WINDBER HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- WINDBER HOSPITAL INC (EIN 25-1244202)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201421349349304192
- 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 | 2014-05-14T12:20:16-05:00 | 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 | BARNES SALY & COMPANY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 637 FERNDALE AVENUE SUITE 100 | AddressLine1 |
| City | JOHNSTOWN | City |
| State | PA | State |
| ZIP Code | 159053999 | 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 | 251244202 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WIND | NameControl |
| Phone | 8144673000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1 |
| City | WINDBER | City |
| State | PA | State |
| ZIP Code | 15963 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD SUKENIK | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 8144673000 | Phone |
| Date Signed | 2014-05-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN J SARACENA CPA | Name |
| Phone | 8142881544 | Phone |
| Date Prepared | 2014-05-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS KURTZ | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1 |
| City | WINDBER | City |
| State | PA | State |
| ZIP Code | 15963 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 49268563 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WINDBERCARE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | WINDBER MEDICAL CENTER IS A NON-PROFIT COMMUNITY-BASED HOSPITAL DEDICATED TO PROVIDING EXCELLENCE IN PERSONALIZED, QUALITY HEALTHCARE SERVICES THROUGH INNOVATION, RESEARCH, AND EDUCATION IN RESPONSE TO COMMUNITY NEEDS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 591 | TotalNbrEmployees |
| Total Nbr Volunteers | 85 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 2735956 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1277563 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 42763861 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 41487757 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5809 | InvestmentIncomePriorYear |
| Investment Income Current Year | 30463 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5744094 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6314526 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 51249720 | TotalRevenuePriorYear |
| Total Revenue Current Year | 49110309 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 26306410 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 26231658 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 23900851 | OtherExpensePriorYear |
| Other Expenses Current Year | 23520942 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 50207261 | TotalExpensesPriorYear |
| Total Expenses Current Year | 49752600 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1042459 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -642291 | RevenuesLessExpensesCY |
| Total Assets BOY | 30548159 | TotalAssetsBOY |
| Total Assets EOY | 29867971 | TotalAssetsEOY |
| Total Liabilities BOY | 19482695 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 17107457 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 11065464 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 12760514 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WINDBER MEDICAL CENTER IS A NON-PROFIT COMMUNITY-BASED HOSPITAL DEDICATED TO PROVIDING EXCELLENCE IN PERSONALIZED, QUALITY HEALTHCARE SERVICES THROUGH INNOVATION, RESEARCH, AND EDUCATION IN RESPONSE TO COMMUNITY NEEDS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 3976113 | Expense |
| Revenue | 5833568 | Revenue |
| Description | SURGERY - WE PERFORMED 630 INPATIENT SURGERIES AND 1,316 OUTPATIENT SURGERIES. OUR BUDGETED VOLUMES WERE 684 INPATIENT SURGERIES AND 1,440 OUTPATIENT SURGERIES. THESE STATISTICS DO NOT INCLUDE THOSE PERFORMED IN OUR AMBULATORY SURGERY DEPARTMENT SINCE IT IS A SEPARATE UNIT OF THE HOSPITAL. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3087487 | Expense |
| Revenue | 9227081 | Revenue |
| Description | LABORATORY - WE PERFORMED 48,184 INPATIENT TEST AND 322,738 OUTPATIENT TESTS. OUR BUDGETED VOLUMES WERE 55,000 INPATIENT AND 336,110 OUTPATIENT TESTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2176604 | Expense |
| Revenue | 1589380 | Revenue |
| Description | HOSPICE HOME CARE - WE HAD 31,411 DAYS IN THE HOSPICE PROGRAM. OUR BUDGETED DAYS WERE 36,365. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 27949899 | Expense |
| Revenue | 24837728 | Revenue |
| Description | ALL OTHER PATIENT SERVICE REVENUE AND EXPENSES FOR HOSPITAL DEPARTMENTS | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 27949899 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 24837728 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 37190103 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | 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 | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | 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 | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| 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 | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 137 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 591 | 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 |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | 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 | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER HOSPITAL FINANCE DEPARTMENT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8144673000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVE | AddressLine1 |
| City | WINDBER | City |
| State | PA | State |
| ZIP Code | 15963 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| JOHN F HOLLERN | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ATTY JEAN MCKELVEY | ||||||||
| V. CHAIRMAN | 3.00 | X | 0 | 0 | 0 | X | ||
| DANIEL NOVAK DMD | ||||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | X | ||
| JUDGE DAVID KLEMENTIK | ||||||||
| CHAIRMAN | 5.00 | X | 0 | 0 | 0 | X | ||
| WILLIAM BAHORIK | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| BARNEY CUSTER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DAVID CISKOS MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JAMES VASILKO | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| CLEA HOLLIS ED D | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DENNIS KOTZANCPA | ||||||||
| TREASURER | 2.00 | X | 0 | 0 | 0 | X | ||
| ATTY TIMOTHY LEVENTRY | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| KIM MARLEY MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| BARBARA CLIFF | ||||||||
| PRES & CEO | 40.00 | 315279 | 0 | 14198 | X | |||
| CINDY LECOMTE | ||||||||
| CHIEF PATIEN | 40.00 | 128749 | 0 | 9461 | X | |||
| MARY LEE DADEY | ||||||||
| COO | 40.00 | 84357 | 0 | 7048 | X | |||
| RICHARD SUKENIK | ||||||||
| CFO | 37.00 | 10450 | 0 | 504 | X | |||
| DR AMY ANDERSON | ||||||||
| OB PHYSICIAN | 40.00 | 344045 | 0 | 14052 | X | |||
| DR PRADEEP KULKARNI | ||||||||
| OB PHYSICIAN | 40.00 | 342252 | 0 | 9574 | X | |||
| DR DEBA SARMA | ||||||||
| SURGEON | 40.00 | 324609 | 0 | 13192 | X | |||
| DR CANAN SAHIN-KANDEMIR | ||||||||
| OB PHYSICIAN | 40.00 | 300920 | 0 | 297 | X | |||
| DR CRAIG FOCKLER | ||||||||
| GEN PRAC PHY | 40.00 | 286440 | 0 | 13274 | X | |||
| LINDA FANALE | ||||||||
| CFO | 37.00 | 259509 | 0 | 13192 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2396610 | TotalReportableCompFromOrg |
| Total Other Compensation | 94792 | TotalOtherCompensation |
| Number Individuals GT100 K | 23 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2 | Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|---|
| WINDBER ANESTHESIA | ||||||
| ASSOCIATES | 195 STARDUST DRIVE | JOHNSTOWN | PA | 15904 | ANESTHESIA SERV | 450000 |
| DR LIBANG FU | ||||||
| 432 BOWEN DRIVE | EXTON | PA | 19341 | ANESTHESIA SERV | 450000 | |
| JUSTINE CORNELL | ||||||
| 300 LINDA STREET | JOHNSTOWN | PA | 15905 | ANESTHESIA SERV | 193514 | |
| NATIONAL HME INC | ||||||
| 7451 AIRPORT FWY | RICHLAND HILLS | TX | 76118 | HOSP MED SVC | 187716 | |
| DR BHUPINDER DATTA | ||||||
| 529 FAIRVIEW ROAD | PITTSBURGH | PA | 15238 | EMERGENCY SERV | 183511 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| All Other Contributions | 1277563 | AllOtherContributions |
| Total Contributions | 1277563 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Total Revenue Column | 41487757 | TotalRevenueColumn |
| Related Or Exempt Function Income | 41487757 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 41487757 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18230 | TotalRevenueColumn |
| Exclusion | $18,230 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 130030 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 130030 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 130030 | TotalRevenueColumn |
| Exclusion | $130,030 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 170487 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 158254 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12233 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12233 | TotalRevenueColumn |
| Exclusion | $12,233 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| PHYSICIAN PRACTICE REVENUE | 2501586 | $2,501,586 |
| OTHER RECEIPTS | 2178563 | $2,178,563 |
| MEANINGFUL USE PAYMENT | 1077794 | $1,077,794 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 426553 | TotalRevenueColumn |
| Exclusion | $426,553 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6184496 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 49110309 | TotalRevenueColumn |
| Related Or Exempt Function Income | 41487757 | RelatedOrExemptFunctionIncome |
| Exclusion | $6,344,989 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 538835 | Total |
| Program Services | 213106 | ProgramServices |
| Management And General | 325729 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259509 | Total |
| Management And General | 259509 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20945822 | Total |
| Program Services | 14994870 | ProgramServices |
| Management And General | 5950952 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3013868 | Total |
| Program Services | 2157593 | ProgramServices |
| Management And General | 856275 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1473624 | Total |
| Program Services | 1054950 | ProgramServices |
| Management And General | 418674 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132565 | Total |
| Management And General | 132565 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93337 | Total |
| Management And General | 93337 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198376 | Total |
| Program Services | 9875 | ProgramServices |
| Management And General | 188501 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 161662 | Total |
| Program Services | 145496 | ProgramServices |
| Management And General | 16166 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8276853 | Total |
| Program Services | 7917302 | ProgramServices |
| Management And General | 359551 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1341826 | Total |
| Program Services | 939278 | ProgramServices |
| Management And General | 402548 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 858513 | Total |
| Program Services | 257554 | ProgramServices |
| Management And General | 600959 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 273585 | Total |
| Program Services | 232547 | ProgramServices |
| Management And General | 41038 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75500 | Total |
| Program Services | 56625 | ProgramServices |
| Management And General | 18875 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262620 | Total |
| Program Services | 196965 | ProgramServices |
| Management And General | 65655 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1150124 | Total |
| Program Services | 862593 | ProgramServices |
| Management And General | 287531 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 807966 | Total |
| Program Services | 646373 | ProgramServices |
| Management And General | 161593 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED SERVICES | 3004334 | 2482545 | 521789 |
| EQUIPMENT RENTAL & MAINT | 2349100 | 705092 | 1644008 |
| BAD DEBTS | 2253612 | 2253612 | |
| MED PROF FEES | 1910446 | 1910446 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 370523 | Total |
| Program Services | 153281 | ProgramServices |
| Management And General | 217242 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49752600 | Total |
| Program Services | 37190103 | ProgramServices |
| Management And General | 12562497 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 624402 | BOY |
| EOY | 1139265 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4984189 | BOY |
| EOY | 4294096 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1112145 | BOY |
| EOY | 1257856 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324047 | BOY |
| EOY | 318141 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 47551722 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 31513887 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15917522 | BOY |
| EOY | 16037835 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1014084 | BOY |
| EOY | 1185426 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6571770 | BOY |
| EOY | 5635352 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30548159 | BOY |
| EOY | 29867971 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5791700 | BOY |
| EOY | 6345315 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 182354 | BOY |
| EOY | 230414 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4550000 | BOY |
| EOY | 4375000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1499483 | BOY |
| EOY | 1107657 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7459158 | BOY |
| EOY | 5049071 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19482695 | BOY |
| EOY | 17107457 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11045785 | BOY |
| EOY | 12687244 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19679 | BOY |
| EOY | 73270 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11065464 | BOY |
| EOY | 12760514 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30548159 | BOY |
| EOY | 29867971 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -642291 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -19676 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 2357017 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 414727 | OtherCostOrOtherBasis |
| Book Value | 414727 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27456220 | OtherCostOrOtherBasis |
| Depreciation | 13722710 | Depreciation |
| Book Value | 13733510 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1393033 | OtherCostOrOtherBasis |
| Depreciation | 1163503 | Depreciation |
| Book Value | 229530 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18287742 | OtherCostOrOtherBasis |
| Depreciation | 16627674 | Depreciation |
| Book Value | 1660068 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 16037835 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLE | 3080418 |
| OTHER ASSETS | 2375681 |
| DEFERRED FINANCING COSTS | 179253 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5635352 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PENSION LIABILITY | $3,180,824 |
| MALPRACTICE ACCRUAL | $1,349,628 |
| CAPITAL LEASE OBLIGATIONS | $332,659 |
| ASSET RETIREMENT OBLIGATION | $106,463 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $75,000 |
| DUE TO AFFILIATE | $4,497 |
| DEFERRED REVENUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5049071 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 51447650 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -19676 | NetUnrealizedGainsInvestments |
| Other Revenues | 2357017 | OtherRevenues |
| Revenue Not Rptd F990 | 2337341 | RevenueNotRptdF990 |
| Revenue Subtotal | 49110309 | RevenueSubtotal |
| Total Revenue Per Form990 | 49110309 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 49752600 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 49752600 | ExpensesSubtotal |
| Total Expenses Per Form990 | 49752600 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER | Identifier |
| Return Reference | SCHEDULE D, PAGE 4, PART XI, LINE 2D | ReturnReference |
| Explanation | PENSION ADJUSTMENT 2,154,555 NET ASSETS RELEASED FROM RESTRICTION 1,049,995 TRANSFER OF NET ASSETS -920,803 TEMP RESTRICTED NET ASSETS 73,270 | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 688503 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 688503 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01380 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3180108 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2108820 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1071288 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02150 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3868611 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2108820 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1759791 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03540 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17829 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1325 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16504 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17829 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1325 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16504 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3886440 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2110145 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1776295 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03570 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 15240 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15240 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 15240 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15240 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,253,612 | BadDebtExpenseAmount |
| Amount Attributable To | 343504 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 3883473 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 4331600 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -448127 | MedicareSurplusOrShortfall |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | 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 | WINDBER HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1 |
| City | WINDBER | City |
| State | PA | State |
| ZIP Code | 15963 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWWWINDBERCAREORG | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | 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 |
| Needs Assessment Conducted | 13 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Develop Community Plan | X | DevelopCommunityPlan |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 200.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALUM BANK RURAL HEALTH CLINIC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 ROLLING ACRES DRIVE | AddressLine1 |
| City | ALUM BANK | City |
| State | PA | State |
| ZIP Code | 15521 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | RURAL HEALTH CLINIC | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ADDITIONAL INFORMATION | PART VI | 1 PART II WINDBER HOSPITAL CONDUCTED AEDCPR CLASSES THROUGHOUT THE YEAR ALONG WITH SEMINARS ON WORKPLACE VIOLENCE DISASTER RESPONSE AND TERRORISM RESPONSE WE ALSO PROVIDED FLU SHOTS TO THE COMMUNITY FREE OF CHARGE PART III LINE 4 SEE FOOT NOTE IN FINANCIAL STATEMENTS PART III LINE 8 ANY SHORTFALL RELATED TO GOVERNMENT PROGRAMS IE MEDICARE MEDICAID ETC IS WRITTEN OFF BY THE HOSPITAL AND WE DO NOT COLLECT ANY FUNDS FROM PATIENTS TO OFFSET THESE WRITEOFFS OTHER THAN A DEDUCTIBLE OR COPAY OUR MEDICARE REIMBURSEMENT IS BASED PARTLY ON OUR COST TO CHARGE RATIO AND ANY AMOUNTS THAT WE WRITE OFF BENEFIT THE INDIVIDUAL AS WELL AS THE ENTIRE COMMUNITY PART III LINE 9B OUR POLICIES SPECIFY THE CRITERIA FOR FINANCIAL ASSISTANCE AS WELL AS HOW MANY STATEMENTS THE PATIENT WILL RECEIVE HOW THEY CAN INQUIRE ABOUT THEIR ACCOUNT AND INFORMATION ABOUT HOW THEY CAN MAKE PAYMENTS OR SET UP A PAYMENT PLAN 2 AS A COMMUNITY HEALTHCARE PROVIDED RECOGNIZED FOR EXEMPLARY SERVICE TO PATIENTS WE ASSESS THE HEALTHCARE NEEDS OF OUR COMMUNITIES IN A NUMBER OF WAYS 1 WE ASK OUR COMMUNITY OF THEIR NEEDS THROUGH ROUTINE SCHEDULE FOCUS GROUP MEETINGS 2 WE ANALYZE THE RESULTS OF ANNUAL COUNTY HEALTH RANKINGS AND USE THE INFORMATION TO FORMULATE COMMUNITY OUTREACH STRATEGIES 3 WE HAVE A COMMUNITY OUTREACH DEPARTMENT THAT ASSISTS IN TAKING OUR MESSAGE TO THE COMMUNITIES WE SERVE 4WE CONDUCT PERIODIC COMMUNITY HEALTH EDUCATIONAWARENESS SESSION ON IMPORTANT TOPICS AND ALSO CONDUCT MULTIPHASIC BLOOD DRAWS AT A VARIETY OF LOCATIONS WE HAVE ALSO BEEN AN ACTIVE PARTICIPANT IN A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT LAST CONDUCTED IN 2010 BY ST FRANCIS UNIVERSITYS CENTER OF EXCELLENCE FOR RURAL AND MEDICALLY UNDERSERVED AREAS CERMUSA IN LORETTO PA 3 WE CONTRACT AN OUTSIDE LAW FIRM TO ASSIST PATIENTS IN FILING FOR MEDICAL ASSISTANCE IF THEIR APPLICATION IS DENIED WE PROVIDE AN APPLICATION FOR CHARITY CARE THROUGH THE HOSPITAL AND ALSO PROVIDE EDUCATION ABOUT HOW THE PROGRAM WORKS 4 WINDBER HOSPITAL SERVICES WESTCENTRAL PENNSYLVANIA ALTHOUGH OUR HOSPITAL IS CLASSIFIED AS RURAL BY MEDICARE OUR STRONGEST ORIENTATION IS THE JOHNSTOWN METROPOLITAN AREA WHICH HAS A POPULATION OF ALMOST 200000 THE AGE OF OUR POPULATION IS OLDER THAN THE NATIONAL AVERAGE WITH 19 OF PEOPLE OVER THE AGE OF 65 THE BIRTHRATE IN OUR AREA IS THE SEVENTH LOWEST IN THE UNITED STATES OUR REIMBURSEMENT FROM MEDICARE AND MEDICARE MANAGED CARE PRODUCTS ACCOUNT FOR ALMOST 50 OF OUR TOTAL INSURANCE RECEIPTS 5 IN KEEPING WITH THE INTENT OF ACA WE NOW INTEND TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT BY THE END OF CALENDAR YEAR 2012 AND THE PROCESS IS ACTIVELY UNDERWAY THE PURPOSE OF THIS INITIATIVE IS TO PERIODICALLY CONSOLIDATE DATA AND PERSPECTIVES ABOUT THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY IN ORDER TO IDENTIFY ASSETS POTENTIAL CONCERNS AND OPPORTUNITIES FOR IMPROVEMENT THE GOALS ARE TO 1 IDENTIFY UNMET HEALTHRELATED NEEDS AND PEOPLE FACING DISPROPORTIONATE UNMET HEALTHRELATED NEEDS 2 IDENTIFY ASSETS POTENTIAL CONCERNS AND OPPORTUNITIES FOR IMPROVEMENT OF DELIVERY OF COMMUNITY HEALTH SERVICES AND PROGRAMS 3 TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BOARD INTERESTS OF THE COMMUNITIES SERVED BY WMC INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH 4 PROVIDE INFORMATION TO AID IN DEVELOPING BUDGETS AND COMMITTAL OF FINANCIAL RESOURCES AND 5 HELP MEET THE FEDERAL INCOME TAX EXEMPTION SECTION 501C3 THIS INFORMATION WILL BE USED TO FURTHER DEVELOP STRATEGIES FOR COMMUNITY OUTREACH EDUCATION AND SUPPORT |
| WINDBER HOSPITAL INC LINE NUMBER 1 PART V LINE 3 | PART V LINE 3 | THE HOSPITAL CONDUCTED INTERVIEWS WITH INDIVIDUAL MEMBERS OF THE COMMUNITY HELD FOCUS GROUPS AND SENT OUT VIA EMAIL A SURVEY REGARDING HEALTH ISSUES ALL THESE ACTIVITIES FOCUSED ON TOPICS SUCH AS HEALTHCARE ACCESS SERVICES PROVIDED COST OF SERVICES ANY NEW SERVICES LOCATIONS OF ANCILLARY SERVICES ETC |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | 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 (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|
| BARBARA CLIFF | |||||
| PRES & CEO | 272529 | 42750 | 2450 | 11748 | 329477 |
| DR AMY ANDERSON | |||||
| OB PHYSICIAN | 344045 | 2450 | 11602 | 358097 | |
| DR PRADEEP KULKARNI | |||||
| OB PHYSICIAN | 342252 | 2450 | 7124 | 351826 | |
| DR DEBA SARMA | |||||
| SURGEON | 324609 | 13192 | 337801 | ||
| DR CANAN SAHIN-KANDEMIR | |||||
| OB PHYSICIAN | 300920 | 297 | 301217 | ||
| DR CRAIG FOCKLER | |||||
| GEN PRAC PHY | 286440 | 2450 | 10824 | 299714 | |
| LINDA FANALE | |||||
| CFO | 227429 | 32080 | 2088 | 11104 | 272701 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION | SCHEDULE J, PAGE 1, PART I, LINE 6A | ADDITIONAL COMPENSATION IS CONTIGENT UPON NET REVENUES OF ORGANIZATION PER EMPLOYMENT AGREEMENT. |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | PART I, LINE 1A - FRINGE OR EXPENSE EXPLANATION PAYMENT OF COUNTRY CLUB DUES PART I, LINE 3 - RELATED ORG. METHODS USED FOR COMPENSATION EXPLANATION ALL OFFICERS HAVE EMPLOYMENT CONTRACTS WHICH LIST COMPENSATION AGREED UPON BY THE INDIVIDUAL AND THE BOARD OF DIRECTORS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | ALL OTHER PATIENT SERVICE REVENUE AND EXPENSES FOR HOSPITAL DEPARTMENTS |
| POLICIES AND PROCEDURES GOVERNING CHAPTERS | FORM 990, PAGE 6, PART VI, LINE 10B | NO POLICIES OR PROCEDURES GOVERNING LOCAL BRANCHES OR AFFILIATES |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AND OFFICERS. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE COMPLIANCE OFFICER REVIEWS OUR CONFLICT OF INTEREST POLICY WITH OFFICERS, DIRECTORS AND KEY EMPLOYEES ON AN ANNUAL BASIS AND HAS THEM SIGN AN UNDERSTANDING OF SUCH. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | WE USE COMPENSATION DATA FROM OUR REGION, SURVEYS, AND NEGOTIATION TO DETERMINE COMPENSATION FOR TOP OFFICIALS, OFFICERS AND KEY EMPLOYEES. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | WE USE COMPENSATION DATA FROM OUR REGION, SURVEYS, AND NEGOTIATION TO DETERMINE COMPENSATION FOR TOP OFFICIALS, OFFICERS AND KEY EMPLOYEES. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC, EITHER POSTED INTERNALLY OR AVAILABLE UPON REQUEST |
| RECONCILIATION OF CHANGES - OTHER | FORM 990, PART XI, LINE 9 | PENSION ADJUSTMENT 2,154,555 NET ASSETS RELEASED FROM RESTRICTION 1,049,995 TRANSFER OF NET ASSETS -920,803 TEMP RESTRICTED NET ASSETS 73,270 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 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 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 | Controlled OrgControlledOrg | Business Name Line2NameOfDisregardedEntity/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WINDBER HEALTHCARE FOUNDATION | ||||||||||||
| 600 SOMERSET AVENUE | WINDBER | PA | 15963 | 251552830 | FUNDRAISIN | PA | 501C3 | 11A | WINDBER | WINDBER HOSPITAL | false | |
| WINDBER HOSPITAL PALLIATIVE CARE | ||||||||||||
| 600 SOMERSET AVENUE | WINDBER | PA | 15963 | 251455169 | FUNDRAISIN | PA | 501C3 | 9 | WINDBER | WINDBER HOSPITAL | false | FOUNDATION |
| WINDBER RESEARCH INSTITUTE | ||||||||||||
| 620 7TH STREET | WINDBER | PA | 15963 | 251877336 | RESEARCH | PA | 501C3 | 4 | NA | false | ||
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER PROFESSIONAL SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SOMERSET AVENUE | AddressLine1 |
| City | WINDBER | City |
| State | PA | State |
| ZIP Code | 15963 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251531227 | EIN |
| Primary Activity | R EST RENT | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDBER | BusinessNameLine1 |
| Business Name Line2 | WINDBER HOSPITAL | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | 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 | true | 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 | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| WINDBER PROFESSIONAL SERVICES INC | ||
| I | 519070 | GL TB |
| WINDBER HEALTH CARE FOUNDATION | ||
| I | 825004 | GL TB |
| WINDBER RESEARCH INSTITUTE | ||
| I | 139107 | GL TB |
| WINDBER PALLIATIVE CARE FOUNDATION | ||
| I | 62461 | GL TB |