UPMC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- UPMC (EIN 25-0965387)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-04-14
- IRS object ID
- 201121049349300417
- 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 H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-04-14T12:30:30-05:00 | 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 | 250965387 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hamot Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HAMO | NameControl |
| Phone | 8148776162 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 State Street | AddressLine1 |
| City | Erie | City |
| State | PA | State |
| ZIP Code | 16550 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Stephen M Danch | Name |
| Title | TREASURER & SVP/CFO | Title |
| Phone | 8148776162 | Phone |
| Date Signed | 2011-04-12 | 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 T Malone | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 State Street | AddressLine1 |
| City | Erie | City |
| State | PA | State |
| ZIP Code | 16550 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 345563310 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.hamot.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1881 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | Hamot Medical Center ("HMC") is a premier provider of inpatient and outpatient medical services to residents of Western Pennsylvania, Western New York and northeastern Ohio. Hamot's goal to serve the community is accomplished through a commitment to patient-focused care and outcomes management, outstanding customer service, strong regional partnerships, research, and community education and programs. Hamot is dedicated to serve all patients regardless of their ability to pay. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3604 | TotalNbrEmployees |
| Total Nbr Volunteers | 200 | TotalNbrVolunteers |
| Total Gross UBI | 293728 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -62599 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1143569 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1579814 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 294252881 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 316609103 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1925118 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2133057 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5671565 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4018085 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 302993133 | TotalRevenuePriorYear |
| Total Revenue Current Year | 324340059 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 15248150 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 20562936 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 125001118 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 131456189 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 158839327 | OtherExpensePriorYear |
| Other Expenses Current Year | 170314133 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 299088595 | TotalExpensesPriorYear |
| Total Expenses Current Year | 322333258 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3904538 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2006801 | RevenuesLessExpensesCY |
| Total Assets BOY | 285001296 | TotalAssetsBOY |
| Total Assets EOY | 340648399 | TotalAssetsEOY |
| Total Liabilities BOY | 169037512 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 221436050 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 115963784 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 119212349 | NetAssetsOrFundBalancesEOY |
| Mission Description | Hamot Medical Center's mission is to serve our patients and community in the Hamot Tradition of quality, health, healing and education. To put simply, "to serve." | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 196203822 | Expense |
| Grants | 14130850 | Grants |
| Revenue | 203189254 | Revenue |
| Description | Inpatient Services: HMC is a 351 bed tertiary hospital with medical specialties that include cardiology, neuroscience, gastrointestinal care, critical care, orthopaedics and woman's health services. During fiscal year 2010, HMC's admissions were approximately 17,700 and had approximately 84,000 patient days. The Medical Center is accredited by the Joint Commission and also has an advanced certification from them as a Primary Stroke Center. Some of the other most current accolades include: Thomson Reuters "100 Top Hospitals" in both Benchmarks for Success and Cardiovascular care; a three year accreditation (with Commendation) from the American College of Surgeons' Commission on cancer care; American Heart Association "Get with the Guidelines" Stroke Gold Plus Performance Award; U.S. News & World Report - America's Best Hospitals Pulmonary and Top 25 Programs for Nurse Anesthesia; Highmark Blue Distinction Center for Knee and Hip Replacement; National Research Corporation Consumer Choice Award; and the American College of Radiology Breast Imaging Center of Excellence. HMC also maintains an Orthopaedic Clinic that serves primarily the indigent of the community. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 89308142 | Expense |
| Grants | 6432086 | Grants |
| Revenue | 110161391 | Revenue |
| Description | Outpatient services: Hamot outpatient services include outpatient surgery, emergency room visits, home health visits, outpatient cardiology procedures, radiology procedures, orthopaedic procedures, and physical rehabilitation. The total outpatient volume was approximately 355,000. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6673859 | Expense |
| Revenue | 3694465 | Revenue |
| Description | Medical education and research: To further HMC's goal to provide outstanding patient care, HMC has established the following graduate programs: pharmacy residency, osteopathic neurology residency, orthopaedic surgery residency, orthopaedic hand surgery fellowships, and osteopathic emergency medicine. The continuing Medical Education Department is accredited by the Pennsylvania Medical Society and enables physicians outside of Hamot to receive required educational credits. The department's most recent annual report showed that more than 2,800 doctors attended these courses. HMC houses a School of Anesthesia in conjunction with a local university. The anesthesia program is accredited by the Council on Accreditation of Nurse Anesthesia. Last year, 34 students graduated from that program. Various research activities support medical education and advancements in patient care. HMC participates in clinical trials for drugs and devices in the final testing stages as well as basic science research. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3975378 | Expense |
| Description | Community education and support programs: HMC works in close partnership with the community to provide services. HMC participates in the "PILOT" (payment in lieu of taxes) program which was approximately $1,131,000 in fiscal year 2010, and subsidizes the local emergency transportation for approximately $400,000 annually. In addition, HMC provides many other educational and support services to the community including support to build up the downtown district within which HMC's campus resides. Hamot also conducts various free health screenings and education sessions at locations throughout the city including car seat safety, community vaccination programs, Hamot Heart for Women, ATV safety training, Speakers Bureau and Lecture Series, Let Me Call You Sweetheart, Heart and Soles, and Wear Red for Women. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 3975378 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 296161201 | 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 | 0 | 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 | 1 | 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 | 398 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3604 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | 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 | 1 | 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 | 0 | InvestmentInJointVenture |
| 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 | JUDITH L JOHNSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8148773896 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 STATE STREET SUITE 100 | AddressLine1 |
| City | ERIE | City |
| State | PA | State |
| ZIP Code | 16507 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| John T Malone | ||||||||
| President/CEO | 50.00 | X | X | 569921 | 0 | 21902 | ||
| B SCOTT KERN | ||||||||
| CHAIR | 15.00 | X | X | 0 | 0 | 0 | ||
| DESMOND J MCDONALD | ||||||||
| VICE CHAIR | 15.00 | X | X | 0 | 0 | 0 | ||
| NANCY J ANDERSON | ||||||||
| DIRECTOR | 15.00 | X | 0 | 0 | 0 | |||
| GEORGE M CURRIE | ||||||||
| DIRECTOR | 15.00 | X | 0 | 0 | 0 | |||
| ROBERT J FERRARO MD | ||||||||
| DIRECTOR | 10.00 | X | 0 | 0 | 0 | |||
| RICHARD E GRIFFITH | ||||||||
| DIRECTOR | 10.00 | X | 0 | 0 | 0 | |||
| NICHOLAS N SCOTT | ||||||||
| DIRECTOR | 10.00 | X | 0 | 0 | 0 | |||
| DENNIS SCULLY MD | ||||||||
| DIRECTOR | 10.00 | X | 0 | 0 | 0 | |||
| THOMAS TUPITZA ESQ | ||||||||
| DIRECTOR | 15.00 | X | 0 | 0 | 0 | |||
| GREGORY S BALDWIN | ||||||||
| DIRECTOR | 10.00 | X | 0 | 0 | 0 | |||
| MARY C BULA | ||||||||
| DIRECTOR | 10.00 | X | 0 | 0 | 0 | |||
| PHILLIP GARCIA | ||||||||
| DIRECTOR | 10.00 | X | 0 | 0 | 0 | |||
| CAROLYNN MASTERS PHD | ||||||||
| DIRECTOR | 10.00 | X | 0 | 0 | 0 | |||
| MARK H RAIMY | ||||||||
| DIRECTOR | 15.00 | X | 0 | 0 | 0 | |||
| JEFFREY BEACH | ||||||||
| DIRECTOR | 10.00 | X | 0 | 0 | 0 | |||
| LINDA MYERS | ||||||||
| DIRECTOR | 10.00 | X | 0 | 0 | 0 | |||
| Stephen M Danch | ||||||||
| Treasurer & SVP/CFO | 50.00 | X | 320317 | 0 | 23698 | |||
| Donald K Inderlied | ||||||||
| Secretary/SVP Corp Svcs | 50.00 | X | 213557 | 0 | 20831 | |||
| V James Fiorenzo | ||||||||
| Exec. Vice Pres./COO | 50.00 | X | 387486 | 0 | 21902 | |||
| Richard Long MD | ||||||||
| SVP/CMO | 50.00 | 295035 | 0 | 17302 | X | |||
| Gary Maras | ||||||||
| SVP/Regional Business Dev | 50.00 | 208658 | 0 | 21058 | X | |||
| Joseph Butler | ||||||||
| VP/CIO | 50.00 | 208035 | 0 | 20783 | X | |||
| James Donnelly | ||||||||
| VP/CNO | 50.00 | 198490 | 0 | 22132 | X | |||
| JOHN LYONS MD | ||||||||
| PHYSICIAN | 40.00 | 243450 | 0 | 0 | X | |||
| DEBBIE BURBULES | ||||||||
| VP OUTPATIENT SERVICES | 40.00 | 180898 | 0 | 21242 | X | |||
| RAYMOND MOLUSKI | ||||||||
| VP GENERAL SERVICES | 40.00 | 181304 | 0 | 8987 | X | |||
| ISAM KHOJA MD | ||||||||
| PHYSICIAN | 40.00 | 238827 | 0 | 7846 | X | |||
| BRIAN COON | ||||||||
| HOME HEALTH, PHYSICAL THERAPY | 40.00 | 176804 | 0 | 23944 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3422782 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 231627 | TotalOtherCompensation |
| Number Individuals GT100 K | 129 | 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 |
|---|---|---|---|---|---|
| PERRY CONSTRUCTION GROUP | |||||
| 1440 W 21ST ST | ERIE | PA | 16512 | General Contractor | 18283285 |
| CLINICAL PATHOLOGY INSTITUTE | |||||
| 1526 Peach Street | Erie | PA | 16501 | Laboratory Services | 10635069 |
| MEDICOR ASSOCIATES INC | |||||
| 120 East 2nd Street | Erie | PA | 16507 | Medical Services | 4779351 |
| ANESTHESIOLOGISTS OF ERIE INC | |||||
| 201 STATE STREET | Erie | PA | 16550 | Medical Services | 2638438 |
| sodexho | |||||
| rt 532 general sullivan road | washington crossing | PA | 18977 | food service | 1702156 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 41 | NumberOfContractorsGT100K |
| Related Organizations | 1433308 | RelatedOrganizations |
| All Other Contributions | 146506 | AllOtherContributions |
| Total Contributions | 1579814 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net patient service re | 621990 | 312997369 | 312997369 |
| TEACHING INCOME | 611710 | 3040968 | 3040968 |
| CLINICAL TRIALS RESEAR | 900099 | 570766 | 570766 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 316609103 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2160804 | TotalRevenueColumn |
| Exclusion | $2,160,804 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 986578 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 775912 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 210666 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 210666 | TotalRevenueColumn |
| Exclusion | $210,666 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 20417024 | Securities |
| Other | 2568 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 20412711 | Securities |
| Other | 34628 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4313 | Securities |
| Other | -32060 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -27747 | TotalRevenueColumn |
| Exclusion | -$27,747 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| Income-equity investee | 900099 | 1962676 | 7034 | $1,955,642 |
| Bio-Med/Maint. Svcs | 561700 | 385042 | 148673 | $236,369 |
| Utility Reimbursement | 900099 | 205035 | $205,035 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1254666 | TotalRevenueColumn |
| Related Or Exempt Function Income | 436007 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 138021 | UnrelatedBusinessRevenue |
| Exclusion | $680,638 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3807419 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 324340059 | TotalRevenueColumn |
| Related Or Exempt Function Income | 317045110 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 293728 | UnrelatedBusinessRevenue |
| Exclusion | $5,421,407 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20562936 | Total |
| Program Services | 20562936 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2571107 | Total |
| Program Services | 1902619 | ProgramServices |
| Management And General | 668488 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6230 | Total |
| Management And General | 6230 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99230428 | Total |
| Program Services | 89565384 | ProgramServices |
| Management And General | 9665044 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5948652 | Total |
| Program Services | 5267719 | ProgramServices |
| Management And General | 680933 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16418167 | Total |
| Program Services | 14819038 | ProgramServices |
| Management And General | 1599129 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7281605 | Total |
| Program Services | 6641552 | ProgramServices |
| Management And General | 640053 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 609986 | Total |
| Program Services | 33976 | ProgramServices |
| Management And General | 576010 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130803 | Total |
| Management And General | 130803 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13071 | Total |
| Management And General | 13071 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120636 | Total |
| Management And General | 120636 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35432921 | Total |
| Program Services | 31628892 | ProgramServices |
| Management And General | 3804029 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 839121 | Total |
| Management And General | 839121 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67236042 | Total |
| Program Services | 63847825 | ProgramServices |
| Management And General | 3388217 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3722254 | Total |
| Program Services | 2977803 | ProgramServices |
| Management And General | 744451 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7070380 | Total |
| Program Services | 5946897 | ProgramServices |
| Management And General | 1123483 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 678546 | Total |
| Program Services | 598681 | ProgramServices |
| Management And General | 79865 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 643812 | Total |
| Program Services | 173121 | ProgramServices |
| Management And General | 470691 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3083641 | Total |
| Program Services | 3083641 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13767007 | Total |
| Program Services | 12491004 | ProgramServices |
| Management And General | 1276003 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5731381 | Total |
| Program Services | 5672061 | ProgramServices |
| Management And General | 59320 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provision for Bad Debts | 28185126 | 28185126 | |
| Minor Equipment/Instrum | 860530 | 860530 | |
| Recruiting Expense | 599503 | 599503 | |
| Other Operating Expense | 401608 | 391004 | 10604 |
| Membership Dues | 371280 | 258434 | 112846 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 816485 | Total |
| Program Services | 653455 | ProgramServices |
| Management And General | 163030 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 322333258 | Total |
| Program Services | 296161201 | ProgramServices |
| Management And General | 26172057 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3965 | BOY |
| EOY | 3039 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16873618 | BOY |
| EOY | 25493660 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33378464 | BOY |
| EOY | 35964226 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200000 | BOY |
| EOY | 114375 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6447881 | BOY |
| EOY | 7322470 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8132867 | BOY |
| EOY | 11420274 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 320824037 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 178663144 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122521540 | BOY |
| EOY | 142160893 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76164370 | BOY |
| EOY | 89198489 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7573604 | BOY |
| EOY | 9740050 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13704987 | BOY |
| EOY | 19230923 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 285001296 | BOY |
