REGIONAL HOME HEALTH AND HOSPICE: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- REGIONAL HOME HEALTH AND HOSPICE (EIN 83-0371265)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-13
- IRS object ID
- 201703179349305310
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-13T13:46:45-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET STREET SUITE 700 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830371265 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL HOME HEALTH AND HOSPICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % TINA M GOWEN CPA | InCareOfNm |
| Business Name Control | REGI | BusinessNameControlTxt |
| Phone | 4125446668 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O TAX DEPT 120 FIFTH AVENUE Sui | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15222 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER CLARK | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 4125446668 | PhoneNum |
| Signature | 2017-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Frank Giardini | PreparerPersonNm |
| PTIN | P00532355 | PTIN |
| Phone | 2155614200 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 38.84.128.189 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 36941220173175000013 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-13 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6F41C87B3D9834188EA789C6B800AB5CD08B0C77 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 22D7406747876A322039924BC13534D309B72991 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Christopher Clark DO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 232 WEST 25TH STREET | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16544 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,026,438 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.AHN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE, ORGANIZE, ESTABLISH, MAINTAIN, MANAGE AND OPERATE A HOME HEALTH AND HOSPICE SERVICE TO TO ELIGIBLE PATIENTS IN NEED OF SUCH SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 166 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $31,604 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,439 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,049,031 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,016,393 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$1,101 | PYOtherRevenueAmt |
| CY Other Revenue | $5,606 | CYOtherRevenueAmt |
| PY Total Revenue | $9,079,534 | PYTotalRevenueAmt |
| CY Total Revenue | $7,026,438 | 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 | $6,614,368 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,128,670 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,162,724 | PYOtherExpensesAmt |
| CY Other Expenses | $2,399,292 | CYOtherExpensesAmt |
| PY Total Expenses | $8,777,092 | PYTotalExpensesAmt |
| CY Total Expenses | $9,527,962 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $302,442 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,501,524 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,016,607 | TotalAssetsBOYAmt |
| Total Assets EOY | $736,953 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,519,326 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,652,817 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,497,281 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$915,864 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROMOTE, ORGANIZE, ESTABLISH, MAINTAIN, MANAGE AND OPERATE A HOME HEALTH AND HOSPICE SERVICE WHICH WILL PROVIDE SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, SOCIAL WORK AND HOME HEALTH AIDE SERVICES TO ELIGIBLE PATIENTS IN NEED OF SUCH SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,209,812 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,016,393 | RevenueAmt |
| Desc | THE REGIONAL HOME HEALTH AND HOSPICE EXISTS TO CARE FOR THE HOMEBOUND BY 1) COOPERATING WITH REFERRING ENTITIES AND PHYSICIANS TO PROVIDE CONTINUITY OF CARE. 2) ASSESSING THE PHYSICAL, EMOTIONAL, SOCIAL, FINANCIAL AND MATERIAL NEEDS AND RESOURCES OF PATIENTS AND THEIR CAREGIVERS. 3) PROVIDING APPROPRIATE SERVICES, INCLUDING: SKILLED NURSING, WOUND CARE, IV THERAPY, PSYCHIATRIC NURSING, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, MEDICAL SOCIAL SERVICE AND HOME HEALTH AIDE SERVICES. 4) TEACHING PATIENTS AND THEIR CAREGIVER(S) WAYS IN WHICH THEY MAY BE ABLE TO FUNCTION AT THEIR MAXIMUM POTENTIAL. 5) UTILIZING COMMUNITY RESOURCES. THE REGIONAL HOME HEALTH AND HOSPICE SERVICES FOCUS ON MEETING THE EMOTIONAL, SOCIAL, PHYSICAL, AND SPIRITUAL NEEDS OF PATIENTS WITH A LIFE LIMITING ILLNESS. HOSPICE SERVICES ARE DESIGNED FOR PATIENTS WITH A PROGNOSIS OF 6 MONTHS OR LESS, SHOULD THEIR DISEASE FOLLOW ITS NORMAL COURSE. HOSPICE SERVICES ARE DESIGNED TO MEET THE NEEDS OF THE PATIENT, AND THEIR FAMILY. PATIENT AND FAMILY NEEDS ARE MET THROUGH AN INTERDISCIPLINARY TEAM WHICH INCLUDES THE ATTENDING PHYSICIAN, HOSPICE MEDICAL DIRECTOR, RN, CNA, SOCIAL WORKER, SPIRITUAL CARE COORDINATOR, BEREAVEMENT COUNSELOR, AND VOLUNTEERS. AVAILABLE RESOURCES MAY ALSO INCLUDE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, DIETICIANS, AND OTHERS TO MEET A PATIENTS NEEDS. THE REGIONAL HOME HEALTH AND HOSPICE PROVIDES CARE TO HOSPICE PATIENTS IN