BRADFORD HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BRADFORD HOSPITAL (EIN 25-0965270)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201723199349302842
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T08:42:11-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 160765486 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUMSDEN & MCCORMICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 369 FRANKLIN STREET | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14202 | 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 | 250965270 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADFORD HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRAD | BusinessNameControlTxt |
| Phone | 8143628257 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 116 INTERSTATE PARKWAY | AddressLine1Txt |
| City | BRADFORD | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIMOTHY FINAN | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 7163756190 | PhoneNum |
| Signature | 2017-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J GRIMALDI | PreparerPersonNm |
| PTIN | P01295846 | PTIN |
| Phone | 7168563300 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 38.122.36.250 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-14 | IPDt |
| IP Tm | 16:48:24 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 87273CE15A7E4D536C246F8BF2CA388F6BFCF293 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | ECFD8073557412C3490EDC284AF2457AA53A359D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADFORD REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TIMOTHY FINAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 SOUTH UNION STREET SUITE 300 | AddressLine1Txt |
| City | OLEAN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14760 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $68,164,871 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BRMC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1885 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 635 | TotalEmployeeCnt |
| Total Volunteers | 120 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,200,966 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,551,046 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $62,032,516 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $63,158,031 | CYProgramServiceRevenueAmt |
| PY Investment Income | $224,843 | PYInvestmentIncomeAmt |
| CY Investment Income | -$8,318 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,023,368 | PYOtherRevenueAmt |
| CY Other Revenue | $2,390,341 | CYOtherRevenueAmt |
| PY Total Revenue | $66,481,693 | PYTotalRevenueAmt |
| CY Total Revenue | $68,091,100 | 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 | $32,463,999 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $33,618,553 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $33,780,956 | PYOtherExpensesAmt |
| CY Other Expenses | $34,905,578 | CYOtherExpensesAmt |
| PY Total Expenses | $66,244,955 | PYTotalExpensesAmt |
| CY Total Expenses | $68,524,131 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $236,738 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$433,031 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $173,311,435 | TotalAssetsBOYAmt |
| Total Assets EOY | $48,476,614 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $174,924,937 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $42,481,472 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,613,502 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,995,142 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $54,995,034 | ExpenseAmt |
| Revenue | $63,158,031 | RevenueAmt |
| Desc | IN 2016 BRADFORD REGIONAL MEDICAL CENTER HAD OVER 2,700 ADMISSIONS AND OVER 134,000 OUTPATIENT VISITORS. BRADFORD REGIONAL MEDICAL CENTER OFFERS PATIENTS AND THEIR FAMILIES A FULL RANGE OF DIAGNOSTIC AND MEDICAL SERVICES, AS WELL AS MANY SPECIALTY SERVICES. A WIDE ARRAY OF MULTI-SPECIALTY PHYSICIANS AND CLINICIANS OFFER SERVICES RANGING FROM CANCER, CARDIAC AND VASCULAR CARE, OB/GYN, GENERAL SURGERY, UROLOGY, WOMEN'S HEALTH, INTERNAL MEDICINE, PEDIATRICS, SLEEP MEDICINE, PSYCHIATRIC CARE, PULMONARY MEDICINE, AND COMPREHENSIVE COUNSELING FOR ALCOHOL AND CHEMICAL DEPENDENCY.HIGHLIGHTED BELOW ARE SOME OF THE INITIATIVES THAT WERE REALIZED IN 2016 AT BRMC:2016 FINANCIAL PERFORMANCE- BRMC HAD AN OPERATING LOSS OF ($488K) COMPARED WITH A 2015 GAIN OF $84K. THE OPERATING LOSS WAS THE RESULT OF ONE PRIMARY FACTOR, UPWARD PRESSURE ON KEY OPERATING EXPENSES INCLUDING THE START-UP COSTS ASSOCIATED WITH THE NEW HOSPITALIST PROGRAM AT BRMC. HOSPITALISTS ARE INPATIENT HOSPITAL SPECIALISTS. THE PROGRAM BEGAN IN DECEMBER 2015 BUT 2016, AS THE FIRST FULL YEAR OF THE PROGRAM, HAD A LARGE START-UP COST ASSOCIATED WITH IT.- IN 2016 BRMC'S BOARD OF DIRECTORS VOTED TO BECOME PART OF THE KALEIDA HEALTH SYSTEM, A BUFFALO, NEW YORK-BASED HEALTH SYSTEM. THIS DECISION WAS BASED ON A FIVE YEAR LONG-TERM FINANCIAL PLAN THAT WAS DEVELOPED FOR BRMC AND ITS SISTER HOSPITAL UNDER BRMC'S PARENT COMPANY - UPPER ALLEGHENY HEALTH SYSTEM (UAHS), WHICH DEMONSTRATED A FUTURE INABILITY TO REMAIN FINANCIALLY VIABLE GIVEN THE DOWNWARD PRESSURES ON REVENUE IN THE HEALTH CARE INDUSTRY AS WELL AS RISING COSTS TO PROVIDE CARE. BRMC IS NOT UNIQUE IN THIS VULNERABLE POSITION. HOSPITALS ACROSS AMERICA, ESPECIALLY RURAL HOSPITALS, FACE A DAUNTING CHALLENGE OF SURVIVAL. SIGNIFICANT TIME WAS SPENT ANALYZING BRMC'S AND UAHS' FINANCES AND EVALUATING KALEIDA HEALTH AS A PARTNER. A DECISION TO AFFILIATE WAS MADE IN THE FALL OF 2016. BRMC'S MANAGEMENT EXPECTS THE AFFILIATION TO BE COMPLETED IN 2017. FINANCIAL IMPROVEMENT OF OVER $10M ANNUALLY AT UAHS IS EXPECTED UNDER THE AFFILIATION PLAN.2016 QUALITY MATTERS- PHYSICIAN ELECTRONIC DOCUMENTATION (PDOC)- BRMC BEGAN ROLLING OUT THIS PHYSICIAN DOCUMENTATION SYSTEM THAT THEN FEEDS INTO THE ELECTRONIC HEALTH RECORD OF OUR PATIENTS. THIS IS A SIGNIFICANT CHANGE FROM DICTATING, SCANNING AND COPYING INTO THE ELECTRONIC HEALTH RECORD. THE FULL ROLL-OUT WILL TAKE WELL INTO 2017 TO COMPLETE.- BRMC BEGAN EDUCATION AROUND A "JUST CULTURE ORGANIZATION" IN 2016. THE JUST CULTURE IS A SYSTEM OF SHARED ACCOUNTABILITY WHERE MANAGEMENT IS ACCOUNTABLE FOR THE SYSTEMS THEY HAVE DESIGNED AND TO RESPONDING TO THE BEHAVIORS OF THEIR STAFF IN A FAIR AND EQUITABLE MANNER AND WHERE EMPLOYEES ARE HELD ACCOUNTABLE FOR THE QUALITY OF THEIR CHOICES AND FOR REPORTING ERRORS AND SYSTEM VULNERABILITIES.INFORMATION TECHNOLOGY- BRMC CONTINUED TO EXPAND THE USAGE OF ITS PHYSICIAN DOCUMENTATION SOFTWARE MAKING IT AVAILABLE IN THE EMERGENCY DEPARTMENT. ELECTRONIC PHYSICIAN DOCUMENTATION SYSTEMS HELP STANDARDIZE PHYSICIAN DOCUMENTATION TO ENSURE REQUIRED DATA ELEMENTS ARE CAPTURED AND PATIENT CARE IS DELIVERED IN ACCORDANCE WITH EVIDENCE BASED PRACTICE. ALSO, SINCE DATA IS ENTERED AS DISCRETE ELEMENTS, IT ALLOWS FOR IMPROVED QUALITY REPORTING AND MONITORING. FINALLY, ELECTRONIC PHYSICIAN DOCUMENTATION ELIMINATES THE POTENTIAL FOR TRANSCRIPTION ERRORS. - BRMC EXPANDED THE USAGE OF ITS ELECTRONIC MEDICATION PRESCRIBING SYSTEM (ERX) TO INCLUDE CONTROLLED SUBSTANCES. ERX SYSTEMS ALLOW HEALTH CARE PROVIDERS TO SEND PRESCRIPTIONS ELECTRONICALLY TO A PATIENT'S PHARMACY. E-PRESCRIBING IS CONVENIENT FOR PATIENTS, HELPS REDUCE TRANSCRIPTION ERRORS, AND CAN REDUCE FRAUD ASSOCIATED WITH TRADITIONAL PAPER PRESCRIPTIONS. - BRMC'S TELECOMMUNICATIONS INFRASTRUCTURE WAS UPGRADED TO AVAYA'S VOIP PLATFORM. THIS IMPROVED THE RELIABILITY OF THE SYSTEM AND ALLOWED BRMC TO UTILIZE MODERN PHONE SYSTEM FEATURES INCLUDING VOICE OVER IP, TELE-PRESENCE, CALL CENTERS, ETC.- BRMC IMPLEMENTED THE MEDITECH EMERGENCY DEPARTMENT MANAGEMENT SOLUTION. THIS ALLOWS ALL CARE PROVIDERS TO DOCUMENT IN THE SAME ELECTRONIC HEALTH RECORD (EHR) THUS ENSURING EVERYONE INVOLVED IN THE PATIENT'S CARE HAS IMMEDIATE ACCESS TO THE LATEST CLINICAL DATA.. IT ELIMINATED THE NEED FOR STAFF TO DOCUMENT THE SAME INFORMATION IN TWO SEPARATE SYSTEMS THEREBY ELIMINATING TRANSCRIPTION ERRORS. ALSO, BY CENTRALIZING ALL DATA INTO MEDITECH, IT WILL ALLOW UAHS TO CREATE ENHANCED DATA REPORTS THAT INCORPORATE CLINICAL DATA FROM BOTH THE ED AND INPATIENT STAY.OPERATIONS/PROGRAMS- A COMPREHENSIVE PROGRAM OF EMPLOYEE ENGAGEMENT WAS ORGANIZED AND IMPLEMENTED AT BRMC. THE PROGRAM ACKNOWLEDGES THE VALUE OF EACH AND EVERY EMPLOYEE IN TAKING CARE OF OUR PATIENTS AND PROVIDES AN OPPORTUNITY TO INTERACT WITH EMPLOYEES AS THEY DO THEIR JOBS. | Desc |
| Total Program Service Expenses | $54,995,034 | 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 | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | 78 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 635 | 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 | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHARD G BRAUN JR CPA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7163756190 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 SOUTH UNION STREET SUITE 300 | AddressLine1Txt |
| City | OLEAN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14760 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TIMOTHY FINAN | ||||||||
| PRESIDENT AND CEO | 14.00 | 26.00 | Yes (X) | Yes (X) | $251,621 | $428,437 | $59,778 | |
| BRENDA MCGEE | ||||||||
| BOARD CHAIR | 2.00 | 4.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MUHAMMED JAVED MD | ||||||||
| BOARD VICE CHAIR | 2.00 | 3.50 | Yes (X) | Yes (X) | $0 | $70,200 | $0 | |
| RICHARD ROUPE | ||||||||
| BOARD SECRETARY | 2.00 | 3.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARTIN DIGEL | ||||||||
| BOARD TREASURER | 2.00 | 3.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LIVINGSTON ALEXANDER EDD | ||||||||
| DIRECTOR | 2.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||
| JEFF BELT | ||||||||
| DIRECTOR | 2.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS BUFFAMANTE | ||||||||
| DIRECTOR | 2.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||
| PIERRE DIONNE MD | ||||||||
| DIRECTOR | 2.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||
| LISA FIORENTINO PHD RN | ||||||||
| DIRECTOR | 2.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||
| LUIS GONZALEZ MD | ||||||||
| DIRECTOR | 2.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL MCCUNE | ||||||||
| DIRECTOR | 2.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||
| JILL OWENS MD | ||||||||
| DIRECTOR | 2.00 | 3.50 | Yes (X) | $148,333 | $0 | $0 | ||
| DAVID PRINCE | ||||||||
| DIRECTOR | 2.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||
| LYNDA QUICK | ||||||||
| DIRECTOR | 2.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||
| JEANNINE SCHOENECKER | ||||||||
| DIRECTOR | 2.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||
| MELISSA SCHOLL OSF | ||||||||
| DIRECTOR | 2.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD G BRAUN JR | ||||||||
| SENIOR VP OF FINANCE/CFO | 14.00 | 25.00 | Yes (X) | $133,824 | $227,862 | $50,989 | ||
| TIMOTHY MCNAMARA | ||||||||
| SENIOR VP OF HUMAN RESOURC | 14.00 | 24.50 | Yes (X) | $91,232 | $155,340 | $53,373 | ||
| DR WILLIAM MILLS | ||||||||
| VP OF MEDICAL AFFAIRS | 14.00 | 24.50 | Yes (X) | $116,645 | $198,613 | $43,269 | ||
| JASON YAWORSKY | ||||||||
| SENIOR VP/CIO | 14.00 | 24.50 | Yes (X) | $85,000 | $144,729 | $55,326 | ||
| GAIL BAGAZZOLI | ||||||||
| VP OF QUALITY | 14.00 | 24.50 | Yes (X) | $54,843 | $93,380 | $37,335 | ||
| DENNIS MCCARTHY | ||||||||
| VP OF COMMUNICATIONS & MAR | 14.00 | 24.50 | Yes (X) | $52,038 | $88,605 | $44,683 | ||
| JEFFREY ZEWE | ||||||||
| SENIOR VP OF NURSING PATIE | 14.00 | 24.00 | Yes (X) | $113,042 | $192,478 | $56,112 | ||
| BASIL ARIGLIO | ||||||||
| VP OF FINANCE | 14.00 | 24.50 | Yes (X) | $61,303 | $104,380 | $39,494 | ||
| MELISSA SULLIVAN | ||||||||
| VP OF CLINICAL & SUPPORT S | 14.00 | 24.50 | Yes (X) | $52,278 | $89,013 | $38,683 | ||
| JASON KINKARTZ | ||||||||
| PHYSICIAN | 37.50 | $401,174 | $0 | $24,058 | Yes (X) | |||
| DAVID GODFREY | ||||||||
| PHYSICIAN | 37.50 | $431,490 | $0 | $35,780 | Yes (X) | |||
| SYED ALLY | ||||||||
| CHIEF OF PATHOLOGY | 37.50 | $343,039 | $0 | $33,130 | Yes (X) | |||
| RHONDA PENA | ||||||||
| PHYSICIAN | 37.50 | $338,193 | $0 | $13,698 | Yes (X) | |||
| ARIS GREDZEN | ||||||||
| PHYSICIAN | 37.50 | $306,668 | $0 | $26,011 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,980,723 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,793,037 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $611,719 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 33 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OLEAN GENERAL HOSPITAL | |||||
| 234 HOMER STREET | OLEAN | NY | 14760 | SHARED SERVICES | $3,193,243 |
| PA MOUNTAIN HEALTHCARE ALLIANCE LLC | |||||
| 150 MCCRACKEN RUN ROAD | DUBOIS | PA | 15801 | HEALTH INSURANCE | $2,793,378 |
| COMPLETERX LTD | |||||
| 3100 S GESSNER SUITE 640 | HOUSTON | TX | 77063 | PHARMACY SERVICES | $1,982,493 |
| APOGEE PHYSICIANS | |||||
| 15059 N SCOTTSDALE ROAD SUITE 600 | SCOTTSDALE | AZ | 85254 | PHYSICIANS AND HOSPITALISTS | $1,104,145 |
| ARAMARK SERVICES INC | |||||
| PO BOX 7548 | PHILADELPHIA | PA | 19101 | FOOD SERVICE | $744,492 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $343,115 | RelatedOrganizationsAmt |
| Government Grants | $1,000,000 | GovernmentGrantsAmt |
| All Other Contributions | $1,207,931 | AllOtherContributionsAmt |
| Noncash Contributions | $1,188,146 | NoncashContributionsAmt |
| Total Contributions | $2,551,046 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $63,158,031 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,158,031 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $63,158,031 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,318 | TotalRevenueColumnAmt |
| Exclusion | -$8,318 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $380,936 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $73,771 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $307,165 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $307,165 | TotalRevenueColumnAmt |
| Exclusion | $307,165 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| REBATES | 900099 | $819,442 | $819,442 |
| MISCELLANEOUS | 900099 | $626,385 | $626,385 |
| WIC REVENUE | 900099 | $256,318 | $256,318 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $381,031 | TotalRevenueColumnAmt |
| Exclusion | $381,031 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,083,176 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,091,100 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,158,031 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,382,023 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,337,403 | TotalAmt |
| Program Services | $148,333 | ProgramServicesAmt |
| Management And General | $1,189,070 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,638,070 | TotalAmt |
| Program Services | $21,905,653 | ProgramServicesAmt |
| Management And General | $3,732,417 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,475,481 | TotalAmt |
| Program Services | $1,475,481 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,434,044 | TotalAmt |
| Program Services | $2,452,424 | ProgramServicesAmt |
| Management And General | $981,620 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,733,555 | TotalAmt |
| Program Services | $1,733,555 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,916 | TotalAmt |
| Management And General | $157,916 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,831,446 | TotalAmt |
| Program Services | $2,758,173 | ProgramServicesAmt |
| Management And General | $73,273 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,249 | TotalAmt |
| Program Services | $252,249 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,572,882 | TotalAmt |
| Program Services | $8,369,284 | ProgramServicesAmt |
| Management And General | $203,598 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,563 | TotalAmt |
| Management And General | $125,563 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $880,912 | TotalAmt |
| Management And General | $880,912 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,112,241 | TotalAmt |
| Program Services | $2,178,569 | ProgramServicesAmt |
| Management And General | $933,672 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,247,360 | TotalAmt |
| Program Services | $13,646 | ProgramServicesAmt |
| Management And General | $1,233,714 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $7,524,598 | $7,524,598 | |
| OTHER | $6,830,520 | $3,104,059 | $3,726,461 |
| LEASE/RENT | $1,850,734 | $1,559,853 | $290,881 |
| PROVISION FOR BAD DEBTS | $1,181,527 | $1,181,527 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $337,630 | TotalAmt |
| Program Services | $337,630 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,524,131 | TotalAmt |
| Program Services | $54,995,034 | ProgramServicesAmt |
| Management And General | $13,529,097 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,750 | BOYAmt |
| EOY | $2,400 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $711,316 | BOYAmt |
| EOY | $1,101,406 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,133,954 | BOYAmt |
| EOY | $6,585,933 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,697,521 | BOYAmt |
| EOY | $1,626,104 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $721,905 | BOYAmt |
| EOY | $643,069 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $76,280,228 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $50,875,401 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,870,874 | BOYAmt |
| EOY | $25,404,827 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,173,115 | BOYAmt |
| EOY | $13,112,875 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,311,435 | BOYAmt |
| EOY | $48,476,614 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,176,914 | BOYAmt |
| EOY | $10,228,788 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,490,000 | BOYAmt |
| EOY | $13,345,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,199,283 | BOYAmt |
| EOY | $3,091,693 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,058,740 | BOYAmt |
| EOY | $15,815,991 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,924,937 | BOYAmt |
| EOY | $42,481,472 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,755,772 | BOYAmt |
| EOY | $5,852,872 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,270 | BOYAmt |
| EOY | $142,270 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,613,502 | BOYAmt |
| EOY | $5,995,142 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,311,435 | BOYAmt |
| EOY | $48,476,614 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$433,031 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $128,023 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $7,913,652 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $338,904 | OtherCostOrOtherBasisAmt |
| Book Value | $338,904 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,020,766 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,208,239 | DepreciationAmt |
| Book Value | $18,812,527 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,177,513 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,459,779 | DepreciationAmt |
| Book Value | $717,734 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,677,248 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,207,383 | DepreciationAmt |
| Book Value | $5,469,865 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,797 | OtherCostOrOtherBasisAmt |
| Book Value | $65,797 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,404,827 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $1,902,109 |
| DUE FROM RELATED PARTIES | $1,245,034 |
| OTHER ASSETS | $978,764 |
| ASSETS LIMITED AS TO USE | $8,559,807 |
| DUE FROM THIRD-PARTY PAYORS | $427,161 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $13,112,875 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION LIABILITY | $15,167,076 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $369,127 |
| DUE TO RELATED PARTIES | $279,788 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,815,991 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 400.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,123,896 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $64,943 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,058,953 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,397,090 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,401,498 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,995,592 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04450 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,520,986 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,466,441 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,054,545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07510 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 27 | ActivitiesOrProgramsCnt |
| Persons Served | 7198 | PersonsServedCnt |
| Total Community Benefit Expns | $251,700 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,567 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $221,133 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 25 | PersonsServedCnt |
| Total Community Benefit Expns | $604,071 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $292,320 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $311,751 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 29 | ActivitiesOrProgramsCnt |
| Persons Served | 7223 | PersonsServedCnt |
| Total Community Benefit Expns | $855,771 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $322,887 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $532,884 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00790 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 29 | ActivitiesOrProgramsCnt |
| Persons Served | 7223 | PersonsServedCnt |
| Total Community Benefit Expns | $18,376,757 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,789,328 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,587,429 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08300 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,181,527 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $193,446 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,925,716 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,161,888 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $763,828 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | OtherOtherDesc |
|---|---|---|---|---|---|---|
| BRADFORD REGIONAL MEDICAL CENTER | ||||||
| 1 | 116 INTERSTATE PARKWAY | BRADFORD | PA | 16701 | Yes (X) | |
| VNA | ||||||
| 2 | 20 SCHOOL STREET | BRADFORD | PA | 16701 | VISITING NURSING | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADFORD REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BRMC.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.BRMC.COM | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 400.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.BRMC.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.BRMC.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.BRMC.COM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BRADFORD REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 3J: THE HOSPITAL COMPLETED ITS 2015 COMMUNITY HEALTH NEEDS ASSESSMENT IN OCTOBER, 2015, WHICH IS IN FULL COMPLIANCE WITH THE CURRENT STANDARDS UNDER PART V, INCLUDING QUESTIONS 3 A-I, AND QUESTIONS 5, 7, 8 AND 10. |
| BRADFORD REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 5: THE DESCRIPTION OF INPUT FROM PERSONS REPRESENTING A BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING SPECIFIC STAKEHOLDER INTERVIEWS ARE PRESENTED ON PAGES 7-14 OF THE BRMC 2015 - 2017 CHNA. |
| BRADFORD REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 6B: THOSE PARTICIPATING INCLUDED YMCA/YWCA, TRANSPORTATION, PA DEPARTMENT OF HEALTH, BRADFORD SCHOOL DISTRICT, VISITING NURSES ASSOCIATION, UNITED WAY, HOMELESSNESS/LOW INCOME COMMUNITY ORGANIZATIONS, ALCOHOL AND DRUG ABUSE, DENTAL SERVICE PROVIDERS, LAW ENFORCEMENT, CHILDREN AND YOUTH SERVICES, AGING POPULATION, MANUFACTURING COMPANIES, EMERGENCY SERVICES ORGANIZATIONS, FINANCIAL SERVICE ORGANIZATIONS. A COMPLETE LIST OF ORGANIZATIONS PARTICIPATING IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE LISTED IN 2015 BRMC COMMUNITY HEALTH NEEDS ASSESSMENT. |
| BRADFORD REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 11: THE HOSPITAL IS ADDRESSING NEEDS THROUGH ITS 2015-2017 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7G: | SUBSIDIZED PROGRAMS ARE NOT RECORDED AT THIS LEVEL OF DETAIL. ALL COSTS ASSOCIATED WITH THESE PROGRAMS, INCLUDING IP PSYCHIATRIC DEPARTMENT, EMERGENCY DEPARTMENT AND VARIOUS PRIMARY CARE/SPECIALTY CLINICS ARE INCLUDED IN THE AMOUNTS PROVIDED. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,181,527. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | A RECENT PHYSICIAN WORKFORCE ANALYSIS DEMONSTRATED THAT THE BRADFORD AREA HAS SIGNIFICANT PRIMARY CARE AND SPECIALIST CARE SHORTAGES, RESULTING IN LIMITED ACCESS TO CARE FOR PATIENTS. BASED UPON A BENCHMARK OF 61.5 PRIMARY CARE PHYSICIANS PER 100,000 POPULATIONS, BRMC'S SERVICE AREA HAS A CURRENT NEED OF 5.2 PRIMARY CARE PHYSICIANS OVER THE NEXT FIVE YEARS. THE BRMC SERVICE AREA ALSO HAS SIGNIFICANT NEED FOR SPECIALISTS. THE CURRENT MEDICAL SPECIALTY NEEDS ARE DERMATOLOGY AND NEUROLOGY. IN THE NEXT FIVE YEARS, GASTROENTEROLOGY, OCCUPATIONAL MEDICINE AND ONCOLOGY WILL BE POTENTIAL NEEDS. THE HOSPITAL PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS THROUGH AFFILIATION AGREEMENTS WITH AREA COLLEGES AND UNIVERSITITIES. |
| PART III, LINE 3: | THE RATIONALE USED TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PLAN WAS DETERMINED BY USING THE AVERAGE POVERTY LEVEL OF THE LARGEST SERVICE AREAS COVERED BY THE HOSPITAL. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS NOT YET PAID, OR PAYORS WHO ARE KNOWN TO HAVE FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| PART III, LINE 8: | THE ALLOWABLE COSTS REPORTED ON LINE 6 ARE DIRECTLY FROM THE HOSPITAL'S 2016 MEDICARE COST REPORT, WHICH IS PREPARED USING A RATIO OF CHARGES TO COSTS BASIS (RCC) AS REQUIRED BY MEDICARE. |
| PART III, LINE 9B: | COLLECTION PRACTICES:I) BRMC WILL NOT CAUSE THE FORCED SALE OR FORECLOSURE ON A PATIENT'S PRIMARY RESIDENCE.II) BRMC WILL NOT SEND ACCOUNT TO COLLECTION IF THE PATIENT HAS SUBMITTED A COMPLETED APPLICATION FOR FINANCIAL ASSISTANCE, INCLUDING THE REQUIRED DOCUMENTATION, WHILE AN APPLICATION IS PENDING.III) BRMC WILL PROVIDE WRITTEN NOTIFICATION TO A PATIENT AT LEAST 30-DAYS BEFORE AN ACCOUNT IS SENT TO COLLECTION. THIS WRITTEN NOTICE MAY BE INCLUDED ON A BILL. IV) BRMC REQUIRES THAT A COLLECTION AGENCY HAVE ITS WRITTEN CONSENT PRIOR TO STARTING LEGAL ACTION FOR COLLECTION.V) BRMC WILL TRAIN ALL GENERAL HOSPITAL STAFF WHO INTERACT WITH PATIENTS OR HAVE RESPONSIBILITY FOR BILLING AND COLLECTION.VI) BRMC WILL MEASURE OUR COMPLIANCE WITH THESE POLICES.VII) BRMC REQUIRES ANY COLLECTION AGENCY UNDER CONTRACT TO FOLLOW OUR FINANCIAL ASSISTANCE POLICY AND PROVIDES INFORMATION TO PATIENT'S ON HOW TO APPLY, WHERE APPROPRIATE.VIII) BRMC DOES NOT ALLOW COLLECTION ACTIVITY IF THE PATIENT IS DETERMINED ELIGIBLE FOR MEDICAID FOR THE SERVICES THAT WERE RENDERED AND BRMC IS ABLE TO COLLECT MEDICAID PAYMENT. |
| PART VI, LINE 2: | THE STRATEGIC PLANNING COMMITTEE OF BRMC IS CHARGED WITH DEVELOPING A LONG-RANGE STRATEGIC PLAN FOR THE MEDICAL CENTER. THE PURPOSE OF THE PLAN IS TO PROVIDE DIRECTION AND CONTEXT FOR HOSPITAL DECISION MAKING AND RESOURCE ALLOCATION CONSISTENT WITH LOCAL HEALTH CARE NEEDS AND MARKET OPPORTUNITIES. TO ACCOMPLISH THIS TASK, THE COMMITTEE CREATED A COMPREHENSIVE, PARTICIPATORY PROCESS TO SOLICIT INPUT FROM ALL LEVELS OF THE ORGANIZATION AND THE COMMUNITY. A MULTI-STEP PLANNING PROCESS WAS INITIATED.STEP 1 INVOLVED THE REVIEW AND REVISION OF THE HOSPITAL'S MISSION AND VISION STATEMENTS. BOTH STATEMENTS WERE MODIFIED FROM WHAT HAD PREVIOUSLY EXISTED. A CONCISE, VALUE DRIVEN MISSION STATEMENT WAS DEVELOPED IN RESPONSE TO THE NEED FOR MISSION STATEMENTS TO DESCRIBE "WHO WE ARE." ADDITIONALLY, SEVERAL CORE VALUES WERE DELINEATED IN SUPPORT OF THE MISSION STATEMENT. THE VISION STATEMENT WAS DEVELOPED IN RESPONSE TO THE QUESTION OF "WHAT DO WE WISH TO BECOME" WITH THE UNDERSTANDING THAT VISION STATEMENTS SHOULD BE REALISTIC, CREDIBLE, AND POSSESS THE ABILITY TO INSPIRE AND MOTIVATE.STEP 2 IDENTIFIED A SERIES OF CRITICAL ISSUES FACING THE HOSPITAL THAT WILL PROVIDE THE CONTEXT FOR THE HOSPITAL'S NEAR TERM OPERATINGENVIRONMENT WITH RESPECT TO CARE DELIVERY, REGULATION, COMPETITION, FINANCE AND KEY PUBLICS.STEP 3 INVOLVED THE DEVELOPMENT OF A COMPREHENSIVE ENVIRONMENTAL ANALYSIS,INCLUDING AN INTERNAL AND EXTERNAL ASSESSMENT OF THE HOSPITAL. THEINTERNAL ASSESSMENT WAS PROVIDED VIA MULTIPLE FOCUS GROUPS - OPENDISCUSSIONS ABOUT THE HOSPITAL'S STRENGTHS, WEAKNESSES, OPPORTUNITIES AND THREATS. THESE FOCUS GROUPS, FACILITATED BY AN OUTSIDE CONSULTANT RETAINED BY THE HOSPITAL, PROVIDED INPUT FROM PHYSICIANS, EMPLOYEES, VOLUNTEERS AND THE COMMUNITY AND PROVIDED SIGNIFICANT INSIGHT INTO STRENGTHS, WEAKNESSES, AND OPPORTUNITIES FOR IMPROVEMENT. THE EXTERNAL ASSESSMENT WAS DEVELOPED FROM THE COMPILATION OF UTILIZATION, MARKET SHARE DEMOGRAPHIC AND FINANCIAL DATA AND PHYSICIAN WORKFORCE INFORMATION SPECIFIC TO THE HOSPITAL'S SERVICE AREA.STEPS 4, 5 AND 6 IDENTIFIED GOALS, STRATEGIES, AND OBJECTIVES THAT WILLSERVE AS THE HOSPITAL'S PRIORITIES THROUGH 2019. THE PLAN WASREVIEWED IN JUNE 2016 AND INITIATIVES ADDED THAT WERE CARRIED OUT IN 2016.GOALS RESPOND TO THE QUESTION "WHAT ARE THE KEY PRIORITIES?" A SERIES OFSTRATEGIES WERE DEVELOPED WHICH RESPOND TO THE QUESTION "HOW DO WE ACHIEVEOUR PRIORITIES?" FINALLY, A NUMBER OF SPECIFIC OBJECTIVES WERE DEVELOPEDWHICH RESPOND TO THE QUESTION "WHAT WILL BE ACCOMPLISHED ANNUALLY?"OBJECTIVES WERE GENERATED BY SENIOR MANAGEMENT AND FORM THE BASIS FOR NEARTERM ADMINISTRATIVE WORKPLANS.ESSENTIAL TO THE SUCCESS OF ANY STRATEGIC PLAN IS THE HOSPITAL'S ABILITY TO BOTH IMPLEMENT RECOMMENDATIONS MADE WITHIN THE PLAN AND TO RECOGNIZE THE DOCUMENT AS A DYNAMIC AND FLEXIBLE TOOL TO BE USED AS A GUIDE FOR THE FUTURE. SPECIFIC GOALS AND STRATEGIES MAY OR MAY NOT BE OBTAINED AND, UPON EVALUATION AND THE AVAILABILITY OF NEW INFORMATION AND DEVELOPMENTS, MAY NEED TO BE MODIFIED. A SUCCESSFUL STRATEGIC PLAN RECOGNIZES THIS POTENTIAL FOR CHANGE AND IS FLEXIBLE ENOUGH TO ACCOMMODATE NEW OR DIFFERENT OPPORTUNITIES AND CHALLENGES.CRITICAL HEALTH CARE ISSUESTHE ENACTED HEALTHCARE REFORM LEGISLATION UNDERSCORES MANY OF THESIGNIFICANT ISSUES CURRENTLY FACING HOSPITALS. FOLLOWING IS LISTING OFCRITICAL ISSUES THAT WILL IMPACT HOSPITALS OVER THE NEXT SEVERAL YEARS.1. QUALITY: HEALTH CARE QUALITY AND SAFETY ARE NOW STRATEGICALLY IMPORTANT, NOT JUST PROFESSIONALLY IMPORTANT. THE ADVENT OF WIDESPREADPUBLIC REPORTING OF HOSPITAL QUALITY RESULTS ASSURES THAT A HOSPITAL'SQUALITY PERFORMANCE IS NO LONGER ONLY VISIBLE TO THE DIRECTOR OF QUALITY,QA COMMITTEE MEMBERS AND VARIOUS REGULATORS. THE NET EFFECT OF THISTRANSPARENCY TREND OVER THE NEXT 5 YEARS WILL BE THAT THE DEFINITION OF A"GOOD HOSPITAL" WILL SHIFT SIGNIFICANTLY. NO LONGER WILL IT BE ENOUGH TOHAVE ATTRACTIVE FACILITIES, GOOD TECHNOLOGIES AND SKILLED DOCTORS ANDNURSES. HOSPITALS WILL NEED TO MARSHAL THOSE RESOURCES INTO A QUALITY ANDSAFETY SYSTEM CAPABLE OF RELIABLY PRODUCING MEASURED QUALITY RESULTS.PROVIDER PAYMENTS WILL INCREASINGLY BE A FUNCTION OF QUALITY OUTCOMES ANDQUALITY BONUSES WILL BE DRAWN FROM ANNUAL PAYMENT UPDATES. INFORMATIONSYSTEMS CAPABLE OF PROVIDING VALID AND RELIABLE QUALITY AND OUTCOMEINDICATORS WILL BE A NECESSITY AS WILL THE USE OF EVIDENCE BASEDGUIDELINES BY CLINICAL PROVIDERS. CONSUMERS WILL SEEK AND USE PERFORMANCEINFORMATION, INCLUDING PATIENT SATISFACTION INFORMATION, TO GUIDE THEIRCHOICE OF PROVIDERS.2. INFORMATION TECHNOLOGY: HEALTH INFORMATION TECHNOLOGY INCLUDES COMPUTER BASED TOOLS DEVELOPED SPECIFICALLY FOR HEALTH CARE DELIVERY. THESE TOOLS CAN PROVIDE CLINICIANS UP-TO-DATE INFORMATION ON THEIR PATIENTS, ACCESS TO THE LATEST MEDICAL KNOWLEDGE AND BEST PRACTICES THROUGH DECISION SUPPORT SYSTEMS. IT IS UNDERSTOOD THAT INVESTMENTS IN NEW CLINICAL AND INFORMATION TECHNOLOGY CAN SIGNIFICANTLY ENHANCE PATIENT SAFETY AND CLINICAL OUTCOMES. COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE), BAR CODING AND ITS POTENTIAL TO REDUCE MEDICATION ERRORS, AND ELECTRONIC MEDICAL RECORDS (EMRS) AND THEIR POSITIVE IMPACT ON MEDICAL ERRORS ARE ALL EXAMPLES OF HEALTH CARE'S USE OF IT SOLUTIONS TO IMPROVE QUALITY. THE FEDERAL GOVERNMENT HAS HIGHLIGHTED THE ROLE OF HEALTH INFORMATION TECHNOLOGY AS A MEANS TO IMPROVE HEALTH CARE QUALITY, SAFETY AND NOW IS PROVIDING STIMULUS AND INCENTIVE PAYMENTS TO PROVIDERS TO FACILITATE AND HASTEN THEIR ADOPTION INTO THE CARE DELIVERY PROCESS. EMR'S WILL BECOME A PREREQUISITE OF ANY DELIVERY SYSTEM THAT INTENDS TO PROVIDE COORDINATED COST EFFECTIVE CARE.3. PHYSICIANS: PHYSICIANS HAVE EMERGED AS CRITICAL OPERATIONAL ANDSTRATEGIC PARTNERS TO HOSPITALS. THOSE THAT ARE SUCCESSFUL IN ENGAGING ANDCOLLABORATING WITH THEIR MEDICAL STAFF WILL BE BEST ABLE TO DEMONSTRATEHIGH QUALITY CARE AND COMPLIANCE WITH HEALTH REFORM'S VALUE BASEDPURCHASING AND OTHER QUALITY MANDATES. ADDITIONALLY, GIVEN THE INCREASEIN DEMAND FOR HEALTHCARE SERVICES THAT WILL BE OCCASIONED BY REFORM, THEABILITY TO SUCCESSFULLY RECRUIT PHYSICIANS WILL BE CRITICAL. AT A TIMEWHEN HEALTHCARE REFORM INITIATIVES EMPHASIZE THE ROLE OF PRIMARY CARE,THERE IS A SPECIAL NEED TO INTENSIFY EFFORTS TO RECRUIT PRIMARY CAREPROVIDERS. BECAUSE THE VAST MAJORITY OF NEW PHYSICIANS PREFER EMPLOYMENTAS THEIR PRACTICE PREFERENCE, THE ABILITY OF HOSPITALS TO BE ABLE TO OFFERPHYSICIANS A CONTEMPORARY AND COMPETITIVE "EMPLOYMENT PLATFORM" ISESSENTIAL.4. FINANCE AND CAPITAL: FINANCIAL PERFORMANCE AND ACCESS TO CAPITAL WILL CONTINUE TO BE AMONG THE MOST CRITICAL ISSUES CONFRONTING HOSPITALS. EVEN WITH HEALTHCARE REFORM, HEALTHCARE COSTS WILL CONTINUE TO OUTPACE INFLATION. INCREASING WAGE AND SALARY COSTS, AND RISING HEALTH CARE COSTSIN GENERAL WILL CONTINUE TO IMPACT OPERATING PERFORMANCE AND PRESSHOSPITALS TO CONTINUE A RELENTLESS FOCUS ON COST MANAGEMENT. ADDITIONALLY,REVENUE STRATEGIES WILL NEED TO BE DEVELOPED TO GENERATE PROFITABLE GROWTHIN PATIENT VOLUME, AS WILL THE NEED TO ENSURE OPTIMAL MANAGEMENT OF ALLREVENUE CYCLE ACTIVITIES. HOSPITALS ARE FACING SIGNIFICANT PAYMENT REDUCTIONS IN TERMS OF DECREASES IN MEDICARE UPDATES, DISPROPORTIONATESHARE, SNF AND HOMECARE PAYMENTS. AS HOSPITALS CONTINUE TO POST LOW OR NOPROFIT MARGINS, INVESTMENT INCOME WILL BE MORE IMPORTANT THAN EVER.HOWEVER, GIVEN THE FACT THAT INVESTMENT INCOME IS A HIGHLY UNCERTAINCOMPONENT OF A HOSPITAL'S OVERALL FINANCIAL HEALTH, HOSPITALS WILL BEDRIVEN TO PURSUE MORE PHILANTHROPY. HOSPITAL CAPITAL SPENDING WILL BEDRIVEN BY GROWING DEMANDS FOR ADVANCED TECHNOLOGY NEEDED TO ENSURE PATIENTQUALITY AND SAFETY, THE NEED TO REPLACE AND UPDATE AGING FACILITIES, ANDTHE DESIRE AND NEED TO IMPROVE TECHNOLOGY BASED SERVICES.IN 2016 BRMC'S BOARD OF DIRECTORS VOTED TO BECOME PART OF THE KALEIDA HEALTH SYSTEM, A BUFFALO, NEW YORK-BASED HEALTH SYSTEM. THIS DECISION WAS BASED ON A FIVE YEAR LONG-TERM FINANCIAL PLAN THAT WAS DEVELOPED FOR BRMC AND ITS SISTER HOSPITAL UNDER BRMC'S PARENT COMPANY- UPPER ALLEGHENY HEALTH SYSTEM (UAHS), WHICH DEMONSTRATED A FUTURE INABILITY TO REMAIN FINANCIALLY VIABLE GIVEN THE DOWNWARD PRESSURES ON REVENUE IN THE HEALTH CARE INDUSTRY AS WELL AS RISING COSTS TO PROVIDE CARE. BRMC IS NOT UNIQUE IN THIS VULNERABLE POSITION. HOSPITALS ACROSS AMERICA, ESPECIALLY RURAL HOSPITALS, FACE A DAUNTING CHALLENGE OF SURVIVAL. SIGNIFICANT TIME WAS SPENT ANALYZING BRMC'S AND UAHS' FINANCES AND EVALUATING KALEIDA HEALTH AS A PARTNER. A DECISION TO AFFILIATE WAS MADE IN THE FALL OF 2016. BRMC'S MANAGEMENT EXPECTS THE AFFILIATION TO BE COMPLETED IN 2017. FINANCIAL IMPROVEMENT OF OVER $10M ANNUALLY AT UAHS IS EXPECTED UNDER THE AFFILIATION PLAN.SEE CONTINUATION AT THE END OF PART VI. |
| PART VI, LINE 3: | INSURANCE INFORMATION IS GATHERED DURING THE SCHEDULING AND/ORREGISTRATION PROCESS. IF THE PATIENT INDICATES THAT THEY HAVE NOINSURANCE, REGISTRATION STAFF WILL ASK THE PATIENT FOR PERMISSION TOTRANSFER THEM TO KEYSTONE FOR ASSISTANCE WITH SCREENING FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS. KEYSTONE PERSONNEL WILL CONTACT THE PATIENT AND DISCUSS OPTIONS, INCLUDING THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ALL REGISTRATION, CARE MANAGEMENT AND BILLING PERSONNEL ARE EDUCATED ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND CAN DISCUSS AND SHARE INFORMATION WITH PATIENTS AT ANY TIME BEFORE, DURING OR AFTER THE EPISODE OF CARE. BILLING STATEMENTS CONTAIN THE FOLLOWING MESSAGE: IF YOU HAVE ANY QUESTIONS OR WOULD LIKE TO APPLY FOR OUR FINANCIAL ASSISTANCE PROGRAM, PLEASE CALL OUR OFFICE AT ...". THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL WEBSITE TO HELP EDUCATE THE PUBLIC. |
| PART VI, LINE 4: | BRADFORD REGIONAL MEDICAL CENTER IS LOCATED IN BRADFORD, PENNSYLVANIA, THE LARGEST CITY IN MCKEAN COUNTY. THE HOSPITAL SERVES APPROXIMATELY 55,000 RESIDENTS OF MCKEAN COUNTY AND THE SURROUNDING AREA. THE POPULATION OF THE AREA IS DISTRIBUTED AS FOLLOWS: 20% UNDER THE AGE OF 18, 60% AGE 18 TO 64 AND 20% 65 AND OLDER. THE ANNUAL HOUSEHOLD INCOME WAS DISTRIBUTED AS FOLLOWS: 28% EARNING LESS THAN $25K; 30% EARNING BETWEEN $25-$50K, AND 24% EARNING $50K OR HIGHER. |
| PART VI, LINE 6: | BRADFORD REGIONAL MEDICAL CENTER IS PART OF THE UPPER ALLEGHENY HEALTH SYSTEM (UAHS), AN INTEGRATION OF TWO REGIONAL HOSPITALS UNDER A COMMON PARENT ORGANIZATION. UAHS HAS A MISSION OF COLLABORATIVE HEALTH CARE IN THE TWO COMMUNITIES SERVED BY THE INTEGRATED HOSPITALS TO MEET THE HEALTH CARE NEEDS OF THE RESIDENTS AND SURROUNDING AREAS. THIS INTEGRATION ALSO ALLOWS BOTH HOSPITALS TO REALIZE MORE ROBUST PURCHASING POWER AND PHYSICIAN RECRUITMENT OPPORTUNITIES THAN EITHER HOSPITAL COULD GENERATE ON THEIR OWN. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | PA |
| PART VI, LINE 2 | 5. RISK MANAGEMENT AND COMPLIANCE: HEALTHCARE'S TECHNOLOGY HAS NEVER BEEN MORE COMPLICATED, PATIENTS' DEMANDS HIGHER, AND THE BUSINESS CHALLENGES GREATER. ACCORDINGLY, COMPREHENSIVE RISK MANAGEMENT PROGRAM ARE ESSENTIAL IN ASSURING CARE DELIVERY SYSTEMS THAT ARE HIGHLY EFFECTIVE IN TERMS OF ASSURING APPROPRIATE LEVELS OF PATIENT SAFETY AND QUALITY. THE DEPARTMENT OF JUSTICE ESTIMATES THAT THE FEDERAL GOVERNMENT LOSES BILLIONS OF DOLLARS ANNUALLY IN HEALTH CARE FRAUD. CONSEQUENTLY, THE GOVERNMENT'S HEALTHCARE FRAUD ENFORCEMENT ACTIVITIES WITH RESPECT TO ALL HEALTHCARE PROVIDERS CONTINUE TO GROW AND EXPAND. WELL ESTABLISHED CORPORATE COMPLIANCE PROGRAMS ARE ESSENTIAL IN TERMS OF ALLOWING HOSPITALS TO IDENTIFY POTENTIAL AREAS OF LIABILITY AND TO CORRECT PROBLEMS.6. NURSING: NURSES AND NURSING CARE ARE CENTRAL TO THE DELIVERY OF SAFE AND EFFECTIVE PATIENT CARE. ACCORDINGLY, ENSURING AN ADEQUATE NURSINGWORKFORCE AND CREATING A WORK ENVIRONMENT THAT SUPPORTS NURSING PRACTICEAND INTERDISCIPLINARY COLLABORATION ARE IMPORTANT PRIORITIES FOR HOSPITALS TODAY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY FINAN | ||||||||||||||
| PRESIDENT AND CEO | $251,621 | $428,437 | $0 | $0 | $0 | $0 | $6,232 | $10,611 | $15,886 | $27,049 | $273,739 | $466,097 | $0 | $0 |
| RICHARD G BRAUN JR | ||||||||||||||
| SENIOR VP OF FINANCE/CFO | $133,824 | $227,862 | $0 | $0 | $0 | $0 | $5,742 | $9,776 | $13,124 | $22,347 | $152,690 | $259,985 | $0 | $0 |
| TIMOTHY MCNAMARA | ||||||||||||||
| SENIOR VP OF HUMAN RESOURC | $91,232 | $155,340 | $0 | $0 | $0 | $0 | $5,134 | $8,743 | $14,614 | $24,882 | $110,980 | $188,965 | $0 | $0 |
| DR WILLIAM MILLS | ||||||||||||||
| VP OF MEDICAL AFFAIRS | $116,645 | $198,613 | $0 | $0 | $0 | $0 | $5,741 | $9,776 | $10,268 | $17,484 | $132,654 | $225,873 | $0 | $0 |
| JASON YAWORSKY | ||||||||||||||
| SENIOR VP/CIO | $85,000 | $144,729 | $0 | $0 | $0 | $0 | $5,895 | $10,037 | $14,576 | $24,818 | $105,471 | $179,584 | $0 | $0 |
| GAIL BAGAZZOLI | ||||||||||||||
| VP OF QUALITY | $54,843 | $93,380 | $0 | $0 | $0 | $0 | $3,343 | $5,692 | $10,471 | $17,829 | $68,657 | $116,901 | $0 | $0 |
| DENNIS MCCARTHY | ||||||||||||||
| VP OF COMMUNICATIONS & MAR | $52,038 | $88,605 | $0 | $0 | $0 | $0 | $2,224 | $3,787 | $14,309 | $24,363 | $68,571 | $116,755 | $0 | $0 |
| JEFFREY ZEWE | ||||||||||||||
| SENIOR VP OF NURSING PATIE | $113,042 | $192,478 | $0 | $0 | $0 | $0 | $5,740 | $9,774 | $15,021 | $25,577 | $133,803 | $227,829 | $0 | $0 |
| BASIL ARIGLIO | ||||||||||||||
| VP OF FINANCE | $61,303 | $104,380 | $0 | $0 | $0 | $0 | $0 | $0 | $14,613 | $24,881 | $75,916 | $129,261 | $0 | $0 |
| MELISSA SULLIVAN | ||||||||||||||
| VP OF CLINICAL & SUPPORT S | $52,278 | $89,013 | $0 | $0 | $0 | $0 | $1,860 | $3,168 | $12,452 | $21,203 | $66,590 | $113,384 | $0 | $0 |
| JASON KINKARTZ | ||||||||||||||
| PHYSICIAN | $401,174 | $0 | $0 | $0 | $0 | $0 | $14,192 | $0 | $9,866 | $0 | $425,232 | $0 | $0 | $0 |
| DAVID GODFREY | ||||||||||||||
| PHYSICIAN | $431,490 | $0 | $0 | $0 | $0 | $0 | $19,492 | $0 | $16,288 | $0 | $467,270 | $0 | $0 | $0 |
| SYED ALLY | ||||||||||||||
| CHIEF OF PATHOLOGY | $343,039 | $0 | $0 | $0 | $0 | $0 | $16,843 | $0 | $16,287 | $0 | $376,169 | $0 | $0 | $0 |
| RHONDA PENA | ||||||||||||||
| PHYSICIAN | $338,193 | $0 | $0 | $0 | $0 | $0 | $8,216 | $0 | $5,482 | $0 | $351,891 | $0 | $0 | $0 |
| ARIS GREDZEN | ||||||||||||||
| PHYSICIAN | $306,668 | $0 | $0 | $0 | $0 | $0 | $11,946 | $0 | $14,065 | $0 | $332,679 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | TIMOTHY FINAN: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN - $18,433. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCKEAN COUNTY HOSPITAL AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 251513489 | BondIssuerEIN |
| CUSIP | 581293CE5 | CUSIPNum |
| Bond Issued | 2005-09-14 | BondIssuedDt |
| Issue Price | $24,093,208 | IssuePriceAmt |
| Purpose | CAPITAL PROJECTS AND REFUNDING PAST BONDS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $23,330,000 | TotalProceedsAmt |
| In Reserve Fund | $3,990,812 | InReserveFundAmt |
| Issuance Costs From Proceeds | $763,208 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $23,330,000 | CapitalExpendituresAmt |
| Substantial Completion | 2007 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JILL OWENS MD | |||
| DR. OWENS IS THE SPOUSE OF RICHARD G. BRAUN, JR., SENIOR VP OF FINANCE/CFO. | $148,333 | DR. OWENS IS COMPENSATED BY THE HOSPITAL FOR PHYSICIAN SERVICES. | 0 |
| RICHARD G BRAUN JR | |||
| RICHARD G. BRAUN, JR., SENIOR VP OF FINANCE/CFO IS THE SPOUSE OF DR. OWENS. | $412,675 | RICHARD G. BRAUN, JR. IS COMPENSATED BY THE HOSPITAL AND A RELATED PARTY AS SENIOR VP OF FINANCE/CFO. | 0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,188,146 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | THE MISSION OF BRADFORD REGIONAL MEDICAL CENTER IS TO PROVIDE THE HIGHEST QUALITY MEDICAL SERVICES IN RESPONSE TO THE HEALTHCARE NEEDS OF THE REGION, TO PROMOTE COMMUNITY WELLNESS, AND TO RESTORE HEALTH AND COMFORT TO PATIENTS AS SWIFTLY AND SAFELY AS POSSIBLE. IN SUPPORT OF THIS MISSION, BRADFORD REGIONAL MEDICAL CENTER IS COMMITTED TO THE FOLLOWING: - QUALITY: WE CONSISTENTLY STRIVE TO PROVIDE THE HIGHEST QUALITY AND SAFEST PATIENT CARE. - RESPECT: WE RESPECT EACH PERSON AS A MEMBER OF THE HOSPITAL COMMUNITY. - COMPASSION: WE SHOW SYMPATHY AND ARE EMPATHETIC OF EACH PERSON'S NEEDS. - SERVICE: WE ARE COMMITTED TO THE HIGHEST STANDARDS OF SERVICE EXCELLENCE AND DEDICATED TO EXCEEDING THE EXPECTATIONS OF THOSE WE SERVE. - RESPONSIBILITY: WE ACCEPT PERSONAL ACCOUNTABILITY FOR ALL OF THE WORK WE DO. - INNOVATION: WE ARE COMMITTED TO CONTINUOUS IMPROVEMENT IN THE DELIVERY OF CARE THROUGH NEW IDEAS AND CREATIVITY. - STEWARDSHIP: WE ENSURE THE ONGOING VIABILITY OF THE ORGANIZATION THROUGH RESPONSIBLE FINANCIAL AND OPERATING MANAGEMENT OF THE MEDICAL CENTER. |
| FORM 990, PART III, LINE 1 | THE MISSION OF BRADFORD REGIONAL MEDICAL CENTER IS TO PROVIDE THE HIGHEST QUALITY MEDICAL SERVICES IN RESPONSE TO THE HEALTHCARE NEEDS OF THE REGION, TO PROMOTE COMMUNITY WELLNESS, AND TO RESTORE HEALTH AND COMFORT TO PATIENTS AS SWIFTLY AND SAFELY AS POSSIBLE. IN SUPPORT OF THIS MISSION, BRADFORD REGIONAL MEDICAL CENTER IS COMMITTED TO THE FOLLOWING: - QUALITY: WE CONSISTENTLY STRIVE TO PROVIDE THE HIGHEST QUALITY AND SAFEST PATIENT CARE. - RESPECT: WE RESPECT EACH PERSON AS A MEMBER OF THE HOSPITAL COMMUNITY. - COMPASSION: WE SHOW SYMPATHY AND ARE EMPATHETIC OF EACH PERSON'S NEEDS. - SERVICE: WE ARE COMMITTED TO THE HIGHEST STANDARDS OF SERVICE EXCELLENCE AND DEDICATED TO EXCEEDING THE EXPECTATIONS OF THOSE WE SERVE. - RESPONSIBILITY: WE ACCEPT PERSONAL ACCOUNTABILITY FOR ALL OF THE WORK WE DO. - INNOVATION: WE ARE COMMITTED TO CONTINUOUS IMPROVEMENT IN THE DELIVERY OF CARE THROUGH NEW IDEAS AND CREATIVITY. - STEWARDSHIP: WE ENSURE THE ONGOING VIABILITY OF THE ORGANIZATION THROUGH RESPONSIBLE FINANCIAL AND OPERATING MANAGEMENT OF THE MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 2 | JILL OWENS, MD, DIRECTOR, AND RICHARD G. BRAUN, JR., SENIOR VP OF FINANCE/CFO HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | UPPER ALLEGHENY HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER. |
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT COPY OF THE FORM 990 IS REVIEWED FOR ACCURACY AND COMPLETENESS BY THE HOSPITAL'S CHIEF FINANCIAL OFFICER AND SENIOR MANAGEMENT OF UPPER ALLEGHENY HEALTH SYSTEM. IN ADDITION, A FINAL DRAFT COPY OF THE FORM 990 IS PROVIDED TO MEMBERS OF THE BOARD OF DIRECTORS TO REVIEW AND COMMENT PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE HOSPITAL'S CONFLICT OF INTEREST POLICY IS PRESENTED AND REVIEWED ANNUALLY. EACH MEMBER OF THE BOARD COMPLETES A DISCLOSURE FORM. SEE THE FORMAL POLICY, AS OUTLINED IN THE ORGANIZATION'S BYLAWS, BELOW. CONFLICTS OF INTEREST: EACH DIRECTOR, PRIOR TO TAKING HIS POSITION ON THE BOARD, AND ALL PRESENT DIRECTORS AS SOON AS PRACTICABLE AFTER THE ADOPTION OF THESE BYLAWS, SHALL SUBMIT IN WRITING TO THE CHAIRMAN OF THE BOARD AND THE CHIEF EXECUTIVE OFFICER A LIST OF ALL BUSINESS OR OTHER ORGANIZATIONS OF WHICH HE IS AN OFFICER, DIRECTOR, TRUSTEE, MEMBER, OWNER (EITHER AS SOLE PROPRIETOR OR PARTNER), SHAREHOLDER WITH 5% OR GREATER INTEREST IN ALL OUTSTANDING VOTING SHARES, EMPLOYEE OR AGENT, WITH WHICH THE CORPORATION HAS, OR MIGHT BE REASONABLY IN THE FUTURE ENTER INTO, A RELATIONSHIP OR A TRANSACTION IN WHICH THE DIRECTOR WOULD HAVE CONFLICTING INTERESTS. EACH WRITTEN STATEMENT WILL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH THE STATEMENTS OF ALL DIRECTORS IN ORDER TO GUIDE HIS CONDUCT SHALL A CONFLICT ARISE. THE CHAIRMAN-ELECT OF THE BOARD SHALL BE FAMILIAR WITH THE STATEMENT FILED BY THE CHAIRMAN. SHOULD THE CHAIRMAN-ELECT POSITION BE VACANT, THE MOST SENIOR MEMBER OF THE EXECUTIVE COMMITTEE WILL ASSUME THIS RESPONSIBILITY. AT SUCH TIME AS ANY MATTER COMES BEFORE THE BOARD IN SUCH A WAY AS TO GIVE RISE TO A CONFLICT OF INTEREST, THE AFFECTED DIRECTOR SHALL MAKE KNOWN THE POTENTIAL CONFLICT WHETHER DISCLOSED BY HIS WRITTEN STATEMENT OR NOT, AND AFTER ANSWERING ANY QUESTIONS THAT MIGHT BE ASKED HIM, SHALL WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION. SHOULD THE MATTER BE BROUGHT TO A VOTE, THE AFFECTED DIRECTOR SHALL NOT VOTE ON IT. IN THE EVENT THE CONFLICT OF INTEREST AFFECTS THE CHAIRMAN, THE CHAIRMAN-ELECT IS EMPOWERED AND SHALL REQUIRE THAT THE CHAIRMAN REMOVE HIMSELF IN THE SAME MANNER, AND FOR THE DURATION OF DISCUSSION AND ACTION ON THE MATTER THE CHAIRMAN-ELECT SHALL PRESIDE. SHOULD THE CHAIRMAN-ELECT POSITION BE VACANT, THE MOST SENIOR MEMBER OF THE EXECUTIVE COMMITTEE WILL ASSUME THIS RESPONSIBILITY. IF THE MATTER IS THE ITEM OF BUSINESS FOR WHICH A SPECIAL MEETING OF THE BOARD WAS CALLED, THE AFFECTED DIRECTOR SHALL NOT BE COUNTED TO ESTABLISH A QUORUM, NOR SHALL HE PARTICIPATE IN THE DELIBERATIONS OR VOTE ON IT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE HOSPITAL D/B/A THE EXECUTIVE COMPENSATION COMMITTEE (THE COMMITTEE) IS APPOINTED BY THE BOARD OF DIRECTORS TO ASSIST THE BOARD IN ESTABLISHING AND OVERSEEING THE EXECUTIVE COMPENSATION PROGRAM OF THE HOSPITAL. THE COMMITTEE IS RESPONSIBLE FOR ADHERING TO THE OVERALL COMPENSATION PHILOSOPHY OF THE HOSPITAL. THE COMPENSATION PHILOSOPHY IS A TOTAL COMPENSATION CONCEPT THAT WILL EMPLOY A COMBINATION OF BASE SALARY, VARIABLE OPPORTUNITY, FLEXIBLE BENEFITS, DEFERRED COMPENSATION AND OTHER PERQUISITES AS MAY BE NEEDED FROM TIME TO TIME TO MAINTAIN A COMPETITIVE POSITION WITH PEER INSTITUTIONS IN THE REGION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL HAS AVAILABLE, UPON REQUEST TO ADMINISTRATION, ITS MOST RECENTLY FILED FORM 990, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS. THE HOSPITAL ALSO REPORTS ANNUALLY ITS COMMUNITY BENEFIT EFFORTS AND ISSUES ANNUAL REPORT THAT INCLUDES FINANCIAL AND OTHER INFORMATION OF INTEREST TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | PENSION LIABILITY ADJUSTMENT -932,685. SETTLEMENT OF INTERCOMPANY BALANCES 8,846,337. |
| FORM 990, PART XII, LINE 2C: | THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT, AS WELL AS THE CHOICE OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BRADFORD REGIONAL MEDICAL SERVICES | |||||||||||
| 116-156 INTERSTATE PARKWAY | BRADFORD | PA | 16701 | 232875157 | PHYSICIANS PRACTICE | PA | 501(C)(3) | LINE 3 | BRADFORD HOSPITAL | 0 | |
| BRADFORD HOSPITAL FOUNDATION | |||||||||||
| 116 INTERSTATE PARKWAY | BRADFORD | PA | 16701 | 251612399 | FUNDRAISING | PA | 501(C)(3) | LINE 12A, I | BRADFORD HOSPITAL | 0 | |
| UPPER ALLEGHENY HEALTH SYSTEM INC | |||||||||||
| 515 MAIN STREET | OLEAN | NY | 14760 | 271255425 | MANAGEMENT HOLDING CORPORATION | NY | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| OLEAN GENERAL HOSPITAL | |||||||||||
| 515 MAIN STREET | OLEAN | NY | 14760 | 160743102 | HOSPITAL | NY | 501(C)(3) | LINE 3 | UPPER ALLEGHENY HEALTH SYSTEM INC | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADFORD HEALTH ENTERPRISES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 116-156 INTERSTATE PARKWAY | AddressLine1Txt |
| City | BRADFORD | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251591420 | EIN |
| Primary Activities | INVESTMENT | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADFORD HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | 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 |