| EOY | 340648399 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29188868 | BOY |
| EOY | 35814385 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 285548 | BOY |
| EOY | 260341 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83414361 | BOY |
| EOY | 102088633 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3135510 | BOY |
| EOY | 16233754 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53013225 | BOY |
| EOY | 67038937 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169037512 | BOY |
| EOY | 221436050 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114421040 | BOY |
| EOY | 117684531 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 148898 | BOY |
| EOY | 50774 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1393846 | BOY |
| EOY | 1477044 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115963784 | BOY |
| EOY | 119212349 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 285001296 | BOY |
| EOY | 340648399 | 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 | $13,071 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 13071 | 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 | The organization pays membership dues to the Hospital & Healthsystem Association of Pennsylvania ("HAP"). A portion of the dues paid to HAP are used for lobbying purposes by HAP. This amount represents the portion of membership dues used by HAP for lobbying purposes. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4351489 | OtherCostOrOtherBasis |
| Book Value | 4351489 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 108121587 | OtherCostOrOtherBasis |
| Depreciation | 54336874 | Depreciation |
| Book Value | 53784713 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 134737 | OtherCostOrOtherBasis |
| Depreciation | 121833 | Depreciation |
| Book Value | 12904 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 156902366 | OtherCostOrOtherBasis |
| Depreciation | 121063556 | Depreciation |
| Book Value | 35838810 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 51313858 | OtherCostOrOtherBasis |
| Depreciation | 3140881 | Depreciation |
| Book Value | 48172977 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 142160893 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| COMMUNITY HEALTH ALLIANCE ADVANCE PAYMENTS | 5324354 |
| INTERCOMPANY RECEIVABLES | 8085583 |
| DEFERRED FINANCING COSTS, Net | 2245202 |
| other assets | 7500 |
| estimated third-party payor settlements and advances | 3568284 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 19230923 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY | $10,281,661 |
| PENSION LIABILITY | $17,932,861 |
| DEFERRED COMPENSATION | $15,659,807 |
| Intercompany Payables | $19,237,403 |
| Capital lease obligations | $3,927,205 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 67038937 | TotalOfAmounts |
| Total Revenue | 324340059 | TotalRevenue |
| Total Expenses | 322333258 | TotalExpenses |
| Excess Or Deficit For Year | 2006801 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 2284369 | NetUnrealizedGLOnInvestments |
| Other | -$1,042,605 | OtherAmount |
| Total Adjustments | 1241764 | TotalAdjustments |
| Excess Or Deficit Per FS | 3248565 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 326305178 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2284369 | NetUnrealizedGainsInvestments |
| Other Revenues | 186564 | OtherRevenues |
| Revenue Not Rptd F990 | 2470933 | RevenueNotRptdF990 |
| Revenue Subtotal | 323834245 | RevenueSubtotal |
| Other Revenues Not Included | 505814 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 505814 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 324340059 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 323056339 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 2157777 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 2157777 | ExpensesNotRptdF990 |
| Expenses Subtotal | 320898562 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 120636 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 1314060 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1434696 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 322333258 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | The Corporation accounts for uncertainty in income taxes 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. The Corporation's policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses. |
| Part XI, Line 8 - Other Adjustments: | Pension liability adjustment: 227994. Net Assets Released from Restrictions: 77069. loss on early extinguishment of debt: -1349805. Other change in fund balance: 2137. | |
| Part XII, Line 2d - Other Adjustments: | Pension liability adjustment: 227994. NET ASSETS RELEASED FROM RESTRICTIONS: 77069. investment management fees netted with revenue on financial statements: -120636. Other change in fund balance: 2137. | |
| Part XII, Line 4b - Other Adjustments: | RENTAL EXPENSE: -775912. LOSS ON SALE AND DISPOSAL OF PROPERTY AND EQUIPMENT: -32060. Other Revenue: 1313786. | |
| Part XIII, Line 2d - Other Adjustments: | Rental expense: 775912. LOSS ON SALE AND DISPOSAL OF PROPERTY AND EQUIPMENT: 32060. loss on early extinguishment of debt: 1349805. | |
| Part XIII, Line 4b - Other Adjustments: | TRANSFER TO AFFILIATE: 1303338. Other Expenses: 10722. |
