1889-CHS FOUNDATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- 1889-CHS FOUNDATION INC (EIN 23-2801799)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-02-10
- IRS object ID
- 201400419349301195
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-02-10T15:37:04-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 250988255 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARBIS WALKER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232801799 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONEMAUGH HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CONE | NameControl |
| Phone | 8144108271 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EDWARD DEPASQUALE | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 8144105271 | Phone |
| Date Signed | 2014-01-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFFREY J PETRELL CPA | Name |
| PTIN | P00138808 | PTIN |
| Phone | 4126356270 | Phone |
| Date Prepared | 2014-01-28 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SCOTT BECKER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 8637689 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CONEMAUGH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | TO SUPPORT MEMBER HOSPITALS WITHIN THE CONEMAUGH HEALTH SYSTEM AND PROVIDE COMMUNITY BENEFIT | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 11 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7837679 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8637318 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 401 | InvestmentIncomePriorYear |
| Investment Income Current Year | 371 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 36 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7838116 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8637689 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 140430 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5078798 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5334387 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2759318 | OtherExpensePriorYear |
| Other Expenses Current Year | 3162872 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7838116 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8637689 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 0 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 0 | RevenuesLessExpensesCY |
| Total Assets BOY | 3417118 | TotalAssetsBOY |
| Total Assets EOY | 4652400 | TotalAssetsEOY |
| Total Liabilities BOY | 2395356 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2353303 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1021762 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2299097 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO SUPPORT MEMBER HOSPITALS WITHIN THE CONEMAUGH HEALTH SYSTEM AND PROVIDE COMMUNITY BENEFIT SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7288996 | Expense |
| Grants | 140430 | Grants |
| Revenue | 8637318 | Revenue |
| Description | CONEMAUGH HEALTH SYSTEM (CHS), LOCATED IN JOHNSTOWN, PA, IS THE LARGEST HEALTHCARE PROVIDER IN THE STATE'S WEST-CENTRAL REGION. AS THE LARGEST EMPLOYER IN A FIVE-COUNTY REGION, CHS EMPLOYS MORE THAN 4,600 INDIVIDUALS. THE HEALTH SYSTEM INCLUDES THREE HOSPITALS, SEVERAL OUTPATIENT CARE CENTERS, AND A NETWORK OF MORE THAN 100 PHYSICIANS THAT SERVES FORTY LOCATIONS THROUGHOUT THE REGION. IN TOTAL, CHS SERVES OVER 25,000 INPATIENTS AND NEARLY 500,000 OUTPATIENTS ANNUALLY. WITH ITS LEADING TECHNOLOGY SOLUTIONS AND COMPREHENSIVE SERVICES, CHS DELIVERS THE HIGHEST CALIBER IN PATIENT CARE. THE SYSTEM'S MISSION IS "EXCELLENCE. EVERY PATIENT. EVERY TIME." OFFERING SCREENING OPPORTUNITIES AND SUPPORT FOR THOSE FACING MEDICAL CHALLENGES IS A KEYSTONE OF THE CONEMAUGH HEALTH SYSTEM. CHS HELPS PROMOTE AND FACILITATE NINETEEN SUPPORT GROUPS. A COMPLETE LIST OF SUPPORT GROUP SERVICES IS AVAILABLE ON THE CONEMAUGH.ORG WEBSITE AND IS ADVERTISED EACH MONTH IN AREA NEWSPAPERS WITH A NUMBER TO CALL SHOULD PATIENTS OR FAMILY MEMBERS WANT ADDITIONAL INFORMATION.THE FLAGSHIP HOSPITAL, CONEMAUGH MEMORIAL MEDICAL CENTER, IS THE MOST