WINDBER HOSPITAL INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- WINDBER HOSPITAL INC (EIN 25-1244202)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-10
- IRS object ID
- 201841309349300039
- Schema version
- 2016v3.0
- 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 | 2018-05-10T08:05:20-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 251390233 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESSEL & COMPANY CPAS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 MAIN STREET | AddressLine1Txt |
| City | JOHNSTOWN | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251244202 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WIND | BusinessNameControlTxt |
| Phone | 8144673000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1Txt |
| City | WINDBER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15963 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD SUKENIK | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8144673000 | PhoneNum |
| Signature | 2018-05-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOEL C VALENTINE | PreparerPersonNm |
| PTIN | P01283247 | PTIN |
| Phone | 8145367864 | PhoneNum |
| Preparation | 2018-05-04 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHAN SOON-SHIONG MEDICAL CENTER AT WINDBER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS KURTZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1Txt |
| City | WINDBER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15963 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $48,371,124 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WINDBERCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 490 | TotalEmployeeCnt |
| Total Volunteers | 85 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,667,798 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,493,483 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $34,489,337 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $36,996,811 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,219 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,689 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,762,424 | PYOtherRevenueAmt |
| CY Other Revenue | $7,874,141 | CYOtherRevenueAmt |
| PY Total Revenue | $40,927,778 | PYTotalRevenueAmt |
| CY Total Revenue | $48,371,124 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,913,584 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,189,537 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,601,522 | PYOtherExpensesAmt |
| CY Other Expenses | $24,733,351 | CYOtherExpensesAmt |
| PY Total Expenses | $42,515,106 | PYTotalExpensesAmt |
| CY Total Expenses | $46,922,888 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,587,328 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,448,236 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $26,986,348 | TotalAssetsBOYAmt |
| Total Assets EOY | $27,347,209 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $19,236,112 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,077,054 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,750,236 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,270,155 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,795,306 | ExpenseAmt |
| Revenue | $7,410,256 | RevenueAmt |
| Desc | SURGERY - WE PERFORMED 687 INPATIENT SURGERIES AND 1,453 OUTPATIENT PROCEDURES. OUR BUDGETED VOLUMES WERE 324 INPATIENT AND 1,380 OUTPATIENT. THESE NUMBERS DO NOT INCLUDE OUR AMBULATORY SURGERY AS IT IS A SEPARATE UNIT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,644,215 | ExpenseAmt |
| Revenue | $7,648,604 | RevenueAmt |
| Desc | LABORATORY - WE PERFORMED 30,141 INPATIENT TESTS AND 305,651 OUTPATIENT TESTS. OUR BUDGETED VOLUMES WERE 24,000 INPATIENT AND 305,000 OUTPATIENT. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,703,692 | ExpenseAmt |
| Revenue | $2,365,129 | RevenueAmt |
| Desc | HOSPICE HOME CARE - WE HAD 24,485 DAYS THAT PATIENTS WERE IN THE PROGRAM. THIS COMPARES TO 21,750 DAYS BUDGETED. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $25,447,093 | ExpenseAmt |
| Revenue | $19,572,822 | RevenueAmt |
| Desc | OTHER EXPENSES AND REVENUES RELATED TO PATIENT SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $25,447,093 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $19,572,822 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $35,590,306 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 113 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 490 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER HOSPITAL INC FINANCE DEPARTMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8144673000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1Txt |
| City | WINDBER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15963 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DR PATRICK SOON-SHIONG | ||||||||
| BOARD CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES KIM ESQ | ||||||||
| BOARD SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID SACHS | ||||||||
| BOARD TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES KENWORTHY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHAROOZ RABIZADEH | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVE BENZ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELEANOR RAMIREZ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR KELLY WARSHEL | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS KURTZ | ||||||||
| BOARD MEMBER/CEO | 15.00 | Yes (X) | Yes (X) | $98,091 | $200,271 | $9,781 | 25.00 | |
| RICHARD SUKENIK | ||||||||
| CFO | 40.00 | Yes (X) | $192,124 | $0 | $12,174 | |||
| JAMIE BROCK | ||||||||
| VP OF HR & ADMIN SERVICES | 40.00 | Yes (X) | $168,486 | $0 | $1,200 | |||
| KIM MARLEY | ||||||||
| CMO/COO | 30.00 | Yes (X) | $238,256 | $0 | $1,726 | |||
| DR RUDOLPH SCHILLI | ||||||||
| SURGEON | 40.00 | $354,378 | $0 | $0 | Yes (X) | |||
| DR AMY ANDERSON | ||||||||
| GYN PHYSICIAN | 40.00 | $302,760 | $0 | $19,007 | Yes (X) | |||
| DR DEBORAH SIMS | ||||||||
| SURGEON | 40.00 | $275,009 | $0 | $29,930 | Yes (X) | |||
| DR REID GENTILE | ||||||||
| GYN PHYSICIAN | 40.00 | $275,009 | $0 | $26,467 | Yes (X) | |||
| DR TERESA MALEC | ||||||||
| FAMILY PRACTICE PHYSICIAN | 40.00 | $181,904 | $0 | $7,144 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,086,017 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $200,271 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $107,429 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WINDBER ANESTHESIA ASSOCIATES | |||||