THEIR PRIVATE HOMES, ASSISTED LIVING, PERSONAL CARE HOMES, SKILLED NURSING FACILITIES, OR ANYWHERE THE PATIENT MAY CALL HOME. REGIONAL HOME HEALTH AND HOSPICE PROVIDES ALL MEDICAL EQUIPMENT AND MEDICATIONS RELATED TO THE PATIENTS HOSPICE DIAGNOSIS. THERE IS A REGIONAL HOME HEALTH AND HOSPICE NURSE WORKING 24 HOURS A DAY, 7 DAYS A WEEK. A PATIENT OR CAREGIVER CAN CALL HOSPICE ANY TIME OF THE DAY OR NIGHT AND A NURSE CAN COME TO THEIR HOME. REGIONAL HOME HEALTH AND HOSPICE PROVIDES ROUTINE HOSPICE SERVICES, AS WELL AS RESPITE, GENERAL INPATIENT SERVICES, AND CONTINUOUS CARE. THE REGIONAL HOME HEALTH AND HOSPICE PROVIDES SERVICES IN ERIE, CRAWFORD AND WARREN COUNTIES, FOR A COVERAGE AREA OF 2,695 MILES. THE DAILY CENSUS OF REGIONAL HOME HEALTH AND HOSPICE IS TYPICALLY OVER 400 PATIENTS AND THE REGIONAL HOME HEALTH AND HOSPICE TEAM MAKES OVER 5,000 VISITS ANNUALLY. THE REGIONAL HOME HEALTH AND HOSPICE TEAM TRAVELS OVER 540,000 MILES A YEAR AND IS THE EQUIVALENT OF 21 TRIPS AROUND THE GLOBE EACH YEAR. THE REGIONAL HOME HEALTH AND HOSPICE EMPLOYS 120 EMPLOYEES. | Desc |
| Prog Srvc Accom Acty2 | ProgSrvcAccomActy2Grp | |
| Total Program Service Expenses | $6,209,812 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 166 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TINA M GOWEN CPA | PersonNm |
| Phone | 8144525055 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 232 WEST 25TH STREET | AddressLine1Txt |
| City | ERIE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16544 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| SCOTT WHALEN | |||||||
| CHAIRMAN | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $729,072 | $170,696 |
| MAUREEN CHADWICK | |||||||
| DIRECTOR/SECRETARY | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $252,070 | $46,762 |
| JEANINE TOME | |||||||
| DIRECTOR/SECRETARY, end 5/2016 | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $213,828 | $21,389 |
| RICHARD OLLINGER | |||||||
| DIRECTOR/TREASURER | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARY ECKERT | |||||||
| PRESIDENT | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| MIKE HELLER | |||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| BARBARA NICHOLS | |||||||
| DIRECTOR/VICE PRESIDENT | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,194,970 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $238,847 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Blacktree Healthcare Consulting | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Fayette Street Ste 425 | AddressLine1Txt |
| City | CONSHOHOCKEN | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19428 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Consulting | ServicesDesc |
| Compensation | $515,209 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $4,439 | AllOtherContributionsAmt |
| Total Contributions | $4,439 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE FEES | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $7,016,393 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,016,393 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,016,393 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL RECORDS MISC INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $5,606 | TotalRevenueColumnAmt |
| Exclusion | $5,606 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,606 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,026,438 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,016,393 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $5,606 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,927,496 | TotalAmt |
| Program Services | $4,144,325 | ProgramServicesAmt |
| Management And General | $1,783,171 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $776,121 | TotalAmt |
| Program Services | $532,651 | ProgramServicesAmt |
| Management And General | $243,470 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,053 | TotalAmt |
| Program Services | $305,396 | ProgramServicesAmt |
| Management And General | $119,657 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,750 | TotalAmt |
| Management And General | $19,750 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $768,742 | TotalAmt |
| Program Services | $79,686 | ProgramServicesAmt |
| Management And General | $689,056 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,403 | TotalAmt |
| Program Services | $287 | ProgramServicesAmt |
| Management And General | $11,116 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,391 | TotalAmt |
| Program Services | $3,110 | ProgramServicesAmt |
| Management And General | $28,281 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,911 | TotalAmt |
| Management And General | $201,911 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,669 | TotalAmt |
| Program Services | $355,465 | ProgramServicesAmt |
| Management And General | $26,204 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,520 | TotalAmt |
| Program Services | $2,364 | ProgramServicesAmt |
| Management And General | $2,156 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,635 | TotalAmt |
| Program Services | $8,640 | ProgramServicesAmt |
| Management And General | $53,995 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,525 | TotalAmt |
