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DUBOIS REGIONAL MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DUBOIS REGIONAL MEDICAL CENTER (EIN 25-1490707)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201201359349301965
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-14T08:26:49-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Catalano Case Catalano & FanninBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11773 Kiwanis Trail / PO Box 46AddressLine1
CityDuboisCity
StatePAState
ZIP Code15801ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251490707EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DuBois Regional Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDUBONameControl
Phone8143756105Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 447AddressLine1
CityDuBoisCity
StatePAState
ZIP Code15801ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePatricia CressleyName
TitleVice PresidentTitle
Date Signed2012-05-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameW CRAIG CASE JRName
Phone8143713000Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts214014632GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.drmc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionDuBois 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 Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1989TotalNbrEmployees
Total Nbr Volunteers231TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1244888ContributionsGrantsPriorYear
Contributions Grants Current Year477794ContributionsGrantsCurrentYear
Program Service Revenue Prior Year202287569ProgramServiceRevenuePriorYear
Program Service Revenue CY205894799ProgramServiceRevenueCY
Investment Income Prior Year2174644InvestmentIncomePriorYear
Investment Income Current Year1763524InvestmentIncomeCurrentYear
Other Revenue Prior Year3542358OtherRevenuePriorYear
Other Revenue Current Year5127927OtherRevenueCurrentYear
Total Revenue Prior Year209249459TotalRevenuePriorYear
Total Revenue Current Year213264044TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year122441248SalariesEtcPriorYear
Salaries Etc Current Year128232323SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year167656TotalFundrsngExpCurrentYear
Other Expense Prior Year81803570OtherExpensePriorYear
Other Expenses Current Year84964370OtherExpensesCurrentYear
Total Expenses Prior Year204244818TotalExpensesPriorYear
Total Expenses Current Year213196693TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5004641RevenuesLessExpensesPriorYear
Revenues Less Expenses CY67351RevenuesLessExpensesCY
Total Assets BOY201002238TotalAssetsBOY
Total Assets EOY217851741TotalAssetsEOY
Total Liabilities BOY59270256TotalLiabilitiesBOY
Total Liabilities EOY70665919TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY141731982NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY147185822NetAssetsOrFundBalancesEOY
Mission DescriptionDuBois 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense186280473Expense
Revenue213264045Revenue
DescriptionDuBois 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 Expense186280473TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiestruePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096215NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1989NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPatricia Cressley VP CFONamePerson
Telephone Number8143756299TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 Hospital AvenueAddressLine1
CityDUBOISCity
StatePAState
ZIP Code15801ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
William Young
Trustee1.00X000
Todd Stoltz
Trustee1.00X000
Sister Rita Kartavich
Trustee40.00X2782102169
Sister Mary Felice Duska
Trustee1.00X000
Sister Mary Ann Bader
Foundation Mana1.00X000
Scott Foradora
Chairman2.00X000
Robert McKee
Vice President40.00187377028512XX
Richard Pfingstler
Trustee1.00X000
Raymond A Graeca
President & CEO40.00X583212094410XX
Patricia Cressley
Vice President40.00247387032450XX
Nancy Micks
Trustee1.00X000
Mrs Janine Johnson
Secretary1.00000X
James McCurdy
Trustee1.00X000
James E Devlin MD
Trustee1.00X1642500
James D Curtis
Treasurer1.00000X
Gene Hoak
Trustee1.00X000
Gary Macioce
COO40.00251885033132XX
Edward Yahner
Trustee1.00000X
Edward S Nasuti
Vice Chairman1.00000X
Dr Stephen M Fall
Physician40.00666231024232X
Dr Rajat Malik
Trustee40.00X544154021424
Dr Norman Hetzler
Physician40.00673017023756X
Dr Keith Zeliger
Physician40.00770885023801X
Dr Jonathan Pope
Trustee40.00X355377024511
Dr Gregory Roscoe
Trustee1.00X000
Dr Gautam Yagnik
Physician40.00765350016635X
Dr Gary Ott
Trustee1.00X000
Dr Gary Dugan
Vice President40.00344891038414XX
Dr Alexander Krot
Physician40.00765000024023X
Denise Lucas
Vice President40.00209485023686XX
Anita McDonald
Trustee1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org6408497TotalReportableCompFromOrg
Total Other Compensation411155TotalOtherCompensation
Number Individuals GT100 K156NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Womens Care of Western PA
145 Hospital AvenueDuBoisPA15801Prof Services762967
Staff Care
222 W Las Colinas Blvd Suite 1230IrvingTX75039Healthcare Prof627308
Insight Health Corp
PO Box 847689DallasTX752847689Medical Services1348476
Biotronics Inc
1370 Beulah RoadPittsburghPA15235Perfusion Services802362
Associated Clinical Laboratories
1526 Peach StreetEriePA16501Lab Services1608393
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events75201FundraisingEvents
All Other Contributions402593AllOtherContributions
Total Contributions477794TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
R&B, Ancillary IP171529653171529653
Other Program23258442325844
Contractual Adj-282295701-282295701
Ancillary OP & Physician314335003314335003
FieldValueIRS element (for citing)
Total Program Service Revenue205894799TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1749113TotalRevenueColumn
Exclusion$1,749,113ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real571207Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real571207Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column571207TotalRevenueColumn
Related Or Exempt Function Income571207RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities686902Securities
Other40755Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities156168Securities
Other557078Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities530734Securities
Other-516323Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column14411TotalRevenueColumn
Related Or Exempt Function Income14411RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events36208GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events75201CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses37342FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-1134TotalRevenueColumn
Exclusion-$1,134ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Restricted Operating Re203109203109
Other Income45505334550533
Earnings from Affiliate-195788-195788
FieldValueIRS element (for citing)
Total Other Revenue4557854TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column213264044TotalRevenueColumn
Related Or Exempt Function Income211038271RelatedOrExemptFunctionIncome
Exclusion$1,747,979ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1802492Total
Program Services541877ProgramServices
Management And General1260615ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total1481015Total
Program Services1481015ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total103487509Total
Program Services91935602ProgramServices
Management And General11404366ManagementAndGeneral
Fundraising147541Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2502005Total
Program Services2201764ProgramServices
Management And General300241ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12686745Total
Program Services11164336ProgramServices
Management And General1522409ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6272557Total
Program Services5519850ProgramServices
Management And General752707ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1383775Total
Program Services1270522ProgramServices
Management And General113253ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1414710Total
Management And General1414710ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total99628Total
Management And General99628ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total60000Total
Management And General60000ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7443735Total
Program Services6550487ProgramServices
Management And General893248ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total605254Total
Program Services532624ProgramServices
Management And General72491ManagementAndGeneral
Fundraising139Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total988851Total
Program Services870189ProgramServices
Management And General116767ManagementAndGeneral
Fundraising1895Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3554299Total
Program Services3127783ProgramServices
Management And General426516ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3184054Total
Program Services2801968ProgramServices
Management And General382086ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total373671Total
Program Services328830ProgramServices
Management And General44841ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total425129Total
Program Services374114ProgramServices
Management And General51015ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1361232Total
Program Services1197884ProgramServices
Management And General163348ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13405022Total
Program Services11796419ProgramServices
Management And General1608603ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3552517Total
Program Services3126215ProgramServices
Management And General426302ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies3061892926944658367417695
Purchased Services7540603663573188921115661
Miscellaneous Exp185509216324812202862325
Maintenance Contracts19646561728897235759
Bad Debt51332134517227615986

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total213196693Total
Program Services186280473ProgramServices
Management And General26748564ManagementAndGeneral
Fundraising167656Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5299987BOY
EOY8010367EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1215953BOY
EOY1097291EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY24785645BOY
EOY26737774EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2734854BOY
EOY3132193EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis217001803LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec109345974LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY100112717BOY
EOY107655829EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY53836489BOY
EOY51821535EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13016593BOY
EOY19396752EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY201002238BOY
EOY217851741EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY25530541BOY
EOY23192437EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY888165BOY
EOY1348864EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY26991412BOY
EOY38520456EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3708439BOY
EOY6319236EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2151699BOY
EOY1284926EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY59270256BOY
EOY70665919EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY140350486BOY
EOY145822126EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1381496BOY
EOY1363696EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY141731982BOY
EOY147185822EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY201002238BOY
EOY217851741EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses67351ReconcilationRevenueExpenses
Reconcilation Other Changes5386489ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures60000PoliticalExpenditures
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$60,000GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB60000TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance36194BeginningOfYearBalance
Contributions1965Contributions
Investment Earnings Or Losses213InvestmentEarningsOrLosses
End Of Year Balance38372EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance33369BeginningOfYearBalance
Contributions2553Contributions
Investment Earnings Or Losses272InvestmentEarningsOrLosses
End Of Year Balance36194EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance31274BeginningOfYearBalance
Contributions1710Contributions
Investment Earnings Or Losses385InvestmentEarningsOrLosses
End Of Year Balance33369EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3202283OtherCostOrOtherBasis
Book Value3202283BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis117553662OtherCostOrOtherBasis
Depreciation52037543Depreciation
Book Value65516119BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis655198OtherCostOrOtherBasis
Depreciation342175Depreciation
Book Value313023BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis91643408OtherCostOrOtherBasis
Depreciation53967953Depreciation
Book Value37675455BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3947252OtherCostOrOtherBasis
Depreciation2998303Depreciation
Book Value948949BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings107655829TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
Pledged Guarantees-Unemployment
Pledged Guarantees - Workers Comp491
Other Assets1323489
Miscellaneous Receivables10190429
Investment in Affiliates3051785
Inventory for use2043357
Goodwill1380057
Deferred Financing27672
Deferred Equity1379472
FieldValueIRS element (for citing)
Total Book Value Other Assets19396752TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionThird Party Rate Adj.&Compliance ReserveDescription
Amount$1,284,926Amount
FieldValueIRS element (for citing)
Total Of Amounts1284926TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart V, Line 4Identifier
Return ReferencePart V, Line 4: Intended uses of the endowment fund.ReturnReference
ExplanationDRMC's Endowment Fund will be used for purchase of capital items used in patient care.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event1111409GrossReceiptsEvent1
Charitable Contributions Event175201CharitableContributionsEvent1
Gross Revenue Event136208GrossRevenueEvent1
Cash Prizes Event113882CashPrizesEvent1
Rent Facility Costs Event17968RentFacilityCostsEvent1
Food And Beverage Event115492FoodAndBeverageEvent1
Gross Receipts Total111409GrossReceiptsTotal
Charitable Contributions Total75201CharitableContributionsTotal
Gross Revenue Total Events36208GrossRevenueTotalEvents
Cash Prizes Total Events13882CashPrizesTotalEvents
Rent Facility Costs Total Events7968RentFacilityCostsTotalEvents
Food And Beverage Total Events15492FoodAndBeverageTotalEvents
Direct Expense Summary Events37342DirectExpenseSummaryEvents
Net Income Summary-1134NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2941440TotalCommunityBenefitExpense
Net Community Benefit Expense2941440NetCommunityBenefitExpense
Percent Of Total Expense0.01380PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense33387797TotalCommunityBenefitExpense
Direct Offsetting Revenue23508630DirectOffsettingRevenue
Net Community Benefit Expense9879167NetCommunityBenefitExpense
Percent Of Total Expense0.04630PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense36329237TotalCommunityBenefitExpense
Direct Offsetting Revenue23508630DirectOffsettingRevenue
Net Community Benefit Expense12820607NetCommunityBenefitExpense
Percent Of Total Expense0.06010PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs60NumberOfActivitiesOrPrograms
Total Community Benefit Expense522964TotalCommunityBenefitExpense
Net Community Benefit Expense522964NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense705396TotalCommunityBenefitExpense
Net Community Benefit Expense705396NetCommunityBenefitExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense628473TotalCommunityBenefitExpense
Net Community Benefit Expense628473NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs40NumberOfActivitiesOrPrograms
Total Community Benefit Expense345778TotalCommunityBenefitExpense
Net Community Benefit Expense345778NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs102NumberOfActivitiesOrPrograms
Total Community Benefit Expense2202611TotalCommunityBenefitExpense
Net Community Benefit Expense2202611NetCommunityBenefitExpense
Percent Of Total Expense0.01030PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs102NumberOfActivitiesOrPrograms
Total Community Benefit Expense38531848TotalCommunityBenefitExpense
Direct Offsetting Revenue23508630DirectOffsettingRevenue
Net Community Benefit Expense15023218NetCommunityBenefitExpense
Percent Of Total Expense0.07040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$2,315,079BadDebtExpenseAmount
Amount Reimbursed By Medicare58284424AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare60844805CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2560381MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
Kidney Care ServicesDuBois
Dialysis Services0.690000.31000
Kidney Care Services LLC
Dialysis Services0.740000.26000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1DuBois Regional Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1100 Hospital AvenueAddressLine1
CityDuBoisCity
StatePAState
ZIP Code15801ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DuBois Regional Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit Lien On ResidenceXPermitLienOnResidence
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
Lien On ResidenceXLienOnResidence
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - States Where Community Benefit Report FiledPA
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeDuBois 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 InformationDRMC'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 AssistanceDRMC 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 AssessmentA) 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 21 - Charge Patients Amount Equal Gross Charge for ServicesIt is possible if the payer applied deductible to the full charge amount.Number of Hospital Faciltiy - 0
Part V, Line 19d - Other Billing Determination of Individuals Without InsuranceA discount of 25% is extended to uninsured patients not qualifying for charity care. (The 25% discount amount matches the discount amount offered to our large multi-payer groups, such as Intergroup/Vantage, etc.) 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. (This is applied primarily to the pharmacy expense deemed by medicare as non-covered.)Number of Hospital Faciltiy - 0
Part V, Line 13g - Other Means Hospital Facility Publicized the PolicyA notice of availability is posted at all points of registration and included in our patient handbookNumber of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsThe 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrg
Robert McKee
167828195491510513407215889
Raymond A Graeca
464072104607810001341067762214533
Patricia Cressley
221154262331990412546279837
Gary Macioce
225654262312030912823285017
Dr Stephen M Fall
647250479598001443269046314186
Dr Rajat Malik
5400004154980011624565578
Dr Norman Hetzler
654036479598001395669677314186
Dr Keith Zeliger
7650005885980014001794686
Dr Jonathan Pope
281185741921059913912379888
Dr Gautam Yagnik
765000350414212493781985
Dr Gary Dugan
29316935055244581395638330516667
Dr Alexander Krot
765000980014223789023
Denise Lucas
18735922126172396447233171

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Hospital Authority of CleBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN251718944IssuerEIN
CUSIP Number000000000CUSIPNumber
Date Issued2007-08-22DateIssued
Issue Price9114708IssuePrice
Description Of PurposeCapital PurchasesDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired444965AmountRetired
Total Proceeds15000000TotalProceeds
Capital Expenditures11971091CapitalExpenditures
Amount Unspent3028909AmountUnspent
Year Of Subst Completion2012YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
Hospital Authority of City of DuBois
2517189440000000002007-08-229205969Refinancingfalsefalse
Hospital Authority of City of DuBois
2517189440000000002008-12-179770204Refinancingfalsefalse
Clearfield County Ind Dev Authority
2514304760000000002007-08-225155433Refinancingfalsefalse
Hospital Authority of City of DuBois
2517189440000000002007-08-229114708Refinancingfalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredCapitalized InterestCapitalizedInterestCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindTotal ProceedsTotalProceeds
400751920596992059692005truefalsetruetrue
137684197702042009truefalsetruetrue9770204
53098051554332001truefalsetruetrue5155433
41741791147082005truefalsetruetrue9114708

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalsetrue
falsefalsefalsefalsefalsetrue
falsefalsefalsefalsefalsetrue
falsefalsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateHedge TerminatedHedgeTerminated
truefalsefalsefalsefalsefalse
truefalsefalsefalsefalsefalse
truefalsefalsefalsefalsefalse
truefalsefalsefalsefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Andrew Sutika
See Part V92931Compensationfalse
Douglas Dale
See Part V28308Compensationfalse
Linda McKee
See Part V26639Compensationfalse
Jill Zimmerman
See Part V57601Compensationfalse
Michelle Sutika Bennett
See Part V105513Compensationfalse
Kristy Yount
See Part V75305Compensationfalse
Dr Steve Graeca
See Part V365854Compensationfalse
Women's Care of Western PA
See Part V728864Payments for Servicesfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS 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 physicain and also son of DRMC's president, Raymond Graeca.(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 senior management member, 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 senior management member, John Sutika.(8) Andrew Sutika is an employee of DRMC and also the brother of a DRMC senior management member, John Sutika.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VIIRaymond 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 AvailableThe 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 DRMCForm 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesAn 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 ConflictsYearly, 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 ProcessForm 990 was presented to the Board of Directors at a regularly scheduled board meeting for review and approval.Form 990, Part VI, Line 11

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Nathan D Yingling Cancer CenterBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1815 Doctors DriveAddressLine1
CityClearfieldCity
StatePAState
ZIP Code16830ZIPCode
FieldValueIRS element (for citing)
EIN205114093EIN
Primary ActivitiesRadiation/OncologyPrimaryActivities
Legal Domicile StatePALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Clearfield Hospital and DRMCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Kidney Care Services DuBois LLC
635 Maple Ave Suite DDuBoisPA15801510644566DialysisPAnaRelated-100567821658falsetrue
Kidney Care Services LLC
635 Maple Ave Suite DDuBoisPA15801510644566DialysisPAnaRelated-527546730031falsetrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
DuBois Medical Risk Retention Group
1200 G Street NW Suite 800WashingtonDC20005200324622Insurance ServicesPAnaCorp133630165361551.00000
DuBois Regional Medical Group
100 Hospital AvenueDuBoisPA15801251856569Pediatric ServicesPAna-55794314810791.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
DuBois Medical Risk Retention Group
l1050000
DuBois Regional Medical Group
i65835
Kidney Care Services DuBois LLC
l80022
Kidney Care Services DuBois LLC
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Kidney Care Services LLC
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