DUBOIS REGIONAL MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- DUBOIS REGIONAL MEDICAL CENTER (EIN 25-1490707)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-13
- IRS object ID
- 201331339349300028
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-13T06:46:40-07:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Catalano Case Catalano & Fannin | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1773 Kiwanis Trail / PO Box 46 | AddressLine1 |
| City | Dubois | City |
| State | PA | State |
| ZIP Code | 15801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251490707 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DuBois Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DUBO | NameControl |
| Phone | 8143756105 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 447 | AddressLine1 |
| City | DuBois | City |
| State | PA | State |
| ZIP Code | 15801 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Sutika | Name |
| Title | President | Title |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | W CRAIG CASE JR | Name |
| Phone | 8143713000 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 221923385 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.drmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | DuBois Regional Medical Center offers residents of West Central Pennsylvania a rare combination of advanced healthcare in a warm, friendly environment. DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. See Statement of Community Benefit. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1951 | TotalNbrEmployees |
| Total Nbr Volunteers | 221 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 477794 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 624822 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 205894799 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 211432640 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1763524 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2400893 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5127927 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7244872 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 213264044 | TotalRevenuePriorYear |
| Total Revenue Current Year | 221703227 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 128232323 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 135105651 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 172957 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 84964370 | OtherExpensePriorYear |
| Other Expenses Current Year | 87734090 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 213196693 | TotalExpensesPriorYear |
| Total Expenses Current Year | 222839741 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 67351 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1136514 | RevenuesLessExpensesCY |
| Total Assets BOY | 217851741 | TotalAssetsBOY |
| Total Assets EOY | 213226338 | TotalAssetsEOY |
| Total Liabilities BOY | 70665919 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 67255398 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 147185822 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 145970940 | NetAssetsOrFundBalancesEOY |
| Mission Description | DuBois Regional Medical Center offers residents of West Central Pennsylvania a rare combination of advanced healthcare in a warm, friendly environment. DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. See Statement of Community Benefit. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 195412935 | Expense |
| Revenue | 213264045 | Revenue |
| Description | DuBois Regional Medical Center provides a variety of comprehensive inpatient care and outpatient medical services to the residents of West Central Pennsylvania. The facility is licensed for 221 beds. In fiscal year 2011, DRMC served 9,409 inpatients with a total of 39,361 inpatient days and provided more than 482,013 outpatients visits. In addition to direct medical services, the hospital also provides other medical programs to the community including community outreach programs, clinics, support groups, education programs, health fairs and health screenings. | Description |
| Total Program Service Expense | 195412935 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 196 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1951 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Brian Kline CFO | NamePerson |
| Telephone Number | 8143756377 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Hospital Avenue | AddressLine1 |
| City | DUBOIS | City |
| State | PA | State |
| ZIP Code | 15801 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Lisa M Zocco | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | |||
| Anthony Viglione | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | |||
| Sister Margaret Park | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | |||
| John Sutika | |||||||
| President | 40.00 | 64430 | 229977 | 25719 | |||
| Dr Hazem F El Kassas MD | |||||||
| Trustee | 0.00 | 0 | 0 | 0 | |||
| William Young | |||||||
| Trustee | 1.00 | 0 | 0 | 0 | X | ||
| Todd Stoltz | |||||||
| Trustee | 1.00 | 0 | 0 | 0 | X | ||
| Dr Gary Ott | |||||||
| Trustee | 1.00 | 0 | 0 | 0 | X | ||
| Dr Rajat Malik | |||||||
| Trustee | 40.00 | 544154 | 0 | 21360 | X | ||
| Dr Gregory Roscoe | |||||||
| Trustee | 1.00 | 0 | 0 | 0 | X | ||
| Anita McDonald | |||||||
| Trustee | 1.00 | 0 | 0 | 0 | X | ||
| Sister Mary Ann Bader | |||||||
| Foundation Mana | 1.00 | 0 | 0 | 0 | X | ||
| Richard Pfingstler | |||||||
| Trustee | 1.00 | 0 | 0 | 0 | X | ||
| James E Devlin MD | |||||||
| Trustee | 1.00 | 18280 | 0 | 0 | X | ||
| Sister Mary Felice Duska | |||||||
| Trustee | 1.00 | 0 | 0 | 0 | X | ||
| Gene Hoak | |||||||
| Trustee | 1.00 | 0 | 0 | 0 | X | ||
| Nancy Micks | |||||||
| Secretary | 1.00 | 0 | 0 | 0 | X | ||
| Dr Jonathan Pope | |||||||
| Trustee | 40.00 | 350508 | 0 | 23641 | X | ||
| Raymond A Graeca | |||||||
| President & CEO | 40.00 | 486503 | 115241 | 96023 | X | X | |
| Edward S Nasuti | |||||||
| President | 1.00 | 0 | 0 | 0 | X | ||
| Edward Yahner | |||||||
| Vice President | 1.00 | 0 | 0 | 0 | X | ||
| James D Curtis | |||||||
| Treasurer | 1.00 | 0 | 0 | 0 | X | ||
| Patricia Cressley | |||||||
| Vice President | 40.00 | 252574 | 0 | 32550 | X | ||
| Robert McKee | |||||||
| Vice President | 40.00 | 189519 | 0 | 28498 | X | ||
| Denise Lucas | |||||||
| Vice President | 40.00 | 211847 | 0 | 23141 | X | ||
| Dr Gary Dugan | |||||||
| Vice President | 40.00 | 355657 | 0 | 38680 | X | ||
| Gary Macioce | |||||||
| COO | 40.00 | 203548 | 54000 | 33102 | X | ||
| Dr Robert Armstrong | |||||||
| Physician | 40.00 | 750128 | 0 | 23876 | X | ||
| Dr Keith Zeliger | |||||||
| Physician | 40.00 | 770885 | 0 | 23730 | X | ||
| Dr Alexander Krot | |||||||
| Physician | 40.00 | 659231 | 0 | 23951 | X | ||
| Dr John Fabre | |||||||
| Physician | 40.00 | 650704 | 0 | 21504 | X | ||
| Dr Norman Hetzler | |||||||
| Physician | 40.00 | 700670 | 0 | 23951 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6208638 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 399218 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 439726 | TotalOtherCompensation |
| Number Individuals GT100 K | 13 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Womens Care of Western PA | |||||
| 145 Hospital Avenue | DuBois | PA | 15801 | Prof Services | 646424 |
| Three Rivers Cardiac Institute | |||||
| 400 Holiday Drive | Pittsburgh | PA | 15220 | Healthcare Prof | 935220 |
| Comphealth | |||||
| PO Box 972651 | Dallas | TX | 75397 | Healthcare Staffing | 95867 |
| Associated Clinical Laboratories | |||||
| 1526 Peach Street | Erie | PA | 16501 | Lab Services | 1861637 |
| Allied Medical Staffing | |||||
| 135 Down Forge Road | Exton | PA | 19341 | Healthcare Staffing | 1048930 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Fundraising Events | 86981 | FundraisingEvents |
| All Other Contributions | 537841 | AllOtherContributions |
| Total Contributions | 624822 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| R&B, Ancillary IP | 161597617 | 161597617 |
| Other Program | 3575509 | 3575509 |
| Contractual Adj | -299426255 | -299426255 |
| Ancillary OP & Physician | 345685769 | 345685769 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 211432640 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1858660 | TotalRevenueColumn |
| Exclusion | $1,858,660 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 700721 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 700721 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 700721 | TotalRevenueColumn |
| Related Or Exempt Function Income | 700721 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 712145 | Securities |
| Other | 20663 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 130880 | Securities |
| Other | 59695 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 581265 | Securities |
| Other | -39032 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 542233 | TotalRevenueColumn |
| Related Or Exempt Function Income | 542233 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 23688 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 86981 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 29583 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -5895 | TotalRevenueColumn |
| Exclusion | -$5,895 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| Restricted Operating Re | 294758 | 294758 |
| Other Income | 6026475 | 6026475 |
| Earnings from Affiliate | 228813 | 228813 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6550046 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 221703227 | TotalRevenueColumn |
| Related Or Exempt Function Income | 219225640 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,852,765 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1867767 | Total |
| Program Services | 760219 | ProgramServices |
| Management And General | 1107548 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109839114 | Total |
| Program Services | 97541836 | ProgramServices |
| Management And General | 12152636 | ManagementAndGeneral |
| Fundraising | 144642 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2590087 | Total |
| Program Services | 2279277 | ProgramServices |
| Management And General | 310810 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14322536 | Total |
| Program Services | 12603832 | ProgramServices |
| Management And General | 1718704 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6486147 | Total |
| Program Services | 5707809 | ProgramServices |
| Management And General | 778338 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1853489 | Total |
| Program Services | 1631070 | ProgramServices |
| Management And General | 222419 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 595151 | Total |
| Management And General | 595151 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124439 | Total |
| Management And General | 124439 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60000 | Total |
| Management And General | 60000 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8796612 | Total |
| Program Services | 7741019 | ProgramServices |
| Management And General | 1055593 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 495945 | Total |
| Program Services | 436432 | ProgramServices |
| Management And General | 52186 | ManagementAndGeneral |
| Fundraising | 7327 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 910681 | Total |
| Program Services | 801399 | ProgramServices |
| Management And General | 107024 | ManagementAndGeneral |
| Fundraising | 2258 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3554299 | Total |
| Program Services | 3127783 | ProgramServices |
| Management And General | 426516 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3480162 | Total |
| Program Services | 3062543 | ProgramServices |
| Management And General | 417619 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 327295 | Total |
| Program Services | 276020 | ProgramServices |
| Management And General | 51038 | ManagementAndGeneral |
| Fundraising | 237 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 407473 | Total |
| Program Services | 358576 | ProgramServices |
| Management And General | 48897 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1450644 | Total |
| Program Services | 1276567 | ProgramServices |
| Management And General | 174077 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14022082 | Total |
| Program Services | 12339432 | ProgramServices |
| Management And General | 1682650 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3354359 | Total |
| Program Services | 2951836 | ProgramServices |
| Management And General | 402523 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Maintenance Contracts | 2569686 | 2261324 | 308362 | |
| Bad Debt | 5452778 | 4798445 | 654333 | |
| Purchased Services | 7723306 | 6796509 | 912205 | 14592 |
| Supplies | 30794102 | 27098810 | 3692089 | 3203 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1761587 | Total |
| Program Services | 1562197 | ProgramServices |
| Management And General | 198692 | ManagementAndGeneral |
| Fundraising | 698 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222839741 | Total |
| Program Services | 195412935 | ProgramServices |
| Management And General | 27253849 | ManagementAndGeneral |
| Fundraising | 172957 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8010367 | BOY |
| EOY | 3514239 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1097291 | BOY |
| EOY | 1019671 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26737774 | BOY |
| EOY | 30367878 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3132193 | BOY |
| EOY | 2923553 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 222756971 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 117805118 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107655829 | BOY |
| EOY | 104951853 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51821535 | BOY |
| EOY | 51335463 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19396752 | BOY |
| EOY | 19113681 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 217851741 | BOY |
| EOY | 213226338 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23192437 | BOY |
| EOY | 23809549 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1348864 | BOY |
| EOY | 1294812 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38520456 | BOY |
| EOY | 34490435 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6319236 | BOY |
| EOY | 5324552 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1284926 | BOY |
| EOY | 2336050 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70665919 | BOY |
| EOY | 67255398 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145822126 | BOY |
| EOY | 144699012 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1363696 | BOY |
| EOY | 1271928 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 147185822 | BOY |
| EOY | 145970940 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 217851741 | BOY |
| EOY | 213226338 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1136514 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -78368 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | true | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $60,000 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | true | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 60000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 38372 | BeginningOfYearBalance |
| Contributions | 2545 | Contributions |
| Investment Earnings Or Losses | 96 | InvestmentEarningsOrLosses |
| End Of Year Balance | 41013 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 36194 | BeginningOfYearBalance |
| Contributions | 1965 | Contributions |
| Investment Earnings Or Losses | 213 | InvestmentEarningsOrLosses |
| End Of Year Balance | 38372 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 33369 | BeginningOfYearBalance |
| Contributions | 2553 | Contributions |
| Investment Earnings Or Losses | 272 | InvestmentEarningsOrLosses |
| End Of Year Balance | 36194 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3704328 | OtherCostOrOtherBasis |
| Book Value | 3704328 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 123837500 | OtherCostOrOtherBasis |
| Depreciation | 56778660 | Depreciation |
| Book Value | 67058840 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 655198 | OtherCostOrOtherBasis |
| Depreciation | 389368 | Depreciation |
| Book Value | 265830 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 90236593 | OtherCostOrOtherBasis |
| Depreciation | 57462850 | Depreciation |
| Book Value | 32773743 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4323352 | OtherCostOrOtherBasis |
| Depreciation | 3174240 | Depreciation |
| Book Value | 1149112 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 104951853 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (9 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Rounding | 1 |
| Pledged Guarantees - Workers Comp | 867 |
| Other Assets | 2484242 |
| Miscellaneous Receivables | 8178983 |
| Investment in Affiliates | 3346543 |
| Inventory for use | 2418168 |
| Goodwill | 1346898 |
| Deferred Financing | 21523 |
| Deferred Equity | 1316456 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 19113681 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Third Party Rate Adj.&Compliance Reserve | Description |
| Amount | $2,336,050 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2336050 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | $ -78368 |
| Part V, Line 4 | Part V, Line 4: Intended uses of the endowment fund. | DRMC's Endowment Fund will be used for purchase of capital items used in patient care. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | false | AgreementRefFundraising |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1 |
| Gross Receipts Event1 | 110669 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 86981 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 23688 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 13206 | CashPrizesEvent1 |
| Rent Facility Costs Event1 | 6245 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 10132 | FoodAndBeverageEvent1 |
| Gross Receipts Total | 110669 | GrossReceiptsTotal |
| Charitable Contributions Total | 86981 | CharitableContributionsTotal |
| Gross Revenue Total Events | 23688 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 13206 | CashPrizesTotalEvents |
| Rent Facility Costs Total Events | 6245 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 10132 | FoodAndBeverageTotalEvents |
| Direct Expense Summary Events | 29583 | DirectExpenseSummaryEvents |
| Net Income Summary | -5895 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
| Report Publically Available | false | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2979130 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2979130 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01340 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31591780 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22238858 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9352922 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04200 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34570910 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22238858 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12332052 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05540 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 483703 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 483703 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 825024 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 825024 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 568231 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 568231 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 43309 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 43309 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1920267 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1920267 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00860 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 36491177 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22238858 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14252319 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06400 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $2,464,656 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 60299763 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 60060586 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 239177 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| Kidney Care ServicesDuBois | ||
| Dialysis Services | 0.69000 | 0.31000 |
| Kidney Care Services LLC | ||
| Dialysis Services | 0.74000 | 0.26000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 0 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DuBois Regional Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Hospital Avenue | AddressLine1 |
| City | DuBois | City |
| State | PA | State |
| ZIP Code | 15801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DuBois Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0000 | FPGFreePercent |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Attached To Invoices | X | AttachedToInvoices |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part VI - States Where Community Benefit Report Filed | PA | |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | DuBois Regional Medical Center offers residents of West Central Pennsylvania a rare combination of advanced healthcare in a warm, friendly environment. Widely recognized as one of the leading health centers of its kind in the Commonwealth, DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. Our combined vision is to be positioned as the premier provider of comprehensive, quality services to our broad region. Providing inpatient and outpatient hospital care represents the largest portion of these services. DRMC's mission in maintaining these services is accomplished by providing access to healthcare services for all, including individuals who are unable to pay for such services. DRMC has a tradition of serving the poor and underprivileged of the area by providing care, programs and services to enhance their quality of life. Beyond the inpatient and outpatient hospital care, there are many other ways in which DRMC and our employees serve our community every day. DRMC has an ongoing commitment to the communities it serves with a range of community outreach programs, such as clinics, support groups, educational programs, health fairs and health screenings. Our employees volunteer their time and talents to improve our community in many ways. In addition to giving to organizations, they provide information on health and safety to the community. They provide direct patient care on a volunteer basis at the local DuBois Free Clinic. The Clinic was established for low-income people who could not afford health insurance. The success and reputation of DRMC is a direct result of the dedicated efforts of our Board of Directors, Administration, Physicians and Staff. With the continued support of the DRMC family and the communities we serve, DRMC will remain a valuable resource to our area. | |
| Part VI - Community Information | DRMC's 221 licensed beds are housed in two facilities two miles from one another in DuBois, a small town in West Central Pennsylvania. The combined tradition of providing high quality, compassionate care began with its predecessors, DuBois Hospital and Maple Avenue Hospital in 1897. In 1985, the two organizations joined to create DRMC, and since then, the medical center has grown for the benefit of the entire community. DRMC West, houses acute inpatient care and a full range of ancillary services. In addition DRMC offers access to primary and specialty care health centers in seven communities. DRMC's primary care physicians bring family health care close to home in Brockway, Curwensville, Force, Penn Township (Grampian), Reynoldsville, Sykesville, Punxsutawney, and multiple DuBois locations. As one of the largest private employers in Clearfield County, DRMC is a significant part of the area's economy. We take pride in the role we play in shaping the quality of life for residents of the communities we serve. We also believe that the population we serve is both very proud and greatful to have DRMC as their primary health care provider. | |
| Part VI - Patient Education of Eligibility for Assistance | DRMC posts a "Notice of Charity Care" at all points of registration, including all employed physician practices. The "notices" include a statement as to the availability of charity care and how to apply. DRMC employs a Financial Counselor who meets individually with all inpatients admitted to the facility who indicate no health care coverage. The Financial Counselor interviews the patient, and if appropriate, discusses and educates the patient relative to Medical Assistance, Blue Chip and the hospital's charity care program. The Financial Counselor completes and/or assists the patient with the necessary applications, and follow-thru with the physician and the assigned County Board of Assistance caseworker. The Financial Counselor also contacts other patients with larger dollar account balances to discuss and educate the patient's need for financial assistance. Additionally, DuBois Regional Medical Center employs a credit/collections staff who also contact, educate and offer assistance to other patients with financial need to help with health care costs. | |
| Part VI - Needs Assessment | A) The hospital collects data on an ongoing basis regarding patients who travel to outlying areas for services not offered by DRMC. Based on this data, services are added and/or improved upon in order to serve the needs of the community as effectively and efficiently as possible.B) DRMC routinely sends patient satisfaction surveys to those receiving medical services. These surveys allow patients to offer suggestions regarding how the hospital could better serve them as patients and the community as a whole.C) DRMC offers a variety of educational programs that allow employees to interact on a one-on-one basis with the residents of the community as a whole.D) The medical staff of the hospital consistently participates in research and continuing medical education. This knowledge allows the hospital to remain updated on the latest medical news and techniques in order to offer patients the highest and most innovative levels of care.E) DRMC hired an outside firm to assist with conducting a Community Health Needs Assessment (CHNA). The assessment took place between March and August, 2011. The contractor gathered secondary data in Clearfield and surrounding counties; conducted various focus groups with key audiences and users of healthcare/social services to identify areas for perspective improvement within the community. DRMC held a community retreat with community leaders to report and present the findings of the collection phase. The community leaders provided input to help determine and prioritize which issues needed to be addressed within the community. The contractor is currently in the process of developing a master plan of initiatives for DRMC to be posted to its web site. | |
| Part V, Line 13g - Other Means Hospital Facility Publicized the Policy | A notice of availability is posted at all points of registration. | Number of Hospital Faciltiy - 0 |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | The hospital offers free charity care to those patients who qualify. A patient with family income at or below 200% of Schedule A of the poverty guidelines, or below this level due to medical indigency, is eligible to receive free medical services provided liquid assets are not in excess of $25,000. See (3) (below) "Patient Education of Eligibility for Assistance" for "Notice of Charity Care" policy. | |
| Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) | A discount of 25% is extended to uninsured patients not qualifyig for charity care. Additionally, a 40% discount is offered to uninsured/under-insured patients who have a patient-pay balance exceeding 25% of the family annual income but are not eligible for charity care. A 60% discount is applied for patients with non-covered pharmacy expenses. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert McKee | |||||||||||
| 168421 | 21098 | 15158 | 13340 | 218017 | |||||||
| Raymond A Graeca | |||||||||||
| 358518 | 115860 | 63578 | 12128 | 562209 | 112816 | 12125 | 2425 | 16922 | 3395 | 135558 | |
| Patricia Cressley | |||||||||||
| 223000 | 29574 | 20070 | 12480 | 285124 | |||||||
| John Sutika | |||||||||||
| 62308 | 8723 | 202 | 73355 | 176923 | 2122 | 15923 | 871 | 246771 | 53054 | ||
| Gary Macioce | |||||||||||
| 173846 | 29702 | 17787 | 7587 | 228922 | 54000 | 4860 | 2868 | 61728 | |||
| Dr Robert Armstrong | |||||||||||
| 550000 | 200128 | 9800 | 14076 | 774004 | |||||||
| Dr Rajat Malik | |||||||||||
| 540000 | 4154 | 9800 | 11560 | 565514 | |||||||
| Dr Norman Hetzler | |||||||||||
| 623361 | 65320 | 9800 | 14151 | 724621 | 11989 | ||||||
| Dr Keith Zeliger | |||||||||||
| 765000 | 5885 | 9800 | 13930 | 794615 | |||||||
| Dr Jonathan Pope | |||||||||||
| 261000 | 89508 | 9800 | 13841 | 374149 | |||||||
| Dr John Fabre | |||||||||||
| 645439 | 5265 | 9800 | 11704 | 672208 | |||||||
| Dr Gary Dugan | |||||||||||
| 299898 | 38016 | 24795 | 13885 | 394337 | 17743 | ||||||
| Dr Alexander Krot | |||||||||||
| 659231 | 9800 | 14151 | 683182 | ||||||||
| Denise Lucas | |||||||||||
| 187613 | 24234 | 17066 | 6075 | 234988 | |||||||
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hospital Authority of Cle | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 251718944 | IssuerEIN |
| CUSIP Number | 000000000 | CUSIPNumber |
| Date Issued | 2007-08-22 | DateIssued |
| Issue Price | 9114708 | IssuePrice |
| Description Of Purpose | Capital Purchases | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 905840 | AmountRetired |
| Total Proceeds | 15000000 | TotalProceeds |
| Capital Expenditures | 11971091 | CapitalExpenditures |
| Amount Unspent | 3028909 | AmountUnspent |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | true | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| Hospital Authority of City of DuBois | ||||||
| 251718944 | 000000000 | 2007-08-22 | 9205969 | Refinancing | false | false |
| Hospital Authority of City of DuBois | ||||||
| 251718944 | 000000000 | 2008-12-17 | 9770204 | Refinancing | false | false |
| Clearfield County Ind Dev Authority | ||||||
| 251430476 | 000000000 | 2007-08-22 | 5155433 | Refinancing | false | false |
| Hospital Authority of City of DuBois | ||||||
| 251718944 | 000000000 | 2007-08-22 | 9114708 | Refinancing | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Capitalized InterestCapitalizedInterest | Capital ExpendituresCapitalExpenditures | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Total ProceedsTotalProceeds |
|---|---|---|---|---|---|---|---|
| 418076 | 9205969 | 9205969 | true | false | true | true | |
| 1403220 | 9770204 | true | false | true | true | 9770204 | |
| 867380 | 5155433 | true | false | true | true | 5155433 | |
| 435505 | 9114708 | true | false | true | true | 9114708 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| false | false | false | false | true |
| false | false | false | false | true |
| false | false | false | false | true |
| false | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|
| true | false | false | false | false | false | |
| true | false | false | false | false | false | |
| true | false | false | false | false | false | |
| true | false | false | false | false | false | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Andrew Sutika | |||
| See Part V | 96535 | Compensation | false |
| Douglas Dale | |||
| See Part V | 29785 | Compensation | false |
| Linda McKee | |||
| See Part V | 26769 | Compensation | false |
| Jill Zimmerman | |||
| See Part V | 59805 | Compensation | false |
| Michelle Sutika Bennett | |||
| See Part V | 109413 | Compensation | false |
| Kristy Yount | |||
| See Part V | 80120 | Compensation | false |
| Dr Steve Graeca | |||
| See Part V | 513078 | Compensation | false |
| Women's Care of Western PA | |||
| See Part V | 646424 | Payments for Services | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | (1) Dr. Gary Ott is the owner of Women's Care of Western PA. Dr. Ott is also a DRMC Board Member. DRMC makes payment to Women's Care for medical director services as well as clinical services related to the Health Beginnings Program.(2) Dr. Steven Graeca is an employed physician and also son of Raymond Graeca, DRMC's parent organization's president. (3) Kristy Yount is an employee of DRMC and also daughter of a DRMC Board member, Nancy Micks.(4) Michelle Bennett is an employee of DRMC and also the daughter of DRMC President, John Sutika.(5) Jill Zimmerman is an employee of DRMC and also sister of a DRMC senior management member, Patricia Cressley.(6) Linda McKee is an employee of DRMC and also the wife of a DRMC senior management member, Bob McKee.(7) Doug Dale is an employee of DRMC and also a relative of DRMC President, John Sutika.(8) Andrew Sutika is an employee of DRMC and also the brother of a DRMC President, John Sutika. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VII | Raymond A. Graeca, Presidet and CEO and Patricia Cressley, CFO performed management services for Kidney Care Services, LLC and Kidney Care Services, DuBois, both of which are related entities. Each officer dedicates approximately one hour per week for each entity. | |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The conflict of interest statement and other governing documents are available to the public at the public's request. They are located in a "Public Binder" in the administrative offices of DRMC | Form 990, Part VI, Line 19 |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | An independant firm is hired to compare, review, and recommend all senior officers' compensation. The Board of Directors provides the final approval. | Form 990, Part VI, Line 15b |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Yearly, Board members are required to complete a new conflict of interest statement. At any time, any Board member may question a possible conflict of interest and a thorough review would then be completed. | Form 990, Part VI, Line 12c |
| Form 990, Part VI, Line 11: Form 990 Review Process | DRMC will be submitting the Form 990 to meet the May 15th deadline for filing. The complete Form 990 will be provided to the finance committee and board of directors at the May meetings which are on May 20 and 21. At that time, the committees will review the Form 990 and have an opportunity to discuss any information contained within the Form 990. | Form 990, Part VI, Line 11 |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Effective October 1, 2011, PHH became the other body of DRMC. It holds certain reserved powers over DRMC, including the power to elect the directors of DRMC (other than ex-officio directors) from a panel of individuals submitted to PHH by DRMC's board and nominated by PHH's Governance/Nominating Committee. The Sisters of Mercy have a right to nominate up to three of its sisters to sit on the DRMC board of directors (subject to certain restrictions). PHH also has the power to remove directors. | Form 990, Part VI, Line 7a |
| Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | On October 1, 2011, DuBois Regional Medical Center ("DRMC") made significant amendments to its articles of incorporation and bylaws in connection with the affliation of DRMC and Clearfield Hospital, which became effective on that date. The affiliation resulted in the creation of Penn Highlands Healthcare, a Pennsylvania nonprofit corporation, ("PHH"), which now serves as the parent corporation of the integrated "Penn Highlands Healthcare" system. The significant changes to DRMC's articles of incorporation and/or bylaws include the following:1. PHH was designated as the "other body" of DRMC as such term is defined in section 5103 of the Pennsylvania Nonprofit Corporation Law of 1988, as amended. As such "other body," PHH holds certain reserved powers over DRMC, as described in the responses to Part VI Lines 7a and 7b. Examples of the powers held by PHH include: (a) the authority to initiate and approve amendments do DRMC's bylwas; (b) the authority to elect the directors, the chairperson and the president of DRMC, and (c) the authority to approve certain actions that DRMC takes with respect to its subsidiary organizations.2. References to the Sisters of Mercy of the Americas, New York, Pennsylvania, Pacific West Community, Inc. (The "Sisters of Mercy") and the Maple Association as members of DRMC were removed, although the Sisters of Mercy retained a right to nominate up to three of DRMC's directors.3. New provisions state the DRMC is subject to a system-wide conflict of interest policy and pastoral care program to be developed, implemented and overseen by PHH.4. The dissoluation provision was revised to provide that in the event of dissolution DRMC's remaining assets shall be distributed to PHH if it is still in existence and is a 501(c)(3) entity selected by PHH (instead of as dtermined by the Sisters of Mercy and the Maple Association). 5. The size of the board of directors was reduced from 24 members to 21 members. The composition was changed to no longer require that the president of DRMC Auziliary and three members from the Maple Association be on the board. The board must now include the members nominated by the Sisters of Mercy (up to three), one member nominated by Brookville Hospital (until December 31, 2012), the president of the DRMC medical staff and the president of DRMC.6. The duties of the officers were updated.7. The term limit for the Chair was reduced from three consecutive one-year terms to two consecutive one-year terms.8. The duties of the finance/audit committee, now subject to the oversight of PHH's finance committee, were expanded to include responsibility for the financial information of DRMC's subsidiary organizations.9. The duties of the professional relations and quality oversight committee, now subject to the oversight of PHH's professional relations and quality oversight committee, were expanded to include responsibility for the quality improvement efforts of DRMC's subsidiary organizations.10. The duties of the planning committee, now subject to the overshight of PHH's professional relations and quality oversight sommittee, were expanded to include responsibility for the planning efforts of DRMC's subsidiary organizations.11. A new construction oversight committee was added to oversee, monitor an dapprove significant construction projects undertaken by DRMC.12. The nomination and election process for officers an directors was revised.13. The indemnification provisions were updated and substantialy strengthened.14. The requirement to prepetually provide a natural family planning clinic and a prenatal clinic was removed from the bylaws. | Form 990, Part VI, Line 4 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| Penn Highlands Healthcare | ||||||||||
| 100 Hospital Avenue | DuBois | PA | 15801 | 320345810 | Hospital Mgmt Services | PA | 501(c)(3) | N/A | false | |
| Clearfield Hospital | ||||||||||
| 809 Turnpike Ave | Clearfield | PA | 16830 | 250979346 | Hospital | PA | 501(c)(3) | true | Penn Highlands Healthcare | |
| Brookville Hospital | ||||||||||
| 100 Hospital Road | Brookville | PA | 15825 | 250984595 | Hospital | PA | 501(c)(3) | true | Penn Highlands Healthcare | |
| Nathan D Yingling Cancer Center | ||||||||||
| 815 Doctors Drive | Clearfield | PA | 16830 | 205114093 | Radiation/Oncology | PA | 501(c)(3) | true | Clearfield Hospital and DRMC | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kidney Care Services DuBois LLC | ||||||||||||
| 635 Maple Ave Suite D | DuBois | PA | 15801 | 510644566 | Dialysis | PA | na | 96343 | 937967 | false | true | 0.72000 |
| Kidney Care Services LLC | ||||||||||||
| 635 Maple Ave Suite D | DuBois | PA | 15801 | 510644566 | Dialysis | PA | na | -131306 | 655766 | false | true | 0.69000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DuBois Medical Risk Retention Group | |||||||||||
| 100 Hospital Avenue | Washington | DC | 20005 | 200324622 | Insurance Services | PA | na | Corp | 589926 | 7692807 | 1.00000 |
| DuBois Regional Medical Group | |||||||||||
| 100 Hospital Avenue | DuBois | PA | 15801 | 251856569 | Pediatric Services | PA | na | Corp | -118044 | 1993675 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| DuBois Medical Risk Retention Group | |
| k | 1050000 |
| DuBois Regional Medical Group | |
| n | 1476160 |
| DuBois Regional Medical Group | |
| i | 56409 |
| Kidney Care Services DuBois LLC | |
| k | 122286 |
| Kidney Care Services DuBois LLC | |
| i | 77901 |
| Kidney Care Services LLC | |
| d | 52352 |
| Penn Highlands Healthcare | |
| n | 557311 |
| Clearfield Hospital | |
| o | 341479 |
| Brookville Hospital | |
| n | 1319950 |
| Brookville Hospital | |
| k | 494084 |
| Brookville Hospital | |
| i | 213360 |