FAMILY CARE CENTERS INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- FAMILY CARE CENTERS INC (EIN 23-2349341)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-09
- IRS object ID
- 201801299349300525
- 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 | 2018-05-09T08:08:23-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Tilly Virchow Krause LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 Market Street Suite 4500 | AddressLine1Txt |
| City | Philadelphia | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 191037341 | 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 | 232349341 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Family Care Centers Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAMI | BusinessNameControlTxt |
| Phone | 5704214000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 206 East Brown Street | AddressLine1Txt |
| City | East Stroudsburg | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM THOMA | PersonNm |
| Person Title | SVP Finance | PersonTitleTxt |
| Phone | 5704214000 | PhoneNum |
| Signature | 2018-04-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Julius C Green CPA | PreparerPersonNm |
| PTIN | P00350393 | PTIN |
| Phone | 2159720701 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.243.90.186 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-04-27 | IPDt |
| IP Tm | 07:31:49 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D9079DD28A529C8CC17D76080D235F96F7AA2E40 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lehigh Valley Physician Group - Pocono | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Elizabeth Wise | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 206 East Brown Street | AddressLine1Txt |
| City | East Stroudsburg | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $74,817,480 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.POCONOHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | To prevent illness, promote wellness and restore health in the pocono area. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 472 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $29,454,398 | PYContributionsGrantsAmt |
| CY Contributions Grants | $39,263,535 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $34,004,571 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $35,541,457 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,435 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,488 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $63,464,404 | PYTotalRevenueAmt |
| CY Total Revenue | $74,817,480 | 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 | $42,431,870 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $48,619,600 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,537,396 | PYOtherExpensesAmt |
| CY Other Expenses | $22,054,174 | CYOtherExpensesAmt |
| PY Total Expenses | $60,969,266 | PYTotalExpensesAmt |
| CY Total Expenses | $70,673,774 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,495,138 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,143,706 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,725,453 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,452,713 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,557,090 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,140,644 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,168,363 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,312,069 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our mission is who we are and what we do: to provide world class care close to home. Our vision is what we aim for to best serve our community: to build a healthier community. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $67,743,303 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $36,694,065 | RevenueAmt |
| Desc | The organization operates several physician practices, including BUT NOT LIMITED TO family medicine, hematology and oncology, internal medicine, and obstetrics and gynecology. Also, the organization provides physician practice support services including: billing, information technology, and telecommunications. In addition, the organization has enhanced the outpatient services available to persons in the area, including services to the indigent and underinsured. The organization provides services to the surrounding area regardless of race, creed, sex, national origin, handicap, age, or ability to pay.The organization aims to provide excellent quality care to our diverse and growing community and still provides for needed capital for the future. All resources and program service expenses are utilized to offer our patients quality care through multiple service lines. These services include, but are not limited to: family practice, obstetrics and gynecology, diagnostic testing, occupational medicine, oncology, anesthesiology services, cardiology services and pulmonary care. The internal medicine team paves the way in providing specialized care to adult patients. As part of the Lehigh Valley Health Network, family care centers, INC. (FCC) offers the finest physicians and technology to the area and connects them to the Pocono medical center when a great degree of service is required. FCC constantly assesses and improves, when possible, equipment used, quality review measures, and scheduling considerations in order to meet or exceed the standard of care expected for these services. To facilitate care, many of our practices offer multiple sites and extended office hours. Our facilities are located in areas that are considered underserved within the community. Care is provided for both preventative services and acute and chronic medical conditions. The Family Care Center affiliated physicians' visits included the following:Perinatology - 279Ob/GYN - 33,076Internal Medicine - 42,157Family Medicine - 26,079Endocrinology -5,115Cardiology - 15,973Pediatric Visits - 31,796Pulmonary Care Visits - 11,729ICC Visits - 44,627 | Desc |
| Total Program Service Expenses | $67,743,303 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | 0 | OperateHospitalInd |
| 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 472 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM THOMA SVP Finance | PersonNm |
| Phone | 5704204912 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 206 East Brown Street | AddressLine1Txt |
| City | East Stroudsburg | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Suzanne Viechnicki | |||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KENNETH LEVITT PHD | |||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Charles Herman MD | |||||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $786,714 | $0 | $37,286 | 39.00 | ||
| JEFF SNYDER | |||||||||
| PRESIDENT/CEO (term 1/1/17) | 1.00 | Yes (X) | Yes (X) | $0 | $668,213 | $62,821 | 39.00 | ||
| ELIZABETH WISE | |||||||||
| Acting President/CEO (as of 1/1/17) | 1.00 | Yes (X) | Yes (X) | $0 | $387,389 | $44,427 | 39.00 | ||
| Rajesh Bhagat MD | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | 2.00 | |||
| R Douglas Olmstead | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | 2.00 | |||
| Gregory Brusko DO | |||||||||
| LVHN Director | 1.00 | Yes (X) | $0 | $490,860 | $20,632 | 1.00 | |||
| LAMONT LOUIS | |||||||||
| VP PHYSICIAN NETWORK (nonvoting) | 1.00 | Yes (X) | $0 | $236,567 | $19,246 | 39.00 | |||
| Nche Zama | |||||||||
| Physician | 40.00 | $1,398,000 | $0 | $8,321 | Yes (X) | ||||
| SAMER ALKHUJA | |||||||||
| physician | 40.00 | $816,697 | $0 | $62,821 | Yes (X) | ||||
| Karthik P Sheka | |||||||||
| Physician | 40.00 | $694,504 | $0 | $37,286 | Yes (X) | ||||
| ANIL GUPTA | |||||||||
| Physician | 40.00 | $680,917 | $0 | $26,321 | Yes (X) | ||||
| Praveer Jain | |||||||||
| Physician | 40.00 | $578,841 | $0 | $42,586 | Yes (X) | ||||
| KATHLEEN KUCK | |||||||||
| FORMER PRESIDENT/CEO | 0.00 | $0 | $481,659 | $8,321 | 1.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,955,673 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,264,688 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $370,068 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 83 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| DHP MANAGEMENT SERVICES | |||||
| PO BOX 634850 | CINCINNATI | OH | 452634850 | PHYSICIAN SERVICES | $2,526,556 |
| ALLIED BUILDING CORP | |||||
| 574 MAIN STREET SUITE 200 | BETHLEHEM | PA | 18018 | CONSTRUCTION SERVICES | $1,650,168 |
| MEDICUS HEALTHCARE SOLUTIONS LLC | |||||
| 22 ROULSTON RD | WINDHAM | NH | 03087 | PHYSICIAN SERVICES | $621,911 |
| CHELBUS CLEANING | |||||
| 275 NEWTON-SPARTA ROAD | NEWTON | NJ | 07860 | CLEANING SERVICES | $547,871 |
| LOCUMTENENSCOM | |||||
| PO BOX 405547 | ATLANTA | GA | 303845547 | MED STAFF PLACEMENT SERVICES | $533,224 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $39,263,535 | RelatedOrganizationsAmt |
| Total Contributions | $39,263,535 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient revenue | 621400 | $30,301,563 | $30,301,563 |
| Other program services | 621400 | $2,870,575 | $2,870,575 |
| MSO billing revenue | 541900 | $2,369,319 | $2,369,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $35,541,457 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,488 | TotalRevenueColumnAmt |
| Exclusion | $12,488 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,817,480 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,541,457 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,488 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $521,175 | TotalAmt |
| Program Services | $502,463 | ProgramServicesAmt |
| Management And General | $18,712 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,294,413 | TotalAmt |
| Program Services | $37,883,574 | ProgramServicesAmt |
| Management And General | $1,410,839 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,329,857 | TotalAmt |
| Program Services | $1,300,217 | ProgramServicesAmt |
| Management And General | $29,640 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,529,385 | TotalAmt |
| Program Services | $5,135,942 | ProgramServicesAmt |
| Management And General | $393,443 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,944,770 | TotalAmt |
| Program Services | $1,862,125 | ProgramServicesAmt |
| Management And General | $82,645 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,450 | TotalAmt |
| Management And General | $2,450 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,431,785 | TotalAmt |
| Program Services | $11,723,770 | ProgramServicesAmt |
| Management And General | $708,015 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $883 | TotalAmt |
| Program Services | $883 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $978,867 | TotalAmt |
| Program Services | $879,460 | ProgramServicesAmt |
| Management And General | $99,407 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,909 | TotalAmt |
| Program Services | $2,909 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,182,975 | TotalAmt |
| Program Services | $3,001,855 | ProgramServicesAmt |
| Management And General | $181,120 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,027 | TotalAmt |
| Program Services | $277,892 | ProgramServicesAmt |
| Management And General | $1,135 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000,784 | TotalAmt |
| Program Services | $997,719 | ProgramServicesAmt |
| Management And General | $3,065 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,696,410 | TotalAmt |
| Program Services | $1,696,410 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Med. Supplies & Drugs | $1,630,984 | $1,630,984 |
| Bad Debt | $673,540 | $673,540 |
| Dues & Subscriptions | $140,705 | $140,705 |
| LICENSES & CERTS | $16,477 | $16,477 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,378 | TotalAmt |
| Program Services | $16,378 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,673,774 | TotalAmt |
| Program Services | $67,743,303 | ProgramServicesAmt |
| Management And General | $2,930,471 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,310 | BOYAmt |
| EOY | $4,820 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $744,343 | BOYAmt |
| EOY | $515,284 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,558,649 | BOYAmt |
| EOY | $5,944,251 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $276,062 | BOYAmt |
| EOY | $247,038 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,335,574 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,860,018 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,899,743 | BOYAmt |
| EOY | $6,475,556 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,346 | BOYAmt |
| EOY | $265,764 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,725,453 | BOYAmt |
| EOY | $13,452,713 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,437,996 | BOYAmt |
| EOY | $4,770,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,094 | BOYAmt |
| EOY | $370,644 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,557,090 | BOYAmt |
| EOY | $5,140,644 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,168,363 | BOYAmt |
| EOY | $8,312,069 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,168,363 | BOYAmt |
| EOY | $8,312,069 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,725,453 | BOYAmt |
| EOY | $13,452,713 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,143,706 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | $117,047 | OtherCostOrOtherBasisAmt |
| Book Value | $117,047 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,989,012 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,083,873 | DepreciationAmt |
| Book Value | $2,905,139 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $649,183 | OtherCostOrOtherBasisAmt |
| Depreciation | $433,325 | DepreciationAmt |
| Book Value | $215,858 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,576,060 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,342,820 | DepreciationAmt |
| Book Value | $3,233,240 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,272 | OtherCostOrOtherBasisAmt |
| Book Value | $4,272 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,475,556 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY - DUE TO AFFILIATE | Desc |
| Amt | $370,644 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $370,644 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Organization and its subsidiaries are generally exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code, except for tax imposed on unrelated business income. The most recent determination letter, received by the Organization, is dated May 1, 2014. The Organization and its subsidiaries account for uncertain tax positions in accordance with Accounting Standards Codification (ASC) Topic 740. The Organization's for-profit components recognize deferred tax assets and liabilities for the future tax impact of temporary differences between amounts recorded in the consolidated financial statements and their respective tax bases and the future benefit of utilization net operating loss carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. Income taxes of the Organization's tax-exempt and for-profit components are not material to the accompanying consolidated financial statements. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Charles Herman MD | ||||||||||||||
| SECRETARY/TREASURER | $786,714 | $0 | $0 | $0 | $0 | $0 | $18,000 | $0 | $19,286 | $0 | $824,000 | $0 | $8,230 | $0 |
| JEFF SNYDER | ||||||||||||||
| PRESIDENT/CEO (term 1/1/17) | $0 | $443,619 | $0 | $119,738 | $0 | $104,856 | $0 | $42,000 | $0 | $20,821 | $0 | $731,034 | $0 | $102,234 |
| ELIZABETH WISE | ||||||||||||||
| Acting President/CEO (as of 1/1/17) | $0 | $386,147 | $0 | $0 | $0 | $1,242 | $0 | $24,000 | $0 | $20,427 | $0 | $431,816 | $0 | $0 |
| Gregory Brusko DO | ||||||||||||||
| LVHN Director | $0 | $416,657 | $0 | $45,981 | $0 | $28,222 | $0 | $0 | $0 | $20,632 | $0 | $511,492 | $0 | $0 |
| LAMONT LOUIS | ||||||||||||||
| VP PHYSICIAN NETWORK (nonvoting) | $0 | $204,601 | $0 | $31,000 | $0 | $966 | $0 | $0 | $0 | $19,246 | $0 | $255,813 | $0 | $0 |
| Nche Zama | ||||||||||||||
| Physician | $1,398,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,321 | $0 | $1,406,321 | $0 | $0 | $0 |
| SAMER ALKHUJA | ||||||||||||||
| physician | $816,697 | $0 | $0 | $0 | $0 | $0 | $42,000 | $0 | $20,821 | $0 | $879,518 | $0 | $0 | $0 |
| Karthik P Sheka | ||||||||||||||
| Physician | $694,504 | $0 | $0 | $0 | $0 | $0 | $18,000 | $0 | $19,286 | $0 | $731,790 | $0 | $0 | $0 |
| ANIL GUPTA | ||||||||||||||
| Physician | $680,917 | $0 | $0 | $0 | $0 | $0 | $18,000 | $0 | $8,321 | $0 | $707,238 | $0 | $0 | $0 |
| Praveer Jain | ||||||||||||||
| Physician | $578,841 | $0 | $0 | $0 | $0 | $0 | $23,300 | $0 | $19,286 | $0 | $621,427 | $0 | $0 | $0 |
| KATHLEEN KUCK | ||||||||||||||
| FORMER PRESIDENT/CEO | $0 | $0 | $0 | $0 | $0 | $481,659 | $0 | $0 | $0 | $8,321 | $0 | $489,980 | $0 | $282,460 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | THE FORMER PRESIDENT/CEO, KATHLEEN KUCK, THE FORMER PRESIDENT/CEO, JEFF SNYDER, THE ACTING PRESIDENT/CEO, ELIZABETH WISE, AND A DIRECTOR, CHARLES HERMAN, ARE COMPENSATED BY POCONO MEDICAL CENTER (PMC), A RELATED ORGANIZATION. PMC USES THE FOLLOWING METHODS TO DETERMINE THEIR COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| Part I, Lines 4a-b | THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM POCONO MEDICAL CENTER, A RELATED ORGANIZATION, IN CALENDAR YEAR 2016: KATHLEEN KUCK, FORMER PRESIDENT/CEO - $199,199 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF POCONO MEDICAL CENTER, A RELATED ORGANIZATION, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2016: JEFF SNYDER, FORMER PRESIDENT/CEO - $102,234 KATHLEEN KUCK, FORMER PRESIDENT/CEO - $282,460 Charles Herman, DIRECTOR - $8,230 The following individuals participated in the 457(f) supplemental nonqualified retirement plan of Pocono Medical Center, a related organization, but did not receive a distribution in calendar year 2016: Praveer Jain Samer Alkhuja Anil Gupta Karthik P. Sheka Nche Zama |
| Part I, Line 7 | Incentive compensation is paid based on the following four performance criteria: 1) increase in the services available to the community, 2) Improvement in customer satisfaction and quality of service provided, 3) Stable financial ratios, and 4) improving employee satisfaction. Physicians receive non-fixed bonus and incentive compensation based on their respective contracts. Incentives are either based on a percentage of payments received above required expense coverage threshold or Relative Value Unit (RVU) threshold. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole member of the corporation is Pocono Health System (PHS), a Pennsylvania non-profit corporation. On December 11, 2015, Lehigh Valley Health Network (LVHN) executed an Affiliation Agreement with the Pocono Health System (PHS) providing for an affiliation between LVHN and Pocono Medical Center (PMC), Pocono Health Foundation (Foundation), Family Care Centers (FCC), Pocono VNA/Hospice (VNA), Pocono Healthcare Partners (PHP) and Pocono Ambulatory Services (PAS). The governing documents of PHS were amended such that effective January 1, 2017, the closing date of the affiliation, PHS merged into LVHN and LVHN became the sole member of Pocono Health System. PHS consists primarily of PMC, a 239-bed inpatient acute care hospital also providing rehab and emergency care to East Stroudsburg, Pennsylvania and surrounding communities, Pocono VNA/Hospice providing home health and hospice services, and FCC, a multi-specialty physician group. |
| Form 990, Part VI, Section A, line 7a | PHS elects/appoints the board members of Family Care Centers (FCC). |
| Form 990, Part VI, Section A, line 7b | The following was noted in Section 4-07 of the organization's Bylaws: In addition to all matters required by law or by other provisions of these bylaws to be submitted to a vote of the sole member, the sole member is empowered to initiate and implement any of the following actions with respect to the corporation and if any such action is otherwise initiated by the corporation, such action will not become effective unless approved by the sole member: (A) to adopt or change the mission, purpose, philosophy or objectives of this corporation or any subsidiary corporation; (b) to dissolve, reorganize, divide, convert, liquidate or wind-up any subsidiary corporation or consolidate or merge this corporation with any other corporation or entity; (c) to annually approve all capital and operating budgets for this corporation; (d) to annually approve the strategic and operating plans or any changes thereto of this corporation; (e) to approve any unbudgeted expense item of this corporation in excess of five hundred thousand ($500,000.00) dollars; (f) to receive, review, and approve financial and operating reports from this corporation on at least a quarterly basis; (G) to approve any new line(s) of business and/or material changes in existing services and/or participation by this corporation with any other entity where licensure by the commonwealth of pennsylvania is required as a precondition for any such action, business, service, or participation; (H) to approve the incurrence of indebtedness by this corporation in excess of one hundred thousand ($100,000) dollars; (I) to approve the amendment of the articles of incorporation or bylaws of this corporation; (J) to specify the number of and to elect or remove the members of the board of directors of this corporation; (K) to approve the election or removal of the chairperson of the board of directors of this corporation; (L) to require each director of this corporation and the president, each vice president, and all key management personnel of this corporation to annually submit to the board of directors of this corporation a conflict of interest statement in form first approved by the board of directors of the sole member; (M) to at least annually evaluate the performance of this corporation's board of directors in overseeing the management and performance of this corporation; and (N) to require that this corporation's governance, deliberations, and actions are oriented to community service. |
| Form 990, Part VI, Section B, line 11b | The organization has an extensive 990 review process. The 990 is first reviewed by the accounting department and the CFO. After any necessary changes are made, a review is performed by the corporate compliance officer, the finance committee, and the CEO. After all changes are made, the final copy is provided to all board members for review and comment before filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | On an annual basis, Board members and key management personnel are required to complete a Conflict of Interest Disclosure Form. All forms are submitted to and reviewed by the Corporate Compliance Officer of Pocono Health System. Interested persons have a continuing obligation to disclose, through a written description, the existence and nature of any actual, apparent, or potential Conflict of Interest he/she may have. The Audit and Compliance Committee shall review the matter and determine whether a Conflict of Interest exists. Once all necessary information has been obtained, the Audit and Compliance Committee shall make a finding as to whether a conflict of interest indeed exists, and shall forward that finding to the Board of Directors for discussion and vote. Only disinterested Directors may vote to determine whether a Conflict of Interest exists. The subject Interested Person may not be present when this vote is taken. For all identified conflicts, the interested persons are required to leave the room while the related matters are discussed and voted on. |
| Form 990, Part VI, Section B, line 15 | These activities are undertaken by Pocono Medical Center's board, as Pocono Medical center compensates the CEO and CFO for services to pocono medical center and all related entities. Once every three years, or sooner if necessary, compensation reviews are conducted for the CEO and top management. A compensation committee recommends to the board the compensation of the president and ceo and compensation ranges for the vice presidents. the ceo shall then set the compensation of the vice presidents within the approved ranges. In making recommendations to the board on compensation and compensation ranges, the compensation committee relies on reports from an independent compensation consultant selected by the committee. To assure independence, the consultant shall perform no other services for PMC. The consultant was most recently used in April of 2014. The committee reports its decisions to the board at its next executive session, at which time the board shall either ratify the decision or send it back to the committee for further deliberation. Once a final decision is reached, the board chairman informs the ceo of the decisions of the committee and ratification by the board regarding the ceo's salary and the salary ranges for the vice presidents. Minutes of the committee and the executive session portion of the board are prepared and retained in the administration offices and contain sufficient information to substantiate the deliberation and decision. |
| Form 990, Part VI, Section C, line 19 | Financial results are published in the annual report, a copy of which is distributed in a variety of public forums and would otherwise be provided upon request. The conflict of interest policy would be available for viewing in the business or administrative offices of PMC, upon request, to ensure the most current copy is always the one being made available. The governing documents are available upon request. |
| Form 990, Part IX, line 11g | OUTSIDE SERVICES: Program service expenses 6,145,259. Management and general expenses 707,465. Fundraising expenses 0. Total expenses 6,852,724. CONSULTING SERVICES: Program service expenses 111,517. Management and general expenses 550. Fundraising expenses 0. Total expenses 112,067. PPN FEES: Program service expenses 2,614,706. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,614,706. CALL CENTER FEES: Program service expenses 644,340. Management and general expenses 0. Fundraising expenses 0. Total expenses 644,340. COLLECTION FEES: Program service expenses 2,207,948. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,207,948. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Pocono Health System | |||||||||||
| 206 East Brown Street | East Stroudsburg | PA | 18301 | 232336285 | Support Pocono Medical Center | PA | 501(c)(3) | Line 12b, II | Lehigh Valley Health Network | 0 | |
| Pocono Healthcare Partners | |||||||||||
| 206 East Brown Street | east Stroudsburg | PA | 18301 | 233014006 | Healthcare | PA | 501(c)(3) | Line 3 | Pocono Health System | 0 | |
| Pocono Ambulatory Services Inc | |||||||||||
| 206 East Brown Street | east Stroudsburg | PA | 18301 | 232611474 | healthcare | PA | 501(c)(3) | Line 3 | pocono Health System | 0 | |
| Pocono Medical Center | |||||||||||
| 206 East Brown Street | east Stroudsburg | PA | 18301 | 240795623 | Hospital | PA | 501(c)(3) | Line 3 | pocono Health System | 0 | |
| Pocono Health Foundation | |||||||||||
| 206 East Brown Street | east Stroudsburg | PA | 18301 | 232516451 | Support | PA | 501(c)(3) | Line 12a, I | pocono Health System | 0 | |
| pocono health system medical professional liability self-insurance trust | |||||||||||
| 206 East Brown Street | east Stroudsburg | PA | 18301 | 206560453 | Self-insurance | PA | 501(c)(3) | Line 12a, I | Pocono Health System | 0 | |
| POCONO VNA-HOSPICE | |||||||||||
| 206 East Brown Street | east Stroudsburg | PA | 18301 | 232535297 | Healthcare | PA | 501(c)(3) | Line 10 | Pocono Health System | 0 | |
| Lehigh Valley Health Network | |||||||||||
| 1200 S Cedar Crest Blvd | Allentown | PA | 181036202 | 222458317 | Parent Company | PA | 501(c)(3) | Line 3 | 0 | N/A | |
| Lehigh Valley Hospital | |||||||||||
| 2100 Mack Blvd | Allentown | PA | 181035622 | 231689692 | Health Care Organization | PA | 501(c)(3) | Line 3 | Lehigh Valley Health Network | 0 | |
| Lehigh Valley Hospital-Muhlenberg | |||||||||||
| 1200 S Cedar Crest Blvd | Allentown | PA | 181036202 | 232367707 | Health Care Organization | PA | 501(c)(3) | Line 3 | Lehigh Valley Health Network | 0 | |
| Lehigh Valley Physician Group | |||||||||||
| 1200 S Cedar Crest Blvd | Allentown | PA | 181036202 | 232700908 | Physician Practice Organization | PA | 501(c)(3) | Line 3 | Lehigh Valley Health Network | 0 | |
| Muhlenberg Realty Corporation | |||||||||||
| 1200 S Cedar Crest Blvd | Allentown | PA | 181036202 | 232245513 | Real Estate Rentals | PA | 501(c)(3) | Line 3 | Lehigh Valley Health Network | 0 | |
| Lehigh Valley Health Network Realty Holding Co | |||||||||||
| 1200 S Cedar Crest Blvd | Allentown | PA | 181036202 | 232586770 | Real Estate Holding Co | PA | 501(c)(2) | Lehigh Valley Health Network | 0 | ||
| Northeastern Pennsylvania Health Corp | |||||||||||
| 700 E Broad St | Hazleton | PA | 182016835 | 232421970 | Health Care Organization | PA | 501(c)(3) | Line 3 | Lehigh Valley Health Network | 0 | |
| Hazleton Professional Services | |||||||||||
| 700 E Broad St | Hazleton | PA | 182016835 | 205880364 | Physician Practice Organization | PA | 501(c)(3) | Line 3 | Lehigh Valley Physician Group | 0 | |
| Hazleton Health & Wellness Center | |||||||||||
| 700 E Broad St | Hazleton | PA | 182016835 | 232580968 | Staffing Services | PA | 501(c)(3) | Line 12a, I | Northeastern Pennsylvania Health Corp | 0 | |
| Hazleton Surgical Alliance | |||||||||||
| 700 E Broad St | Hazleton | PA | 182016835 | 202038456 | Surgical Services | PA | 501(c)(3) | Line 3 | Northeastern Pennsylvania Health Corp | 0 | |
| Schuylkill Health System Medical Group Inc | |||||||||||
| 700 East Norwegian Street | Pottsville | PA | 17901 | 232866006 | SUPPORT | PA | 501(c)(3) | Line 10 | Lehigh Valley Physician Group | 0 | |
| Schuylkill Medical Center - South Jackson Street | |||||||||||
| Mauch Chunk Jackson Streets | Pottsville | PA | 17901 | 231352202 | Health Care Organization | PA | 501(c)(3) | Line 3 | Lehigh Valley Health Network | 0 | |
| Schuylkill Rehabilitation Center Inc | |||||||||||
| 420 South Jackson Street | Pottsville | PA | 17901 | 232440891 | Health Care Organization | PA | 501(c)(3) | Line 3 | Lehigh Valley Health Network | 0 | |
| Schuylkill Medical Center - East Norwegian Street | |||||||||||
| 700 East Norwegian Street | Pottsville | PA | 17901 | 230880420 | Health Care Organization | PA | 501(c)(3) | Line 3 | Lehigh Valley Health Network | 0 | |
| West End Community Ambulance Association | |||||||||||
| PO Box 200 | Effort | PA | 18330 | 232532377 | Ambulance Transport Services | PA | 501(c)(3) | Line 10 | POCONo Health System | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Pocono Ambulatory Surgery Center Ltd | |||||||
| one Storm Street | stroudsburg | PA | 18360 | 232611442 | Surgery | PA | N/A |
| POCONO HEALTH SYSTEM INVEST COLLAB LP | |||||||
| 206 EAST BROWN STREET | east stroudsburg | PA | 18301 | 472125419 | INVESTMENTS | PA | N/A |
| LVHN Reciprocal Risk Retention Group | |||||||
| 151 Meeting Street Suite 310 | Charleston | SC | 294012238 | 200037118 | Insurance | PA | N/A |
| Health Network Laboratories LLC | |||||||
| 794 Roble Rd | Allentown | PA | 181099110 | 232932802 | Laboratory Services | PA | N/A |
| Health Network Laboratories LP | |||||||
| 794 Roble Rd | Allentown | PA | 181099110 | 232948774 | Laboratory Services | PA | N/A |
| Lehigh Magnetic Imaging Center | |||||||
| 1230 S Cedar Crest Blvd | Allentown | PA | 18103 | 232429007 | Imaging Center | PA | N/A |
| Lehigh Valley Imaging LLC | |||||||
| 1200 Cedar Crest Blvd | Allentown | PA | 181036202 | 464551937 | Imaging Services | PA | N/A |
| Hazleton Surgery Center LLC | |||||||
| 17480 Dallas Pkwy Ste 210 | Dallas | TX | 752877304 | 201232531 | Surgical Services | PA | N/A |
| Schuylkill Health System Medical Mall LP | |||||||
| East Norwegian Tremont Streets | Pottsville | PA | 17901 | 232514813 | Rental | PA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Lehigh Valley Health Services Inc | |||||||||
| 2100 Mack Blvd | Allentown | PA | 181035622 | 232263665 | Health Care Related Services | PA | N/A | C | 0 |
| Lehigh Valley Anesthesia Services PC | |||||||||
| 2100 Mack Blvd | Allentown | PA | 181035622 | 233906125 | Anesthesia Services | PA | N/A | C | 0 |
| Westgate Professional Center Inc | |||||||||
| 2100 Mack Blvd | Allentown | PA | 181035622 | 231657333 | Real Estate Rentals | PA | N/A | C | 0 |
| Lehigh Valley Physician Hospital Organization Inc | |||||||||
| 2100 Mack Blvd | Allentown | PA | 181035622 | 232750430 | Health Care Related Services | PA | N/A | C | 0 |
| Hazleton Saint Joseph Medical Office Building Inc | |||||||||
| 700 E Broad St | Hazleton | PA | 182016835 | 232500981 | Medical Office Rental | PA | N/A | C | 0 |
| Schuylkill Health System Development Corporation | |||||||||
| 700 East Norwegian Street | Pottsville | PA | 17901 | 232432417 | Pursues, implements, & furthers the activities & purposes of the system | PA | N/A | C | 0 |
| Schuylkill Medical Plaza - Condominium Association | |||||||||
| 420 South Jackson Street | Pottsville | PA | 17901 | 232931821 | Condominium Association | PA | N/A | C | 0 |
| 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 | Yes (1) | 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 | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |