MONTGOMERY HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MONTGOMERY HOSPITAL (EIN 23-1352193)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201341349349304454
- 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 H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T13:37:37-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231980475 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KREISCHER MILLER | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 WITMER ROAD SUITE 350 | AddressLine1 |
| City | HORSHAM | City |
| State | PA | State |
| ZIP Code | 190442369 | 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 | 231352193 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTGOMERY HOSPITAL CO EINSTEIN MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MONT | NameControl |
| Phone | 2154567490 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5501 OLD YORK ROAD | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19120 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARRY R FREEDMAN | Name |
| Title | PRESIDENT AND CEO | Title |
| Phone | 2154567490 | Phone |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN MCGINN | Name |
| PTIN | P00440382 | PTIN |
| Phone | 2154414600 | Phone |
| 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) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | BARRY R FREEDMAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5501 OLD YORK ROAD | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 104760012 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MONTGOMERYHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1889 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | SEE STATEMENT OF PRIMARY EXEMPT PURPOSE WITHIN PROGRAM SERVICE ACCOMPLISHMENTS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1110 | TotalNbrEmployees |
| Total Nbr Volunteers | 66 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 87461 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 72406 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 111911963 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 103022917 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 570904 | InvestmentIncomePriorYear |
| Investment Income Current Year | 614734 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 755960 | OtherRevenuePriorYear |
| Other Revenue Current Year | 762188 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 113326288 | TotalRevenuePriorYear |
| Total Revenue Current Year | 104472245 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 52030277 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 51946586 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 71816053 | OtherExpensePriorYear |
| Other Expenses Current Year | 58327197 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 123846330 | TotalExpensesPriorYear |
| Total Expenses Current Year | 110273783 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -10520042 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -5801538 | RevenuesLessExpensesCY |
| Total Assets BOY | 67093782 | TotalAssetsBOY |
| Total Assets EOY | 61106246 | TotalAssetsEOY |
| Total Liabilities BOY | 27422960 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 39256772 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 39670822 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 21849474 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE STATEMENT OF PRIMARY EXEMPT PURPOSE WITHIN PROGRAM SERVICE ACCOMPLISHMENTS | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 80369828 | Expense |
| Revenue | 103022917 | Revenue |
| Description | MONTGOMERY HOSPITAL ADMITS AND TREATS ALL INDIVIDUALS WHO REQUIRE SERVICES REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. THESE INCLUDE ACUTE CARE ADMISSIONS, PSYCHIATRIC CARE ADMISSIONS, OUTPATIENT SERVICES, AND PATIENT SERVICE IN THE REGULAR EMERGENCY UNIT.ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MONTGOMERY HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. DESPITE THIS, THE HOSPITAL'S MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND AN OVERALL COMMITMENT TO SERVICE ITS COMMUNITY. THESE SERVICES INCLUDE:FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY AND ARE PROVIDED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXISTS. HEALTH ACTIVITIES AND PROGRAMS INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.UNCOMPENSATED CARE IS PROVIDED BY THE HOSPITAL IN CONNECTION WITH THESE COMMUNITY SERVICES. UNCOMPENSATED CARE INCLUDES CHARITY CARE AND BAD DEBTS FROM PROVIDING UNREIMBURSED SERVICES TO INDIVIDUALS. UNCOMPENSATED CARE ALSO INCLUDES SERVICES PROVIDED UNDER FEDERAL MEDICARE AND STATE MEDICAL ASSISTANCE PROGRAMS WHERE REIMBURSEMENT WAS LESS THAN THE COST OF SERVICES PROVIDED. | Description |
| Total Program Service Expense | 80369828 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 143 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1110 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2154567490 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5501 OLD YORK ROAD | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19120 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| STEVEN BERK | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| ANDREW B CANTOR ESQUIRE | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| GARY S DRIZIN MD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| JUDITH T Z LEVY | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| SCOTT A MELNICK MD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 129301 | 6772 | ||
| JAMES J O'BRIEN MD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RICHARD C SHEERR | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| MANUEL N STAMATAKIS | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| JEFFREY WARDEN | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RICHARD WOLFSON | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| MURRAY SWIM | |||||||
| VP HUMAN RESOURCES | 40.00 | X | 167008 | 0 | 2139 | ||
| MARY ANN WITKOWSKI | |||||||
| VP & CHIEF NURSING OFFICER | 40.00 | X | 197701 | 0 | 9999 | ||
| PATRICIA MODAFFERI | |||||||
| VP | 40.00 | X | 154162 | 0 | 3533 | ||
| GEOFFRY DIFFINE | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| CARY W TONER | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| ARTHUR A ERSNER MD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 173485 | 5612 | ||
| JOHN E F CORSON | |||||||
| CHAIRMAN | 4.00 | 0 | 0 | 0 | X | ||
| ARTHUR L POWELL | |||||||
| VICE CHAIRMAN | 2.00 | 0 | 0 | 0 | X | ||
| TIMOTHY M CASEY | |||||||
| PRESIDENT & CEO | 40.00 | 1597273 | 0 | 84197 | X | ||
| EUGENE W BUCKLEY | |||||||
| TREASURER | 2.00 | 0 | 0 | 0 | X | ||
| EDWARD LADELY | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 62543 | 0 | 3227 | X | ||
| MICHAEL T KOST | |||||||
| DIRECTOR SCHOOL OF ANESTHE | 40.00 | 169245 | 0 | 2206 | X | ||
| ALICE SHIRAKAWA | |||||||
| R.N. | 40.00 | 156111 | 0 | 0 | X | ||
| FRANCIS J CARR | |||||||
| CONTROLLER | 40.00 | 135072 | 0 | 1683 | X | ||
| EDWARD R HEMSCHOOT | |||||||
| I.T. DIRECTOR | 40.00 | 127829 | 0 | 1614 | X | ||
| EARL SCHOMMER | |||||||
| R.N. | 40.00 | 121785 | 0 | 1560 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2888729 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 302786 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 122542 | TotalOtherCompensation |
| Number Individuals GT100 K | 19 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CARDIOLOGY CONSULTANTS | |||||
| 207 N BROAD STREET | PHILADELPHIA | PA | 19107 | GLOBAL SERVICES | 506663 |
| FRESENIUS MGT SERVICE INC | |||||
| 16343 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | PATIENT DIALYSIS | 377667 |
| QUEST DIAGNOSTICS | |||||
| 27027 TOURNEY ROAD | VALENCIA | CA | 19355 | OUTSIDE PT TESTING | 300430 |
| PROGRESSIVE NURSING STAFFERS | |||||
| 5531 HEMPSTEAD WAY SUITE B | SPRINGFIELD | VA | 22151 | STAFFING | 225247 |
| FIRSTAFF NURSING SERVICES | |||||
| ONE BELMONT AVENUE SUITE 310 | BALA CYNWYD | PA | 19004 | STAFFING | 189395 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| All Other Contributions | 72406 | AllOtherContributions |
| Total Contributions | 72406 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621110 | 101354299 | 101354299 |
| OTHER DEPT. REVENUE | 621110 | 1668618 | 1668618 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 103022917 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 558654 | TotalRevenueColumn |
| Exclusion | $558,654 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 196232 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 196232 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 196232 | TotalRevenueColumn |
| Exclusion | $196,232 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 343847 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 287767 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 56080 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 56080 | TotalRevenueColumn |
| Exclusion | $56,080 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| FOOD SERVICES | 722210 | 343213 | $343,213 | |
| PARKING LOT | 812930 | 150163 | $150,163 | |
| PURCHASE DISCOUNTS | 900099 | 69514 | 69514 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3066 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3066 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 565956 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 104472245 | TotalRevenueColumn |
| Related Or Exempt Function Income | 103095497 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,304,342 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1659816 | Total |
| Management And General | 1659816 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42728544 | Total |
| Program Services | 34890772 | ProgramServices |
| Management And General | 7837772 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -577933 | Total |
| Management And General | -577933 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5136998 | Total |
| Management And General | 5136998 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2999161 | Total |
| Program Services | 2611487 | ProgramServices |
| Management And General | 387674 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5920 | Total |
| Management And General | 5920 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38241 | Total |
| Management And General | 38241 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 417045 | Total |
| Program Services | 1335 | ProgramServices |
| Management And General | 415710 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162368 | Total |
| Program Services | 161361 | ProgramServices |
| Management And General | 1007 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33528 | Total |
| Program Services | 30793 | ProgramServices |
| Management And General | 2735 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82504 | Total |
| Program Services | 82504 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6453510 | Total |
| Program Services | 6453510 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4402182 | Total |
| Program Services | 4402182 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2423919 | Total |
| Management And General | 2423919 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 15893524 | 15709099 | 184425 |
| PROFESSIONAL FEES | 11555343 | 4988349 | 6566994 |
| NON-OPERATING EXPENSE | 7166275 | 2575271 | 4591004 |
| BAD DEBT | 5193286 | 5193286 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4499552 | Total |
| Program Services | 3269879 | ProgramServices |
| Management And General | 1229673 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110273783 | Total |
| Program Services | 80369828 | ProgramServices |
| Management And General | 29903955 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1431316 | BOY |
| EOY | 4749493 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10297813 | BOY |
| EOY | 8789543 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1958761 | BOY |
| EOY | 2106807 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 463161 | BOY |
| EOY | 415157 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 102935432 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 99895804 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6338521 | BOY |
| EOY | 3039628 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27936412 | BOY |
| EOY | 28098218 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18667798 | BOY |
| EOY | 13906400 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67093782 | BOY |
| EOY | 61106246 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4479468 | BOY |
| EOY | 3448434 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1946310 | BOY |
| EOY | 943783 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20997182 | BOY |
| EOY | 34864555 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27422960 | BOY |
| EOY | 39256772 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31909327 | BOY |
| EOY | 14240418 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 716273 | BOY |
| EOY | 643159 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7045222 | BOY |
| EOY | 6965897 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39670822 | BOY |
| EOY | 21849474 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67093782 | BOY |
| EOY | 61106246 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -5801538 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -12019810 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $15,349 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 15349 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | LOBBYING EXPENSES INCURRED WHEN DUES PAID TO HOSPITAL ASSOCIATION OF PENNSYLVANIA. A PERCENT OF LOBBYING EXPENSES INCURRED BY THE ASSOCIATION IS ALLOCATED TO EACH PARTICIPANT. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7042313 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -79306 | InvestmentEarningsOrLosses |
| End Of Year Balance | 6963007 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5897316 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1144997 | InvestmentEarningsOrLosses |
| End Of Year Balance | 7042313 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5385697 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 511619 | InvestmentEarningsOrLosses |
| End Of Year Balance | 5897316 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6838593 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1452896 | InvestmentEarningsOrLosses |
| End Of Year Balance | 5385697 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41710590 | OtherCostOrOtherBasis |
| Depreciation | 38670962 | Depreciation |
| Book Value | 3039628 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 61166622 | OtherCostOrOtherBasis |
| Depreciation | 61166622 | Depreciation |
| Book Value | 0 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 58220 | OtherCostOrOtherBasis |
| Depreciation | 58220 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3039628 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CASH & CASH EQUIVALENTS (HELD IN TRUST) | 4015270 | F |
| MARKETABLE EQUITY SECURITIES (HELD IN TRUST) | 17713019 | F |
| US GOVERNMENT OBLIGATIONS (HELD IN TRUST) | 6369929 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 28098218 | TotalOfBookValueSecurities |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS | 4390 |
| DUE FROM AFFILIATES | 736320 |
| INTEREST IN NET ASSETS OF FOUNDATION | 12140690 |
| MCARE PROFESSIONAL LIABILITY RECOVERABLE | 1025000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 13906400 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RETIREMENT LIABILITY | $8,388,344 |
| ACCRUED PENSION | $15,925,286 |
| DUE TO AFFILIATES | $228,670 |
| BENEFITS | $7,570,533 |
| MCARE PROFESSIONAL LIABILITY | $1,025,000 |
| OTHER LIABILITIES | $40,771 |
| SETTLEMENTS | $1,685,951 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 34864555 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | MONTGOMERY HOSPITAL IS THE PARTIAL OR 100% OWNER OF NINE ENDOWMENT FUNDS. EIGHT OF THE FUNDS HAVE UNRESTRICTED DISTRIBUTIONS TO MONTGOMERY HOSPITAL. ONE ENDOWMENT FUND DISTRIBUTES FUNDS TO THE GEORGE RALSTON RESTRICTED FUND. THE PURPOSE OF THIS FUND IS TO PAY FOR CONTINUED EDUCATION/SEMINARS FOR THE GRADUATES OF THE MONTGOMERY SCHOOL OF NURSING. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 250.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1945000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1945000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01760 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16156000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13877000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2279000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02070 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18101000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13877000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4224000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03830 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 3500 | PersonsServed |
| Total Community Benefit Expense | 61051 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3122 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 57929 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1856000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1988000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -132000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 200000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 200000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13530 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 13530 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 3500 | PersonsServed |
| Total Community Benefit Expense | 2130581 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1991122 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 139459 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 3500 | PersonsServed |
| Total Community Benefit Expense | 20231581 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15868122 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4363459 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04070 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 25921 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 25921 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 25921 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 25921 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $631,000 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 22406000 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 24934000 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2528000 | 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 | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTGOMERY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 POWELL STREET | AddressLine1 |
| City | NORRISTOWN | City |
| State | PA | State |
| ZIP Code | 19404 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTGOMERY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 250.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | Return ReferenceReturnReference |
|---|---|
| PART I, LINE 7: COST WERE DETERMINED USING A RATIO OF COST TO CHARGES DERIVED FROM THE MEDICARE COST REPORT. PATIENT WOULD NOT HAVE HEALTHCARE SERVICES WITHOUT THE BENEFITS OF TREATING REGARDLESS OF FINANCIAL MEANS. | |
| PART I, LINE 7G: HOSPITAL SUBSIDIZES THE LOSS ON OPERATIONS OF THE SYSTEM PHYSICIAN OB CLINIC. OB CLINIC SERVICES ARE PROVIDED TO LOW INCOME WOMEN WHO DO NOT HAVE A PRIMARY CARE PHYSICIAN FOR OBSTETRICS SERVICES. | |
| PART II: AS A TRUE COMMUNITY PARTNER, MONTGOMERY HOSPITAL PROVIDED $25,921 TO OTHER CHARITABLE ORGANIZATIONS LAST YEAR. PARTNERSHIPS WITH THESE ORGANIZATIONS HAVE CONTINUED TO LEAD TO NEW OPPORTUNITIES TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY. FROM ASSISTING MOTHERS IN NEED OF PRENATAL CARE TO SUPPORT FOR SEXUALLY ABUSED CHILDREN TO BEING A HEALTHCARE RESOURCE THROUGH FREE SCREENINGS, MONTGOMERY HOSPITAL CONTINUES TO BUILD UPON EXISTING RELATIONSHIPS TO INCREASE THE OUTREACH OF THE HOSPITAL. | |
| PART III, LINE 4: MONTGOMERY HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE PROVIDED. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED. SUCH AMOUNTS HAVE BEEN EXCLUDED FROM NET PATIENT SERVICE REVENUE. MANAGEMENT ESTIMATES THAT THE COST OF UNREIMBURSED CHARITY CARE PROVIDED BY THE HOSPITAL APPROXIMATED $1.9 MILLION IN 2012. SUCH AMOUNTS HAVE BEEN EXCLUDED FROM NET PATIENT SERVICE REVENUE. THESE AMOUNTS DO NOT INCLUDE THE PROVISION FOR BAD DEBTS, AMOUNTING TO $631,000 FOR AMOUNTS DUE FROM PATIENTS BUT NOT COLLECTED FOR THE YEAR ENDED JUNE 30, 2012. | |
| PART III, LINE 8: COSTS ARE BASED ON THE 2012 FYE MEDICARE COST REPORT FILING. | |
| PART III, LINE 9B: 1) PATIENTS WHO RECEIVED SERVICES IN EMERGENCY DEPARTMENT THAT RESIDE IN SELECTED ZIP CODES ARE WRITTEN OFF TO CHARITY CARE BASED ON CENSUS DEPARTMENT INCOME INFORMATION.2) PATIENTS WHO DID NOT QUALIFY FOR MEDICAID AND APPEAR TO MEET THE HOSPITAL'S CHARITY CARE GUIDELINES THE CHARGES ARE DISCOUNTED OR WRITTEN OFF IF APPROPRIATE.3) IF IN COLLECTION, PATIENTS ARE STILL GIVEN THE OPPORTUNITY TO APPLY FOR CHARITY CARE. | |
| BASED ON AN AVERAGE COMMERCIAL CASE RATE. | PART V, LINE 19 |
| SELF PAY PATIENTS PROVIDED A FEE SCHD GENERALLY BASED ON MEDICAID FEE SCHEDULE (150% FOR IP SERVICES, 200% FOR OP SERVICES). EMERGENCY OP SERVICES ARE A FLAT RATE OF $325, OP SURGERY IS 100% OF SELECTED COMMERCIAL FEE SCHEDULE. | PART V, LINE 19D |
| UNINSURED INELIGIBLE, UNCOOPERATIVE PATIENTS WERE CHARGED GROSS CHARGES. | PART V, LINE 21 |
| PART VI, LINE 2: NEEDS ASSESSEMENT-MONTGOMERY HOSPITAL WORKS IN PARTNERSHIP WITH BOROUGH, COUNTY, REGIONAL AND STATE ORGANIZATIONS, ESPECIALLY MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND THE DELAWARE VALLEY HEALTH COUNCIL TO ASSESS HEALTHCARE NEEDS IN THE IMMEDIATE REGION. WORKING TOGETHER, MONTGOMERY HOSPITAL AND ITS PARTNERS HAVE CONTINUED TO IDENTIFY HEALTHCARE TRENDS AND NEEDS WITHIN OUR COMMUNITY. TO BETTER MEET THESE NEEDS, MONTGOMERY HOSPITAL PROVIDES PRENATAL EDUCATION AND CARE, AN OB/GYN CLINIC FOR UNINSURED/UNDERINSURED WOMEN, ACCESS TO CASE MANAGEMENT AND SOCIAL WORKERS, PASTORAL CARE AND HOME CARE, HOSPICE AND PALLIATIVE CARE OPTIONS FOR THE UNDERSERVED. THE HOSPITAL HOSTS A VARIETY OF SUPPORT GROUPS, PARTICIPATION IN WHICH IS FREE. THROUGHOUT THE YEAR, THE HOSPITAL PROVIDES OUTREACH AND EDUCATION PROGRAMMING OPPORTUNITIES TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. | |
| PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE-MONTGOMERY HOSPITAL EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE HOSPITAL'S CHARITY CARE POLICY IN THE FOLLOWING WAYS:1. THE HOSPITAL'S CHARITY CARE POLICY IS POSTED IN PATIENT REGISTRATION AND IS AVAILABLE IN WRITING UPON REQUEST.2. INFORMATION ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND HOW TO RECEIVE HELP UNDERSTANDING HOSPITAL BILLS ARE INCLUDED IN THE MONTGOMERY HOSPITAL PATIENT GUIDE, GIVEN TO EVERY PATIENT UPON ADMISSION (AVAILABLE IN ENGLISH AND SPANISH. 3. THE HOSPITAL'S CHARITY CARE POLICY AND SELF-PAY FEE SCHEDULE ARE AVAILABLE FROM PATIENT REGISTRATION, EMERGENCY DEPARTMENT REGISTRATION AND THE HOSPITAL'S BILLING OFFICE.4. CHARITY CARE INFORMATION AND SELF-PAY FEE SCHEDULE ARE AVAILABLE ON THE HOSPITAL'S WEBSITE.5.TWO FINANCIAL COUSELORS ARE AVAILABLE TO EDUCATE PATIENTS ABOUT FINANCIAL OPTIONS AND ASSIST WITH COMPLETION AND FILING OF FORMS. | |
| PART VI, LINE 4: COMMUNITY INFORMATION - MONTGOMERY HOSPITAL SITS CLOSE TO THE CENTER OF NORRISTOWN, THE COUNTY SEAT OF MONTGOMERY COUNTY, PA. NORRISTOWN IS CLASSIFIED AS URBAN. PER THE 2010 US CENSUS, THE POPULATION OF NORRISTOWN IS 40.9% CAUCASIAN, 39.8% BLACK OR AFRICAN AMERICAN AND 23.5% OF HISPANIC OR LATINO DESCENT, ALMOST TRIPLE THE LATINO POPULATION REPORTED IN THE 2000 CENSUS. ALTHOUGH MONTGOMERY COUNTY IS THE THIRD MOST POPULOUS IN THE STATE AND THE MOST AFFLUENT, 17.2% OF NORRISTOWN RESIDENTS AND 13.5% OF FAMILIES IN THE BOROUGH LIVE BELOW THE POVERTY LINE COMPARED TO 2.4% OF PEOPLE IN MONTGOMERY COUNTY AND 11.9% FOR THE STATE. PROJECTIONS SHOW THAT ONE-THIRD OF THE BOROUGH'S RESIDENTS ARE UNINSURED WITH NO SOURCE OF PRIMARY CARE. IN ADDITION TO A LACK OF MEDICAL INSURANCE OR PRIMARY CARE, THE GROWING UNDOCUMENTED LATINO POPULATION IS FURTHER HAMPERED BY CULTURAL AND LANGUAGE BARRIERS WHICH PRODUCE AN OVERALL LACK OF HEALTHCARE KNOWLEDGE. LANGUAGE BARRIERS OFTEN DISSUADE ATTENDANCE AT FREE HEALTH SCREENINGS THROUGHOUT THE COUNTY BY MULTIPLE ORGANIZATIONS. ADDITIONALLY, UNDOCUMENTED INDIVIDUALS ARE OFTEN FEARFUL OF QUESTIONS BEING RAISED ABOUT CITIZENSHIP AND THEREFORE DO NOT SEEK PROPER HEALTHCARE UNTIL THE NEED IS CRITICAL. PROVIDING PROGRAMS, FAMILIARITY AND ACCESS TO MONTGOMERY HOSPITAL PROGRAMS, ESPECIALLY FOR PREVENTATIVE AND PRENATAL HEALTH NEEDS, IS IMPORTANT AT THIS TIME. IN ADDITION TO THE IMMEDIATE NORRISTOWN VICINTY, MONTGOMERY HOSPITAL'S REGIONAL REACH IS THE CENTRAL PORTION OF MONTGOMERY COUNTY, EXTENDING APPROXIMATELY 10 MILES TO THE NORTH AND WEST AND 5 MILES TO THE EAST (TOWARDS PHILADELPHIA). MONTGOMERY HOSPITAL GEOGRAPHICALLY FINDS ITSELF IN DIRECT COMPETITION WITH AT LEAST 10 OTHER SUBURBAN PHILADELPHIA HOSPITALS ALL OF WHOM ARE IN CONSTANT COMPETITION WITH HOSPITALS LOCATED DOWNTOWN, A TREND THAT FINDS ALMOST 60% OF THE POPULATION SEEKING HEALTHCARE OUTSIDE OF THE IMMEDIATE REGION. | |
| PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH-MONTGOMERY HOSPITAL MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY. THROUGH A VARIETY OF FORMS, MONTGOMERY HOSPITAL PROVIDES OUTREACH AND EDUCATION EACH YEAR, ENGAGING WITH A NUMBER OF COMMUNITY PARTNERS. PROGRAMS INCLUDE: 1. AS A PRIMARY SOURCE OF HEALTHCARE FOR NORRISTOWN AND CENTRAL MONTGOMERY COUNTY, MONTGOMERY HOSPITAL ENJOYS BEING THE HEALTHCARE RESOURCE FOR ITS NEIGHBORS. EACH YEAR, THE HOSPITAL PROVIDES EDUCATIONAL MATERIALS AND HEALTHCARE RELATED GIVEAWAYS TO NORRISTOWN AREA SCHOOL DISTRICT, CHURCHES WITHIN THE IMMEDIATE AREA, CIVIC ORGANIZATIONS SUCH AS BOY/GIRL SCOUTS OF AMERICA, LOCAL COMMUNITY CENTERS SUCH AS THE POLICE ATHLETIC LEAGUE AND AS WELL AS OUR BOROUGH AND BORDERING TOWNSHIPS. THE HOSPITAL ALSO SUPPORTS SEVERAL LOCAL "BLOCK" PARTIES EACH SUMMER BY SUPPLYING HEALTHCARE INFORMATION TO SURROUNDING NEIGHBORHOODS.2. FREE CANCER SUPPORT GROUPS FOR PATIENTS, FAMILIES AND SURVIVORS. TO INCREASE THE HOSPITAL'S OUTREACH, PARTICIPANTS DO NOT NEED TO HAVE BEEN TREATED AT THE HOSPITAL TO PARTICIPATE. SUPPORT GROUPS IN 2011-2012 INCLUDED BREAST CANCER SUPPORT, CPAP SUPPORT, LARYNGECTOMY SUPPORT, PROSTATE SUPPORT AND BEREAVEMENT SUPPORT. THE HOSPITAL'S CANCER PROGRAM ALSO PROVIDES A HEALING ARTS PROGRAM FOR PATIENTS FEATURING A FREE WIG PROGRAM FOR PATIENTS WHO HAVE LOST THEIR HAIR TO CHEMOTHERAPY. MASSAGE, MEDITATION AND OTHER RELAXATION OPPORTUNITIES ARE OFFERED THROUGHOUT THE YEAR. THE CANCER PROGRAM ALSO PARTNERS WTH THE AMERICAN CANCER SOCIETY TO PRESENT TRADEMARKED PROGRAMMING.3. EACH MAY, THE HOSPITAL HOSTS AN ANNUAL FUNDRAISER. WHILE THE "WALK THROUGH THE PARK" GENERATES ON AVERAGE $15,000 FOR CANCER PROGRAMS AT MONTGOMERY HOSPITAL, THE GREATER PURPOSE OF THE WALK IS TO BRING CANCER AWARENESS TO THE REGION WHILE SUPPORTING ALL OF THOSE WHO HAVE EVER BEEN DIAGNOSED WITH CANCER. THE WALK IS A TRUE COLLABORATION OF PHYSICIANS, PATIENTS, ORGANIZATIONS, LOCAL BUSINESSES AND INDIVIDUALS WHO WANT TO SHOW SUPPORT FOR THOSE WHO HAVE BEEN TOUCHED BY CANCER. THE WALK IS LED BY A COMMITTEE COMPRISED OF LOCAL BUSINESS LEADERS, COMMUNITY MEMBERS AND HOSPITAL PHYSICIANS AND STAFF.4. AS A TRUE COMMUNITY PARTNER, MONTGOMERY HOSPITAL PROVIDED $13,200 TO OTHER CHARITABLE ORGANIZATIONS LAST YEAR. PARTNERSHIPS WITH THESE ORGANIZATIONS HAVE CONTINUED TO LEAD TO NEW OPPORTUNITIES TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY. FROM ASSISTING MOTHERS IN NEED OF PRENATAL CARE TO SUPPORT FOR SEXUALLY ABUSED CHILDREN TO BEING A HEALTHCARE RESOURCE THROUGH FREE SCREENINGS, MONTGOMERY HOSPITAL CONTINUES TO BUILD UPON EXISTING RELATIONSHIPS TO INCREASE THE OUTREACH OF THE HOSPITAL. 5. MONTGOMERY HOSPITAL ENJOYS A CLOSE RELATIONSHIP WITH ITS NEIGHBOR HOSPITALS FROM MONTGOMERY AND BUCKS COUNTIES WITH A REGIONAL ZONE AGREEMENT, PART OF A COALITION DEVELOPED AFTER 9/11. THROUGH A MUTUAL AID AGREEMENT, HOSPITALS WITHIN THE ZONE HAVE PREDETERMINED METHODS IN PLACE TO ENCOURAGE INTER-HOSPITAL COOPERATION SHOULD A DISASTER ARISE. THE ZONE WORKS WITH AREA MUNICIPAL AND COUNTY AGENCIES, EMS, DELAWARE VALLEY HEALTH COUNCIL, AND THE STATE. IN ADDITION, THE HOSPITAL HOSTS A SAFETY/EMERGENCY PREPARATION MEETING EACH MONTH FOR STAFF MEMBERS TO RECEIVE CONTINUOUS TRAINING AND ASSESS ANY NEEDS WITHIN THE COMMUNITY. THE MUNICIPAL FIRE DEPARTMENT IS INVITED AS A PARTICIPANT AT LEAST ONCE EACH YEAR AS IS THE SAFETY OFFICER FROM THE EXCELON NUCLEAR POWER PLANT, LOCATED 20 MILES TO THE NORTHWEST OF THE HOSPITAL.6. WHEN A PUBLIC HEALTH CRISIS DEVELOPS, MONTGOMERY HOSPITAL IS A RESPONSIVE, COLLABORATIVE COMMUNITY PARTNER. THE HOSPITAL WORKS IN CONJUNCTION WITH LOCAL PUBLIC HEALTH AGENCIES TO BRING AWARENESS TO THE COMMUNITY REGARDING HEALTH CARE OUTREACH. THIS YEAR THE HOSPITAL HAS WORKED WITH THESE AGENCIES, INCLUDING THE DEPARTMENT OF HEALTH, TO EDUCATE THE COMMUNITY ABOUT:THE IMPORTANCE OF FLU VACCINATIONS, PROPER HAND WASHING TECHNIQUES, SIGNS OF HEART TROUBLE, IMPORTANCE OF ADVANCED DIRECTIVES, THE NEED FOR PROPER PRE-NATAL CARE AND THE DANGERS OF CO-SLEEPING WITH INFANTS. IN RESPONSE TO A DRAMATIC INCREASE IN INFANT MORTALITY WITHIN THE BOROUGH IN 2011, THE HOSPITAL ADOPTED A "NO LOOSE BLANKET" POLICY, OUTFITTING EACH NEWBORN DELIVERED WITH TWO WEARABLE AND SEASONALLY APPROPRIATE SLEEP SACKS TO HELP DECREASE THE RISK OF SIDS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MURRAY SWIM | |||||||||||||
| 157308 | 0 | 9700 | 0 | 0 | 0 | 0 | 0 | 2139 | 0 | 169147 | 0 | 0 | 0 |
| MARY ANN WITKOWSKI | |||||||||||||
| 183723 | 0 | 13978 | 0 | 0 | 0 | 0 | 0 | 9999 | 0 | 207700 | 0 | 0 | 0 |
| PATRICIA MODAFFERI | |||||||||||||
| 145224 | 0 | 8938 | 0 | 0 | 0 | 0 | 0 | 3533 | 0 | 157695 | 0 | 0 | 0 |
| ARTHUR A ERSNER MD | |||||||||||||
| 0 | 173485 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5612 | 0 | 179097 | 0 | 0 |
| TIMOTHY M CASEY | |||||||||||||
| 666979 | 0 | 615713 | 0 | 314581 | 0 | 0 | 0 | 84197 | 0 | 1681470 | 0 | 0 | 0 |
| MICHAEL T KOST | |||||||||||||
| 169245 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2206 | 0 | 171451 | 0 | 0 | 0 |
| ALICE SHIRAKAWA | |||||||||||||
| 156111 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 156111 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS MEMBERS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | BOARD MEMBERS AND OFFICERS ARE ELECTED BY THE MONTGOMERY HOSPITAL MEDICAL CENTER EXECUTIVE COMMITTEE (BOARD). | |
| FORM 990, PART VI, SECTION A, LINE 7B | A MAJORITY OF ELECTED BOARD MEMBERS AT A MEETING CONSTITUTES A QUORUM. A BOARD VOTE AT A MEETING WITH A QUORUM CARRIES ANY ACTION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED IN CONNECTION WITH ALBERT EINSTEIN HEALTHCARE NETWORK'S INDEPENDENT ACCOUNTING FIRM, KREISCHER MILLER AND IS REVIEWED BY ALBERT EINSTEIN HEALTHCARE NETWORK'S MANAGEMENT. THE FORM 990 IS THEN PROVIDED TO THE AUDIT COMMITTEE OF THE GOVERNING BODY FOR REVIEW. AFTER REVIEW, BUT PRIOR TO FILING, THE RETURNS ARE ELECTRONICALLY MAILED TO THE GOVERNING BOARD. | |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON A YEARLY BASIS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | A COMPENSATION COMMITTEE IS USED TO APPROVE COMPENSATION FOR THE CEO AND OFFICERS. AN OUTSIDE COMPANY IS USED TO COMPLETE COMPARABILITY STUDIES. AN OUTSIDE REVIEW OF THE SURVEYS IS COMPLETED BY AN INDEPENDENT PERSON. THE COMPENSATION COMMITTEE REVIEWS THE DATA AND ULTIMATELY APPROVES OR DISAPPROVES OF ANY EXECUTIVE COMPENSATION. THERE ARE DOCUMENTED MINUTES OF THE COMPENSATION COMMITTEE MEETINGS. THESE MINUTES ARE KEPT CONFIDENTIAL AND ARE STORED IN THE EXECUTIVE OFFICE FILES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST | |
| FORM 990, PART XI, LINE 5: | UNREALIZED GAIN/LOSS ON INVESTMENTS 22,612. RESTRICTED CONTRIBUTIONS 423,560. NET ASSETS RELEASED FROM RESTRICTIONS 435,778. NET ASSETS RELEASED FROM RESTRICTIONS -496,674. INCREASE/DECREASE IN ASSETS HELD IN PERPETUITY BY TRUSTEES -79,326. CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY -12,325,760. TOTAL TO FORM 990, PART XI, LINE 5: -12,019,810. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XI, LINE 2C | THE PROCESS FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR. | PROCESS FOR OVERSIGHT OF AUDIT OF FINANCIAL STATEMENTS |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FORNANCE PHYSICIAN SERVICES | |||||||||||
| 1330 POWELL STREET | NORRISTOWN | PA | 19401 | 232275991 | HEALTH CARE | PA | 501(C)(3) | 11A | AEHN | 1 | |
| MONTGOMERY HEALTH FOUNDATION | |||||||||||
| 1330 POWELL STREET SUITE 309 | NORRISTOWN | PA | 19401 | 222456265 | FINANCIAL SUPPORT OF MONTGOMERY HOSPITAL | PA | 501(C)(3) | 11B | AEHN | 1 | |
| MONTGOMERY HOSPITAL WORKERS COMPENSATION | |||||||||||
| 1301 POWELL STREET | NORRISTOWN | PA | 19401 | 232351775 | HEALTH CARE | PA | 501(C)(3) | 11A | AEHN | 1 | |
| BROADLINE RISK RETENTION GROUP | |||||||||||
| 100 BANK STREET | BURLINGTON | VT | 05401 | 272583356 | INSURANCE | VT | 501(C)(3) | 11A | AEHN | 1 | |
| EINSTEIN PRACTICE PLAN | |||||||||||
| 5501 OLD YORK ROAD | PHILADELPHIA | PA | 19141 | 232664784 | HEALTH CARE | PA | 501(C)(3) | 11A | AEHN | 1 | |
| MONTGOMERY HOSPITAL SELF INSURED TRUST | |||||||||||
| 1301 POWELL STREET | NORRISTOWN | PA | 19401 | 556151681 | INSURANCE | PA | 501(C)(3) | 11A | AEHN | 1 | |
| ALBERT EINSTEIN HEALTHCARE NETWORK | |||||||||||
| 5501 OLD YORK ROAD | PHILADELPHIA | PA | 19141 | 232290323 | HEALTH CARE | PA | 501(C)(3) | 11C | 0 | N/A | |
| ALBERT EINSTEIN MEDICAL CENTER | |||||||||||
| 5501 OLD YORK ROAD | PHILADELPHIA | PA | 19141 | 231396794 | HEALTH CARE | PA | 501(C)(3) | 3 | AEHN | 1 | |
| EINSTEIN COMMUNITY HEALTH ASSOCIATES | |||||||||||
| 5501 OLD YORK ROAD | PHILADELPHIA | PA | 19141 | 232760086 | HEALTH CARE | PA | 501(C)(3) | 11A | AEHN | 1 | |
| BELMONT CTR FOR COMPREHENSIVE TREATMENT | |||||||||||
| 4200 MONUMENT ROAD | PHILADELPHIA | PA | 19131 | 231352200 | HEALTH CARE | PA | 501(C)(3) | 3 | AEHN | 1 | |
| GHMC MANAGEMENT INC | |||||||||||
| 101 E OLNEY AVENUE | PHILADELPHIA | PA | 19141 | 232225809 | HEALTH CARE | PA | 501(C)(3) | 11A | AEHN | 1 | |
| EINSTEIN MEDICAL CENTER MONTGOMERY | |||||||||||
| 5501 OLD YORK ROAD | PHILADELPHIA | PA | 19141 | 204193243 | HEALTH CARE | PA | 501(C)(3) | 3 | AEHN | 1 | |
| FRIENDS OF MOSS REHAB | |||||||||||
| 12TH STREETS TABOR ROAD | PHILADELPHIA | PA | 19141 | 222483287 | HEALTH CARE | PA | 501(C)(3) | 11A | AEHN | 1 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CMMC INC | |||||||||||
| 15 W WOOD STREET | NORRISTOWN | PA | 19401 | 232256479 | REAL ESTATE MANAGEMENT | PA | AEHN | C | 65216 | 1357010 | 1.00000 |
| EINSTEIN HEALTHCARE SYSTEMS INC | |||||||||||
| 101 OLNEY AVENUE | PHILADELPHIA | PA | 19120 | 232314938 | HOLDING COMPANY | PA | AEHN | C | -2331 | 1490754 | 1.00000 |
| REHAB VENTURES INC | |||||||||||
| 1200 W TABOR ROAD | PHILADELPHIA | PA | 19141 | 232619394 | HOLDING COMPANY | PA | AEMC | C | 85977 | 1896407 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| FORNANCE PHYSICIANS SERVICES | ||
| B | 6543510 | MARKET VALUE |
| MONTGOMERY HEALTH FOUNDATION | ||
| C | 544063 | MARKET VALUE |
| FORNANCE PHYSICIANS SERVICES | ||
| I | 61634 | MARKET VALUE |
| CMMC INC | ||
| J | 181553 | MARKET VALUE |