1889-CHS FOUNDATION INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- 1889-CHS FOUNDATION INC (EIN 23-2801799)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201531349349302083
- 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 | 2015-05-14T09:32:08-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550486667 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARNETT CARBIS TOOTHMAN LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5700 CORPORATE DRIVE STE 650 | AddressLine1 |
| City | PITTSBURGH | City |
| State | PA | State |
| ZIP Code | 15237 | 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 | 232801799 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONEMAUGH HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CONE | BusinessNameControlTxt |
| Phone | 8144108271 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1086 FRANKLIN STREET | AddressLine1 |
| City | JOHNSTOWN | City |
| State | PA | State |
| ZIP Code | 15905 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT BECKER | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 8144108271 | PhoneNum |
| Signature | 2015-05-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY J PETRELL CPA | PreparerPersonNm |
| PTIN | P00138808 | PTIN |
| Phone | 4126356270 | PhoneNum |
| Preparation | 2015-05-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SCOTT BECKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1086 FRANKLIN STREET | AddressLine1 |
| City | JOHNSTOWN | City |
| State | PA | State |
| ZIP Code | 15905 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,777,205 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CONEMAUGH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO SUPPORT MEMBER HOSPITALS WITHIN THE CONEMAUGH HEALTH SYSTEM AND PROVIDE COMMUNITY BENEFIT | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,637,318 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,785,989 | CYProgramServiceRevenueAmt |
| PY Investment Income | $371 | PYInvestmentIncomeAmt |
| CY Investment Income | $327 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | -$9,111 | CYOtherRevenueAmt |
| PY Total Revenue | $8,637,689 | PYTotalRevenueAmt |
| CY Total Revenue | $8,777,205 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $140,430 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $162,360 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,334,387 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,687,087 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,162,872 | PYOtherExpensesAmt |
| CY Other Expenses | $4,475,373 | CYOtherExpensesAmt |
| PY Total Expenses | $8,637,689 | PYTotalExpensesAmt |
| CY Total Expenses | $11,324,820 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,547,615 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,652,400 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,191,856 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,353,303 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,410,696 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,299,097 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,218,840 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO SUPPORT MEMBER HOSPITALS WITHIN THE CONEMAUGH HEALTH SYSTEM AND PROVIDE COMMUNITY BENEFIT SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,732,771 | ExpenseAmt |
| Grant | $162,360 | GrantAmt |
| Revenue | $8,776,878 | RevenueAmt |
| Desc | CONEMAUGH HEALTH SYSTEM (CHS) IS THE LARGEST HEALTHCARE PROVIDER IN WEST CENTRAL PENNSYLVANIA, SERVING OVER A HALF-MILLION PATIENTS EACH YEAR THROUGH THE CONEMAUGH PHYSICIAN GROUP AND MEDICAL STAFF, A NETWORK OF HOSPITALS, SPECIALTY CLINICS AND PATIENT FOCUSED PROGRAMS. CONEMAUGH'S 4,500+ EMPLOYEES AND 350+ PHYSICIANS PROVIDE INPATIENT CARE FOR OVER 25,000 PEOPLE AND OUTPATIENT CARE FOR ROUGHLY 500,000 PATIENTS AT MORE THAN 44 LOCATIONS THROUGHOUT A FIVE COUNTY REGION. THE HEALTH SYSTEM IS THE LARGEST EMPLOYER IN THE REGION. CONEMAUGH MEMORIAL MEDICAL CENTER, THE SYSTEM'S FLAGSHIP HOSPITAL, PROVIDES SOPHISTICATED TECHNOLOGY, THE HIGHEST LEVELS OF TRAUMA AND NEONATAL INTENSIVE CARE AND A COMMITTED HISTORY OF TRAINING PHYSICIANS, NURSES AND ALLIED HEALTH PROVIDERS. CONEMAUGH HEALTH SYSTEM IS HOME TO SEVEN MEDICAL RESIDENCY PROGRAMS, A PHARMD RESIDENCY PROGRAM, A NURSING SCHOOL, FIVE ALLIED HEALTH PROGRAMS AND AN ACCREDITED MEDICAL SKILLS LABORATORY. A NUMBER OF CLINICAL ADVANCEMENTS ALSO TOOK PLACE IN THE PAST YEAR INCLUDING: PHILIPS HYBRID OR WITH ALLURACLARITY ALLOWS SURGEONS TO PERFORM A FULL RANGE OF ENDOVASCULAR, CONVENTIONAL SURGICAL AND HYBRID PROCEDURES ALL IN A SINGLE ROOM WHILE OFFERING PATIENTS A LOWER RADIATION DOSE, BETTER SAFETY AND COMFORT; EXPANSION OF CONEMAUGH'S ROBOTIC ASSISTED SURGERY PROGRAM, WITH THE ADDITION OF COLORECTAL AND UROLOGICAL CASES; EXPANSION AND UPDATE OF THE EPILEPSY MONITORING UNIT; CONEMAUGH MEMORIAL OPENED A NEW PRIMARY CARE RESOURCE CENTER (PCRC) AS PART OF THE PITTSBURGH REGIONAL HEALTH INITIATIVE PROJECT TO HELP IMPROVE THE TRANSITION OF CARE FROM THE HOSPITAL TO OUTPATIENT FOR TARGET POPULATIONS AT HIGH RISK FOR READMISSIONS; DATSCAN WAS ADDED AS A NEW IMAGING TOOL TO HELP CLINICALLY EVALUATE PARKINSON'S DISEASE; CONEMAUGH MEMORIAL'S MEDICAL SKILLS LEARNING CENTER ADDED A MOTHER/CHILD BIRTHING SIMULATOR TO HELP TRAIN RESIDENT PHYSICIANS, NURSING STUDENTS AND OTHER STAFF ON PROCEDURES INVOLVING THE BIRTH CANAL, EPIDURAL ACCESS AND C-SECTIONS; ADDITION OF A NEWBORN SCREENING FOR CRITICAL CONGENITAL HEART DISEASE (CCHD) ALLOWING CONEMAUGH MEMORIAL TO NOW TEST FOR MORE THAN 29 DISORDERS EVEN THOUGH PENNSYLVANIA LAW REQUIRES BABIES TO BE TESTED FOR ONLY 6 CONDITIONS; THE XOFIGO PROSTATE THERAPY SYSTEM IS A NEW TREATMENT FOR MEN WITH ADVANCED STAGE METASTATIC PROSTATE CANCER; CONEMAUGH MEMORIAL'S STROKE PROGRAM RECEIVED THE SILVER PLUS STROKE RECOGNITION FROM THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES PROGRAM; CONEMAUGH HOME HEALTH IMPLEMENTED A NEW CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) PROGRAM TO HELP PATIENTS BETTER MANAGE THEIR CONDITION INCLUDING PATIENT EDUCATION ON THE CORRECT USE OF INHALERS AND MEDICATIONS; HOME SLEEP TESTING WAS ADDED BY THE SLEEP DISORDER CENTER TO HELP DIAGNOSE SOME PATIENTS FROM THE COMFORT OF THEIR HOME; CONEMAUGH PARTNERED WITH MARCH OF DIMES TO IMPLEMENT THE 39+WEEKS QUALITY IMPROVEMENT PROGRAM WHICH INCLUDED THE DEVELOPMENT OF POLICIES AND PROCEDURES TO REDUCE MEDICALLY UNNECESSARY INDUCTIONS AND CESAREAN DELIVERIES SCHEDULED BEFORE 39 WEEKS OF PREGNANCY; A NEW INFANT SECURITY SYSTEM FOR WOMEN AND CHILD SERVICES WAS IMPLEMENTED AT CONEMAUGH MEMORIAL MEDICAL CENTER. IN ADDITION TO ITS MAIN CAMPUS, CONEMAUGH MEMORIAL MEDICAL CENTER'S LEE CAMPUS SERVES THE COMMUNITY IN DOWNTOWN JOHNSTOWN PROVIDING A WIDE VARIETY OF OUTPATIENT SERVICES INCLUDING LABORATORY, IMAGING, WOUND HEALING AND THE LEE AMBULATORY SURGERY CENTER WHICH RECENTLY RECEIVED RECOGNITION FROM THE HOSPITAL ASSOCIATION OF PENNSYLVANIA FOR A PATIENT SAFETY INITIATIVE CENTERED ON PREVENTING WRONG SITE SURGERY. THE LEE CAMPUS IS ALSO HOME TO THE CONEMAUGH DIABETES INSTITUTE, THE SLEEP DISORDERS CENTER, AND THE INPATIENT CRICHTON REHABILITATION CENTER AND TRANSITIONAL CARE UNIT. THE LEE CAMPUS PROVIDES A LARGE COMMUNITY ROOM FOR PUBLIC USE AS WELL AS A LOCATION FOR SPIRITUAL NEEDS. MEETING ROOMS AT THE LEE CAMPUS ARE ALSO USED FOR AREA NON-PROFITS AND COMMUNITY GROUPS INCLUDING ORGANIZATIONS THAT HELP LOCAL RESIDENTS WITH DRUG AND ALCOHOL PROBLEMS.CONEMAUGH MINERS MEDICAL CENTER IS A 30-BED FULLY RENOVATED COMMUNITY HOSPITAL SERVING RURAL NORTHERN CAMBRIA COUNTY AND SURROUNDING AREAS. IT IS THE REGION'S SOLE HOSPITAL AND SPECIALIZES IN FAMILY AND PRIMARY CARE. IT ALSO PROVIDES INPATIENT MEDICAL, SURGICAL, AND INTENSIVE CARE SERVICES; COMPREHENSIVE OUTPATIENT SERVICES; 24/7 EMERGENCY DEPARTMENT; 24/7 LABORATORY; ONSITE PHARMACY; OPERATING SUITE FOR SHORT OR MINOR PROCEDURES; RADIOLOGY SERVICES, INCLUDING MOBILE MRI AND CT SCANS, DIGITAL MAMMOGRAPHY, AND ULTRASOUND; PATHOLOGY SERVICES; PHYSICAL THERAPY; RESPIRATORY THERAPY; OB/GYN OUTPATIENT CARE; AND NUMEROUS SPECIALTY SERVICES. CONEMAUGH MEYERSDALE MEDICAL CENTER SERVES A RURAL AREA IN SOUTHWESTERN PENNSYLVANIA'S HISTORIC SOMERSET COUNTY. SPECIALIZING IN FAMILY AND PRIMARY CARE, IT IS A STATE-DESIGNATED CRITICAL CARE ACCESS HOSPITAL AND HAS BEEN DEEMED A NECESSARY HEALTH CARE PROVIDER BY THE COMMONWEALTH OF PENNSYLVANIA. IT PROVIDES 20 BEDS FOR INPATIENT AND OUTPATIENT CARE; 24/7 EMERGENCY DEPARTMENT; OPERATING SUITE FOR SHORT OR MINOR PROCEDURES; RADIOLOGY SERVICES, INCLUDING MOBILE MRI, CT SCANS, AND DIGITAL MAMMOGRAPHY; PATHOLOGY SERVICES; PHYSICAL THERAPY; RESPIRATORY THERAPY; ULTRASOUND; CARDIAC REHABILITATION; OB/GYN OUTPATIENT CARE; STEP-DOWN SWING UNIT; AND MEDSTAR MEDICAL HELICOPTER TRANSPORTATION. MANY PHYSICIAN SPECIALISTS ALSO PROVIDE SERVICES AT THIS LOCATION. THE CONEMAUGH HEALTH SYSTEM ALSO HAS NUMEROUS OUTPATIENT LOCATIONS INCLUDING CONEMAUGH RICHLAND, CONEMAUGH EAST HILLS, AND CONEMAUGH EBENSBURG. AT THESE CENTERS, PATIENTS HAVE ACCESS TO LAB AND IMAGING SERVICES AS WELL AS APPOINTMENTS WITH PHYSICIAN SPECIALISTS. | Desc |
| Total Program Service Expenses | $9,732,771 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | 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 | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| 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 | LINDA FANALE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8144108287 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1086 FRANKLIN STREET | AddressLine1 |
| City | JOHNSTOWN | City |
| State | PA | State |
| ZIP Code | 15905 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| RON VICKROY | |||||||||
| CHAIRMAN | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES CASCIO | |||||||||
| VICE CHAIRMAN | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KIM CRAIG | |||||||||
| TREASURER | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA SEROTKIN | |||||||||
| SECRETARY | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS BELL | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KRISTIN BRANT MD | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES HARGREAVES | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| NATHAN KAUFMAN | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ADIB KHOUZAMI MD | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $1,318,013 | $34,064 | 68.00 | |||
| BRIAN LIEB DO | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $297,021 | $34,936 | 62.00 | |||
| FRANK QUITONI | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN SARACENA | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| SALLY SARGENT | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD SCHROEDER MD | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL SMITH | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD WOZNIAK MD | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $208,170 | $33,403 | 50.00 | |||
| SCOTT BECKER | |||||||||
| TRUSTEE, CHIEF EXECUTIVE O | 50.00 | Yes (X) | Yes (X) | $961,721 | $0 | $30,306 | 20.00 | ||
| DAVID CARLSON DO | |||||||||
| CHIEF MEDICAL OFFICER (TERM MAR14) | 21.50 | Yes (X) | $552,617 | $0 | $24,012 | 29.00 | |||
| WILLIAM CARNEY MD | |||||||||
| CHIEF MEDICAL OFFICER (EFF MAR14) | 20.00 | Yes (X) | $0 | $470,484 | $37,189 | 42.00 | |||
| EDWARD DEPASQUALE | |||||||||
| CHIEF FINANCIAL OFFICER | 22.00 | Yes (X) | $456,339 | $0 | $26,649 | 28.00 | |||
| JOSEPH DADO | |||||||||
| CHIEF INFORMATION OFFICER | 12.00 | Yes (X) | $360,270 | $0 | $17,102 | 38.50 | |||
| JOHN MORYKEN | |||||||||
| VP BUSINESS DEVELOP & GOVT RELATIONS | 26.00 | Yes (X) | $294,756 | $0 | $30,766 | 24.00 | |||
| BRENT MALLEK | |||||||||
| CHIEF HUMAN RESOURCES OFFICER | 8.00 | Yes (X) | $93,720 | $0 | $3,872 | 38.00 | |||
| DIANE PRINGLE | |||||||||
| CORPORATE COMPLIANCE OFFICER | 8.00 | $122,471 | $0 | $8,287 | 44.00 | Yes (X) | |||
| GREG LEIS | |||||||||
| DIRECTOR FIN & STRATEGIC P | 1.00 | $119,568 | $0 | $17,444 | 49.00 | Yes (X) | |||
| GAIL LUCAS | |||||||||
| DIRECTOR INTERNAL AUDIT | 15.00 | $114,516 | $0 | $16,586 | 30.00 | Yes (X) | |||
| AMY BRADLEY | |||||||||
| DIRECTOR MARKETING | 19.00 | $105,148 | $0 | $18,703 | 26.00 | Yes (X) | |||
| WESLEY SCHMIDT | |||||||||
| FORMER VP HUMAN RESOSURCES | 0.00 | $207,498 | $0 | $1,922 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,388,624 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,293,688 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $335,241 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BUCHANAN INGERSOLL ROONEY PC | |||||
| 301 GRANT STREET | PITTSBURGH | PA | 15219 | LEGAL SERVICES | $954,059 |
| BKD LLP | |||||
| P O BOX 1178 | LOUISVILLE | KY | 40201 | ACCOUNTING SERVICES | $386,684 |
| PINSTRIPE INC | |||||
| 200 SOUTH EXECUTIVE DRIVE SUITE 400 | BROOKFIELD | WI | 53005 | CONSULTANT | $238,454 |
| KI ASSOCIATES | |||||
| 40 EASTERN PROMENADE UNIT B | PORTLAND | ME | 04101 | CONSULTANT | $125,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MANAGEMENT FEES | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $8,785,989 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,785,989 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,785,989 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $327 | TotalRevenueColumnAmt |
| Exclusion | $327 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LOSS ON IMPAIRMENT OF | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | -$9,111 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$9,111 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$9,111 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,777,205 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,776,878 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $327 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,360 | TotalAmt |
| Program Services | $162,360 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,009,830 | TotalAmt |
| Program Services | $2,889,437 | ProgramServicesAmt |
| Management And General | $120,393 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,812,586 | TotalAmt |
| Program Services | $1,920,487 | ProgramServicesAmt |
| Management And General | $892,099 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,315 | TotalAmt |
| Program Services | $8,677 | ProgramServicesAmt |
| Management And General | $21,638 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $834,356 | TotalAmt |
| Program Services | $582,301 | ProgramServicesAmt |
| Management And General | $252,055 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,710,991 | TotalAmt |
| Program Services | $1,710,991 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,618 | TotalAmt |
| Program Services | $509,618 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $864,839 | TotalAmt |
| Program Services | $806,519 | ProgramServicesAmt |
| Management And General | $58,320 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,868 | TotalAmt |
| Program Services | $226,868 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,353 | TotalAmt |
| Program Services | $38,645 | ProgramServicesAmt |
| Management And General | $3,708 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,525 | TotalAmt |
| Program Services | $9,675 | ProgramServicesAmt |
| Management And General | $173,850 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,523 | TotalAmt |
| Program Services | $55,338 | ProgramServicesAmt |
| Management And General | $49,185 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,206 | TotalAmt |
| Program Services | $112,801 | ProgramServicesAmt |
| Management And General | $405 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,256 | TotalAmt |
| Program Services | $46,836 | ProgramServicesAmt |
| Management And General | $9,420 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,361 | TotalAmt |
| Program Services | $269,194 | ProgramServicesAmt |
| Management And General | $167 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $132,376 | $126,628 | $5,748 |
| DUES & SUBSCRIPTIONS | $111,690 | $106,629 | $5,061 |
| RECRUITING EXPENSE | $71,652 | $71,652 | |
| MISCELLANEOUS | $66,115 | $66,115 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,000 | TotalAmt |
| Program Services | $12,000 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,324,820 | TotalAmt |
| Program Services | $9,732,771 | ProgramServicesAmt |
| Management And General | $1,592,049 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,888 | BOYAmt |
| EOY | $59,544 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $354,988 | BOYAmt |
| EOY | $166,757 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,206,000 | BOYAmt |
| EOY | $1,206,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,889 | BOYAmt |
| EOY | $171,714 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $659,552 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $646,951 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,190 | BOYAmt |
| EOY | $12,601 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,656,445 | BOYAmt |
| EOY | $1,575,240 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,652,400 | BOYAmt |
| EOY | $3,191,856 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,643,401 | BOYAmt |
| EOY | $3,472,297 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $709,902 | BOYAmt |
| EOY | $938,399 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,353,303 | BOYAmt |
| EOY | $4,410,696 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,299,097 | BOYAmt |
| EOY | -$1,218,840 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,299,097 | BOYAmt |
| EOY | -$1,218,840 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,652,400 | BOYAmt |
| EOY | $3,191,856 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,547,615 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$970,322 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Certification | Yes (X) | CertificationInd |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp (4 entries)
| EINEIN | Organization TypeOrganizationTypeDesc | Governing Document ListedGoverningDocumentListedInd | Supported Org NotifiedSupportedOrgNotifiedInd | US OrganizedUSOrganizedInd | SupportSupportAmt |
|---|---|---|---|---|---|
| MEYERSDALE MEDICAL CENTER | |||||
| 251002946 | 3 | 0 | 0 | Yes (1) | $0 |
| CONEMAUGH VALLEY MEMORIAL HOSPITAL | |||||
| 250965307 | 3 | 0 | 0 | Yes (1) | $0 |
| MINERS MEDICAL CENTER | |||||
| 250977902 | 3 | 0 | 0 | Yes (1) | $0 |
| CONEMAUGH HEALTH FOUNDATION | |||||
| 251719695 | 11 | 0 | 0 | Yes (1) | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 4 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $659,552 | OtherCostOrOtherBasisAmt |
| Depreciation | $646,951 | DepreciationAmt |
| Book Value | $12,601 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,601 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENT IN PHHP | $7,500 |
| INVESTMENT IN RRG | $1,489,091 |
| NON COMPETE COVENANTS (NET) | $78,649 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,575,240 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO MEMORIAL MEDICAL CENTER | $938,286 |
| DUE TO CONEMAUGH HEALTH FOUNDATION | $113 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $938,399 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| CONEMAUGH HEALTH FOUNDATION | |||||||
| 1086 FRANKLIN ST | JOHNSTOWN | PA | 15905 | 251719695 | 501C3 | $25,250 | GENERAL SUPPORT |
| COMMUNITY FOUNDATION FOR THE ALLEGHENIES | |||||||
| 116 MARKET STREET SUITE 4 | JOHNSTOWN | PA | 15901 | 251637373 | 501C3 | $23,250 | GENERAL SUPPORT |
| UNIVERSITY OF PITTSBURGH AT JOHNSTOWN | |||||||
| 450 SCHOOLHOUSE ROAD | JOHNSTOWN | PA | 15904 | 250965591 | 501C3 | $10,000 | GENERAL SUPPORT |
| BEGINNINGS INC | |||||||
| 111 MARKET STREET | JOHNSTOWN | PA | 15901 | 250984601 | 501C3 | $8,750 | GENERAL SUPPORT |
| PEER EMPOWERMENT NETWORK | |||||||
| 514 SOMERSET STREET | JOHNSTOWN | PA | 15901 | 273723624 | 501C3 | $8,000 | GENERAL SUPPORT |
| THE LEARNING LAMP | |||||||
| 2025 BEDFORD STREET | JOHNSTOWN | PA | 15904 | 200306745 | 501C3 | $8,000 | GENERAL SUPPORT |
| AMERICAN RED CROSS - KEYSTONE CHAPTER | |||||||
| 250 JARI DRIVE | JOHNSTOWN | PA | 15904 | 530196605 | 501C3 | $5,100 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 7 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CONEMAUGH HEALTH SYSTEM ANALYZES REQUESTS FOR CHARITABLE CONTRIBUTIONS AND ASSISTANCE TO OTHER ORGANIZATIONS ON AN ONGOING BASIS IN ACCORDANCE WITH INTERNAL POLICY. THE GOALS OF THE HEALTH SYSTEM ARE TO SUPPORT ORGANIZATIONS AND PROGRAMS THAT FOCUS ON COMMUNITY HEALTH AND WELLNESS, ENHANCE THE DEVELOPMENT OF AREA YOUTH, ENRICH THE LIVES AND ENHANCE THE CULTURE OF ITS REGION, AND CONTRIBUTE TO THE OVERALL GOOD OF THE COMMUNITIES IT SERVES. AMOUNTS ARE AWARDED TO THOSE THAT MEET THESE GOALS, DEMONSTRATE A CHARITABLE PURPOSE, AND PROVIDE COMMUNITY BENEFIT SERVICES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADIB KHOUZAMI MD | ||||||||||||||
| TRUSTEE | $0 | $947,791 | $0 | $330,704 | $0 | $39,518 | $0 | $22,589 | $0 | $11,475 | $0 | $1,352,077 | $0 | $0 |
| BRIAN LIEB DO | ||||||||||||||
| TRUSTEE | $0 | $245,141 | $0 | $570 | $0 | $51,310 | $0 | $20,212 | $0 | $14,724 | $0 | $331,957 | $0 | $0 |
| RICHARD WOZNIAK MD | ||||||||||||||
| TRUSTEE | $0 | $131,338 | $0 | $150 | $0 | $76,682 | $0 | $16,511 | $0 | $16,892 | $0 | $241,573 | $0 | $0 |
| SCOTT BECKER | ||||||||||||||
| TRUSTEE, CHIEF EXECUTIVE O | $656,723 | $0 | $250,000 | $0 | $54,998 | $0 | $10,927 | $0 | $19,379 | $0 | $992,027 | $0 | $0 | $0 |
| DAVID CARLSON DO | ||||||||||||||
| CHIEF MEDICAL OFFICER (TERM MAR14) | $445,491 | $0 | $82,785 | $0 | $24,341 | $0 | $9,007 | $0 | $15,005 | $0 | $576,629 | $0 | $0 | $0 |
| WILLIAM CARNEY MD | ||||||||||||||
| CHIEF MEDICAL OFFICER (EFF MAR14) | $0 | $367,194 | $0 | $56,319 | $0 | $46,971 | $0 | $22,589 | $0 | $14,600 | $0 | $507,673 | $0 | $0 |
| EDWARD DEPASQUALE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $364,815 | $0 | $67,275 | $0 | $24,249 | $0 | $15,209 | $0 | $11,440 | $0 | $482,988 | $0 | $0 | $0 |
| JOSEPH DADO | ||||||||||||||
| CHIEF INFORMATION OFFICER | $288,176 | $0 | $49,591 | $0 | $22,503 | $0 | $15,398 | $0 | $1,704 | $0 | $377,372 | $0 | $0 | $0 |
| JOHN MORYKEN | ||||||||||||||
| VP BUSINESS DEVELOP & GOVT RELATIONS | $234,579 | $0 | $36,086 | $0 | $24,091 | $0 | $18,805 | $0 | $11,961 | $0 | $325,522 | $0 | $0 | $0 |
| WESLEY SCHMIDT | ||||||||||||||
| FORMER VP HUMAN RESOSURCES | $40,390 | $0 | $0 | $0 | $167,108 | $0 | $0 | $0 | $1,922 | $0 | $209,420 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4A | WESLEY SCHMIDT RECEIVED SEVERANCE PAYMENTS OF 161,992 |
| PART I, LINE 6 | SCOTT BECKER, DAVID CARLSON, DO, EDWARD DEPASQUALE, JOSEPH DADO, JOHN MORYKEN, DIANE PRINGLE, GAIL LUCAS, GREG LEIS, AND AMY BRADLEY RECEIVED A BONUS FROM THE CONEMAUGH HEALTH SYSTEM. EXECUTIVE AND DIRECTOR BONUSES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY. THE PERCENTAGE IS CONTINGENT ON VARIOUS FINANCIAL AND NON-FINANCIAL INCENTIVE CRITERIA GOVERNED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. PART I, LINE 6B: ADIB KHOUZAMI, MD, BRIAN LIEB, DO AND WILLIAM CARNEY, MD RECEIVED BONUSES FROM CONEMAUGH HEALTH INITIATIVES, A RELATED ORGANIZATION. PHYSICIAN BONUSES ARE CALCULATED ON A CASH BASIS; TAKING TOTAL CASH COLLECTIONS LESS ALL OFFICE OPERATING, PHYSICIAN AND OVERHEAD EXPENSES. ANY REMAINING AMOUNT IS DISTRIBUTED TO THE PHYSICIAN BASED ON A CONTRACTUAL PERCENTAGE, A PRACTICE REINVESTMENT CONTRIBUTION AND/OR A CAP. TOTAL PHYSICIAN COMPENSATION IS REVIEWED ANNUALLY FOR REASONABLENESS USING INDUSTRY STANDARDS AND APPLICABLE IRS GUIDELINES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1 | DURING SEPTEMBER 2014, THE CONEMAUGH HEALTH SYSTEM WAS ACQUIRED BY DUKE LIFEPOINT HEALTHCARE. |
| FORM 990, PART III, LINE 4A (CONTINUED): | SCREENINGS AND SUPPORT GROUPS ARE AN IMPORTANT PART OF THE CONEMAUGH HEALTH SYSTEM'S OUTREACH EFFORTS. THIS PAST YEAR THEY INCLUDED: CONTINUED PARTNERSHIP WITH THE EDWARDS LIFE SCIENCES CORPORATION AND THE HIGHMARK FOUNDATION TO PROVIDE A FREE CARDIOVASCULAR AND DIABETES DISEASE PREVENTION PROGRAM THROUGHOUT LOCAL COMMUNITIES WITH AN EMPHASIS ON DIVERSE AND UNDERSERVED PATIENTS IN RURAL AREAS WHICH INVOLVED 10 LOCATIONS AND VARIOUS SCREENINGS INCLUDING BLOOD PRESSURE, BODY MASS INDEX, BODY FAT ANALYSIS, BLOOD WORK AND VASCULAR; A NEWLY CREATED CANCER SUPPORT GROUP BEGAN MEETING MONTHLY TO HELP PATIENTS WITH ALL TYPES OF CANCER AND THEIR FAMILY AND LOVED ONES; CAR SEAT SAFETY CHECKS WERE HELD IN PARTNERSHIP WITH THE LEARNING LAMP ORGANIZATION, HELPING FAMILIES OBTAIN SAFE AND APPROPRIATE CAR SEATS, WHILE GIVING INFORMATION ON SMOKING CESSATION FOR THOSE PARENTS WHO SMOKE; MAMMOGRAPHY SCREENINGS AND BREAST HEALTH AND WELLNESS FAIRS TOOK PLACE AT SEVERAL CONEMAUGH HEALTH SYSTEM SITES INCLUDING INFORMATION FOR THE PUBLIC ON MAMMOGRAPHY VOUCHERS FOR THE UNINSURED AND UNDERINSURED; WEIGHT LOSS SUPPORT GROUP MEETS MONTHLY FOR THOSE STRUGGLING WITH WEIGHT ISSUES AND FOR THOSE WHO HAVE UNDERGONE WEIGHT LOSS SURGERY; FREE CLASSES FOR EMPLOYEES AND THE PUBLIC WHO WANT TO LEARN WAYS TO HELP QUIT SMOKING AND USING OTHER TOBACCO PRODUCTS; HEART MONTH SCREENINGS INCLUDED EDUCATIONAL EVENTS, BONE DENSITY SCREENINGS AND ABI (ANKLE BRACHIAL INDEX) SCREENINGS; EIGHTEEN SUPPORT GROUPS ARE LISTED ON CONEMAUGH'S WEBPAGE WITH REGULAR MEETINGS COVERING NUMEROUS TOPICS INCLUDING ALZHEIMER'S, BRAIN INJURY AND STROKE, CHRONIC PAIN AND HEADACHES, CHARCOT MARIE TOOTH (CMT), EPILEPSY, HIV/AIDS, PARKINSON'S DISEASE, OSTOMY, SUBSTANCE ABUSE ISSUES AND SUICIDE. THE CONEMAUGH.ORG WEBSITE AND SOCIAL MEDIA EFFORTS CONTINUE TO BE AN IMPORTANT WAY TO SHARE HEALTH AND WELLNESS INFORMATION WITH OUR COMMUNITY. ADVANCEMENTS IN THIS AREA INCLUDE: THE FOLLOWMYHEALTH PATIENT PORTAL WAS INTRODUCED TO THE COMMUNITY, ALLOWING PATIENTS OF CONEMAUGH PHYSICIAN GROUP TO ACCESS THEIR MEDICAL RECORDS ONLINE. THE SYSTEM ALSO ALLOWS PATIENTS TO VIEW TEST AND LAB RESULTS, UPDATE ALLERGY AND MEDICATION INFORMATION AND REQUEST PRESCRIPTION REFILLS AND APPOINTMENTS. THE MARKETING COMMUNICATIONS TEAM UNVEILED A NEW ONLINE CALENDAR. THE CALENDAR IS MORE USER FRIENDLY FOR BOTH STAFF AND THE PUBLIC AND ALLOWS USERS TO SEARCH BY EVENT TYPE, AUDIENCE AND DATE. CONEMAUGH HOME HEALTH AND CONEMAUGH REGIONAL HOSPICE UNVEILED A NEW SYSTEM CALLED "CONEMAUGH HOMECARE WEBCHART" DESIGNED TO REDUCE THE PAPERWORK INVOLVED WITH MANAGING PATIENTS. THE MEDICAL STAFF OF CONEMAUGH MEMORIAL IS COMPRISED OF ABOUT 350 PHYSICIANS REPRESENTING NUMEROUS SPECIALTIES. CONEMAUGH PHYSICIAN GROUP (CPG) IS A MULTI-SPECIALTY GROUP OF DOCTORS WITH MORE THAN 120 PHYSICIANS PARTICIPATING AT SITES CONVENIENTLY LOCATED ACROSS FIVE COUNTIES. CONEMAUGH PHYSICIAN GROUP HAS EXPERTISE IN NUMEROUS SPECIALTIES, INCLUDING FAMILY MEDICINE, CARDIOLOGY, NEUROLOGY, CANCER, SURGERY, AND WOMEN'S HEALTH. ALL PRIMARY CARE PHYSICIAN OFFICES ARE CONNECTED TO THE CONEMAUGH HEALTH SYSTEM HOSPITALS AND PHYSICIAN SPECIALIST OFFICES BY AN ELECTRONIC MEDICAL RECORD (EMR) SYSTEM. CHS IS FORTUNATE TO HAVE NOT ONLY STRONG PHYSICIAN LEADERSHIP BUT STRONG BOARD LEADERSHIP. THE BOARD IS COMPRISED OF A WIDE VARIETY OF DEDICATED LEADERS REPRESENTING DIVERSE FIELDS INCLUDING AREA BUSINESS LEADERS, EDUCATORS, AND PHYSICIANS, BOTH CONEMAUGH PHYSICIAN GROUP AND INDEPENDENT. AN ACTIVE PATIENT ADVISORY COMMITTEE CONTRIBUTES REGULAR CONSTRUCTIVE CRITICISM AND FEEDBACK REGARDING VARIOUS ASPECTS OF CARE DELIVERY INCLUDING WAY FINDING, MARKETING, AND SERVICE EXCELLENCE. IN ADDITION TO THE PATIENT ADVISORY COMMITTEE AT CONEMAUGH MEMORIAL MEDICAL CENTER, CONEMAUGH MINERS MEDICAL CENTER ALSO NOW HAS A PATIENT ADVISORY COMMITTEE IN PLACE. CHS ALSO ENJOYS A HEALTHY VOLUNTEER PROGRAM, MELDING A DIVERSE GROUP OF STUDENTS FROM LOCAL HIGH SCHOOLS AND COLLEGES, MID-CAREER VOLUNTEERS WHO WISH TO "GIVE BACK" TO THE COMMUNITY, RETIREES WHO SPEND COUNTLESS HOURS PROVIDING SUPPORT TO OUR WORKFORCE, AND PASTORAL CARE VOLUNTEERS WHO SUPPORT EMPLOYEES' AND PATIENTS' SPIRITUAL AND RELIGIOUS NEEDS. THE FOLLOWING ARE EXAMPLES OF COMMUNITY PARTNERSHIPS AND EDUCATIONAL EVENTS WHICH HAVE TAKEN PLACE OVER THE PAST YEAR: IDEAL PATIENT EXPERIENCE TRAINING INVOLVED 98% OF CONEMAUGH EMPLOYEES AND PHYSICIANS DESIGNED TO HELP STAFF RECOMMIT TO FOCUSING ON CREATING AN IDEAL EXPERIENCE FOR PATIENTS AND FAMILIES; ARTS FOR HEALING PROGRAM ALLOWS PAIN AND NEUROLOGY PATIENTS CREATE AND DISPLAY ARTWORK AT A LOCAL UNIVERSITY; A BALANCE/FALL PREVENTION HEALTH FAIR TOOK PLACE AT CONEMAUGH MEMORIAL; A PATIENT SAFETY FAIR WAS HELD FOR EMPLOYEES AND THE COMMUNITY COVERING INFECTION PREVENTION TIPS, SOCIAL MEDIA AND HEALTHCARE COMPLIANCE AND DRUG/ALCOHOL IMPAIRMENT; CONEMAUGH HEALTH SYSTEM SPONSORED CAMBRIA COUNTY NIGHT AT THE ALTOONA CURVE BASEBALL GAME AND DISTRIBUTED HEALTH INFORMATION TO ATTENDEES; A NEWLY CREATED SUMMER PREMED VOLUNTEER PROGRAM ALLOWED NINE LOCAL ASPIRING PHYSICIANS TO PARTICIPATE IN A SIX-WEEK SHADOWING PROGRAM; MY BIKE PROGRAM WITH VARIETY THE CHILDREN'S CHARITY HELD TWO CEREMONIES WHERE ADAPTED BICYCLES WERE GIVEN TO CHILDREN FROM OUR AREA WITH SPECIAL NEEDS; "FACE OFF AGAINST CANCER" IN CONJUNCTION WITH THE JOHNSTOWN TOMAHAWKS HOCKEY ORGANIZATION RAISED AWARENESS AND EDUCATION OF ALL TYPES OF CANCER AND PROVIDED SUPPORT FOR THOSE DEALING WITH CANCER; "PINK IN THE RINK" FOCUSED ON BREAST CANCER AWARENESS WITH THE ICE AT THE CAMBRIA COUNTY WAR MEMORIAL DYED PINK, ALLOWED CANCER SURVIVORS AND THEIR LOVED ONES TO PARTICIPATE IN ACTIVITIES WHILE PROVIDING PREVENTION AND EDUCATION BOOTHS; ORGAN, TISSUE AND EYE DONOR RECOGNITION WALL WAS REDEDICATED WITH THE UNVEILING OF A SECOND PORTION OF THE WALL; IN COLLABORATION WITH CORE (CENTER FOR ORGAN RECOVERY AND EDUCATION) CONEMAUGH HELD A CEREMONY RECOGNIZING THE FAMILIES OF DONORS FROM THE PAST YEAR; BREAST CANCER AWARENESS EVENTS INCLUDED A NUMBER OF SCREENINGS AND EDUCATIONAL FAIRS; STROKE AWARENESS EDUCATION FOR EMS WAS PROVIDED BY THE CONEMAUGH STROKE TEAM ; COLORECTAL CANCER AWARENESS EVENTS WERE HELD INCLUDING A 9K RUN; STROKE AWARENESS FAIR TO HELP PEOPLE LEARN THE RISK FACTORS AND HOW TO RECOGNIZE THE SIGNS AND SYMPTOMS OF STROKE; CANCER AWARENESS BRUNCH PROVIDED INFORMATION ON ALL TYPES OF CANCER AND GUEST SPEAKERS WHO SHARED THEIR JOURNEY; SEXUAL ASSAULT AWARENESS FAIR HELD IN PARTNERSHIP WITH VICTIM SERVICES AND THE WOMEN'S HELP CENTER; CAR SEAT CLINICS HELD IN CONJUNCTION WITH OTHER COMMUNITY ORGANIZATIONS; DRUG AND ALCOHOL AND BULLYING PREVENTION PROGRAMS WERE PROVIDED FOR THE ALTERNATIVE COMMUNITY RESOURCE PROGRAM (ACRP) ALTERNATIVE SCHOOL; OSTEOPOROSIS SCREENINGS AND MAMMOGRAPHY INFORMATION WERE PROVIDED AT RICHLAND COMMUNITY DAYS; TRAINING PROGRAM WAS HELD FOR UNIVERSITY OF PITTSBURGH AT JOHNSTOWN (UPJ) NURSING STUDENTS TO DO DENTAL EDUCATION IN PRESCHOOLS; 60 PEOPLE PARTICIPATED IN A PROSTATE SCREENING; PRESENTED THE PA YOUTH SURVEY TO THE FOSTER GRANDPARENTS ORGANIZATION; "BRIDGES OUT OF POVERTY" PROGRAM WAS PRESENTED BY CONEMAUGH COMMUNITY WELLNESS STAFF TO BILLERS/CODERS AND UPJ NURSING STUDENTS; PRESENTATION ON CLEAN AIR FOR HEALTHY CHILDREN SMOKING CESSATION WAS PRESENTED TO HEALTHCARE WORKERS WHO WORK WITH LOW INCOME PARENTS OF 477 CHILDREN; 600 FLU SHOTS WERE ADMINISTERED TO LOW INCOME FAMILIES IN JOHNSTOWN AND EBENSBURG, AS WELL AS AT AREA SOUP KITCHENS; KEYSTONE TRAUMA AND EMERGENCY MEDICINE CONFERENCE PROVIDED EDUCATIONAL TRAINING ON MANAGEMENT OF MULTI-SYSTEM TRAUMA PATIENTS; DONATE LIFE GAME IN COLLABORATION WITH CORE AND THE JOHNSTOWN TOMAHAWKS HOCKEY PROGRAM; "LIVING WITH ALS SYMPOSIUM" IN CONJUNCTION WITH THE ALS ASSOCIATION WESTERN PENNSYLVANIA CHAPTER; HEART HEALTH AWARENESS FAIRS HELD AT MULTIPLE CONEMAUGH HEALTH SYSTEM LOCATIONS TO PROVIDE CARDIAC HEALTH INFO AND WELLNESS TIPS; NEW VISIONS STAFF PARTICIPATED IN LOCAL TV SPECIAL ON HEROIN USE, PROMOTING PREVENTION AND TREATMENT OPTIONS; PUBLIC AWARENESS CAMPAIGN HELD TO EDUCATE PEOPLE ABOUT POLST (PENNSYLVANIA ORDERS FOR LIFE-SUSTAINING TREATMENT); CHS EMPLOYEES ONCE AGAIN PARTICIPATED WITH THE UNITED WAY RAISING OVER $34,000 FOR COMMUNITY ORGANIZATIONS; THE 6TH ANNUAL CHEF AUCTION RAISED $55,000 FOR PEDIATRIC AND TEENAGE TRAUMA PATIENTS AT CONEMAUGH MEMORIAL; SPONSORSHIP OF THE JOHNSTOWN SYMPHONY ORCHESTRA ALLOWED MEMBERS TO PLAY FOR PATIENTS AND VISITORS AT CONEMAUGH MEMORIAL; CHS CONTINUES TO PARTNER WITH THE INTEGRATIVE MEDICINE ADVISORY COUNCIL (IMAC) TO EXPAND THE HOSPITAL'S COMFORT CART PROGRAM TO PROVIDE AMENITIES TO PATIENTS AT NO CHARGE INCLUDING, LOTION, LIP BALM, SMALL FRAMED WORKS OF ART, PUZZLE BOOKS, AND MAGAZINES; CONEMAUGH MEMORIAL PARTICIPATES IN THE "OFFICER PHIL" PROGRAM IN CONJUNCTION WITH LOCAL LAW ENFORCEMENT TO HELP DISTRIBUTE ANTIDRUG AND ALCOHOL MATERIAL TO NEARLY 600 STUDENTS IN 1ST THROUGH 5TH GRADES. |
| FORM 990, PART III, LINE 4A (CONTINUED): | COMMUNITY SUPPORT CONTINUES TO BE A HALLMARK OF THE CONEMAUGH HEALTH SYSTEM. IN THE PAST YEAR, MORE THAN $160,000 WAS GIVEN TO SUPPORT NEARLY 200 VARIOUS COMMUNITY ORGANIZATIONS. SUPPORT RANGED FROM LOCAL BASEBALL, SOFTBALL AND BASKETBALL TEAMS TO LARGER DONATIONS TO SUPPORT THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION AND ALZHEIMER'S FOUNDATION. FINANCIAL SUPPORT WAS ALSO GIVEN TO COMMUNITY ARTS ORGANIZATIONS, SCHOOLS AND OTHER ORGANIZATIONS WHICH HELP BOOST THE CULTURAL RICHNESS OF THE AREA AND HELP WITH THE RECRUITMENT OF NEW PHYSICIANS AND OTHER STAFF TO THE CONEMAUGH HEALTH SYSTEM. IN ADDITION, CHS PROVIDED FREE OR DISCOUNTED CARE FOR THOSE WHO CANNOT AFFORD TO PAY AS WELL AS FREE COMMUNITY HEALTH SCREENINGS, FAIRS AND EDUCATIONAL GROUPS WHILE PROVIDING FUNDING FOR NEIGHBORHOOD IMPROVEMENT AND ECONOMIC DEVELOPMENT. CHS ALSO MAKES A PAYMENT IN LIEU OF TAXES DONATION TO SUPPORT THE CITY OF JOHNSTOWN, CAMBRIA COUNTY, AND THE GREATER JOHNSTOWN SCHOOL DISTRICT. THE CONEMAUGH HEALTH SYSTEM CARING INITIATIVE HAS BEEN IN PLACE FOR THE PAST FOUR YEARS. ONE OF THE ASPECTS OF THIS INITIATIVE IS THE PROMOTION OF THE AREA'S GET CONNECTED WEBSITE. THE UNITED WAY AND LIFT JOHNSTOWN CREATED THE CENTRALIZED GET CONNECTED WEBSITE AS A PLACE FOR INDIVIDUALS TO GO TO FIND OPPORTUNITIES TO VOLUNTEER IN THE COMMUNITY. THE HOPE IS THAT THIS WEBSITE WILL BECOME THE "GO TO" PLACE IN THE COMMUNITY FOR INDIVIDUALS TO FIND OPPORTUNITIES TO VOLUNTEER AND GIVE BACK! WE ENCOURAGE OUR EMPLOYEES TO VISIT THE SITE REGULARLY TO SEARCH FOR VOLUNTEER OPPORTUNITIES IN THE COMMUNITY. IN ADDITION, EMPLOYEE DONATIONS ARE COLLECTED EACH MONTH FOR A DIFFERENT ORGANIZATION IN THE COMMUNITY IN OUR CARING BOXES. THE BOXES ARE PLACED AT VARIOUS LOCATIONS THROUGHOUT THE CONEMAUGH HEALTH SYSTEM. ITEMS COLLECTED HAVE INCLUDED CANNED GOODS, PET SUPPLIES, PERSONAL HYGIENE PRODUCTS, TOYS FOR THE HOLIDAYS, WINTER COATS AND MORE. OTHER HIGHLIGHTS OF THE PAST YEAR, INCLUDE HOSPICE VOLUNTEERS WHO BROKE RECORDS FOR THE ALL-TIME HIGH FOR HOURS OF SERVICE AND A NEW HOPE AND HEALING AT THE HOLIDAYS PROGRAM WAS CONDUCTED BY CONEMAUGH REGIONAL HOSPICE STAFF. |
| FORM 990, PART V, LINE 2A: | FORM 990, PART V, LINE 2A: CONEMAUGH HEALTH SYSTEM'S (CHS) EMPLOYEE WAGES ARE PROCESSED BY CONEMAUGH VALLEY MEMORIAL HOSPITAL D/B/A MEMORIAL MEDICAL CENTER (MMC), A RELATED 501(C)(3) ORGANIZATION. THE W2S ARE FILED BY MMC (EIN 25-0965307) ON BEHALF OF CHS. ALL CHS WAGES THAT ARE PROCESSED BY MMC ARE REFLECTED ON THE 990 AS REPORTABLE COMPENSATION FROM CHS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE IT IS FILED. ONCE THE FORM IS COMPLETE, BOARD MEMBERS ARE GIVEN THE OPPORTUNITY TO REVIEW THE CONTENTS OF THE FORM AND SUBMIT ANY COMMENTS OR QUESTIONS. IN ADDITION, THE FORM IS REVIEWED BY THE HEALTH SYSTEM'S FINANCIAL OPERATIONS DEPARTMENT LEADERSHIP. AN EXTERNAL CPA FIRM IS ENGAGED TO REVIEW AND ELECTRONICALLY FILE THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION AND ALL SUBSIDIARIES ARE GOVERNED BY A CONFLICT OF INTEREST POLICY, WHICH HAS BEEN APPROVED BY THE HEALTH SYSTEM'S BOARD. UNDER THIS POLICY, EVERY BOARD MEMBER IS GIVEN A COPY OF THE POLICY AS WELL AS A FORM THAT MUST BE COMPLETED ON AN ANNUAL BASIS. NO BOARD MEMBER IS APPROVED OR RE-APPOINTED UNTIL HE OR SHE HAS COMPLETED AND SIGNED THE CONFLICT OF INTEREST FORM. ONCE THE FORM IS RETURNED, IT IS REVIEWED BY THE CHS COMPLIANCE OFFICER AND CEO. IF ANY CONFLICTS ARE DISCLOSED, THE DETAILS ARE FORWARDED TO THE BOARD CHAIR TO BE ADDRESSED. DEPENDING ON THE CONFLICT, THE BOARD MEMBER COULD BE GIVEN CERTAIN RESTRICTIONS, SUCH AS BEING PROHIBITED FROM PARTICIPATING IN CERTAIN BOARD DECISIONS. THE CHS AUDIT AND COMPLIANCE COMMITTEE HAS THE FINAL DECISION-MAKING REGARDING ALL CONFLICTS OF INTEREST. THROUGHOUT THE FISCAL YEAR, BOARD MEMBERS MUST NOTIFY THE BOARD CHAIR, COMPLIANCE OFFICER, AND/OR CEO IF A NEW CONFLICT HAS DEVELOPED. |
| FORM 990, PART VI, SECTION B, LINE 15 | CHS MANAGES THE DETERMINATION OF COMPENSATION FOR ITS EXECUTIVES AS WELL AS THE EXECUTIVES OF ALL ITS SUBSIDIARIES. THE PROCESS IS OUTLINED IN ITS BY-LAWS. AN OUTSIDE CONSULTING FIRM IS UTILIZED TO ENSURE THAT EXECUTIVE COMPENSATION PACKAGES ARE FAIR AND COMPARABLE WITH SIMILAR ORGANIZATIONS. CHS HAS ALSO ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE TO REVIEW AND RECOMMEND THE COMPENSATION DECISIONS MADE. THIS COMMITTEE REPORTS DIRECTLY TO THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL REQUESTS FOR THIS INFORMATION ARE HANDLED BY THE CHS MARKETING/PUBLIC RELATIONS DEPARTMENT. |
| FORM 990, PART VI, SECTION B, LINES 12A, 13, AND 14: | FORM 990, PART VI, SECTION B, LINES 12A, 13, AND 14: ALL APPLICABLE POLICY QUESTIONS HAVE BEEN ANSWERED YES SINCE ALL POLICIES HAVE BEEN APPROVED BY THE HEALTH SYSTEM'S BOARD. |
| FORM 990, PART XII, LINE 2: | THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDING JUNE 30, 2014 WERE AUDITED AS PART OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS OF THE CONEMAUGH HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE HEALTH SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Controlled OrganizationControlledOrganizationInd | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||
| Yes (1) | ||||||||||
| CONEMAUGH VALLEY MEMORIAL HOSPITAL DBA MEMORIAL MEDICAL CTR | ||||||||||
| Yes (1) | 1086 FRANKLIN STREET | JOHNSTOWN | PA | 15905 | 250965307 | HEALTHCARE SERVICES | PA | 501C(3) | 3 | CONEMAUGH HEALTH SYSTEM INC |
| MINERS HOSPITAL DBA MINERS MEDICAL CENTER | ||||||||||
| Yes (1) | 290 HAIDA AVENUE | HASTINGS | PA | 16646 | 250977902 | HEALTHCARE SERVICES | PA | 501C(3) | 3 | CONEMAUGH HEALTH SYSTEM INC |
| MEYERSDALE COMMUNITY HOSPITAL DBA MEYERSDALE MEDICAL CENTER | ||||||||||
| Yes (1) | 200 HOSPITAL DRIVE | MEYERSDALE | PA | 15552 | 251002946 | HEALTHCARE SERVICES | PA | 501C(3) | 3 | CONEMAUGH HEALTH SYSTEM INC |
| CONEMAUGH HEALTH FOUNDATION | ||||||||||
| Yes (1) | 1086 FRANKLIN STREET | JOHNSTOWN | PA | 15905 | 251719695 | SUPPORTS CONEMAUGH HEALTH SYSTEM | PA | 501C(3) | 11B | CONEMAUGH HEALTH SYSTEM INC |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LAUREL HIGHLANDS ADVANCED IMAGING | ||||||||||
| 1450 SCALP AVENUE | JOHNSTOWN | PA | 15904 | 251864587 | DIAGNOSTIC SERVICES | PA | CONEMAUGH VALLEY MEMORIAL HOSPITAL | RELATED | 0 | 0 |
| GREATER JOHNSTOWN TECH PARK | ||||||||||
| 1086 FRANKLIN STREET | JOHNSTOWN | PA | 15905 | 260389121 | OPERATES MULTI-TENANT COMMERCE OFFICE PARK | PA | CONEMAUGH ENTERPRISES INC | UNRELATED | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONEMAUGH HEALTH INITIATIVES INC DBA CONEMAUGH PHYSICIAN GP | ||||||||||||
| 1086 FRANKLIN STREET | JOHNSTOWN | PA | 15905 | 251658283 | PHYSICIAN SERVICES | PA | CONEMAUGH HEALTH SYSTEM INC | C | -$4,557,000 | $18,020,000 | 1.00000 | Yes (1) |
| CONEMAUGH ENTERPRISES INC | ||||||||||||
| 1086 FRANKLIN STREET | JOHNSTOWN | PA | 15905 | 202998473 | ECONOMIC DEVELOPMENT | PA | CONEMAUGH VALLEY MEMORIAL HOSPITAL | C | 0 | |||
| 1086 REAL ESTATE | ||||||||||||
| 1086 FRANKLIN STREET | JOHNSTOWN | PA | 15905 | 251489704 | REAL ESTATE | PA | CONEMAUGH HEALTH INITIATIVES | C | 0 | |||
| 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 | 0 | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CONEMAUGH HEALTH INITIATIVES | ||
| Q | $1,569,220 | FAIR MARKET VALUE |
| CONEMAUGH VALLEY MEMORIAL HOSPITAL | ||
| Q | $6,156,969 | FAIR MARKET VALUE |
| MINERS HOSPITAL | ||
| Q | $282,476 | FAIR MARKET VALUE |
| MEYERSDALE COMMUNITY HOSPITAL | ||
| Q | $195,434 | FAIR MARKET VALUE |
| CONEMAUGH VALLEY MEMORIAL HOSPITAL | ||
| K | $104,523 | FAIR MARKET VALUE |