ARMSTRONG COUNTY MEMORIAL HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ARMSTRONG COUNTY MEMORIAL HOSPITAL (EIN 25-0965237)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201601349349301680
- Schema version
- 2014v6.0
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T08:48:29-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 250965237 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARMSTRONG COUNTY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ARMS | BusinessNameControlTxt |
| Phone | 7245438181 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE NOLTE DRIVE | AddressLine1Txt |
| City | KITTANNING | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 162018808 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN I LEWIS | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 7245438181 | PhoneNum |
| Signature | 2016-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00422601 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACMH HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN I LEWIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE NOLTE DRIVE | AddressLine1Txt |
| City | KITTANNING | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 162018808 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $114,815,364 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ACMH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1874 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF ARMSTRONG COUNTY MEMORIAL HOSPITAL IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF ARMSTRONG AND NEIGHBORING COUNTIES. THE HOSPITAL WILL: FOCUS ON PATIENT AND FAMILY CENTERED SERVICES; CONTINUE TO DEVELOP THOSE SPECIALTY SERVICES THAT MEET THE CHANGING NEEDS OF THE COMMUNITY; DELIVER HIGH QUALITY, COST-EFFECTIVE CARE; AND PROMOTE HEALTH EDUCATION AND WELLNESS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1139 | TotalEmployeeCnt |
| Total Volunteers | 134 | TotalVolunteersCnt |
| Total Gross UBI | $692,069 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $29,673 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $220,205 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,852,294 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $98,321,653 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $103,790,101 | CYProgramServiceRevenueAmt |
| PY Investment Income | $980,902 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,896,470 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,405,332 | PYOtherRevenueAmt |
| CY Other Revenue | $1,762,850 | CYOtherRevenueAmt |
| PY Total Revenue | $100,928,092 | PYTotalRevenueAmt |
| CY Total Revenue | $109,301,715 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,383 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,702 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $56,528,060 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,624,670 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $39,745,872 | PYOtherExpensesAmt |
| CY Other Expenses | $43,460,586 | CYOtherExpensesAmt |
| PY Total Expenses | $96,281,315 | PYTotalExpensesAmt |
| CY Total Expenses | $101,096,958 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,646,777 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,204,757 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $61,901,073 | TotalAssetsBOYAmt |
| Total Assets EOY | $69,453,828 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,435,670 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,256,496 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $41,465,403 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $44,197,332 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ACMH HOSPITAL IS COMMITTED TO IMPROVING THE EMOTIONAL AND PHYSICAL HEALTH OF ITS PATIENTS THROUGH SUPERIOR CLINICAL CARE AND THE COMPASSIONATE MANAGEMENT OF ILLNESS AND DISABILITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $47,130,450 | ExpenseAmt |
| Revenue | $55,241,782 | RevenueAmt |
| Desc | ACMH HOSPITAL PROVIDES OUTPATIENT SERVICES SUCH AS RADIOLOGY,LABORATORY, EMERGENCY VISITS, AMBULATORY SURGERY, AND OTHERVARIOUS SERVICES. DURING THE FISCAL YEAR, TOTAL OUTPATIENTREGISTRATIONS WERE 204,054. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $29,590,098 | ExpenseAmt |
| Revenue | $34,683,789 | RevenueAmt |
| Desc | ACMH HOSPITAL PROVIDES INPATIENT SERVICES SUCH AS MEDICAL AND SURGICAL, ACUTE REHAB, SKILLED NURSING, OB/GYN, ICU/CCU, PSYCHIATRIC AND NURSERY. ACMH HOSPITAL IS A CERTIFIED PRIMARY STROKE CENTER AND ALSO PERFORMS PERCUTANEOUS CORONARY INTERVENTION TO TREAT NARROWED CORONARY ARTERIES. DURING THE FISCAL YEAR, TOTAL ADMISSIONS WERE 5,749 AND PATIENT DAYS WERE 26,567. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,775,513 | ExpenseAmt |
| Revenue | $6,364,793 | RevenueAmt |
| Desc | ACMH HOSPITAL PROVIDES RURAL HEALTH CLINICS AT SEVERAL SURROUNDINGCOMMUNITY LOCATIONS INCLUDING LEECHBURG, ELDERTON, RURAL VALLEY, KITTANNING AND NEW BETHLEHEM. IN ADDITION THEY OPERATED A VA CLINIC IN FORD CITY. TOTAL VISITS FOR ALL PHYSICIAN CLINICS TOTALED 54,582. THE PHYSICIAN CLINICS ALSO OFFER CHARITY CARE UNDER THE SAME POLICY AS ACMH HOSPITAL. TOTAL CHARITY CARE RELATING TO THE PHYSICIAN CLINICS FOR THE CURRENT FISCAL YEAR WAS 4,719.SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $698,655 | ExpenseAmt |
| Grant | $11,702 | GrantAmt |
| Revenue | $6,807,807 | RevenueAmt |
| Desc | PROGRAM SERVICE EXPENSES UNDER LINE 4D PERTAIN TO ITEMS THAT HELP SUPPORT THE MEDICAL SERVICES THAT OUR PATIENTS RECEIVE AT ACMH HOSPITAL. ITEMS INCLUDE CAFETERIA AND VENDING, COMMUNITY BENEFITS, INVESTMENT FEES, PREVENTATIVE HEALTH, X-RAY TECHNOLOGY AND 340B DRUG PROGRAM. THIS ALSO INCLUDES THE ELECTRONIC HEALTH RECORDS REVENUE RECOGNIZED FOR INCENTIVE PAYMENTS UNDER BOTH THE MEDICARE AND MEDICAID PROGRAMS FOR HOSPITALS THAT DEMONSTRATE MEANINGFUL USE OF CERTIFIED ELECTRONIC HEALTH RECORDS TECHNOLOGY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $698,655 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $11,702 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $6,807,807 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $82,194,716 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | 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 | 140 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1139 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICK C BURNS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7245438618 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE NOLTE DRIVE | AddressLine1Txt |
| City | KITTANNING | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ELIZABETH WHITE | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK SNYDER | |||||||||
| VICE CHAIRMAN | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SAMUEL FRIEDE | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA KIRKPATRICK | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DONALD TYLINSKI EDD | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HAROLD ALTMAN MD | |||||||||
| DIRECTOR/CHIEF MEDICAL OFF | 39.00 | 1.00 | Yes (X) | $296,854 | $0 | $23,041 | Yes (X) | ||
| JOHN I LEWIS | |||||||||
| PRESIDENT/CEO | 39.00 | 1.00 | Yes (X) | $345,129 | $0 | $73,027 | Yes (X) | ||
| MEREDITH CHRISTY | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHASE MCCLISTER | |||||||||
| CHAIRMAN | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JAMES RAMAGE DVM | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| VOLKER ZAUN | |||||||||
| SECRETARY/TREASURER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SARUN SUWAN MD | |||||||||
| DIR./MED STAFF PRES | 39.00 | 1.00 | Yes (X) | $303,309 | $0 | $26,577 | |||
| PATRICK C BURNS | |||||||||
| CFO, VP OF FINANCE | 39.00 | 1.00 | $204,907 | $0 | $48,704 | Yes (X) | |||
| JEANNE GRAFF | |||||||||
| VP OF PATIENT SERVICES | 40.00 | $168,556 | $0 | $24,275 | Yes (X) | ||||
| JOSEPH A CIPPEL | |||||||||
| PHYSICIAN | 40.00 | $209,504 | $0 | $25,087 | Yes (X) | ||||
| MICHELE OLEKSAK | |||||||||
| PHYSICIAN | 40.00 | $197,292 | $0 | $10,028 | Yes (X) | ||||
| JOHN GREGG | |||||||||
| PHYSICIAN | 40.00 | $195,385 | $0 | $21,618 | Yes (X) | ||||
| VICKY LEO | |||||||||
| PHYSICIAN | 40.00 | $191,074 | $0 | $10,649 | Yes (X) | ||||
| CHAD SHAFFER | |||||||||
| PHYSICIAN | 40.00 | $202,891 | $0 | $25,377 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,314,901 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $288,383 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 54 | 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 |
|---|---|---|---|---|---|
| MASSARO CORP | |||||
| 120 DELTA DRIVE | PITTSBURGH | PA | 15238 | CONSTRUCTION | $3,520,063 |
| CHILDREN'S COMMUNITY PEDIATRIC | |||||
| 11279 PERRY HIGHWAY SUITE 450 | WEXFORD | PA | 15090 | PEDIATRIC | $462,990 |
| SERENA GROUP INC | |||||
| 90 SHERMAN STREET | CAMBRIDGE | MA | 02140 | PHYSICIANS | $261,716 |
| HORTY SPRINGER & MATTERN PC | |||||
| 4614 FIFTH AVENUE | PITTSBURGH | PA | 15213 | ATTORNEYS | $217,121 |
| BUCHANAN INGERSOLL & ROONEY PC | |||||
| ONE OXFORD CENTER 301 GRANT ST 20 | PITTSBURGH | PA | 15219 | ATTORNEYS | $210,485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $81,210 | RelatedOrganizationsAmt |
| Government Grants | $1,521,084 | GovernmentGrantsAmt |
| All Other Contributions | $250,000 | AllOtherContributionsAmt |
| Total Contributions | $1,852,294 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE | 900099 | $96,290,364 | $96,290,364 | |
| CAFETERIA | 722210 | $642,822 | $642,822 | |
| UNRELATED LAB SERVICES | 621500 | $479,902 | $479,902 | |
| TOBACCO SETTLEMENT | 900099 | $96,927 | $96,927 | |
| MEDICAL RECORDS | 561000 | $58,131 | $58,131 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,221,955 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,009,927 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $212,028 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $103,790,101 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,207,022 | TotalRevenueColumnAmt |
| Exclusion | $1,207,022 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $809,127 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $809,127 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $809,127 | TotalRevenueColumnAmt |
| Exclusion | $809,127 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,188,012 | SecuritiesAmt |
| Other | $15,085 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,494,356 | SecuritiesAmt |
| Other | $19,293 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $693,656 | SecuritiesAmt |
| Other | -$4,208 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $689,448 | TotalRevenueColumnAmt |
| Exclusion | $689,448 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GAIN ON INVESTMENT IN EQUITY INVE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $953,723 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $139 | UnrelatedBusinessRevenueAmt |
| Exclusion | $953,584 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $953,723 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $109,301,715 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $103,098,171 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $692,069 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,659,181 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,702 | TotalAmt |
| Program Services | $11,702 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,849,616 | TotalAmt |
| Program Services | $1,015,652 | ProgramServicesAmt |
| Management And General | $833,964 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,314 | TotalAmt |
| Program Services | $35,898 | ProgramServicesAmt |
| Management And General | $6,416 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,160,026 | TotalAmt |
| Program Services | $33,922,683 | ProgramServicesAmt |
| Management And General | $8,237,343 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,699,216 | TotalAmt |
| Program Services | $1,507,384 | ProgramServicesAmt |
| Management And General | $191,832 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,594,068 | TotalAmt |
| Program Services | $7,332,539 | ProgramServicesAmt |
| Management And General | $1,261,529 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,279,430 | TotalAmt |
| Program Services | $2,700,775 | ProgramServicesAmt |
| Management And General | $578,655 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $405,468 | TotalAmt |
| Management And General | $405,468 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,750 | TotalAmt |
| Management And General | $128,750 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,206 | TotalAmt |
| Management And General | $31,206 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,098,145 | TotalAmt |
| Program Services | $8,098,643 | ProgramServicesAmt |
| Management And General | $2,999,502 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436,895 | TotalAmt |
| Program Services | $7,327 | ProgramServicesAmt |
| Management And General | $429,568 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,876,909 | TotalAmt |
| Program Services | $2,977,392 | ProgramServicesAmt |
| Management And General | $899,517 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $958,601 | TotalAmt |
| Program Services | $274,581 | ProgramServicesAmt |
| Management And General | $684,020 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,225,267 | TotalAmt |
| Program Services | $1,927,183 | ProgramServicesAmt |
| Management And General | $298,084 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,390 | TotalAmt |
| Program Services | $69,863 | ProgramServicesAmt |
| Management And General | $19,527 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,404 | TotalAmt |
| Program Services | $39,558 | ProgramServicesAmt |
| Management And General | $36,846 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,656 | TotalAmt |
| Program Services | $46,704 | ProgramServicesAmt |
| Management And General | $8,952 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,197,096 | TotalAmt |
| Program Services | $3,521,973 | ProgramServicesAmt |
| Management And General | $675,123 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $869,253 | TotalAmt |
| Management And General | $869,253 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $14,855,087 | $14,855,087 | |
| BAD DEBT | $2,953,970 | $2,953,970 | |
| FOOD EXPENSES | $724,400 | $724,400 | |
| LICENSES, DUES, SUBSCRI | $345,927 | $133,764 | $212,163 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,162 | TotalAmt |
| Program Services | $37,638 | ProgramServicesAmt |
| Management And General | $94,524 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,096,958 | TotalAmt |
| Program Services | $82,194,716 | ProgramServicesAmt |
| Management And General | $18,902,242 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,855 | BOYAmt |
| EOY | $75,293 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,832,562 | BOYAmt |
| EOY | $12,172,615 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,270,079 | BOYAmt |
| EOY | $8,753,209 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,174 | BOYAmt |
| EOY | $56,918 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $875,848 | BOYAmt |
| EOY | $1,037,444 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $762,004 | BOYAmt |
| EOY | $560,092 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $125,732,467 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $99,235,602 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,221,771 | BOYAmt |
| EOY | $26,496,865 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,901,891 | BOYAmt |
| EOY | $6,972,560 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,686,656 | BOYAmt |
| EOY | $3,703,253 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,667 | BOYAmt |
| EOY | $166,667 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,937,566 | BOYAmt |
| EOY | $9,458,912 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,901,073 | BOYAmt |
| EOY | $69,453,828 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,009,834 | BOYAmt |
| EOY | $9,777,677 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,519,287 | BOYAmt |
| EOY | $5,412,563 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,906,549 | BOYAmt |
| EOY | $10,066,256 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,435,670 | BOYAmt |
| EOY | $25,256,496 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,465,403 | BOYAmt |
| EOY | $44,197,332 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,465,403 | BOYAmt |
| EOY | $44,197,332 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,901,073 | BOYAmt |
| EOY | $69,453,828 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,204,757 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,018,510 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$4,454,318 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,959 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,959 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL HOLDS MEMBERSHIP IN THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) AND THE HOSPITAL COUNCIL OF WESTERN PENNSYLVANIA (HCWP), WHICH ENGAGE IN LOBBYING AS PART OF THEIR MISSION TO REPRESENT THE INTEREST OF HOSPITALS AT BOTH THE FEDERAL AND STATE LEVELS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $297,281 | OtherCostOrOtherBasisAmt |
| Book Value | $297,281 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,187,192 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,095,899 | DepreciationAmt |
| Book Value | $16,091,293 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,706,896 | OtherCostOrOtherBasisAmt |
| Depreciation | $66,365,500 | DepreciationAmt |
| Book Value | $9,341,396 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,541,098 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,774,203 | DepreciationAmt |
| Book Value | $766,895 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,496,865 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $903,813 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CHART | Desc |
| Book Value | $2,799,440 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $3,703,253 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER REC & D/F 3RD PARTY PAYORS | $7,777,582 |
| ACCRUED INTEREST | $14,816 |
| DUE FROM AFFILIATES | $1,666,514 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,458,912 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| AMOUNT DUE TO THIRD PARTY PAYERS | $501,537 |
| MINIMUM PENSION LIABILITY | $7,497,719 |
| ESTIMATED INSURANCE LIABILITIES | $2,067,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,066,256 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $100,874,917 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,018,510 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$7,408,288 | OtherRevenueAmt |
| Revenue Not Reported | -$8,426,798 | RevenueNotReportedAmt |
| Revenue Subtotal | $109,301,715 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $109,301,715 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $98,142,988 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $98,142,988 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,953,970 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,953,970 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $101,096,958 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | UNREALIZED CHANGE IN DEFINED BENEFIT PLAN -846,737. TRANSFER TO AFFILIATE -3,607,581. BAD DEBT EXPENSE -2,953,970. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBTS 2,953,970. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,382,036 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,382,036 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,881,887 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,031,622 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,850,265 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03920 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $229,706 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $216,168 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,538 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,493,629 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,247,790 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,245,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05340 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $145,858 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $145,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $342,532 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $102,702 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $239,830 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,623,398 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,371,180 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,252,218 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05350 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $104,048 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $104,048 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,388 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $39,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,255,224 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,473,882 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,781,342 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05890 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,748,853 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,721,672 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,027,181 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11230 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,166 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,911 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,911 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $477 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $477 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,554 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,554 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,953,970 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $407,648 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,670,705 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,847,169 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,176,464 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | 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 | ARMSTRONG COUNTY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE NOLTE DRIVE | AddressLine1Txt |
| City | KITTANNING | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | ACMH.ORG | WebsiteAddressTxt |
| State License | 270901 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | SNU, REHAB & PSYCHIATRIC UNITS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARMSTRONG COUNTY MEMORIAL HOSPITAL | 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 |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://ACMH.ORG/WP-CONTENT/UPLOADS/2015/07/CHNA-2015-FINAL-REPORT.PDF | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://ACMH.ORG/WP-CONTENT/UPLOADS/2015/07/CHNA-2015-FINAL-REPORT.PDF | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| 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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://ACMH.ORG/WP-CONTENT/UPLOADS/2015/06/APPLICATION-FOR-FINANCIAL-ASSIST | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://ACMH.ORG/WP-CONTENT/UPLOADS/2012/10/NOTICE-OF-FINANCIAL-ASSISTANCE-D | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ARMSTRONG COUNTY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: THE COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT REPRESENTED A CROSS-SECTION OF THE HEALTH AND HUMAN SERVICES AGENCIES IN ARMSTRONG COUNTY. SOME PARTICIPANTS WERE SPECIFICALLY CHOSEN BECAUSE OF THEIR PUBLIC HEALTH KNOWLEDGE AND EXPERIENCE. OTHERS WERE CHOSEN BECAUSE OF THEIR EXPERTISE IN:-CHRONIC HEALTH CONDITIONS/IN ARMSTRONG COUNTY-BARRIERS TO HEALTHCARE-KNOWLEDGE OF UNDERSERVED GROUPS OF POPULATION IN ARMSTRONG COUNTY-FORMING ORGANIZATIONAL COLLABORATIONS WITH ACMH HOSPITAL TO MEET HEALTH NEEDS-AN AWARENESS OF THE HEALTH CONCERNS OF THE PEOPLE UTILIZING HEALTHCARE SERVICES-RELIABLE SOURCES OF HEALTH INFORMATION-WHERE RESIDENTS OF THE COUNTY ARE GOING FOR HEALTH AND WELLNESS SERVICESINTERVIEWS WITH THESE STAKEHOLDERS REVEALED CERTAIN BARRIERS TO HEALTH SERVICES AND UNDERSERVED GROUPS OF THE POPULATION IN ARMSTRONG COUNTY WERE PRIORITY COMMUNITY NEEDS. |
| ARMSTRONG COUNTY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: PLEASE SEE ATTACHED CHNA AND STRATEGIC PLAN |
| ARMSTRONG COUNTY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 16I: THE FINANCIAL ASSISTANCE POLICY INDICATES: INDIVIDUAL NOTICES INFORMING PATIENTS ABOUT FINANCIAL ASSISTANCE/DISCOUNT WILL BE OFFERED AT THE TIME OF REGISTRATION. SIGNS WILL BE POSTED IN REGISTRATION AREAS OF THE HOSPITAL AND ITS AFFILIATED CLINICS AND PHYSICIAN OFFICES. |
| ARMSTRONG COUNTY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 22D: ALL SELF-PAY ACCOUNTS WITHOUT ANY INSURANCE COVERAGE ARE AUTOMATICALLY GIVEN A 57 PERCENT DISCOUNT. |
| SCHEDULE H, PART V, SECTION B, LINE 3 | ARMSTRONG COUNTY MEMORIAL HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING FISCAL YEAR 2015 AND ADOPTED AN IMPLEMENTATION STRATEGY. THE RECENTLY CONDUCTED CHNA AND IMPLEMENTATION STRATEGY IS ATTACHED. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| ARMSTRONG COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: | HTTP://ACMH.ORG/WP-CONTENT/UPLOADS/2015/06/APPLICATION-FOR-FINANCIAL-ASSIST |
| ARMSTRONG COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 16C WEBSITE: | HTTP://ACMH.ORG/WP-CONTENT/UPLOADS/2012/10/NOTICE-OF-FINANCIAL-ASSISTANCE-D |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| ARMSTRONG OUTPATIENT IMAGING CENTER | ||||
| 87 GLADE DRIVE | KITTANNING | PA | 16201 | OUTPATIENT RADIOLOGY CENTER |
| ACMH HEALTH PAVILION | ||||
| 202 5TH AVENUE | FORD CITY | PA | 16226 | OUTPATIENT PHYSICAL THERAPY, LAB DRAW |
| ARMSTRONG PRIMARY CARE CENTER ELDERTON | ||||
| 116 MAIN STREET | ELDERTON | PA | 15736 | PRIMARY CARE, LAB DRAW, RADIOLOGY |
| ARMSTRONG PRIMARY CARE CENTER LEECHBURG | ||||
| 116 MAIN STREET | LEECHBURG | PA | 15656 | PRIMARY CARE, LAB DRAW, RADIOLOGY, PHYSICAL THERAPY |
| ARM PRIMARY CARE CENTER SOUTH BETHLEHEM | ||||
| 2615 RT 28/66 | NEW BETHLEHEM | PA | 16242 | PRIMARY CARE, LAB DRAW |
| ARMSTRONG PRIMARY CARE CTR RURAL VALLEY | ||||
| 10261 ST RT 85 | KITTANNING | PA | 16201 | PRIMARY CARE, LAB DRAW |
| DOWNTOWN KITTANNING DRAW STATION | ||||
| 108 MULBERRY JEFFERSON STREETS | KITTANNING | PA | 16201 | LAB DRAW |
| COWANSVILLE SERVICE CENTER | ||||
| 882 EAST BRADY ROAD | COWANSVILLE | PA | 16218 | LAB DRAW |
| ARMSTRONG PRIMARY CARE CENTER KITTANNING | ||||
| 260 SOUTH JEFFERSON STREET | KITTANNING | PA | 16201 | PRIMARY CARE |
| WORTHINGTON FAMILY PRACTICE | ||||
| 1482 BUTLER ROAD | WORTHINGTON | PA | 16262 | LAB DRAW |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION ON IRS WORKSHEETS 1 AND 3. |
| PART I, LINE 7G: | ARMSTRONG COUNTY MEMORIAL HOSPITAL REPORTS FIVE RHC FACILITIES AS SUBSIDIZED HEALTH SERVICES. WHEN THESE CLINICS WERE ESTABLISHED, THE AREAS IN WHICH THEY ARE LOCATED WERE IN MEDICALLY UNDERSERVED AREAS OR PHYSICIAN SHORTAGE AREAS. COMBINED, THESE FIVE RHC FACILITIES PROVIDE APPROXIMATELY $414,000 OF COMMUNITY BENEFIT. THE IRS DEFINITION OF A SUBSIDIZED HEALTH SERVICE MEANS CLINICAL SERVICES PROVIDED DESPITE A FINANCIAL LOSS TO THE ORGANIZATION. |
| PART I, LN 7 COL(F): | THIS IS THE AMOUNT REPORTED AS BAD DEBT ON THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS. |
| PART I, LN 7, COL(F) | THIS AMOUNT IS CALCULATED USING TOTAL OPERATING EXPENSES PER FORM 990, PART IX, LINE 25, LESS BAD DEBT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE PRIMARY COMMUNITY BUILDING ACTIVITIES WERE CONDUCTED BY THE HOSPITAL'S EMS COORDINATOR. THE EMS COORDINATOR SPENDS TIME IN THE COMMUNITY COORDINATING CPR INSTRUCTORS AND COURSES AND INSTRUCTING COMMUNITY MEMBERS ON IDENTIFYING STROKE AND HEART ATTACK. SINCE DISEASES OF THE HEART ARE THE LEADING CAUSE OF DEATH IN THE COMMUNITY, THESE ACTIVITIES PROMOTE COMMUNITY HEALTH BY INCREASING AWARENESS OF THE DISEASES AND HOW TO RESPOND IF YOU WITNESS THE SIGNS OF A HEART ATTACK OR STROKE.THE EMS COORDINATOR ALSO ATTENDS LOCAL EMERGENCY PLANNING AND TERRORISM TASK FORCE MEETINGS AND PROVIDES CONTINUING EDUCATION SESSIONS FOR EMS PROVIDERS. THESE ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY BY EDUCATING EMS PROVIDERS TO RESPOND TO SITUATIONS THEY MAY EXPERIENCE ON CALLS AND EDUCATING LOCAL EMERGENCY PLANNING LEADERS ABOUT EMS PRACTICES.HOSPITAL REPRESENTATIVES ALSO ATTEND CAREER DAYS AT LOCAL SCHOOLS AND PROVIDE TOURS OF THE FACILITY TO EDUCATE STUDENTS ABOUT CAREERS IN HEALTH CARE. |
| PART III, LINE 2: | THIS IS THE AMOUNT REPORTED AS BAD DEBT ON THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 3: | THIS AMOUNT WAS ESTIMATED BY MULTIPLYING THE TOTAL BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENT BY THE POVERTY PERCENTAGE FOR ARMSTRONG COUNTY REPORTED ON WWW.CENSUS.GOV |
| PART III, LINE 4: | THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THATDESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| PART III, LINE 8: | SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. |
| PART III, LINE 9B: | PATIENTS RECEIVE CORRESPONDENCE GIVING THEM THE OPPORTUNITY TO CONTACT THE ORGANIZATION TO QUESTION THEIR STATEMENTS AND/OR ESTABLISH PAYMENT ARRANGEMENTS. IF A PATIENT CONTACTS THE ORGANIZATION, IT IS FIRST DETERMINED WHETHER OR NOT THEY MAY BE ELIGIBLE FOR ASSISTANCE THROUGHMEDICAID OR FINANCIAL ASSISTANCE. IF THE PATIENT IS NOT ELIGIBLE FOR ANY OF THE ASSISTANCE LISTED, THEN THE ORGANIZATION WORKS WITH THE PATIENT TOESTABLISH A PAYMENT PLAN, USUALLY FOR UP TO 12 MONTHS BUT EXTENSION ISALLOWED FOR EXTENUATING CIRCUMSTANCES. IF AN ACCOUNT IS DETERMINED TO BE UNCOLLECTIBLE AND NO REQUEST FOR ASSISTANCE OR PAYMENT ARRANGEMENTS IS RECEIVED, THE ACCOUNT IS REFERRED TO AN OUTSIDE COLLECTION AGENCY. |
| PART VI, LINE 2: | WE REGULARLY USE RELIABLE DATA AVAILABLE ON THE INTERNET TO DETERMINE THE NEEDS OF OUR COMMUNITY. COUNTY HEALTH RANKINGS PULLS FROM VARIOUS RELIABLE DATABASES TO PROVIDE INFORMATION ABOUT OUTCOMES, HEALTH FACTORS, ENVIRONMENTAL FACTORS, AND COMMUNITY HEALTH STATUS INDICATORS. WE ALSO USE INFORMATION FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH REGARDING HEALTH BEHAVIORS. WE ALSO COLLABORATE WITH THE LOCAL SCHOOL DISTRICT AND OTHER COMMUNITY ORGANIZATIONS AND EMPLOYERS TO DETERMINE OUR ROLE IN THEDEVELOPMENT OF HEALTHY FACILITIES, PROGRAMS, AND BEHAVIORS IN ARMSTRONG COUNTY. IN FY2015 ACMH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND PUBLISHED THE FINDINGS ON OUR WEBPAGE. THE NEEDS ASSESSMENT TOOK INTO ACCOUNT INFORMATION FROM PRIMARY DATA AS WELL AS SECONDARY DATA. |
| PART VI, LINE 3: | EACH PATIENT IS ASKED THE QUESTION, "DO YOU NEED HELP WITH YOUR MEDICAL BILLS?" AT THE POINT OF REGISTRATION. FOR EVERY PATIENT THAT ANSWERS YES, WE SEND THE PATIENT A COVER LETTER EXPLAINING OUR FINANCIAL ASSISTANCE PROGRAM, AN APPLICATION, AND BASIC GUIDELINES IDENTIFYING INFORMATION NEEDED TO PROCESS THE APPLICATION. ONCE THE PATIENT RECEIVES THE APPLICATION AND COMPLETES THE INFORMATION, THE APPLICATION IS REVIEWED FOR ACCURACY AND POTENTIAL APPROVAL. IF THE PATIENT HAS SUPPLIED ALL THE NECESSARY INFORMATION AND A DECISION IS MADE, AN APPROVED OR DENIED LETTER IS SENT TO THE PATIENT. IF THE PATIENT HAS NOT SUPPLIED ENOUGH INFORMATION TO MAKE A PROPER DECISION, A LETTER DETAILING THE MISSING INFORMATION IS SENT TO THE PATIENT ALONG WITH A FOLLOW UP PHONE CALL. THE APPLICATION IS PRINTED ON THE BACK OF EVERY STATEMENT SENT TO PATIENTS CONCERNING THEIR OUT OF POCKET EXPENSE. WE UTILIZE AN EARLY OUT SELF PAY VENDOR THAT HAS BEEN TRAINED ON OUR FINANCIAL ASSISTANCE POLICY AND WHEN THEY HAVE CONTACT WITH OUR PATIENTS, THEY ADVISE THEM OF THE PROGRAM AND INITIATE THE APPLICATION PROCESS WHEN THE PATIENT REQUESTS THEIR ASSISTANCE. THIS VENDOR OFFERS THE FINANCIAL ASSISTANCE APPLICATION ON THEIR WEBSITE LISTED UNDER THE OPTIONS FOR RESOLUTION OF THE OUTSTANDING BALANCE(S). THE HOSPITAL HAS FINANCIAL ASSISTANCE POSTERS PLACED IN STRATEGIC LOCATIONS THROUGHOUT THE FACILITY TO INFORM THEM OF THE PROGRAM OFFERED. WE ARE PARTICIPATING IN HEALTH FAIRS THROUGHOUT THE COUNTY BY ATTENDING AND OFFERING ASSISTANCE WITH THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE.THE HOSPITAL HAS OBTAINED THE ASSISTANCE OF A COMPANY TO WORK WITH THE INPATIENT POPULATION TO OBTAIN PENNSYLVANIA MEDICAL ASSISTANCE. THE COMPANY MEETS WITH THE PATIENT ONE ON ONE TO OBTAIN ALL THE INFORMATION NEEDED TO SUBMIT THE APPLICATION ON BEHALF OF THE PATIENT. IF INFORMATION IS NEEDED AFTER DISCHARGE, THE COMPANY GOES TO THE PATIENT'S HOME AND OBTAINS ANY INFORMATION NEEDED AND MEETS WITH THE COUNTY ASSISTANCE OFFICE WHEN NEEDED. THE HOSPITAL'S FINANCIAL COUNSELING DEPARTMENTRECEIVES PHONE CALLS DAILY AND ASSISTS PATIENTS WITH PAYMENT PLAN OPTIONS SUCH AS FINANCIAL ASSISTANCE, MEDICAID APPLICATIONS, PAYROLL DEDUCTIONS, AND PAYMENT ARRANGEMENTS/PLANS. |
| PART VI, LINE 4: | WE CONSIDER ALL OF ARMSTRONG COUNTY TO BE INCLUDED IN OUR SERVICE AREA AS WE ARE THE ONLY HOSPITAL AND THE ONLY PROVIDER OF EMERGENCY SERVICES. ARMSTRONG COUNTY LIES IN THE RURAL APPALACHIAN REGION AND IS MADE UP OF 45 MINOR CIVIL DIVISIONS. THE MAJORITY OF THESE MUNICIPALITIES ARE DESIGNATED AS EITHER MEDICALLY UNDERSERVED AREAS OR HEALTH PROFESSIONAL SHORTAGE AREAS, OR BOTH, BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THERE IS NO PUBLIC TRANSPORTATION SYSTEM FOR MOST OF THE AREA. SOCIOECONOMIC DATA FOR THE REGION SHOWS THAT THE PER CAPITA INCOME OF ARMSTRONG COUNTY IS LOWER THAN THE AVERAGE OF THE UNITED STATES, THE COMMONWEALTH OF PENNSYLVANIA AND THE OVERALL APPALACHIAN REGION. ARMSTRONG COUNTY RESIDENTS ARE OLDER THAN THE AVERAGE RESIDENT OF PENNSYLVANIA AS A WHOLE. A DISPROPORTIONATELY LARGER PERCENTAGE OF OUR POPULATION RESIDES IN RURAL AREAS. |
| PART VI, LINE 5: | ACMH IS A FOUNDING MEMBER OF THE ARMSTRONG COUNTY COALITION FOR HEALTH AND WELLNESS WHICH EXISTS TO PROMOTE PHYSICAL ACTIVITY AND HEALTHIER FAMILIES THROUGH COMMUNITY DESIGN AND SUPPORT. COALITION MEMBERS CURRENTLY INCLUDE, ELECTED ARMSTRONG COUNTY OFFICIALS, ACMH HOSPITAL PERSONNEL, AND OTHER COMMUNITY LEADERS. THE GOAL OF THE COALITION IS TO REVERSE THREATS TO THE HEALTH AND WELL-BEING OF ARMSTRONG COUNTY CITIZENS WHICH INCLUDE POOR NUTRITION, SEDENTARY LIFESTYLES, AND LIMITED PHYSICALACTIVITY BY PROVIDING LEADERSHIP, FUNDING AND TECHNICAL ASSISTANCE IN ORDER TO PROMOTE THE USE OF EXISTING TRAILS AND PARKS, TO OPTIMIZE COMMUNITY DESIGN, TO INCREASE ACCESS TO RECREATIONAL RESOURCES, TO ENHANCE EXISTING FITNESS FACILITIES AND TO PROMOTE EDUCATIONAL PROGRAMS THAT FOCUS ON HEALTHIER LIFESTYLES. ACMH ALSO PARTICIPATES IN HEALTHY ARMSTRONG, A COALITION OF A LARGE NUMBER OF STAKEHOLDERS THAT MEETS MONTHLY TO COMBAT CHILDHOOD OBESITY. HEALTHY ARMSTRONG HAS BEEN AWARDED SEVERAL GRANTS AND HAS ACHIEVED NATIONAL RECOGNITION THROUGH ITS PROGRAM OF USING THE SCHOOL SYSTEM TO PROMOTE INCREASED PHYSICAL ACTIVITY AND NUTRITIONAL EDUCATION. ACMH PARTICIPATES IN ECONOMIC DEVELOPMENT MEETINGS.OTHER INFORMATION:THE MAJORITY OF BOARD MEMBERS ARE ARMSTRONG COUNTY RESIDENTS AND WERE SELECTED TO REPRESENT THE COMMUNITIES SERVED. ACMH MANAGERS ARE ENCOURAGED TO PARTICIPATE ON THE BOARDS OF OTHER NON-PROFIT HEALTH AND HUMAN SERVICES ORGANIZATIONS. ACMH PROVIDES STRATEGIC PLANNING LEADERSHIP AND FACILITATION TO SMALLER ORGANIZATIONS IN THE COMMUNITY. ACMH WIDELY ADVERTISES IT'S FINANCIAL ASSISTANCE/FREE CARE PROGRAMS WHICH ARE INCOME BASED. SINCE ACMH OWNS SEVERAL RURAL HEALTH CLINICS LOCATED IN MEDICALLYUNDERSERVED AREAS IT OFFERS FINANCIAL ASSISTANCE TO LOW INCOME INDIVIDUALS AND FAMILIES FOR ALL TYPES OF HEALTHCARE SERVICES. |
| PART VI, LINE 6: | THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED GROUP, AND THE GROUP'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF ARMSTRONG COUNTY MEMORIAL HOSPITAL, ARMSCARE, INC., ACMH FOUNDATION, ACMH ANESTHESIA SERVICES, ACMH PHYSICIAN SERVICES, GLADE RUN MEDICAL ASSOCIATES INC., AND ARMSTRONG CENTER FOR MEDICINE AND HEALTH, INC.(ACMH, INC.), COLLECTIVELY REFERRED TO AS THE HEALTH SYSTEM.THE HOSPITAL IS A NOT-FOR-PROFIT ENTITY, WHOLLY OWNED BY ACMH, INC. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES IN THE ARMSTRONG COUNTY, PENNSYLVANIA AREA.ACMH, INC. IS A NOT-FOR-PROFIT CORPORATION FORMED TO SUPPORT AND FURTHER THE CHARITABLE ACTIVITIES OF ARMSTRONG COUNTY MEMORIAL HOSPITAL AS WELL AS ANY OTHER SUBSIDIARY ORGANIZATION AND IS THE PARENT ORGANIZATION.ARMSCARE, INC. IS A 95%-OWNED, FOR-PROFIT ENTITY ENGAGED PRINCIPALLY IN THE RENTAL AND SALE OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES.THE FOUNDATION IS A NOT-FOR-PROFIT ENTITY WHOSE PURPOSE IS TO RAISE FUNDS FOR THE BENEFIT OF THE HOSPITAL AND WELLNESS OF THE COMMUNITY.THE HEALTH SYSTEM FORMED ACMH ANESTHESIA SERVICES AND ACMH PHYSICIAN SERVICES IN 2006. THESE ENTITIES WERE ESTABLISHED TO PROVIDE ANESTHESIA AND PHYSICIAN SERVICES TO THE HEALTH SYSTEM.THE HEALTH SYSTEM FORMED GLADE RUN MEDICAL ASSOCIATES, INC. (GLADE RUN) IN 2009, AND IT BEGAN OPERATIONS IN 2010. GLADE RUN IS A NOT-FOR-PROFIT ENTITY ESTABLISHED TO PROVIDE PHYSICIAN SERVICES TO THE HEALTH SYSTEM. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | BEFORE PROVIDING GRANT FUNDS TO OTHER ORGANIZATIONS, ARMSTRONG COUNTY MEMORIAL HOSPITAL LOOKS AT THE HISTORY OF THE ORGANIZATION THEY ARE CONSIDERING DONATING TO AND ASKS THE ORGANIZATION TO PROVIDE THEM WITH DETAIL REGARDING WHAT THE MONEY WILL BE SPENT ON. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HAROLD ALTMAN MD | ||||||||||||||
| DIRECTOR/CHIEF MEDICAL OFF | $255,833 | $0 | $1,546 | $0 | $39,475 | $0 | $2,250 | $0 | $20,791 | $0 | $319,895 | $0 | $0 | $0 |
| JOHN I LEWIS | ||||||||||||||
| PRESIDENT/CEO | $304,800 | $0 | $1,805 | $0 | $38,524 | $0 | $50,799 | $0 | $22,228 | $0 | $418,156 | $0 | $0 | $0 |
| SARUN SUWAN MD | ||||||||||||||
| DIR./MED STAFF PRES | $289,421 | $0 | $13,888 | $0 | $0 | $0 | $1,500 | $0 | $25,077 | $0 | $329,886 | $0 | $0 | $0 |
| PATRICK C BURNS | ||||||||||||||
| CFO, VP OF FINANCE | $179,642 | $0 | $1,081 | $0 | $24,184 | $0 | $25,999 | $0 | $22,705 | $0 | $253,611 | $0 | $0 | $0 |
| JEANNE GRAFF | ||||||||||||||
| VP OF PATIENT SERVICES | $145,488 | $0 | $886 | $0 | $22,182 | $0 | $2,250 | $0 | $22,025 | $0 | $192,831 | $0 | $0 | $0 |
| JOSEPH A CIPPEL | ||||||||||||||
| PHYSICIAN | $166,129 | $0 | $43,375 | $0 | $0 | $0 | $1,500 | $0 | $23,587 | $0 | $234,591 | $0 | $0 | $0 |
| MICHELE OLEKSAK | ||||||||||||||
| PHYSICIAN | $160,744 | $0 | $36,548 | $0 | $0 | $0 | $1,500 | $0 | $8,528 | $0 | $207,320 | $0 | $0 | $0 |
| JOHN GREGG | ||||||||||||||
| PHYSICIAN | $146,585 | $0 | $48,800 | $0 | $0 | $0 | $1,500 | $0 | $20,118 | $0 | $217,003 | $0 | $0 | $0 |
| VICKY LEO | ||||||||||||||
| PHYSICIAN | $183,991 | $0 | $7,083 | $0 | $0 | $0 | $2,250 | $0 | $8,399 | $0 | $201,723 | $0 | $0 | $0 |
| CHAD SHAFFER | ||||||||||||||
| PHYSICIAN | $190,005 | $0 | $12,886 | $0 | $0 | $0 | $1,500 | $0 | $23,877 | $0 | $228,268 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | JOHN I. LEWIS AND PATRICK C. BURNS PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN. THEY RECEIVED THE FOLLOWING 457(F) CONTRIBUTIONS: $48,549 JOHN I. LEWIS $23,749 PATRICK C. BURNS THE 457(F) PLAN THAT ARMSTRONG COUNTY MEMORIAL HOSPITAL ESTABLISHED FOR A SELECT GROUP OF MANAGEMENT INCLUDES THE FOLLOWING TERMS: A PARTICIPANT SHALL BECOME FULLY VESTED IN HIS DEFERRED COMPENSATION ACCOUNT, AND INCOME, GAINS, AND LOSSES ATTRIBUTABLE THERETO, IF HE REMAINS IN SERVICE WITH THE EMPLOYER UNTIL THE FIRST OF THE FOLLOWING EVENTS OCCURS: (A) THE DEATH OF THE PARTICIPANT; (B) THE DISABILITY OF THE PARTICIPANT; (C) THE DATE THE PARTICIPANT ATTAINS AGE 65; OR (D) THE DATE A PARTICIPANT IS TERMINATED FROM EMPLOYMENT WITH THE EMPLOYER DUE TO A CHANGE OF CONTROL EVENT. UPON VESTING, THE DEFERRED COMPENSATION ACCOUNT WILL BE INCLUDIBLE IN THE GROSS INCOME OF THE PARTICIPANT PURSUANT TO CODE SECTION 457(F). |
| PART I, LINE 5 | MANAGEMENT USES MGMA PUBLISHED STANDARDS TO ESTABLISH A BASE SALARY FOR PROVIDERS. IN ADDITION TO THE BASE SALARY, PROVIDERS HAVE THE ABILITY TO EARN INCENTIVES BASED UPON THEIR PRODUCTIVITY AS REFLECTED IN WORK RVU MEASURES. IN ADDITION, THE CEO PRESENTS GOALS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF WHAT THE ORGANIZATION HOPES TO ACHIEVE DURING EACH FISCAL YEAR. THESE GOALS ARE BASED ON REVENUES, NET EARNINGS, AND OTHER MEASURES. DEPENDING ON THE RESULTS, THE EXECUTIVE COMMITTEE OF THE BOARD, WITH INPUT FROM THE CEO, DETERMINES WHAT AMOUNT OF BONUSES (IF ANY) WILL BE PAID. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SNYDER BROTHERS INC | |||
| M SNYDER IS INDIRECT OWNER | $78,585 | GAS SERVICES & GAS LEASE | 0 |
| SNYDER BROTHERS INC | |||
| M SNYDER IS INDIRECT OWNER | $2,950 | ROYALTIES & GAS LEASE | 0 |
| ROBERT REMALEY | |||
| A REMALEY'S HUSBAND | $12,096 | COMPENSATION & BENEFITS | 0 |
| AMBER RITROSKY | |||
| A REMALEY'S SISTER-IN-LAW | $30,218 | COMPENSATION & BENEFITS | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV, LINES 1 & 2 | FormAndLineReferenceDesc |
| Explanation | ARMSTRONG COUNTY MEMORIAL HOSPITAL CONDUCTS BUSINESS TRANSACTIONS WITH SNYDER BROTHERS INC. INCLUDING THE PURCHASE OF NATURAL GAS, AS WELL AS RECEIVING ROYALTIES FROM THE COMPANY FOR GAS WELLS LOCATED ON ARMSTRONG COUNTY MEMORIAL HOSPITAL PROPERTY. MARK SNYDER IS A BOARD MEMBER OF ARMSTRONG COUNTY MEMORIAL HOSPITAL AND ARMSTRONG CENTER FOR MEDICINE AND HEALTH. WHEN THESE BUSINESS TRANSACTIONS ARE DISCUSSED AT BOARD MEETINGS, MR. SNYDER IS EXCUSED SO NO CONFLICT OF INTEREST OCCURS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4 | ARMSTRONG COUNTY MEMORIAL HOSPITAL IS A 171 BED COMMUNITY HOSPITAL WHICH PROVIDES INPATIENT & OUTPATIENT MEDICAL SERVICES TO ALL COUNTY RESIDENTS WITHOUT DISCRIMINATION. THE HOSPITAL HAS CONTRACTS WITH THIRD-PARTY PAYERS TO PROVIDE CARE FOR MEDICARE, MEDICAID, BLUE CROSS AND OTHER COMMERCIAL PAYER PATIENTS. THE HOSPITAL PROVIDES EMERGENCY CARE REGARDLESS OF A PATIENTS ABILITY TO PAY. PURSUANT TO THE HOSPITAL'S CHARITY CARE POLICY, CHARGES ARE FULLY OR PARTIALLY WRITTEN OFF FOR PATIENTS MEETING THE CRITERIA SPECIFIED IN THE POLICY. CHARGES EXCLUDED UNDER THE HOSPITAL'S CHARITY CARE POLICY WERE APPROXIMATELY $946,823 FOR THE FISCAL YEAR. THE AMOUNTS REPORTED AS EXPENSE FOR LINES 4A, 4B AND 4C REPRESENT ONLY THE PORTION OF EXPENSES THAT RELATE TO THE GENERATION OF REVENUE FOR THESE PROGRAMS. ADDITIONALLY, MANAGEMENT AND GENERAL EXPENSE IS ASSOCIATED WITH THESE PROGRAMS AND IS INCLUDED IN PART IX STATEMENT OF FUNCTIONAL EXPENSES COLUMN C. DUE TO FOLLOWING THE IRS INSTRUCTIONS FOR REPORTING EXPENSES UNDER THIS SECTION, THE NET PROFIT (LOSS) OF THESE PROGRAMS IS NOT COMPLETELY DISCLOSED UNDER LINES 4A, 4B AND 4C. |
| FORM 990, PART VI, SECTION A, LINE 2 | OFFICER AND DIRECTOR JOHN LEWIS AND OFFICER PATRICK BURNS ARE BOARD MEMBERS OF ARMSCARE, INC., A RELATED TAXABLE CORPORATION. SEE SCHEDULE R, PART IV. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS A SUBSIDIARY OF ARMSTRONG CENTER FOR MEDICINE & HEALTH, INC. (ACMH), ANOTHER TAX EXEMPT ENTITY. ACCORDING TO THE BYLAWS, ARTICLE II, ACMH, A PENNSYLVANIA NONPROFIT CORPORATION, SHALL HAVE CERTAIN RIGHTS WITH RESPECT TO THE GOVERNANCE OF THIS CORPORATION AS MAY BE SPECIFIED IN THESE BYLAWS IN THE CAPACITY OF AN "OTHER BODY" AS THAT TERM IS DEFINED IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW, SPECIFICALLY 15 PA C.S. SECTION 7103. THE BYLAWS OF ACMH DESCRIBE SEVEN SITUATIONS IN WHICH APPROVAL IS NEEDED BY THE PARENT CORPORATION. 1) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THIS CORPORATION OR OF THESE BYLAWS, 2) THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THIS CORPORATION, 3) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION, 4) DISSOLUTION OF THE CORPORATION AND DISTRIBUTION OF ASSETS PURSUANT THERETO, 5) APPROVAL OF THE ANNUAL BUDGET AND LONG-RANGE PLAN FOR THIS CORPORATION, 6) ANY TRANSFER OF FUND BY GRANT, GIFT OR LOAN FROM THIS CORPORATION, AND 7) ANY OTHER MATTER THAT BYLAWS REQUIRE THE APPROVAL OF THE MEMBERS OF THE CORPORATION. ALSO, THE PARENT CORPORATION HAS THE AUTHORITY TO SELECT THE BOARD MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS (ARTICLE 3, SECTION 3(B)). |
| FORM 990, PART VI, SECTION A, LINE 7A | EXPLANATION INCLUDED WITH LINE 6 NARRATIVE. |
| FORM 990, PART VI, SECTION A, LINE 7B | EXPLANATION INCLUDED WITH LINE 6 NARRATIVE. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON THE AUDITED FINANCIAL STATEMENTS AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE CFO AND FINANCE DEPARTMENT PERFORM AN INITIAL REVIEW OF THE COMPLETED 990. ANY NECESSARY CHANGES ARE MADE AND THEN THE REVISED COPY IS PRESENTED TO THE CFO AND CEO FOR FINAL REVIEW. AFTER ALL REVIEWS, A COPY OF THE FULL TAX RETURN, AS IT WILL BE FILED WITH THE IRS, IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REQUESTING ON AN ANNUAL BASIS THAT MEMBERS OF THE BOARD OF DIRECTORS, ALL CORPORATE OFFICERS, AND ALL KEY EMPLOYEES COMPLETE A QUESTIONNAIRE LISTING ALL ORGANIZATIONS WITH WHICH THEY HAVE AN AFFILIATION. THE BYLAWS OF THE ORGANIZATION DESCRIBE HOW ANY CONFLICTS OF INTEREST ARE TO BE ADDRESSED. "THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH THE STATEMENTS OF ALL DIRECTORS IN ORDER TO GUIDE HIS CONDUCT SHOULD A CONFLICT ARISE. THE VICE- CHAIRMAN OF THE BOARD SHALL BE FAMILIAR WITH THE STATEMENT FILED BY THE CHAIRMAN." IF A CONFLICT OF INTEREST SHOULD ARISE, THE MEMBERS ABSTAIN FROM THE VOTE RELATING TO THAT MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS ACMH HOSPITAL USES TO DETERMINE IF THE OFFICERS OF THE ORGANIZATION ARE TO RECEIVE A WAGE ADJUSTMENT IS AS FOLLOWS: 1) A SALARY COMPARISON PREPARED BY MARC CAMMARATA ASSOCIATES AND THE YAFFEY SURVEY ARE OBTAINED; 2) THE INFORMATION IS COMPILED BY THE VP OF HUMAN RESOURCES AND GIVEN TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR CONSIDERATION AND INPUT; 3) CHANGES TO EXECUTIVE COMPENSATION REQUIRE A SIGNED DOCUMENT FROM THE CHAIR OF THE HOSPITAL BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS REVIEWED AS DESCRIBED ABOVE, ON AN AS NEEDED BASIS AND WAS LAST COMPLETED IN SEPTEMBER 2012. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION TAKES THE FOLLOWING ACTIONS RELEASING INFORMATION REGARDING THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS OF THE HOSPITAL. IF A REQUEST IS MADE TO REVIEW THE UNAUDITED FINANCIAL STATEMENTS, IT IS DISCUSSED AND DETERMINED ON A CASE BY CASE BASIS AS TO WHETHER THE INFORMATION WILL BE RELEASED. THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE ORGANIZATIONS THAT REQUEST THEM. A CODE OF CONDUCT FOR THE HOSPITAL IS AVAILABLE TO THE PUBLIC ON THE HOSPITAL'S MAIN WEBSITE AT WWW.ACMH.ORG. THE CORPORATION'S GOVERNING DOCUMENTS ARE KEPT IN THE ADMINISTRATIVE DEPARTMENT OF THE HOSPITAL. THESE DOCUMENTS CAN BE VIEWED UPON REQUEST, BUT THEY ARE NOT ALLOWED TO BE TAKEN FROM THEIR DESIGNATED AREA OR HAVE COPIES MADE WITHOUT PERMISSION. |
| FORM 990, PART VII, SECTION A | NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. JOHN I. LEWIS, PATRICK BURNS AND HAROLD ALTMAN, MD ARE COMPENSATED BY ARMSTRONG COUNTY MEMORIAL HOSPITAL FOR THEIR ROLES AS PRESIDENT/CEO, CFO/VP OF FINANCE AND VP OF MEDICAL AFFAIRS, RESPECTIVELY. SARUN SUWAN RECEIVED COMPENSATION FROM ARMSTRONG COUNTY MEMORIAL HOSPITAL FOR HIS SERVICES AS A PHYSICIAN. SOME BOARD MEMBERS AND OFFICERS ALSO SERVE ON THE BOARDS OF DIRECTORS OF RELATED ORGANIZATIONS. |
| FORM 990, PART VIII, LINE 6A | ACMH HOSPITAL PROVIDES RENTAL LOCATIONS TO AREA PHYSICIANS AND OTHER HEALTHCARE RELATED ENTITIES IN ORDER TO PROMOTE ACCESSIBLE HEALTHCARE OPTIONS CLOSE TO HOME FOR THE LOCAL COMMUNITY. THE RENTAL INCOME CHARGED TO EACH LOCATION IS BASED ON PREVAILING RENTAL RATES PER SQUARE FOOT, THE AMOUNT OF SPACE, THE CONDITION OF THE OFFICE SPACE AND THE AMOUNT OF TIME THE OFFICE SPACE IS USED EACH MONTH. |
| FORM 990, PART IX, LINE 11G | MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 500,667. MANAGEMENT AND GENERAL EXPENSES 65,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 566,067. PURCHASED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 1,695,670. MANAGEMENT AND GENERAL EXPENSES 6,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,701,670. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 49,139. MANAGEMENT AND GENERAL EXPENSES 154,220. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 203,359. PREVENTATIVE SVC & MAINT CONTRACTS: PROGRAM SERVICE EXPENSES 2,049,850. MANAGEMENT AND GENERAL EXPENSES 165,828. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,215,678. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 385,537. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 385,537. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 3,803,317. MANAGEMENT AND GENERAL EXPENSES 2,222,517. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,025,834. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO AFFILIATES -3,607,581. UNREALIZED CHANGE IN DEFINED BENEFIT PLAN -846,737. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARMSTRONG OUTPATIENT IMAGING LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 87 GLADE PARK EAST | AddressLine1Txt |
| City | KITTANNING | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030492975 | EIN |
| Primary Activities | RADIOLOGY | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $1,528 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACMH HOSPITAL | BusinessNameLine1Txt |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ACMH PHYSICIAN SERVICES | |||||||||||
| ONE NOLTE DRIVE | KITTANNING | PA | 16201 | 204648195 | PRIMARY CARE | PA | 501(C)(3) | LINE 3 | ACMH | 0 | |
| ARMSTRONG HEALTH & EDUCATION FOUNDATION | |||||||||||
| ONE NOLTE DRIVE | KITTANNING | PA | 16201 | 251655867 | FOUNDATION | PA | 501(C)(3) | LINE 11A, I | ACMH | 0 | |
| ARMSTRONG CENTER FOR MEDICINE & HEALTH | |||||||||||
| ONE NOLTE DRIVE | KITTANNING | PA | 16201 | 204648477 | PARENT CORP | PA | 501(C)(3) | LINE 7 | 0 | N/A | |
| GLADE RUN MEDICAL ASSOCIATES | |||||||||||
| ONE NOLTE DRIVE | KITTANNING | PA | 16201 | 264750523 | PHYSICIAN PRACTICES | PA | 501(C)(3) | LINE 11A, I | ACMH | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARMSCARE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE NOLTE DRIVE | AddressLine1Txt |
| City | KITTANNING | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251495691 | EIN |
| Primary Activities | DURABLE MED EQUIP | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACMH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| 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 | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |