2015-05-14T11:43:30-07:00 2014-06-30 BKD LLP 910 E St Louis/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-07-01 231889724 North Penn Comprehensive Health Services NORT 5707230603 22 Walnut Street Wellsboro PA 16901 RONALD M GILBERT JR CHIEF FINANCIAL OFFICER 5707230603 2015-05-12 true BRIAN D TODD 4178658701 2013 2016-03-07 17:11:31Z STEVEN KRAMER 22 Walnut Street Wellsboro PA 16901 15140266 false X Laurelhs.org X 1973 PA North Penn Comprehensive Health Services mission is to provide excellent services that improve the health and well-being of the communities we serve. 16 14 252 758 0 4962891 3456205 12871706 11677779 -215000 6282 0 17619597 15140266 0 0 11206951 9423907 0 0 6133729 5648840 17340680 15072747 278917 67519 4511987 4849181 3146963 3069513 1365024 1779668 X The mission of North Penn Comprehensive Health Services is to provide false true 8855802 7815281 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. 2288612 36119 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. 1462592 1163554 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. 1643415 2662825 Contracted Pharmacy services, other 1643415 2662825 14250421 true true false false false false false false false false true false false true true false true false false false false false false false false false false false false true false false false false false false false false true false false false false true false false false true 0 0 true 252 true false false false false false false false false false false X 16 14 false false true false false false false true true false false true true true true true true true true false PA X Ronald M Gilbert Jr CPA 5707230603 22 Walnut Street Wellsboro PA 16901 JAMES D BAKER JR Director 1.00 X 0 0 0 R ROBERT DECAMP Secretary 1.00 X X 0 0 0 DONNA R WILSON Director 1.00 X 0 0 0 KATHY J WRIGHT PHD Director 1.00 X 0 0 0 MICHAEL W LICHTY Director 1.00 X 0 0 0 CRAIG G LITCHFIELD Treasurer 1.00 X X 0 0 0 J DENNIS MURRAY PHD Director 1.00 X 0 0 0 ROBERT P FITZGERALD Director 1.00 X 0 0 0 THOMAS M OWLETT ESQ Chairman 1.00 X X 0 0 0 GLENN B POIRIER Vice Chairman 1.00 X X 0 0 0 ANEURIN J WILLIAMS JR Director 1.00 X 0 0 0 HAROLD F HOOSE III Director 1.00 X 0 0 0 WALTER J LAIBINIS DO Director 1.00 X 0 252873 14783 STEVEN P JOHNSON Director 1.00 X 0 539105 31861 LISA V FEIL PSYD Director 1 X WENDY S SWARTZ CPA Director 1 X RONALD J BUTLER President 1 X 324224 15277 RONALD M GILBERT VP/Chief Financial Officer 1 X 180133 18307 CLIFFORD WELLER Physician 40 X 259183 27898 GEORGE DY Physician 40 X 544544 41961 SUZANNE STEPANSKI Physician 40 X 226230 24536 VICTOR BECKER Physician 40 X 314542 9578 JAMES MANNING IV Physician 40 X 297784 29713 1642283 1296335 213914 13 false true false 0 3126376 329829 329829 3456205 Patient Revenue, net 900099 8741559 Contract Pharmacy 446110 2590576 Other Program Revenue 621999 345644 11677779 6282 6282 15140266 11677779 6282 0 0 0 0 6979657 6979657 0 0 453977 453977 0 0 1559970 1559931 39 0 430303 429947 356 0 702193 0 702193 0 20690 3420 17270 0 39652 0 39652 0 0 0 0 0 189629 184531 5098 0 22433 22433 0 0 105754 105736 18 0 94620 90165 4455 0 0 0 0 0 918350 917913 437 0 43748 43748 0 0 0 0 0 0 161705 161355 350 0 12223 12219 4 0 0 0 0 0 217492 217436 56 0 201094 148829 52265 0 Medical Supplies 1864438 1864437 1 0 Program Expenses 105567 105567 0 0 Food 72545 72545 0 0 Other Expenses 876707 876575 132 0 15072747 14250421 822326 0 329999 713306 434592 292358 1195701 1423310 37067 51490 204735 207087 5671439 3734809 2084893 1936630 225000 225000 4511987 4849181 2805784 2768625 25719 57242 315460 243646 3146963 3069513 X 1360278 1779668 4746 1365024 1779668 4511987 4849181 X 67519 347125 X false true X true true true X 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 170035 170035 2742430 1391633 1350797 353946 335509 18437 2403598 2007667 395931 1430 1430 1936630 Assets Held For Sale 225000 225000 Notes Payable-affiliates 236107 Note Payable 7539 243646 12249840 185944 -507413 -321469 12571309 2568957 2568957 15140266 12205019 185944 185944 12019075 3053672 3053672 15072747 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 false false false true false false true false false WALTER J LAIBINIS DO 182813 70060 6069 8714 267656 STEVEN P JOHNSON 524745 14360 13475 18386 570966 RONALD J BUTLER 320062 4162 9650 5627 339501 RONALD M GILBERT 180133 9096 9211 198440 CLIFFORD WELLER 259183 10367 17531 287081 GEORGE DY 300335 244209 22884 19077 586505 SUZANNE STEPANSKI 203927 22303 5430 19106 250766 VICTOR BECKER 281236 33306 9487 91 324120 JAMES MANNING IV 290784 7000 10607 19106 327497 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. X contributed goods 32983 329829 estimated fair market false false false 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. 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 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 false false false false false false false false false false true false true false true true false false false