FAYETTE PHYSICIAN NETWORK INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- FAYETTE PHYSICIAN NETWORK INC (EIN 45-5440305)
- Tax period
- 2020-07-01 to 2020-12-31
- Filed
- 2021-11-08
- IRS object ID
- 202143129349302389
- Schema version
- 2020v4.1
- 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) |
|---|---|---|
| Return | 2021-11-08T02:05:47-00:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E St Louis Street Suite 200 | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455440305 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fayette Physician Network Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAYE | BusinessNameControlTxt |
| Phone | 7244305000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 West Berkeley Street | AddressLine1Txt |
| City | Uniontown | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Barb Weiss | PersonNm |
| Person Title | Vice President FinanceCFO | PersonTitleTxt |
| Signature | 2021-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Dan Glover | PersonFirstNm |
| Person Last | - | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brian Todd | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Preparation | 2021-11-08 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Steve Handy CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 W Berkeley Street | AddressLine1Txt |
| City | Uniontown | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,257,434 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | uniontownhospital.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | Fayette Physician Network, Inc. owns and operates physician practices that provide healthcare services primarily to the residents of Fayette County Pennsylvania and the surrounding areas. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 113 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $463,343 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,912,084 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,217,040 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,670 | PYInvestmentIncomeAmt |
| CY Investment Income | $704 | CYInvestmentIncomeAmt |
| PY Other Revenue | $32,187 | PYOtherRevenueAmt |
| CY Other Revenue | $39,690 | CYOtherRevenueAmt |
| PY Total Revenue | $9,410,284 | PYTotalRevenueAmt |
| CY Total Revenue | $4,257,434 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,256,007 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,354,878 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,937,092 | PYOtherExpensesAmt |
| CY Other Expenses | $3,507,897 | CYOtherExpensesAmt |
| PY Total Expenses | $20,193,099 | PYTotalExpensesAmt |
| CY Total Expenses | $8,862,775 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$10,782,815 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,605,341 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,905,182 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,959,541 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,505,885 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,853,221 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $399,297 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$893,680 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The Fayette Physician Networks vision is to make a healthy difference in the lives we touch. We will fulfill our vision by providing excellent customer service, promoting teamwork, maintaining competency, assuring productivity ensuring compliance, all the while, being mindful of our financial regulartory responsibilities. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,362,135 | ExpenseAmt |
| Revenue | $4,173,152 | RevenueAmt |
| Desc | Fayette Physician Network Inc. FPN is a nonprofit corportation formed in July 2012. FPN was formed to own and operate physician practices that serve the patients of Fayette County Pennsylvania and the surrounding area. FPN has at all times since its formation been organized and operated for charitable purposes within the meaning of the Internal Revenue Code Section 501 C 3. During July - December 2020, FPN operated 2 Primary Care Practices, a Surgical Practice, and a Cardiology Practice. FPN also provided inpatient Neurology, Otolaryngology, Anesthesia, and Intensivist services to patients within Uniontown Hospital, an affiliated organinzaiton. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $43,888 | ExpenseAmt |
| Revenue | $43,888 | RevenueAmt |
| Desc | Fayette Physicin Network, Inc. received revenue from Uniontown Hospital, an affiliated organization, for the sharing of FPN paid employees related to staffing shortages caused by the Covid-19 Pandemic. FPN also received revenue from Uniontown Hospital for Medical Directorship services provided to the affilitated organization by FPN paid Physicians. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $37,280 | RevenueAmt |
| Desc | Fayette Physician Network, Inc. received additional miscellaneous revenue related to the operations of the practice. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $8,406,023 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 113 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Barb Weiss Executive Director Finan | PersonNm |
| Phone | 7244305222 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 W Berkeley Street | AddressLine1Txt |
| City | Uniontown | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| Abdul H Abbasi | ||||||||
| Physician | 040.00 | Yes (X) | $706,032 | $0 | $20,348 | |||
| Josef J Vanek | ||||||||
| Physician | 040.00 | Yes (X) | $501,496 | $0 | $30,422 | |||
| Sherif Felix MD | ||||||||
| Physician | 040.00 | Yes (X) | $447,686 | $0 | $38,778 | |||
| Earl Moss DO | ||||||||
| Physician | 040.00 | Yes (X) | $423,759 | $0 | $27,580 | |||
| Brandon Ball MD | ||||||||
| Physician | 040.00 | Yes (X) | $416,694 | $0 | $26,678 | |||
| Steven Handy | ||||||||
| Secretary/CEO | 001.00 | $0 | $409,207 | $27,057 | 041.00 | Yes (X) | Yes (X) | |
| Barbara Weiss | ||||||||
| Treasurer/CFO | 001.00 | $0 | $292,280 | $30,404 | 041.00 | Yes (X) | Yes (X) | |
| Nancy Decker | ||||||||
| Chairman | 001.00 | $0 | $0 | $0 | 002.00 | Yes (X) | Yes (X) | |
| John Malone | ||||||||
| Vice Chairman | 001.00 | $0 | $0 | $0 | 002.00 | Yes (X) | Yes (X) | |
| William Smith | ||||||||
| Director | 001.00 | $0 | $0 | $0 | 002.00 | Yes (X) | ||
| Michael George DDS | ||||||||
| Director | 001.00 | $0 | $0 | $0 | 002.00 | Yes (X) | ||
| John Malone | ||||||||
| Director | 001.00 | $0 | $0 | $0 | 002.00 | Yes (X) | ||
| Suzanne McMonagle | ||||||||
| Director | 001.00 | $0 | $0 | $0 | 002.00 | Yes (X) | ||
| Jason Cox | ||||||||
| Director | 001.00 | $0 | $0 | $0 | 002.00 | Yes (X) | ||
| Vickie Leone | ||||||||
| Director | 001.00 | $0 | $0 | $0 | 002.00 | Yes (X) | ||
| Malcom Stone DMD | ||||||||
| Director | 001.00 | $0 | $0 | $0 | 002.00 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,495,667 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $701,487 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $201,267 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LocumTenens Holdings LLC | |||||
| PO Box 405547 | Atlanta | GA | 303845547 | Locum Physician Services | $1,577,786 |
| CompHealth | |||||
| PO Box 972651 | Dallas | TX | 753972651 | Locum Physician Services | $957,871 |
| University Health Associates | |||||
| PO Box 740 | Morgantown | WV | 26507 | Contracted Physician/Billing Services | $820,949 |
| Barton Associaties Inc | |||||
| PO Box 417844 | Boston | MA | 022417844 | Locum Physician Services | $184,161 |
| WVU Hospitals Inc | |||||
| PO Box 8034 | Morgantown | WV | 26506 | Contracted Physician Services | $149,776 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621110 | $4,173,152 | $4,173,152 |
| Other Revenue Affiliated Organization | 621110 | $43,888 | $43,888 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,217,040 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $704 | TotalRevenueColumnAmt |
| Exclusion | $704 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,410 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,410 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,410 | TotalRevenueColumnAmt |
| Exclusion | $2,410 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Miscellaneous Income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $37,280 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,280 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $37,280 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,257,434 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,254,320 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,114 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,593,749 | TotalAmt |
| Program Services | $4,491,820 | ProgramServicesAmt |
| Management And General | $101,929 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,876 | TotalAmt |
| Program Services | $131,883 | ProgramServicesAmt |
| Management And General | $2,993 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $405,697 | TotalAmt |
| Program Services | $396,491 | ProgramServicesAmt |
| Management And General | $9,206 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,556 | TotalAmt |
| Program Services | $215,662 | ProgramServicesAmt |
| Management And General | $4,894 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,000 | TotalAmt |
| Program Services | $170,000 | ProgramServicesAmt |
| Management And General | $255,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,010 | TotalAmt |
| Management And General | $13,010 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,256 | TotalAmt |
| Program Services | $263,930 | ProgramServicesAmt |
| Management And General | $29,326 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,039 | TotalAmt |
| Program Services | $10,529 | ProgramServicesAmt |
| Management And General | $3,510 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,057 | TotalAmt |
| Program Services | $95,057 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,371 | TotalAmt |
| Program Services | $178,371 | ProgramServicesAmt |
| Management And General | $26,000 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52 | TotalAmt |
| Program Services | $47 | ProgramServicesAmt |
| Management And General | $5 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,804 | TotalAmt |
| Program Services | $7,024 | ProgramServicesAmt |
| Management And General | $780 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,163 | TotalAmt |
| Program Services | $1,047 | ProgramServicesAmt |
| Management And General | $116 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,654 | TotalAmt |
| Program Services | $67,189 | ProgramServicesAmt |
| Management And General | $7,465 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,587 | TotalAmt |
| Program Services | $188,587 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Physician Purchased Services | $1,982,403 | $1,982,403 |
| Drugs Medical Supplies | $183,317 | $183,317 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,184 | TotalAmt |
| Program Services | $22,666 | ProgramServicesAmt |
| Management And General | $2,518 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,862,775 | TotalAmt |
| Program Services | $8,406,023 | ProgramServicesAmt |
| Management And General | $456,752 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $815,484 | BOYAmt |
| EOY | $510,065 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,464,783 | BOYAmt |
| EOY | $849,060 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,500 | BOYAmt |
| EOY | $93,559 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,824,881 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,250,093 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $512,470 | BOYAmt |
| EOY | $574,788 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,945 | BOYAmt |
| EOY | $14,198 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $917,871 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,905,182 | BOYAmt |
| EOY | $2,959,541 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,148,166 | BOYAmt |
| EOY | $2,720,439 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,061 | BOYAmt |
| EOY | $291,061 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,658 | BOYAmt |
| EOY | $841,721 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,505,885 | BOYAmt |
| EOY | $3,853,221 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,297 | BOYAmt |
| EOY | -$893,680 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,297 | BOYAmt |
| EOY | -$893,680 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,905,182 | BOYAmt |
| EOY | $2,959,541 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,605,341 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $3,312,364 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,879 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,391 | DepreciationAmt |
| Book Value | $15,488 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,088,175 | OtherCostOrOtherBasisAmt |
| Depreciation | $858,946 | DepreciationAmt |
| Book Value | $229,229 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $588,536 | OtherCostOrOtherBasisAmt |
| Depreciation | $388,756 | DepreciationAmt |
| Book Value | $199,780 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $130,291 | OtherCostOrOtherBasisAmt |
| Book Value | $130,291 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $574,788 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Right-of-use assets - operating leases | $782,871 |
| Malpractice Receivable - LT | $135,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $917,871 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Capital Lease Current | $16,051 |
| Right of Use Current | $187,903 |
| Capital Lease LT | $42,799 |
| Right of Use LT | $594,968 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $841,721 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | X 2 | FormAndLineReferenceDesc |
| Explanation | The organization adopted the provisions of Financial Accounting Standards Board FASB Interpretation No. 48 ASC 740, Accounting for Uncertainty in Income Taxes. Because no material uncertain tax positions were identified, a disclosure was not included in the footnotes to the financial statements. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Steven Handy | |||||||||||
| Secretary/CEO | $257,783 | $151,424 | $4,287 | $26,640 | $440,134 | ||||||
| Barbara Weiss | |||||||||||
| Treasurer/CFO | $209,362 | $82,919 | $12,108 | $20,882 | $325,271 | ||||||
| Abdul H Abbasi | |||||||||||
| Physician | $564,908 | $110,992 | $30,132 | $7,875 | $14,557 | $728,464 | |||||
| Josef J Vanek | |||||||||||
| Physician | $391,647 | $108,559 | $1,290 | $8,862 | $24,269 | $534,627 | |||||
| Sherif Felix MD | |||||||||||
| Physician | $444,028 | $3,658 | $13,172 | $28,315 | $489,173 | ||||||
| Earl Moss DO | |||||||||||
| Physician | $423,309 | $450 | $6,350 | $23,939 | $454,048 | ||||||
| Brandon Ball MD | |||||||||||
| Physician | $393,035 | $22,989 | $670 | $8,862 | $20,525 | $446,081 | |||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3 | Fayette Physician Network Inc. relied on Fayette Regional Health System EIN 25-1451183 a related organization that used the following methods to establish the top management officialss compensation a compensation committee, independent consultant, compensation survey and approval by the board or compensation committee. |
| Part I Line 7 | Fayette Physician Network Inc. provides incentive compensation as part of its total compensation program for its employed Physicians. This component is based upon the accomplishment of predetermined productivity and performance goals which focus on patient quality and satisfaction. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 6 | The sole member of Fayette Physician Network, Inc. FPN is FPNs parent company, Fayette Regional Health System, a PA non-profit corporation. |
| Form 990, Part VI, Section A, Line 7a 7b | The sole member has power to a elect all of the Directors except ex-officio Directors of the Corporation b remove at any time one or more of the Directors except ex-officio Directors and/or officers of the Corporation without cause c approve all capital and operating budgets of the Corporation and amendments thereto d approve all fundamental transactions of the Corporation, including without limitation, any amendments to Articles of the Corporation and any merger, consolidation, division, transfer of all or substantially all assets, dissolution, or liquidation of the Corporation e approve any and all amendments of the Bylaws of the Corporation and f approve and/or take any other actions as are reserved to the Sole member by virtue of these Bylaws or any resolutions enacted by the Corporation from time to time or as required of the Sole Member by virtue of its status as sole member of the Corporation. The Sole Member of the Corporation may initiate any such actions and/or amendments listed in c - f above, provided however, that any such actions and/or amendments must be approved by the Corporation and Sole Member prior to its implementation. The Corporation shall not unreasonably withhold its approval for any action and/or change recommended by the Sole Member. |
| Form 990, Part VI, Section B, Line 11b | The 990 is presented to all voting members of the Finance and Audit Committee of the organizations parent for review. After review by the Finance and Audit Committee, a full copy of the 990 is made available to the entire Board of the Corporation. |
| Form 990, Part VI, Section B, Line 12c | The Business Ethics department of the parent organization periodically reviews all potential conflicts, transactions and relationships to see if substantive. All potential new conflicts are reviewed by the Business Ethics department and the concept is covered during annual training. The department will report actual or possible conflicts to the FRHS Executive Committee of the Board for evaluation. The Committee shall determine whether a conflict exists. The Committee is empowered to take corrective action as necessary, including refraining from participation in certain Board decisions. |
| Form 990, Part VI, Section C, Line 19 | The organizations governing documents, conflicts of interest policy and financial statements are available by contacting the CEOs office or the Finance department. A copy will be mailed upon request. |
| Form 990, Part XI, Line 9 | Other changes in net assets is comprised of 3,312,364 increase in net assets resulting from fund transfers in from parent/subsidiary. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Fayette Regional Health System | |||||||||||
| 500 W Berkeley Street | Uniontown | PA | 15401 | 251451183 | Healthcare Management | PA | 501c3 | 12 b II | N/A | false | |
| Uniontown Hospital | |||||||||||
| 500 W Berkeley Street | Uniontown | PA | 15401 | 250965588 | Healthcare | PA | 501c3 | 3 | Yes (true) | Fayette Regional Health System | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |