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BELMONT CENTER FOR COMPREHENSIVE TREATMENT: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BELMONT CENTER FOR COMPREHENSIVE TREATMENT (EIN 23-1352200)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201301349349302025
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-05-14T10:04:59-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN231352200EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BELMONT CENTER FOR COMPREHENSIVE TREATMENTBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% STEVEN NEARINGInCareOfName
Name ControlBELMNameControl
Phone2154566760Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14200 MONUMENT ROADAddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code191311625ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGERARD BLANEYName
TitleV.P - FINANCETitle
Date Signed2013-05-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBARRY FREEDMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15501 OLD YORK ROADAddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19141ZIPCode
FieldValueIRS element (for citing)
Gross Receipts42292715GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.einstein.eduWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission Descriptionsee statement 1ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers31TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year796ContributionsGrantsPriorYear
Contributions Grants Current Year326136ContributionsGrantsCurrentYear
Program Service Revenue Prior Year39614174ProgramServiceRevenuePriorYear
Program Service Revenue CY41779685ProgramServiceRevenueCY
Investment Income Prior Year580058InvestmentIncomePriorYear
Investment Income Current Year164473InvestmentIncomeCurrentYear
Other Revenue Prior Year22421OtherRevenuePriorYear
Other Revenue Current Year22421OtherRevenueCurrentYear
Total Revenue Prior Year40217449TotalRevenuePriorYear
Total Revenue Current Year42292715TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year28623650SalariesEtcPriorYear
Salaries Etc Current Year30043234SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year210848TotalFundrsngExpCurrentYear
Other Expense Prior Year10353500OtherExpensePriorYear
Other Expenses Current Year11492961OtherExpensesCurrentYear
Total Expenses Prior Year38977150TotalExpensesPriorYear
Total Expenses Current Year41536195TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1240299RevenuesLessExpensesPriorYear
Revenues Less Expenses CY756520RevenuesLessExpensesCY
Total Assets BOY35067000TotalAssetsBOY
Total Assets EOY34847000TotalAssetsEOY
Total Liabilities BOY6684000TotalLiabilitiesBOY
Total Liabilities EOY5781000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY28383000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY29066000NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ALBERT EINSTEIN HEALTHCARE NETWORK IS A NOT-FOR-PROFIT CORPORATION THAT CONTROLS RELATED ORGANIZATIONS IN A HEALTH CARE DELIVERY SYSTEM SERVING THE GREATER DELAWARE VALLEY THROUGH SOLE MEMBERSHIP IN THOSE RELATED ORGANIZATIONS. THE ALBERT EINSTEIN HEALTHCARE NETWORK ("AEHN"), THE PARENT COMPANY, TOGETHER WITH ITS RELATED MEMBER ORGANIZATIONS, COMPRISES THE ALBERT EINSTEIN HEALTHCARE NETWORK ("NETWORK"). BELMONT CENTER FOR COMPREHENSIVE TREATMENT ("BELMONT") IS A CONTROLLED ORGANIZATION THROUGH SOLE AEHN MEMBERSHIP. BELMONT IS LICENSED TO PROVIDE PSYCHIATRIC SERVICES IN A 147 BED HOSPITAL SETTING AND COUNSELING AND PSYCHIATRIC CARE IN VARIOUS OUTPATIENT AND PARTIAL HOSPITAL SETTINGS. BELMONT HAS, AS ITS PRINCIPAL PURPOSE, OPERATING AND MAINTAINING HOSPITALS AND CLINICAL FACILITIES FOR THE STUDY, DIAGNOSIS, CARE, TREATMENT, AND REHABILITATION OF PERSONS WITH MENTAL OR EMOTIONAL DISORDERS, AND THE EDUCATION AND COUNSELING OF SUCH PERSONS AND THEIR FAMILIES, AND TO ENGAGE IN EDUCATIONAMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense36635932Expense
Revenue41779685Revenue
DescriptionBelmont operates and maintains hospitals and clinical facilities for the study, diagnosis, care, treatment, and rehabilitation of persons with mental or emotional disorders. Belmont provides education and counseling of such persons and their families and engages in educational and research programs to facilitate and support such activities.Description
Total Program Service Expense36635932TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledALStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledAKStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCOStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledDCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKSStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMSStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMOStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNMStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledRIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
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States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSTEVEN NEARINGNamePerson
Telephone Number2154566760TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15501 OLD YORK ROADAddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19141ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD C SHEERR
TRUSTEE2.0X000
BARRY R FREEDMAN
PRESIDENT & CEO2.0X01487698446715X
Carole Ben-Maimon MD
TRUSTEE2.0X000
MATTHEW S LEVITTIES
TRUSTEE2.0X000
ARNOLD W COHEN MD
TRUSTEE2.0X0532808108168
STEVEN BERK
CHAIRPERSON2.0X000X
A SUSAN BERNINI
COO & VICE PRESIDENT2.0X0864235253348
ALBERTO ESQUENAZI MD
Trustee2.0X0584011126392
FRANK S JAMES MD
TRUSTEE2.0X033428580941
JOHN P KORMAN
TRUSTEE2.0X000
ELLEN KRAFTSOW-KOGAN
SECRETARY2.0X000X
MARILYN H RIVERS
TRUSTEE2.0X000
Abbe F Fletman Esq
Treasurer2.0X000X
CARL R CHUDNOFSKY MD
TRUSTEE2.0X0562129107351
GEOFFREY M DUFFINE
TRUSTEE2.0X000
JOHN J KELLY DO
TRUSTEE2.0X027876947349
ERIC RAYMOND
TRUSTEE2.0X000
MINA P Fader
Trustee2.0X000
JOSHUA S GROSS
Trustee2.0X000
JOE M MELENDEZ
TRUSTEE2.0X000
DAVID GREENSPAN MD
TRUSTEE2.0X015872626172
SUSAN KLINE KLEHR
TRUSTEE2.0X000
SHAWN N ORENSTEIN
Trustee2.0X000
DIANE BENHAYON
ASSISTANT SECRETARY2.009996843368X
PENNY REZET
ASSISTANT SECRETARY2.0038663085401X
Sharon Bergen
Chief Operating OFFICER40.0293659090180X
Carol s Keiper
DIRECTOR PHARMACY BELMONT40.0135724012467X
Joellen Layne
CLINICAL DIRECTOR OF NURSING40.0146904021920X
Joseph V Pettinati
ASSISTANT VICE PRESIDENT40.0123624016952X
Lee Bransky
NURSE MANAGER40.0125111029343X
GALER THOMAS
NURSE40.0119555018823X
FieldValueIRS element (for citing)
Total Reportable Comp From Org944577TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5289259TotalReportableCompFrmRltdOrgs
Total Other Compensation1514890TotalOtherCompensation
Number Individuals GT100 K29NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KEYSTONE QUALITY TRANSPORT
PO BOX 2027MEDIAPA19063PATIENT TRANSPORT295104
SECURITAS SECURITY SERVICES USA INC
PO BOX 403412ATLANTAGA30384SECURITY SERVICES271877
IKON Management SERVICES
PO BOX 198727ATLANTAGA30384COPYING SERVICES112490
CROSS COUNTRY STAFFING
6551 Park of Commerce Blvd Suite 2BOCA RATONFL33487STAFFING129006
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions326136AllOtherContributions
Total Contributions326136TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPSCHYCIATRIC HOSPITAL REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column41779685TotalRevenueColumn
Related Or Exempt Function Income41779685RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue41779685TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column269668TotalRevenueColumn
Exclusion$269,668ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real22421Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real22421Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column22421TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities-105195Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-105195Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-105195TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42292715TotalRevenueColumn
Related Or Exempt Function Income41779685RelatedOrExemptFunctionIncome
Exclusion$269,668ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total303716Total
Program Services303716ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total24123723Total
Program Services22600463ProgramServices
Management And General1523260ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total663000Total
Program Services663000ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3291531Total
Program Services3281499ProgramServices
Management And General10032ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1661264Total
Program Services1608143ProgramServices
Management And General53121ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1765368Total
Management And General1554520ManagementAndGeneral
Fundraising210848Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total25992Total
Program Services25992ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3922029Total
Program Services3229022ProgramServices
Management And General693007ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total27317Total
Program Services19408ProgramServices
Management And General7909ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2289020Total
Program Services2251055ProgramServices
Management And General37965ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total677984Total
Program Services524539ProgramServices
Management And General153445ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total8693Total
Program Services8367ProgramServices
Management And General326ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10395Total
Program Services6852ProgramServices
Management And General3543ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total226346Total
Program Services226346ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total556678Total
Program Services546850ProgramServices
Management And General9828ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total646266Total
Program Services3807ProgramServices
Management And General642459ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PROVISION FOR BAD DEBT12109961210996
OTHER125877125877

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total41536195Total
Program Services36635932ProgramServices
Management And General4689415ManagementAndGeneral
Fundraising210848Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13848000BOY
EOY16005000EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3001000BOY
EOY3001000EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6572000BOY
EOY4284000EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY840000BOY
EOY693000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY151000BOY
EOY138000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7000BOY
EOY8000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31970000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec28525000LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3459000BOY
EOY3445000EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6689000BOY
EOY6781000EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY64000BOY
EOY64000EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY436000BOY
EOY428000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY35067000BOY
EOY34847000EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2694000BOY
EOY1993000EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3990000BOY
EOY3788000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6684000BOY
EOY5781000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY28323000BOY
EOY29007000EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY37000BOY
EOY36000EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY23000BOY
EOY23000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28383000BOY
EOY29066000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35067000BOY
EOY34847000EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses756520ReconcilationRevenueExpenses
Reconcilation Other Changes-73520ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance60679BeginningOfYearBalance
Investment Earnings Or Losses869InvestmentEarningsOrLosses
End Of Year Balance61548EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance60000BeginningOfYearBalance
Investment Earnings Or Losses679InvestmentEarningsOrLosses
End Of Year Balance60679EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance60000BeginningOfYearBalance
End Of Year Balance60000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance60000BeginningOfYearBalance
End Of Year Balance60000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.38000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.62000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis101000OtherCostOrOtherBasis
Book Value101000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21627000OtherCostOrOtherBasis
Depreciation19237000Depreciation
Book Value2390000BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis686000OtherCostOrOtherBasis
Depreciation562000Depreciation
Book Value124000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9447000OtherCostOrOtherBasis
Depreciation8726000Depreciation
Book Value721000BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis109000OtherCostOrOtherBasis
Book Value109000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3445000TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
OTHER LIABILITIES$150,000
NETWORK PORTION OF DEBT FUNDING$3,638,000
FieldValueIRS element (for citing)
Total Of Amounts3788000TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART XIV, FIN 48 DISCLOSUREIdentifier
ExplanationNo adjustments to the Financial Statements were required as a result of the implementation of FIN 48. Temporarily Restricted Funds - used for purposes specified by donors. Endowments True endowment funds established by donor gifts and maintained to provide a permanent source of income, generally stipulating that the principal must be invested in kept in tact perpetually while the income generated may be used by the organization.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigentfalseFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense71000TotalCommunityBenefitExpense
Net Community Benefit Expense71000NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense22677000TotalCommunityBenefitExpense
Direct Offsetting Revenue21962000DirectOffsettingRevenue
Net Community Benefit Expense715000NetCommunityBenefitExpense
Percent Of Total Expense0.01770PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense22748000TotalCommunityBenefitExpense
Direct Offsetting Revenue21962000DirectOffsettingRevenue
Net Community Benefit Expense786000NetCommunityBenefitExpense
Percent Of Total Expense0.01950PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2393000TotalCommunityBenefitExpense
Direct Offsetting Revenue337000DirectOffsettingRevenue
Net Community Benefit Expense2056000NetCommunityBenefitExpense
Percent Of Total Expense0.05100PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense795000TotalCommunityBenefitExpense
Direct Offsetting Revenue715000DirectOffsettingRevenue
Net Community Benefit Expense80000NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3188000TotalCommunityBenefitExpense
Direct Offsetting Revenue1052000DirectOffsettingRevenue
Net Community Benefit Expense2136000NetCommunityBenefitExpense
Percent Of Total Expense0.05300PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense25936000TotalCommunityBenefitExpense
Direct Offsetting Revenue23014000DirectOffsettingRevenue
Net Community Benefit Expense2922000NetCommunityBenefitExpense
Percent Of Total Expense0.07250PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,211,000BadDebtExpenseAmount
Amount Reimbursed By Medicare6038000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5893000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall145000MedicareSurplusOrShortfall
Costing Methodology UsedCostingMethodologyUsed
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1BELMONT CTR FOR COMPREHENSIVE TREATMENTBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line14200 Monument AvenueAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19131ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Teaching HospitalXTeachingHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BELMONT CTR FOR COMPREHENSIVE TREATMENTBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Other ReasonXOtherReason
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
PHILADELPHIA CTR FOR HUMAN DEVELOPMENT
10360 Drummond RdPhiladelphiaPA19154Outpatient and Teaching
BELMONT OUTPATIENT
One Penn BlvdPhiladelphiaPA19144Outpatient and Teaching

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierPREAMBLE TO SCHEDULE H, PART VIIdentifier
ExplanationA separate Form Schedule H is filed in the return of Albert Einstein Medical Center ("AEMC") and in the return of Belmont Center for Comprehensive Treatment ("Belmont"). AEMC and Belmont are wholly-owned constituent entities of Albert Einstein Healthcare Network ("AEHN"), their parent company. Amounts provided in AEMC's Form Schedule H and in Belmont's Form Schedule H, Parts I through III, pertain to their respective operations. Narratives in Part VI of each of these Schedule H forms refer to AEHN rather than AEMC or Belmont because Albert Einstein Healthcare Network's commitment, policies and practices as they relate to community needs, providing health benefits and providing other community benefits is the same across all of its constituent entities. Part I line 3c DID THE ORGANIZATION USE FPG TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE? The answer to 3b is "no" because FPG is not AEHN's basis for extending discounted care. Discounted care is extended to all patients who are uninsured regardless of their income level under AEHN's Uninsured Discount Policy. The purpose of Uninsured Discounted Care is to reduce hospital charges to an amount that is comparable to what is received from government and insurance company payers. To this end, an Uninsured Discount Fee Scale has been established. The rates in this Fee Scale have been established at amounts comparable to amounts received from third party payers for a variety of services. Such amounts are generally set at rates higher than Medical Assistance payment rates and lower than Commercial Insurance payment rates. Part I line 6a COMMUNITY BENEFIT REPORT: AEHN prepares an annual Community Benefit Report; however, it is not publicly circulated. It is provided as a presentation to the Quality Assurance Committee of the AEHN Board. The Community Benefit Report presentation provides information on AEHN's service delivery area, cost of charity care, unreimbursed Bad Debts and amounts of funding for community programs - both AEHN's internal funding as well as external funds obtained through government and private grants. This Community Benefit Report for the AEHN Board will serve for developing a community benefit report tailored to communicating the Einstein benefits to the community at large. Initiatives and programs for Belmont's Behavioral Health Network which the AEHN Board report encompasses are as follows: Meeting with staff of American Federation of Suicide Prevention to discuss outreach for residents in City Avenue area. Provided in-service to staff of Life Counseling to discuss services for residents of the Paoli area. Meeting with child and adolescent providers to discuss services we provide for child and adolescents. Represented Belmont Behavioral Health at a Child and Adolescent Mental Health Conference in Montgomery County. Represented Belmont Behavioral Health at a Mental Health Awareness Health Fair at Deliverance Evangelical Church in North Philadelphia. Hosted the Family Resource Network Annual Awards Luncheon honoring community people that have contributed to mental health awareness. Hosted a film and panel discussion for the community on the stigma of mental health. Represented Belmont Behavioral Health at the National Alliance on Mental Illness Greater Philadelphia Annual Walk. Represented Belmont Behavioral Health at a Mental Health Fair in Center City Philadelphia. Represented Belmont Behavioral Health at a Child and Adolescent Mental Health Awareness Day Event in Montgomery County. Part I, line 7, column (f) The amount of bad debt expense included in Part IX, line 25, column (A), but subtracted for purposes of calculating the percentage in this column is $ 1,211,000. Part III, line 4 RATIONALE AND COSTING METHODOLOGY IN DETERMINING BAD DEBT: The provision for doubtful accounts reported on Line 2 is equal to the write off of uncollected accounts valued at the Uninsured Discount Fee Scale amount due from uninsured patients. The provision also includes write offs of uncollected deductibles and copayments due from insured patients under their individual policies. The provision, stated at the amount expected to be collected from patients under AEHN's Uninsured Fee Scale, or under the patient's insurance policy, is the basis for reporting bad debts in the financial statements as an expense. Such reporting is Generally Accepted Accounting Principles as established by Hospital Financial Management Association ("HFMA") Statement Number 15. The amount expected to be collected approximates cost that would have been determined under the ratio of costs to charges methodology. This is the amount reported in Part III, Section A, line 2. Part III, line 4 RATIONALE FOR INCLUDING BAD DEBT IN COMMUNITY BENEFIT: AEHN has a system-wide Charity Care Policy and Uninsured Discount Policy. It has detailed administrative procedures established for qualifying and enrolling patients for charity care or uninsured discounts. It utilizes various mechanisms to inform and educate patients about their eligibility for assistance (Schedule H, Part VI, Line 3 discussion). Despite AEHN's best efforts, patients who need subsidized care may neither seek charity care assistance nor choose to enroll in Pennsylvania's Medical Assistance program. The urgency of some treatments, certain provisions in federal regulations, and most importantly, AEHN's preeminent mission to provide care regardless of ability to pay, requires patient care first, reimbursement second. For these and other reasons, AEHN believes a portion of its bad debt expense as reported on Part III, line 3 represents charity care consistent with its charitable healthcare mission; however it is not possible at this time to measure this. HFMA Statement No.15 recognized that the appropriate classification of charity care and bad debt is often difficult. Consistent with the provisions of HFMA Statement No. 15, and also with instructions to Schedule H Part I, bad debt has not been included in any measurement of charity or community benefit costs. Part III, line 8 COSTING METHODOLOGY TO DETERMINE MEDICARE ALLOWABLE COSTS: AEHN and its constituent entities that file cost reports determine Medicare allowable costs based on the Medicare Provider Reimbursement Manual, Section HIM 15. Part III, line 8 EXTENT TO WHICH A MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: Consistent with the charitable healthcare mission of AEHN and the community benefit standard set forth in IRS Revenue Ruling 69-545, AEHN provides care for all patients covered by Medicare. Such care is provided regardless of whether Medicare reimbursement meets or exceeds the costs incurred by AEHN to provide services. Similar to Medicaid, payment rates for Medicare are set by law rather than through a negotiation process as with private insurers. Medicare rates are determined within the context of all the budgetary needs of the federal government. Medicare payments have historically been established at rates below the costs of providing care to Medicare patients though how far below varies over time and by service. These payment rates have generally been below the costs of providing care for most hospitals resulting in underpayments for services. Each year Medicare is supposed to provide hospitals an increase in both inpatient and outpatient payments to account for inflation in the prices for goods and services hospitals must purchase in order to provide patient care. However recent inpatient rate updates have been set below the rate of inflation and actually have been negative at times. This can result in shortfalls that grow over time for many institutions. A compounding issue occurs when a Medicare shortfall grows to such an extent that it jeopardizes an institution's ability to serve its communities. Currently, AEHN is able to provide the necessary clinical services within the marketplace to Medicare beneficiaries at current payment rates. Part III, line 9b COLLECTION PRACTICES FOR PATIENTS RECEIVING CHARITY CARE OR FINANCIAL ASSISTANCE: Once a patient has been identified as qualifying for charity care no collection actions are taken. For patients qualifying for financial assistance, AEHN offers payment plans as part of its collection policy. PART V, Line 13g Belmont has a patient financial counseling process that begins at the point of admission, or for many scheduled services, prior to admission. Financial counselors present and discuss Belmont's financial assistance policies ("Charity Care" and "Uninsured Discounts"). At the point a financial counselor determines a patient is uninsured and doesn't qualify for medical assistance, SSI or other financial aid programs, the counselor works with the patient to complete a charity care application. If a patient doesn't qualify for charity care, the counselor will make affordable payment arrangements based upon the discounted rates of the self pay fee schedule. PART VI, Line 2 COMMUNITY HEALTH CARE NEEDS ASSESSMENT: AEHN assessesExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BARRY R FREEDMAN
0913127033246702421040420894025821019344130228110
PENNY REZET
02818670735190312440612550241460472031030000
ARNOLD W COHEN MD
0429639094639085300000053280808530
A SUSAN BERNINI
051022009000002640150218068035280011175830251269
ALBERTO ESQUENAZI MD
04723570102726089280103416022976071040308928
FRANK S JAMES MD
0325595040008290062186018755041522600
Sharon Bergen
21049804301604014506962002056003838390175000
Joellen Layne
146645000259021920000168824000
CARL R CHUDNOFSKY MD
04593710920200107380846410227100669480010738
JOHN J KELLY DO
0271285040007084030176017173032611800
DAVID GREENSPAN MD
014254801000006178015660010512018489800
Lee Bransky
12096104150000135850157580154454000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J, PARTI, LINE 1bIdentifier
ExplanationLong term disability benefits are provided to certain key employees. These employee's wages are "grossed up" at their individual tax rates to provide the full value of the benefit since this benefit is reflected in their W2s as taxable wages. SCHEDULE J, PART I, LINE 4b Barry Freedman and Susan Bernini participate in a 457(F) supplemental non qualified retirement plan and received $228,000 and $226,000, respectively, from such plan. SCHEDULE J, PART I, LINE 7 The organization has in place a Pay for Performance Plan where certain executives may earn a percentage of such individual executive's base salary, depending upon whether he or she achieves individual goals set in advance and whether the organization meets a financial performance threshold. The actual payment made depends upon whether all or a portion of the goals have been achieved in the time frame specified. The decision as to whether incentive compensation is awarded to the eligible executives is made by the compensation committee.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PART VI, LINES 4Article 3 of the Articles of Incorporation of Belmont, was amended, to add the following: The corporation is organized and operated exclusively for charitable, religious, educational, and scientific purposes, including, for such purposes, the making of distributions to organizations that qualify as exempt organizations under section 501(c) (3) of the Internal Revenue Code, or the corresponding section of any future federal tax code. FORM 990, PART VI, LINES 6, 7A & 7B As per the Articles of Incorporation, the sole member for BELMONT Center FOR COMPREHENSIVE TREATMENT IS ALBERT EINSTEIN HEALTHCARE NETWORK, a PA nonprofit corporation. As SOLE member, ALBERT EINSTEIN HEALTHCARE NETWORK holds certain powers of election and approval in connection with the governing body. These powers are presented in detail in the ORGANIZATIONs governing documents which the ORGANIZATION makes available to the public upon request.
FORM 990, PART VI, SECTION A, LINE 11AThe Form 990 is prepared in connection with Albert Einstein Healthcare Network's independent accounting firm, PricewaterhouseCoopers LLP and is reviewed internally by Albert Einstein Healthcare Network's management. The Form 990 is then provided to the Audit Committee of the Governing Body for review. After review, but prior to filing, the returns are electronically mailed to the governing board.
FORM 990, PART VI, SECTION B, LINE 12CIn accordance with Organization Policy, each member of the Board of Trustees, all Key employees and officers are required to complete a comprehensive conflict of interest disclosure for review by the Governance Committee of the Board of Trustees. Any actual or potential conflicts of interest are discussed and resolved in accordance with specific guidelines and reported to the Board of Trustees.
FORM 990, PART VI, SECTION B, LINE 15The Board of Trustees of Albert Einstein Healthcare Network, the sole member of BELMONT Center for comprehensive treatment, is responsible for compensation matters and has delegated the responsibility for compensation to the compensation committee of the AEHN Board of trustees. Independent members of the Compensation Committee review and approve the compensation for the CEO and all other officers and key employees of BELMONT CENTER FOR COMPREHENSIVE TREATMENT. The Compensation Committee requires that one or more independent compensation experts review the compensation of all such persons to determine that such compensation is appropriate and reasonable and such independent expert uses applicable comparability data. The Committee reviews the reports of the independent experts in detail and documents the data reviewed, the deliberation and discussion contemporaneously. The decision as to whether incentive compensation is awarded to the eligible executives is made by the comp committee.
FORM 990, PART VI, SECTION C, LINE 19The organization makes its governing documents, conflict of interest policy, and financial statements available upon request.
FORM 990, PART VII, SECTION A, COLUMN BThe officers devote their time to all of the organizations within Albert Einstein healthcare network. As such, the total hours worked by the officers, across all of the organizations, cumulatively represent their full-time employment status.
FORM 990, PART X, LINE 20The Series '09 Bonds are owned by Albert Einstein Healthcare Network (EIN 23-2290323): the debt is recorded on the books of the following affiliated companies: - Albert Einstein Medical Center (EIN 23-1396794) @ 97.272% - Belmont (EIN 23-1352200) @ 2.728%
FORM 990, PART XI, Line 5Change in Unrealized Gains on Investments -$73,520

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ALBERT EINSTEIN HEALTHCARE NETWORK
5501 OLD YORK ROADPHILADELPHIAPA19141232290323HEALTHCAREPA501(c)(3)11CNAfalse
ALBERT EINSTEIN MEDICAL CENTER
5501 OLD YORK ROADPHILADELPHIAPA19141231396794HEALTHCAREPA501(c)(3)3AEHNtrue
EINSTEIN PRACTICE PLAN INC
5501 OLD YORK RDPHILADELPHIAPA19141232664784HEALTHCAREPA501(c)(3)11AAEHNtrue
EINSTEIN COMMUNITY HEALTH ASSOCIATES
5501 OLD YORK ROADPHILADELPHIAPA19141232760086HEALTHCAREPA501(c)(3)11AAEHNtrue
GHMC MANAGEMENT INC
101 E OLNEY AVENUE EINSTEIN PLAZAPHILADELPHIAPA19141232225809HEALTHCAREPA501(c)(3)11AAEHNtrue
EINSTEIN MEDICAL CENTER MONTGOMERY
5501 OLD YORK ROADPHILADELPHIAPA19141204193243HEALTHCAREPA501(c)(3)3AEHNtrue
FRIENDS OF MOSS REHAB
12th Streets Tabor RoadPhiladelphiaPA19131222483287HEALTHCAREPA501(c)(3)11AAEHNtrue
MONTGOMERY HOSPITAL
1301 Powell StNorristownPA19401231352193HEALTHCAREPA501(c)(3)3AEHNtrue
MONTGOMERY HEALTH FOUNDATION
1330 Powell St STE 309NorristownPA19401222456265HOSP SUPPORTPA501(c)(3)11BAEHNtrue
FORNANCE PHYSICIAN SERVICES INC
1330 Powell STNorristownPA19401232275991HEALTHCAREPA501(c)(3)11AAEHNtrue
MONTGOMERY HOSPITAL WORKERS COMPENSATION
1301 Powell STNorristownPA19401232351775HEALTHCAREPA501(c)(3)11AAEHNtrue
BROADLINE RISK RETENTION GROUP
100 Bank StBurlingtonVT05401272583356INSURANCEVT501(c)(3)11AAEHNtrue
MONTGOMERY HOSPITAL SELF INSURED TRUST
1301 Powell StNorristownPA19401556151681INSURANCEPA501(c)(3)11AAEHNtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
EINSTEIN HEALTHCARE SYSTEMS INC
101 Olney AvenuePhiladelphiPA19120232314938HOLDING COMPAPAAEHNC CORP-233114907541.00000
REHAB VENTURES INC
1200 W Tabor RoadPhiladelphiaPA19141232619394HOLDING COMPAPAAEMCC CORP8597718964071.00000
CMMC INC
15 W Wood StreetNorristownPA19401232256479Rental ProperPAAEHNC CORP6521613570101.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg