2013-05-10T14:31:48-05:00 2012-06-30 BARNES SALY & COMPANY LLP 637 FERNDALE AVENUE SUITE 100 JOHNSTOWN PA 159053999 990 2011-07-01 251244202 WINDBER HOSPITAL INC WIND 8144673000 600 SOMERSET AVENUE WINDBER PA 15963 RICHARD SUKENIK 8144673000 2013-05-09 true JOHN J SARACENA CPA 8142881544 2013-05-09 2011 2016-02-25 16:41:14Z WINDBER MEDICAL CENTER BARBARA CLIFF 600 SOMERSET AVENUE WINDBER PA 15963 51279720 false X WWW.WINDBERCARE.COM X 1973 PA WINDBER MEDICAL CENTER IS A NON-PROFIT COMMUNITY-BASED HOSPITAL DEDICATED TO PROVIDING EXCELLENCE IN PERSONALIZED, QUALITY HEALTHCARE SERVICES THROUGH INNOVATION, RESEARCH, AND EDUCATION IN RESPONSE TO COMMUNITY NEEDS. 12 12 584 90 0 3871617 2735956 41378534 42763861 40837 5809 3933929 5744094 49224917 51249720 0 0 25908539 26306410 0 0 24066527 23900851 49975066 50207261 -750149 1042459 31459782 30548159 18175779 19482695 13284003 11065464 X WINDBER MEDICAL CENTER IS A NON-PROFIT COMMUNITY-BASED HOSPITAL DEDICATED TO PROVIDING EXCELLENCE IN PERSONALIZED, QUALITY HEALTHCARE SERVICES THROUGH INNOVATION, RESEARCH, AND EDUCATION IN RESPONSE TO COMMUNITY NEEDS. false false 3563261 5895501 SURGERY - 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. 3164767 9198562 LABORATORY - WE PERFORMED 53,688 INPATIENT TEST AND 325,696 OUTPATIENT TESTS. OUR BUDGETED VOLUMES WERE 50,442 INPATIENT AND 299,624 OUTPATIENT TESTS. 2074341 4141198 EMERGENCY - WE SAW 602 PATIENTS THAT WERE LATER ADMITTED AND WE SAW 11,467 OUTPATIENTS. OUR BUDGETED VOLUMES WERE 670 INPATIENTS AND 11,248 OUTPATIENTS. 29612556 23528600 ALL OTHER PATIENT SERVICE REVENUE AND EXPENSES FOR HOSPITAL DEPARTMENTS 29612556 23528600 38414925 true true false false false false false false false false true false false true true false true true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 134 0 true 584 true false false false false false false X 12 12 false false false false false false false true true false false true true true true false false true true false PA X WINDBER HOSPITAL FINANCE DEPARTMENT 8144673000 600 SOMERSET AVE WINDBER PA 15963 JOHN F HOLLERN 5.00 X X 0 0 0 ATTY JEAN MCKELVEY 3.00 X X 0 0 0 DANIEL NOVAK DMD 2.00 X X 0 0 0 JUDGE DAVID KLEMENTIK 1.00 X X 0 0 0 WILLIAM BAHORIK 1.00 X 0 0 0 BARNEY CUSTER 1.00 X 0 0 0 DAVID CISKOS MD 1.00 X 0 0 0 JAMES VASILKO 1.00 X 0 0 0 CLEA HOLLIS ED D 1.00 X 0 0 0 DENNIS KOTZANCPA 1.00 X 0 0 0 ATTY TIMOTHY LEVENTRY 1.00 X 0 0 0 GONGLIANG SHUE MD 1.00 X 0 0 0 BARBARA CLIFF 40.00 X 249251 0 12345 LINDA FANALE 37.00 X 203125 0 12020 HOLLY RIGBY 40.00 X 143774 0 10951 CINDY LECOMTE 40.00 X 110514 0 9178 DR AMY ANDERSON 40.00 X 344579 0 12020 DR PRADEEP KULKARNI 40.00 X 341838 0 9382 DR CRAIG FOCKLER 40.00 X 298693 0 11142 DR DEBA SARMA 40.00 X 282691 0 9889 DR CANAN SAHIN-KANDEMIR 40.00 X 280565 0 1102 2255030 88029 22 false true false WINDBER ANESTHESIA ASSOCIATES 195 STARDUST DRIVE JOHNSTOWN PA 15904 ANESTHESIA SERV 450000 DR LIBANG FU 432 BOWEN DRIVE EXTON PA 19341 ANESTHESIA SERV 450000 JUSTINE CORNELL 300 LINDA STREET JOHNSTOWN PA 15905 ANESTHESIA SERV 199144 DR BHUPINDER DATTA 529 FAIRVIEW ROAD PITTSBURGH PA 15238 EMERGENCY SERV 185898 JACQUELINE SPRINCZ 146 GETTA WAY JOHNSTOWN PA 15909 ANESTHESIA SERV 183153 8 32622 2703334 2735956 NET PATIENT SERVICE REVENUE 42763861 42763861 42763861 4000 4000 130431 130431 130431 130431 31809 30000 1809 1809 1809 PHYSICIAN PRACTICE REVENUE 2578331 2578331 MEANINGFUL USE PAYMENT 1526259 1526259 ANESTHESIA REVENUE 369603 1139470 1139470 369603 5613663 51249720 42763861 5749903 706664 110514 596150 21010083 15040874 5969209 57372 41072 16300 3051899 2184819 867080 1480392 1059795 420597 93965 796 93169 75565 75565 308119 17761 290358 194786 175307 19479 8553297 8099417 453880 1014446 710112 304334 859327 257798 601529 273291 232297 40994 89059 66794 22265 294885 221164 73721 1164798 873598 291200 817111 653689 163422 PURCHASED SERVICES 2814276 2373646 440630 EQUIPMENT RENTAL & MAINT 2723391 1906374 817017 BAD DEBTS 2201489 2201489 MED PROF FEES 1969343 1969343 453703 218266 235437 50207261 38414925 11792336 0 1143082 624402 6070399 4984189 1082225 1112145 458308 324047 46358425 30440903 16207306 15917522 1797489 1014084 4700973 6571770 31459782 30548159 6222692 5791700 260888 182354 5540000 4550000 2496427 1499483 3655772 7459158 18175779 19482695 X 13284003 11045785 19679 13284003 11065464 31459782 30548159 1042459 -3260998 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 414727 414727 28362399 14602371 13760028 1383058 1080230 302828 16198241 14758302 1439939 15917522 OTHER RECEIVABLE 4899578 OTHER ASSETS 1481120 DEFERRED FINANCING COSTS 191072 6571770 PENSION LIABILITY 5783541 LIABILITY FOR MALPRACTICE 1375935 CAPITAL LEASE OBLIGATIONS 127663 ASSET RETIREMENT OBLIGATION 101860 ESTIMATED THIRD PARTY SETTLEMENTS 50000 DEFERRED REVENUE 20159 7459158 51249720 50207261 1042459 -3260998 -3260998 -2218539 47988722 -3260998 -3260998 51249720 51249720 50207261 50207261 50207261 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 PENSION 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 - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D PENSION 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 true true true X true X true true false false 669348 465532 203816 0.00410 4511258 2354523 2156735 0.04300 5180606 2820055 2360551 0.04700 30583 7129 23454 0.00050 30583 7129 23454 0.00050 5211189 2827184 2384005 0.04750 19487 19487 0.00040 19487 19487 0.00040 true 2201489 129600 4251467 5897624 -1646157 true true 1 1 WINDBER HOSPITAL INC

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X X X WINDBER HOSPITAL INC 1 false true true 200.0 true 200.0 true X X X X X X true true X X true X X false true X false false 1 ALUM BANK RURAL HEALTH CLINIC

121 ROLLING ACRES DRIVE ALUM BANK PA 15521

RURAL HEALTH CLINIC ADDITIONAL INFORMATION PART VI 1 PART II WINDBER HOSPITAL CONDUCTED AEDCPR CLASSES THROUGHOUT THE YEAR ALONG WITH SEMINARS ON WORKPLACE VIOLENCE DISASTER RESPONSE AND TERRORISM RESPONSE WE ALSO PROVIDED FLU SHOTS TO THE COMMUNITY FREE OF CHARGE PART III LINE 4 SEE FOOT NOTE IN FINANCIAL STATEMENTS PART III LINE 8 ANY SHORTFALL RELATED TO GOVERNMENT PROGRAMS IE MEDICARE MEDICAID ETC IS WRITTEN OFF BY THE HOSPITAL AND WE DO NOT COLLECT ANY FUNDS FROM PATIENTS TO OFFSET THESE WRITEOFFS OTHER THAN A DEDUCTIBLE OR COPAY OUR MEDICARE REIMBURSEMENT IS BASED PARTLY ON OUR COST TO CHARGE RATIO AND ANY AMOUNTS THAT WE WRITE OFF BENEFIT THE INDIVIDUAL AS WELL AS THE ENTIRE COMMUNITY PART III LINE 9B OUR POLICIES SPECIFY THE CRITERIA FOR FINANCIAL ASSISTANCE AS WELL AS HOW MANY STATEMENTS THE PATIENT WILL RECEIVE HOW THEY CAN INQUIRE ABOUT THEIR ACCOUNT AND INFORMATION ABOUT HOW THEY CAN MAKE PAYMENTS OR SET UP A PAYMENT PLAN 2 AS A COMMUNITY HEALTHCARE PROVIDED RECOGNIZED FOR EXEMPLARY SERVICE TO PATIENTS WE ASSESS THE HEALTHCARE NEEDS OF OUR COMMUNITIES IN A NUMBER OF WAYS 1 WE ASK OUR COMMUNITY OF THEIR NEEDS THROUGH ROUTINE SCHEDULE FOCUS GROUP MEETINGS 2 WE ANALYZE THE RESULTS OF ANNUAL COUNTY HEALTH RANKINGS AND USE THE INFORMATION TO FORMULATE COMMUNITY OUTREACH STRATEGIES 3 WE HAVE A COMMUNITY OUTREACH DEPARTMENT THAT ASSISTS IN TAKING OUR MESSAGE TO THE COMMUNITIES WE SERVE 4WE CONDUCT PERIODIC COMMUNITY HEALTH EDUCATIONAWARENESS SESSION ON IMPORTANT TOPICS AND ALSO CONDUCT MULTIPHASIC BLOOD DRAWS AT A VARIETY OF LOCATIONS WE HAVE ALSO BEEN AN ACTIVE PARTICIPANT IN A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT LAST CONDUCTED IN 2010 BY ST FRANCIS UNIVERSITYS CENTER OF EXCELLENCE FOR RURAL AND MEDICALLY UNDERSERVED AREAS CERMUSA IN LORETTO PA 3 WE CONTRACT AN OUTSIDE LAW FIRM TO ASSIST PATIENTS IN FILING FOR MEDICAL ASSISTANCE IF THEIR APPLICATION IS DENIED WE PROVIDE AN APPLICATION FOR CHARITY CARE THROUGH THE HOSPITAL AND ALSO PROVIDE EDUCATION ABOUT HOW THE PROGRAM WORKS 4 WINDBER HOSPITAL SERVICES WESTCENTRAL PENNSYLVANIA ALTHOUGH OUR HOSPITAL IS CLASSIFIED AS RURAL BY MEDICARE OUR STRONGEST ORIENTATION IS THE JOHNSTOWN METROPOLITAN AREA WHICH HAS A POPULATION OF ALMOST 200000 THE AGE OF OUR POPULATION IS OLDER THAN THE NATIONAL AVERAGE WITH 19 OF PEOPLE OVER THE AGE OF 65 THE BIRTHRATE IN OUR AREA IS THE SEVENTH LOWEST IN THE UNITED STATES OUR REIMBURSEMENT FROM MEDICARE AND MEDICARE MANAGED CARE PRODUCTS ACCOUNT FOR ALMOST 50 OF OUR TOTAL INSURANCE RECEIPTS 5 IN KEEPING WITH THE INTENT OF ACA WE NOW INTEND TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT BY THE END OF CALENDAR YEAR 2012 AND THE PROCESS IS ACTIVELY UNDERWAY THE PURPOSE OF THIS INITIATIVE IS TO PERIODICALLY CONSOLIDATE DATA AND PERSPECTIVES ABOUT THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY IN ORDER TO IDENTIFY ASSETS POTENTIAL CONCERNS AND OPPORTUNITIES FOR IMPROVEMENT THE GOALS ARE TO 1 IDENTIFY UNMET HEALTHRELATED NEEDS AND PEOPLE FACING DISPROPORTIONATE UNMET HEALTHRELATED NEEDS 2 IDENTIFY ASSETS POTENTIAL CONCERNS AND OPPORTUNITIES FOR IMPROVEMENT OF DELIVERY OF COMMUNITY HEALTH SERVICES AND PROGRAMS 3 TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BOARD INTERESTS OF THE COMMUNITIES SERVED BY WMC INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH 4 PROVIDE INFORMATION TO AID IN DEVELOPING BUDGETS AND COMMITTAL OF FINANCIAL RESOURCES AND 5 HELP MEET THE FEDERAL INCOME TAX EXEMPTION SECTION 501C3 THIS INFORMATION WILL BE USED TO FURTHER DEVELOP STRATEGIES FOR COMMUNITY OUTREACH EDUCATION AND SUPPORT X true true X X false false false false false true false false false BARBARA CLIFF 249251 12345 261596 LINDA FANALE 195625 7500 12020 215145 HOLLY RIGBY 140274 3500 10951 154725 DR AMY ANDERSON 344579 12020 356599 DR PRADEEP KULKARNI 341838 9382 351220 DR CRAIG FOCKLER 298693 11142 309835 DR DEBA SARMA 282691 9889 292580 DR CANAN SAHIN-KANDEMIR 280565 1102 281667 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A PAYMENT OF COUNTRY CLUB DUES RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 3 ALL OFFICERS HAVE EMPLOYMENT CONTRACTS WHICH LIST COMPENSATION AGREED UPON BY THE INDIVIDUAL AND THE BOARD OF DIRECTORS. COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 6A ADDITIONAL COMPENSATION IS CONTINGENT UPON NET REVENUES OR ORGANIZATION PER EMPLOYMENT AGREEMENT. ALL OTHER ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D ALL OTHER PATIENT SERVICE REVENUE AND EXPENSES FOR HOSPITAL DEPARTMENTS POLICIES AND PROCEDURES GOVERNING CHAPTERS FORM 990, PAGE 6, PART VI, LINE 10B NO POLICIES OR PROCEDURES GOVERNING LOCAL BRANCHES OR AFFILIATES ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AND OFFICERS. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE COMPLIANCE OFFICER REVIEWS OUR CONFLICT OF INTEREST POLICY WITH OFFICERS, DIRECTORS AND KEY EMPLOYEES ON AN ANNUAL BASIS AND HAS THEM SIGN AN UNDERSTANDING OF SUCH. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A WE USE SALARY DATA FROM OUR REGION, SURVEYS AND NEGOTIATION TO DETERMINE COMPENSATION FOR EXECUTIVES AND KEY EMPLOYEES. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B WE USE SALARY DATA FROM OUR REGION, SURVEYS AND NEGOTIATION TO DETERMINE COMPENSATION FOR EXECUTIVES AND KEY EMPLOYEES. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC, EITHER POSTED INTERNALLY OR AVAILABLE UPON REQUEST WINDBER HEALTHCARE FOUNDATION 600 SOMERSET AVENUE WINDBER PA 15963 251552830 FUNDRAISIN PA 501C3 11A WINDBER WINDBER HOSPITAL false WINDBER HOSPITAL PALLIATIVE CARE FOUNDATION 600 SOMERSET AVENUE WINDBER PA 15963 251455169 FUNDRAISIN PA 501C3 9 WINDBER WINDBER HOSPITAL false WINDBER RESEARCH INSTITUTE 620 7TH STREET WINDBER PA 15963 251877336 RESEARCH PA 501C3 4 NA false WINDBER PROFESSIONAL SERVICES 600 SOMERSET AVENUE WINDBER PA 15963 251531227 R EST RENT PA WINDBER WINDBER HOSPITAL C CORP true false true false false false false true false true false false true true true true false false WINDBER PROFESSIONAL SERVICES INC H 213098 GL TB WINDBER HEALTH CARE FOUNDATION H 522213 GL TB WINDBER RESEARCH INSTITUTE H 5294 GL TB WINDBER PALLIATIVE CARE FOUNDATION H 415730 GL TB