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 | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| 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 | 771130 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 771130 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 33593073 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16221320 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17371753 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05910 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34364203 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16221320 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18142883 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06170 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 193797 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 193797 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6175024 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3040968 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3134056 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01070 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1419484 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7823 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1411661 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00480 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7788305 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3048791 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4739514 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01620 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42152508 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19270111 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22882397 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07790 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 400000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 400000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 791565 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 791565 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1170532 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1170532 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2362097 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2362097 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00810 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $5,637,025 | BadDebtExpenseAmount |
| Amount Attributable To | 771130 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 86821141 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 80261472 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 6559669 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| 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 | Hamot Surgery Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Outpatient surgery center | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.51000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.49000 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|---|
| HAMOT MEDICAL CENTER | |||||||||
| 201 STATE STREET | ERIE | PA | 16550 | X | X | X | X | X | |
| Regional Ambulatory Surgery Center LLC | |||||||||
| 1376 Bucktail Road | St Marys | PA | 15857 | outpatient surgery center | |||||
| hamot surgery center | |||||||||
| 200 state street | erie | PA | 16507 | outpatient surgery center | |||||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: The organization does not use FPG to determine eligibility for providing "discounted" care to low income individuals. Instead, any uninsured patient can receive discounting based on account balance size. No formula is used to determine discounting. Instead, individuals with self-pay balances that have an issue paying for medical care or insured individuals which have a remaining balance may be eligible for discounting. | IncomeBasedCriteria |
| Annual Community Benefit Expln | Part I, Line 6a: The organization's community benefit report is contained in a report prepared by Hamot Health Foundation, a related organization. | AnnualCommunityBenefitExpln |
| Costing Method Used | Part I, Line 7: Costing methodology used to calculate the amounts reported in Part I, line 7: Direct costs are posted to the activity. Indirect costs were calculated using a cost accounting system which addresses all patient segments. Where a cost to charge ratio was used, the ratio calculated in Schedule H worksheet 2 was used. | CostingMethodUsed |
| Subsidized Health Services Expln | Part I, Line 7g: The organization included as subsidized health services costs attributable to a physician clinic in the amount of $324,484. | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Part I, Line 7f: The amount of bad debt expense of $28,185,126 included on Form 990, Part IX, line 25, column (A) was subtracted from total expenses for purposes of calculating the percentage in this column. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: Costing methodology used to determine the amount reported in Part III, lines 2 and 3: Cost to charge ratio calculated in worksheet 2.Rationale for including other bad debt amounts in community benefit: The organization's bad debt expense consists solely of self pay patient accounts deemed uncollectible. The organization still had to provide the service and incur the cost regardless of whether or not it was paid. Because we service patients in our region, we feel it is a community benefit.How the organization accounts for discounts and payments on patient accounts in determining bad debt expense: Discounts are not calculated as part of bad debt expense; rather, they are a part of contractual allowances. 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: The charity care on the books represents charges forgone as part of the charity care policy, and to arrive at cost the charges are multiplied by a cost to charge ratio, which is how the amount of $771,130 is calculated. Text of the footnote to the organization's financial statements that describes bad debt expense: Accounts receivable 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: The traditional step down method to allocate indirect costs was used from the Medicare cost report. Allowable costs represent fully allocated costs less costs that Medicare considers to be unallowable or nonreimbursable and any costs subject to the RCE limits. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: Collection practices set forth in the organization's debt collection policy that apply to patients qualifying for charity care or financial assistance: If determined at any point prior to or during the patient's stay that the patient is medically indigent, credit personnel will assist the patient, patient's family, or guarantor in completing an application for State Medical Assistance and may suspend certain admission and in-house payment requirements pending final determination as to MA status. Patients may request charity care post-discharge by either calling or visiting the hospital and speaking with the Patient Accounting office. Personnel in Patient Accounting are designated to handle charity care applications. | DebtCollectionPolicy |
| Number Of Facility Type Expln | Part V: The organization is also an owner of Tri-State Emergency Systems which provides medical transportation. | NumberOfFacilityTypeExpln |
| Needs Assessment | Part VI, Line 2: Hamot Medical Center assesses the health care needs of the community as part of our regular strategic planning cycle. Every three years we complete a comprehensive assessment of our environment, including health care needs of our communities. We then update the assessment annually. Each year we present this assessment to the Strategic Planning Committee of our Board of Trustees and use it as the basis for our strategic plan. Assessment includes evaluating current environmental, demographic, and economic factors both globally and locally as well as industry specific factors. Sources we regularly reference are the Pennsylvania Department of Health's Behavioral Risk Factor Surveillance Survey, Healthy People 2010 statistics, Health Status Indicators, and Cancer Incidence and Mortality reports. These are all available at the County level. We also use consumer surveys regarding health care utilization and access administered by National Research Corporation. In March 2009 we also commissioned a detailed study of the physician supply in our primary service area and have been using the results of that survey as our physician recruitment plan. There are also various hospital industry publications we consult. We have also worked actively with partners in our community. Two recent collaborative projects with the Erie Community Foundation include publication of "Access to High Quality Primary Health Care Services" and development of www.erievitalsigns.org. Going forward we have approached our County Department of Health, the Erie Community Foundation, as well as the other hospital providers in Erie County to work together on a more formal community health needs assessment. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: The charity care policy is posted throughout the Medical Center, including postings at each registration window. Charity care applications are provided to uninsured patients. Patients are also given information regarding assistance in their information packet and it is reviewed during the admission process. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Hamot Medical Center's primary service area is Erie County, Pennsylvania and its secondary service area encompasses Crawford, Warren, and McKean Counties in Pennsylvania, Ashtabula County in Ohio, and Chautauqua County in New York. Erie County, PA has a population of 280,000 and our secondary service area population is 400,000. While Erie County is largely urban and suburban, the secondary service area is largely rural. Median household income in Erie County is $43,456, and 15.1% of our residents are below the federal poverty level and over 58,000 residents are MA eligible. Of the 304,000 residents of our New York and Pennsylvania secondary service area, nearly 64,000 are Medicaid eligible. Median household income in the secondary service area counties hovers around $40,000, while the percent of residents below the federal poverty level ranges from 12.5% in Warren county up to 16.3% in Chautauqua County. Erie County is serviced by Hamot and 3 other hospitals for a total of 945 licensed beds. The secondary service area contains 12 community hospitals. Erie County has 13 federally designated medically underserved areas ("MUAs"), Crawford and McKean Counties have 25 MUAs together, and Chautauqua County has 1 MUA. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: Through the Medical Center's financial support, organizations and communities can provide health services without otherwise having the means. Without these sponsored programs, the community would not be able to otherwise provide them. Hamot supports the community by subsidizing the local emergency transportation entity. Without that, they would not be in existence. Though tax exempt, Hamot pays property taxes exceeding $1 million through the PILOT program. Additionally, Hamot provided support and guidance for a regional hospital in danger of closing and leaving that community with no other way to provide that service. That activity also created other synergies in health care in the region. Hamot purchased and then donated much needed equipment for the local fire department and coordinated the local disaster preparedness team. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: With the exception of one member who resides in our secondary service area, Hamot's Directors all reside in Erie County. The majority of the directors are independent. Hamot Medical Center does have an open medical staff, extending privileges to all qualified physicians for all of its departments. Surplus funds are all reinvested to promote the health of the communities we serve. The Board of Directors does review and approve the capital budget and all significant expenditures. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: Great Lakes Home Health provides home health services and sells durable medical equipment. They participate in many health fairs and educational sessions in the community.Hamot Surgery Center is an outpatient surgery facility.Regional Cancer Center is a non-profit outpatient cancer treatment facility. They conduct numerous community events to raise the awareness of cancer and provide a mobile mammography unit to reach women in isolated areas.Regional Health Services employs the physicians for the Hamot system. They provide sports training services at a reduced price and subsidize the Hamot Health Connection which provides education to the community for free or greatly reduced prices.Emergycare is a non profit organization and is the local medical transportation company. Associated Clinical Laboratory provides the lab services for all of the health care providers in the area. | AffiliatedHealthCareSystem |
| Reports Filed With States | PA | ReportsFiledWithStates |
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 | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| REGIONAL HEALTH SERVICES INC | |||||||
| 300 STATE STREET | ERIE | PA | 16507 | 251403958 | 501(C)(3) | 18975443 | ELIMINATE INTERCOMPANY BALANCE |
| HAMOT HEALTH FOUNDATION | |||||||
| 300 STATE STREET | ERIE | PA | 16507 | 251400999 | 501(C)(3) | 1582897 | ELIMINATE INTERCOMPANY BALANCE AND TRANSFER OF UNUSED SPECIAL FUNDS |
| 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: Hamot Medical Center grants funds to two affiliated tax-exempt organizations to support their operating shortfall. At the end of each year, Hamot Medical Center will forgive the intercompany balance that arose from the support of those organizations. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 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 T Malone | |||||||||||||
| 490695 | 0 | 53 | 0 | 79173 | 0 | 9200 | 0 | 12702 | 0 | 591823 | 0 | 0 | 0 |
| Stephen M Danch | |||||||||||||
| 291090 | 0 | 53 | 0 | 29174 | 0 | 9200 | 0 | 14498 | 0 | 344015 | 0 | 0 | 0 |
| Donald K Inderlied | |||||||||||||
| 193650 | 0 | 53 | 0 | 19854 | 0 | 8129 | 0 | 12702 | 0 | 234388 | 0 | 0 | 0 |
| V James Fiorenzo | |||||||||||||
| 346727 | 0 | 53 | 0 | 40706 | 0 | 9200 | 0 | 12702 | 0 | 409388 | 0 | 0 | 0 |
| Richard Long MD | |||||||||||||
| 292327 | 0 | 53 | 0 | 2655 | 0 | 4600 | 0 | 12702 | 0 | 312337 | 0 | 0 | 0 |
| Gary Maras | |||||||||||||
| 192681 | 0 | 153 | 0 | 15824 | 0 | 8356 | 0 | 12702 | 0 | 229716 | 0 | 0 | 0 |
| Joseph Butler | |||||||||||||
| 207363 | 0 | 53 | 0 | 619 | 0 | 8081 | 0 | 12702 | 0 | 228818 | 0 | 0 | 0 |
| James Donnelly | |||||||||||||
| 197454 | 0 | 153 | 0 | 883 | 0 | 7634 | 0 | 14498 | 0 | 220622 | 0 | 0 | 0 |
| JOHN LYONS MD | |||||||||||||
| 243450 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 243450 | 0 | 0 | 0 |
| DEBBIE BURBULES | |||||||||||||
| 180032 | 0 | 153 | 0 | 713 | 0 | 6744 | 0 | 14498 | 0 | 202140 | 0 | 0 | 0 |
| RAYMOND MOLUSKI | |||||||||||||
| 180891 | 0 | 53 | 0 | 360 | 0 | 5964 | 0 | 3023 | 0 | 190291 | 0 | 0 | 0 |
| ISAM KHOJA MD | |||||||||||||
| 199027 | 0 | 39800 | 0 | 0 | 0 | 7846 | 0 | 0 | 0 | 246673 | 0 | 0 | 0 |
| BRIAN COON | |||||||||||||
| 176726 | 0 | 53 | 0 | 25 | 0 | 9446 | 0 | 14498 | 0 | 200748 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4a | ReturnReference |
| Explanation | RETIREMENT PLAN: THE FOLLOWING OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE ORGANIZATION'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, AND HAD THE FOLLOWING AMOUNTS INCLUDED IN THEIR TAXABLE INCOME FOR 2009: JOHN T. MALONE - $74,655 STEPHEN M. DANCH - $26,555 DONALD K. INDERLIED - $14,860 V. JAMES FIORENZO - $37,868 GARY MARAS - $14,137 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| ERIE COUNTY HOSPITAL AUTHORITY | ||||||
| 232302072 | 295200SZ3 | 2006-04-11 | 23921150 | TO REIMBURSE HAMOT HEALTH FOUNDATION FOR CONSTRUCTION COSTS | 0 | 0 |
| ERIE COUNTY HOSPITAL AUTHORITY | ||||||
| 232302072 | 295200TA7 | 2007-07-31 | 30141552 | TO REIMBURSE HAMOT HEALTH FOUNDATION FOR CONSTRUCTION COSTS | 0 | 0 |
| ERIE COUNTY HOSPITAL AUTHORITY | ||||||
| 232302072 | 295200TK5 | 2008-07-01 | 8210000 | TO PAY THE COSTS OF THE CURRENT REFUNDING OF THE SERIES 1998B BONDS | 0 | 0 |
| ERIE COUNTY HOSPITAL AUTHORITY | ||||||
| 232302072 | 2010-05-06 | 35000000 | CURRENT REFUNDING-1998A BONDS; ADVANCE REFUNDING-2002 BONDS; CONSTRUCTION | 1 | 0 | |
| ERIE COUNTY HOSPITAL AUTHORITY | ||||||
| 232302072 | 2006-12-12 | 4000000 | Capital equipment financing for hamot medical center | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount DefeasedAmountDefeased |
|---|---|---|---|---|---|---|---|---|---|
| 23921150 | 2155586 | 812580 | 20952984 | 2009 | 0 | 0 | 1 | 1 | |
| 30141552 | 1170 | 829470 | 29312082 | 2010 | 0 | 0 | 0 | 1 | |
| 8210000 | 158283 | 1 | 0 | 1 | 1 | ||||
| 35000000 | 5222860 | 522137 | 5304395 | 2010 | 1 | 1 | 0 | 1 | 10470607 |
| 4000000 | 4000000 | 2008 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (5 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 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line2NameOfGICProvider/BusinessNameLine2 | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|
| Natixis Funding | ||||||||
| 0 | 0 | 0 | 1 | Corp | 10.000000000000 | 1 | 0 | 0 |
| (no name) | ||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | |||
| (no name) | ||||||||
| 0 | 1 | 0 | 0 | 0 | 0 | |||
| (no name) | ||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | |||
| (no name) | ||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | |||
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERIE COUNTY HOSPITAL AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 232302072 | IssuerEIN |
| Date Issued | 2009-07-16 | DateIssued |
| Issue Price | 4691500 | IssuePrice |
| Description Of Purpose | capital equipment financing for hamot medical center | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 4691500 | TotalProceeds |
| Amount In Reserve Fund | 4023692 | AmountInReserveFund |
| Issuance Costs From Proceeds | 23500 | IssuanceCostsFromProceeds |
| Capital Expenditures | 644308 | CapitalExpenditures |
| Year Of Subst Completion | 2011 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 1 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ROBERT J FERRARO MD | |||
| DIRECTOR | 4795698 | Board Member DR. FERRARO IS EMPLOYED BY MEDICOR ASSOCIATES WHICH PROVIDED PHYSICIAN SERVICES TO THE ORGANIZATION. | 0 |
| THOMAS TUPITZA ESQ | |||
| DIRECTOR | 620712 | Board member Thomas Tupitza is a partner at the Law Firm of Knox McLaughlin Gornall & Sennett, PC which provides legal counsel to the organization. | 0 |
| GREGORY S BALDWIN | |||
| DIRECTOR | 393370 | GREGORY BALDWIN IS EMPLOYED BY BALDWIN BROTHERS, INC. WHICH PROVIDED REAL ESTATE SERVICES TO THE ORGANIZATION. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | The following officers, directors and key employees of the organization have business relationships: Joseph Butler and Richard Long are key employees of the organization. Both are on the board of directors of Emergycare, Inc. | |
| Form 990, Part VI, Section B, line 11 | A copy of the Form 990 is posted to a secure website for all board members to review. The CFO provides Form 990 highlights to the Audit Committee of the Board, and the Chair of the Audit Committee receives an entire copy of the Forms 990 and 990-T. Also, the Compliance Officer reviews the officers' compensation with the Compensation Committee of the Board of Trustees. The Chair of the Compensation Committee reviews the officer and key executive compensation with the full board. The Executive Compensation and Audit committee memberships consist of only "independent" Trustees as defined by the Governance Policy. | |
| Form 990, Part VI, Section B, line 12c | BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND OTHER SENIOR EXECUTIVES ARE REQUIRED TO SUBMIT FORMAL CONFLICT OF INTEREST STATEMENTS ON AT LEAST AN ANNUAL BASIS AND WHENEVER THE PERSON FIRST BECOMES SUBJECT TO THE POLICY OR THERE HAS BEEN ANY MATERIAL CHANGE IN THE PERSON'S RESPONSES TO THE PREVIOUSLY PROVIDED STATEMENT. THE STATEMENTS ARE PROVIDED TO, REVIEWED BY AND MAINTAINED BY THE CORPORATION'S CHIEF GOVERNANCE OFFICER. CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD OF DIRECTORS OR COMMITTEE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. IN ORDER TO MONITOR CONFLICTS OF INTEREST ARISING OUT OF TRANSACTIONS THAT WOULD NOT IN THE ORDINARY COURSE BE PRESENTED TO THE BOARD OR A COMMITTEE WITH BOARD DELEGATED POWERS, THE CHIEF GOVERNANCE OFFICER REVIEWS THE CONFLICT. QUARTERLY, THE CORPORATION'S ACCOUNTS PAYABLE DEPARTMENT WILL PROVIDE A COMPREHENSIVE LIST OF ANY TRANSACTIONS WITH A MEMBER OF THE BOARD, THEIR COMPANY/ORGANIZATION OR IMMEDIATE FAMILY MEMBER. QUARTERLY OR MORE FREQUENTLY IF CIRCUMSTANCES WARRANT, THE TRANSACTION LIST WILL BE REVIEWED BY THE GOVERNANCE AND NOMINATING COMMITTEE. | |
| Form 990, Part VI, Section B, line 15 | An independent national consulting firm is retained by the Hamot board of trustees and reports directly to the executive compensation committee of the board, which is comprised of "independent" trustees. The board monitors a list of performance metrics and evaluates the executive team annually based on the quality of patient care, patient satisfaction, financial performance, and community stewardship. The consultant's study includes: understanding the target competitive market through discussion with Hamot executives and compensation committee, reviewing the duties and responsibilities for each position under the scope of the study, selecting credible published survey sources, analyzing market data, and comparing Hamot compensation levels by each component of the executive total compensation to the competitive market practices. An official opinion is rendered by the consultant in accordance with Treasury Regulation Section 53.4958-6(2) and 53.4958-1(d)(4)(iii). They also certify their independence. The study is performed annually with the most recent study conducted in May 2010. The scope of this study is for positions held with the Hamot Health Foundation, Hamot Medical Center, and Regional Health Services. The positions under the scope of this study are: CEO, COO, CFO, CMO, CNO, SVP of Corp Service/Corporate Compliance, SVP of Business Development, VP of Outpatient Services, VP of Support Services, VP of Strategic Resources, VP of Patient Accounting, VP of General Services, VP of Hamot Physician Network, VP of Pharmacy, and the President of Regional Health Services. | |
| Form 990, Part VI, Section C, line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| SCHEDULE L, PART IV | ALL TRANSACTIONS THAT ARE ENTERED INTO WITH ORGANIZATIONS WITH WHICH BOARD MEMBERS, OFFICERS, KEY EMPLOYEES OR SENIOR EXECUTIVES ARE AFFILIATED WITH, ARE CONDUCTED AT ARM'S LENGTH. THE BOARD MAINTAINS A CONFLICT OF INTEREST POLICY WHICH GOVERNS SUCH TRANSACTIONS. | BUSINESS TRANSACTIONS INVOLVING BOARD MEMBERS |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| HAMOT HEALTH FOUNDATION | |||||||||
| 300 STATE STREET | ERIE | PA | 16507 | 251400999 | OVERALL CORPORATE PLANNING & MANAGEMENT OF HAMOT GROUP | PA | 501(c)(3) | Line 11a, I | N/A |
| REGIONAL HEALTH SERVICES INC | |||||||||
| 300 STATE STREET | ERIE | PA | 16507 | 251403958 | OUTPATIENT SERVICES | PA | 501(c)(3) | Line 9 | N/A |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HAMOT SURGERY CENTER LLC | ||||||||||||
| 200 STATE STREET | ERIE | PA | 16550 | 251863661 | AMBULATORY SURGERY CENTER | PA | N/A | RELATED | 928693 | 3680910 | 0 | 0 |
| HAMOT-KCH REAL ESTATE VENTURE LLC | ||||||||||||
| 300 STATE STREET SUITE 100 | ERIE | PA | 16501 | 263691782 | MEDICAL OFFICE BUILDING | PA | N/A | |||||
| HAMOT PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION | ||||||||||||
| C/O 2950 WEST 12TH STREET SUITE 50 | ERIE | PA | 16505 | 251761211 | REAL ESTATE | PA | N/A | INVESTMENT | -35660 | 310742 | 0 | 1 |
| LIFE CARE HOME SERVICES OF NW PENNSYLVANIA | ||||||||||||
| 1647 SASSAFRAS STREET | ERIE | PA | 16502 | 251536879 | HOME HEALTH SERVICES & DME | PA | N/A | |||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| BAYFRONT REGIONAL DEVELOPMENT CORPORATION | ||||||||
| 300 STATE STREET SUITE 100 | ERIE | PA | 16507 | 251401388 | REAL ESTATE HOLDING COMPANY | PA | N/A | C |
| BAYSIDE DEVELOPMENT CORPORATION INC | ||||||||
| 300 STATE STREET SUITE 100 | ERIE | PA | 16507 | 251401386 | REAL ESTATE/PHARMACY | PA | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| HAMOT SURGERY CENTER LLC | |
| K | 193123 |
| HAMOT SURGERY CENTER LLC | |
| I | 108390 |
| HAMOT SURGERY CENTER LLC | |
| R | 1090000 |
| HAMOT SURGERY CENTER LLC | |
| P | 243322 |
| HAMOT PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION | |
| O | 225089 |
Comments