 26848 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 11250 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 43398 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Golf Outing | NameOfEvent2 |
| Gross Receipts Event2 | 162116 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 13600 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 148516 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 3400 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 15896 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 16864 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 4000 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 17472 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 386201 | GrossReceiptsTotal |
| Charitable Contributions Total | 34075 | CharitableContributionsTotal |
| Gross Revenue Total Events | 352126 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 3400 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 41217 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 43712 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 15250 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 60870 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 164449 | DirectExpenseSummaryEvents |
| Net Income Summary | 187677 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1492600 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1492600 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00900 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11840676 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5543436 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6297240 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03790 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 407208 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 209191 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 198017 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13740484 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5752627 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7987857 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04810 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 140000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 140000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 131000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 131000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2368785 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1583000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 785785 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00470 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 275000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 118000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 157000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2914785 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1701000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1213785 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00720 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16655269 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7453627 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9201642 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05530 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 13642 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 6511 | DirectOffsettingRevenue |
| Net Community Building Expense | 7131 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 13642 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 6511 | DirectOffsettingRevenue |
| Net Community Building Expense | 7131 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,567,352 | BadDebtExpenseAmount |
| Amount Attributable To | 2140411 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 35335776 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 45860740 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10524964 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Crossroads Surgery Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Surgery Center | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.67000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.33000 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| Ephrata Community Hospital | |||||||
| 169 Martin Avenue | Ephrata | PA | 17522 | X | X | X | |
| Crossroads Surgery Center | |||||||
| 4150 Barrett Blvd | Ephrata | PA | 17522 | Ambulatory Surgery Center | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | Part I, Line 7: Costing methodology used to calculate the amounts reported in the table: A patient cost to charge ratio was utilized for lines a, b and c using Worksheet 2 for Form 990. Actual specific cost identification was utilized for lines e, f, g and i. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: The amount of bad debt expense included on Form 990, Part IX, line 25, but subtracted for purposes of calculating the percentage in this column is $9,584,000. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: Costing methodology used to determine the amount reported in Part III, lines 2 and 3: Bad debt expense amounts calculated using the patient cost to charge ratio (worksheet 2 of Form 990). Other bad debt amounts are not included in community benefits.How the organization accounts for discounts and payments on patient accounts in determining bad debt expense: Bad debt expense is driven by the bad debt allowance, which is based upon historical bad debt write-off activity, less payments made on accounts after they have been written off.Method the organization uses to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy, if sufficient information had been available to make a determination of their eligibility: Represents 60% of bad debt written off, at cost. Rationale for including bad debt amounts eligible under the organization's charity care policy is from utilization of independent presumptive charity care scoring on accounts sent to bad debts for the months of July through September 2010 to come to a percentage to apply to fiscal year 2010.Footnote to the organization's financial statements that describes bad debt expense: Accounts receivable, patients and other receivables are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon management's assessment of individual accounts. The allowance for doubtful collections is estimated based upon a periodic review of the accounts receivable aging, payor classifications, and application of historical write-off percentages. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: Costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare Cost Report, as reflected in the amount reported in Part III, line 6: Medicare cost report, less expense amounts specifically attributable to line 7g. These expense amounts are calculated using actual cost to charge ratios for the departments involved.The extent to which any shortfall reported in Part III, line 7 should be treated as a community benefit: As a Medicare contractor, we have no say on the amount of reimbursement, yet for all practical purposes need to contract with Medicare to remain viable. So, to the extent that we have expenses in excess of revenue, it should be treated as a benefit to the community. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: Collection practices set forth in the policy that apply to patients the organization knows qualify for charity care or financial assistance: Patients who qualify for charity care or financial assistance are not subject to debt collection as the accounts are pulled out prior to being sent to collections or put on hold pending completion of the application process. Accounts will be pulled out of collections if a charity care application is subsequently completed. | DebtCollectionPolicy |
| Number Of Facility Type Expln | Part V: Other health care facilities: 8 Center for Health diagnostic centers; 1 cancer center; 2 sleep centers; Home care services; 3 durable medical equipment stores; 5 other medical clinics/diagnostic sites. | NumberOfFacilityTypeExpln |
| General Explanation | Part VI, line 8: While community benefit reports are prepared, none are required to be filed with the Commonwealth of Pennsylvania. | GeneralExplanation |
| Needs Assessment | Part VI, Line 2: A formal community needs assessment has not yet been conducted, but planning efforts are underway for such an assessment by 2012. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: All registration sites have both signs concerning the hospital's charity care available, as well as charity care brochures with applications; customer service also has charity care brochures with applications. All patient bills solicit patients requiring assistance to contact the hospital at the number provided. The organization's website has the charity care policy with a down-loadable application. All scheduled procedures are solicited as part of pre-registration regarding both the hospital's charity care program as well as the hospital's advocate for Medical Assistance (MA); MA advocacy also referred for all inpatient and short-stay patients, plus certain (significant) emergency room visits. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: The mission of Ephrata Community Hospital is to meet the primary and acute care needs, as well as the need for diagnostic and rehabilitative services within the communities that we serve. Independently developed to serve local needs, the primary purpose of the hospital is to assure community access to quality, compassionate and cost-efficient healthcare. With a qualified and diversified medical staff, Ephrata Community Hospital cares for the needs of patients of all ages with courtesy and professional expertise.Ephrata Community Hospital serves the northern Lancaster County community as well as parts of southern Berks County, Eastern Lebanon County and western Chester County. Many of the patients using services offered by Ephrata Community Hospital reside in the following zip codes: 17039 KLEINFELTERSVILLE, PA17501 AKRON, PA17505 BIRD IN HAND, PA17506 BLUE BALL, PA17507 BOWMANSVILLE, PA17508 BROWNSTOWN, PA17517 DENVER, PA17519 EAST EARL, PA17522 EPHRATA, PA17528 GOODVILLE, PA17529 GORDONVILLE, PA17533 HOPELAND, PA17540 LEOLA, PA17543 LITITZ, PA17557 NEW HOLLAND, PA17564 PENRYN, PA17567 REAMSTOWN, PA17569 REINHOLDS, PA17578 STEVENS, PA17580 TALMAGE, PA17581 TERRE HILL, PA17585 WITMER, PA19501 ADAMSTOWN, PAThe community served includes the boroughs of Ephrata, New Holland, Denver, Adamstown and Lititz as well as surrounding townships. Although predominantly suburban, the region served also includes a significant portion of Lancaster County's farming community. Ephrata Community Hospital serves this increasingly diverse population through a main facility in Ephrata Borough and freestanding outpatient centers in Stevens, Ephrata, New Holland, Leola, Lititz, Rothsville, Brownstown and Adamstown. Additionally, the hospital operates a freestanding Cancer Center and Diagnostic Center in Ephrata.Ephrata Community Hospital is the only nonprofit inpatient facility in northern Lancaster County. Heart of Lancaster Regional Medical Center, a for-profit facility, is located in Lititz, 9 miles to the West. Lancaster General Hospital is located in the City of Lancaster 13 miles south of Ephrata, and the Reading Hospital Medical Center is 18 miles north of Ephrata. The Pennsylvania Department of Health's Lancaster Health Profile for 2009 indicates that 11.7% of the County's population is eligible for Medical Assistance. Considering the current economic downturn and increases in unemployment and underemployment in this region, Ephrata Community Hospital believes that an even greater percentage of individuals are now eligible for Medical Assistance. Further, the Per Capita personal income decreased in our service area. Also reflective of the economic downturn, recent Pennsylvania Workforce Information reports the seasonally adjusted unemployment rate for Lancaster County at 7.3%. Higher unemployment has resulted in increased levels of uninsured individuals in this region (demographic and workforce data specific for Ephrata Community Hospital's primary service area is not publicly reported by state or federal agencies).Within Lancaster County's population, the Pennsylvania Department of Health reports that heart disease, cancer, stroke, respiratory disease and diabetes are the five leading disease-related causes of death. Ephrata Community Hospital offers services and programs specifically targeting these diseases. For example, The Ephrata Cancer Center has earned commendations from the American College of Surgeons' Commission on Cancer for the full complement of services available in this community. The Joint Commission has also awarded Ephrata Community Hospital disease-specific certification in Heart Failure and Stroke Care. Through pulmonary rehabilitation, cardiac rehabilitation and diabetes education programs, a multidisciplinary team of professionals helps patients to manage chronic conditions to avoid more costly interventions and to enhance the patients' quality of life.The community served by Ephrata Community Hospital also includes one of the largest settlements of plain Mennonite and Amish families in the United States. The Plain Population does not utilize commercial or governmental payers for healthcare services, and is therefore considered a self-pay population. Ephrata Community Hospital continues to develop services and payment packages to better serve this demographic segment. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: What has been reported in Part II is strictly related to exercises that the organization has participated in to better prepare itself to support the communities it serves in the event of a significant emergency or catastrophic event. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: All Board members are independent (are not employees nor family members or contractors of the organization), with all but one member residing within the organization's primary service area. Aside from anesthesia and radiology, which have exclusive contracts, the organization extends medical staff privileges to all qualified physicians in the community. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: The Hospital provides inpatient, outpatient, durable medical equipment and home care services to the communities we support, while the Northern Lancaster County Medical Group provides outpatient physician services to those same communities. | AffiliatedHealthCareSystem |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| Lancaster County Medical Foundation | |||||||||
| 480 New Holland Avenue | Lancaster | PA | 17602 | 260499498 | 501(c)(3) | 25000 | N/A | N/A | Provide assistance to individuals without insurance who do not qualify for medical assistance. |
| Northern Lancaster County Medical Group | |||||||||
| 169 Martin Avenue PO Box 1002 | Ephrata | PA | 17522 | 203033058 | 501(c)(3) | 6695993 | n/a | n/a | Charitable Activities |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: The organization only provides grants or assistance to tax-exempt organizations. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John M Porter Jr | |||||||||||||
| 386593 | 0 | 107848 | 0 | 9335 | 0 | 17150 | 0 | 25000 | 0 | 545926 | 0 | 0 | 0 |
| VINCENT D GLIELMI DO | |||||||||||||
| 210670 | 0 | 21500 | 0 | 1220 | 0 | 14951 | 0 | 25000 | 0 | 273341 | 0 | 0 | 0 |
| Robert F Graupensberger | |||||||||||||
| 199648 | 0 | 22500 | 0 | 1134 | 0 | 14253 | 0 | 25000 | 0 | 262535 | 0 | 0 | 0 |
| John A Holmes | |||||||||||||
| 189006 | 0 | 22500 | 0 | 0 | 0 | 10188 | 0 | 25000 | 0 | 246694 | 0 | 0 | 0 |
| Peter C Cote MD | |||||||||||||
| 363302 | 0 | 34466 | 0 | 67769 | 0 | 17150 | 0 | 25000 | 0 | 507687 | 0 | 0 | 0 |
| Wilfred A Layne MD | |||||||||||||
| 411360 | 0 | 20000 | 0 | 1307 | 0 | 12250 | 0 | 25000 | 0 | 469917 | 0 | 0 | 0 |
| William Loretan DO | |||||||||||||
| 332068 | 0 | 38839 | 0 | 4659 | 0 | 12250 | 0 | 25000 | 0 | 412816 | 0 | 0 | 0 |
| Steven W Zebert DO | |||||||||||||
| 314755 | 0 | 13500 | 0 | 3732 | 0 | 17150 | 0 | 25000 | 0 | 374137 | 0 | 0 | 0 |
| Il Jun Chon MD | |||||||||||||
| 280250 | 0 | 14387 | 0 | 4350 | 0 | 12359 | 0 | 25000 | 0 | 336346 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 7 | ReturnReference |
| Explanation | Officers and highest compensated employees have individual goals and objectives as part of their review process as well as team goals and bonuses. The CEO's bonus is determined by the board; all others are determined by the CEO. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|
| Lancaster Municipal Authority | |||||
| 237334160 | 2010-02-01 | 4570000 | Refund 1996 bonds and pay issuance costs | 0 | 0 |
| Lancaster Municipal Authority | |||||
| 237334160 | 2009-11-09 | 23930000 | Refund 2006 bonds and pay issuance costs | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount DefeasedAmountDefeased | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|
| 4570000 | 4518805 | 51195 | 1 | 0 | 1 | 1 |
| 23930000 | 23740000 | 190000 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 0 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 1 | 0 | 0 | 0 | 0 |
| 0 | 1 | 0 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | The organization's Form 990 is reviewed with the Finance Committee after completion and filing due to the timing of the Committee's meeting and filing deadlines. | |
| Form 990, Part VI, Section B, line 12c | Board members, officers, and key employees review and sign the conflict of interest policy annually. The organization's legal department reviews the signed statements and addresses any potential or actual conflicts of interest. | |
| Form 990, Part VI, Section B, line 15 | An outside consultant is used to review comparative compensation for all executive management positions (Assistant Vice President and above). Each position is reviewed to coincide with the anniversary date of the incumbent. This information is used by the Executive Compensation Committee in determining the appropriate level of compensation. Decisions of the Executive Compensation Committee are documented. This process is used each year. | |
| Form 990, Part VI, Section C, line 19 | The organization's governing documents, conflict of interest policy, and financial statements will be made available to the public upon request. The organization reserves the right to deny requests. | |
| FORM 990, PART VI, LINE 16B | THE HOSPITAL DOES NOT CURRENTLY HAVE A FORMAL, WRITTEN POLICY REGARDING JOINT VENTURES. HOWEVER, THE HOSPITAL'S LEGAL DEPARTMENT EVALUATES ALL POTENTIAL JOINT VENTURE ARRANGEMENTS AND TAKES STEPS TO SAFEGUARD THE HOSPITAL'S EXEMPT STATUS WITH RESPECT TO JOINT VENTURES. | JOINT VENTURE POLICY |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northern Lancaster County Medical Group | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 169 Martin Avenue PO Box 1002 | AddressLine1 |
| City | Ephrata | City |
| State | PA | State |
| ZIP Code | 17522 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203033058 | EIN |
| Primary Activities | Physician Practices | PrimaryActivities |
| Legal Domicile State | PA | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 11b, II | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE REHAB CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 855 Springdale Drive Suite 200 | AddressLine1 |
| City | Exton | City |
| State | PA | State |
| ZIP Code | 19341 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251687903 | EIN |
| Primary Activity | PHYSICAL THERAPY REHAB | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 519105 | ShareOfTotalIncome |
| Share Of EOY Assets | 252079 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| NORTHERN LANCASTER COUNTY MEDICAL GROUP | |
| B | 6695993 |
| The Rehab Center | |
| L | 648000 |
| NORTHERN LANCASTER COUNTY MEDICAL GROUP | |
| A | 804007 |
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