ELK REGIONAL PROFESSIONAL GROUP INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ELK REGIONAL PROFESSIONAL GROUP INC (EIN 25-1875183)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-05
- IRS object ID
- 201401259349301825
- Schema version
- 2012v2.3
- 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 | 2014-05-05T15:13:48-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | 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 | 251875183 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELK REGIONAL PROFESSIONAL GROUP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % LAURIE MACDONALD | InCareOfName |
| Name Control | ELKR | NameControl |
| Phone | 8147888000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 763 JOHNSONBURG ROAD | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | ST MARYS | City |
| State | PA | State |
| ZIP Code | 15857 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LAURIE MACDONALD | Name |
| Title | VP FINANCE/CFO | Title |
| Phone | 8147888743 | Phone |
| Date Signed | 2014-02-25 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Brian D Todd | Name |
| Phone | 4178658701 | Phone |
| Date Prepared | 2014-02-13 | 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 | GREG BAUER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 763 JOHNSONBURG ROAD | AddressLine1 |
| City | ST MARYS | City |
| State | PA | State |
| ZIP Code | 15857 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3246624 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | INITIALLY DESIGNED TO INTEGRATE AND ASSIST THE PHYSICIANS OF HOSPITAL- BASED DEPARTMENTS, ERPG HAS BECOME AN IMPORTANT PHYSICIAN EMPLOYMENT VEHICLE FOR ERHS TO RECRUIT AND RETAIN HIGH QUALITY PROVIDERS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 43 | TotalNbrEmployees |
| Total Nbr Volunteers | 8 | 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 | 3544566 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3246624 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3544566 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3246624 | 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 | 3828832 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3562007 | 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 | 1043233 | OtherExpensePriorYear |
| Other Expenses Current Year | 1303553 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4872065 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4865560 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1327499 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1618936 | RevenuesLessExpensesCY |
| Total Assets BOY | 829811 | TotalAssetsBOY |
| Total Assets EOY | 762857 | TotalAssetsEOY |
| Total Liabilities BOY | 618574 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 707298 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 211237 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 55559 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | NONE | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1998765 | Expense |
| Revenue | 1062239 | Revenue |
| Description | ERPG PROVIDES ANESTHESIA AND CRNA SERVICES TO THE HOSPITAL. THE PHYSICIANS THAT ARE PART OF THIS GROUP PROVIDE EXCELLENT ANESTHESIA SERVICES TO OUR HOSPITAL FOR APPROXIMATELY 290 INPATIENT AND OUTPATIENT SURGERIES EACH MONTH. ERPG PROVIDES ANESTHESIA AND CRNA SERVICES TO THE HOSPITAL. THE PHYSICIANS THAT ARE PART OF THIS GROUP PROVIDE EXCELLENT ANESTHESIA SERVICES TO OUR HOSPITAL FOR APPROXIMATELY 290 INPATIENT AND OUTPATIENT SURGERIES EACH MONTH. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1781508 | Expense |
| Revenue | 1620098 | Revenue |
| Description | ERPG PROVIDES ER PHYSICIANS TO THE 24-HOUR STAFFED EMERGENCY ROOM AT THE HOSPITAL. APPROXIMATELY 1,600 VISITS ARE MADE TO THE ER EACH MONTH FROM THE SURROUNDING COMMUNITY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 564868 | Expense |
| Revenue | 564287 | Revenue |
| Description | OTHER SERVICES PROVIDED BY ERPG ARE PATHOLOGY SERVICES FOR APPROX. 150,000 LAB TESTS PER MONTH AND EMG SERVICES, IN ADDITION TO ADMINISTRATIVE SERVICES PROVIDED TO THE PHYSICIANS GROUP. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 4345141 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 9 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 43 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LAURIE MACDONALD | NamePerson |
| Telephone Number | 8147885505 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 763 JOHNSONBURG ROAD | AddressLine1 |
| City | ST MARYS | City |
| State | PA | State |
| ZIP Code | 15857 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Reportable Comp From OrganizationReportableCompFromOrganization | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| GREG BAUER | ||||||||
| CHAIR/CEO | 1.0 | 42.0 | X | X | 284020 | 22853 | ||
| JOE GRIBIK | ||||||||
| SECRETARY/TREASURER | 1.0 | X | ||||||
| DR DEAN STOKES MD | ||||||||
| PHYS./DIRECTOR/MED STAFF PRES | 40.0 | X | X | 15290 | 104455 | |||
| ROB O'LEARY | ||||||||
| DIRECTOR | 1.0 | 2.0 | X | X | ||||
| MARY AGNES MARSHALL | ||||||||
| DIRECTOR | 1.0 | 2.0 | X | X | ||||
| FRANK SCUTELLA | ||||||||
| DIRECTOR | 1.0 | 2.0 | X | |||||
| ADRIENNE FUEG MD | ||||||||
| DIRECTOR THROUGH 10/2012 | 40.0 | X | 43746 | 195539 | ||||
| DR R SCOTT MCKIMM | ||||||||
| DIRECTOR | 40.0 | X | 13234 | 529440 | ||||
| DAVE NEDZINSKI | ||||||||
| DIRECTOR | 1.0 | 2.0 | X | |||||
| LAURIE MACDONALD | ||||||||
| CFO/VP OF FINANCE | 1.0 | 42.0 | X | 152234 | 22058 | |||
| DR CHRISTOPHER COLOSIMO | ||||||||
| PHYSICIAN | 40.0 | 13023 | 534565 | X | ||||
| DR JAMES PITTMAN | ||||||||
| PHYSICIAN | 40.0 | 664 | 441933 | X | ||||
| DR DAVID JOHE | ||||||||
| PHYSICIAN | 40.0 | 5382 | 481597 | X | ||||
| DR K JOSEPH | ||||||||
| PHSICIAN | 40.0 | 55279 | 443884 | X | ||||
| DR LARRY MATURANI | ||||||||
| PHYSICIAN | 40.0 | 12249 | 421100 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3152513 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 436254 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 203778 | TotalOtherCompensation |
| Number Individuals GT100 K | 39 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | true | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| METRO ORTHO PHYSICAL THERAPHY | |
| EMG SERVICES | 116948 |
| COMPHEALTH | |
| LOCUM/PHYS STAFFING | 173465 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | 3244192 | 3244192 |
| OTHER REVENUE | 621110 | 2432 | 2432 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3246624 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3246624 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3246624 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 901704 | Total |
| Program Services | 901704 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1974968 | Total |
| Program Services | 1700072 | ProgramServices |
| Management And General | 274896 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 340028 | Total |
| Program Services | 302026 | ProgramServices |
| Management And General | 38002 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218847 | Total |
| Program Services | 194982 | ProgramServices |
| Management And General | 23865 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126460 | Total |
| Program Services | 114064 | ProgramServices |
| Management And General | 12396 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 893082 | Total |
| Program Services | 752161 | ProgramServices |
| Management And General | 140921 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151951 | Total |
| Program Services | 129161 | ProgramServices |
| Management And General | 22790 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12090 | Total |
| Program Services | 10220 | ProgramServices |
| Management And General | 1870 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 232 | Total |
| Program Services | 232 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33413 | Total |
| Program Services | 28141 | ProgramServices |
| Management And General | 5272 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210205 | Total |
| Program Services | 210205 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LICENSES, DUES, SUBSCRIPTIONS | Description |
| Total | 2580 | Total |
| Program Services | 2173 | ProgramServices |
| Management And General | 407 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4865560 | Total |
| Program Services | 4345141 | ProgramServices |
| Management And General | 520419 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51782 | BOY |
| EOY | 26272 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 438 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 603625 | BOY |
| EOY | 546029 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7475 | BOY |
| EOY | 6041 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 919788 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 807857 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 166491 | BOY |
| EOY | 111931 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 72584 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 829811 | BOY |
| EOY | 762857 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 618574 | BOY |
| EOY | 707298 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 618574 | BOY |
| EOY | 707298 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 211237 | BOY |
| EOY | 55559 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 211237 | BOY |
| EOY | 55559 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 829811 | BOY |
| EOY | 762857 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1618936 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1463258 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7438 | OtherCostOrOtherBasis |
| Depreciation | 6694 | Depreciation |
| Book Value | 744 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 893685 | OtherCostOrOtherBasis |
| Depreciation | 786109 | Depreciation |
| Book Value | 107576 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18665 | OtherCostOrOtherBasis |
| Depreciation | 15054 | Depreciation |
| Book Value | 3611 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 111931 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE FROM AFFILIATES | Description |
| Book Value | 72584 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 72584 | TotalBookValueOtherAssets |
| Tot Revenue Etc Audited Fincl Stmt | 4709882 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 1463258 | OtherRevenues |
| Revenue Not Rptd F990 | 1463258 | RevenueNotRptdF990 |
| Revenue Subtotal | 3246624 | RevenueSubtotal |
| Total Revenue Per Form990 | 3246624 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4865560 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 4865560 | ExpensesSubtotal |
| Total Expenses Per Form990 | 4865560 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| UNCERTAIN TAX POSITIONS | SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| OTHER REVENUE INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 | SCHEDULE D, PART XI, LINE 2D | $1,463,258 TRANSFER FROM AFFILIATE |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREG BAUER | ||||||||||||
| CHAIR/CEO | 257105 | 9598 | 17317 | 8059 | 14794 | 306873 | ||||||
| ADRIENNE FUEG MD | ||||||||||||
| DIRECTOR THROUGH 10/2012 | 194195 | 1094 | 250 | 39577 | 4169 | 239285 | ||||||
| LAURIE MACDONALD | ||||||||||||
| CFO/VP OF FINANCE | 141794 | 10440 | 4409 | 17649 | 174292 | |||||||
| DR CHRISTOPHER COLOSIMO | ||||||||||||
| PHYSICIAN | 532855 | 1494 | 216 | 13023 | 547588 | |||||||
| DR JAMES PITTMAN | ||||||||||||
| PHYSICIAN | 432391 | 6494 | 3048 | 664 | 442597 | |||||||
| DR R SCOTT MCKIMM | ||||||||||||
| DIRECTOR | 527706 | 1494 | 240 | 13234 | 542674 | |||||||
| DR DAVID JOHE | ||||||||||||
| PHYSICIAN | 478565 | 1494 | 1538 | 5382 | 486979 | |||||||
| DR K JOSEPH | ||||||||||||
| PHSICIAN | 440480 | 1494 | 1910 | 50000 | 5279 | 499163 | ||||||
| DAVE NEDZINSKI | ||||||||||||
| DIRECTOR | ||||||||||||
| DR LARRY MATURANI | ||||||||||||
| PHYSICIAN | 418780 | 1494 | 826 | 12249 | 433349 | |||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| TAXABLE BENEFITS RECEIVED BY A HIGHEST COMPENSATED EMPLOYEE | SCHEDULE J, PART 1, LINE 1A | DR. MATURANI RECEIVED PAID HOUSING. ALL WAS INCLUDED AS TAXABLE COMPENSATION. |
| CEO COMPENSATION | SCHEDULE J, PART I, LINE 3 | A RELATED ORGANIZATION, ELK REGIONAL HEALTH CENTER, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B | 457(F) PLAN EMPLOYEE CONTRIBUTIONS GREG BAUER $4,500 |
| BONUSES | SCHEDULE J, PART I, LINE 6A | PHYSICIANS AT ERPG RECEIVE BONUSES BASED ON THEIR PORTIONS OF THE EMG ANCILLARY SERVICES, IN WHICH ALL PHYSICIANS SHARE IN THE PROFIT. 50% OF THE TOTAL PROFIT IS SHARED EVENLY BY THE EMPLOYED PHYSICIANS. DR. MCKIMM & DR. COLOSIMO'S CONTRACTS ALLOW FOR ONE BONUS OF $25,000 AS A DISCRETIONARY PERFORMANCE BONUS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | A SUBSIDIARY OF ELK REGIONAL HEALTH SYSTEM (ERHS), ERPG WAS INITIALLY DESIGNED TO INTEGRATE AND ASSIST THE PHYSICIANS OF HOSPITAL-BASED DEPARTMENTS, SUCH AS ANESTHESIA AND EMERGENCY SERVICES. SINCE ITS INCEPTION, HOWEVER, ERPG HAS BECOME AN IMPORTANT PHYSICIAN EMPLOYMENT VEHICLE THROUGH WHICH ELK REGIONAL HEALTH SYSTEM IS ABLE TO SUCCESSFULLY RECRUIT AND RETAIN HIGH QUALITY PROVIDERS. SINCE ITS INCORPORATION, ERPG HAS GROWN INTO A LARGE AND EFFECTIVE MULTI-SPECIALTY GROUP WHICH INCLUDES THE FOLLOWING SERVICES/SPECIALTIES: ANESTHESIA; EMERGENCY MEDICINE; EMG; FAMILY AND GENERAL MEDICINE; GENERAL SURGERY; INTERNAL MEDICINE; OB/GYN; ORTHOPEDIC SURGERY; PAIN MANAGEMENT; PATHOLOGY; UROLOGY. ERPG OFFICES COVER A LARGE GEOGRAPHIC RADIUS WITH PRACTICES LOCATED IN: BENNETT'S VALLEY; EMPORIUM; JOHNSONBURG; KERSEY; ST. MARYS; RIDGWAY; WEEDVILLE. THE TALENT AND COMMITMENT OF THE ERPG PHYSICIANS ENABLES ERHS TO PROVIDE THE HIGHEST QUALITY OF CARE AT THE LOWEST POSSIBLE COST, AND TO CREATE A HEALTH CARE SERVICE DELIVERY SYSTEM WHEREIN QUALITY, PATIENT SAFETY, CUSTOMER SERVICES, AND CONTINUITY OF CARE IS OF THE HIGHEST IMPORTANCE. THROUGH THE ERPG PROVIDERS, ERHS BUILDS ON ITS COMMITMENT TO THE COMMUNITY BY PROVIDING A FULL COMPLEMENT OF COMPREHENSIVE HEALTH CARE SERVICES WITHIN ONE HEALTH CARE SYSTEM, AS WELL AS CREATING EASY ACCESS TO HEALTH CARE AND SEAMLESS TRANSITION FROM ONE HEALTH CARE SETTING TO ANOTHER. |
| BUSINESS RELATIONSHIPS | FORM 990, PART VI, SECTION A, LINE 2 | FRANK SCUTELLA, ERPG BOARD DIRECTOR, IS A BOARD MEMBER OF PENNSYLVANIA MOUNTAINS HEALTHCARE ALLIANCE, OF WHICH JOE GRIBIK, ERPG BOARD SECRETARY/TREASURER, IS CEO. |
| MEMBERS | FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B | THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ELK REGIONAL HEALTH SYSTEM (ERHS), A RELATED PENNSYLVANIA NON-PROFIT CORPORATION. THE CORPORATE MEMBER IS ENTITLED TO VOTE IN THE ELECTION OF FOUR OF THE DIRECTORS OF ERPG. THE BOARD SHALL CONSIST OF SIX TO TEN VOTING DIRECTORS, PROVIDED THAT AT ALL TIMES 20-30% ARE PHYSICIANS EMPLOYED BY ERPG. THESE PHYSICIAN DIRECTORS ARE ELECTED BY A VOTE OF THE PHYSICIANS EMPLOYED ON A FULL-TIME BASIS BY ERPG. ALL OTHER DIRECTORS ARE APPOINTED BY THE CORPORATE MEMBER. A BOARD MEMBER SELECTED FROM AMONG THOSE APPOINTED BY THE CORPORATE MEMBER SHALL SERVE AS PRESIDENT OF ERPG. ALL POWERS OF THE ORGANIZATION ARE EXERCISED AND AUTHORIZED BY THE BOARD OF DIRECTORS, PROVIDED THAT THE BOARD OBTAINS APPROVAL OF ERHS BEFORE ACTION ON ANY OF THE FOLLOWING MATTERS BECOMES FINAL AND EFFECTIVE: 1. AMENDMENT OF THE ARTICLES OF INCORPORATION OR OF THE BYLAWS 2. THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF ERPG 3. MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION 4. DISSOLUTION OF ERPG 5. APPROVAL OF AN ANNUAL BUDGET 6. ANY TRANSFER OF FUNDS BY GRANT, GIFT, OR LOAN FROM ERPG 7. ANY OTHER MATTER THAT BY LAW WOULD REQUIRE THE APPROVAL OF THE CORPORATE MEMBER OF A NONPROFIT CORPORATION |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE DRAFT FORM 990 IS REVIEWED BY THE CFO AND THE CONTROLLER. AFTER ALL SUGGESTED CHANGES FROM THE CFO AND CONTROLLER ARE MADE, THE UPDATED DRAFT FORM 990 IS PRESENTED AT THE FINANCE COMMITTEE MEETING. AFTER ANY FINAL CHANGES ARE MADE, A COPY IS PROVIDED TO THE FULL BOARD BEFORE FILING. |
| CONFLICT OF INTEREST POLICY COMPLIANCE | FORM 990, PART VI, SECTION B, LINE 12C | THE WRITTEN CONFLICT OF INTEREST POLICY IS GIVEN TO BOARD MEMBERS ANNUALLY ALONG WITH A LETTER AND DISCLOSURE STATEMENT. THE CHAIRMAN OF THE BOARD REVIEWS THESE DISCLOSURE STATEMENTS AND SUBMITS A REPORT TO THE EXECUTIVE COMMITTEE CONCERNING ANY CONFLICTS OF INTEREST. THE BOARD MEMBERS ALSO COMPLETE A SEPARATE QUESTIONNAIRE DEVELOPED TO HELP ANSWER THE NEW FORM 990 QUESTIONS. ANY INDIVIDUAL HAVING A CONFLICT OF INTEREST WITH RESPECT TO ANY MATTER WILL NEITHER VOTE NOR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. THIS INDIVIDUAL WILL ALSO NOT BE COUNTED IN DETERMINING THE QUORUM FOR ANY ACTION ON THE MATTER IN QUESTION. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE OF THE INTEREST, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. |
| COMPENSATION DETERMINATION | FORM 990, PART VI, SECTION B, LINES 15A & 15B | THE CEO'S CONTRACT IS REVIEWED ANNUALLY BY THE BOARD OF ERHC. AS PART OF THIS PROCESS, THE BOARD USES SALARY SURVEYS AS COMPARABILITY DATA. NO OTHER OFFICERS RECEIVE THIS SALARY REVIEW. THE PROCESS IS DISCUSSED WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BUT IS NOT DOCUMENTED IN THE MINUTES. THE CHAIRMAN OF THE BOARD DOES, HOWEVER, SIGN THE CONTRACT APPROVING ANY CHANGES AS AGREED UPON. |
| GOVERNING DOCUMENT AVAILABILITY | FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST FROM LORI SCUTELLA, ADMINISTRATIVE SECRETARY. DOCUMENTS MAY BE MAILED, E-MAILED, FAXED, OR HELD FOR PICKUP BY REQUESTING PERSONS. |
| BOARD MEMBER COMPENSATION | FORM 990, PART VII, SECTION A | NO DIRECTORS RECEIVE ANY COMPENSATION FOR THEIR DIRECTOR DUTIES. GREG BAUER, CHAIRMAN, IS EMPLOYED BY ERHC AS CEO/PRESIDENT. DR. DEAN STOKES, DIRECTOR, IS PAID BY THE ORGANIZATION AS A PHYSICIAN AND PRESIDENT OF THE MEDICAL STAFF. DR. ADRIENNE FUEG IS PAID BY THE ORGANIZATION AS A PHYSICIAN. DR. R. SCOTT MCKIMM IS PAID BY THE ORGANIZATION AS A PHYSICIAN. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | $ 673,463 OUTSIDE PROFESSIONAL FEES 219,619 BILLING FEES -------- $ 893,082 |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 9 | $1,463,258 TRANSFER FROM AFFILIATE |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ELK REGIONAL HEALTH CENTER | ||||||||||
| 763 JOHNSONBURG ROAD | ST MARYS | PA | 15857 | 250585280 | HEALTH CARE | PA | 501(C)(3) | 3 | ERHS | false |
| ELK REGIONAL HEALTH SYSTEM FOUNDATION | ||||||||||
| 763 JOHNSONBURG ROAD | ST MARYS | PA | 15857 | 251636685 | SUPPORT | PA | 501(C)(3) | 11A I | ERHS | false |
| ELCO HOUSING | ||||||||||
| 759 JOHNSONBURG ROAD | ST MARYS | PA | 15857 | 251639115 | HOUSING | PA | 501(C)(3) | 7 | ERHS | false |
| ELK REGIONAL HEALTH SYSTEM AUXILIARY | ||||||||||
| 763 JOHNSONBURG ROAD | ST MARYS | PA | 15857 | 251429093 | SUPPORT | PA | 501(C)(3) | 7 | ERHS | false |
| ELK REGIONAL HEALTH SYSTEM | ||||||||||
| 763 JOHNSONBURG ROAD | ST MARYS | PA | 15857 | 251636723 | HEALTH CARE | PA | 501(C)(3) | 9 | NA | false |
| COMMUNITY NURSES HOME HEALTH & HOSPICE | ||||||||||
| 757 JOHNSONBURG ROAD STE 200 | ST MARYS | PA | 15857 | 250996070 | HEALTH CARE | PA | 501(C)(3) | 9 | CNI | false |
| COMMUNITY NURSES HOME SUPPORT SERVICES | ||||||||||
| 757 JOHNSONBURG ROAD STE 200 | ST MARYS | PA | 15857 | 251623601 | HEALTH CARE | PA | 501(C)(3) | 9 | CNI | false |
| COMMUNITY NURSES INC | ||||||||||
| 757 JOHNSONBURG ROAD STE 200 | ST MARYS | PA | 15857 | 251623598 | HEALTH CARE | PA | 501(C)(3) | 9 | ERHS | false |
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 |
|---|---|---|---|---|---|---|---|
| ELK REG MRI CTR | |||||||
| 763 JOHNSONBURG ROAD | ST MARYS | PA | 15857 | 251924737 | MRI CENTER | PA | ERHC |
| REG AMBUL SURG CTR | |||||||
| 1376 BUCKTAIL ROAD | ST MARYS | PA | 15857 | 251873083 | SURGERY CENTE | PA | ERHC |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |