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WINDBER HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WINDBER HOSPITAL INC (EIN 25-1244202)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201311309349302781
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)
Timestamp2013-05-10T14:31:48-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BARNES SALY & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1637 FERNDALE AVENUE SUITE 100AddressLine1
CityJOHNSTOWNCity
StatePAState
ZIP Code159053999ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251244202EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WINDBER HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWINDNameControl
Phone8144673000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 SOMERSET AVENUEAddressLine1
CityWINDBERCity
StatePAState
ZIP Code15963ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD SUKENIKName
TitleCHIEF FINANCIAL OFFICERTitle
Phone8144673000Phone
Date Signed2013-05-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN J SARACENA CPAName
Phone8142881544Phone
Date Prepared2013-05-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1WINDBER MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonBARBARA CLIFFNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1600 SOMERSET AVENUEAddressLine1
CityWINDBERCity
StatePAState
ZIP Code15963ZIPCode
FieldValueIRS element (for citing)
Gross Receipts51279720GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WINDBERCARE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionWINDBER 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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees584TotalNbrEmployees
Total Nbr Volunteers90TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3871617ContributionsGrantsPriorYear
Contributions Grants Current Year2735956ContributionsGrantsCurrentYear
Program Service Revenue Prior Year41378534ProgramServiceRevenuePriorYear
Program Service Revenue CY42763861ProgramServiceRevenueCY
Investment Income Prior Year40837InvestmentIncomePriorYear
Investment Income Current Year5809InvestmentIncomeCurrentYear
Other Revenue Prior Year3933929OtherRevenuePriorYear
Other Revenue Current Year5744094OtherRevenueCurrentYear
Total Revenue Prior Year49224917TotalRevenuePriorYear
Total Revenue Current Year51249720TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year25908539SalariesEtcPriorYear
Salaries Etc Current Year26306410SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year24066527OtherExpensePriorYear
Other Expenses Current Year23900851OtherExpensesCurrentYear
Total Expenses Prior Year49975066TotalExpensesPriorYear
Total Expenses Current Year50207261TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-750149RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1042459RevenuesLessExpensesCY
Total Assets BOY31459782TotalAssetsBOY
Total Assets EOY30548159TotalAssetsEOY
Total Liabilities BOY18175779TotalLiabilitiesBOY
Total Liabilities EOY19482695TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13284003NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11065464NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWINDBER 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3563261Expense
Revenue5895501Revenue
DescriptionSURGERY - WE PERFORMED 662 INPATIENT SURGERIES AND 1,360 OUTPATIENT SURGERIES. OUR BUDGETED VOLUMES WERE 571 INPATIENT SURGERIES AND 1,177 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

FieldValueIRS element (for citing)
Expense3164767Expense
Revenue9198562Revenue
DescriptionLABORATORY - WE PERFORMED 53,688 INPATIENT TEST AND 325,696 OUTPATIENT TESTS. OUR BUDGETED VOLUMES WERE 50,442 INPATIENT AND 299,624 OUTPATIENT TESTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2074341Expense
Revenue4141198Revenue
DescriptionEMERGENCY - WE SAW 602 PATIENTS THAT WERE LATER ADMITTED AND WE SAW 11,467 OUTPATIENTS. OUR BUDGETED VOLUMES WERE 670 INPATIENTS AND 11,248 OUTPATIENTS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense29612556Expense
Revenue23528600Revenue
DescriptionALL OTHER PATIENT SERVICE REVENUE AND EXPENSES FOR HOSPITAL DEPARTMENTSDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp29612556TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev23528600TotalOfOtherProgramServiceRev
Total Program Service Expense38414925TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
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 EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096134NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees584NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
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 PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WINDBER HOSPITAL FINANCE DEPARTMENTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8144673000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 SOMERSET AVEAddressLine1
CityWINDBERCity
StatePAState
ZIP Code15963ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOHN F HOLLERN
CHAIRMAN5.00XX000
ATTY JEAN MCKELVEY
V. CHAIRMAN3.00XX000
DANIEL NOVAK DMD
SECRETARY2.00XX000
JUDGE DAVID KLEMENTIK
TREASURER1.00XX000
WILLIAM BAHORIK
BOARD MEMBER1.00X000
BARNEY CUSTER
BOARD MEMBER1.00X000
DAVID CISKOS MD
BOARD MEMBER1.00X000
JAMES VASILKO
BOARD MEMBER1.00X000
CLEA HOLLIS ED D
BOARD MEMBER1.00X000
DENNIS KOTZANCPA
BOARD MEMBER1.00X000
ATTY TIMOTHY LEVENTRY
BOARD MEMBER1.00X000
GONGLIANG SHUE MD
BOARD MEMBER1.00X000
BARBARA CLIFF
PRES & CEO40.00X249251012345
LINDA FANALE
CFO37.00X203125012020
HOLLY RIGBY
COO40.00X143774010951
CINDY LECOMTE
CHIEF PATIEN40.00X11051409178
DR AMY ANDERSON
OB PHYSICIAN40.00344579012020X
DR PRADEEP KULKARNI
OB PHYSICIAN40.0034183809382X
DR CRAIG FOCKLER
GEN PRAC PHY40.00298693011142X
DR DEBA SARMA
SURGEON40.0028269109889X
DR CANAN SAHIN-KANDEMIR
OB PHYSICIAN40.0028056501102X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2255030TotalReportableCompFromOrg
Total Other Compensation88029TotalOtherCompensation
Number Individuals GT100 K22NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WINDBER ANESTHESIA
ASSOCIATES195 STARDUST DRIVEJOHNSTOWNPA15904ANESTHESIA SERV450000
DR LIBANG FU
432 BOWEN DRIVEEXTONPA19341ANESTHESIA SERV450000
JUSTINE CORNELL
300 LINDA STREETJOHNSTOWNPA15905ANESTHESIA SERV199144
DR BHUPINDER DATTA
529 FAIRVIEW ROADPITTSBURGHPA15238EMERGENCY SERV185898
JACQUELINE SPRINCZ
146 GETTA WAYJOHNSTOWNPA15909ANESTHESIA SERV183153
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Government Grants32622GovernmentGrants
All Other Contributions2703334AllOtherContributions
Total Contributions2735956TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Total Revenue Column42763861TotalRevenueColumn
Related Or Exempt Function Income42763861RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue42763861TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4000TotalRevenueColumn
Exclusion$4,000ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real130431Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real130431Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column130431TotalRevenueColumn
Exclusion$130,431ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities31809Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities30000Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1809Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1809TotalRevenueColumn
Exclusion$1,809ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PHYSICIAN PRACTICE REVENUE2578331$2,578,331
MEANINGFUL USE PAYMENT1526259$1,526,259
ANESTHESIA REVENUE369603$1,139,470

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1139470TotalRevenueColumn
Exclusion$369,603ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5613663TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column51249720TotalRevenueColumn
Related Or Exempt Function Income42763861RelatedOrExemptFunctionIncome
Exclusion$5,749,903ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total706664Total
Program Services110514ProgramServices
Management And General596150ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21010083Total
Program Services15040874ProgramServices
Management And General5969209ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total57372Total
Program Services41072ProgramServices
Management And General16300ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3051899Total
Program Services2184819ProgramServices
Management And General867080ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1480392Total
Program Services1059795ProgramServices
Management And General420597ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total93965Total
Program Services796ProgramServices
Management And General93169ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total75565Total
Management And General75565ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total308119Total
Program Services17761ProgramServices
Management And General290358ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total194786Total
Program Services175307ProgramServices
Management And General19479ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8553297Total
Program Services8099417ProgramServices
Management And General453880ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1014446Total
Program Services710112ProgramServices
Management And General304334ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total859327Total
Program Services257798ProgramServices
Management And General601529ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total273291Total
Program Services232297ProgramServices
Management And General40994ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total89059Total
Program Services66794ProgramServices
Management And General22265ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total294885Total
Program Services221164ProgramServices
Management And General73721ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1164798Total
Program Services873598ProgramServices
Management And General291200ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total817111Total
Program Services653689ProgramServices
Management And General163422ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES28142762373646440630
EQUIPMENT RENTAL & MAINT27233911906374817017
BAD DEBTS22014892201489
MED PROF FEES19693431969343

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total453703Total
Program Services218266ProgramServices
Management And General235437ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total50207261Total
Program Services38414925ProgramServices
Management And General11792336ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1143082BOY
EOY624402EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6070399BOY
EOY4984189EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1082225BOY
EOY1112145EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY458308BOY
EOY324047EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis46358425LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec30440903LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16207306BOY
EOY15917522EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1797489BOY
EOY1014084EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4700973BOY
EOY6571770EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY31459782BOY
EOY30548159EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6222692BOY
EOY5791700EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY260888BOY
EOY182354EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5540000BOY
EOY4550000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2496427BOY
EOY1499483EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3655772BOY
EOY7459158EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18175779BOY
EOY19482695EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13284003BOY
EOY11045785EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY19679EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13284003BOY
EOY11065464EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31459782BOY
EOY30548159EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1042459ReconcilationRevenueExpenses
Reconcilation Other Changes-3260998ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis414727OtherCostOrOtherBasis
Book Value414727BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis28362399OtherCostOrOtherBasis
Depreciation14602371Depreciation
Book Value13760028BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1383058OtherCostOrOtherBasis
Depreciation1080230Depreciation
Book Value302828BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16198241OtherCostOrOtherBasis
Depreciation14758302Depreciation
Book Value1439939BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15917522TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLE4899578
OTHER ASSETS1481120
DEFERRED FINANCING COSTS191072
FieldValueIRS element (for citing)
Total Book Value Other Assets6571770TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
PENSION LIABILITY$5,783,541
LIABILITY FOR MALPRACTICE$1,375,935
CAPITAL LEASE OBLIGATIONS$127,663
ASSET RETIREMENT OBLIGATION$101,860
ESTIMATED THIRD PARTY SETTLEMENTS$50,000
DEFERRED REVENUE$20,159
FieldValueIRS element (for citing)
Total Of Amounts7459158TotalOfAmounts
Total Revenue51249720TotalRevenue
Total Expenses50207261TotalExpenses
Excess Or Deficit For Year1042459ExcessOrDeficitForYear
Other-$3,260,998OtherAmount
Total Adjustments-3260998TotalAdjustments
Excess Or Deficit Per FS-2218539ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt47988722TotRevenueEtcAuditedFinclStmt
Other Revenues-3260998OtherRevenues
Revenue Not Rptd F990-3260998RevenueNotRptdF990
Revenue Subtotal51249720RevenueSubtotal
Total Revenue Per Form99051249720TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt50207261TotExpensesEtcAuditedFinclStmt
Expenses Subtotal50207261ExpensesSubtotal
Total Expenses Per Form99050207261TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8PENSION ADJUSTMENT -3,524,778 NET ASSETS RELEASED FROM RESTRICTION 296,290 TRANSFER OF NET ASSETS -57,997 INVESTMENT INCOME 5,808 TEMP RESTRICTED NET ASSETS 19,679
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DPENSION ADJUSTMENT -3,524,778 NET ASSETS RELEASED FROM RESTRICTION 296,290 TRANSFER OF NET ASSETS -57,997 INVESTMENT INCOME 5,808 TEMP RESTRICTED NET ASSETS 19,679

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense669348TotalCommunityBenefitExpense
Direct Offsetting Revenue465532DirectOffsettingRevenue
Net Community Benefit Expense203816NetCommunityBenefitExpense
Percent Of Total Expense0.00410PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4511258TotalCommunityBenefitExpense
Direct Offsetting Revenue2354523DirectOffsettingRevenue
Net Community Benefit Expense2156735NetCommunityBenefitExpense
Percent Of Total Expense0.04300PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense5180606TotalCommunityBenefitExpense
Direct Offsetting Revenue2820055DirectOffsettingRevenue
Net Community Benefit Expense2360551NetCommunityBenefitExpense
Percent Of Total Expense0.04700PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense30583TotalCommunityBenefitExpense
Direct Offsetting Revenue7129DirectOffsettingRevenue
Net Community Benefit Expense23454NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense30583TotalCommunityBenefitExpense
Direct Offsetting Revenue7129DirectOffsettingRevenue
Net Community Benefit Expense23454NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5211189TotalCommunityBenefitExpense
Direct Offsetting Revenue2827184DirectOffsettingRevenue
Net Community Benefit Expense2384005NetCommunityBenefitExpense
Percent Of Total Expense0.04750PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense19487TotalCommunityBuildingExpense
Net Community Building Expense19487NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense19487TotalCommunityBuildingExpense
Net Community Building Expense19487NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,201,489BadDebtExpenseAmount
Amount Attributable To129600AmountAttributableTo
Amount Reimbursed By Medicare4251467AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5897624CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1646157MedicareSurplusOrShortfall
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 Line1WINDBER HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1600 SOMERSET AVENUEAddressLine1
CityWINDBERCity
StatePAState
ZIP Code15963ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WINDBER HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.0FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALUM BANK RURAL HEALTH CLINICBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1121 ROLLING ACRES DRIVEAddressLine1
CityALUM BANKCity
StatePAState
ZIP Code15521ZIPCode
FieldValueIRS element (for citing)
Facility TypeRURAL HEALTH CLINICFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferencePART VIReturnReference
Explanation1 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 SUPPORTExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrg
BARBARA CLIFF
24925112345261596
LINDA FANALE
195625120202151457500
HOLLY RIGBY
140274109511547253500
DR AMY ANDERSON
34457912020356599
DR PRADEEP KULKARNI
3418389382351220
DR CRAIG FOCKLER
29869311142309835
DR DEBA SARMA
2826919889292580
DR CANAN SAHIN-KANDEMIR
2805651102281667

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1APAYMENT OF COUNTRY CLUB DUES
RELATED ORG METHODS USED FOR COMPENSATION EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 3ALL OFFICERS HAVE EMPLOYMENT CONTRACTS WHICH LIST COMPENSATION AGREED UPON BY THE INDIVIDUAL AND THE BOARD OF DIRECTORS.
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATIONSCHEDULE J, PAGE 1, PART I, LINE 6AADDITIONAL COMPENSATION IS CONTINGENT UPON NET REVENUES OR ORGANIZATION PER EMPLOYMENT AGREEMENT.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DALL OTHER PATIENT SERVICE REVENUE AND EXPENSES FOR HOSPITAL DEPARTMENTS
POLICIES AND PROCEDURES GOVERNING CHAPTERSFORM 990, PAGE 6, PART VI, LINE 10BNO POLICIES OR PROCEDURES GOVERNING LOCAL BRANCHES OR AFFILIATES
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AND OFFICERS.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE 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 OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AWE USE SALARY DATA FROM OUR REGION, SURVEYS AND NEGOTIATION TO DETERMINE COMPENSATION FOR EXECUTIVES AND KEY EMPLOYEES.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BWE USE SALARY DATA FROM OUR REGION, SURVEYS AND NEGOTIATION TO DETERMINE COMPENSATION FOR EXECUTIVES AND KEY EMPLOYEES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC, EITHER POSTED INTERNALLY OR AVAILABLE UPON REQUEST

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2Controlled OrgControlledOrgBusiness Name Line2NameOfDisregardedEntity/BusinessNameLine2
WINDBER HEALTHCARE FOUNDATION
600 SOMERSET AVENUEWINDBERPA15963251552830FUNDRAISINPA501C311AWINDBERWINDBER HOSPITALfalse
WINDBER HOSPITAL PALLIATIVE CARE
600 SOMERSET AVENUEWINDBERPA15963251455169FUNDRAISINPA501C39WINDBERWINDBER HOSPITALfalseFOUNDATION
WINDBER RESEARCH INSTITUTE
620 7TH STREETWINDBERPA15963251877336RESEARCHPA501C34NAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1WINDBER PROFESSIONAL SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 SOMERSET AVENUEAddressLine1
CityWINDBERCity
StatePAState
ZIP Code15963ZIPCode
FieldValueIRS element (for citing)
EIN251531227EIN
Primary ActivityR EST RENTPrimaryActivity
Legal Domicile StatePALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WINDBERBusinessNameLine1
Business Name Line2WINDBER HOSPITALBusinessNameLine2
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
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 AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
WINDBER PROFESSIONAL SERVICES INC
H213098GL TB
WINDBER HEALTH CARE FOUNDATION
H522213GL TB
WINDBER RESEARCH INSTITUTE
H5294GL TB
WINDBER PALLIATIVE CARE FOUNDATION
H415730GL TB