BLAIR-BEDFORD PAROCHIAL MEDICAL CENTER INC: Form 990EZ, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- BLAIR-BEDFORD PAROCHIAL MEDICAL CENTER INC (EIN 20-8556087)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-05-12
- IRS object ID
- 201121329349201967
- Schema version
- 2010v3.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-12T12:18:49-07:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RITCHEY RITCHEY & KOONTZ CPAS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 336 EAST PITT STREET | AddressLine1 |
| City | BEDFORD | City |
| State | PA | State |
| ZIP Code | 155221439 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208556087 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLAIR-BEDFORD PAROCHIAL MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BLAI | NameControl |
| Phone | 8142763477 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 403 E CHRISTIANA ST | AddressLine1 |
| City | MARTINSBURG | City |
| State | PA | State |
| ZIP Code | 166621203 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SETH STOLTZFUS | Name |
| Title | TREASURER | Title |
| Phone | 8142763477 | Phone |
| Date Signed | 2011-05-02 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRAD M KOONTZ | Name |
| Phone | 8146239510 | Phone |
| Date Prepared | 2011-05-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 199714 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 39039 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 160319 | ProgramServiceRevenue |
| Membership Dues | 0 | MembershipDues |
| Investment Income | 0 | InvestmentIncome |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Gain Or Loss From Sale Of Assets | 0 | GainOrLossFromSaleOfAssets |
| Gaming Gross Income | 0 | GamingGrossIncome |
| Fundraising Gross Income | 0 | FundraisingGrossIncome |
| Special Events Direct Expenses | 0 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 0 | SpecialEventsNetIncomeLoss |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Gro Profit Loss Sales Of Inventory | 0 | GroProfitLossSalesOfInventory |
| Other Revenue Total | 356 | OtherRevenueTotal |
| Total Revenue | 199714 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 122398 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 375 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 4800 | OccupancyRentUtilitiesAndMaint |
| Other Expenses Total | 85612 | OtherExpensesTotal |
| Total Expenses | 213185 | TotalExpenses |
| Excess Or Deficit For Year | -13471 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | -19799 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -33270 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12877 | BOY |
| EOY | 13115 | EOY |
Land And Buildings LandAndBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14330 | BOY |
| EOY | 10236 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2748 | BOY |
| EOY | 3360 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29955 | BOY |
| EOY | 26711 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49754 | BOY |
| EOY | 59981 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -19799 | BOY |
| EOY | -33270 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | Health care provider | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | PROVIDED LOW COST HEALTH CARE SERVICES TO LOCAL RESIDENTS. | DescriptionProgramServiceAccom |
| Program Service Expenses | 213185 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 213185 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| STEVEN J MARTIN | ||||||
| 794 RT 36 SOUTH | DUNCANSVILLE | PA | 16635 | Chair | 5.00 | 0 |
| WENDELL MARTIN | ||||||
| 225 SLOANS HOLLOW RD | BEDFORD | PA | 15522 | Vice chair | 5.00 | 0 |
| MERVIN WEAVER | ||||||
| 1183 LAFAYETTE RD | NEW ENTERPRISE | PA | 16664 | President | 5.00 | 0 |
| MERVIN FOX | ||||||
| 226 CREPS RD | MARTINSBURG | PA | 16662 | VP | 5.00 | 0 |
| LAVERNE NOLT | ||||||
| 2705 HENRIETTA RD | MARTINSBURG | PA | 16662 | Secretary | 5.00 | 0 |
| SETH STOLZFUS | ||||||
| 1212 BRIAR VALLEY RD | BEDFORD | PA | 15522 | Treasurer | 5.00 | 0 |
| MERVIN Z MARTIN | ||||||
| 2225 COVE LANE RD | MARTINSBURG | PA | 16662 | Board | 1.00 | 0 |
| DR GREG MOCK | ||||||
| RR 2 BOX 140 A | MARTINSBURG | PA | 16662 | Board | 40.00 | 98060 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | true | MadeLoansToFromOfficers |
| Loans To From Officers | 17000 | LoansToFromOfficers |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SETH STOLTZFUS | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 BRIAR VALLEY RD | AddressLine1 |
| City | BEDFORD | City |
| State | PA | State |
| ZIP Code | 15522 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8146237863 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 39900 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 55938 | CurrentTaxYearMinus1Year |
| Current Tax Year | 39039 | CurrentTaxYear |
| Total | 134877 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 111745 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 150431 | CurrentTaxYearMinus1Year |
| Current Tax Year | 160319 | CurrentTaxYear |
| Total | 422495 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 151645 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 206369 | CurrentTaxYearMinus1Year |
| Current Tax Year | 199358 | CurrentTaxYear |
| Total | 557372 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 557372 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 349 | CurrentTaxYearMinus2Years |
| Total | 349 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 349 | CurrentTaxYearMinus2Years |
| Total | 349 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 2784 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1354 | CurrentTaxYearMinus1Year |
| Current Tax Year | 356 | CurrentTaxYear |
| Total | 4494 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 562215 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99140 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00060 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| Facts And Circumstances Test | OTHER INCOME PART III, LINE 12; DESCRIPTION: OTHER; 2008: 2784.; 2009: 1354.; 2010: 356.; | FactsAndCircumstancesTest |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Purpose Of LoanPurposeOfLoan | Loan To OrganizationLoanToOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| MERVIN WEAVER | ||||||
| short term operations | X | $10,000 | 10000 | false | true | true |
| SETH STOLZFUS | ||||||
| short term operations | X | $7,000 | 7000 | false | true | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 17000 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990EZ, Part I, Line 8 | OTHER 356. |
| Form 990EZ, Part I, Line 16 | MEDICAL SUPPLIES 29001. OFFICE & ADMINISTRATIVE 5998. DUES & SUBSCRIPTIONS 250. INSURANCE 20483. PAYROLL TAXES 10587. AFTER HOURS COVERAGE 6610. COMMUNICATION 5697. CONTINUING EDUCATION 754. CLEANING 38. GARBAGE 1484. BAD DEBTS 616. DEPRECIATION 4094. |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE 838. PAYROLL TAXES PAYABLE 3916. LOANS PAYABLE 45000. |
Comments