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CHRISTIAN H BUHL LEGACY TRUST: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHRISTIAN H BUHL LEGACY TRUST (EIN 25-0979377)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201321359349308772
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)
Timestamp2013-05-15T17:12:50-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN250979377EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHARON REGIONAL HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JEFFREY A CHROBACKInCareOfName
Name ControlSHARNameControl
Phone7249833911Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1740 EAST STATE STREETAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN JANOSOName
TitlePRESIDENT & CEOTitle
Date Signed2013-05-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN JANOSONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1740 EAST STATE STREETAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
Gross Receipts191876581GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SHARONREGIONAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1896YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionSHARON REGIONAL HEALTH SYSTEM PROVIDES HIGH QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO OUR COMMUNITIES THROUGH OUR NUMEROUS LOCATIONS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1902TotalNbrEmployees
Total Nbr Volunteers140TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year620901ContributionsGrantsPriorYear
Contributions Grants Current Year1378382ContributionsGrantsCurrentYear
Program Service Revenue Prior Year168667966ProgramServiceRevenuePriorYear
Program Service Revenue CY172468005ProgramServiceRevenueCY
Investment Income Prior Year1369683InvestmentIncomePriorYear
Investment Income Current Year1155658InvestmentIncomeCurrentYear
Other Revenue Prior Year1029013OtherRevenuePriorYear
Other Revenue Current Year9298132OtherRevenueCurrentYear
Total Revenue Prior Year171687563TotalRevenuePriorYear
Total Revenue Current Year184300177TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year37164GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY33799GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year81605744SalariesEtcPriorYear
Salaries Etc Current Year84305247SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year77380901OtherExpensePriorYear
Other Expenses Current Year85605499OtherExpensesCurrentYear
Total Expenses Prior Year159023809TotalExpensesPriorYear
Total Expenses Current Year169944545TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12663754RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14355632RevenuesLessExpensesCY
Total Assets BOY125506249TotalAssetsBOY
Total Assets EOY135056906TotalAssetsEOY
Total Liabilities BOY69119135TotalLiabilitiesBOY
Total Liabilities EOY96531412TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY56387114NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY38525494NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF SHARON REGIONAL HEALTH SYSTEM IS TO PROVIDE THE HIGHEST QUALITY, ADVANCED HEALTHCARE SERVICES TO ALL COMMUNITIES WITHIN OUR REGION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense73921341Expense
Grants33799Grants
Revenue86479963Revenue
DescriptionSHARON REGIONAL EXPERIENCED MORE THAN A QUARTER OF A MILLION OUTPATIENT REGISTRATIONS IN FISCAL YEAR 2012 (265,137) IN PROVIDING SERVICES TO AREA RESIDENTS THROUGH A NUMBER OF SATELLITE LOCATIONS AND SPECIALTY SITES. OUTPATIENTS UTILIZE SHARON REGIONAL FACILITIES IN BOTH PENNSYLVANIA AND OHIO. IN MEETING THE HEALTH CARE NEEDS OF THESE OUTPATIENTS, SHARON REGIONAL PROVIDED $973,000 IN CHARITY CARE, $1,082,000 IN UNCOMPENSATED CARE, AND EXPERIENCED BAD DEBT OF $2,057,158. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense62019438Expense
Revenue80183357Revenue
DescriptionSHARON REGIONAL HEALTH SYSTEM, AS MERCER COUNTY'S LARGEST HEALTH CARE PROVIDER, PROVIDES INPATIENT SERVICES FOR ACUTE CARE, INTENSIVE CARE, HEART CENTER, OB, NURSERY, SKILLED NURSING, IP REHAB, AND IP ADULT AND CHILD BEHAVIORAL HEALTH SERVICES. DURING FISCAL YEAR 2012, SHARON REGIONAL HAD A TOTAL OF 10,524 INPATIENT ADMISSIONS, WITH 54,022 PATIENT DAYS FROM THOSE ADMISSIONS. SRHS IS A DSH PROVIDER WITH A COMBINED MEDICAID AND SSI PERCENTAGE OF 28.3655% OF PATIENT DAYS. AS PART OF THESE INPATIENT SERVICES, SHARON REGIONAL PROVIDED $1,069,000 IN CHARITY CARE, $1,860,000 IN UNCOMPENSATED CARE, & $2,221,731 IN BAD DEBT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4857919Expense
Revenue5804685Revenue
DescriptionTHE EMERGENCY CARE CENTER OF SHARON REGIONAL HEALTH SYSTEM IS THE MOST ADVANCED MEDICAL FACILITY IN MERCER COUNTY. DURING FISCAL YEAR 2012, SHARON REGIONAL'S EMERGENCY CARE CENTER HAD 38,866 PATIENT VISITS AND PROVIDED $470,097 IN CHARITY CARE, $350,000 IN UNCOMPENSATED CARE, AND EXPERIENCED BAD DEBT OF $3,949,743. THIS BAD DEBT AMOUNT IS A DIRECT INDICATOR OF THE NUMBER OF INDIVIDUALS WHO UTILIZE THE EMERGENCY DEPARTMENT FOR PRIMARY MEDICAL CARE, AND WHO DO NOT HAVE THE MEANS TO PAY FOR THOSE SERVICES OR SEEK CHARITY CARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Description
FieldValueIRS element (for citing)
Total Program Service Expense140798698TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096108NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1902NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
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 PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFFREY A CHROBACKNamePerson
Telephone Number7249833815TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1699 EAST STATE STREETAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JAMES E FEENEY
VICE CHAIR (ALT) BEG. 11/111.0XX000
STEPHEN J GURGOVITS
VICE CHAIR1.0XX000
JAMES EPSTEIN
BOARD MEMBER1.0X000
DIANE GARDNER
BOARD MEMBER1.0X000
CLOYD E BRENNEMAN
BOARD MEMBER1.0X000
ROBERT G LIPTAK
BOARD MEMBER1.0X000
LEONARD S MILLER
BOARD MEMBER1.0X000
MARY ODEM
BOARD MEMBER1.0X000
JOHN M HUDSON
ASST. SEC. THROUGH 11/11/DIR.1.0XX000
WILLIAM J STRIMBU
ASST. TREAS THROUGH 11/11/DIR.1.0XX000
ROBERT C JAZWINSKI
CHAIR BEG. 11/111.0XX000
KENNETH JAMES
BOARD MEMBER1.0X000
ANGELA M PALUMBO
SECRETARY-TREASURER1.0XX000
WILLIAM PERRINE
BOARD MEMBER1.0X000
DAVID D'AMORE
BOARD MEMBER BEG. 09/111.0X000
ROBERT MORGENSTERN
BOARD MEMBER BEG. 07/111.0X5620000
JOHN JANOSO
INTERIM CEO THROUGH 08/11/VP40.0X266092049646
MATTHEW LIBURDI
VICE PRESIDENT40.0X159227039633
SUSAN GIBSON
VP PATIENT CARE & CNO40.0X235181019249
JEFFREY A CHROBAK
VICE PRESIDENT/CFO40.0X1918540137585
CAROLYN D'AMORE
ASST. SECRETARY BEG. 11/111.0X000
LINDE FINSRUD WILSON
PRESIDENT & CEO BEG. 08/1140.0X145801027490
JOHN DAVIDSON
VICE PRESIDENT40.0X143836028789
GEORGE C GARROW MD
ONCOLOGIST40.0429300031807X
CYNTHIA SILE
ONCOLOGIST40.034837508567X
STEVEN RIGGALL
PSYCHIATRIST40.0361698015307X
JEFFREY GRYN
ONCOLOGIST40.0324680022867X
JAMIE ADAM
PATHOLOGIST40.0359871031807X
JOHN A ZIDANSEK
FORMER PRESIDENT0.028816600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3310281TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation412747TotalOtherCompensation
Number Individuals GT100 K42NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
CERNER CORP
ELECT MED RECORD1019380
MAYO COLLABORATIVE SVCS
REFERENCE LAB1027901
SODEXO AFFILIATES
OPERATIONS SERVICES1939823
PATRIOT MEDICAL TECHNOLOGY
BIOMEDICAL SERVICES995231
EMP OF MERCER CTY
ER PHYS SERVICES1293342
FieldValueIRS element (for citing)
Number Of Contractors GT100 K45NumberOfContractorsGT100K
Fundraising Events134564FundraisingEvents
Government Grants981166GovernmentGrants
All Other Contributions262652AllOtherContributions
Total Contributions1378382TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE621990163998651163998651
RENT FROM AFFILIATE5311203694036940
PHARMACY44611030929333092933
NURSING SCHOOL611600369131369131
CAFETERIA722210674137674137

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column4296213TotalRevenueColumn
Related Or Exempt Function Income4296213RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue172468005TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1037111TotalRevenueColumn
Exclusion$1,037,111ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column91TotalRevenueColumn
Exclusion$91ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real184620Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real184620Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column184620TotalRevenueColumn
Exclusion$184,620ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7635676Securities
Other26984Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7544070Securities
Other43Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities91606Securities
Other26941Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column118547TotalRevenueColumn
Exclusion$118,547ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events16962GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events134564CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses32291FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-15329TotalRevenueColumn
Exclusion-$15,329ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
EQUITY IN INVESTEE EARNINGS900099935347$935,347
GAIN ON INSURANCE RECOVERIES9000998193403$8,193,403
FieldValueIRS element (for citing)
Total Other Revenue9128750TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column184300177TotalRevenueColumn
Related Or Exempt Function Income172468005RelatedOrExemptFunctionIncome
Exclusion$10,453,790ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total33799Total
Program Services33799ProgramServices

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)
Total1711829Total
Program Services280430ProgramServices
Management And General1431399ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total290588Total
Program Services2422ProgramServices
Management And General288166ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total57079361Total
Program Services47811539ProgramServices
Management And General9267822ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2493617Total
Program Services2270284ProgramServices
Management And General223333ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18395367Total
Program Services15535283ProgramServices
Management And General2860084ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4334485Total
Program Services3645211ProgramServices
Management And General689274ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1260706Total
Management And General1260706ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total342735Total
Management And General342735ManagementAndGeneral

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)
Total88219Total
Management And General88219ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total20649348Total
Program Services17260489ProgramServices
Management And General3388859ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total806348Total
Program Services68217ProgramServices
Management And General738131ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5892653Total
Program Services4021361ProgramServices
Management And General1871292ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1828285Total
Program Services709503ProgramServices
Management And General1118782ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2877010Total
Program Services2252101ProgramServices
Management And General624909ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total793267Total
Program Services439143ProgramServices
Management And General354124ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total141392Total
Program Services86105ProgramServices
Management And General55287ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2054959Total
Program Services1669091ProgramServices
Management And General385868ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7844669Total
Program Services6371644ProgramServices
Management And General1473025ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4626614Total
Program Services2584682ProgramServices
Management And General2041932ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT82286328228632
MEDICAL SUPPLIES & DRUGS2698652826986528
LICENSES, DUES, SUBSCRIPTIONS455183247950207233
RECRUITING & RETENTION469631237170232461

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total259320Total
Program Services57114ProgramServices
Management And General202206ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total169944545Total
Program Services140798698ProgramServices
Management And General29145847ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY97190BOY
EOY131524EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3297134BOY
EOY7711177EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY863649BOY
EOY390643EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16717703BOY
EOY16009049EOY

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)
BOY642601BOY
EOY434876EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3493210BOY
EOY3929669EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1823454BOY
EOY8782468EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis145214600LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec90599973LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY52001817BOY
EOY54614627EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY34845496BOY
EOY34301458EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4744992BOY
EOY5351335EOY

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)
BOY6979003BOY
EOY3400080EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY125506249BOY
EOY135056906EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14072183BOY
EOY13620062EOY

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)
BOY29803524BOY
EOY28610372EOY

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)
BOY8601942BOY
EOY14341561EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16641486BOY
EOY39959417EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY69119135BOY
EOY96531412EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY55756699BOY
EOY37857518EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY630415BOY
EOY667976EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY56387114BOY
EOY38525494EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY125506249BOY
EOY135056906EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14355632ReconcilationRevenueExpenses
Reconcilation Other Changes-32217252ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$89,461OtherActivitiesAmount
Total Lobbying Expenditures IIB89461TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferencePART II-B, LINE 1(B, D, G & I)ReturnReference
ExplanationSALARIES OF $67,676 WERE PAID TO RAYMOND SCHAUER, A FORMER OFFICER OF THE HEALTH SYSTEM. MR. SCHAUER HAS RESUMED HIS EMPLOYMENT WITH THE HEALTH SYSTEM STRICTLY FOR PURPOSES OF LOBBYING & FUNDRAISING ACTIVITIES. MR. SCHAUER'S LOBBYING ACTIVITIES INCLUDED MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC AND DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY. DURING THE YEAR, THE HEALTH SYSTEM PAID DUES TO VARIOUS ASSOCIATIONS. A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. ALL AMOUNTS RELATED TO THESE LOBBYING ACTIVITIES ARE REPORTED ON PART II-B, LINE 1(I).Explanation

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 Balance10970716BeginningOfYearBalance
Investment Earnings Or Losses-706527InvestmentEarningsOrLosses
End Of Year Balance10264189EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance8180726BeginningOfYearBalance
Investment Earnings Or Losses2789990InvestmentEarningsOrLosses
End Of Year Balance10970716EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7004769BeginningOfYearBalance
Contributions2294Contributions
Investment Earnings Or Losses1173663InvestmentEarningsOrLosses
End Of Year Balance8180726EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance9625684BeginningOfYearBalance
Contributions71Contributions
Investment Earnings Or Losses-2620986InvestmentEarningsOrLosses
End Of Year Balance7004769EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2331542OtherCostOrOtherBasis
Book Value2331542BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis41257094OtherCostOrOtherBasis
Depreciation18649571Depreciation
Book Value22607523BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis97929329OtherCostOrOtherBasis
Depreciation71362760Depreciation
Book Value26566569BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3696635OtherCostOrOtherBasis
Depreciation587642Depreciation
Book Value3108993BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings54614627TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION LIABILITIES$29,910,042
ASSET RETIREMENT OBLIGATION$530,977
ESTIMATED SELF-INSURANCE COSTS$1,072,233
DEFERRED COMPENSATION$149,795
EST AMT DUE TO 3RD PARTY PAYER$183,370
MALPRACTICE LIABILITY$8,113,000
FieldValueIRS element (for citing)
Total Of Amounts39959417TotalOfAmounts
Total Revenue184300177TotalRevenue
Total Expenses169944545TotalExpenses
Excess Or Deficit For Year14355632ExcessOrDeficitForYear
Net Unrealized GL On Investments-1721260NetUnrealizedGLOnInvestments
Other-$29,222,992OtherAmount
Total Adjustments-30944252TotalAdjustments
Excess Or Deficit Per FS-16588620ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt156463889TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1721260NetUnrealizedGainsInvestments
Other Revenues-26147319OtherRevenues
Revenue Not Rptd F990-27868579RevenueNotRptdF990
Revenue Subtotal184332468RevenueSubtotal
Other Revenues Not Included-32291OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-32291RevenueNotRptdOnFinStmt
Total Revenue Per Form990184300177TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt173052509TotExpensesEtcAuditedFinclStmt
Other Expenses Included11424815OtherExpensesIncluded
Expenses Not Rptd F99011424815ExpensesNotRptdF990
Expenses Subtotal161627694ExpensesSubtotal
Investment Expenses Not Included288219InvestmentExpensesNotIncluded2
Other Expenses Not Included8228632OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt8316851ExpensesNotRptdOnFinStmt
Total Expenses Per Form990169944545TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS INCLUDE ASSETS SET ASIDE BY THE BOARD OF DIRECTORS FOR FUTURE CAPITAL IMPROVEMENTS, PENSION FUNDING REQUIREMENTS AND POSTRETIREMENT BENEFIT OBLIGATIONS OVER WHICH THE BOARD RETAINS CONTROL AND MAY AT ITS DISCRETION SUBSEQUENTLY USE FOR OTHER PURPOSES.
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
OTHER RECONCILING CHANGE IN NET ASSETSSCHEDULE D, PART XI, LINE 8NET LOSS OF TAX-EXEMPT AFFILIATE $(11,392,524) DEFINED BENEFIT PLANS (17,830,468) -------------- TOTAL $(29,222,992)
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XII, LINE 2DBAD DEBT EXPENSE $( 8,228,632) INVESTMENT FEES ( 88,219) DEFINED BENEFIT PLANS (17,830,468) ------------- TOTAL $(26,147,319)
OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4BSPECIAL EVENT EXPENSES $( 32,291)
OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25SCHEDULE D, PART XIII, LINE 2DNET LOSS OF TAX-EXEMPT AFFILIATE $ 11,392,524 SPECIAL EVENT EXPENSES 32,291 ------------- TOTAL $ 11,424,815
OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1SCHEDULE D, PART XIII, LINE 4BBAD DEBT EXPENSE $ 8,228,632

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CHARITY BALLNameOfEvent1
Gross Receipts Event1118926GrossReceiptsEvent1
Charitable Contributions Event1110000CharitableContributionsEvent1
Gross Revenue Event18926GrossRevenueEvent1
Food And Beverage Event113108FoodAndBeverageEvent1
Entertainment Event11200EntertainmentEvent1
Other Direct Expenses Event15138OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event232600GrossReceiptsEvent2
Charitable Contributions Event224564CharitableContributionsEvent2
Gross Revenue Event28036GrossRevenueEvent2
Cash Prizes Event22635CashPrizesEvent2
Rent Facility Costs Event24840RentFacilityCostsEvent2
Food And Beverage Event24035FoodAndBeverageEvent2
Other Direct Expenses Event21335OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total151526GrossReceiptsTotal
Charitable Contributions Total134564CharitableContributionsTotal
Gross Revenue Total Events16962GrossRevenueTotalEvents
Cash Prizes Total Events2635CashPrizesTotalEvents
Rent Facility Costs Total Events4840RentFacilityCostsTotalEvents
Food And Beverage Total Events17143FoodAndBeverageTotalEvents
Entertainment Total Events1200EntertainmentTotalEvents
Other Direct Expenses Total Events6473OtherDirectExpensesTotalEvents
Direct Expense Summary Events32291DirectExpenseSummaryEvents
Net Income Summary-15329NetIncomeSummary

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 CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense882895TotalCommunityBenefitExpense
Net Community Benefit Expense882895NetCommunityBenefitExpense
Percent Of Total Expense0.00550PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense25447793TotalCommunityBenefitExpense
Direct Offsetting Revenue17017038DirectOffsettingRevenue
Net Community Benefit Expense8430755NetCommunityBenefitExpense
Percent Of Total Expense0.05210PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense26330688TotalCommunityBenefitExpense
Direct Offsetting Revenue17017038DirectOffsettingRevenue
Net Community Benefit Expense9313650NetCommunityBenefitExpense
Percent Of Total Expense0.05760PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1065395TotalCommunityBenefitExpense
Net Community Benefit Expense1065395NetCommunityBenefitExpense
Percent Of Total Expense0.00660PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2001648TotalCommunityBenefitExpense
Direct Offsetting Revenue1986400DirectOffsettingRevenue
Net Community Benefit Expense15248NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense9722900TotalCommunityBenefitExpense
Direct Offsetting Revenue8741670DirectOffsettingRevenue
Net Community Benefit Expense981230NetCommunityBenefitExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense33799TotalCommunityBenefitExpense
Net Community Benefit Expense33799NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12823742TotalCommunityBenefitExpense
Direct Offsetting Revenue10728070DirectOffsettingRevenue
Net Community Benefit Expense2095672NetCommunityBenefitExpense
Percent Of Total Expense0.01290PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense39154430TotalCommunityBenefitExpense
Direct Offsetting Revenue27745108DirectOffsettingRevenue
Net Community Benefit Expense11409322NetCommunityBenefitExpense
Percent Of Total Expense0.07050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$8,228,632BadDebtExpenseAmount
Amount Attributable To1884357AmountAttributableTo
Amount Reimbursed By Medicare47080664AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare48978376CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1897712MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
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 Line1SHARON REGIONAL HEALTH SYSTEMBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1740 E STATE STAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherACUTE CARE, REHAB, LT CARE & BEHAVIORAL HLTH, ANCILLARY SVCSOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SHARON REGIONAL HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities14NumberOfOtherFacilities

Other Facilities OtherFacilities (14 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CANCER CARE CENTER
2320 HIGHLAND RDHERMITAGEPA16148RADIATION & MEDICAL ONCOLOGY SERVICES
CORPORATE HEALTH SERVICES
295 N KERRWOOD DRIVEHERMITAGEPA16148OCCUPATIONAL MEDICINE
DIABETES CENTER
2395 GARDEN WAYHERMITAGEPA16148DIABETES EDUCATION AND TREATMENT
GREENVILLE BEHAVIORAL HEALTH
348 MAIN STGREENVILLEPA16125OUTPATIENT MENTAL HEALTH SERVICES
HERMITAGE BEHAVIORAL HEALTH
2375 GARDEN WAYHERMITAGEPA16148OUTPATIENT MENTAL HEALTH SERVICES
HERMITAGE DIAGNOSTIC CENTER
2435 GARDEN WAYHERMITAGEPA16148DIAGNOSTIC TESTING AND COMMUNITY EDUCATION
HERMITAGE WRAPAROUND
2500 HIGHLAND AVEHERMITAGEPA16148OUTPATIENT MENTAL HEALTH SERVICES
HOME HEALTH AGENCY
663 E STATE STSHARONPA16146HOME CARE SERVICES
LAWRENCE CO WRAPAROUND
125 E NORTH STNEW CASTLEPA16101OUTPATIENT MENTAL HEALTH SERVICES
MERCER FAMILY MEDICINE CENTER
551 GREENVILLE RDMERCERPA16137DIAGNOSTIC TESTING AND COMMUNITY EDUCATION
OUTPATIENT REHAB CENTER
2380 HIGHLAND ROADHERMITAGEPA16148OUTPATIENT THERAPY SERVICES
WOUND CARE CENTER
2425 GARDEN WAYHERMITAGEPA16148WOUND CARE
HUBBARD DIAGNOSTIC
890 W LIBERTY ST AHUBBARDOH44425DIAGNOSTIC TESTING AND COMMUNITY EDUCATION
BROOKFIELD FAMILY MED
7264 WARREN-SHARON RDBROOKFIELDOH44403OUTPATIENT THERAPY SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I, LINE 7, COLUMN FTO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE.
COST TO CHARGE RATIOSCHEDULE H, PART I, LINE 7THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEETS 1, 3, AND 6.
BAD DEBT EXPENSESCHEDULE H, PART III, SECTION A, LINE 4THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: THE HEALTH SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. LINE 2 IS REPORTED AS THE TOTAL BAD DEBT EXPENSE PER THE AUDIT REPORT. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU.
COMMUNITY BENEFITSCHEDULE H, PART III, SECTION B, LINE 8SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE MEDICARE ALLOWABLE COSTS OF CARE ON LINE 6 WERE CALCULATED USING THE COST TO CHARGE RATIO TIMES CHARGES OF $128,572,414.
COLLECTION POLICYSCHEDULE H, PART III, SECTION C, LINE 9BPATIENTS WHO HAVE ALREADY BEEN APPROVED FOR CHARITY ARE APPROVED FOR SERVICES FOR THE NEXT 6 MONTHS AT THE APPROVED CHARITY OR DISCOUNT RATE FOR ANY ADDITIONAL SERVICES THAT HAVE BEEN IDENTIFIED AS PATIENT RESPONSIBILITY BY THEIR INSURANCE CARRIER OR OUR UNINSURED DURING THAT TIME. IF IDENTIFIED PRIOR TO THE BILL BEING SENT OUT, THE ACCOUNT IS WRITTEN DOWN AT THE TIME OF IDENTIFICATION AND THE PATIENT IS NOTIFIED.
OTHER EFFORTS MADE TO DETERMINE FAP-ELIGIBILITYSCHEDULE H, PART V, SECTION B, LINE 17ESRHS HAS FINANCIAL COUNSELORS WHO MEET WITH UNINSURED PATIENTS AND ALL OTHERS UPON REQUEST.
DETERMINATION OF MAXIMUM AMOUNTS CHARGEDSCHEDULE H, PART V, SECTION B, LINE 19ALL PATIENTS ARE CHARGED THE SAME AMOUNT FOR THE SAME SERVICE/TREATMENT, WITHOUT REGARD TO PAYOR COVERAGE. AS SUCH, THE MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE CHARITY CARE POLICY IS BASED UPON INCOME, SIZE OF FAMILY, AND OTHER INFORMATION GATHERED DURING THE CHARITY PROCESS. A 40% UNINSURED DISCOUNT IS OFFERED SOLELY BASED ON COVERAGE, AND THE ORGANIZATION HAS ALSO STARTED USING PRESUMPTIVE CHARITY.
NEEDS ASSESSMENT:SHARON REGIONAL CONDUCTS A CONSUMER RESEARCH STUDY EVERY SEVERAL YEARS THROUGH HEALTHSTREAM RESEARCH, AND ONE OF THE QUESTIONS ASKS AREA RESIDENTS IF ANYONE IN THEIR HOUSEHOLD IS LOOKING FOR A DOCTOR, AND IF SO, IN WHAT SPECIALTY. IN ADDITION, EVALUATION FORMS USED AT ALL COMMUNITY EDUCATION PROGRAMS ASK ABOUT HEALTH/MEDICAL TOPICS IN WHICH MORE INFORMATION IS DESIRED. HEALTH NEEDS ARE ALSO OBTAINED FROM THE MERCER COUNTY HEALTH PROFILE FROM THE PA DEPARTMENT OF HEALTH. A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT IS PLANNED FOR JANUARY AND FEBRUARY OF 2013.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:THE HEALTH SYSTEM'S CHARITY CARE POLICY IS READILY AVAILABLE IN PATIENT LITERATURE DISTRIBUTED AT ADMISSION, ON COPIES OF INVOICES SENT TO PATIENTS, ON THE SHARON REGIONAL WEBSITE, AND THROUGH OTHER AREAS. SHARON REGIONAL HAS FINANCIAL COUNSELORS AVAILABLE TO ASSIST PATIENTS AND FAMILY MEMBERS EXPLORE ELIGIBILITY FOR CHARITY CARE AS WELL AS ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS.
COMMUNITY INFORMATION:THE MAJORITY OF PATIENTS WHO UTILIZE SHARON REGIONAL LIVE IN A NUMBER OF COMMUNITIES LOCATED IN MERCER COUNTY, PA, WITH A SMALL SEGMENT COMING FROM LAWRENCE COUNTY AND OTHER AREAS IN PENNSYLVANIA, ALONG WITH EASTERN TRUMBULL/MAHONING COUNTIES IN OHIO. MERCER COUNTY'S POPULATION IN 2010 WAS 116,638 (52% URBAN, 48% RURAL), AND CONSISTED OF 91.0% WHITE NON-HISPANIC, 5.8% BLACK, 1.1% HISPANIC, AND 1.5% TWO OR MORE RACES. THE POPULATION IS 51% FEMALE AND 49% MALE, WITH A MEDIAN AGE OF 42.8 YEARS. AVERAGE HOUSEHOLD SIZE IS 2.35 PEOPLE AND ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2010 WAS $42,573 WITH 13.2% OF RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL.
COMMUNITY BUILDING ACTIVITIES:SHARON REGIONAL'S COMMUNITY OUTREACH DEPARTMENT IS ACTIVELY INVOLVED IN COMMUNITY EDUCATION EFFORTS AND HOSTS A WIDE SELECTION OF HEALTH EDUCATION PROGRAMS, SCREENINGS, AND EVENTS BOTH AT VARIOUS HEALTH SYSTEM LOCATIONS AND AT A NUMBER OF COMMUNITY LOCATIONS INCLUDING SCHOOLS, BUSINESSES, AND HOUSING PROJECTS. ACTIVITIES INCLUDING HEALTH FAIRS, EDUCATION PROGRAMS, CPR TRAINING, SPECIFIC SCREENINGS, AND MORE.
OTHER INFORMATION:STRATEGIC LEADERSHIP AND DIRECTION FOR SHARON REGIONAL IS PROVIDED BY A VOLUNTARY BOARD OF DIRECTORS CONSISTING OF COMMUNITY LEADERS WHO MAKE HEALTH CARE DECISIONS BASED ON MEETING THE COMMUNITY'S HEALTH CARE NEEDS.
AFFILIATED HEALTH CARE SYSTEM ROLES:SHARON REGIONAL HEALTH SYSTEM AND ITS WHOLLY OWNED SUBSIDIARY SHARON REGIONAL PHYSICIAN SERVICES (THE "HEALTH SYSTEM") OPERATE AN ACUTE CARE HOSPITAL FACILITY IN SHARON, PENNSYLVANIA. THE HEALTH SYSTEM PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN SHARON, PENNSYLVANIA, AND THE SURROUNDING AREA. THE HEALTH SYSTEM ALSO OPERATES A HOME HEALTH AGENCY AND A NUMBER OF PHYSICIAN CLINICS IN THE SAME GEOGRAPHIC AREA. THE HEALTH SYSTEM HAS CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDE THE ACCOUNTS AND TRANSACTIONS OF SHARON REGIONAL HEALTH SYSTEM, THE CONTROLLING PARENT, AND ITS AFFILIATE, SHARON REGIONAL PHYSICIAN SERVICES. SHARON REGIONAL HEALTH SYSTEM IS NOT AFFILIATED WITH ANOTHER HEALTHCARE SYSTEM.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1CITY OF SHARONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1155 W CONNELY BLVDAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient256000883EINOfRecipient
IRC SectionCITY OF SHARONIRCSection
Amount Of Cash Grant33799AmountOfCashGrant
Purpose Of GrantSUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationALL REQUESTS FOR FINANCIAL ASSISTANCE BY 501(C)(3) & GOVERNMENT ORGANIZATIONS ARE PRESENTED TO THE BOARD OF DIRECTORS AND MUST BE APPROVED PRIOR TO DISBURSING FUNDS. THE ORGANIZATION HAS SUFFICIENT CONTACT WITH THE GRANTEES TO MONITOR THE USE OF FUNDS AND THE PROGRESS OF THE SUPPORTED PROJECTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
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
JOHN JANOSO
234764030000013280325720170740315738000
MATTHEW LIBURDI
15800700012200228640167690198860000
SUSAN GIBSON
2334520001729019249000254430000
JEFFREY A CHROBAK
190440000141401212230163620329439000
GEORGE C GARROW MD
39874803000005520165000153070461107000
CYNTHIA SILE
348375000000085670356942000
STEVEN RIGGALL
33476902534501584000153070377005000
JEFFREY GRYN
324128000552016500063670347547000
JAMIE ADAM
345450000144210165000153070391678000
LINDE FINSRUD WILSON
1445950001206021250062400173291000
JOHN DAVIDSON
14232400015120116880171010172625000
JOHN A ZIDANSEK
000028816600000288166000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CLUB DUESSCHEDULE J, PART I, LINE 1ADURING THE FISCAL YEAR, THE ORGANIZATION PAID FAMILY SOCIAL MEMBERSHIPS FOR LINDE FINSRUD WILSON, JEFFREY CHROBAK, JOHN JANOSO, MATTHEW LIBURDI, JOHN DAVIDSON, AND SUSAN GIBSON. THE AMOUNT PAID WAS INCLUDED IN TAXABLE WAGES.
SEVERANCE PAYMENTSSCHEDULE J, PART 1, LINE 4AJOHN A ZIDANSEK, FORMER PRESIDENT, RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2011. THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN B(III).
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BTHE ORGANIZATION PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO PROVIDE A MARKET COMPETITIVE SUPPLEMENTAL RETIREMENT BENEFIT TO ATTRACT AND RETAIN EXECUTIVE TALENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DURING THE FISCAL YEAR: JEFFREY CHROBAK, JOHN JANOSO, MATTHEW LIBURDI, LINDE FINSRUD WILSON, AND SUSAN GIBSON. THE FOLLOWING AMOUNTS WERE ACCRUED DURING THE YEAR: JEFFREY CHROBAK $105,781 JOHN JANOSO $ 20,322 MATTHEW LIBURDI $ 14,798 LINDE FINSRUD WILSON $ 21,250 SUSAN GIBSON $ 7,916
NON-FIXED PAYMENTSSCHEDULE J, PART I, LINE 7JOHN JANOSO RECEIVED A SIGNING BONUS DURING CALENDAR YEAR 2011 FOR HIS NEW CONTRACT AND NEW RESPONSIBILITIES AS THE ORGANIZATION'S CEO.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1SHARON REGIONAL HEALTH SYSTEM AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN251599307IssuerEIN
Date Issued2006-07-27DateIssued
Issue Price10000000IssuePrice
Description Of PurposeMEDICAL BUILDING & EQUIPMENTDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds10000000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds69526IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures9930474CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2006YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
HUDSON HOLDING COKERRWOOD INVESTME
SEE PART V.143357RENTfalse
PBL ASSOCIATES LP
SEE PART V.125271RENTfalse
FIRST NATIONAL BANK OF PENNSYLVANIA
SEE PART V.339615INTEREST, FEESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS WITH INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IV, COLUMN BReturnReference
Explanation(1) HUDSON HOLDING COMPANY AND KERRWOOD INVESTMENTS ARE OWNED MORE THAN 35% BY BOARD MEMBER JOHN HUDSON. (2) PBL ASSOCIATES, LP, IS OWNED MORE THAN 35% BY A FAMILY MEMBER OF BOARD MEMBER JOHN HUDSON. (3) BOARD MEMBERS KENNETH JAMES, WILLIAM STRIMBU, AND STEPHEN GURGOVITS ARE BOARD MEMBERS OF FIRST NATIONAL BANK OF PENNSYLVANIA. ADDITIONALLY, ROBERT JAZWINSKI IS THE OWNER OF JFS WEALTH ADVISORS, OF WHICH THE ORGANIZATION PAID $48,829 FOR INVESTMENT SERVICES. LINDA PIDDINGTON, THE SISTER OF JAMES P EPSTEIN, RECEIVED COMPENSATION OF $2,422 DURING THE YEAR FOR HER SERVICES AS AN EMPLOYEE OF THE ORGANIZATION. THESE AMOUNTS ARE VOLUNTARILY REPORTED AS THEY ARE BELOW THE SCHEDULE L REPORTING THRESHOLDS. ALSO VOLUNTARILY REPORTED - WILLIAM STRIMBU'S WIFE IS COMPENSATED BY A RELATED ORGANIZATION, SHARON REGIONAL PHYSICIAN SERVICES. TOTAL COMPENSATION PAID WAS $50,544.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART I, LINE 1VISION STATEMENT SHARON REGIONAL HEALTH SYSTEM WILL CONTINUE TO BE THE LEADING HEALTH CARE SERVICES PROVIDER WITHIN THE SHENANGO VALLEY AND SURROUNDING COMMUNITIES. THIS WILL BE ACCOMPLISHED THROUGH: -STRIVING TO CONTINUOUSLY UPHOLD AND IMPROVE THE QUALITY OF CARE. -PROVIDING A COMPREHENSIVE ARRAY OF SERVICES. -OPERATING IN A FISCALLY RESPONSIBLE MANNER MAINTAINING VIABILITY AND INDEPENDENCE. -MAINTAINING A QUALIFIED STAFF OF EMPLOYEES AND PHYSICIANS. -EDUCATING THE PUBLIC ON PREVENTATIVE HEALTH CARE AND WELLNESS. VALUE STATEMENT WE BELIEVE IN: -PROVIDING CARE TO OUR PATIENTS THAT STRESSES QUALITY, COMPASSION, AND RESPECT THROUGH COLLABORATIVE RELATIONSHIPS. -UNITING THE EFFORTS OF EMPLOYEES, PHYSICIANS, VOLUNTEERS, AND STUDENTS TO SERVE THE COMMUNITY. -MAINTAINING THE HIGHEST ETHICAL STANDARDS.
PROGRAM SERVICE ACTIVITY #1FORM 990, PART III, LINE 4AFACILITIES UTILIZED BY SHARON REGIONAL OUTPATIENTS INCLUDE THOSE ON THE MAIN CAMPUS IN SHARON (HOSPITAL, HOME HEALTH AGENCY, INTERVENTIONAL PAIN MANAGEMENT CENTER, AND SLEEP MEDICINE CENTER); THOSE IN THE SHARON REGIONAL MEDICAL PARK IN HERMITAGE (ADVANCED WOUND RECOVERY CENTER, BEHAVIORAL HEALTH SERVICES, CANCER CARE CENTER, HOSPICE, CORPORATE HEALTH SERVICES, DIABETES CENTER, DIAGNOSTIC & IMAGING CENTER, EAR/NOSE/THROAT AND HEARING CENTER, HERMITAGE THERAPEUTIC POOL, SPORTS MEDICINE SERVICES, AND REHAB CENTER); PLUS THOSE IN OTHER COMMUNITY LOCATIONS (MERCER FAMILY MEDICINE CENTER, GREENVILLE BEHAVIORAL HEALTH SERVICES, BROOKFIELD FAMILY MEDICINE CENTER, AND HUBBARD DIAGNOSTIC & SPECIALTY CENTER).
PROGRAM SERVICE ACTIVITY #3FORM 990, PART III, LINE 4CTHE EMERGENCY CARE CENTER DEPARTMENT RECENTLY PARTNERED WITH AREA AMBULANCE FIRMS TO PROVIDE THE CAPABILITY FOR THE TRANSMISSION OF 12-LEAD EKG RESULTS FROM THE FIELD DIRECTLY INTO THE EMERGENCY DEPARTMENT TO ACTIVATE THE EMERGENCY HEART ATTACK TEAM TO PRODUCE EVEN FASTER DOOR-TO-BALLOON TIMES. SHARON REGIONAL IS RECOGNIZED BY EMMCO WEST, INC AS THE ONLY STEMI HOSPITAL (CAPABLE OF PERFORMING LIFESAVING EMERGENCY ANGIOPLASTY) IN A THREE COUNTY AREA. IN ADDITION, THE EMERGENCY CARE CENTER OFFERS HIGHLY SPECIALIZED AREAS FOR THE TREATMENT OF TRAUMA, CHEST PAIN, ORTHOPEDIC PATIENTS, GYNECOLOGICAL CONDITIONS, PLUS A HAZARDOUS MATERIALS DECONTAMINATION ROOM. THE CENTER ALSO OFFERS EXPRESS CARE FOR THE FASTER TREATMENT OF MINOR ILLNESSES AND INJURIES.
OFFICER RELATIONSHIPSFORM 990, PART VI, SECTION A, LINE 2WILLIAM STRIMBU, KENNETH JAMES, AND STEPHEN GURGOVITS HAVE A BUSINESS RELATIONSHIP. ADDITIONALLY, DAVID D'AMORE AND CAROLYN D'AMORE HAVE A FAMILY RELATIONSHIP.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTSFORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION AMENDED ITS BYLAWS DURING THE FISCAL YEAR. SIGNIFICANT CHANGES ARE AS FOLLOWS: -THE BYLAWS NOW SPECIFICALLY NAME AN ALTERNATE VICE CHAIR AND CHIEF EXECUTIVE OFFICER AS OFFICERS, AND THAT ANY OF THE OFFICES MAY BE HELD BY THE SAME PERSON. THE OFFICES OF CHAIR, VICE CHAIR, SECRETARY, TREASURER, ASSISTANT SECRETARY, AND ASSISTANT TREASURER ARE ELECTED OFFICES. THE ASSISTANT SECRETARY AND ASSISTANT TREASURER DO NOT HAVE TO BE BOARD MEMBERS. THE TERM OF OFFICE FOR OFFICERS IS NOW SET AT 2 YEARS, AND OFFICERS ARE NOT ALLOWED TO SERVE MORE THAN 3 CONSECUTIVE 2-YEAR TERMS. OFFICERS CAN BE RE-ELECTED TO AN OFFICE AFTER BEING OUT OF THAT OFFICE FOR A MINIMUM OF 2 YEARS. -THE OFFICES OF CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, PRESIDENT, AND VICE PRESIDENT ARE APPOINTED OFFICES. THE BOARD APPOINTS THE CEO, WHO IN TURN APPOINTS THE OTHER APPOINTED OFFICERS. THE APPOINTED OFFICER POSITIONS HAVE NO SET TERM OF OFFICE. -THE REVISED BYLAWS SPECIFICALLY OUTLINE THE RESPONSIBILITIES OF THE CHIEF EXECUTIVE OFFICER TO INCLUDE MANAGEMENT OF THE HEALTH SYSTEM, ATTENDING GOVERNING BODY AND MEDICAL STAFF MEETINGS, APPOINTING THE HEADS OF ADMINISTRATIVE DEPARTMENTS, AND REVIEWING THE ANNUAL AUDIT OF THE FINANCIAL OPERATIONS OF THE HEALTH SYSTEM, AMONG OTHER THINGS. -THE DUTIES OF THE PRESIDENT ARE TO BE ASSIGNED BY THE BOARD OR THE CEO. THE DUTIES OF THE VICE PRESIDENTS AND CHIEF OPERATING OFFICER ARE TO BE ASSIGNED BY THE CEO.
REVIEW OF THE FORM 990FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY INDEPENDENT TAX ADVISORS WITH INFORMATION SUPPLIED BY THE CHIEF FINANCIAL OFFICER, DIRECTOR OF FINANCE AND OTHER FINANCIAL MANAGERS, AND LEGAL COUNSEL. THE PREPARED 990 IS SUBMITTED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW. THE CHIEF FINANCIAL OFFICER PROVIDES A FULL AND COMPLETE COPY OF THE FORM 990 TO THE MEMBERS OF THE BOARD OF DIRECTORS IN ADVANCE OF THE REGULAR MEETING OF THE BOARD OF DIRECTORS. AT THE REGULAR MEETING, THE CHIEF FINANCIAL OFFICER ACCEPTS QUESTIONS OR COMMENTS TO THE FORM 990. THE BOARD APPROVES SUBMISSION OF THE FORM 990 TO THE IRS BY MOTION AND VOTE IN ACCORDANCE WITH ITS BYLAWS.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS OF SHARON REGIONAL HEALTH SYSTEM MAINTAINS A WRITTEN POLICY DEFINING CONFLICT OF INTERESTS OF ITS DIRECTORS AND OFFICERS. ALL NEW DIRECTORS AND OFFICERS ARE ORIENTED TO THIS POLICY. ANNUALLY, THE OFFICERS AND THE MEMBERS OF THE BOARD OF DIRECTORS RECEIVE A COPY OF THE POLICIES AND EACH DIRECTOR AND OFFICER COMPLETES A CONFLICT OF INTEREST QUESTIONNAIRE. THE CHAIRMAN OF THE BOARD OF DIRECTORS REVIEWS ALL RESPONSES, CONSULTS WITH LEGAL COUNSEL, AND PROVIDES THE QUESTIONNAIRES TO SHARON REGIONAL'S AUDITORS. THE CHAIRMAN CONSIDERS COMMITTEE MEMBERSHIP AND RECUSAL FROM DISCUSSION AND VOTES IN LIGHT OF POTENTIAL CONFLICTS AND BOARD MEMBERS ROUTINELY VOLUNTARILY RECUSE THEMSELVES EVEN IF THE CONFLICT IS ONLY PERCEIVED.
COMPENSATION DETERMINATIONFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND RECOMMENDS THE COMPENSATION OF THE OFFICERS OF SHARON REGIONAL HEALTH SYSTEM AND THE BOARD OF DIRECTORS APPROVES THESE RECOMMENDATIONS ANNUALLY. THE COMPENSATION COMMITTEE IS COMPOSED OF MEMBERS WHO HAVE NO INTEREST WITH THE OFFICERS. THE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT TO REVIEW MARKET DATA AND ESTABLISH COMPENSATION RANGES FOR EACH OFFICER IN COMPARISON WITH SIMILAR EXECUTIVE POSITIONS AT SIMILARLY SIZED HOSPITALS AND HEALTH SYSTEMS. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE PERFORMANCE OF THE CHIEF EXECUTIVE OFFICER AND ACCEPTS THE PERFORMANCE REVIEWS CONDUCTED BY THE CHIEF EXECUTIVE OFFICER OF THE OTHER OFFICERS.
DOCUMENT DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE WHEN IT IS LEGALLY REQUIRED.
RELATED HOURSFORM 990, PART VII, SECTION ATHE FOLLOWING OFFICERS WORK APPROXIMATELY 40 HOURS PER WEEK BETWEEN SHARON REGIONAL HEALTH SYSTEM AND SHARON REGIONAL PHYSICIAN SERVICES, A RELATED ORGANIZATION: JOHN JANOSO, LINDE FINSRUD WILSON, JEFFREY A CHROBAK, JOHN DAVIDSON, AND MATTHEW LIBURDI. THE FOLLOWING BOARD MEMBERS ALSO SERVE ON THE BOARD OF DIRECTORS OF SHARON REGIONAL PHYSICIAN SERVICES, A RELATED ORGANIZATION: JAMES EPSTEIN, WILLIAM PERRINE, ROBERT G LIPTAK, AND KENNETH JAMES.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE $( 1,273,000) UNREALIZED LOSS ON INVESTMENTS ( 1,721,260) NET EARNINGS OF TAX-EXEMPT AFFILIATE (11,392,524) DEFINED BENEFIT PLANS (17,830,468) ------------- TOTAL $(32,217,252)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SHARON REGIONAL HEALTH SYSTEM AUXILIARYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1740 EAST STATE STREETAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
EIN251768501EIN
Primary ActivitiesAUXILIARYPrimaryActivities
Legal Domicile StatePALegalDomicileState
Total Income229961TotalIncome
EOY Assets33451EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SRHSBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SHARON REGIONAL PHYSICIAN SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1740 E STATE STAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
EIN251640802EIN
Primary ActivitiesPHYS PRACTICEPrimaryActivities
Legal Domicile StatePALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SRHSBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgtrueControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CHATWOOD COMMONS CONDO ASSOCIATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1740 E STATE STAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
EIN251678608EIN
Primary ActivityREAL ESTATEPrimaryActivity
Legal Domicile StatePALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SRHSBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeEXCLUDEDPredominantIncomeType
Share Of Total Income-3792ShareOfTotalIncome
Share Of EOY Assets5572ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.77650PercentageOwnership
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 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 OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SHARON REGIONAL PHYSICIAN SERVICES
A36940FMV
SHARON REGIONAL PHYSICIAN SERVICES
N227170FMV