TECHNOLOGICALLY SOPHISTICATED HOSPITAL BETWEEN PITTSBURGH AND HERSHEY, AND HAS BEEN REPEATEDLY RECOGNIZED FOR CLINICAL OUTCOMES AMONG THE BEST IN THE NATION. CONEMAUGH MEMORIAL IS HOME TO THE HIGHEST LEVEL TRAUMA CENTER AND NEONATAL INTENSIVE CARE UNIT. OCCUPYING A VITAL ROLE IN FURTHERING MEDICAL EDUCATION, CHS IS HOME TO SEVEN MEDICAL RESIDENCY PROGRAMS, A PHARMD RESIDENCY PROGRAM, A NURSING SCHOOL, FIVE ALLIED HEALTH PROGRAMS, AND AN ACCREDITED MEDICAL SKILLS LABORATORY. IN THE PAST YEAR, MANY CLINICAL ADVANCEMENTS HAVE BEEN INTRODUCED TO THE COMMUNITY INCLUDING: A NEW, STATE-OF-THE-ART COMPUTED TOMOGRAPHY (CT) SCANNER AT CONEMAUGH MEMORIAL MEDICAL CENTER WHICH OFFERS PATIENTS FASTER, SAFER, AND MORE RELIABLE CT SCANS THAN EVER BEFORE; DA VINCI ROBOTIC ASSISTED SURGERY SYSTEM IS NOW BEING USED FOR GENERAL, GYNECOLOGICAL, THORACIC, AND WEIGHT LOSS SURGERY; DIGITAL MAMMOGRAPHY AT SIX CONVENIENT SITES PROVIDES WOMEN EXCELLENT IMAGE QUALITY WHILE MINIMIZING THE PATIENT'S RADIATION DOSE AND EXPOSURE TIME; A STATE-OF-THE-ART ELECTROPHYSIOLOGY LABORATORY OPENED AT CONEMAUGH MEMORIAL IN LATE 2012 WHICH IS THE ONLY ONE OF ITS KIND IN CAMBRIA AND SOMERSET COUNTIES, OFFERING PATIENTS LOCAL DIAGNOSIS AND TREATMENT OF ABNORMAL HEART RHYTHM CONDITIONS; CONEMAUGH MEMORIAL OFFERS THE ONLY FETAL ECHOCARDIOGRAPHY LABORATORY BETWEEN PITTSBURGH AND HARRISBURG ACCREDITED BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES; INTERVENTIONAL RADIOLOGY CAPABILITIES NOW INCLUDE ADVANCED "C" ARMS THAT ALLOW SPECIALISTS TO VIEW IMAGES FROM TWO PLANES WHICH QUICKLY GENERATES MORE PRECISE IMAGES WITH FEWER EXPOSURES, REDUCING PATIENTS' RADIATION EXPOSURE AND SHORTENING PROCEDURE TIMES; 4G MRI CAPABILITIES - THE 4G CAPABILITIES OF CONEMAUGH MEMORIAL'S NEW 48-CHANNEL MAGNETOMAERO 1.5 TESLA MRI UNIT SIGNIFICANTLY REDUCE THE TIME TO COMPLETE AN MRI PROCEDURE, WHILE PROVIDING SHARPER IMAGES THROUGH THE SOPHISTICATED TECHNOLOGY; THE ROBOT RX-3000HP PHARMACY SYSTEM USES BARCODE SCANNING TECHNOLOGY TO AUTOMATE THE STORAGE, PICKING, RETURNING, RESTOCKING, AND CREDITING OF MORE THAN 90% OF CONEMAUGH MEMORIAL'S DAILY UNIT DOSE MEDICATIONS, PROVIDING A PATIENT SPECIFIC MEDICATION ENVELOPE WHICH PREVENTS PICKING ERRORS AND MANAGES UNIT-DOSE INVENTORY.IN ADDITION TO NEW TECHNOLOGY, NEW PROGRAMS AND LOCATIONS WERE INTRODUCED TO THE COMMUNITY IN THE PAST YEAR. THE GREATER JOHNSTOWN MEDICAL PARK BEGAN SEEING PATIENTS IN BOTH CARDIOLOGY AND PRIMARY CARE. A GRAND OPENING EVENING INCLUDED TOURS, CARDIOVASCULAR EDUCATION, SCREENINGS, TOBACCO PREVENTION, AND GENERAL HEALTH INFORMATION. CONEMAUGH PHYSICIAN GROUP NOW OFFERS AN ONLINE BILL PAYMENT OPTION. THE SYSTEM PROVIDES PATIENTS AN EASY, CONVENIENT METHOD FOR PAYING PHYSICIAN BILLS GENERATED THROUGH THE CONEMAUGH PHYSICIAN GROUP. CONEMAUGH PHYSICIAN GROUP ADDS TO THE ALREADY ESTABLISHED ONLINE BILL PAY OPTION OFFERED THROUGH CONEMAUGH HEALTH SYSTEM FOR PAYMENT OF HOSPITAL BILLS FROM CONEMAUGH MEMORIAL, MINERS, AND MEYERSDALE MEDICAL CENTERS. THIS SERVICE IS AN ADD-ON TO THE CURRENT POINT-OF-SERVICE COLLECTIONS TOOL, HEALTHPAY24 (HP24), WHICH IS AVAILABLE AT MOST REGISTRATION SITES AT ALL THREE HOSPITALS.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, SAME DAY SURGERY, AND WOUND HEALING. 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, WHICH THIS YEAR WAS NAMED TO US NEWS & WORLD REPORT'S BEST NURSING HOMES LIST. 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. | Description |
| Total Program Service Expense | 7288996 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 19 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARD DEPASQUALE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8144108271 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JAMES HARGREAVES | ||||||||
| CHAIRMAN | 6.00 | X | X | 0 | 0 | 0 | ||
| RON VICKROY | ||||||||
| VICE CHAIRMAN | 6.00 | X | X | 0 | 0 | 0 | ||
| JAMES CASCIO | ||||||||
| TREASURER | 6.00 | X | X | 0 | 0 | 0 | ||
| KIM CRAIG | ||||||||
| SECRETARY | 6.00 | X | X | 0 | 0 | 0 | ||
| DOUGLAS BELL | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| KRISTIN BRANT MD | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| ROBERT A GLEASON JR | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| NATHAN KAUFMAN | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| ADIB KHOUZAMI MD | ||||||||
| TRUSTEE | 2.00 | X | 0 | 1212894 | 33617 | 68.00 | ||
| BRIAN LIEB DO | ||||||||
| TRUSTEE | 2.00 | X | 0 | 328758 | 38224 | 62.00 | ||
| FRANK QUITONI | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| JOHN SARACENA | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| SALLY SARGENT | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| RICHARD SCHROEDER MD | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| PATRICIA SEROTKIN | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| MICHAEL SMITH | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| RICHARD WOZNIAK MD | ||||||||
| TRUSTEE | 2.00 | X | 0 | 208809 | 34261 | 46.00 | ||
| SCOTT BECKER | ||||||||
| TRUSTEE, CHIEF EXECUTIVE OFFICER | 50.00 | X | X | 874726 | 0 | 35496 | 20.00 | |
| DAVID CARLSON DO | ||||||||
| CHIEF MEDICAL OFFICER | 21.50 | X | 539348 | 0 | 28020 | 29.00 | ||
| EDWARD DEPASQUALE | ||||||||
| CHIEF FINANCIAL OFFICER | 22.00 | X | 441373 | 0 | 31177 | 28.00 | ||
| JOSEPH DADO | ||||||||
| CHIEF INFORMATION OFFICER | 16.00 | X | 352918 | 0 | 15945 | 37.00 | ||
| JOHN MORYKEN | ||||||||
| VP BUSINESS DEVELOP & GOVT AFFAIRS | 24.00 | X | 280295 | 0 | 29430 | 26.00 | ||
| WESLEY SCHMIDT | ||||||||
| VP HUMAN RESOURCES | 22.00 | X | 240551 | 0 | 14240 | 30.00 | ||
| DIANE PRINGLE | ||||||||
| CORPORATE COMPLIANCE OFFICER | 10.00 | 113204 | 0 | 7886 | 39.00 | X | ||
| GAIL LUCAS | ||||||||
| DIRECTOR INTERNAL AUDIT | 20.00 | 103642 | 0 | 15663 | 25.00 | X | ||
| GREG LEIS | ||||||||
| DIRECTOR FIN & STRATEGIC PLANNING | 2.00 | 103213 | 0 | 15631 | 48.00 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3049270 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1750461 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 299590 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BUCHANAN INGERSOLL ROONEY PC | |||||
| 301 GRANT STREET | PITTSBURGH | PA | 15219 | LEGAL SERVICES | 550938 |
| BKD LLP | |||||
| P O BOX 1178 | LOUISVILLE | KY | 40201 | ACCOUNTING SERVICES | 428390 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MANAGEMENT FEES | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 8637318 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8637318 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8637318 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 371 | TotalRevenueColumn |
| Exclusion | $371 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8637689 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8637318 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $371 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140430 | Total |
| Program Services | 140430 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2907863 | Total |
| Program Services | 2791548 | ProgramServices |
| Management And General | 116315 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1615365 | Total |
| Program Services | 799279 | ProgramServices |
| Management And General | 816086 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47631 | Total |
| Program Services | 13319 | ProgramServices |
| Management And General | 34312 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 763528 | Total |
| Program Services | 553024 | ProgramServices |
| Management And General | 210504 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1003488 | Total |
| Program Services | 1003488 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 377746 | Total |
| Program Services | 377746 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 506629 | Total |
| Program Services | 475939 | ProgramServices |
| Management And General | 30690 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 246165 | Total |
| Program Services | 246165 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40252 | Total |
| Program Services | 35508 | ProgramServices |
