WINDBER HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- WINDBER HOSPITAL INC (EIN 25-1244202)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201701359349304190
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T11:38:50-04:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 364775872 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARNES SALY & COMPANY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 637 FERNDALE AVENUE SUITE 100 | AddressLine1Txt |
| City | JOHNSTOWN | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 159053999 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251244202 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WIND | BusinessNameControlTxt |
| Phone | 8144673000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1Txt |
| City | WINDBER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15963 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD SUKENIK | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8144673000 | PhoneNum |
| Signature | 2016-05-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN J SARACENA CPA | PreparerPersonNm |
| PTIN | P00179820 | PTIN |
| Phone | 8142881544 | PhoneNum |
| Preparation | 2017-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHAN SOON-SHIONG MED CTR AT WINDBER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS KURTZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1Txt |
| City | WINDBER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15963 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $40,927,778 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WINDBERCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | CHAN SOON-SHIONG MEDICAL CENTER AT WINDBER IS A NON-PROFIT COMMUNITY-BASED HOSPITAL DEDICATED TO PROVIDING EXCELLENCE IN PERSONALIZED, QUALITY HEALTHCARE SERVICES THROUGH INNOVATION, RESEARCH, AND EDUCATION IN RESPONSE TO COMMUNITY NEEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 492 | TotalEmployeeCnt |
| Total Volunteers | 91 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $303,760 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,667,798 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $36,664,007 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $34,489,337 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,425 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,219 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,379,679 | PYOtherRevenueAmt |
| CY Other Revenue | $4,762,424 | CYOtherRevenueAmt |
| PY Total Revenue | $42,350,871 | PYTotalRevenueAmt |
| CY Total Revenue | $40,927,778 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,186,173 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,913,584 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,181,271 | PYOtherExpensesAmt |
| CY Other Expenses | $22,601,522 | CYOtherExpensesAmt |
| PY Total Expenses | $44,367,444 | PYTotalExpensesAmt |
| CY Total Expenses | $42,515,106 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,016,573 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,587,328 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,869,268 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,986,348 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,934,071 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,236,112 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,935,197 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,750,236 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CHAN SOON-SHIONG MEDICAL CENTER AT WINDBER IS A NON-PROFIT COMMUNITY-BASED HOSPITAL DEDICATED TO PROVIDING EXCELLENCE IN PERSONALIZED, QUALITY HEALTHCARE SERVICES THROUGH INNOVATION, RESEARCH, AND EDUCATION IN RESPONSE TO COMMUNITY NEEDS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,430,030 | ExpenseAmt |
| Revenue | $5,616,198 | RevenueAmt |
| Desc | SURGERY - WE PERFORMED 403 INPATIENT SURGERIES AND 1,362 OUTPATIENT SURGERIES. OUR BUDGETED VOLUMES WERE 528 INPATIENT SURGERIES AND 1,260 OUTPATIENT SURGERIES. THESE NUMBERS DO NOT INCLUDE OUR AMBULATORY SURGERY DEPARTMENT AS THOSE ARE COUNTED SEPARATELY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,859,775 | ExpenseAmt |
| Revenue | $8,388,235 | RevenueAmt |
| Desc | LABORATORY - WE PERFORMED 25,667 INPATIENT TEST AND 320,384 OUTPATIENT TESTS. OUR BUDGETED VOLUMES WERE 28,500 INPATIENT AND 281,150 OUTPATIENT TESTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,775,080 | ExpenseAmt |
| Revenue | $3,942,983 | RevenueAmt |
| Desc | RADIOLOGY - WE PERFORMED 1,486 INPATIENT PROCEDURES AND 10,443 OUTPATIENT PROCEDURES. THE BUDGETED VOLUMES WERE 1,824 INPATIENT AND 11,040 OUTPATIENT PROCEDURES. THESE NUMBERS DO NOT INCLUDE ULTRASOUNDS, NUCLEAR MEDICINE, CT SCANS, MRIS OR MAMMOGRAMS AS ALL OF THOSE TESTS ARE COUNTED SEPERATELY. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $23,563,628 | ExpenseAmt |
| Revenue | $16,541,921 | RevenueAmt |
| Desc | OTHER EXPENSES AND REVENUES RELATED TO PATIENT SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $23,563,628 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $16,541,921 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $32,628,513 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | false | 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 | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| 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 | false | 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 | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 116 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 492 | 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER HOSPITAL FINANCE DEPARTMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8144673000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVE | AddressLine1Txt |
| City | WINDBER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15963 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| PATRICK SOON-SHIONG MD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES KIM ESQ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID SACHS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES KENWORTHY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHAROOZ RABIZADEH | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVE BENZ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELEANOR RAMIREZ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KELLY WARSHEL MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS KURTZ | ||||||||
| PRESIDENT/CE | 10.00 | $94,998 | $208,611 | $14,532 | Yes (X) | |||
| RICHARD SUKENIK | ||||||||
| CFO | 40.00 | $174,439 | $0 | $10,852 | Yes (X) | |||
| JAMIE BROCK | ||||||||
| VP OF HR & A | 40.00 | $151,583 | $0 | $1,200 | Yes (X) | |||
| KIM MARLEY MD | ||||||||
| CMO/COO | 20.00 | $20,193 | $0 | $0 | Yes (X) | |||
| AMY ANDERSON MD | ||||||||
| GYN PHYSICIA | 40.00 | $305,317 | $0 | $17,800 | Yes (X) | |||
| REID GENTILE MD | ||||||||
| GYN PHYSICIA | 40.00 | $266,288 | $0 | $19,651 | Yes (X) | |||
| DEBORAH SIMS MD | ||||||||
| SURGEON | 40.00 | $254,565 | $0 | $21,018 | Yes (X) | |||
| TERESA MALEC MD | ||||||||
| FAMILY PRACT | 40.00 | $186,163 | $0 | $6,962 | Yes (X) | |||
| DEWITT KEMP MD | ||||||||
| SURGEON | 40.00 | $164,435 | $0 | $9,338 | Yes (X) | |||
| MARY LEE DADEY | ||||||||
| NURSING DIRE | $172,021 | $0 | $0 | Yes (X) | ||||
| CYNTHIA LECOMTE | ||||||||
| VP-ANCILLARY | $143,597 | $0 | $9,078 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,933,599 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $208,611 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $110,431 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 20 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WINDBER ANESTHESIA ASSOC | |||||
| 195 STARDUST DRIVE | JOHNSTOWN | PA | 15904 | ANESTHESIA SERV | $405,000 |
| LIBANG FU | |||||
| 4150 CRESCENT DRIVE | CHESTER SPRINGS | PA | 19425 | ANESTHESIA SERV | $405,000 |
| MARC SHROYER RN | |||||
| 519 HELSEL ROAD | JOHNSTOWN | PA | 15904 | ANESTESIA SERV | $178,347 |
| JACQUELINE SPRINCZ CRNA | |||||
| 146 GETTA WAY | JOHNSTOWN | PA | 15909 | ANESTHESIA SERV | $159,390 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,667,798 | AllOtherContributionsAmt |
| Total Contributions | $1,667,798 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Total Revenue Column | $34,489,337 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,489,337 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $34,489,337 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,219 | TotalRevenueColumnAmt |
| Exclusion | $8,219 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $124,099 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $124,099 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $124,099 | TotalRevenueColumnAmt |
| Exclusion | $124,099 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|
| PHYSICIAN PRACTICE REVENUE | $3,156,126 | $3,156,126 |
| OTHER RECEIPTS | $1,482,199 | $1,482,199 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,638,325 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,927,778 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,489,337 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,770,643 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,213 | TotalAmt |
| Program Services | $20,193 | ProgramServicesAmt |
| Management And General | $421,020 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,618 | TotalAmt |
| Program Services | $315,618 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,170,970 | TotalAmt |
| Program Services | $11,576,607 | ProgramServicesAmt |
| Management And General | $4,594,363 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,790,661 | TotalAmt |
| Program Services | $1,281,913 | ProgramServicesAmt |
| Management And General | $508,748 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,195,122 | TotalAmt |
| Program Services | $855,576 | ProgramServicesAmt |
| Management And General | $339,546 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,030 | TotalAmt |
| Management And General | $130,030 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,240 | TotalAmt |
| Management And General | $75,240 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,527 | TotalAmt |
| Program Services | $1,994 | ProgramServicesAmt |
| Management And General | $382,533 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418,989 | TotalAmt |
| Program Services | $398,988 | ProgramServicesAmt |
| Management And General | $20,001 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,787,755 | TotalAmt |
| Program Services | $7,495,668 | ProgramServicesAmt |
| Management And General | $292,087 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,501 | TotalAmt |
| Program Services | $281,751 | ProgramServicesAmt |
| Management And General | $120,750 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $765,189 | TotalAmt |
| Program Services | $229,557 | ProgramServicesAmt |
| Management And General | $535,632 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,540 | TotalAmt |
| Program Services | $158,558 | ProgramServicesAmt |
| Management And General | $27,982 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,115 | TotalAmt |
| Program Services | $21,836 | ProgramServicesAmt |
| Management And General | $7,279 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,418 | TotalAmt |
| Program Services | $225,313 | ProgramServicesAmt |
| Management And General | $75,105 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,326,008 | TotalAmt |
| Program Services | $994,506 | ProgramServicesAmt |
| Management And General | $331,502 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $846,684 | TotalAmt |
| Program Services | $677,348 | ProgramServicesAmt |
| Management And General | $169,336 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $3,373,813 | $2,685,097 | $688,716 |
| EQUIPMENT LEASE & RENTAL | $2,421,650 | $1,413,404 | $1,008,246 |
| MED PROF FEES | $2,329,559 | $2,329,559 | |
| BAD DEBTS | $1,464,169 | $1,464,169 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,335 | TotalAmt |
| Program Services | $200,858 | ProgramServicesAmt |
| Management And General | $158,477 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,515,106 | TotalAmt |
| Program Services | $32,628,513 | ProgramServicesAmt |
| Management And General | $9,886,593 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $306,068 | BOYAmt |
| EOY | $1,184,192 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,871,082 | BOYAmt |
| EOY | $3,577,598 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,209,073 | BOYAmt |
| EOY | $1,117,545 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,406 | BOYAmt |
| EOY | $232,435 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $50,553,695 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $34,510,465 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,108,144 | BOYAmt |
| EOY | $16,043,230 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,141,371 | BOYAmt |
| EOY | $1,270,164 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,051,124 | BOYAmt |
| EOY | $3,561,184 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,869,268 | BOYAmt |
| EOY | $26,986,348 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,587,558 | BOYAmt |
| EOY | $8,387,159 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,818 | BOYAmt |
| EOY | $127,818 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,316,412 | BOYAmt |
| EOY | $6,128,368 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,855,283 | BOYAmt |
| EOY | $4,592,767 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,934,071 | BOYAmt |
| EOY | $19,236,112 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,861,927 | BOYAmt |
| EOY | $7,676,966 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,270 | BOYAmt |
| EOY | $73,270 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,935,197 | BOYAmt |
| EOY | $7,750,236 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,869,268 | BOYAmt |
| EOY | $26,986,348 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,587,328 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$278 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$597,355 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $414,727 | OtherCostOrOtherBasisAmt |
| Book Value | $414,727 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,953,683 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,703,354 | DepreciationAmt |
| Book Value | $13,250,329 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,408,984 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,262,849 | DepreciationAmt |
| Book Value | $146,135 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,776,301 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,544,262 | DepreciationAmt |
| Book Value | $2,232,039 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,043,230 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLE | $1,917,834 |
| OTHER ASSETS | $1,643,350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,561,184 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $3,364,385 |
| MALPRACTICE ACCRUAL | $1,028,382 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $200,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,592,767 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $40,927,500 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$278 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$278 | RevenueNotReportedAmt |
| Revenue Subtotal | $40,927,778 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $40,927,778 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $43,112,461 | TotExpnsEtcAuditedFinclStmtAmt |
| Prior Year Adjustments | $597,355 | PriorYearAdjustmentsAmt |
| Expenses Not Reported | $597,355 | ExpensesNotReportedAmt |
| Expenses Subtotal | $42,515,106 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $42,515,106 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $430,905 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $430,905 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01020 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,136,302 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,259,412 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,876,890 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,567,207 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,259,412 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,307,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05430 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,975 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,410 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,565 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,975 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,410 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,565 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,626,182 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,270,822 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,355,360 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05540 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,247 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,247 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,464,169 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $68,954 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,315,858 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,066,601 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,750,743 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1Txt |
| City | WINDBER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15963 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.WINDBERCARE.ORG | WebsiteAddressTxt |
| State License | 234901 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | false | CHNAConductedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWWWINDBERCAREORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWWWINDBERCAREORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWWWINDBERCAREORG | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Legal Judicial Process | Yes (X) | EngagedLegalJudicialProcessInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | ADDITIONAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | 1. PART II - WINDBER HOSPITAL CONDUCTED AED/CPR CLASSES THROUGHOUT THE YEAR ALONG WITH SEMINARS ON WORKPLACE VIOLENCE, DISASTER RESPONSE AND TERRORISM RESPONSE. WE ALSO PROVIDED FLU SHOTS TO THE COMMUNITY FREE OF CHARGE. PART III, LINE 8 - ANY SHORTFALL RELATED TO GOVERNMENT PROGRAMS (I.E. MEDICARE, MEDICAID, ETC.) IS WRITTEN OFF BY THE HOSPITAL AND WE DO NOT COLLECT ANY FUNDS FROM PATIENTS TO OFFSET THESE WRITE-OFFS OTHER THAN A DEDUCTIBLE OR CO-PAY. OUR MEDICARE REIMBURSEMENT IS BASED PARTLY ON OUR COST TO CHARGE RATIO AND ANY AMOUNTS THAT WE WRITE OFF BENEFIT THE INDIVIDUAL AS WELL AS THE ENTIRE COMMUNITY. PART III, LINE 9B - OUR POLICIES SPECIFY THE CRITERIA FOR FINANCIAL ASSISTANCE AS WELL AS HOW MANY STATEMENTS THE PATIENT WILL RECEIVE, HOW THEY CAN INQUIRE ABOUT THEIR ACCOUNT AND INFORMATION ABOUT HOW THEY CAN MAKE PAYMENTS OR SET UP A PAYMENT PLAN. 2. AS A COMMUNITY HEALTHCARE PROVIDER RECOGNIZED FOR EXEMPLARY SERVICE TO PATIENTS, WE ASSESS THE HEALTHCARE NEEDS OF OUR COMMUNITIES IN A NUMBER OF WAYS: (1) WE ASK OUR COMMUNITY OF THEIR NEEDS THROUGH ROUTINE, SCHEDULE FOCUS GROUP MEETINGS; (2) WE ANALYZE THE RESULTS OF ANNUAL COUNTY HEALTH RANKINGS AND USE THE INFORMATION TO FORMULATE COMMUNITY OUTREACH STRATEGIES; (3) WE HAVE A COMMUNITY OUTREACH DEPARTMENT THAT ASSISTS IN TAKING OUR MESSAGE TO THE COMMUNITIES WE SERVE; (4)WE CONDUCT PERIODIC COMMUNITY HEALTH EDUCATION/AWARENESS SESSION ON IMPORTANT TOPICS AND ALSO CONDUCT MULTIPHASIC BLOOD DRAWS AT A VARIETY OF LOCATIONS. WE HAVE ALSO BEEN AN ACTIVE PARTICIPANT IN A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT LAST CONDUCTED IN 2010 BY ST. FRANCIS UNIVERSITY'S CENTER OF EXCELLENCE FOR RURAL AND MEDICALLY UNDERSERVED AREAS (CERMUSA) IN LORETTO, PA. 3. WE CONTRACT AN OUTSIDE LAW FIRM TO ASSIST PATIENTS IN FILING FOR MEDICAL ASSISTANCE. IF THEIR APPLICATION IS DENIED, WE PROVIDE AN APPLICATION FOR CHARITY CARE THROUGH THE HOSPITAL AND ALSO PROVIDE EDUCATION ABOUT HOW THE PROGRAM WORKS. 4. WINDBER HOSPITAL SERVICES WEST-CENTRAL PENNSYLVANIA. ALTHOUGH OUR HOSPITAL IS CLASSIFIED AS RURAL BY MEDICARE, OUR STRONGEST ORIENTATION IS THE JOHNSTOWN "METROPOLITAN" AREA, WHICH HAS A POPULATION OF ALMOST 200,000. THE AGE OF OUR POPULATION IS OLDER THAN THE NATIONAL AVERAGE, WITH 19% OF PEOPLE OVER THE AGE OF 65. THE BIRTHRATE IN OUR AREA IS THE SEVENTH LOWEST IN THE UNITED STATES. OUR REIMBURSEMENT FROM MEDICARE AND MEDICARE MANAGED CARE PRODUCTS ACCOUNT FOR ALMOST 50% OF OUR TOTAL INSURANCE RECEIPTS. 5. IN KEEPING WITH THE INTENT OF ACA, WE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2013. THE PURPOSE OF THIS INITIATIVE IS TO PERIODICALLY CONSOLIDATE DATA AND PERSPECTIVES ABOUT THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY IN ORDER TO IDENTIFY ASSETS, POTENTIAL CONCERNS AND OPPORTUNITIES FOR IMPROVEMENT. THE GOALS ARE TO: (1) IDENTIFY UNMET HEALTH-RELATED NEEDS AND PEOPLE FACING DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS; (2) IDENTIFY ASSETS, POTENTIAL CONCERNS AND OPPORTUNITIES FOR IMPROVEMENT OF DELIVERY OF COMMUNITY HEALTH SERVICES AND PROGRAMS; (3) TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BOARD INTERESTS OF THE COMMUNITIES SERVED BY WMC INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; (4) PROVIDE INFORMATION TO AID IN DEVELOPING BUDGETS AND COMMITTAL OF FINANCIAL RESOURCES AND (5) HELP MEET THE FEDERAL INCOME TAX EXEMPTION SECTION 501(C)(3). THIS INFORMATION WILL BE USED TO FURTHER DEVELOP STRATEGIES FOR COMMUNITY OUTREACH, EDUCATION AND SUPPORT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | 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 (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt |
|---|---|---|---|---|---|---|
| THOMAS KURTZ | ||||||
| PRESIDENT/CEO | $94,998 | $208,611 | $14,532 | $94,998 | $223,143 | |
| RICHARD SUKENIK | ||||||
| CFO | $174,439 | $185,291 | $10,852 | |||
| JAMIE BROCK | ||||||
| VP OF HR & ADMIN SER | $151,583 | $152,783 | $1,200 | |||
| AMY ANDERSON MD | ||||||
| GYN PHYSICIAN | $305,317 | $323,117 | $17,800 | |||
| REID GENTILE MD | ||||||
| GYN PHYSICIAN | $266,288 | $285,939 | $19,651 | |||
| DEBORAH SIMS MD | ||||||
| SURGEON | $254,565 | $275,583 | $21,018 | |||
| TERESA MALEC MD | ||||||
| FAMILY PRACTICE | $186,163 | $193,125 | $6,962 | |||
| DEWITT KEMP MD | ||||||
| SURGEON | $164,435 | $173,773 | $9,338 | |||
| MARY LEE DADEY | ||||||
| NURSING DIRECTOR | $172,021 | $172,021 | ||||
| CYNTHIA LECOMTE | ||||||
| VP-ANCILLARY SRVS | $143,597 | $152,675 | $9,078 | |||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | MARY LEE DADEY 82,210 0 0 CYNTHIA LECOMTE 74,487 0 0 |
| SCHEDULE J, PART III | PART I, LINE 3 - ALL OFFICERS HAVE EMPLOYMENT CONTRACTS THAT LIST COMPENSATION AGREED UPON BY OFFICER AND BOARD OF DIRECTORS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | CHAN SOON-SHIONG MEDICAL CENTER AT WINDBER IS A NON-PROFIT COMMUNITY-BASED HOSPITAL DEDICATED TO PROVIDING EXCELLENCE IN PERSONALIZED, QUALITY HEALTHCARE SERVICES THROUGH INNOVATION, RESEARCH, AND EDUCATION IN RESPONSE TO COMMUNITY NEEDS. |
| FORM 990, PAGE 2, PART III, LINE 4D | OTHER EXPENSES AND REVENUES RELATED TO PATIENT SERVICES. |
| FORM 990, PAGE 6, PART VI, LINE 4 | AS OF 1/1/2016, A CHANGE OF CONTROL TOOK PLACE WITH RESPECT TO OUR BOARD OF DIRECTORS. OUR BOARD NOW IS MOSTLY MADE UP OF MEMBERS OF NANTWORKS, A CALIFORNIA-BASED COMPANY. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS DISTRIBUTED TO ALL BOARD MEMBERS FOR REVIEW |
| FORM 990, PAGE 6, PART VI, LINE 12C | OUR COMPLIANCE OFFICER REVIEWS OUR CONFLICT OF INTEREST POLICY WITH OFFICERS, DIRECTORS AND KEY EMPLOYEES ANNUALLY |
| FORM 990, PAGE 6, PART VI, LINE 15A | WE USE SURVEYS, NEGOTIATION AND WAGE DATA FROM OUR REGION TO DETERMINE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | WE USE SURVEYS, NEGOTIATION AND WAGE DATA FROM OUR REGION TO DETERMINE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC EITHER VIA OUR WEBSITE, INTERNAL POSTING, OR AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | PRIOR PERIOD ADJUSTMENT IS AN ADJUSTMENT TO THE PENSION LIABILITY |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt | Controlled OrganizationControlledOrganizationInd | Business Name Line2DisregardedEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WINDBER HEALTHCARE FOUNDATION | ||||||||||||
| 600 SOMERSET AVENUE | WINDBER | PA | 15963 | 251552830 | FUNDRAISIN | PA | 501C3 | 11A | WINDBER | WINDBER HOSPITAL | false | |
| WINDBER HOSPITAL PALLIATIVE CARE | ||||||||||||
| 600 SOMERSET AVENUE | WINDBER | PA | 15963 | 251455169 | FUNDRAISIN | PA | 501C3 | 9 | WINDBER | WINDBER HOSPITAL | false | FOUNDATION |
| WINDBER RESEARCH INSTITUTE | ||||||||||||
| 620 7TH STREET | WINDBER | PA | 15963 | 251877336 | RESEARCH | PA | 501C3 | 4 | NA | false | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER PROFESSIONAL SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1Txt |
| City | WINDBER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15963 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251531227 | EIN |
| Primary Activities | R EST RENT | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER | BusinessNameLine1Txt |
| Business Name Line2 | WINDBER HOSPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| 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 | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WINDBER PROFESSIONAL SERVICES INC | ||
| K | $36,960 | GL & TB |
| WINDBER HEALTH CARE FOUNDATION | ||
| I | $33,355 | GL & TB |
| WINDBER RESEARCH INSTITUTE | ||
| Q | $2,200,000 | GL & TB |
| WINDBER PALLIATIVE CARE FOUNDATION | ||
| I | $124,373 | GL & TB |