| 195 STARDUST DRIVE | JOHNSTOWN | PA | 15904 | ANESTHESIA SERVICES | $405,000 |
| LIBANG FU | |||||
| 4150 CRESCENT DRIVE | CHESTER SPRINGS | PA | 19425 | ANESTHESIA SERVICES | $405,000 |
| EMCARE PHYSICIAN SERCICES | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | ER PHYSICIAN STAFFING | $336,374 |
| MARC SHROYER | |||||
| 519 HELSEL ROAD | JOHNSTOWN | PA | 15905 | ANESTHESIA SERVICES | $201,768 |
| JACQUELINE SPRINCZ | |||||
| 146 GETTA WAY | JOHNSTOWN | PA | 15909 | ANESTHESIA SERVICES | $190,154 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $3,493,483 | AllOtherContributionsAmt |
| Total Contributions | $3,493,483 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $36,996,811 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,996,811 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $36,996,811 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,689 | TotalRevenueColumnAmt |
| Exclusion | $6,689 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $96,882 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $96,882 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,882 | TotalRevenueColumnAmt |
| Exclusion | $96,882 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PHYSICIAN RECEIPTS | 624100 | $4,655,406 | $4,655,406 |
| OTHER RECEIPTS | 624100 | $3,121,853 | $3,121,853 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,777,259 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,371,124 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,996,811 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,880,830 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $753,655 | TotalAmt |
| Program Services | $266,895 | ProgramServicesAmt |
| Management And General | $486,760 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,082,207 | TotalAmt |
| Program Services | $12,956,792 | ProgramServicesAmt |
| Management And General | $5,125,415 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,034,361 | TotalAmt |
| Program Services | $1,456,375 | ProgramServicesAmt |
| Management And General | $577,986 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,319,314 | TotalAmt |
| Program Services | $944,482 | ProgramServicesAmt |
| Management And General | $374,832 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,009 | TotalAmt |
| Management And General | $132,009 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,260 | TotalAmt |
| Management And General | $83,260 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,267 | TotalAmt |
| Program Services | $1,402 | ProgramServicesAmt |
| Management And General | $415,865 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,863 | TotalAmt |
| Program Services | $468,560 | ProgramServicesAmt |
| Management And General | $23,303 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,786,149 | TotalAmt |
| Program Services | $8,463,144 | ProgramServicesAmt |
| Management And General | $323,005 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,169 | TotalAmt |
| Program Services | $308,818 | ProgramServicesAmt |
| Management And General | $132,351 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $819,972 | TotalAmt |
| Program Services | $245,992 | ProgramServicesAmt |
| Management And General | $573,980 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,743 | TotalAmt |
| Program Services | $180,831 | ProgramServicesAmt |
| Management And General | $31,912 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,921 | TotalAmt |
| Program Services | $31,441 | ProgramServicesAmt |
| Management And General | $10,480 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,830 | TotalAmt |
| Program Services | $169,372 | ProgramServicesAmt |
| Management And General | $56,458 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,432,289 | TotalAmt |
| Program Services | $1,074,217 | ProgramServicesAmt |
| Management And General | $358,072 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $774,215 | TotalAmt |
| Program Services | $619,373 | ProgramServicesAmt |
| Management And General | $154,842 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $4,662,468 | $3,651,013 | $1,011,455 |
| EQUIPMENT LEASES | $3,260,215 | $1,973,332 | $1,286,883 |
| MEDICAL PROF. FEES | $2,553,211 | $2,553,211 | |
| $398,770 | $225,056 | $173,714 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,922,888 | TotalAmt |
| Program Services | $35,590,306 | ProgramServicesAmt |
| Management And General | $11,332,582 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,184,192 | BOYAmt |
| EOY | $1,022,020 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,577,598 | BOYAmt |
| EOY | $3,149,722 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,117,545 | BOYAmt |
| EOY | $1,011,135 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,435 | BOYAmt |
| EOY | $280,221 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $53,305,890 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,508,151 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,043,230 | BOYAmt |
| EOY | $15,797,739 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,270,164 | BOYAmt |
| EOY | $1,489,864 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,561,184 | BOYAmt |
| EOY | $4,596,508 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,986,348 | BOYAmt |
| EOY | $27,347,209 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,387,159 | BOYAmt |
| EOY | $10,148,250 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,818 | BOYAmt |
| EOY | $106,566 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,128,368 | BOYAmt |
| EOY | $5,605,484 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,592,767 | BOYAmt |
| EOY | $6,216,754 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,236,112 | BOYAmt |
| EOY | $22,077,054 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,676,966 | BOYAmt |
| EOY | $5,270,155 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,270 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,750,236 | BOYAmt |
| EOY | $5,270,155 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,986,348 | BOYAmt |
| EOY | $27,347,209 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,448,236 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$92 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$3,928,225 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $414,727 | OtherCostOrOtherBasisAmt |
| Book Value | $414,727 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,849,489 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,923,385 | DepreciationAmt |
| Book Value | $12,926,104 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,408,984 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,292,698 | DepreciationAmt |
| Book Value | $116,286 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,632,690 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,292,068 | DepreciationAmt |
| Book Value | $2,340,622 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,797,739 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CASH EQUIVALENTS AND MUTUAL FUNDS | Desc |
| Book Value | $1,489,864 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,489,864 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $2,953,158 |
| OTHER ASSETS | $1,643,350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,596,508 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $4,135,270 |
| MALPRACTICE ACCRUAL | $1,486,590 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $594,894 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,216,754 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $48,371,032 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$92 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$92 | RevenueNotReportedAmt |
| Revenue Subtotal | $48,371,124 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $48,371,124 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $46,922,888 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $46,922,888 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $46,922,888 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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 2017 AND 2016. 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 2014 THROUGH 2017. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $631,322 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $631,322 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01350 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,954,449 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,989,165 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,965,284 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04190 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,585,771 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,989,165 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,596,606 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05540 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,873 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,596 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,277 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,873 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,596 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,277 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,631,644 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,000,761 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,630,883 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05610 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,981 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,981 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,981 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,981 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,611,378 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $76,616 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,992,500 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,188,145 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,195,645 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1Txt |
| City | WINDBER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15963 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.WINDBERCARE.ORG | WebsiteAddressTxt |
| State License | 234901 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.WINDBERCARE.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | 0 | ImplementationStrategyAdoptInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.WINDBERCARE.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.WINDBERCARE.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.WINDBERCARE.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Defer Deny Rqr Payment | Yes (X) | PermitDeferDenyRqrPaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 BLOOK SCREENINGS THROUGHOUT THE YEAR AT VARIOUS LOCATIONS TO PROMOTE EARLY DETECTION OF HEALTH PROBLEMS. |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 SPECIFIC 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 PTIENTS 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 AGO OF OUR POPULATION IS OLDER TAHN 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS KURTZ | ||||||||||||||
| BOARD MEMBER/CEO | $98,091 | $200,271 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $98,091 | $200,271 | $0 | $0 |
| RICHARD SUKENIK | ||||||||||||||
| CFO | $192,124 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $192,124 | $0 | $0 | $0 |
| JAMIE BROCK | ||||||||||||||
| VP OF HR & ADMIN SERVICES | $168,486 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $168,486 | $0 | $0 | $0 |
| KIM MARLEY | ||||||||||||||
| CMO/COO | $238,256 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $238,256 | $0 | $0 | $0 |
| DR RUDOLPH SCHILLI | ||||||||||||||
| SURGEON | $354,378 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $354,378 | $0 | $0 | $0 |
| DR AMY ANDERSON | ||||||||||||||
| GYN PHYSICIAN | $302,760 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $302,760 | $0 | $0 | $0 |
| DR DEBORAH SIMS | ||||||||||||||
| SURGEON | $275,009 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $275,009 | $0 | $0 | $0 |
| DR REID GENTILE | ||||||||||||||
| GYN PHYSICIAN | $275,009 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $275,009 | $0 | $0 | $0 |
| DR TERESA MALEC | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | $181,904 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $181,904 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 VIS OUR WEBSITE, INTERNAL POSTING, OR AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER PROFESSIONAL SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1Txt |
| City | WINDBER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15963 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251531227 | EIN |
| Primary Activities | R EST RENT | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WINDBER RESEARCH INSTITUTE | ||
| Q | $950,000 | GL & TB |
| CSS FOUNDATION | ||
| Q | $3,493,483 | GL & TB |