| Management And General | 4744 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120350 | Total |
| Program Services | 101000 | ProgramServices |
| Management And General | 19350 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102032 | Total |
| Program Services | 55338 | ProgramServices |
| Management And General | 46694 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42667 | Total |
| Program Services | 42349 | ProgramServices |
| Management And General | 318 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85940 | Total |
| Program Services | 77216 | ProgramServices |
| Management And General | 8724 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 277261 | Total |
| Program Services | 277035 | ProgramServices |
| Management And General | 226 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| RECRUITING EXPENSE | 135985 | 135985 | |
| DUES & SUBSCRIPTIONS | 131688 | 75518 | 56170 |
| PURCHASED SERVICES | 48389 | 43829 | 4560 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44280 | Total |
| Program Services | 44280 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8637689 | Total |
| Program Services | 7288996 | ProgramServices |
| Management And General | 1348693 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9181 | BOY |
| EOY | 166888 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286916 | BOY |
| EOY | 354988 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1206000 | BOY |
| EOY | 1206000 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92258 | BOY |
| EOY | 87889 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 668663 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 488473 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 340347 | BOY |
| EOY | 180190 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1482416 | BOY |
| EOY | 2656445 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3417118 | BOY |
| EOY | 4652400 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1615946 | BOY |
| EOY | 1643401 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 779410 | BOY |
| EOY | 709902 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2395356 | BOY |
| EOY | 2353303 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1021762 | BOY |
| EOY | 2299097 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1021762 | BOY |
| EOY | 2299097 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3417118 | BOY |
| EOY | 4652400 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 0 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1291135 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -13800 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Written IRS Determination | X | WrittenIRSDetermination |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| MEYERSDALE MEDICAL CENTER | |||||
| 251002946 | 3 | 0 | 1 | 1 | $13,800 |
| CONEMAUGH VALLEY MEMORIAL HOSPITAL | |||||
| 250965307 | 3 | 0 | 0 | 1 | $0 |
| MINERS MEDICAL CENTER | |||||
| 250977902 | 3 | 0 | 0 | 1 | $0 |
| CONEMAUGH HEALTH FOUNDATION | |||||
| 251719695 | 11 | 0 | 0 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 13800 | SumOfAmounts |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 668663 | OtherCostOrOtherBasis |
| Depreciation | 488473 | Depreciation |
| Book Value | 180190 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 180190 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENT IN PHHP | 7500 |
| INVESTMENT IN RRG | 2459414 |
| NON COMPETE COVENANTS (NET) | 189531 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2656445 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO MEMORIAL MEDICAL CENTER | $571,051 |
| SEVERANCE LIABILITY | $138,851 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 709902 | TotalOfAmounts |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| JOHNSTOWN SYMPHONY ORCHESTRA | |||||||
| 300 MARKET ST SUITE 303 | JOHNSTOWN | PA | 15901 | 251100701 | 501C3 | 50000 | GENERAL SUPPORT |
| COMMUNITY FOUNDATION FOR THE ALLEGHENIES | |||||||
| 116 MARKET ST SUITE 4 | JOHNSTOWN | PA | 15901 | 251637373 | 501C3 | 12750 | GENERAL SUPPORT |
| AUXILLARY OF MEMORIAL MEDICAL CENTER | |||||||
| 1086 FRANKLIN ST | JOHNSTOWN | PA | 15905 | 251390706 | 501C3 | 10000 | GENERAL SUPPORT |
| LAUREL HIGHLANDS COUNCIL BOY SCOUTS OF AMERICA | |||||||
| FLAG PLAZA 1275 BEDFORD AVE | PITTSBURGH | PA | 15219 | 250965214 | 501C3 | 10000 | GENERAL SUPPORT |
| CATHOLIC CHARITIES | |||||||
| 321 MAIN STREET | JOHNSTOWN | PA | 15901 | 251352062 | 501C3 | 8000 | GENERAL SUPPORT |
| ST VINCENT DE PAUL | |||||||
| 945 FRANKLIN STREET | JOHNSTOWN | PA | 15901 | 251965567 | 501C3 | 8000 | GENERAL SUPPORT |
| BEGINNINGS INC | |||||||
| 111 MARKET STREET | JOHNSTOWN | PA | 15901 | 250984601 | 501C3 | 8000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 7 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADIB KHOUZAMI MD | ||||||||||||||
| TRUSTEE | 0 | 833834 | 0 | 339543 | 0 | 39517 | 0 | 22224 | 0 | 11393 | 0 | 1246511 | 0 | 0 |
| BRIAN LIEB DO | ||||||||||||||
| TRUSTEE | 0 | 228210 | 0 | 66159 | 0 | 34389 | 0 | 23637 | 0 | 14587 | 0 | 366982 | 0 | 0 |
| RICHARD WOZNIAK MD | ||||||||||||||
| TRUSTEE | 0 | 131131 | 0 | 0 | 0 | 77678 | 0 | 16690 | 0 | 17571 | 0 | 243070 | 0 | 0 |
| SCOTT BECKER | ||||||||||||||
| TRUSTEE, CHIEF EXECUTIVE OFFICER | 625999 | 0 | 200000 | 0 | 48727 | 0 | 16605 | 0 | 18891 | 0 | 910222 | 0 | 0 | 0 |
| DAVID CARLSON DO | ||||||||||||||
| CHIEF MEDICAL OFFICER | 424629 | 0 | 92101 | 0 | 22618 | 0 | 13386 | 0 | 14634 | 0 | 567368 | 0 | 0 | 0 |
| EDWARD DEPASQUALE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 347620 | 0 | 72561 | 0 | 21192 | 0 | 19888 | 0 | 11289 | 0 | 472550 | 0 | 0 | 0 |
| JOSEPH DADO | ||||||||||||||
| CHIEF INFORMATION OFFICER | 274673 | 0 | 58717 | 0 | 19528 | 0 | 13900 | 0 | 2045 | 0 | 368863 | 0 | 0 | 0 |
| JOHN MORYKEN | ||||||||||||||
| VP BUSINESS DEVELOP & GOVT AFFAIRS | 223554 | 0 | 36243 | 0 | 20498 | 0 | 17664 | 0 | 11766 | 0 | 309725 | 0 | 0 | 0 |
| WESLEY SCHMIDT | ||||||||||||||
| VP HUMAN RESOURCES | 195044 | 0 | 25478 | 0 | 20029 | 0 | 3716 | 0 | 10524 | 0 | 254791 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1B | SOCIAL CLUB DUES ARE PAID FOR THE ORGANIZATION'S CEO. UNDER THE OVERSIGHT OF THE EXECUTIVE COMPENSATION COMMITTEE, IT HAS ALWAYS BEEN THE ORGANIZATION'S PRACTICE TO PAY THESE DUES FOR THE CEO AS THE SOCIAL CLUB IS PRIMARILY USED TO BENEFIT THE ORGANIZATION. |
| PART I, LINE 6 | SCOTT BECKER, DAVID CARLSON, DO, EDWARD DEPASQUALE, JOSEPH DADO, JOHN MORYKEN, WESLEY SCHMIDT, DIANE PRINGLE, GAIL LUCAS, AND GREG LEIS 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 AND BRIAN LIEB, DO 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
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE STATEMENT | FORM 990, PART III, LINE 4A | WITHIN THE CONEMAUGH HEALTH SYSTEM, SCREENINGS AND SUPPORT GROUPS INCLUDED MANY DIVERSE OPTIONS, WHICH INCLUDED THE FOLLOWING SPECIFIC ITEMS OF NOTE. MEYERSDALE CARDIOVASCULAR SCREENINGS: THE CONEMAUGH HEALTH FOUNDATION, EDWARDS LIFESCIENCES, AND THE MEYERSDALE AREA SCHOOL DISTRICT PARTNERED TO PROVIDE FAMILY MEMBERS OF MEYERSDALE STUDENTS WITH ITS CARDIAC/DIABETES PREVENTION PROGRAM. THE STUDENTS PARTICIPATING IN THE PROGRAM COMPLETED PHYSICAL FITNESS CHALLENGES AND RECEIVED EDUCATIONAL INFORMATION ABOUT MAINTAINING HEALTHY LIFESTYLES. THE OVERALL GOAL OF THE PROGRAM WAS TO IDENTIFY UNDERSERVED FAMILY MEMBERS OF STUDENTS WHO DO NOT EXERCISE AND THUS HAVE AN INCREASED RISK OF HEART DISEASE AND DIABETES. ANOTHER TARGET WAS TO REDUCE THE RISK OF DEVELOPING OTHER HEART DISEASE / DIABETES RISK FACTORS SUCH AS HIGH CHOLESTEROL, HIGH BLOOD PRESSURE, OBESITY, AND DIABETES. APPROXIMATELY 500 PEOPLE PARTICIPATED. VASCULAR SCREENINGS: CAROTID ARTERY, ABDOMINAL AORTIC ANEURYSM (AAA), AND ANKLE-BRACHIAL INDEX (ABI) SCREENINGS WERE PERFORMED ON 448 PARTICIPANTS AS PART OF THE CHS COMMUNITY SCREENING PROGRAM. SIXTY-EIGHT INDIVIDUALS WERE FOUND TO HAVE ABNORMAL RESULTS. PROSTATE CANCER SCREENINGS: EACH SEPTEMBER, PROSTATE CANCER AWARENESS MONTH IS RECOGNIZED WITH A FREE PROSTATE CANCER SCREENING. FORTY-FIVE MEN PARTICIPATED IN THE FREE SCREENING. FOR MANY MEN IN THEIR EARLY 50'S THIS SCREEN IS THEIR FIRST PROSTATE EXAM. CRIBS FOR KIDS PROGRAM: APPROXIMATELY 75 CRIBS WERE DISTRIBUTED TO UNDERPRIVILEGED FAMILIES ALONG WITH INFORMATION ON SIDS THROUGH CONEMAUGH'S OFFICE OF COMMUNITY HEALTH IN COLLABORATION WITH BEGINNINGS INC, HOME NURSING FAMILY PARTNERSHIP, AND TEEN PARENTING OF CAMBRIA COUNTY. BONE DENSITY TESTING: 597 PEOPLE WERE TESTED FOR OSTEOPOROSIS AND PROVIDED EDUCATION ON THE DISEASE, DIET, AND CALCIUM SUPPLEMENTS. OF THE 597 SCREENED, 144 HAD ABNORMAL RESULTS WITH EITHER LOW BONE MASS OR OSTEOPOROSIS. BREAST CANCER EDUCATIONAL FAIRS/MAMMOGRAPHY SCREENINGS: EVENTS WERE HELD AT 6 LOCATIONS IN RECOGNITION OF BREAST CANCER AWARENESS MONTH. THESE EVENTS TARGETED WOMEN WITH NO INSURANCE OR THOSE UNDERINSURED. OF THE 67 MAMMOGRAMS, 57 PARTICIPANTS USED A VOUCHER. SEVENTEEN OF THE WOMEN SCREENED HAD NOT HAD A MAMMOGRAM WITHIN FOUR YEARS. 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 115 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. 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. VOLUNTEER ACTIVITY HIGHLIGHTS INCLUDE: "FLOWERS FROM THE HEART," "CARING HANDS," "COMFORT CARTS," AND "INPATIENT BINGO." THE CONEMAUGH HEALTH SYSTEM CONTINUES TO BE COMMITTED TO PROVIDING PROGRAMS AND EDUCATION TO ITS PATIENTS AND COMMUNITY THROUGH ITS MEMBER HOSPITALS, AS WELL AS THROUGH PARTNERSHIPS WITH NUMEROUS COMMUNITY ORGANIZATIONS AND OTHER NON-PROFITS TO RAISE AWARENESS AND FUNDING FOR WORTHY CAUSES THAT IMPACT THE COMMUNITY. EVENTS AND PROGRAMS HELD WITHIN THE HEALTH SYSTEM INCLUDE: BRAIN AWARENESS WEEK WITH HEALTH FAIRS AND EDUCATIONAL EVENTS TO HELP EDUCATE THE COMMUNITY ABOUT BRAIN HEALTH; CONEMAUGH REGIONAL HOSPICE'S SPRING FLING EDUCATIONAL AWARENESS AND FUNDRAISING EVENT TO BENEFIT HOSPICE PATIENTS; NURSING AND VOLUNTEER SERVICES AT CHS WORKED TOGETHER TO IMPLEMENT A NEW MEAL MATE PROGRAM WITH MEAL ASSISTANCE VOLUNTEERS WHO WERE TRAINED TO HELP PATIENTS WITH THEIR MEALS; CONEMAUGH MEMORIAL'S FAMILY MEDICAL CENTER HELD A HEPATITIS C EDUCATIONAL EVENT; A MONTH LONG HAND-HYGIENE AWARENESS CAMPAIGN INVOLVING INFORMATION AND DEMONSTRATIONS ON INFECTION PROTECTION TOOK PLACE IN MAY TO HELP EDUCATE PATIENTS, STAFF, AND THE PUBLIC ABOUT THE IMPORTANCE OF HAND WASHING WHILE ASKING EMPLOYEES TO SIGN A CLEAN HAND PLEDGE; COMMUNITY AWARENESS EVENTS IN JOHNSTOWN'S CENTRAL PARK WERE HELD REGARDING POST TRAUMATIC STRESS DISORDER AND THE OPERATION FAMILY CAREGIVER PROGRAM; AND PARTICIPATION IN THE UNITED WAY CAMPAIGN WITH EMPLOYEES RAISING $35,136 FOR UNITED WAY AGENCIES. IN ADDITION, CONEMAUGH MEMORIAL MEDICAL CENTER'S EMPLOYEE PICNIC ADDED A SPECIAL COMPONENT THAT RAISED MORE THAN $3,600 FOR LOCAL CHARITIES INCLUDING RELAY FOR LIFE, UNITED CEREBRAL PALSY, ACTION FOR ANIMALS, HOME FOR OUR TROOPS, LEUKEMIA/LYMPHOMA SOCIETY, MAKE-A-WISH FOUNDATION, NATIONAL ALLIANCE ON MENTAL ILLNESS, WOUNDED WARRIORS, WOMEN'S HELP CENTER, JUVENILE DIABETES, AND HUMANE SOCIETIES OF CAMBRIA AND SOMERSET COUNTIES. WITHIN THE CONEMAUGH HEALTH FOUNDATION, THE 5TH ANNUAL "OUR COMMUNITY, OUR CHILDREN" CHEF AUCTION RAISED MONEY FOR PEDIATRIC AND TEENAGE TRAUMA AND SURGICAL PATIENTS AT CONEMAUGH MEMORIAL MEDICAL CENTER WITH MORE THAN $100,000 RAISED SINCE ITS INCEPTION WHICH HAS BENEFITTED CONEMAUGH MEMORIAL'S PEDIATRIC UNIT AND THE REGIONAL INTENSIVE CARE NURSERY (RICN). ALSO, CONEMAUGH MEMORIAL MEDICAL CENTER WAS NAMED A 2012 RECIPIENT OF THE FORSYTHE FOUNDATION THROUGH THE PNC CHARITABLE TRUST GRANT REVIEW COMMITTEE. THE $15,000 GRANT WILL BENEFIT THE 2013 YOUTH TRAUMA PREVENTION PROGRAM THROUGH THE CONEMAUGH HEALTH FOUNDATION AND CONEMAUGH MEMORIAL. FINALLY, THE CONEMAUGH HEALTH SYSTEM HAS BEEN SURVEYED BY THE PENNSYLVANIA MEDICAL SOCIETY (PAMED) AND AWARDED "PROVISIONAL ACCREDITATION" FOR 2 YEARS TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. |
| WORKING TOGETHER WITH NUMEROUS COMMUNITY ORGANIZATIONS AND OTHER NON-PROFITS RESULTED IN THE FOLLOWING BENEFITS: PARTNERSHIP WITH THE EPILEPSY FOUNDATION TO DISTRIBUTE BICYCLE HELMETS TO CONCUSSION CLINIC PATIENTS WHO DO NOT HAVE HELMETS; PARTNERSHIP WITH LIFT JOHNSTOWN TO CREATE A CENTRALIZED WEBSITE WHERE LOCAL PHILANTHROPISTS CAN FIND VOLUNTEERING OPPORTUNITIES LISTED BY ORGANIZATIONS IN NEED; WORLD BREASTFEEDING MONTH EVENT IN JOHNSTOWN'S CENTRAL PARK CO-SPONSORED BY THE LAUREL HIGHLANDS BREASTFEEDING COALITION AND WIC; PARTNERSHIP WITH RICHLAND TOWNSHIP FIRE DEPARTMENT TO PROVIDE CAR SEAT CHECKS WITH A TARGET AUDIENCE OF LOW-INCOME PARENTS OF YOUNG CHILDREN, ALTHOUGH ANY PARENT / GRANDPARENT OF ANY ECONOMIC LEVEL IS WELCOME, WHICH RESULTED IN TWENTY-FOUR CAR SEATS BEING CHECKED WITH THIRTEEN BEING REINSTALLED FOR SAFETY REASONS AND TWO NEW CAR SEATS BEING GIVEN TO REPLACE EXPIRED PRODUCTS; PARTNERSHIP WITH VARIOUS SCHOOL STUDENTS FROM ELEMENTARY SCHOOL TO COLLEGE TO ENCOURAGE AND SUPPORT PHILANTHROPY, WHICH INCLUDED STUDENTS FROM GREATER JOHNSTOWN HIGH SCHOOL, WESTMONT HILLTOP HIGH SCHOOL, CAMBRIA-ROWE BUSINESS COLLEGE, ST. ANDREW'S, BISHOP CARROLL HIGH SCHOOL, HOLLIDAYSBURG HIGH SCHOOL, NORTHERN BEDFORD, AND MEYERSDALE SCHOOL DISTRICT; JOINT EFFORT FOR A HUNTING DOWN HEART DISEASE PROGRAM INVOLVING GANDER MOUNTAIN, THE AMERICAN HEART ASSOCIATION, AND THE PENNSYLVANIA GAME COMMISSION TARGETED HEALTH ISSUES AFFECTING HUNTERS BY PROVIDING INFORMATION ABOUT HEART DISEASE AND PREVENTION OF BACK INJURIES TO LOCAL HUNTERS WHILE CONDUCTING FREE BLOOD PRESSURE AND BODY FAT ANALYSIS SCREENINGS; PARTNERSHIP WITH THE JOHNSTOWN SYMPHONY TO SUPPORT THE ARTS IN THE COMMUNITY, WHILE GIVING THE GIFT OF MUSIC TO HOSPITALIZED PATIENTS THROUGH THE ARTS FOR HEALING PROGRAM; CONEMAUGH'S BEHAVIORAL MEDICINE PHYSICIANS PARTNERED WITH THE LOCAL ALZHEIMER'S SUPPORT GROUP TO PROVIDE EDUCATION AND SUPPORT; AND CONEMAUGH MEMORIAL MEDICAL CENTER JOINED THE CENTER FOR ORGAN RECOVERY AND EDUCATION (CORE) TO HOST THE 3RD ANNUAL ORGAN DONOR RECOGNITION WALL REDEDICATION CEREMONY IN HONOR OF THOSE WHO HAVE DONATED THE GIFT OF LIFE AND TO HIGHLIGHT THE CRITICAL NEED FOR DESIGNATED DONORS. CONEMAUGH MEMORIAL MEDICAL CENTER IS AMONG 100 HOSPITALS NATIONWIDE CURRENTLY WORKING WITH THE MARCH OF DIMES TO IMPLEMENT THE "39+ WEEKS QUALITY IMPROVEMENT SERVICE PACKAGE" WHICH HELPS HOSPITALS DEVELOP AND IMPLEMENT POLICIES AND PROCEDURES TO REDUCE MEDICALLY UNNECESSARY (ELECTIVE) INDUCTIONS AND CESAREAN DELIVERIES SCHEDULED BEFORE 39 WEEKS OF PREGNANCY. CHS PARTNERED WITH THE INTEGRATIVE MEDICINE ADVISORY COUNCIL (IMAC) TO EXPAND THE HOSPITAL'S COMFORT CART PROGRAM AND FOR THE ADDITION OF A NEW IMAC ART CART. THE ART CART PROVIDES FREE SMALL FRAMED ARTWORKS THAT PATIENTS CAN CHOOSE TO PUT BY THEIR BEDSIDE AND THEN TAKE HOME AFTER DISCHARGE. THE TRADITIONAL COMFORT CART PROGRAM WAS ALSO EXPANDED TO PROVIDE AN ADDITIONAL CART NOW HOUSED AT CONEMAUGH MEMORIAL'S LEE CAMPUS TO SERVICE PATIENTS AT CRICHTON REHABILITATION CENTER AND THE TRANSITIONAL CARE UNIT. CURRENTLY, THERE ARE TWO COMFORT CARTS AT THE MAIN CAMPUS, OFFERING PATIENTS A SELECTION OF AMENITIES AT NO CHARGE, INCLUDING BUT NOT LIMITED TO LIP BALM, LOTION, WORD PUZZLE BOOKS, MAGAZINES, AND DONATED PRAYER SHAWLS FROM LOCAL INDIVIDUALS AND CHURCHES. FOR THE EIGHTH YEAR, THE CONEMAUGH HEALTH FOUNDATION (CHF) PARTNERED WITH THE EDWARDS LIFESCIENCES FUND. THE $25,000 GRANT IS BEING USED TO EXPAND CONEMAUGH'S DIABETES AND CARDIOVASCULAR DISEASE PREVENTION PROGRAM SCREENINGS THROUGHOUT LOCAL COMMUNITIES WITH AN EMPHASIS ON DIVERSE AND UNDERSERVED PATIENTS IN RURAL AREAS. THE GOAL OF THIS PROGRAM IS TO MAKE A POSITIVE IMPACT IN THE LIVES OF INDIVIDUALS BY ENCOURAGING HEALTHY BEHAVIOR THROUGH WELLNESS EDUCATION AND PHYSICAL ACTIVITIES. CONEMAUGH HEALTH SYSTEM'S ARTS FOR HEALING PROGRAM WAS EXPANDED IN PARTNERSHIP WITH MOUNT ALOYSIUS COLLEGE. ARTS FOR HEALING IS FUNDED THROUGH THE CONEMAUGH HEALTH FOUNDATION, OFFERING AN OUTLET FOR PATIENTS SUFFERING FROM VARIOUS ILLNESSES INCLUDING THE EFFECTS OF STROKE, EMOTIONAL PROBLEMS AND NEUROLOGICAL DISORDERS SUCH AS POST POLIO SYNDROME, PARKINSON'S, OR LOU GEHRIG'S DISEASE. AS THE LARGEST EMPLOYER IN A MULTI-COUNTY REGION, CHS IS COMMITTED TO SUPPORTING COMMUNITY ORGANIZATIONS AND INITIATIVES. MORE THAN $100,000 DOLLARS WAS GIVEN IN SPONSORSHIPS TO SUPPORT VARIOUS CAUSES, RANGING FROM LITTLE LEAGUE BASEBALL TEAMS TO CULTURAL EVENTS AND HEALTH RELATED CAUSES LIKE THE MARCH OF DIMES WALK FOR HEALTHY BABIES. IN ADDITION, CHS MEMBER HOSPITALS PROVIDED FREE OR DISCOUNTED CARE FOR THOSE WHO CANNOT AFFORD TO PAY AS WELL AS COMMUNITY BENEFIT ACTIVITIES INVOLVING COMMUNITY HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL GROUPS, AND ECONOMIC DEVELOPMENT. CHS MAKES A PAYMENT IN LIEU OF TAXES DONATION TO SUPPORT THE CITY OF JOHNSTOWN, CAMBRIA COUNTY, AND THE GREATER JOHNSTOWN SCHOOL DISTRICT. EMPLOYEES ARE VERY ENGAGED IN THE COMMUNITY REPRESENTING NUMEROUS ORGANIZATIONS AND SERVING IN AREA CHURCHES, ORGANIZATIONS, AND YOUTH PROGRAMS. EACH MONTH, CONEMAUGH HEALTH SYSTEM EMPLOYEES DONATE TO A LOCAL CHARITY THROUGH THE CONEMAUGH CARING PROGRAM. ITEMS COLLECTED INCLUDE FOOD ITEMS FOR LOCAL FOOD PANTRIES, A HOLIDAY TOY DRIVE FOR THE TOYS-FOR-TOTS PROGRAM, BACK TO SCHOOL ITEMS FOR CHILDREN IN SHELTERS, AND PET PRODUCTS FOR LOW INCOME FAMILIES WITH PETS. CHS RECENTLY ADDED A COMMUNITY HEALTH LINK TO THE FRONT PAGE OF ITS WEBSITE. ON THIS PAGE, THE PUBLIC HAS ACCESS TO INFORMATION ON HEALTHCARE REFORM, HEALTHCARE LINKS FOR SENIORS, AND TO A COPY OF ITS COMMUNITY NEEDS ASSESSMENT WHICH WAS CONDUCTED IN COLLABORATION WITH THE UNITED WAY OF THE LAUREL HIGHLANDS. THE COMMUNITY NEEDS ASSESSMENT HELPED IDENTIFY SEVERAL PRIORITIES FOR THE COMMUNITY, MOST FOCUSED AROUND DRUG AND ALCOHOL ISSUES AND STRENGTHENING AND SUPPORTING FAMILIES. THIS PAST YEAR INCLUDED A FOCUS ON INCREASING MAMMOGRAMS FOR WOMEN WITH NO OR LITTLE INSURANCE, AS WELL AS ADDRESSING SUBSTANCE ABUSE ISSUES IN THE AREA, PARTICULARLY AS IT RELATES TO YOUTH. ONE EFFORT WAS A PARTNERSHIP WITH THE OFFICER PHIL SAFETY PROGRAM WHICH HELPED DISTRIBUTE ANTIDRUG AND ALCOHOL MATERIAL TO NEARLY 600 STUDENTS IN 1ST THROUGH 5TH GRADE. | ||
| 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 MANAGER, TAX & COMPLIANCE; DIRECTOR, FINANCIAL OPERATIONS; VICE PRESIDENT, FINANCIAL OPERATIONS; CHIEF FINANCIAL OFFICER; AND THE AUDIT AND COMPLIANCE COMMITTEE. 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: ALL APPLICABLE POLICY QUESTIONS HAVE BEEN ANSWERED YES SINCE ALL POLICIES HAVE BEEN APPROVED BY THE HEALTH SYSTEM'S BOARD. | ||
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | SUPPORT TO MEYERSDALE MEDICAL CENTER -13,800. |
| FORM 990, PART XII, LINE 2: THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDING JUNE 30, 2013 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
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Controlled OrgControlledOrg | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||
| 1 | ||||||||||
| CONEMAUGH VALLEY MEMORIAL HOSPITAL DBA MEMORIAL MEDICAL CTR | ||||||||||
| 1 | 1086 FRANKLIN STREET | JOHNSTOWN | PA | 15905 | 250965307 | HEALTHCARE SERVICES | PA | 501C(3) | 3 | CONEMAUGH HEALTH SYSTEM INC |
| MINERS HOSPITAL DBA MINERS MEDICAL CENTER | ||||||||||
| 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 | ||||||||||
| 1 | 200 HOSPITAL DRIVE | MEYERSDALE | PA | 15552 | 251002946 | HEALTHCARE SERVICES | PA | 501C(3) | 3 | CONEMAUGH HEALTH SYSTEM INC |
| CONEMAUGH HEALTH FOUNDATION | ||||||||||
| 1 | 1086 FRANKLIN STREET | JOHNSTOWN | PA | 15905 | 251719695 | SUPPORTS CONEMAUGH HEALTH SYSTEM | PA | 501C(3) | 11B | CONEMAUGH HEALTH SYSTEM INC |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONEMAUGH HEALTH INITIATIVES INC DBA CONEMAUGH PHYSICIAN GP | ||||||||||||
| 1086 FRANKLIN STREET | JOHNSTOWN | PA | 15905 | 251658283 | PHYSICIAN SERVICES | PA | CONEMAUGH HEALTH SYSTEM INC | C | -14283742 | 12386094 | 1.00000 | 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 Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CONEMAUGH HEALTH INITIATIVES | ||
| Q | 1438052 | FAIR MARKET VALUE |
| CONEMAUGH VALLEY MEMORIAL HOSPITAL | ||
| Q | 6132315 | FAIR MARKET VALUE |
| MINERS HOSPITAL | ||
| Q | 301008 | FAIR MARKET VALUE |
| MEYERSDALE COMMUNITY HOSPITAL | ||
| Q | 191256 | FAIR MARKET VALUE |
| CONEMAUGH VALLEY MEMORIAL HOSPITAL | ||
| K | 102032 | FAIR MARKET VALUE |