NORTH PENN COMPREHENSIVE HEALTH SERVICES: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- NORTH PENN COMPREHENSIVE HEALTH SERVICES (EIN 23-1889724)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201521349349305067
- Schema version
- 2013v4.0
- 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 | 2015-05-14T11:43:30-07:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E St Louis/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231889724 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | North Penn Comprehensive Health Services | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 5707230603 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 Walnut Street | AddressLine1 |
| City | Wellsboro | City |
| State | PA | State |
| ZIP Code | 16901 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RONALD M GILBERT JR | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 5707230603 | PhoneNum |
| Signature | 2015-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN D TODD | PreparerPersonNm |
| Phone | 4178658701 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN KRAMER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 Walnut Street | AddressLine1 |
| City | Wellsboro | City |
| State | PA | State |
| ZIP Code | 16901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,140,266 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | Laurelhs.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | North Penn Comprehensive Health Services mission is to provide excellent services that improve the health and well-being of the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 252 | TotalEmployeeCnt |
| Total Volunteers | 758 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,962,891 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,456,205 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,871,706 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,677,779 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$215,000 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,282 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $17,619,597 | PYTotalRevenueAmt |
| CY Total Revenue | $15,140,266 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,206,951 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,423,907 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,133,729 | PYOtherExpensesAmt |
| CY Other Expenses | $5,648,840 | CYOtherExpensesAmt |
| PY Total Expenses | $17,340,680 | PYTotalExpensesAmt |
| CY Total Expenses | $15,072,747 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $278,917 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $67,519 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,511,987 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,849,181 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,146,963 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,069,513 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,365,024 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,779,668 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of North Penn Comprehensive Health Services is to provide | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $8,855,802 | ExpenseAmt |
| Revenue | $7,815,281 | RevenueAmt |
| Desc | LAUREL HEALTH CENTERS PROVIDE CLINIC-BASED HEALTH CARE SERVICES THROUGH SIX RURAL HEALTH CENTERS. IN 2014 CLINIC OFFICE VISITS WERE 69,326. THE CLINICS ALSO PROVIDE BEHAVIORAL HEALTH, WOMEN'S HEALTH,PRENATAL CARE AND DIABETES EDUCATION TO PATIENTS IN THEIR SERVICE AREA. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,288,612 | ExpenseAmt |
| Revenue | $36,119 | RevenueAmt |
| Desc | HEAD START PROVIDES SERVICES TO ECONOMICALLY DISADVANTAGED CHILDREN IN TIOGA AND BRADFORD COUNTIES. EARLY HEAD START ENROLLMENT IS 75, HEAD START FEDERAL AND STATE FUNDED ENROLLMENT IS 374 AND PRE-K ENROLLMENT IS 75. THE PROGRAM EMPLOYS TEACHERS, TEACHER AIDS, BUS DRIVERS, LUNCH AIDES, FAMILY ADVOCATES AND FAMILY PARTNERS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,462,592 | ExpenseAmt |
| Revenue | $1,163,554 | RevenueAmt |
| Desc | BEHAVIORAL HEALTH PROVIDES CLINIC-BASED HEALTH CARE SERVICES IN SIX RURAL HEALTH CENTERS. ALSO PROVIDES PROFESSIONAL PSYCHIATRIC SERVICES IN A HOSPITAL ENVIRONMENT. BEHAVIORAL HEALTH CLINIC VISITS FOR 2014 WERE 10,415. BEHAVIORAL HEALTH HOSPITAL VISITS FOR 2014 WERE 2,598. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,643,415 | ExpenseAmt |
| Revenue | $2,662,825 | RevenueAmt |
| Desc | Contracted Pharmacy services, other | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,643,415 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,662,825 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $14,250,421 | 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 | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 252 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | Ronald M Gilbert Jr CPA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5707230603 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 Walnut Street | AddressLine1 |
| City | Wellsboro | City |
| State | PA | State |
| ZIP Code | 16901 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 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 |
|---|---|---|---|---|---|---|---|
| JAMES D BAKER JR | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| R ROBERT DECAMP | |||||||
| Secretary | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DONNA R WILSON | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHY J WRIGHT PHD | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL W LICHTY | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CRAIG G LITCHFIELD | |||||||
| Treasurer | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| J DENNIS MURRAY PHD | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT P FITZGERALD | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS M OWLETT ESQ | |||||||
| Chairman | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| GLENN B POIRIER | |||||||
| Vice Chairman | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ANEURIN J WILLIAMS JR | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HAROLD F HOOSE III | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WALTER J LAIBINIS DO | |||||||
| Director | 1.00 | Yes (X) | $0 | $252,873 | $14,783 | ||
| STEVEN P JOHNSON | |||||||
| Director | 1.00 | Yes (X) | $0 | $539,105 | $31,861 | ||
| LISA V FEIL PSYD | |||||||
| Director | 1 | Yes (X) | |||||
| WENDY S SWARTZ CPA | |||||||
| Director | 1 | Yes (X) | |||||
| RONALD J BUTLER | |||||||
| President | 1 | $324,224 | $15,277 | Yes (X) | |||
| RONALD M GILBERT | |||||||
| VP/Chief Financial Officer | 1 | $180,133 | $18,307 | Yes (X) | |||
| CLIFFORD WELLER | |||||||
| Physician | 40 | $259,183 | $27,898 | Yes (X) | |||
| GEORGE DY | |||||||
| Physician | 40 | $544,544 | $41,961 | Yes (X) | |||
| SUZANNE STEPANSKI | |||||||
| Physician | 40 | $226,230 | $24,536 | Yes (X) | |||
| VICTOR BECKER | |||||||
| Physician | 40 | $314,542 | $9,578 | Yes (X) | |||
| JAMES MANNING IV | |||||||
| Physician | 40 | $297,784 | $29,713 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,642,283 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,296,335 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $213,914 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,126,376 | GovernmentGrantsAmt |
| All Other Contributions | $329,829 | AllOtherContributionsAmt |
| Noncash Contributions | $329,829 | NoncashContributionsAmt |
| Total Contributions | $3,456,205 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| Patient Revenue, net | 900099 | $8,741,559 |
| Contract Pharmacy | 446110 | $2,590,576 |
| Other Program Revenue | 621999 | $345,644 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,677,779 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,282 | TotalRevenueColumnAmt |
| Exclusion | $6,282 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,140,266 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,677,779 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $6,282 | ExclusionAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,979,657 | TotalAmt |
| Program Services | $6,979,657 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,977 | TotalAmt |
| Program Services | $453,977 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,559,970 | TotalAmt |
| Program Services | $1,559,931 | ProgramServicesAmt |
| Management And General | $39 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,303 | TotalAmt |
| Program Services | $429,947 | ProgramServicesAmt |
| Management And General | $356 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,193 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $702,193 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,690 | TotalAmt |
| Program Services | $3,420 | ProgramServicesAmt |
| Management And General | $17,270 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,652 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $39,652 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,629 | TotalAmt |
| Program Services | $184,531 | ProgramServicesAmt |
| Management And General | $5,098 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,433 | TotalAmt |
| Program Services | $22,433 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,754 | TotalAmt |
| Program Services | $105,736 | ProgramServicesAmt |
| Management And General | $18 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,620 | TotalAmt |
| Program Services | $90,165 | ProgramServicesAmt |
| Management And General | $4,455 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $918,350 | TotalAmt |
| Program Services | $917,913 | ProgramServicesAmt |
| Management And General | $437 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,748 | TotalAmt |
| Program Services | $43,748 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,705 | TotalAmt |
| Program Services | $161,355 | ProgramServicesAmt |
| Management And General | $350 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,223 | TotalAmt |
| Program Services | $12,219 | ProgramServicesAmt |
| Management And General | $4 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,492 | TotalAmt |
| Program Services | $217,436 | ProgramServicesAmt |
| Management And General | $56 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,094 | TotalAmt |
| Program Services | $148,829 | ProgramServicesAmt |
| Management And General | $52,265 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $1,864,438 | $1,864,437 | $1 | $0 |
| Program Expenses | $105,567 | $105,567 | $0 | $0 |
| Food | $72,545 | $72,545 | $0 | $0 |
| Other Expenses | $876,707 | $876,575 | $132 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,072,747 | TotalAmt |
| Program Services | $14,250,421 | ProgramServicesAmt |
| Management And General | $822,326 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,999 | BOYAmt |
| EOY | $713,306 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $434,592 | BOYAmt |
| EOY | $292,358 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,195,701 | BOYAmt |
| EOY | $1,423,310 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,067 | BOYAmt |
| EOY | $51,490 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,735 | BOYAmt |
| EOY | $207,087 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,671,439 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,734,809 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,084,893 | BOYAmt |
| EOY | $1,936,630 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,000 | BOYAmt |
| EOY | $225,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,511,987 | BOYAmt |
| EOY | $4,849,181 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,805,784 | BOYAmt |
| EOY | $2,768,625 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,719 | BOYAmt |
| EOY | $57,242 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $315,460 | BOYAmt |
| EOY | $243,646 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,146,963 | BOYAmt |
| EOY | $3,069,513 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,360,278 | BOYAmt |
| EOY | $1,779,668 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,746 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,365,024 | BOYAmt |
| EOY | $1,779,668 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,511,987 | BOYAmt |
| EOY | $4,849,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $67,519 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $347,125 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY170 | 0 | PublicSupportCY170Pct |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
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 | $170,035 | OtherCostOrOtherBasisAmt |
| Book Value | $170,035 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,742,430 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,391,633 | DepreciationAmt |
| Book Value | $1,350,797 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $353,946 | OtherCostOrOtherBasisAmt |
| Depreciation | $335,509 | DepreciationAmt |
| Book Value | $18,437 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,403,598 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,007,667 | DepreciationAmt |
| Book Value | $395,931 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,430 | OtherCostOrOtherBasisAmt |
| Book Value | $1,430 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,936,630 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Assets Held For Sale | Desc |
| Book Value | $225,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $225,000 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Notes Payable-affiliates | $236,107 |
| Note Payable | $7,539 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $243,646 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $12,249,840 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $185,944 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$507,413 | OtherRevenueAmt |
| Revenue Not Reported | -$321,469 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,571,309 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,568,957 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,568,957 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $15,140,266 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,205,019 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $185,944 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $185,944 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,019,075 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $3,053,672 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,053,672 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $15,072,747 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt XI Line 4b | $2,562,675 Discontinued Operation Revenue $6,282 Investment income |
| Pt XII Line 4b | $512,159 Bad Debt $2,541,513 Discontinued Operation Expense |
| Pt XI Line 2d | $4,746 Net Asset released from restriction ($512,159) Bad Debt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|---|---|---|---|
| WALTER J LAIBINIS DO | ||||||||||
| $182,813 | $70,060 | $6,069 | $8,714 | $267,656 | ||||||
| STEVEN P JOHNSON | ||||||||||
| $524,745 | $13,475 | $18,386 | $570,966 | $14,360 | ||||||
| RONALD J BUTLER | ||||||||||
| $320,062 | $9,650 | $5,627 | $339,501 | $4,162 | ||||||
| RONALD M GILBERT | ||||||||||
| $180,133 | $9,096 | $9,211 | $198,440 | |||||||
| CLIFFORD WELLER | ||||||||||
| $259,183 | $10,367 | $17,531 | $287,081 | |||||||
| GEORGE DY | ||||||||||
| $300,335 | $22,884 | $19,077 | $586,505 | $244,209 | ||||||
| SUZANNE STEPANSKI | ||||||||||
| $203,927 | $5,430 | $19,106 | $250,766 | $22,303 | ||||||
| VICTOR BECKER | ||||||||||
| $281,236 | $9,487 | $91 | $324,120 | $33,306 | ||||||
| JAMES MANNING IV | ||||||||||
| $290,784 | $10,607 | $19,106 | $327,497 | $7,000 | ||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt I Line 5a | NORTH PENN COMPREHENSIVE HEALTH SERVICES PROVIDES AN INCENTIVE COMPENSATION PACKAGE TO PRIMARY CARE PHYSICIANS BASED ON REVENUES OR RVU'S. THE REVENUE INCENTIVE COMPENSATION AMOUNT PAID IS BASED UPON A PERCENTAGE OF GROSS CHARGES GENERATED BY THE INDIVIDUAL PHYSICIAN. ONCE THE PHYSICIAN HAS REACHED THE APPLICABLE GROSS CHARGE AMOUNT THE PHYSICIAN IS PAID A PERCENTAGE OF THE AMOUNT OVER THE GROSS CHARGES. THE PERCENTAGE IS BASED ON THE MGMA PHYSICIAN COMPENSATION AND PRODUCTIVITY SURVEY STATISTIC FOR COMPENSATION WHICH IS BASED ON GROSS CHARGES FOR THE PHYSICIAN'S MEDICAL CREDENTIALING. ONE PHYSICIAN LISTED ON FORM 990, PART VII, LINE 1A IS INCLUDED IN THIS INCENTIVE PLAN BASED ON PROGRAM REVENUE. THE SECOND INCENTIVE PACKAGE ADOPTS THE RVU (RELATIVE VALUE UNITS) METHODOLOGY. AN RVU TARGET IS ESTABLISHED FOR EACH PHYSICIAN. ANY RVUS ACHIEVED ABOVE THE TARGET RVU IS PAYABLE TO THE PHYSICIAN AT THE END OF THE MONTH WHERE THE RVU TARGET IS SURPASSED AT AN ESTABLISH RATE PER RVU. THREE OF THE PHYSICIANS LISTED ARE INCLUDED IN THIS INCENTIVE PLAN. |
| Pt I Line 6b | The North Penn Comprehensive Health Services Executive Compensation Policy and Program describes North Penn Comprehensive Health Services's executive compensation program for key senior managers. North Penn Comprehensive Health Services's annual incentive plan is designed to focus the attention of key executives on the key annual system goals as approved by the Board of Trustees, and to be performance-based; each individual's compensation is based on both System and individual performance. The Executive Compensation Committee of the Board (Committee) adopts performance measures annually, establishes a target incentive pool of funds, and awards the actual incentives at the end of the year based on actual performance against the established standards. North Penn Comprehensive Health Services targets both base and total cash compensation at the 50th percentile (P50) of the market of comparable health systems. North Penn Comprehensive Health Service's incentive plan consists of System circuit breakers, system performance measures and individual incentive targets, which are established and approved annually by the Committee. Performance measures assess overall North Penn Comprehensive Health Services performance and are calibrated in terms of threshold, target and maximum performance levels. Measures include financial and nonfinancial criteria in order to reflect a balanced sense of System performance. Incentive targets are expressed as a percentage of base salary and are reviewed annually to reflect internal equity and external competitiveness. The actual incentive fund is determined at the conclusion of the fiscal year once the performance levels for the System performance measures are know. Award levels for each measure are calculated using the weight for each measure and the performance levels. |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | contributed goods | Desc |
| Contribution | 32983 | ContributionCnt |
| Noncash Contributions Rpt F990 | $329,829 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | estimated fair market | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (64 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | Members of the board of directors of North Penn Comprehensive Health Services |
| Pt VI, Line 11b | are provided a copy of the Form 990 prior to filing. The CFO reviews the |
| Pt VI, Line 11b | Form 990 with the Finance Committee of the board of directors and responds |
| Pt VI, Line 11b | to any questions. Subsequent to this meeting, the Finance Committee |
| Pt VI, Line 11b | then recommends to the board of directors that the Form 990 |
| Pt VI, Line 11b | be approved for filing. |
| Pt VI, Line 12c | Annually on the 1st day of January the CEO sends to all directors, |
| Pt VI, Line 12c | a questionnaire to be completed and returned by January 15. |
| Pt VI, Line 12c | A report is submitted to the board of directors to notify any |
| Pt VI, Line 12c | conflicts of interest disclosed |
| Pt VI, Line 15a | The leadership salary structure is independently analyzed |
| Pt VI, Line 15a | in relationship to the labor market using salary surveys. |
| Pt VI, Line 15a | A recommendation is presented to the Governance Committee |
| Pt VI, Line 15a | of the board of directors for their consideration and |
| Pt VI, Line 15a | approval. |
| Pt VI, Line 19 | Governing documents and financial statements are available |
| Pt VI, Line 19 | to the public upon request. The conflict of interest policy |
| Pt VI, Line 19 | is also available upon request. |
| Pt XI | Other changes in net assets or fund balance: |
| Pt XI | $347,125 Pension liability adjustment |
| Pt III, Line 3 | In February 2014, the Organization transferred its Head Start |
| Pt III, Line 3 | program to Bradford Tioga Head Start, an unrelated party. |
| Pt III, Line 3 | This was part of the restructuring of the Organization subsequent |
| Pt III, Line 3 | to the change in the relationship with LHS. |
| Form 990EZ, Part I, Line 16 | MANAGEMENT FOSTER CARE INSURANCE FOOD OTHER EXPENSES |
| Form 990EZ, Part II, Line 24 | ACCOUNTS RECEIVABLE - NET GRANTS RECEIVABLE - NET INVENTORIES PREPAIDS INVESTMENTS |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE & ACCRUED EXPENSES DEFERRED REVENUE BONDS, MORTGAGES & OTHER NOTES |
| Form 990, Part III, Line 4d | CONTRACTED PHARMACY SERVICES, OTHER 1643415. 0. 2662825. |
| Form 990, Part IX, Line 24f | VEHCILE MAINTENACE VEHICLE FUEL CLIENT TRANSPORTION REAL ESTATE TAXES BANK SERVICE CHARGES FREIGHT DONATIONS POLICY COUNCIL IN-KIND OTHER EXPENSES BAD DEBT |
| Pt III, Line 3 | EIN 27-5135046 Bradford-Tioga Head Start, Inc. |
| Pt VI, Line 4 | By-Laws were amended |
| Pt VI, Line 4 | 5.2.3 Finance Committee: The Finance Committee shall be responsible for the |
| Pt VI, Line 4 | Corporation's external and internal audit processes. |
| Pt VI, Line 4 | 9.4 Records of Proceedings: The Corporation shall keep correct and complete |
| Pt VI, Line 4 | books and records of account and shall keep minutes of the proceedings |
| Pt VI, Line 4 | of all meetings of its Board of Directors, a record of all actions taken |
| Pt VI, Line 4 | by the Board of Directors without a meeting and a record of all |
| Pt VI, Line 4 | actions taken by committees of the Board. In addition, the Corporation shall |
| Pt VI, Line 4 | keep a copy of the Corporation's Articles of Incorporation and Bylaws |
| Pt VI, Line 4 | as amended to date. |
| Pt VI, Line 4 | 9.9.1 Dissolution: The Corporation may voluntarily dissolve and cease to |
| Pt VI, Line 4 | operate upon the affirmative vote of not less than seventy-five |
| Pt VI, Line 4 | percent (75%) of the Directors at any meeting of the Board, provided |
| Pt VI, Line 4 | all Directors have been notified of this purpose. |
| Pt VI, Line 4 | 9.9.2 Upon dissolution, any assets lawfully available for distribution shall |
| Pt VI, Line 4 | be distributed to one (1) or more qualifying organizations described |
| Pt VI, Line 4 | in Section 501(c)(3) of the 1986 Internal Revenue Code (or described |
| Pt VI, Line 4 | in any corresponding provision of any successor statute), which |
| Pt VI, Line 4 | organization or organizations have a charitable purpose which |
| Pt VI, Line 4 | at least generally, includes a purpose similar to the terminating |
| Pt VI, Line 4 | or dissolving corporation. |
| Pt VI, Line 4 | Delete Section 5.2.2 Governance Committee with the exception of |
| Pt VI, Line 4 | second paragraph outlining SHS Representatives on the Board, such |
| Pt VI, Line 4 | reference added to Section 3.3 |
| Pt VI, Line 4 | References to Governance Committee throughout the bylaws were |
| Pt VI, Line 4 | either deleted or revised to read Nominating Committee ( as |
| Pt VI, Line 4 | an ad hoc committee). |
| Pt VI, Line 4 | Add 1.1 Mission Statement |
| Pt VI, Line 4 | Deleted 5.2.1 Audit Committee and 5.2.2 Compliance Committee. |
| Pt VI, Line 15b | The leadership salary structure is independently analyzed |
| Pt VI, Line 15b | in relationship to the labor market using salary surveys. |
| Pt VI, Line 15b | A recommendation is presented to the Governance Committee |
| Pt VI, Line 15b | of the board of directors for their consideration and |
| Pt VI, Line 15b | approval. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Laurel Health System | ||||||||||
| 22 Walnut Street | Wellsboro | PA | 16901 | 240795488 | Support entities affiliated with Laurel Health System | PA | 501(C)(3) | 11 B ll | SHS | false |
| Laurel Realty | ||||||||||
| 22 Walnut Street | Wellsboro | PA | 16901 | 231403678 | Own and manage real estate in support of Laurel Health | PA | 501(C)(2) | SHS | false | |
| Laurel Management Services | ||||||||||
| 22 Walnut Street | Wellsboro | PA | 16901 | 251644910 | Management consulting and supervisory services | PA | 501(C)(3) | 11 B ll | SHS | false |
| Soldiers & Sailors Memorial Hospital | ||||||||||
| 32-36 Central Avenue | Wellsboro | PA | 16901 | 232176963 | Operate acute care Hospital | PA | 501(C)(3) | 3 | SHS | false |
| The Green Home | ||||||||||
| 37 Central Avenue | Wellsboro | PA | 16901 | 240804365 | Operate skilled nursing & assisted living facilities | PA | 501(C)(3) | 9 | SHS | false |
| Tioga Health Care Providers | ||||||||||
| 15 Meade Street | Wellsboro | PA | 16901 | 251765538 | Employ physician specialist | PA | 501(C)(3) | 11 B ll | SHS | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Tyoga Carenet | ||||||||||
| 22 Walnut Street | Wellsboro | PA | 16901 | 251810967 | Health Care Regionally | PA | SHS | C | 0.00000 | false |
| Tioga Management Services Organization | ||||||||||
| 22 Walnut Street | Wellsboro | PA | 16901 | 232886336 | Manage Physician Practice | PA | SHS | C | 0.00000 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |