WAYNESBORO HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- WAYNESBORO HOSPITAL (EIN 23-1360854)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-04-10
- IRS object ID
- 201401009349300510
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-04-10T10:14:32-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520783935 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMITH ELLIOTT KEARNS & COMPANY LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 804 WAYNE AVENUE | AddressLine1 |
| City | CHAMBERSBURG | City |
| State | PA | State |
| ZIP Code | 17201 | 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 | 231360854 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAYNESBORO HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WAYN | NameControl |
| Phone | 7177653410 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 EAST MAIN STREET | AddressLine1 |
| City | WAYNESBORO | City |
| State | PA | State |
| ZIP Code | 17268 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIMBERLY M RZOMP | Name |
| Title | VICE PRESIDENT AND CFO | Title |
| Phone | 7172677107 | Phone |
| Date Signed | 2014-04-04 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GREGORY P HALL CPA | Name |
| PTIN | P00156653 | PTIN |
| Phone | 7172633910 | Phone |
| 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 | KIMBERLY M RZOMP | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 EAST MAIN STREET | AddressLine1 |
| City | WAYNESBORO | City |
| State | PA | State |
| ZIP Code | 17268 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 66686409 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1922 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | THE WAYNESBORO HOSPITAL IS A REGIONAL NONPROFIT HEALTH CARE ORGANIZATION COMMITTED TO THE IMPROVEMENT OF THE HEALTH AND WELL-BEING OF THE PEOPLE IN SOUTH-CENTRAL PENNSYLVANIA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 590 | TotalNbrEmployees |
| Total Nbr Volunteers | 160 | TotalNbrVolunteers |
| Total Gross UBI | 206749 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -280 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 217978 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 917596 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 65258974 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 60391292 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1621023 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2969477 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 761269 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2326976 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 67859244 | TotalRevenuePriorYear |
| Total Revenue Current Year | 66605341 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 35970170 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 35119057 | 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 | 21756383 | OtherExpensePriorYear |
| Other Expenses Current Year | 16232916 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 57726553 | TotalExpensesPriorYear |
| Total Expenses Current Year | 51351973 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 10132691 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 15253368 | RevenuesLessExpensesCY |
| Total Assets BOY | 85396587 | TotalAssetsBOY |
| Total Assets EOY | 96118134 | TotalAssetsEOY |
| Total Liabilities BOY | 10412007 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10451106 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 74984580 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 85667028 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE WAYNESBORO HOSPITAL IS A REGIONAL NON-PROFIT HEALTH CARE ORGANIZATION COMMITTED TO THE IMPROVEMENT OF THE HEALTH AND WELL-BEING OF THE PEOPLE IN SOUTH CENTRAL PENNSYLVANIA. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 40541668 | Expense |
| Revenue | 62403447 | Revenue |
| Description | THE WAYNESBORO HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ANY PATIENT'S ABILITY TO PAY. HEALTH CARE SERVICES INCLUDE INPATIENT ROUTINE, INPATIENT ANCILLARY, AND OUTPATIENT CARE. ALL MANAGEMENT AND GENERAL EXPENSES ARE CONSIDERED PROGRAM RELATED. | Description |
| Total Program Service Expense | 40541668 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | 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 | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 25 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 590 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| 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 | 13 | 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 | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | 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 |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIMBERLY M RZOMP - VICE PRESIDENT AND CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7172677107 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 NORTH SEVENTH STREET | AddressLine1 |
| City | CHAMBERSBURG | City |
| State | PA | State |
| ZIP Code | 17201 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 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 |
|---|---|---|---|---|---|---|---|---|
| RICHARD MARKS | ||||||||
| CHAIRMAN OF THE BOARD | 0.80 | X | X | 0 | 0 | 0 | ||
| PAUL D GUNDER | ||||||||
| VICE CHAIR OF BOARD | 0.70 | X | X | 0 | 0 | 0 | ||
| DENNIS SHOCKEY | ||||||||
| SECRETARY | 0.50 | X | X | 0 | 0 | 0 | ||
| PATRICK O'DONNELL | ||||||||
| TREASURER/SR VP AND COO | 4.00 | X | X | 54209 | 487882 | 99212 | 36.00 | |
| NORMAN B EPSTEIN | ||||||||
| PRESIDENT | 6.00 | X | X | 251597 | 1425713 | 101974 | 34.00 | |
| JOHN BLUBAUGH | ||||||||
| DIRECTOR | 0.60 | X | 0 | 0 | 0 | |||
| FRANK ERVIN | ||||||||
| DIRECTOR | 0.60 | X | 0 | 0 | 0 | |||
| JEAN LESSARD MD | ||||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |||
| KATHRYN REIHARD MD | ||||||||
| DIRECTOR | 0.70 | X | 0 | 0 | 0 | |||
| JAMES ROCK | ||||||||
| DIRECTOR | 0.60 | X | 0 | 0 | 0 | |||
| PAUL SCHEMEL | ||||||||
| DIRECTOR | 0.70 | X | 0 | 0 | 0 | |||
| LISA WARD | ||||||||
| DIRECTOR | 0.60 | X | 0 | 0 | 0 | |||
| BONNIE ZEHLER | ||||||||
| DIRECTOR | 0.60 | X | 0 | 0 | 0 | |||
| THOMAS ANDERSON | ||||||||
| VP OF MEDICAL AFFAIRS | 8.00 | X | 82058 | 328232 | 42225 | 32.00 | ||
| PATRICIA BARBAROWICZ | ||||||||
| VP OF COMMUNITY RELATIONS | 4.00 | X | 19268 | 173408 | 60220 | 36.00 | ||
| KENNETH L SHUR | ||||||||
| VP OF OPERATIONS | 40.00 | X | 273430 | 0 | 34642 | |||
| SHERRI STAHL | ||||||||
| SR VP OF HOSPITAL SERVICES | 8.00 | X | 53132 | 212528 | 47558 | 32.00 | ||
| MICHELE ZEIGLER | ||||||||
| VP OF INFORMATION SERVIC | 8.00 | X | 56289 | 225160 | 50811 | 32.00 | ||
| JEFF CARTY | ||||||||
| VP OF FINANCE | 40.00 | X | 186147 | 0 | 37192 | |||
| JILL KELLER | ||||||||
| VP NURSING SVCS/QUALITY/RI | 40.00 | X | 164367 | 0 | 33573 | |||
| MELISSA DUBROW | ||||||||
| VP & COO WAYNESBORO HOSPITAL | 40.00 | X | 163510 | 0 | 33172 | |||
| BARBARA ROSSINI | ||||||||
| VP OF COMMUNITY RELATIONS | 4.00 | X | 12318 | 110866 | 18496 | 36.00 | ||
| JENNIFER KNIGHT | ||||||||
| DIRECTOR OF HR | 40.00 | X | 90526 | 0 | 8479 | |||
| KIMBERLY M RZOMP | ||||||||
| ASSISTANT TREASURER/VP AND CFO | 2.00 | X | 0 | 184165 | 47210 | 38.00 | ||
| SCOTT CARD | ||||||||
| PHYSICIAN | 40.00 | 288070 | 0 | 32009 | X | |||
| ELIZABETH COOK | ||||||||
| EMERGENCY SERVICES | 40.00 | 276330 | 0 | 31373 | X | |||
| VICKI ELLIS | ||||||||
| EMERGENCY SERVICES | 40.00 | 257379 | 0 | 30233 | X | |||
| BRUCE FOSTER | ||||||||
| EMERGENCY SERVICES | 40.00 | 328870 | 0 | 31373 | X | |||
| NORBERT MATHAIS | ||||||||
| EMERGENCY SERVICES | 40.00 | 435333 | 0 | 31241 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2992833 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3147954 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 770993 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| THE CHAMBERSBURG HOSPITAL | |||||
| 112 N SEVENTH STREET | CHAMBERSBURG | PA | 17201 | PHYSICAL THERAPY SERVICES, LABORATORY SE | 1597255 |
| ROBINWOOD ORTHOPEDIC SERVICES | |||||
| 11110 MEDICAL CAMPUS ROAD | HAGERSTOWN | MD | 21742 | SURGERY ON-CALL | 410286 |
| SUMMIT PHYSICIAN SERVICES | |||||
| 785 FIFTH AVENUE | CHAMBERSBURG | PA | 17201 | PHYSICIAN SERVICES | 379623 |
| SAGE TECHNOLOGY SOLUTIONS | |||||
| 1040 WEST MAIN STREET | MOUNT JOY | PA | 17552 | MIS SERVICES | 213462 |
| QUEST DIAGNOSTICS | |||||
| 12436 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | LAB TESTING SERVICES | 198376 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Government Grants | 37794 | GovernmentGrants |
| All Other Contributions | 879802 | AllOtherContributions |
| Total Contributions | 917596 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT REVENUE | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 60391292 | TotalRevenueColumn |
| Related Or Exempt Function Income | 60391292 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 60391292 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1879848 | TotalRevenueColumn |
| Exclusion | $1,879,848 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 189140 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 81068 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 108072 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 108072 | TotalRevenueColumn |
| Exclusion | $108,072 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1082646 | Securities |
| Other | 6983 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1082646 | Securities |
| Other | 6983 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1089629 | TotalRevenueColumn |
| Exclusion | $1,089,629 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MISC. OPERATING REVENUE | 900099 | 1695916 | 1695916 | |
| CAFETERIA | 900099 | 225616 | 225616 | |
| COURIER AND LAB SERVICE | 621500 | 206749 | 206749 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 90623 | TotalRevenueColumn |
| Related Or Exempt Function Income | 90623 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2218904 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 66605341 | TotalRevenueColumn |
| Related Or Exempt Function Income | 62403447 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 206749 | UnrelatedBusinessRevenue |
| Exclusion | $3,077,549 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1652028 | Total |
| Management And General | 1652028 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25278942 | Total |
| Program Services | 21704976 | ProgramServices |
| Management And General | 3573966 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1234380 | Total |
| Program Services | 994847 | ProgramServices |
| Management And General | 239533 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5061584 | Total |
| Program Services | 4079376 | ProgramServices |
| Management And General | 982208 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1892123 | Total |
| Program Services | 1524954 | ProgramServices |
| Management And General | 367169 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24835 | Total |
| Program Services | 19226 | ProgramServices |
| Management And General | 5609 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2862128 | Total |
| Program Services | 2215667 | ProgramServices |
| Management And General | 646461 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78034 | Total |
| Program Services | 60409 | ProgramServices |
| Management And General | 17625 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145267 | Total |
| Program Services | 112456 | ProgramServices |
| Management And General | 32811 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 666430 | Total |
| Program Services | 515905 | ProgramServices |
| Management And General | 150525 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75024 | Total |
| Program Services | 58079 | ProgramServices |
| Management And General | 16945 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30989 | Total |
| Program Services | 23990 | ProgramServices |
| Management And General | 6999 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2894652 | Total |
| Program Services | 1530816 | ProgramServices |
| Management And General | 1363836 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 631485 | Total |
| Program Services | 488853 | ProgramServices |
| Management And General | 142632 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 5796790 | 4487484 | 1309306 |
| PROFESSIONAL SERVICES | 1687329 | 1687329 | |
| EQUIPMENT RENTAL AND RE | 1053782 | 815767 | 238015 |
| MISCELLANEOUS EXPENSE | 98388 | 76165 | 22223 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187783 | Total |
| Program Services | 145369 | ProgramServices |
| Management And General | 42414 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51351973 | Total |
| Program Services | 40541668 | ProgramServices |
| Management And General | 10810305 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1420 | BOY |
| EOY | 1420 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6817106 | BOY |
| EOY | 9468866 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19478 | BOY |
| EOY | 24976 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6954267 | BOY |
| EOY | 7219062 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 315524 | BOY |
| EOY | 272943 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 790118 | BOY |
| EOY | 850649 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 64830001 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 45625453 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19083598 | BOY |
| EOY | 19204548 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13205130 | BOY |
| EOY | 14166317 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35455590 | BOY |
| EOY | 41469712 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2754356 | BOY |
| EOY | 3439641 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85396587 | BOY |
| EOY | 96118134 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7472635 | BOY |
| EOY | 6940648 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2939372 | BOY |
| EOY | 3510458 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10412007 | BOY |
| EOY | 10451106 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72614886 | BOY |
| EOY | 82446471 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2369694 | BOY |
| EOY | 3220557 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74984580 | BOY |
| EOY | 85667028 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85396587 | BOY |
| EOY | 96118134 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 15253368 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 952602 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -5523522 | 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 Both | X | FinancialStatementBoth |
| 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) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6567209 | BeginningOfYearBalance |
| Contributions | 92892 | Contributions |
| Investment Earnings Or Losses | 719880 | InvestmentEarningsOrLosses |
| End Of Year Balance | 7379981 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6481094 | BeginningOfYearBalance |
| Contributions | 109424 | Contributions |
| Investment Earnings Or Losses | -23309 | InvestmentEarningsOrLosses |
| End Of Year Balance | 6567209 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6096545 | BeginningOfYearBalance |
| Contributions | 77791 | Contributions |
| Investment Earnings Or Losses | 756758 | InvestmentEarningsOrLosses |
| Other Expenditures | -450000 | OtherExpenditures |
| End Of Year Balance | 6481094 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5498442 | BeginningOfYearBalance |
| Contributions | 98262 | Contributions |
| Investment Earnings Or Losses | 499841 | InvestmentEarningsOrLosses |
| End Of Year Balance | 6096545 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6290104 | BeginningOfYearBalance |
| Contributions | 80824 | Contributions |
| Investment Earnings Or Losses | -872486 | InvestmentEarningsOrLosses |
| End Of Year Balance | 5498442 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.96000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.04000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 754811 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1763766 | OtherCostOrOtherBasis |
| Book Value | 2518577 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 2483074 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 15562266 | OtherCostOrOtherBasis |
| Depreciation | 10253026 | Depreciation |
| Book Value | 7792314 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 42933021 | OtherCostOrOtherBasis |
| Depreciation | 34622720 | Depreciation |
| Book Value | 8310301 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1333063 | OtherCostOrOtherBasis |
| Depreciation | 749707 | Depreciation |
| Book Value | 583356 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19204548 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CASH AND MONEY FUNDS | 613839 | F |
| FIXED INCOME | 30001265 | F |
| REAL ASSETS | 10813287 | F |
| PENSION TRUST | 41321 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 41469712 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ADVANCES FROM THIRD PARTY PAYORS | $252,800 |
| PAYABLE UNDER THIRD PARTY CONTRATUAL AGREEMENT | $3,213,321 |
| PENSION PAYROLL DEDUCTION | $44,337 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3510458 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 63309667 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 63309667 | RevenueSubtotal |
| Other Revenues Not Included | 3295674 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 3295674 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 66605341 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 51351973 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 51351973 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 51351973 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE WOULD BE REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS WOULD BE CLASSIFIED AS EXPENSES AGAINST OTHER OPERATING REVENUE IN THE STATEMENT OF OPERATIONS. AT JUNE 30, 2013 AND 2012, THERE WAS NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RESTRICTED INVESTMENT INCOME 8,782. RENTAL INCOME (EXPENSE) SHOWN ELSEWHERE ON FINANCIAL STATEMENTS 108,072. CONTRIBUTION INCOME SHOWN ELSEWHERE ON FINANCIAL STATEMENTS 218,125. GAIN/(LOSS) ON DISPOSAL OF EQUIPMENT SHOWN ELSEWHERE ON FINANCIAL STATEMENTS 6,983. GAIN/(LOSS) ON SALE OF SECURITIES 1,082,646. INVESTMENT INCOME SHOWN ELSEWHERE ON FINANCIAL STATEMENTS 1,871,066. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN - | Region |
| Type Of Activities Conducted | ALTERNATIVE INVESTMENT VEHICLE. | TypeOfActivitiesConducted |
| Total Expenditures | 5186911 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 5186911 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 5186911 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 682201 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 682201 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01330 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6181424 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4082065 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2099359 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04090 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6863625 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4082065 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2781560 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05420 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 2149 | PersonsServed |
| Total Community Benefit Expense | 57661 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 57661 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 44 | PersonsServed |
| Total Community Benefit Expense | 50808 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 50808 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 444 | PersonsServed |
| Total Community Benefit Expense | 14007 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14007 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 58290 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 58290 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 15 | NumberOfActivitiesOrPrograms |
| Persons Served | 2637 | PersonsServed |
| Total Community Benefit Expense | 180766 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 180766 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 15 | NumberOfActivitiesOrPrograms |
| Persons Served | 2637 | PersonsServed |
| Total Community Benefit Expense | 7044391 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4082065 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2962326 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05770 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $7,115,478 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 13153530 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16826691 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3673161 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAYNESBORO HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 EAST MAIN STREET | AddressLine1 |
| City | WAYNESBORO | City |
| State | PA | State |
| ZIP Code | 17268 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAYNESBORO HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 150.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Insurance Status | X | InsuranceStatus |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 1 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 3C: THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE CHARITY CARE. | |
| PART I, LINE 7: NOTE 1. TO THE FINANCIAL STATEMENTS: PATIENT RECEIVABLESTHE HOSPITAL PROVIDES CREDIT IN THE NORMAL COURSE OF ITS BUSINESS TO PATIENTS. PATIENT RECEIVABLES ARE GENERALLY DUE 60 DAYS AFTER BILLED. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CARRIED FOR PATIENT ACCOUNTS THAT MAY BECOME UNCOLLECTIBLE IN FUTURE PERIODS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON MANAGEMENT'S JUDGMENT OF UNCOLLECTIBLE ACCOUNTS, HISTORICAL TRENDS AND OTHER INFORMATION. PATIENT RECEIVABLES ARE CHARGED AGAINST THE ALLOWANCE WHEN, IN THE JUDGMENT OF MANAGEMENT, IT IS UNLIKELY THEY WILL BE COLLECTED. BAD DEBT AMOUNTS ARE REPORTED AT GROSS CHARGES.THE SHORTFALL FOR MEDICARE IS NOT INCLUDED IN OUR COMMUNITY BENEFIT REPORTING. A COST TO CHARGE RATIO WAS USED TO CALCULATE THE MEDICARE ALLOWABLE COST. RCC=((NET PATIENT REVENUE/(TOTAL OPERATING REV+(OTHER OPR REV -+ DERIVATIVE GAIN/LOSS))*TOTAL OPERATING EXPENSE)/GROSS PT REVALL PATIENTS ARE SUBJECT TO THE DEBT COLLECTION POLICY REGARDLESS OF THEIR ABILITY TO PAY. | |
| PART II: WAYNESBORO HOSPITAL WORKS TO STRENGTHEN OUR COMMUNITY THROUGH HEALTH EDUCATION EFFORTS FOR CHILDREN AND ADULTS, HEALTH FAIRS PROVIDING DIAGNOSTIC TESTING, EDUCATING COMMUNITY GROUPS ON SPECIFIC HEALTH TOPICS, FUNDING LOCAL COMMUNITY ORGANIZATIONS THROUGH THE SUMMIT ENDOWMENT PROGRAM, PROVIDING RESOURCES FOR THE "HEALTHY COMMUNITIES PARTNERSHIP" PROGRAM, PARTICIPATING IN LOCAL CIVIC ORGANZIATIONS, SPONSORING EVENTS HELD BY LOCAL CHARTIABLE ORGANIZATIONS, AND SUPPORTING WORKFORCE DEVELOPMENT INITIATIVES THROUGH SUMMIT HEALTH'S SCHOOL LIAISON DEPARTMENT. | |
| PART III, LINE 4: THE HOSPITAL PROVIDES CREDIT IN THE NORMAL COURSE OF ITS BUSINESS TO PATIENTS. PATIENT RECEIVABLES ARE GENERALLY DUE 60 DAYS AFTER BILLED. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CARRIED FOR PATIENT ACCOUNTS THAT MAY BECOME UNCOLLECTIBLE IN FUTURE PERIODS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON MANAGEMENT'S JUDGMENT OF UNCOLLECTIBLE ACCOUNTS, HISTORICAL TRENDS AND OTHER INFORMATION. PATIENT RECEIVABLES ARE CHARGED AGAINST THE ALLOWANCE WHEN, IN THE JUDGMENT OF MANAGEMENT, IT IS UNLIKELY THEY WILL BE COLLECTED.THE COST TO CHARGE RATIO WAS USE TO CALCULATE THE COST OF BAD DEBT EXPENSE. THIS RATIO IS CALCULATED AS FOLLOWS: [NET PATIENT REVENUE DIVIDED BY THE TOTAL OPERATING REVENUE MULTIPLIED BY THE TOTAL OPERATING EXPENSE] DIVIDED BY THE GROSS PATIENT REVENUE. | |
| PART III, LINE 8: THE INFORMATION WAS OBTAINED USING THE COST METHODS USED IN PREPARING THE MEDICARE COST REPORTS. THE SHORTFALL ABOVE RELATES TO OUR MISSION OF PROVIDING SERVICES TO MEMBERS OF OUR COMMUNITY. | |
| PART V, SECTION B, LINE 3: THE ORGANIZATION FORMED AN ADVISORY GROUP WHICH IS COMPOSED OF A CORE GROUP OF AGENCIES AND COMMUNITY LEADERS IN FRANKLIN COUNTY. THE ORGANIZATION ALSO CONTRACTED THE PENN STATE HARRISBURG'S INSTITUTE OF STATE AND REGIONAL AFFAIRS.PENN STATE OBTAINED DATA THROUGH THE USE OF FOCUS GROUPS, A COMMUNITY SURVEY, AND RESEARCHING SECONDARY DEMOGRAPHIC AND HEALTH DATA. | WAYNESBORO HOSPITAL |
| PART V, SECTION B, LINE 4: THE CHAMBERSBURG HOSPITAL | WAYNESBORO HOSPITAL |
| PART V, SECTION B, LINE 12H: UNINSURED PATIENTS ARE OFFERED A 35% DISCOUNT IF PAYMENT IS MADE IN 30 DAYS. | WAYNESBORO HOSPITAL |
| PART V, SECTION B, LINE 20D: A SLIDING SCALE IS USED TO DETERMINE THE DISCOUNTED RATE. ANYONE WHO QUALIFIES RECEIVES A MINIMUM OF 25% OFF CHARGES. | WAYNESBORO HOSPITAL |
| PART VI, LINE 2: HEALTH NEEDS OF FRANKLIN COUNTY RESIDENTS AND SURROUNDING COMMUNITIES ARE ASSESSED THROUGH NUMEROUS RESEARCH METHODS INCLUDING CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENT (TELEPHONE SURVEY FORMAT) IN 2012. THE NEEDS WERE IDENTIFIED BY KEY LEADERS AND NONPROFITS WITHIN THE COMMUNITY. FOUR PRIORITIES WERE DETERMINED. | |
| PART VI, LINE 3: PATIENTS ARE MADE AWARE OF THE CHARITY PROGRAM AND OTHER BILLING ASSISTANCE SERVICES AT REGISTRATION, DURING EMERGENCY ROOM VISITS, AND NOTICES PLACED IN SERVICE AREAS. BILLING STATEMENTS ALSO INFORM PATIENTS OF CHARITY CARE AND OTHER BILLING ASSISTANCE PROGRAMS. | |
| PART VI, LINE 4: WAYNESBORO HOSPITAL PRIMARILY SERVES COMMUNITY MEMBERS FROM FRANKLIN AND FULTON COUNTY, PA, AND NEARBY COMMUNITIES IN WASHINGTON COUNTY, MD. ACCORDING TO U.S. CENSUS DATA, FRANKLIN COUNTY RESIDENTS HAVE A SLIGHTLY LOWER INCOME AND ARE SLIGHTLY OLDER THAN THE STATE AVERAGE. FOR A HEALTH SYSTEM, THIS TYPICALLY RESULTS IN AN INCREASED NEED FOR HEALTHCARE SERVICES. | |
| PART VI, LINE 5: WAYNESBORO HOSPITAL SUPPORTS LOCAL NON-PROFIT ORGANIZATIONS WITH FINANCIAL GRANTS FROM THE SUMMIT ENDOWMENT. | |
| PART VI, LINE 6: THE HOSPITAL IS PART OF SUMMIT HEALTH, A REGIONAL NETWORK OF HOSPITALS AND HEALTHCARE PROVIDERS THAT ARE SERVED BY THE ORGANIZATION'S COMMUNITY HEALTH DEPARTMENT. THIS DEPARTMENT'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH EDUCATION, DETECTION AND PREVENTION PROGRAMS INCLUDING HEALTH FAIRS, SCREENINGS, AND SEMINARS. THIS MISSION IS COMPLETED ON BEHALF OF WAYNESBORO HOSPITAL AND ALL OTHER SUMMIT HEATLH AFFILIATES. PART OF THIS MISSION IS COMPLETED THROUGH COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS INCLUDING THE PA DEPARTMENT OF HEALTH. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
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: ALL FUNDING DECISIONS ARE MADE BY THE SUMMIT ENDOWMENT COMMITTEE, A COMMITTEE OF THE SUMMIT HEALTH BOARD. THE ENDOWMENT MANAGER PROCESSES GRANT APPLICATIONS, ASSISTS GRANTEES IN DEVELOPING SOUND PROGRAM EVALUATION METHODOLOGIES, RECEIVES AND SUMMARIZES PERIODIC REPORTS, AND VISITS PROGRAM SITES, REPORTING ALL ACTIVITIES TO THE SUMMIT ENDOWMENT COMMITTEE. AS WELL, ENDOWMENT COMMITTEE MEETING MINUTES ARE SHARED WITH WAYNESBORO HOSPITAL, CHAMBERSBURG HOSPITAL AND SUMMIT HEALTH BOARDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICK O'DONNELL | ||||||||||||||
| TREASURER/SR VP AND COO | 41068 | 369610 | 10122 | 91101 | 3019 | 27171 | 8012 | 72107 | 1909 | 17184 | 64130 | 577173 | 0 | 0 |
| NORMAN B EPSTEIN | ||||||||||||||
| PRESIDENT | 212864 | 1206227 | 32175 | 182325 | 6558 | 37161 | 11716 | 66389 | 3580 | 20289 | 266893 | 1512391 | 0 | 0 |
| THOMAS ANDERSON | ||||||||||||||
| VP OF MEDICAL AFFAIRS | 65119 | 260476 | 11781 | 47124 | 5158 | 20632 | 5144 | 20577 | 3301 | 13203 | 90503 | 362012 | 0 | 0 |
| PATRICIA BARBAROWICZ | ||||||||||||||
| VP OF COMMUNITY RELATIONS | 15778 | 142003 | 2698 | 24279 | 792 | 7126 | 5695 | 51258 | 327 | 2940 | 25290 | 227606 | 0 | 0 |
| KENNETH L SHUR | ||||||||||||||
| VP OF OPERATIONS | 189119 | 0 | 77416 | 0 | 6895 | 0 | 13821 | 0 | 20821 | 0 | 308072 | 0 | 0 | 0 |
| SHERRI STAHL | ||||||||||||||
| SR VP OF HOSPITAL SERVICES | 41530 | 166119 | 7651 | 30606 | 3951 | 15803 | 6231 | 24926 | 3280 | 13121 | 62643 | 250575 | 0 | 0 |
| MICHELE ZEIGLER | ||||||||||||||
| VP OF INFORMATION SERVIC | 44239 | 176958 | 8052 | 32208 | 3998 | 15994 | 6861 | 27446 | 3301 | 13203 | 66451 | 265809 | 0 | 0 |
| JEFF CARTY | ||||||||||||||
| VP OF FINANCE | 155421 | 0 | 15548 | 0 | 15178 | 0 | 10767 | 0 | 26425 | 0 | 223339 | 0 | 0 | 0 |
| JILL KELLER | ||||||||||||||
| VP NURSING SVCS/QUALITY/RI | 146492 | 0 | 9856 | 0 | 8019 | 0 | 9484 | 0 | 24089 | 0 | 197940 | 0 | 0 | 0 |
| MELISSA DUBROW | ||||||||||||||
| VP & COO WAYNESBORO HOSPITAL | 145826 | 0 | 8910 | 0 | 8774 | 0 | 9443 | 0 | 23729 | 0 | 196682 | 0 | 0 | 0 |
| KIMBERLY M RZOMP | ||||||||||||||
| ASSISTANT TREASURER/VP AND CFO | 0 | 153475 | 0 | 29400 | 0 | 1290 | 0 | 27984 | 0 | 19226 | 0 | 231375 | 0 | 0 |
| SCOTT CARD | ||||||||||||||
| PHYSICIAN | 262724 | 0 | 18000 | 0 | 7346 | 0 | 14747 | 0 | 17262 | 0 | 320079 | 0 | 0 | 0 |
| ELIZABETH COOK | ||||||||||||||
| EMERGENCY SERVICES | 266612 | 0 | 0 | 0 | 9718 | 0 | 15000 | 0 | 16373 | 0 | 307703 | 0 | 0 | 0 |
| VICKI ELLIS | ||||||||||||||
| EMERGENCY SERVICES | 247643 | 0 | 0 | 0 | 9736 | 0 | 12630 | 0 | 17603 | 0 | 287612 | 0 | 0 | 0 |
| BRUCE FOSTER | ||||||||||||||
| EMERGENCY SERVICES | 324674 | 0 | 0 | 0 | 4196 | 0 | 15000 | 0 | 16373 | 0 | 360243 | 0 | 0 | 0 |
| NORBERT MATHAIS | ||||||||||||||
| EMERGENCY SERVICES | 418920 | 0 | 0 | 0 | 16413 | 0 | 15000 | 0 | 16241 | 0 | 466574 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION REIMBURSES THE COO FOR DUES ASSOCIATED WITH A SOCIAL CLUB. THE OFFICER RECEIVES AN ALLOWANCE THAT CAN BE CONSIDERED A DISCRETIONARY SPENDING ACCOUNT. THE MONIES ARE IN LIEU OF AN AUTOMOBILE ALLOWANCE, TO PURCHASE ADDITIONAL LIFE INSURANCE, ETC. THESE MONIES ARE INCLUDED IN COMPENSATION AS REPORTED IN THE COMPENSATION OF OFFICERS TABLE. RESULTS FITNESS CLUB MEMBERSHIP IS AVAILABLE FREE OF CHARGE FOR ANY OFFICER AND ACTIVE BOARD MEMBER. |
| PART I, LINE 4B | NORMAN EPSTEIN - NO PAYMENT PATRICK W. O'DONNELL - NO PAYMENT THOMAS ANDERSON - NO PAYMENT PAT BARBAROWICZ - NO PAYMENT JOHN MCELWEE - NO PAYMENT |
| PART I, LINE 7 | INCENTIVE COMPENSATION IS BASED ON PRE-DETERMINED, MEASURABLE GOALS APPROVED BY THE BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE. THE MEASURABLE GOALS ARE BASED ON QUALITY, COMMUNITY ACCESS TO CARE, PATIENT SAFETY AND LEADERSHIP. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | SUMMIT HEALTH, A 501(C)(3) ENTITY, IS A MEMBER OF THIS ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | SUMMIT HEALTH, A 501(C)(3) ENTITY, ELECTS THE GOVERNING BODY OF THIS ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7B | SUMMIT HEALTH, A 501(C)(3) ENTITY, HAS CERTAIN RESERVE POWERS OF THIS ORGANIZATION | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION'S 990 IS REVIEWED BY THE AUDIT COMMITEE AND UPON APPROVAL RECOMMENDED TO THE FULL BOARD OF DIRECTORS FOR SUBMISSION TO THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | MEMBERS ARE ASKED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THEY MAY HAVE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS DISCUSSED WITH AN INDEPENDENT COMPENSATION COMMITTEE. THIS IS PERFORMED IN CONCERT WITH A COMPENSATION CONSULTANT WHO ASSISTS THIS COMMITTEE IN SETTING THE COMPENSATION FOR THESE INDIVIDUALS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS ARE HELD IN THE FINANCE DEPARTMENT OF THE WAYNESBORO HOSPITAL. HOSPITAL BYLAWS AND ALL POLICIES AND PROCEDURES ARE FOUND ON THE WAYNESBORO HOSPITAL INTRANET. | |
| FORM 990, PART XI, LINE 9: | INCREASE IN PERPETUAL TRUSTS HELD BY THIRD PARTIES: 126,478. TRANSFER TO AFFILIATE ORG. - SUMMIT PHYSICIAN SERVICES: -5,650,000. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATIONS PROCESS REGARDING THE COMMITTEE THAT OVERSEES THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| 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 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| SUMMIT HEALTH | ||||||||||
| 112 NORTH SEVENTH STREET | CHAMBERSBURG | PA | 17201 | 251515371 | MANAGE AND ADMINISTER THE LOCAL AND REGIONAL NETWORK OF HEALTHCARE PROVIDERS | PA | 501(C)(3) | LINE 7 | SUMMIT HEALTH | 0 |
| THE CHAMBERSBURG HOSPITAL | ||||||||||
| 112 NORTH SEVENTH STREET | CHAMBERSBURG | PA | 17201 | 230465970 | SERVE THE HEALTH CARE NEEDS OF FRANKLIN COUNTY PA AND THE SURROUNDING COMMUN | PA | 501(C)(3) | LINE 3 | SUMMIT HEALTH | 0 |
| CHAMBERSBURG HEALTH SERVICES | ||||||||||
| 260 NORTH SEVENTH STREET | CHAMBERSBURG | PA | 17201 | 251515376 | SERVE THE HEALTH CARE NEEDS OF FRANKLIN COUNTY PA AND THE SURROUNDING COMMUN | PA | 501(C)(3) | LINE 11A, I | SUMMIT HEALTH | 0 |
| SUMMIT PHYSICIAN SERVICES | ||||||||||
| 601 NORLAND AVENUE | CHAMBERSBURG | PA | 17201 | 251716306 | PROVIDES APPROPRIATE PHYSICIAN MANPOWER FOR VARIOUS PHYS. PRACTICES SERVING | PA | 501(C)(3) | LINE 11A, I | SUMMIT HEALTH | 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |