2019-05-15T07:23:21-05:00 2018-06-30 251390233 WESSEL & COMPANY CPAS 215 MAIN STREET JOHNSTOWN PA 15901 990 2017-07-01 251244202 WINDBER HOSPITAL INC CHAN SOON-SHIONG MEDICAL CENTER WINDBER WIND 8144673000 600 SOMERSET AVENUE WINDBER PA 15963 RICHARD SUKENIK CFO 8144673000 2019-05-14 1 JOEL C VALENTINE CPA P01283247 8145367864 2019-05-14 173.246.232.198 2019-05-14 13:57:31 ED P 41A93705C18EB943533E82A2F5171DE91CA1683A 1DBD532EF29926FF8B7FB8A9684438333F466331 2017 2019-02-21 02:37:17Z CHAN SOON-SHIONG MEDICAL CENTER AT WINDBER THOMAS KURTZ 600 SOMERSET AVENUE WINDBER PA 15963 46946271 0 X WWW.WINDBERCARE.ORG X 1973 PA CHAN SOON-SHIONG MEDICAL CENTER AT WINDBER IS A NON-PROFIT, COMMUNITY-BASED HOSPITAL DEDICATED TO PROVIDING EXCELLENCE IN PERSONALIZED, QUALITY HEALTHCARE SERVICES THROUGH INNOVATION, RESEARCH, AND EDUCATION IN RESPONSE TO COMMUNITY NEEDS. 9 9 496 140 0 0 3493483 5191461 36996811 35089085 6689 -322457 7874141 6512875 48371124 46470964 0 0 0 0 22189537 22849475 0 0 0 24733351 20564825 46922888 43414300 1448236 3056664 27347209 25948677 22077054 17621858 5270155 8326819 CHAN SOON-SHIONG MEDICAL CENTER AT WINDBER IS A NON-PROFIT, COMMUNITY-BASED HOSPITAL DEDICATED TO PROVIDING EXCELLENCE IN PERSONALIZED, QUALITY HEALTHCARE SERVICES THROUGH INNOVATION, RESEARCH, AND EDUCATION IN RESPONSE TO COMMUNITY NEEDS. 0 0 4652188 6642708 SURGERY - WE PERFORMED 549 INPATIENT SURGERIES AND 1,452 OUTPATIENT PROCEDURES FOR THE FISCAL YEAR. OUR BUDGETED VOLUMES WERE 612 INPATIENT AND 1,500 OUTPATIENT. THESE NUMBERS DO NOT INCLUDE OUR AMBULATORY SURGERY AS IT IS A SEPARATE UNIT. 2443240 5419133 LABORATORY - WE PERFORMED 25,875 INPATIENT TESTS AND 286,555 OUTPATIENT TESTS. OUR BUDGETED VOLUMES WERE 30,000 INPATIENT AND 299,700 OUTPATIENT. 1813940 3167003 HOSPICE HOME CARE - WE HAD 26,367 DAYS THAT PATIENTS WERE IN THE PROGRAM. THIS COMPARES TO 23,092 DAYS BUDGETED. 23662890 19860241 23662890 19860241 32572258 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 99 0 1 496 1 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X WINDBER HOSPITAL INC FINANCE DEPARTMENT 8144673000 600 SOMERSET AVENUE WINDBER PA 15963 DR PATRICK SOON-SHIONG BOARD CHAIR 2.00 X X 0 0 0 CHARLES KIM ESQ BOARD SECRETARY 1.00 X X 0 0 0 DAVID SACHS BOARD TREASURER 1.00 X X 0 0 0 CHARLES KENWORTHY BOARD MEMBER 1.00 X 0 0 0 SHAROOZ RABIZADEH BOARD MEMBER 1.00 X 0 0 0 STEVE BENZ BOARD MEMBER 1.00 X 0 0 0 ELEANOR RAMIREZ BOARD MEMBER 1.00 X 0 0 0 DR JOHN LEE BOARD MEMBER 1.00 X 0 0 0 DR CURTIS GOLDBLATT BOARD MEMBER 1.00 X 0 0 0 THOMAS KURTZ BOARD MEMBER/CEO 15.00 25.00 X X 104927 226239 18379 RICHARD SUKENIK CFO 40.00 X 227588 0 25032 JAMIE BROCK VP OF HR & ADMIN SERVICES 40.00 X 188838 0 12999 DR RUDOLPH SCHILLI SURGEON 40.00 X 447622 0 29861 DR PETER BERTIN SURGEON 40.00 X 341625 0 38386 DR DAVID BENCIE GENERAL PRACTITIONER 40.00 X 276482 0 34271 DR AMY ANDERSON GYN PHYSICIAN 40.00 X 275725 0 28039 DR DEBORAH SIMS SURGEON 40.00 X 275009 0 43817 2137816 226239 230784 8 0 1 0 EMCARE PHYSICIAN SERCICES 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 PHYSICIAN STAFFING 530275 WINDBER ANESTHESIA ASSOCIATES 195 STARDUST DRIVE JOHNSTOWN PA 15904 ANESTHESIA SERVICES 418125 LIBANG FU 4150 CRESCENT DRIVE CHESTER SPRINGS PA 19425 ANESTHESIA SERVICES 418125 MEDICAL TRANSCRIPTION SVC 113 SPRING ST JOHNSTOWN PA 15906 MEDICAL TRANSCRIPTION 106756 4 5191461 5191461 NET PATIENT SERVICE REVENUE 624100 35089085 35089085 35089085 13543 13543 71427 0 71427 71427 71427 139307 475307 -336000 -336000 -336000 OTHER RECEIPTS 624100 3488622 3488622 PHYSICIAN RECEIPTS 624100 2952826 2952826 6441448 46470964 35089085 0 6190418 615311 93958 521353 18834227 13483204 5351023 2065300 1478524 586776 1334637 955451 379186 75829 75829 108900 108900 198473 12651 185822 555023 531111 23912 7687504 7340291 347213 661101 462771 198330 1031342 618805 412537 202427 172062 30365 46562 34921 11641 261292 195969 65323 1428687 1071515 357172 655071 524057 131014 PURCHASED SERVICES 2952702 2394985 557717 EQUIPMENT LEASES 2727342 1446369 1280973 MEDICAL PROF. FEES 1552514 1552514 420056 203100 216956 43414300 32572258 10842042 0 1022020 595455 3149722 4207474 1011135 1132123 280221 298556 52377382 37298235 15797739 15079147 1489864 1516004 4596508 3119918 27347209 25948677 10148250 6575295 106566 71676 5605484 5703058 6216754 5271829 22077054 17621858 X 5270155 8326819 5270155 8326819 27347209 25948677 3056664 0 X X 0 1 X 1 0 X 414727 414727 29403347 16931671 12471676 1408984 1322412 86572 21150324 19044152 2106172 15079147 CASH EQUIVALENTS AND MUTUAL FUNDS 1516004 F 1516004 OTHER RECEIVABLES 658546 OTHER ASSETS 2461372 3119918 PENSION LIABILITY 3262311 MALPRACTICE ACCRUAL 1010318 ESTIMATED THIRD PARTY SETTLEMENTS 801832 OTHER LIABILITIES 197368 5271829 X 46470964 0 46470964 0 46470964 43414300 0 43414300 0 43414300 PART X, LINE 2: THE MEDICAL CENTER, WHCF, AND WHPCF ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON THEIR EXEMPT INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. WPS IS A FOR-PROFIT CORPORATION SUBJECT TO FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION 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. MANAGEMENT HAS DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2018 AND 2017. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2015 THROUGH 2018. 1 1 1 X 1 X 1 1 0 0 396951 396951 0.00910 3577161 2624057 953104 0.02200 3974112 2624057 1350055 0.03110 50513 11983 38530 0.00090 50513 11983 38530 0.00090 4024625 2636040 1388585 0.03200 8700 8700 0.00020 8700 8700 0.00020 1 1055746 34313 3709397 5389781 -1680384 X 1 1 1 1 WINDBER HOSPITAL INC 600 SOMERSET AVENUE WINDBER PA 15963 WWW.WINDBERCARE.ORG 234901 X X X WINDBER HOSPITAL INC 1 0 0 1 X X X X X X X X 16 1 0 1 1 X WWW.WINDBERCARE.ORG X 0 0 1 X 200.000000000000 200.000000000000 X X 1 1 X X X X 1 X WWW.WINDBERCARE.ORG X WWW.WINDBERCARE.ORG X WWW.WINDBERCARE.ORG X X X X X 1 X X 0 X X 1 0 0 WINDBER HOSPITAL, INC. PART V, SECTION B, LINE 5: A FOCUS GROUP OF 54 INDIVIDUALS WAS FORMED TO COLLECT DATA AND INPUT FROM VARYING SEGMENTS OF THE COMMUNITY. WINDBER HOSPITAL, INC. PART V, SECTION B, LINE 6B: WE UTILIZED SEVERAL ORGANIZATIONS FOR INPUT INCLUDING SCHOOL DISTRICTS, FINANCIAL INSTITUTIONS, UNIVERSITIES, FIRE COMPANIES, LOCAL GOVERNMENT AND CHARITABLE ORGANIZATIONS, AND THE PENNSYLVANIA DEPARTMENT OF HEALTH. WINDBER HOSPITAL, INC. PART V, SECTION B, LINE 11: WE HAVE BEEN AND ARE CURRENTLY ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY BY CONDUCTING OUTREACH AND EDUCATION IN THE AREAS OF SUBSTANCE ABUSE, MENTAL HEALTH SERVICES, JOB FAIRS, SENIOR HEALTH ISSUES, HOUSING, TRANSPORTATION, HOMELESSNESS, AND STRESS RELIEF. WE ALSO CONDUCT MULTIPHASIC BLOOD SCREENINGS THROUGHOUT THE YEAR AT VARIOUS LOCATIONS TO PROMOTE EARLY DETECTION OF HEALTH PROBLEMS. PART I, LINE 7G: WINDBER HOSPITAL CONDUCTED AED/CPR CLASSES THROUGHOUT THE YEAR ALONG WITH SEMINARS ON WORKPLACE VIOLENCE, DISASTER RESPONSE AND TERRORISM RESPONSE. WE ALSO PROVIDED FLU SHOTS TO THE COMMUNITY FREE OF CHARGE. PART II, COMMUNITY BUILDING ACTIVITIES: IN KEEPING WITH THE INTENT OF ACA, WE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016. THE PURPOSE OF THIS INITIATIVE IS TO PERIODICALLY CONSOLIDATE DATA AND PERSPECTIVES ABOUT THE HEALTH AND SOCIAL NEEDS OF THE COMMUITY IN ORDER TO IDENTIFY ASSETS, POTENTIAL CONCERNS AND OPPORTUNITIES FOR IMPROVEMENT. THE GOALS ARE TO: (1) IDENTIFY UNMET HEALTH-RELATED NEEDS AND PEOPLE FACING DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS; (2) IDENTIFY ASSETS, POTENTIAL CONCERNS AND OPPORTUNITIES FOR IMPROVEMENT OF DELIVERY OF COMMUNITY HEALTH SERVICES AND PROGRAMS; (3) TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BOARD INTERESTS OF THE COMMUNITIES SERVED BY WMC INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; (4) PROVIDE INFORMATION TO AID IN DEVELOPING BUDGETS AND COMMITTAL OF FINANCIAL RESOURCES AND (5) HELP MEET THE FEDERAL INCOME TAX EXEMPTION SECTION 501(C)(3). THIS INFORMATION WILL BE USED TO FURTHER DEVELOP STRATEGIES FOR COMMUNITY OUTREACH, EDUCATION AND SUPPORT. PART III, LINE 8: ANY SHORTFALL RELATED TO GOVERNMENT PROGRAMS (I.E. MEDICARE, MEDICAID, ETC.) IS WRITTEN OFF BY THE HOSPITAL AND WE DO NOT COLLECT ANY FUNDS FROM PATIENTS TO OFFSET THESE WRITE-OFFS OTHER THAN A DEDUCTIBLE OR CO-PAY. OUR MEDICARE REIMBURSEMENT IS BASED PARTLY ON OUR COST TO CHARGE RATIO AND ANY AMOUNTS THAT WE WRITE OFF BENEFIT THE INDIVIDUAL AS WELL AS THE ENTIRE COMMUNITY. PART III, LINE 9B: OUR POLICIES SPECIFY THE CRITERIA FOR FINANCIAL ASSISTANCE AS WELL AS HOW MANY STATEMENTS THE PATIENT WILL RECEIVE, HOW THEY CAN INQUIRE ABOUT THEIR ACCOUNT AND INFORMATION ABOUT HOW THEY CAN MAKE PAYMENTS OR SET UP A PAYMENT PLAN. PART VI, LINE 2: AS A COMMUNITY HEALTHCARE PROVIDER RECOGNIZED FOR EXEMPLARY SERVICE TO PATIENTS, WE ASSESS THE HEALTHCARE NEEDS TO OUR COMMUNITIES IN A NUMBER OF WAYS: (1) WE ASK OUR COMMUNITY OF THEIR NEEDS THROUGH ROUTINE, SCHEDULE FOCUS GROUP MEETINGS; (2) WE ANALYZE THE RESULTS OF ANNUAL COUNTY HEALTH RANKINGS AND USE THE INFORMATION TO FORMULATE COMMUNITY OUTREACH STRATEGIES; (3) WE HAVE A COMMUNITY OUTREACH DEPARTMENT THAT ASSISTS IN TAKING OUR MESSAGE TO THE COMMUNITIES WE SERVE; (4) WE CONDUCT PERIODIC COMMUNITY HEALTH EDUCATION/AWARENESS SESSION ON IMPORTANT TOPICS AND ALSO CONDUCT MULTIPHASIC BLOOD DRAWS AT A VARIETY OF LOCATIONS. WE HAVE ALSO CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016. PART VI, LINE 3: WE CONTRACT AN OUTSIDE LAW FIRM TO ASSIST PATIENTS IN FILING FOR MEDICAL ASSISTANCE. IF THEIR APPLICATION IS DENIED, WE PROVIDE AN APPLICATION FOR CHARITY CARE THROUGH THE HOSPITAL AND ALSO PROVIDE EDUCATION ABOUT HOW THE PROGRAM WORKS. PART VI, LINE 4: WINDER HOSPITAL SERVICES WEST-CENTRAL PENNSYLVANIA. ALTHOUGH OUR HOSPITAL IS CLASSIFIED AS RURAL BY MEDICARE, OUR STRONGEST ORIENTATION IS THE JOHNSTOWN "METROPOLITAN" AREA, WHICH HAS A POPULATION OF ALMOST 136,000. THE AGE OF OUR POPULATION IS OLDER THAN THE NATIONAL AVERAGE, WITH 3,490 PEOPLE OVER THE AGE OF 55. OUR REIMBURSEMENT FROM MEDICARE AND MEDICARE MANAGED CARE PRODUCTS ACCOUNT FOR ALMOST 50% OF OUR TOTAL INSURANCE RECEIPTS. 1 X X 0 0 0 0 0 0 0 0 0 THOMAS KURTZ BOARD MEMBER/CEO 104927 226239 0 0 0 0 0 0 0 0 104927 226239 0 0 RICHARD SUKENIK CFO 227588 0 0 0 0 0 0 0 0 0 227588 0 0 0 JAMIE BROCK VP OF HR & ADMIN SERVICES 188838 0 0 0 0 0 0 0 0 0 188838 0 0 0 DR RUDOLPH SCHILLI SURGEON 447622 0 0 0 0 0 0 0 0 0 447622 0 0 0 DR PETER BERTIN SURGEON 341625 0 0 0 0 0 0 0 0 0 341625 0 0 0 DR DAVID BENCIE GENERAL PRACTITIONER 276482 0 0 0 0 0 0 0 0 0 276482 0 0 0 DR AMY ANDERSON GYN PHYSICIAN 275725 0 0 0 0 0 0 0 0 0 275725 0 0 0 DR DEBORAH SIMS SURGEON 275009 0 0 0 0 0 0 0 0 0 275009 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS DISTRIBUTED TO ALL BOARD MEMBERS FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C OUR COMPLIANCE OFFICER REVIEWS OUR CONFLICT OF INTEREST POLICY WITH OFFICERS, DIRECTORS AND KEY EMPLOYEES ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 WE USE SURVEYS, NEGOTIATION AND WAGE DATA FROM OUR REGION TO DETERMINE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC VIA OUR WEBSITE, INTERNAL POSTING, OR AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 PART 1 LINE 1 OTHER EXPENSES AND REVENUES RELATED TO PATIENT SERVICES. EXPENSES $23,662,890 INCLUDING GRANTS OF $-0-. REVENUE OF $20,915,987. WINDBER HEALTHCARE FOUNDATION 600 SOMERSET AVENUE WINDBER PA 15963 251552830 FUNDRAISING PA 501C3 LINE 11 WINDBER 0 WINDBER HOSPITAL PALLIATIVE CARE FOUNDATION 600 SOMERSET AVENUE WINDBER PA 15963 251455169 FUNDRAISING PA 501C3 LINE 9 WINDBER 0 WINDBER RESEARCH INSTITUTE 620 7TH STREET WINDBER PA 15963 251877336 RESEARCH PA 501C3 LINE 4 N/A 0 WINDBER PROFESSIONAL SERVICES 600 SOMERSET AVENUE WINDBER PA 15963 251531227 REAL ESTATE RENTAL PA WINDBER HOSPITAL C 1.00000 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 WINDBER RESEARCH INSTITUTE Q 525000 GL & TB CSS FOUNDATION Q 5191461 GL & TB