| Management And General | $42,525 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $540,391 | $487,647 | $52,744 |
| BAD DEBTS | $290,121 | $290,121 | |
| EQUIP. RENTAL & MAINTENANCE | $29,215 | $29,215 | |
| POSTAGE | $4,857 | $4,857 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,162 | TotalAmt |
| Program Services | $120 | ProgramServicesAmt |
| Management And General | $10,042 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,527,962 | TotalAmt |
| Program Services | $6,209,812 | ProgramServicesAmt |
| Management And General | $3,318,150 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,519 | BOYAmt |
| EOY | $134,144 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,638,794 | BOYAmt |
| EOY | $517,770 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $432,779 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $363,687 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,795 | BOYAmt |
| EOY | $69,092 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,964,499 | BOYAmt |
| EOY | $15,947 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,016,607 | BOYAmt |
| EOY | $736,953 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,822 | BOYAmt |
| EOY | $367,910 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,087 | BOYAmt |
| EOY | $160,143 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $844,417 | BOYAmt |
| EOY | $1,124,764 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,519,326 | BOYAmt |
| EOY | $1,652,817 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,466,602 | BOYAmt |
| EOY | -$950,982 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,679 | BOYAmt |
| EOY | $35,118 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,497,281 | BOYAmt |
| EOY | -$915,864 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,016,607 | BOYAmt |
| EOY | $736,953 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,501,524 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,911,621 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,435 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,407 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,862 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,604 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,439 | CurrentTaxYearAmt |
| Total | $111,747 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,920,773 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,102,056 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,483,622 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,049,031 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,016,393 | CurrentTaxYearAmt |
| Total | $32,571,875 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,956,208 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,115,463 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,510,484 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,080,635 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,020,832 | CurrentTaxYearAmt |
| Total | $32,683,622 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $32,683,622 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,750 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $643 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,606 | CurrentTaxYearAmt |
| Total | $10,999 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,960,958 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,115,463 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,510,484 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,081,278 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,026,438 | CurrentTaxYearAmt |
| Total | $32,694,621 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99966 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99842 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $432,779 | OtherCostOrOtherBasisAmt |
| Depreciation | $363,687 | DepreciationAmt |
| Book Value | $69,092 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $69,092 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $1,124,764 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,124,764 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $5,114,817 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$1,911,621 | OtherRevenueAmt |
| Revenue Not Reported | -$1,911,621 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,026,438 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $7,026,438 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,527,962 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $9,527,962 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $9,527,962 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Liability for Uncertain Tax Positions | Form 990, Schedule D, Part X, Line 2 Highmark Health records uncertain tax positions in accordance with FASB accounting standards codification (ASC) 740, income taxes. ASC 740 clarifies the accounting for uncertainty in income taxes by defining criteria that a tax positon on an individual matter must meet before that position is recognized. ASC 740 also provides guidance on measurement, classification, interest and penalties, disclosure and accounting in interim periods. Based on an analysis prepared by Highmark Health, it was determined that the application of FASB ASC 740 had no material effect on the recorded assets and liabilities of HH on a standalone basis. The following is the footnote to the audited consolidated financial statements of Highmark Health for FASB ASC 740: At December 31, 2016 and 2015, gross unrecognized tax benefits (excluding the Federal benefit received from state positions) WERE $158,491 AND $155,926, RESPECTIVELY, and if recognized, would have impacted the effective tax rate. Highmarks consolidated federal income tax return has been examined by the IRS through 2012. The Corporation does not anticipate that any significant increase or decrease to unrecognized tax benefits will be recorded in 2017. |
| Reconciliation of Revenue per Audited Financial Statements | Part XI, Line 2e Goodwill Impairment $(1,911,621) |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCOTT WHALEN | ||||||||||||||
| CHAIRMAN | $0 | $594,962 | $0 | $0 | $0 | $134,110 | $0 | $160,165 | $0 | $13,618 | $0 | $902,855 | $0 | $120,960 |
| MAUREEN CHADWICK | ||||||||||||||
| DIRECTOR/SECRETARY | $0 | $221,226 | $0 | $0 | $0 | $30,844 | $0 | $34,879 | $0 | $13,052 | $0 | $300,001 | $0 | $21,928 |
| JEANINE TOME | ||||||||||||||
| DIRECTOR/SECRETARY, end 5/2016 | $0 | $212,624 | $0 | $0 | $0 | $1,204 | $0 | $8,794 | $0 | $13,634 | $0 | $236,256 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Compensation of Trustees and Officers | Part I, Line 3 The organization does not have paid employees; all compensation to trustees and officers reported on Part VII of the Form 990 was paid by a related organization, included in the Highmark Health System. |
| Supplemental Nonqualified Retirement Plan | Part I, Line 4B The following individuals participated in a nonqualified retirement plan amounts below were included under a 457(f) plan. distributions from the plan are included in their box 5 of their IRS Form W-2. Scott Whalen: $121,110 of which $120,960 was reported as accrued in a prior period, and distributed as of 12/31/16. Maureen Chadwick: $21,955 of which $21,928 was reported as accrued in a prior period, and distributed as of 12/31/16. The following individuals recieved employer contributions to nonqualified plans that are currently nonvested: Scott Whalen: $131,365 Maureen Chadwick: $7,799 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David Tome | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family of officer | RelationshipDescriptionTxt |
| Transaction | $40,884 | TransactionAmt |
| Transaction | employment | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PArt IV, Line 1 | FormAndLineReferenceDesc |
| Explanation | The officer related to the individual listed above was not involved in the supervision of or compensation settings for the employed individual. Compensation for this individual was determined at an arm's length. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11b | FORM 990 REVIEW PROCESS Regional Home Health and Hospice IRS Form 990 was prepared by its external advisors Grant Thornton, LLP and reviewed by the Highmark Health Tax department, senior management of the organization, and the audit and compliance committee. Before filing the tax return with the internal revenue service, a final copy was provided to all members of the board of directors. |
| FORM 990, PART VI, SECTION B, LINE 12C | Conflict of Interest Policy Monitoring & Enforcement HIGHMARK HEALTH (HH), HAS A CORPORATE COMPLIANCE DEPARTMENT THAT MONITORS AND OVERSEES COMPLAINTS WITH THE CONFLICT OF INTEREST POLICY FOR ALL ENTITIES WITHIN THE FILING GROUP. THE FOLLOWING DESCRIBES THE MANNER IN WHICH THE CORPORATE COMPLIANCE DEPARTMENT MONITORS AND OVERSEES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED ON AN ANNUAL BASIS BY ALL BOARD MEMBERS, OFFICERS, AND ANY PERSON WHO HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS, KEY EMPLOYEES, MANAGERS AND ABOVE, PERSONS WITH PURCHASING AUTHORITY INCLUDING PROCUREMENT DEPARTMENT EMPLOYEES AND COMMITTEE WHICH MAY INFLUENCE PURCHASING DECISIONS, AND ANY OTHER EMPLOYEES AS DESIGNATED BY THE COMPLIANCE DEPARTMENT. UPON COMPLETION OF THE ABOVE DISCLOSURE STATEMENT BY ALL APPLICABLE INDIVIDUALS, THE INTEGRITY AND COMPLIANCE DEPARTMENT REVIEWS ALL DISCLOSURES. THOSE THAT REQUIRE ADDITIONAL INFORMATION OR CLARIFICATION ARE CONTACTED BY THE INTEGRITY AND COMPLIANCE DEPARTMENT REQUESTING SUCH. ONCE RECEIVED, ALL INFORMATION IS EVALUATED IN CONSULTATION WITH THE LEGAL DEPARTMENT AND SENIOR MANAGEMENT AS APPLICABLE TO DETERMINE WHETHER A REAL OR POTENTIAL CONFLICT OF INTEREST EXISTS. THOSE CONFLICTS THAT REQUIRE A MITIGATION PLAN ARE DEVELOPED AND APPROVED IN COORDINATION WITH THE RESPECTIVE RESPONSIBLE SENIOR MANAGEMENT. THE SENIOR MANAGERS ARE RESPONSIBLE FOR DISCUSSING THE MITIGATION PLAN WITH THE INDIVIDUAL AS NEEDED AND MONITORING COMPLIANCE WITH THE MITIGATION PLAN. A final report of all board and executive level management disclosures is submitted for review to the audit and compliance subcommittee of the board, as well as by the board of directors. |
| FORM 990, PART VI, SECTION B, LINE 15 | PROCESS OF DETERMINING COMPENSATION SAINT VINCENT HEALTH CENTER HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS MADE UP OF INDEPENDENT MEMBERS OF THE BOARD. THIS COMPENSATION COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW, PROVIDE RECOMMENDATIONS, AND PROVIDE OPINION ON COMPENSATION MATTERS. THE COMPENSATION CONSULTANT IS A NATIONAL FIRM WITH DEMONSTRATED EXPERTISE IN THIS AREA AND IN THE INDUSTRY AS WELL AS MAINTAINING NATIONWIDE BENCHMARK DATA FOR USE IN DEVELOPING THEIR RECOMMENDATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | HOW DOCUMENTS ARE MADE AVAILABLE TO PUBLIC HIGHMARK HEALTH (HH) FINANCIAL STATEMENTS ARE ON A CONSOLIDATED BASIS WHICH INCLUDE REGIONAL Home Health and Hospice. THE AUDITED FINANCIAL STATEMENTS OF HH ARE AVAILABLE UPON THE REQUEST AND APPROVAL BY THE CFO OF HIGHMARK HEALTH. AT THIS TIME, REGIONAL HOME HEALTH AND HOSPICE DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. |
| Compensation and Hours Worked | Form 990, Part VII, Section A, Column B Regional Home Health and Hospice is part of an integrated healthcare delivery system. Individuals employed by one organization may be assigned to provide management for an affiliated organization. As such, many individuals play key roles or serve as officers or directors on multiple affiliated organizations. Each individual will be assigned forty hours to the organization of their actual employment. If the individual is employed by one organization and appointed as an officer, director or key employee of affiliated organizations the hour allocation of Form 990, Part VII, Page 7, Column (B) takes various factors into account when attempting to assign hours in a reasonable manner. Thus it is possible for a single individual to have hours assigned in excess of forty hours per week if all affiliated organization IRS forms 990's are taken into account. Directors who are not employed and volunteer their services are assigned one hour of service. The actual time served for all individuals disclosed in IRS form 990 can vary based upon the need of the organization. |
| Form 990, Part XI, Line 9 | The following is a reconciliation of the other changes in net assets of regional home health and hospice for the period January 1, 2016 through December 31, 2016: Goodwill Impairment $(1,911,621) |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Canonsburg Hospital & Health Foundation | ||||||||||
| 100 Medical Boulevard | Canonsburg | PA | 15317 | 251818505 | Inactive | PA | 501(c)(3) | 12-Type I | NA | false |
| Clinical Pathology Institute Cooperative | ||||||||||
| 1526 Peach Street | Erie | PA | 16501 | 251528055 | Healthcare | PA | 501(c)(3) | 3 | SVHC | false |
| Community Blood Bank | ||||||||||
| 232 West 25th Street | Erie | PA | 16544 | 251181389 | Healthcare | PA | 501(c)(3) | 12-Type I | SVHC | false |
| Energycare Inc | ||||||||||
| 232 West 25th Street | Erie | PA | 16544 | 251430922 | Healthcare | PA | 501(c)(3) | 10 | SVHC | false |
| Greater Canonsburg Health System | ||||||||||
| 100 Medical Boulevard | Canonsburg | PA | 15317 | 251488089 | Inactive | PA | 501(c)(3) | 12-Type I | NA | false |
| Regional Cancer Center | ||||||||||
| 232 West 25th Street | Erie | PA | 16544 | 251385705 | Healthcare | PA | 501(c)(3) | 3 | SVHS | false |
| Regional Heart Network | ||||||||||
| 232 West 25th Street | Erie | PA | 16544 | 251856341 | Healthcare | PA | 501(c)(3) | 3 | SVHC | false |
| Suburban Health Foundation | ||||||||||
| 100 South Jackson Ave | Pittsburgh | PA | 15202 | 251472073 | Fundraising | PA | 501(c)(3) | 12-Type I | WPAHS INC | false |
| Vantage Health Group | ||||||||||
| 232 West 25th Street | Erie | PA | 16544 | 251498145 | Healthcare | PA | 501(c)(3) | 3 | SVHC | false |
| West Allegheny Hospital | ||||||||||
| 100 Medical Boulevard | Pittsburgh | PA | 15317 | 251054206 | Inactive | PA | 501(c)(3) | 3 | NA | false |
| Westfield Memorial Hospital Inc | ||||||||||
| 189 East Main Street | Westfield | NY | 14787 | 160743222 | Healthcare | NY | 501(c)(3) | 3 | SVHS | false |
| Gateway Health Foundation | ||||||||||
| 444 Liberty Avenue | Pittsburgh | PA | 15222 | 811343916 | Fundraising | PA | 501(c)(3) | 12-Type I | Gateway LP | false |
| Highmark Health | ||||||||||
| 120 Fifth Avenue Suite 922 | Pittsburgh | PA | 15222 | 453674900 | HEALTHCARE | PA | 501(c)(3) | 12-Type I | nA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| 5148 Liberty Avenue Associates | |||||||
| 5989 Centre Avenue | Pittsburgh | PA | 15206 | 251689871 | Property Rental | PA | WPAHS Inc |
| Allegheny Health Network Home Infusion | |||||||
| 312 West 25th Street | Erie | PA | 16502 | 251736527 | Medical Practice | PA | SVHS |
| Allegheny Imaging of Mccandles | |||||||
| 4800 Friendship Ave | Pittsburgh | PA | 15224 | 300314897 | Medical Practice | PA | NA |
| Associated Clinical Lab LP | |||||||
| 312 West 25th Street | Erie | PA | 16502 | 251533746 | Medical Practice | PA | NA |
| Associated Clinical Lab of PA | |||||||
| 312 West 25th Street | Erie | PA | 16502 | 453688292 | Medical Practice | PA | NA |
| Erie Medical Complex LLC | |||||||
| 312 West 25th Street | Erie | PA | 16502 | 201017545 | Medical Practice | DE | NA |
| Gateway Health Plan LP | |||||||
| 444 Liberty Avenue Suite 2100 | Pittsburgh | PA | 15222 | 251691945 | Health Plan | PA | NA |
| Jefferson Medical Associates L | |||||||
| 565 Coal Valley Rd | Jefferson Hills | PA | 15236 | 251740456 | Medical Practice | PA | NA |
| Jenkins Empire Associates | |||||||
| 120 Fifth Avenue Suite 922 | Pittsburgh | PA | 15222 | 251524682 | Property Mgmt | PA | NA |
| JV Holdco LLC | |||||||
| 30 Isabella St | Pittsburgh | PA | 15212 | 472368587 | Holding Company | PA | WPAHS Inc |
| Mccandless Endoscopy Center | |||||||
| 4800 Friendship Ave | Pittsburgh | PA | 15224 | 261284448 | Medical Practice | PA | NA |
| North Shore Endoscopy Center | |||||||
| 4800 Friendship Ave | Pittsburgh | PA | 15224 | 251880238 | Medical Practice | PA | NA |
| Provider PPI LLC | |||||||
| 120 Fifth Avenue Suite 922 | Pittsburgh | PA | 15222 | 320429947 | Facilities Suppor | PA | HMPG |
| Saint Vincent Professional Bld | |||||||
| 312 West 25th Street | Erie | PA | 16502 | 251578290 | Property Mgmt | PA | CSI |
| Silver Rain LP | |||||||
| 30 Isabella St | Pittsburgh | PA | 15212 | 273035436 | Property Mgmt | PA | HMPG North |
| South Hills Surgery Center LL | |||||||
| 6161 Clairton Rd | West Mifflin | PA | 15122 | 274011352 | Medical Practice | PA | NA |
| Thryve Digital Health LLP | |||||||
| 120 Fifth Avenue Suite 922 | Pittsburgh | PA | 15222 | 981311003 | Informational Tec | NA | |
| Tri State Regional Assoc LLP | |||||||
| 312 West 25th Street | Erie | PA | 16502 | 232919277 | Medical Practice | PA | NA |
| UPMC VNA Home Health LP | |||||||
| 565 Coal Valley Rd | Jefferson Hills | PA | 15236 | 251844485 | Medical Practice | PA | NA |
| Upper Midwest Consol Services | |||||||
| 565 Coal Valley Rd | Jefferson Hills | PA | 15236 | 263112347 | Medical Practice | MN | NA |
| Vantage Capital Management Ltd | |||||||
| 312 West 25th Street | Erie | PA | 16502 | 233099689 | Capital Mgmt | PA | NA |
| Vantage Holding Company LLC | |||||||
| 312 West 25th Street | Erie | PA | 16502 | 030477182 | Capital Mgmt | PA | CSI |
| Waterfront Surgery Center LLC | |||||||
| 565 Coal Valley Rd | Jefferson Hills | PA | 15236 | 251898743 | Medical Practice | PA | NA |
| WSC Realty Partners LP | |||||||
| 565 Coal Valley Rd | Jefferson Hills | PA | 15236 | 251874990 | Property Mgmt | PA | NA |
| AHN Emergency Medicine Mgmt | |||||||
| 30 Isabella St | Pittsburgh | PA | 15212 | 465705484 | Medical Practice | PA | NA |
| Healthcare Supply Chain Innovations | |||||||
| 30 Isabella St | Pittsburgh | PA | 15212 | 472509307 | Group Purch. | DE | NA |
| Celtic Hospice and Palliative Care LLC | |||||||
| 30 Isabella St | Pittsburgh | PA | 15212 | 205661063 | Medical Practice | PA | WPAHS Inc |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (89 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Clinical Services Inc | |||||||||
| 232 West 25th Street | Erie | PA | 16544 | 251403846 | Holding Company | PA | SVHS | C Corp | false |
| Davis Vision IPA Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 112958041 | TPA | NY | Davis Vision | C Corp | false |
| Davis Vision Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 113051991 | Medical Practice | NY | HVHC | C Corp | false |
| ECCA Managed Vision Care Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 742759084 | Medical Practice | TX | VW of Amer | C Corp | false |
| Empire Vision Center Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 141586016 | Retail Sales | NY | VW of Amer | C Corp | false |
| Eye Drx Retail Management Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 742924030 | Office Administra | DE | VW of Amer | C Corp | false |
| Family Practice Medical Assoc South Inc | |||||||||
| 2414 Lytle Rd Ste 300 | Bethel Park | PA | 15102 | 251684735 | Medical Practice | PA | JRMC | C Corp | false |
| First Priority Life Insurance Co Inc | |||||||||
| 19 North Main Street | WilkesBarre | PA | 18711 | 232905083 | Insurance | PA | Highmark Inc | C Corp | false |
| Gateway Health Plan of Ohio Inc | |||||||||
| 444 Liberty Avenue Suite 2100 | Pittsburgh | PA | 15222 | 300282076 | Insurance | OH | Gateway LP | C Corp | false |
| Gateway Health Plan Inc | |||||||||
| 444 Liberty Avenue Suite 2100 | Pittsburgh | PA | 15222 | 251505506 | Insurance | PA | Gateway LP | C Corp | false |
| Grandis Rubin Shanahan & Assoc | |||||||||
| 565 Coal Valley Rd | Jefferson Hills | PA | 15025 | 453355906 | Medical Practice | PA | JRMC | C Corp | false |
| HCI Inc | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 753002215 | Insurance | VT | Highmark Inc | C Corp | false |
| Health System Services Corp & Subs | |||||||||
| 565 Coal Valley Rd | Jefferson Hills | PA | 15025 | 251403745 | Real Estate Opera | PA | JRMC | C Corp | false |
| Highmark BCBSD Health Options Inc | |||||||||
| 800 Delaware Avenue | Wilmington | DE | 198011368 | 471817274 | Insurance | DE | HM DE | C Corp | false |
| Highmark BCBSD Inc | |||||||||
| 800 Delaware Avenue | Wilmington | DE | 198011368 | 510020405 | Insurance | DE | Highmark Inc | C Corp | false |
| Highmark Benefits Group Inc | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 464763378 | Insurance | PA | Highmark Inc | C Corp | false |
| Highmark Casualty Insurance Company | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 251334623 | Insurance | PA | HMIG | C Corp | false |
| Highmark Coverage Advantage Inc | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 464757476 | Insurance | PA | Highmark Inc | C Corp | false |
| Highmark Inc | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 231294723 | Insurance | PA | HM Health | C Corp | false |
| Highmark Select Resources Inc | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 202353206 | Insurance | PA | Highmark Inc | C Corp | false |
| Highmark Senior Health Company | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 464156633 | Insurance | PA | Highmark Inc | C Corp | false |
| Highmark Senior Solutions Company | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 464156854 | Insurance | WV | Highmark WV | C Corp | false |
| Highmark Ventures Inc | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 251645888 | Holding Company | PA | Highmark Inc | C Corp | false |
| Highmark West Virginia | |||||||||
| PO Box 1948 | Parkersburg | WV | 26102 | 550624615 | Insurance | WV | Highmark Inc | C Corp | false |
| HM Benefits Administrators Inc | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 251128451 | Funds Administrat | PA | HMIG | C Corp | false |
| HM Casualty Insurance Company | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 870807723 | Insurance | PA | HMIG | C Corp | false |
| HM Centered Health | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 205457337 | Insurance | PA | Highmark Inc | C Corp | false |
| HM Health Holdings Company | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 810919390 | Holding Company | PA | HM Health | C Corp | false |
| HM Health Insurance Company | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 541637426 | Insurance | PA | Highmark Inc | C Corp | false |
| HM Health Solutions Inc | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 463823617 | Info Technology | PA | HM Health | C Corp | false |
| HM Insurance Group | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 251646315 | Holding Company | PA | Highmark Inc | C Corp | false |
| HM Life Insurance Company | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 061041332 | Insurance | PA | HMIG | C Corp | false |
| HM Life Insurance Company of New York | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 251800302 | Insurance | NY | HMIG | C Corp | false |
| HMO of Northeastern Pennsylvania Inc | |||||||||
| 19 North Main Street | WilkesBarre | PA | 18711 | 232413324 | Insurance | PA | Highmark Inc | C Corp | false |
| HMPG Inc | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 453444325 | Holding Company | PA | AHN | C Corp | false |
| HVHC Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 251801124 | Holding Company | DE | Highmark Inc | C Corp | false |
| JEA Inc | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 251712017 | Real Estate Opera | PA | Highmark Inc | C Corp | false |
| Jefferson Hills Surgical Specialists PA | |||||||||
| 1200 Brooks Ln 150 | Clairton | PA | 15025 | 300477313 | Medical Practice | PA | JRMC | C Corp | false |
| JRMC Physician Service Corp | |||||||||
| 565 Coal Valley Rd | Jefferson Hills | PA | 15025 | 861159658 | Medical Practice | PA | JRMC | C Corp | false |
| JRMC Specialty Group Practice | |||||||||
| 565 Coal Valley Rd | Jefferson Hills | PA | 15025 | 721529332 | Medical Practice | PA | JRMC | C Corp | false |
| Highmark Choice Company | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 251522457 | Insurance | PA | Highmark Inc | C Corp | false |
| Klingensmith Inc | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 251375204 | Health Equip. | PA | HMPG Inc | C Corp | false |
| Lake Erie Medical Group PC | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 453444157 | Medical Practice | PA | AC | C Corp | false |
| Optima Imaging | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251652874 | Inactive | PA | WPAHS Inc | S Corp | false |
| Palladium Risk Retention Group | |||||||||
| 409 Broad St Ste 270 | Sewickley | PA | 15143 | 463476730 | Insurance | VT | WPAHS Inc | C Corp | false |
| Park Cardiothoracic & Vascular Inst | |||||||||
| 565 Coal Valley Rd | Jefferson Hills | PA | 15025 | 721529328 | Medical Practice | PA | JRMC | C Corp | false |
| Parker Benefits | |||||||||
| PO Box 1948 | Parkersburg | WV | 26102 | 550625743 | TPA | WV | Highmark WV | C Corp | false |
| Physician Landing Zone PC | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 453913973 | Health Care | PA | AC | C Corp | false |
| Pittsburgh Bone Joint and Spine Inc | |||||||||
| 1200 BROOKS LN STE G20 | Jefferson Hills | PA | 15025 | 900925581 | Medical Practice | PA | JRMC | C Corp | false |
| Pittsburgh Pulmonary & Critical Care | |||||||||
| 1200 BROOKS LN STE 130 | Clairton | PA | 15025 | 463274101 | Medical Practice | PA | JRMC | C Corp | false |
| Premier Medical Associates PC | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 251742869 | Medical Practice | PA | AC | C Corp | false |
| Premier Women's Health | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 464682160 | Medical Practice | PA | AC | C Corp | false |
| Primary Care Group 2 Inc | |||||||||
| 6011 Baptist Rd Ste 220 | Pittsburgh | PA | 15236 | 900451375 | Medical Practice | PA | JRMC | C Corp | false |
| Primary Care Group 3 Inc | |||||||||
| 5426 Mifflin Rd | Pittsburgh | PA | 15227 | 900451380 | Medical Practice | PA | JRMC | C Corp | false |
| Primary Care Group 4 Inc | |||||||||
| 1907 Lebanon Church Rd | West Mifflin | PA | 15122 | 800403090 | Medical Practice | PA | JRMC | C Corp | false |
| Primary Care Group 5 Inc | |||||||||
| 624 Monongahela Ave | Glassport | PA | 15045 | 800403100 | Medical Practice | PA | JRMC | C Corp | false |
| Primary Care Group 6 Inc | |||||||||
| PO Box 333 | West Mifflin | PA | 15122 | 900503600 | Medical Practice | PA | JRMC | C Corp | false |
| Primary Care Group 7 Inc | |||||||||
| 575 Coal Valley Rd | Jefferson Hills | PA | 15025 | 251287041 | Medical Practice | PA | JRMC | C Corp | false |
| Primary Care Group 8 Inc | |||||||||
| 803 Miller Ave | Clairton | PA | 15025 | 010927360 | Medical Practice | PA | JRMC | C Corp | false |
| Primary Care Group 10 Inc | |||||||||
| 3726 Brownsville Rd | Pittsburgh | PA | 15227 | 383807173 | Medical Practice | PA | JRMC | C Corp | false |
| Primary Care Group 11 Inc | |||||||||
| 455 Valley Brook Rd Ste 300 | McMurray | PA | 15317 | 800494617 | Medical Practice | PA | JRMC | C Corp | false |
| Primary Care Group 12 Inc | |||||||||
| 17 Arentzen Blvd Ste 101 | Charleroi | PA | 15022 | 900614054 | Medical Practice | PA | JRMC | C Corp | false |
| Prime Medical Group PCG 1 | |||||||||
| 1200 Brooks Ln 110 | Clairton | PA | 15025 | 264194208 | Medical Practice | PA | JRMC | C Corp | false |
| Remworks Sleep Store Inc | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 251411844 | Rental & Sales | PA | Highmark Inc | C Corp | false |
| South Pittsburgh Urology Associates | |||||||||
| 1200 BROOKS LN STE 220 | Clairton | PA | 15025 | 464954859 | Medical Practice | PA | JRMC | C Corp | false |
| Specialty Group Practice 1 Inc | |||||||||
| 575 Coal Valley Rd Ste 365 | Clairton | PA | 15025 | 352367818 | Medical Practice | PA | JRMC | C Corp | false |
| Standard Property Corporation | |||||||||
| 120 Fifth Ave Suite 922 | Pittsburgh | PA | 15222 | 251668093 | Real Estate Opera | PA | Highmark Inc | C Corp | false |
| Steel Valley Orthopedics & Sports Medici | |||||||||
| 1200 Brooks Ln 240 | Clairton | PA | 15025 | 453540378 | Medical Practice | PA | JRMC | C Corp | false |
| United Concordia Companies Inc | |||||||||
| 4401 Deer Path Road | Harrisburg | PA | 17110 | 251687586 | Dental Insurance | PA | Highmark Inc | C Corp | false |
| United Concordia Dental Corp of Alabama | |||||||||
| 4401 Deer Path Road | Harrisburg | PA | 17110 | 631028262 | Dental Insurance | AL | UCCI | C Corp | false |
| United Concordia Dental Plans of Ca | |||||||||
| 4401 Deer Path Road | Harrisburg | PA | 17110 | 237328765 | Dental Insurance | CA | UCCI | C Corp | false |
| United Concordia Dental Plans of Ky | |||||||||
| 4401 Deer Path Road | Harrisburg | PA | 17110 | 611012900 | Dental Insurance | KY | UCCI | C Corp | false |
| United Concordia Dental Plans of PA | |||||||||
| 4401 Deer Path Road | Harrisburg | PA | 17110 | 232541529 | Dental Insurance | PA | UCCI | C Corp | false |
| United Concordia Dental Plans of TX Inc | |||||||||
| 4401 Deer Path Road | Harrisburg | PA | 17110 | 742489037 | Dental Insurance | TX | UCCI | C Corp | false |
| United Concordia Dental Plans of the Mid | |||||||||
| 4401 Deer Path Road | Harrisburg | PA | 17110 | 382289438 | Dental Insurance | MI | UCCI | C Corp | false |
| United Concordia Dental Plans Inc | |||||||||
| 4401 Deer Path Road | Harrisburg | PA | 17110 | 521542269 | Dental Insurance | MD | UCCI | C Corp | false |
| United Concordia Insurance Company | |||||||||
| 4401 Deer Path Road | Harrisburg | PA | 17110 | 860307623 | Dental Insurance | AZ | UCL&H | C Corp | false |
| United Concordia Insurance Co of New | |||||||||
| 4401 Deer Path Road | Harrisburg | PA | 17110 | 113008245 | Dental Insurance | NY | UCCI | C Corp | false |
| United Concordia Life & Health Insurance | |||||||||
| 4401 Deer Path Road | Harrisburg | PA | 17110 | 231661402 | Dental Insurance | PA | UCCI | C Corp | false |
| Visionary Properties Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 742849554 | Real Estate Opera | DE | VW of Amer | C Corp | false |
| Visionary Retail Management Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 742849552 | Office Administra | DE | VW of Amer | C Corp | false |
| Visionworks Distribution Services Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 043742989 | Optical Retail | TX | VW of Amer | C Corp | false |
| Visionworks Enterprises Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 352196998 | Trademarks | DE | VW of Amer | C Corp | false |
| Visionworks Lab Services Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 043742977 | Optical Retail | TX | VW of Amer | C Corp | false |
| Visionworks of America Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 742337775 | Retail Sales | TX | HVHC | C Corp | false |
| Visionworks Inc | |||||||||
| 175 East Houston Street | San Antonio | TX | 78205 | 020677066 | Optical Retail | DE | VW of Amer | C Corp | false |
| West Penn Corporate Medical ServicesInc | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251437405 | Inactive | PA | WPAHS Inc | C Corp | false |
| West Penn Neurosurgery PC | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251630719 | Inactive | PA | WPAHS Inc | C Corp | false |
| West Virginia Family Health Plan Inc | |||||||||
| 1219 Virginia Street East | Charleston | WV | 25301 | 452763165 | Insurance | WV | Highmark WV | C Corp | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |