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CHRISTIAN H BUHL LEGACY TRUST: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHRISTIAN H BUHL LEGACY TRUST (EIN 25-0979377)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201211359349306001
Schema version
2010v3.7
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)
Timestamp2012-05-14T16:05:38-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN250979377EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHARON REGIONAL HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSHARNameControl
Phone7249833911Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameLINDE FINSRUD WILSONName
TitleCHIEF EXECUTIVE OFFICERTitle
Date Signed2012-05-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLINDE FINSRUD WILSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1740 EAST STATE STREETAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
Gross Receipts185841368GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SHARONREGIONAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1896YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionSHARON REGIONAL HEALTH SYSTEM PROVIDES HIGH QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO OUR COMMUNITIES THROUGH OUR NUMEROUS LOCATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1792TotalNbrEmployees
Total Nbr Volunteers136TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year628394ContributionsGrantsPriorYear
Contributions Grants Current Year620901ContributionsGrantsCurrentYear
Program Service Revenue Prior Year160921212ProgramServiceRevenuePriorYear
Program Service Revenue CY168667966ProgramServiceRevenueCY
Investment Income Prior Year1023216InvestmentIncomePriorYear
Investment Income Current Year1369683InvestmentIncomeCurrentYear
Other Revenue Prior Year722840OtherRevenuePriorYear
Other Revenue Current Year1029013OtherRevenueCurrentYear
Total Revenue Prior Year163295662TotalRevenuePriorYear
Total Revenue Current Year171687563TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year45155GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY37164GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year79680224SalariesEtcPriorYear
Salaries Etc Current Year81605744SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year72448166OtherExpensePriorYear
Other Expenses Current Year77380901OtherExpensesCurrentYear
Total Expenses Prior Year152173545TotalExpensesPriorYear
Total Expenses Current Year159023809TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11122117RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12663754RevenuesLessExpensesCY
Total Assets BOY116901064TotalAssetsBOY
Total Assets EOY125506249TotalAssetsEOY
Total Liabilities BOY79100251TotalLiabilitiesBOY
Total Liabilities EOY69119135TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37800813NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY56387114NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF SHARON REGIONAL HEALTH SYSTEM IS TO PROVIDE HIGH QUALITY, ADVANCED SERVICES TO THE COMMUNITIES WE SERVE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense71482197Expense
Revenue86945669Revenue
DescriptionSHARON REGIONAL EXPERIENCED MORE THAN A QUARTER OF A MILLION OUTPATIENT REGISTRATIONS IN FISCAL YEAR 2011 (261,669) IN PROVIDING SERVICES TO AREA RESIDENTS THROUGH A NUMBER OF SATELLITE LOCATIONS AND SPECIALTY SITES. OUTPATIENTS UTILIZE SHARON REGIONAL FACILITIES IN BOTH PENNSYLVANIA AND OHIO. IN MEETING THE HEALTH CARE NEEDS OF THESE OUTPATIENTS, SHARON REGIONAL PROVIDED $954,994 IN CHARITY CARE, $903,280 IN UNCOMPENSATED CARE, AND EXPERIENCED BAD DEBT OF $1,581,889. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense57701420Expense
Revenue76692256Revenue
DescriptionSHARON REGIONAL HEALTH SYSTEM, AS MERCER COUNTY'S LARGEST HEALTH CARE PROVIDER, PROVIDES INPATIENT SERVICES FOR ACUTE CARE, SKILLED CARE, REHAB, ADULT AND CHILD PSYCHIATRIC, AND NEWBORN NURSERY. DURING FISCAL YEAR 2011, SHARON REGIONAL HAD A TOTAL OF 10,657 INPATIENT ADMISSIONS, WHICH INCLUDED 7,987 ACUTE CARE, 666 SKILLED CARE, 383 REHAB, 1,327 PSYCHIATRIC, & 294 NEWBORN NURSERY. AS PART OF THESE INPATIENT SERVICES, SHARON REGIONAL PROVIDED $1,834,526 IN CHARITY CARE, $2,119,876 IN UNCOMPENSATED CARE, & EXPERIENCED BAD DEBT OF $1,436,473.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3425619Expense
Revenue5030041Revenue
DescriptionTHE EMERGENCY CARE CENTER OF SHARON REGIONAL HEALTH SYSTEM IS THE MOST ADVANCED MEDICAL FACILITY IN MERCER COUNTY. DURING FISCAL YEAR 2011, SHARON REGIONAL'S EMERGENCY CARE CENTER HAD 33,603 PATIENT VISITS AND PROVIDED $383,097 IN CHARITY CARE, $351,279 IN UNCOMPENSATED CARE, AND EXPERIENCED BAD DEBT OF $2,519,098. THIS BAD DEBT AMOUNT IS A DIRECT INDICATOR OF THE NUMBER OF INDIVIDUALS WHO UTILIZE THE EMERGENCY DEPARTMENT FOR PRIMARY MEDICAL CARE, AND WHO DO NOT HAVE THE MEANS TO PAY FOR THOSE SERVICES OR SEEK CHARITY CARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Description
FieldValueIRS element (for citing)
Total Program Service Expense132609236TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096100NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1792NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
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
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JAMES E FEENEY
CHAIRMAN1.0XX000
JOSEPH H BOLOTIN MD
SECRETARY THROUGH 11/101.0XX000
STEPHEN J GURGOVITS
VICE CHAIRMAN1.0XX000
KAREN WINNER HALE
BOARD MEMBER THROUGH 11/101.0X000
JAMES P EPSTEIN
BOARD MEMBER1.0X000
DIANE GARDNER
BOARD MEMBER1.0X000
CLOYD E BRENNEMAN
BOARD MEMBER1.0X000
ROBERT G LIPTAK JR
BOARD MEMBER1.0X000
LEONARD S MILLER
BOARD MEMBER1.0X000
MARY ODEM
BOARD MEMBER1.0X000
JOHN M HUDSON
ASST SECRETARY BEGINNING 11/101.0XX000
WILLIAM J STRIMBU
ASSISTANT TREASURER1.0XX000
ROBERT C JAZWINSKI
TREASURER1.0XX000
KENNETH R JAMES
BOARD MEMBER1.0X000
ANGELA M PALUMBO
SECRETARY BEGINNING 11/101.0XX000
WILLIAM G PERRINE
BOARD MEMBER1.0X000
GEORGE C GARROW MD
BOARD MEMBER40.0X409454033547
JOHN A ZIDANSEK
PRESIDENT & CEO THROUGH 12/1040.0X329539045779
JOHN JANOSO
PRESIDENT & COO BEG. 12/1040.0X169226026426
JEFFREY CHROBAK
CFO40.0X173788046766
MATTHEW LIBURDI
VP MANAGED CARE40.0158507027328X
SUSAN GIBSON
VP PATIENT CARE & CNO40.0249541021602X
CYNTHIA SILE
ONCOLOGIST40.033161808803X
STEVEN RIGGALL
PSYCHIATRIST40.0320938017047X
JEFFREY GRYN
ONCOLOGIST40.0311640023503X
JAMIE ADAM
PATHOLOGIST40.0323734031027X
SCOTT MORGAN
FAMILY PRACTITIONER40.0264374017047X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3042359TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation298875TotalOtherCompensation
Number Individuals GT100 K41NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
CERNER CORP
ELECT MED RECORD995716
MAYO COLLABORATIVE SVCS
REFERENCE LAB948023
SODEXO AFFILIATES
OPERATIONS SERVICES2348221
PATRIOT MEDICAL TECHNOLOGY
BIOMEDICAL SERVICES1319913
SCC SOFT COMPUTER
LAB INFO SYSTEM917163
FieldValueIRS element (for citing)
Number Of Contractors GT100 K35NumberOfContractorsGT100K
Fundraising Events115800FundraisingEvents
Government Grants274370GovernmentGrants
All Other Contributions230731AllOtherContributions
Total Contributions620901TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE621990160384813160384813
RENT FROM AFFILIATE5311203431934319
PHARMACY44611026939222693922
NURSING SCHOOL611600211887211887
CAFETERIA722210618437618437

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column4724588TotalRevenueColumn
Related Or Exempt Function Income4724588RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue168667966TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1065950TotalRevenueColumn
Exclusion$1,065,950ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column109TotalRevenueColumn
Exclusion$109ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real187518Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real187518Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column187518TotalRevenueColumn
Exclusion$187,518ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities14253599Securities
Other170005Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13965391Securities
Other154480Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities288208Securities
Other15525Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column303733TotalRevenueColumn
Exclusion$303,733ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events42650GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events115800CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses33934FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column8716TotalRevenueColumn
Exclusion$8,716ExclusionAmount

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

FieldValueIRS element (for citing)
DescriptionEQUITY IN INVESTEE EARNINGSDescription
Business Code900099BusinessCode
Total Revenue Column832670TotalRevenueColumn
Exclusion$832,670ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue832670TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column171687563TotalRevenueColumn
Related Or Exempt Function Income168667966RelatedOrExemptFunctionIncome
Exclusion$2,398,696ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total37164Total
Program Services37164ProgramServices

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)
Total1691503Total
Program Services899979ProgramServices
Management And General791524ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total34164Total
Program Services34164ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total57482684Total
Program Services47725766ProgramServices
Management And General9756918ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2814425Total
Program Services2434350ProgramServices
Management And General380075ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15226675Total
Program Services12984624ProgramServices
Management And General2242051ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4356293Total
Program Services3551218ProgramServices
Management And General805075ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total720389Total
Management And General720389ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total315171Total
Management And General315171ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total82846Total
Management And General82846ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total17338002Total
Program Services14878077ProgramServices
Management And General2459925ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total894813Total
Program Services62527ProgramServices
Management And General832286ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6107284Total
Program Services4309955ProgramServices
Management And General1797329ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1604739Total
Program Services554899ProgramServices
Management And General1049840ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2822305Total
Program Services2255987ProgramServices
Management And General566318ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total798479Total
Program Services459993ProgramServices
Management And General338486ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total144708Total
Program Services65258ProgramServices
Management And General79450ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2020312Total
Program Services1641404ProgramServices
Management And General378908ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7092059Total
Program Services5761948ProgramServices
Management And General1330111ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4494743Total
Program Services2617329ProgramServices
Management And General1877414ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT55374605537460
LICENSES, DUES & SUBSCRIPTIONS432818238099194719
RECRUITING380527115100265427
MEDICAL SUPPLIES & DRUGS2634947326349473
MISCELLANEOUS24477394462150311

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total159023809Total
Program Services132609236ProgramServices
Management And General26414573ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY78916BOY
EOY97190EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4756986BOY
EOY3297134EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY594193BOY
EOY863649EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13831072BOY
EOY16717703EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY521518BOY
EOY642601EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3099246BOY
EOY3493210EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2149548BOY
EOY1823454EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis135886014LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec83884197LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY51103021BOY
EOY52001817EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY31355315BOY
EOY34845496EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4358452BOY
EOY4744992EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5052797BOY
EOY6979003EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY116901064BOY
EOY125506249EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13259476BOY
EOY14072183EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY30937743BOY
EOY29803524EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4748057BOY
EOY8601942EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY30154975BOY
EOY16641486EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY79100251BOY
EOY69119135EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY37171502BOY
EOY55756699EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY629311BOY
EOY630415EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37800813BOY
EOY56387114EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY116901064BOY
EOY125506249EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses12663754ReconcilationRevenueExpenses
Reconcilation Other Changes5922547ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$14,832OtherActivitiesAmount
Total Lobbying Expenditures IIB14832TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferencePART II-B, LINE 1(B, D, G & I)ReturnReference
ExplanationSALARIES OF $47,880 WERE PAID TO RAYMOND SCHAUER, A FORMER OFFICER OF THE HEALTH SYSTEM. MR. SCHAUER HAS RESUMED HIS EMPLOYMENT WITH THE HEALTH SYSTEM STRICTLY FOR PURPOSES OF LOBBYING & FUNDRAISING ACTIVITIES. MR. SCHAUER'S LOBBYING ACTIVITIES INCLUDED MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC AND DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY. DURING THE YEAR, THE HEALTH SYSTEM PAID DUES TO VARIOUS ASSOCIATIONS. A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis39096384OtherCostOrOtherBasis
Depreciation18055756Depreciation
Book Value21040628BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis87620099OtherCostOrOtherBasis
Depreciation65209651Depreciation
Book Value22410448BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6837989OtherCostOrOtherBasis
Depreciation618790Depreciation
Book Value6219199BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings52001817TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
EST AMT DUE FROM THIRD PARTY2495500
INTEREST RECEIVABLE119006
OTHER RECEIVABLES320483
INVESTMENT AGREEMENT2248393
D/F RELATED PARTY1795621
FieldValueIRS element (for citing)
Total Book Value Other Assets6979003TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION LIABILITIES$14,769,461
ASSET RETIREMENT OBLIGATIONS$500,922
ESTIMATED SELF-INSURANCE COSTS$827,160
DEFERRED COMPENSATION$543,943
FieldValueIRS element (for citing)
Total Of Amounts16641486TotalOfAmounts
Total Revenue171687563TotalRevenue
Total Expenses159023809TotalExpenses
Excess Or Deficit For Year12663754ExcessOrDeficitForYear
Net Unrealized GL On Investments5579352NetUnrealizedGLOnInvestments
Other$343,195OtherAmount
Total Adjustments5922547TotalAdjustments
Excess Or Deficit Per FS18586301ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt177218003TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments5579352NetUnrealizedGainsInvestments
Other Revenues-82846OtherRevenues
Revenue Not Rptd F9905496506RevenueNotRptdF990
Revenue Subtotal171721497RevenueSubtotal
Other Revenues Not Included-33934OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-33934RevenueNotRptdOnFinStmt
Total Revenue Per Form990171687563TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt168571270TotExpensesEtcAuditedFinclStmt
Other Expenses Included9630307OtherExpensesIncluded
Expenses Not Rptd F9909630307ExpensesNotRptdF990
Expenses Subtotal158940963ExpensesSubtotal
Investment Expenses Not Included282846InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt82846ExpensesNotRptdOnFinStmt
Total Expenses Per Form990159023809TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS INCLUDE ASSETS SET ASIDE BY THE BOARD OF DIRECTORS FOR FUTURE CAPITAL IMPROVEMENTS, PENSION FUNDING REQUIREMENTS AND POSTRETIREMENT BENEFIT OBLIGATIONS OVER WHICH THE BOARD RETAINS CONTROL AND MAY AT ITS DISCRETION SUBSEQUENTLY USE FOR OTHER PURPOSES. UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
OTHER RECONCILING CHANGE IN NET ASSETSSCHEDULE D, PART XI, LINE 8DEFINED BENEFIT PLANS $ 9,939,568 TRANSFER TO AFFILIATE (9,596,373) ------------- TOTAL $ 343,195
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XII, LINE 2DINVESTMENT FEES OF $ 82,846 WERE INCLUDED WITH REVENUE ON THE AUDIT REPORT; HOWEVER, HAVE BEEN MOVED TO BE PROPERLY INCLUDED WITH EXPENSES ON THE TAX RETURN.
OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4BSPECIAL EVENTS EXPENSES OF $ 33,934 WERE INCLUDED WITH EXPENSES ON THE AUDIT REPORT; HOWEVER, HAVE BEEN MOVED TO BE PROPERLY INCLUDED ON THE STATEMENT OF REVENUE ON THE TAX RETURN.
OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25SCHEDULE D, PART XIII, LINE 2DTRANSFER TO AFFILIATE $9,596,373 SPECIAL EVENTS EXPENSES 33,934 ------------ TOTAL $9,630,307

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CHARITY BALLNameOfEvent1
Gross Receipts Event1118595GrossReceiptsEvent1
Charitable Contributions Event190000CharitableContributionsEvent1
Gross Revenue Event128595GrossRevenueEvent1
Non Cash Prizes Event1135NonCashPrizesEvent1
Rent Facility Costs Event115077RentFacilityCostsEvent1
Entertainment Event11200EntertainmentEvent1
Other Direct Expenses Event13467OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event239855GrossReceiptsEvent2
Charitable Contributions Event225800CharitableContributionsEvent2
Gross Revenue Event214055GrossRevenueEvent2
Non Cash Prizes Event24707NonCashPrizesEvent2
Rent Facility Costs Event24662RentFacilityCostsEvent2
Food And Beverage Event24331FoodAndBeverageEvent2
Other Direct Expenses Event2355OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total158450GrossReceiptsTotal
Charitable Contributions Total115800CharitableContributionsTotal
Gross Revenue Total Events42650GrossRevenueTotalEvents
Non Cash Prizes Total Events4842NonCashPrizesTotalEvents
Rent Facility Costs Total Events19739RentFacilityCostsTotalEvents
Food And Beverage Total Events4331FoodAndBeverageTotalEvents
Entertainment Total Events1200EntertainmentTotalEvents
Other Direct Expenses Total Events3822OtherDirectExpensesTotalEvents
Direct Expense Summary Events33934DirectExpenseSummaryEvents
Net Income Summary8716NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1180651TotalCommunityBenefitExpense
Net Community Benefit Expense1180651NetCommunityBenefitExpense
Percent Of Total Expense0.00770PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense23436834TotalCommunityBenefitExpense
Direct Offsetting Revenue16936374DirectOffsettingRevenue
Net Community Benefit Expense6500460NetCommunityBenefitExpense
Percent Of Total Expense0.04240PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense24617485TotalCommunityBenefitExpense
Direct Offsetting Revenue16936374DirectOffsettingRevenue
Net Community Benefit Expense7681111NetCommunityBenefitExpense
Percent Of Total Expense0.05010PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense141207TotalCommunityBenefitExpense
Net Community Benefit Expense141207NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2552790TotalCommunityBenefitExpense
Direct Offsetting Revenue1718249DirectOffsettingRevenue
Net Community Benefit Expense834541NetCommunityBenefitExpense
Percent Of Total Expense0.00540PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense11049259TotalCommunityBenefitExpense
Direct Offsetting Revenue9535311DirectOffsettingRevenue
Net Community Benefit Expense1513948NetCommunityBenefitExpense
Percent Of Total Expense0.00990PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense37164TotalCommunityBenefitExpense
Net Community Benefit Expense37164NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense13780420TotalCommunityBenefitExpense
Direct Offsetting Revenue11253560DirectOffsettingRevenue
Net Community Benefit Expense2526860NetCommunityBenefitExpense
Percent Of Total Expense0.01640PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense38397905TotalCommunityBenefitExpense
Direct Offsetting Revenue28189934DirectOffsettingRevenue
Net Community Benefit Expense10207971NetCommunityBenefitExpense
Percent Of Total Expense0.06650PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$2,060,698BadDebtExpenseAmount
Amount Attributable To490446AmountAttributableTo
Amount Reimbursed By Medicare52816560AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare57214894CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4398334MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHARON REGIONAL HEALTH SYSTEMBusinessNameLine1

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SHARON REGIONAL HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities14NumberOfOtherFacilities

Other Facilities OtherFacilities (14 entries)

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I, LINE 7, COLUMN FTO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE.
BAD DEBT EXPENSESCHEDULE H, PART III, SECTION A, LINE 4THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: THE HEALTH SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. LINE 2 WAS CALCULATED USING THE COST TO CHARGE RATIO TIMES BAD DEBT EXPENSE. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU.
COMMUNITY BENEFITSCHEDULE H, PART III, SECTION B, LINE 8SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE MEDICARE ALLOWABLE COSTS OF CARE ON LINE 6 WERE CALCULATED USING THE COST TO CHARGE RATIO TIMES CHARGES OF $152,858,386.
COLLECTION POLICYSCHEDULE H, PART III, SECTION C, LINE 9BPATIENTS WHO HAVE ALREADY BEEN APPROVED FOR CHARITY ARE APPROVED FOR SERVICES FOR THE NEXT 6 MONTHS AT THE APPROVED CHARITY OR DISCOUNT RATE FOR ANY ADDITIONAL SERVICES. IF IDENTIFIED PRIOR TO THE BILL BEING SENT OUT, NO BILL IS GENERATED OR THE BILL IS DISCOUNTED PRIOR TO SENDING. IF THE BILL IS GENERATED, THE ACCOUNT IS WRITTEN DOWN AT THE TIME OF IDENTIFICATION AND THE PATIENT IS NOTIFIED.
NEEDS ASSESSMENT:SHARON REGIONAL CONDUCTS A CONSUMER RESEARCH STUDY EVERY TWO YEARS THROUGH HEALTHSTREAM RESEARCH, AND ONE OF THE QUESTIONS ASKS AREA RESIDENTS IF ANYONE IN THEIR HOUSEHOLD IS LOOKING FOR A DOCTOR, AND IF SO, IN WHAT SPECIALTY. IN ADDITION, EVALUATION FORMS USED AT ALL COMMUNITY EDUCATION PROGRAMS ASK ABOUT HEALTH/MEDICAL TOPICS IN WHICH MORE INFORMATION IS DESIRED. HEALTH NEEDS ARE ALSO OBTAINED FROM THE MERCER COUNTY HEALTH PROFILE FROM THE PA DEPARTMENT OF HEALTH.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:THE HEALTH SYSTEM'S CHARITY CARE POLICY IS READILY AVAILABLE IN PATIENT LITERATURE DISTRIBUTED AT ADMISSION, ON COPIES OF INVOICES SENT TO PATIENTS, ON THE SHARON REGIONAL WEBSITE, AND THROUGH OTHER AREAS. SHARON REGIONAL HAS FINANCIAL COUNSELORS AVAILABLE TO ASSIST PATIENTS AND FAMILY MEMBERS EXPLORE ELIGIBILITY FOR CHARITY CARE AS WELL AS ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS.
COMMUNITY INFORMATION:THE MAJORITY OF PATIENTS WHO UTILIZE SHARON REGIONAL LIVE IN A NUMBER OF COMMUNITIES LOCATED IN MERCER COUNTY, PA, WITH A SMALL SEGMENT COMING FROM LAWRENCE COUNTY AND OTHER AREAS IN PENNSYLVANIA, ALONG WITH EASTERN TRUMBULL/MAHONING COUNTIES IN OHIO. MERCER COUNTY'S POPULATION IN 2010 WAS 116,638 (52% URBAN, 48% RURAL), AND CONSISTED OF 91.0% WHITE NON-HISPANIC, 5.8% BLACK, 1.1% HISPANIC, AND 1.5% TWO OR MORE RACES. THE POPULATION IS 51% FEMALE AND 49% MALE, WITH A MEDIAN AGE OF 42.8 YEARS. AVERAGE HOUSEHOLD SIZE IS 2.35 PEOPLE AND ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2010 WAS $42,573 WITH 13.2% OF RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL.
COMMUNITY BUILDING ACTIVITIES:SHARON REGIONAL'S COMMUNITY OUTREACH DEPARTMENT IS ACTIVELY INVOLVED IN COMMUNITY EDUCATION EFFORTS AND HOSTS A WIDE SELECTION OF HEALTH EDUCATION PROGRAMS, SCREENINGS, AND EVENTS BOTH AT VARIOUS HEALTH SYSTEM LOCATIONS AND AT A NUMBER OF COMMUNITY LOCATIONS INCLUDING SCHOOLS, BUSINESSES, AND HOUSING PROJECTS. ACTIVITIES INCLUDING HEALTH FAIRS, EDUCATION PROGRAMS, CPR TRAINING, SPECIFIC SCREENINGS, AND MORE.
OTHER INFORMATION:STRATEGIC LEADERSHIP AND DIRECTION FOR SHARON REGIONAL IS PROVIDED BY A VOLUNTARY BOARD OF DIRECTORS CONSISTING OF COMMUNITY LEADERS WHO MAKE HEALTH CARE DECISIONS BASED ON MEETING THE COMMUNITY'S HEALTH CARE NEEDS.
AFFILIATED HEALTH CARE SYSTEM ROLES:SHARON REGIONAL HEALTH SYSTEM AND ITS WHOLLY OWNED SUBSIDIARY SHARON REGIONAL PHYSICIAN SERVICES (THE "HEALTH SYSTEM") OPERATE AN ACUTE CARE HOSPITAL FACILITY IN SHARON, PENNSYLVANIA. THE HEALTH SYSTEM PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN SHARON, PENNSYLVANIA, AND THE SURROUNDING AREA. THE HEALTH SYSTEM ALSO OPERATES A HOME HEALTH AGENCY AND A NUMBER OF PHYSICIAN CLINICS IN THE SAME GEOGRAPHIC AREA. THE HEALTH SYSTEM HAS CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDE THE ACCOUNTS AND TRANSACTIONS OF SHARON REGIONAL HEALTH SYSTEM, THE CONTROLLING PARENT, AND ITS AFFILIATE, SHARON REGIONAL PHYSICIAN SERVICES. SHARON REGIONAL HEALTH SYSTEM IS NOT AFFILIATED WITH ANOTHER HEALTHCARE SYSTEM.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CITY OF SHARON
155 W CONNELY BLVDSHARONPA16146256000883CITY OF SHARON22164SUPPORT
AMERICAN HEART ASSOCIATION
59 N CRESCENT DRHERMITAGEPA16148135613797501(C)(3)15000SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance 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

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN A ZIDANSEK
32776000017790213550244240375318000
JOHN JANOSO
1679890001237085290178970195652000
MATTHEW LIBURDI
1572870001220081060192220185835000
SUSAN GIBSON
187866000616750192060239602711430599460
JEFFREY CHROBAK
17244000013480288380179280220554000
GEORGE C GARROW MD
383740025714000165000170470443001000
CYNTHIA SILE
331618000000088030340421000
STEVEN RIGGALL
26489805604000000170470337985000
JEFFREY GRYN
3116400000016500070030335143000
JAMIE ADAM
3163580007376090000220270354761000
SCOTT MORGAN
18337408100000000170470281421000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CLUB DUESSCHEDULE J, PART I, LINE 1ADURING THE FISCAL YEAR, THE ORGANIZATION PAID FAMILY SOCIAL MEMBERSHIPS FOR JOHN ZIDANSEK, JEFFREY CHROBAK, JOHN JANOSO, MATTHEW LIBURDI, JOHN DAVIDSON, AND SUSAN GIBSON. THE AMOUNT PAID WAS INCLUDED IN TAXABLE WAGES.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BTHE ORGANIZATION PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO PROVIDE A MARKET COMPETITIVE SUPPLEMENTAL RETIREMENT BENEFIT TO ATTRACT AND RETAIN EXECUTIVE TALENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DURING THE FISCAL YEAR: JEFFREY CHROBAK, MATTHEW LIBURDI, JOHN DAVIDSON, SUSAN GIBSON, JACK JANOSO, AND JOHN ZIDANSEK. THE FOLLOWING AMOUNTS WERE ACCRUED DURING THE YEAR: JEFFREY CHROBAK $14,836 SUSAN GIBSON $ 7,873 THE FOLLOWING AMOUNT WAS PAID DURING THE CALENDAR YEAR AND WAS INCLUDED IN TAXABLE WAGES ON FORM W-2: SUSAN GIBSON $59,946 THIS AMOUNT IS REPORTED IN COLUMN F OF SCHEDULE J, PART II.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

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

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds10000000TotalProceeds
Issuance Costs From Proceeds69526IssuanceCostsFromProceeds
Capital Expenditures9930474CapitalExpenditures
Year Of Subst Completion2006YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
LINDA PIDDINGTON
SISTER OF J EPSTEIN34164EMPLOYEE COMPENSATIONfalse
HUDSON HOLDING COKERRWOOD INVESTME
SEE PART V.351695RENTfalse
PBL ASSOCIATES LP
SEE PART V.122121RENTfalse
FIRST NATIONAL BANK OF PENNSYLVANIA
SEE PART V.401715INTEREST, FEESfalse
THE WINDSOR GROUP
KENNETH JAMES - CFO113534LAB SERVICESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS WITH INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IV, COLUMN BReturnReference
Explanation(2) HUDSON HOLDING COMPANY AND KERRWOOD INVESTMENTS ARE OWNED MORE THAN 35% BY BOARD MEMBER, JOHN HUDSON. (3) PBL ASSOCIATES, LP, IS OWNED MORE THAN 35% BY A FAMILY MEMBER OF BOARD MEMBER, JOHN HUDSON. (4) BOARD MEMBERS KENNETH JAMES, WILLIAM STRIMBU, AND STEPHEN GURGOVITS ARE BOARD MEMBERS OF FIRST NATIONAL BANK OF PENNSYLVANIA. ADDITIONALLY, ROBERT JAZWINSKI IS THE OWNER OF JFS WEALTH ADVISORS, OF WHICH THE ORGANIZATION PAID $48,000 FOR INVESTMENT SERVICES. THIS AMOUNT IS VOLUNTARILY REPORTED AS IT IS BELOW THE SCHEDULE L REPORTING THRESHOLDS. ALSO VOLUNTARILY REPORTED - WILLIAM STRIMBU'S WIFE IS COMPENSATED BY A RELATED ORGANIZATION, SHARON REGIONAL PHYSICIAN SERVICES. TOTAL COMPENSATION PAID WAS $47,227.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1MISSION STATEMENT THE MISSION OF SHARON REGIONAL HEALTH SYSTEM IS TO PROVIDE HIGH QUALITY, ADVANCED SERVICES TO THE COMMUNITIES WE SERVE. VISION STATEMENT SHARON REGIONAL HEALTH SYSTEM WILL CONTINUE TO BE THE LEADING HEALTH CARE SERVICES PROVIDER WITHIN THE SHENANGO VALLEY AND SURROUNDING COMMUNITIES. THIS WILL BE ACCOMPLISHED THROUGH: -STRIVING TO CONTINUOUSLY UPHOLD AND IMPROVE THE QUALITY OF CARE. -PROVIDING A COMPREHENSIVE ARRAY OF SERVICES. -OPERATING IN A FISCALLY RESPONSIBLE MANNER MAINTAINING VIABILITY AND INDEPENDENCE. -MAINTAINING A QUALIFIED STAFF OF EMPLOYEES AND PHYSICIANS. -EDUCATING THE PUBLIC ON PREVENTATIVE HEALTH CARE AND WELLNESS. VALUE STATEMENT WE BELIEVE IN: -PROVIDING CARE TO OUR PATIENTS THAT STRESSES QUALITY, COMPASSION, AND RESPECT THROUGH COLLABORATIVE RELATIONSHIPS. -UNITING THE EFFORTS OF EMPLOYEES, PHYSICIANS, VOLUNTEERS, AND STUDENTS TO SERVE THE COMMUNITY. -MAINTAINING THE HIGHEST ETHICAL STANDARDS.
PROGRAM SERVICE ACTIVITY #1FORM 990, PART III, LINE 4AFACILITIES UTILIZED BY SHARON REGIONAL OUTPATIENTS INCLUDE THOSE ON THE MAIN CAMPUS IN SHARON (HOSPITAL, HOME HEALTH AGENCY, INTERVENTIONAL PAIN MANAGEMENT CENTER, AND SLEEP MEDICINE CENTER); THOSE IN THE SHARON REGIONAL MEDICAL PARK IN HERMITAGE (ADVANCED WOUND RECOVERY CENTER, BEHAVIORAL HEALTH SERVICES, CANCER CARE CENTER, HOSPICE, CORPORATE HEALTH SERVICES, DIABETES CENTER, DIAGNOSTIC & IMAGING CENTER, EAR/NOSE/THROAT AND HEARING CENTER, HERMITAGE THERAPEUTIC POOL, SPORTS MEDICINE SERVICES, AND REHAB CENTER); PLUS THOSE IN OTHER COMMUNITY LOCATIONS (MERCER FAMILY MEDICINE CENTER, GREENVILLE BEHAVIORAL HEALTH SERVICES, BROOKFIELD FAMILY MEDICINE CENTER, AND HUBBARD DIAGNOSTIC & SPECIALTY CENTER). PROGRAM SERVICE ACTIVITY #3 FORM 990, PART III, LINE 4C THE EMERGENCY CARE CENTER DEPARTMENT RECENTLY PARTNERED WITH AREA AMBULANCE FIRMS TO PROVIDE THE CAPABILITY FOR THE TRANSMISSION OF 12-LEAD EKG RESULTS FROM THE FIELD DIRECTLY INTO THE EMERGENCY DEPARTMENT TO ACTIVATE THE EMERGENCY HEART ATTACK TEAM TO PRODUCE EVEN FASTER DOOR-TO-BALLOON TIMES. SHARON REGIONAL IS RECOGNIZED BY EMMCO WEST, INC AS THE ONLY STEMI HOSPITAL (CAPABLE OF PERFORMING LIFESAVING EMERGENCY ANGIOPLASTY) IN A THREE COUNTY AREA. IN ADDITION, THE EMERGENCY CARE CENTER OFFERS HIGHLY SPECIALIZED AREAS FOR THE TREATMENT OF TRAUMA, CHEST PAIN, ORTHOPEDIC PATIENTS, GYNECOLOGICAL CONDITIONS, PLUS A HAZARDOUS MATERIALS DECONTAMINATION ROOM. THE CENTER ALSO OFFERS EXPRESS CARE FOR THE FASTER TREATMENT OF MINOR ILLNESSES AND INJURIES.
OFFICER RELATIONSHIPSFORM 990, PART VI, SECTION A, LINE 2WILLIAM STRIMBU, KENNETH JAMES, AND STEPHEN GURGOVITS HAVE A BUSINESS RELATIONSHIP.
REVIEW OF THE FORM 990FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY INDEPENDENT TAX ADVISORS WITH INFORMATION SUPPLIED BY THE CHIEF FINANCIAL OFFICER, DIRECTOR OF FINANCE AND OTHER FINANCIAL MANAGERS, AND LEGAL COUNSEL. THE PREPARED 990 IS SUBMITTED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW. THE CHIEF FINANCIAL OFFICER PROVIDES A FULL AND COMPLETE COPY OF THE FORM 990 TO THE MEMBERS OF THE BOARD OF DIRECTORS IN ADVANCE OF THE REGULAR MEETING OF THE BOARD OF DIRECTORS. AT THE REGULAR MEETING, THE CHIEF FINANCIAL OFFICER ACCEPTS QUESTIONS OR COMMENTS TO THE FORM 990. THE BOARD APPROVES SUBMISSION OF THE FORM 990 TO THE IRS BY MOTION AND VOTE IN ACCORDANCE WITH ITS BYLAWS.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS OF SHARON REGIONAL HEALTH SYSTEM MAINTAINS A WRITTEN POLICY DEFINING CONFLICT OF INTERESTS OF ITS DIRECTORS AND OFFICERS. ALL NEW DIRECTORS AND OFFICERS ARE ORIENTED TO THIS POLICY. ANNUALLY, THE OFFICERS AND THE MEMBERS OF THE BOARD OF DIRECTORS RECEIVE A COPY OF THE POLICIES AND EACH DIRECTOR AND OFFICER COMPLETES A CONFLICT OF INTEREST QUESTIONNAIRE. THE CHAIRMAN OF THE BOARD OF DIRECTORS REVIEWS ALL RESPONSES, CONSULTS WITH LEGAL COUNSEL, AND PROVIDES THE QUESTIONNAIRES TO SHARON REGIONAL'S AUDITORS. THE CHAIRMAN CONSIDERS COMMITTEE MEMBERSHIP AND RECUSAL FROM DISCUSSION AND VOTES IN LIGHT OF POTENTIAL CONFLICTS AND BOARD MEMBERS ROUTINELY VOLUNTARILY RECUSE THEMSELVES EVEN IF THE CONFLICT IS ONLY PERCEIVED.
COMPENSATION DETERMINATIONFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND RECOMMENDS THE COMPENSATION OF THE OFFICERS OF SHARON REGIONAL HEALTH SYSTEM AND THE BOARD OF DIRECTORS APPROVES THESE RECOMMENDATIONS ANNUALLY. THE COMPENSATION COMMITTEE IS COMPOSED OF MEMBERS WHO HAVE NO INTEREST WITH THE OFFICERS. THE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT TO REVIEW MARKET DATA AND ESTABLISH COMPENSATION RANGES FOR EACH OFFICER IN COMPARISON WITH SIMILAR EXECUTIVE POSITIONS AT SIMILARLY SIZED HOSPITALS AND HEALTH SYSTEMS. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE PERFORMANCE OF THE CHIEF EXECUTIVE OFFICER AND ACCEPTS THE PERFORMANCE REVIEWS CONDUCTED BY THE CHIEF EXECUTIVE OFFICER OF THE OTHER OFFICERS.
DOCUMENT DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE WHEN IT IS LEGALLY REQUIRED.
BOARD MEMBER COMPENSATIONFORM 990, PART VII, SECTION AGEORGE C GARROW IS COMPENSATED AS AN ONCOLOGIST FOR THE ORGANIZATION AND RECEIVES NO COMPENSATION FOR HIS SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAINS ON INVESTMENTS $ 5,579,352 DEFINED BENEFIT PLANS 9,939,568 TRANSFER TO AFFILIATE (9,596,373) ------------- TOTAL $ 5,922,547

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1740 EAST STATE STREETAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
EIN251768501EIN
Primary ActivitiesAUXILIARYPrimaryActivities
Legal Domicile StatePALegalDomicileState
Total Income208067TotalIncome
EOY Assets40800EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeEXCLUDEDPredominantIncomeType
Share Of Total Income1272ShareOfTotalIncome
Share Of EOY Assets9364ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.77650PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SHARON REGIONAL PHYSICIAN SERVICES
A34319
SHARON REGIONAL PHYSICIAN SERVICES
N250000
SHARON REGIONAL PHYSICIAN SERVICES
Q9596373