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MONTGOMERY HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MONTGOMERY HOSPITAL (EIN 23-1352193)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201221359349304602
Schema version
2010v3.4
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)
Timestamp2012-05-14T14:21:03-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KREISCHER MILLERBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1100 WITMER ROAD SUITE 350AddressLine1
CityHORSHAMCity
StatePAState
ZIP Code190442369ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN231352193EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONTGOMERY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMONTNameControl
Phone6102702070Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 POWELL STREETAddressLine1
CityNORRISTOWNCity
StatePAState
ZIP Code194040992ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY M CASEYName
TitlePRESIDENT, CEOTitle
Phone6102702070Phone
Date Signed2012-05-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKEVIN MCGINNName
Phone2154414600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTIMOTHY M CASEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11330 POWELL STREETAddressLine1
CityNORRISTOWNCity
StatePAState
ZIP Code19044ZIPCode
FieldValueIRS element (for citing)
Gross Receipts113378050GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MONTGOMERYHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Type Of Organization OtherXTypeOfOrganizationOther
Year Formation1889YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionSEE STATEMENT OF PRIMARY EXEMPT PURPOSE WITHIN PROGRAM SERVICE ACCOMPLISHMENTSActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1139TotalNbrEmployees
Total Nbr Volunteers66TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year76421ContributionsGrantsPriorYear
Contributions Grants Current Year87461ContributionsGrantsCurrentYear
Program Service Revenue Prior Year111554671ProgramServiceRevenuePriorYear
Program Service Revenue CY111911963ProgramServiceRevenueCY
Investment Income Prior Year1447546InvestmentIncomePriorYear
Investment Income Current Year570904InvestmentIncomeCurrentYear
Other Revenue Prior Year790093OtherRevenuePriorYear
Other Revenue Current Year755960OtherRevenueCurrentYear
Total Revenue Prior Year113868731TotalRevenuePriorYear
Total Revenue Current Year113326288TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year50962922SalariesEtcPriorYear
Salaries Etc Current Year52030277SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year59160383OtherExpensePriorYear
Other Expenses Current Year71816053OtherExpensesCurrentYear
Total Expenses Prior Year110125805TotalExpensesPriorYear
Total Expenses Current Year123846330TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3742926RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-10520042RevenuesLessExpensesCY
Total Assets BOY79739319TotalAssetsBOY
Total Assets EOY67093782TotalAssetsEOY
Total Liabilities BOY39209956TotalLiabilitiesBOY
Total Liabilities EOY27422960TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY40529363NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY39670822NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE STATEMENT OF PRIMARY EXEMPT PURPOSE WITHIN PROGRAM SERVICE ACCOMPLISHMENTSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense99308556Expense
Revenue111911963Revenue
DescriptionMONTGOMERY HOSPITAL ADMITS AND TREATS ALL INDIVIDUALS WHO REQUIRE SERVICES REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. THESE INCLUDE ACUTE CARE ADMISSIONS, PSYCHIATRIC CARE ADMISSIONS, OUTPATIENT SERVICES, AND PATIENT SERVICE IN THE REGULAR EMERGENCY UNIT.ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MONTGOMERY HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. DESPITE THIS, THE HOSPITAL'S MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND AN OVERALL COMMITMENT TO SERVICE ITS COMMUNITY. THESE SERVICES INCLUDE:FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY AND ARE PROVIDED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXISTS. HEALTH ACTIVITIES AND PROGRAMS INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.UNCOMPENSATED CARE IS PROVIDED BY THE HOSPITAL IN CONNECTION WITH THESE COMMUNITY SERVICES. UNCOMPENSATED CARE INCLUDES CHARITY CARE AND BAD DEBTS FROM PROVIDING UNREIMBURSED SERVICES TO INDIVIDUALS. UNCOMPENSATED CARE ALSO INCLUDES SERVICES PROVIDED UNDER FEDERAL MEDICARE AND STATE MEDICAL ASSISTANCE PROGRAMS WHERE REIMBURSEMENT WAS LESS THAN THE COST OF SERVICES PROVIDED.Description
Total Program Service Expense99308556TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109669NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1139NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6102702070TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11301 POWELL STREETAddressLine1
CityNORRISTOWNCity
StatePAState
ZIP Code194040922ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD BRAEMER
BOARD MEMBER2.00X000
ANDREW B CANTOR ESQUIRE
BOARD MEMBER2.00X000
GARY S DRIZIN MD
BOARD MEMBER2.00X000
EDUARDO D GONZALEZ
BOARD MEMBER2.00X000
JUDITH T Z LEVY
BOARD MEMBER2.00X000
SCOTT A MELNICK MD
BOARD MEMBER2.00X014119410945
RICHARD MERCIER MD
BOARD MEMBER2.00X000
JAMES J O'BRIEN MD
BOARD MEMBER2.00X000
RICHARD C SHEERR
BOARD MEMBER2.00X000
MANUEL N STAMATAKIS
BOARD MEMBER2.00X000
CHARLES J TORNETTA
BOARD MEMBER2.00X000
JEFFREY WARDEN
BOARD MEMBER2.00X000
RICHARD WOLFSON
BOARD MEMBER2.00X000
MURRAY SWIM
VP HUMAN RESOURCES40.00X17118402098
ANN WITKOWSKI
VP & CHIEF NURSING OFFICER40.00X20142008039
PAT MODAFFERI
VP40.00X16378803558
JOHN E F CORSON
CHAIRMAN4.00000X
ARTHUR L POWELL
VICE CHAIRMAN2.00000X
TIMOTHY M CASEY
PRESIDENT & CEO40.004034928075778X
EUGENE W BUCKLEY
TREASURER2.00000X
PAUL N ANGSTADT JR MD
SECRETARY2.00000X
EDWARD LADELY
CHIEF FINANCIAL OFFICER40.00297884017035X
MICHAEL T KOST
DIRECTOR SCHOOL OF ANESTHESIA40.0016391302163X
ALICE SHIRAKAWA
R.N.40.0015352000X
FRANCIS J CARR
CONTROLLER40.0012622601652X
EDWARD R HEMSCHOOT
I.T. DIRECTOR40.0012551501582X
DAVID V MIHALIC
DIRECTOR PHARMACY40.0011710801504X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5555486TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs141194TotalReportableCompFrmRltdOrgs
Total Other Compensation124354TotalOtherCompensation
Number Individuals GT100 K19NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BUCHANAN INGERSOLL & ROONEY PC
301 GRANT STREETPITTSBURGHPA15219LEGAL497456
FRESENIUS MGT SERVICE INC
16343 COLLECTION CENTER DRIVECHICAGOIL60693PATIENT DIALYSIS348251
ALLIANCE HEALTHCARE SERVICES
PO BOX 96485CHICAGOIL606936485OUTSIDE PT TESTING290304
QUEST DIAGNOSTICS
27027 TOURNEY ROADVALENCIACA19355OUTSIDE PT TESTING259139
CAREFUSION
25565 NETWORK PLACECHICAGOIL606731255QUALITY MGMT/ PHARMACY LEASING232548
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions87461AllOtherContributions
Total Contributions87461TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE RE621110110261156110261156
OTHER DEPT. REVENUE62111016508071650807
FieldValueIRS element (for citing)
Total Program Service Revenue111911963TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column562916TotalRevenueColumn
Exclusion$562,916ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real203208Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real203208Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column203208TotalRevenueColumn
Exclusion$203,208ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other59750Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other51762Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other7988Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7988TotalRevenueColumn
Exclusion$7,988ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FOOD SERVICES722210346304$346,304
PARKING LOT812930143718$143,718
PURCHASE DISCOUNTS9000996073560735

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1995TotalRevenueColumn
Related Or Exempt Function Income1995RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue552752TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column113326288TotalRevenueColumn
Related Or Exempt Function Income111974693RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,264,134ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4332812Total
Management And General4332812ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total38850594Total
Program Services35650089ProgramServices
Management And General3200505ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1367462Total
Management And General1367462ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4549709Total
Management And General4549709ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2929700Total
Program Services2545261ProgramServices
Management And General384439ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total508238Total
Management And General508238ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total105792Total
Management And General105792ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total489508Total
Program Services586ProgramServices
Management And General488922ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total158281Total
Program Services156238ProgramServices
Management And General2043ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total43661Total
Program Services39223ProgramServices
Management And General4438ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total128188Total
Program Services128188ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15056745Total
Program Services14998651ProgramServices
Management And General58094ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1532787Total
Program Services1515876ProgramServices
Management And General16911ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1588297315627675255298
BAD DEBT1587433015874330
CONTRACTED SERVICES994839140138025934589
PROFESSIONAL FEES49514834334202617281
NON-OPERATING EXPENSE27545907167982037792

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4381086Total
Program Services3707637ProgramServices
Management And General673449ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total123846330Total
Program Services99308556ProgramServices
Management And General24537774ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3545535BOY
EOY1431316EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11780148BOY
EOY10297813EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2124928BOY
EOY1958761EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY582520BOY
EOY463161EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis103382056LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec97043535LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19534573BOY
EOY6338521EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY25870000BOY
EOY27936412EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16301615BOY
EOY18667798EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY79739319BOY
EOY67093782EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7485742BOY
EOY4479468EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1950000BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3838104BOY
EOY1946310EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25936110BOY
EOY20997182EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY39209956BOY
EOY27422960EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY33981686BOY
EOY31909327EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY647387BOY
EOY716273EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5900290BOY
EOY7045222EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY40529363BOY
EOY39670822EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY79739319BOY
EOY67093782EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-10520042ReconcilationRevenueExpenses
Reconcilation Other Changes9661501ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

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)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$20,837GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB20837TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationLOBBYING EXPENSES INCURRED WHEN DUES PAID TO HOSPITAL ASSOCIATION OF PENNSYLVANIA. A PERCENT OF LOBBYING EXPENSES INCURRED BY THE ASSOCIATION IS ALLOCATED TO EACH PARTICIPANT.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5897316BeginningOfYearBalance
Investment Earnings Or Losses1144997InvestmentEarningsOrLosses
End Of Year Balance7042313EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5385697BeginningOfYearBalance
Investment Earnings Or Losses511619InvestmentEarningsOrLosses
End Of Year Balance5897316EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6838593BeginningOfYearBalance
Investment Earnings Or Losses-1452896InvestmentEarningsOrLosses
End Of Year Balance5385697EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis41722054OtherCostOrOtherBasis
Depreciation37579952Depreciation
Book Value4142102BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis61579389OtherCostOrOtherBasis
Depreciation59382970Depreciation
Book Value2196419BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis80613OtherCostOrOtherBasis
Depreciation80613Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6338521TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CASH & CASH EQUIVALENTS (HELD IN TRUST)4055423F
MARKETABLE EQUITY SECURITIES (HELD IN TRUST)17721827F
US GOVERNMENT OBLIGATIONS (HELD IN TRUST)6159162F
FieldValueIRS element (for citing)
Total Of Book Value Securities27936412TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
OTHER ASSETS12466
DUE FROM AFFILIATES6631754
INTEREST IN NET ASSETS OF FOUNDATION12023578
FieldValueIRS element (for citing)
Total Book Value Other Assets18667798TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ACCRUED PAYROLL & EMPLOYEE BENEFITS$3,991,566
RETIREMENT LIABILITY$7,114,000
ACCRUED PENSION$7,258,975
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$2,100,390
DUE TO AFFILIATES$532,251
FieldValueIRS element (for citing)
Total Of Amounts20997182TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationMONTGOMERY HOSPITAL IS THE PARTIAL OR 100% OWNER OF NINE ENDOWMENT FUNDS. EIGHT OF THE FUNDS HAVE UNRESTRICTED DISTRIBUTIONS TO MONTGOMERY HOSPITAL. ONE ENDOWMENT FUND DISTRIBUTES FUNDS TO THE GEORGE RALSTON RESTRICTED FUND. THE PURPOSE OF THIS FUND IS TO PAY FOR CONTINUED EDUCATION/SEMINARS FOR THE GRADUATES OF THE MONTGOMERY SCHOOL OF NURSING.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense875000TotalCommunityBenefitExpense
Net Community Benefit Expense875000NetCommunityBenefitExpense
Percent Of Total Expense0.00710PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense14802000TotalCommunityBenefitExpense
Direct Offsetting Revenue12174000DirectOffsettingRevenue
Net Community Benefit Expense2628000NetCommunityBenefitExpense
Percent Of Total Expense0.02120PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense15677000TotalCommunityBenefitExpense
Direct Offsetting Revenue12174000DirectOffsettingRevenue
Net Community Benefit Expense3503000NetCommunityBenefitExpense
Percent Of Total Expense0.02830PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs15NumberOfActivitiesOrPrograms
Persons Served3500PersonsServed
Total Community Benefit Expense136072TotalCommunityBenefitExpense
Direct Offsetting Revenue41729DirectOffsettingRevenue
Net Community Benefit Expense94343NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2223000TotalCommunityBenefitExpense
Direct Offsetting Revenue1894000DirectOffsettingRevenue
Net Community Benefit Expense329000NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense201000TotalCommunityBenefitExpense
Net Community Benefit Expense201000NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense9175TotalCommunityBenefitExpense
Net Community Benefit Expense9175NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs15NumberOfActivitiesOrPrograms
Persons Served3500PersonsServed
Total Community Benefit Expense2569247TotalCommunityBenefitExpense
Direct Offsetting Revenue1935729DirectOffsettingRevenue
Net Community Benefit Expense633518NetCommunityBenefitExpense
Percent Of Total Expense0.00520PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs15NumberOfActivitiesOrPrograms
Persons Served3500PersonsServed
Total Community Benefit Expense18246247TotalCommunityBenefitExpense
Direct Offsetting Revenue14109729DirectOffsettingRevenue
Net Community Benefit Expense4136518NetCommunityBenefitExpense
Percent Of Total Expense0.03350PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Total Community Building Expense13200TotalCommunityBuildingExpense
Net Community Building Expense13200NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Total Community Building Expense13200TotalCommunityBuildingExpense
Net Community Building Expense13200NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,334,000BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare23522000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare27321000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3799000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
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 Line1MONTGOMERY HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11301 POWELL STREETAddressLine1
CityNORRISTOWNCity
StatePAState
ZIP Code19404ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NOT REQUIRED - IRS ANNOUNCEMENT 2011-37BusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 7: COST WERE DETERMINED USING A RATIO OF COST TO CHARGES DERIVED FROM THE MEDICARE COST REPORT. PATIENT WOULD NOT HAVE HEALTHCARE SERVICES WITHOUT THE BENEFITS OF TREATING REGARDLESS OF FINANCIAL MEANS.
PART I, LINE 7G: HOSPITAL SUBSIDIZES THE LOSS ON OPERATIONS OF THE SYSTEM PHYSICIAN OB CLINIC. OB CLINIC SERVICES ARE PROVIDED TO LOW INCOME WOMEN WHO DO NOT HAVE A PRIMARY CARE PHYSICIAN FOR OBSTETRICS SERVICES.
PART II: AS A TRUE COMMUNITY PARTNER, MONTGOMERY HOSPITAL PROVIDED $13,200 TO OTHER CHARITABLE ORGANIZATIONS LAST YEAR. PARTNERSHIPS WITH THESE ORGANIZATIONS HAVE CONTINUED TO LEAD TO NEW OPPORTUNITIES TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY. FROM ASSISTING MOTHERS IN NEED OF PRENATAL CARE TO SUPPORT FOR SEXUALLY ABUSED CHILDREN TO BEING A HEALTHCARE RESOURCE THROUGH FREE SCREENINGS, MONTGOMERY HOSPITAL CONTINUES TO BUILD UPON EXISTING RELATIONSHIPS TO INCREASE THE OUTREACH OF THE HOSPITAL.
PART III, LINE 4: MONTGOMERY HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE PROVIDED. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED. SUCH AMOUNTS HAVE BEEN EXCLUDED FROM NET PATIENT SERVICE REVENUE. MANAGEMENT ESTIMATES THAT THE COST OF UNREIMBURSED CHARITY CARE PROVIDED BY THE HOSPITAL APPROXIMATED $0.9 MILLION IN 2011. SUCH AMOUNTS HAVE BEEN EXCLUDED FROM NET PATIENT SERVICE REVENUE. THESE AMOUNTS DO NOT INCLUDE THE PROVISION FOR BAD DEBTS, AMOUNTING TO $2.3 MILLION FOR AMOUNTS DUE FROM PATIENTS BUT NOT COLLECTED FOR THE YEAR ENDED JUNE 30, 2011.
PART III, LINE 8: COSTS ARE BASED ON THE 2011 FYE MEDICARE COST REPORT FILING.
PART III, LINE 9B: 1) PATIENTS WHO RECEIVED SERVICES IN EMERGENCY DEPARTMENT THAT RESIDE IN SELECTED ZIP CODES ARE WRITTEN OFF TO CHARITY CARE BASED ON CENSUS DEPARTMENT INCOME INFORMATION.2) PATIENTS WHO DID NOT QUALIFY FOR MEDICAID AND APPEAR TO MET THE HOSPITAL'S CHARITY CARE GUIDELINES THE CHARGES ARE DISCOUNTED OR WRITTEN OFF IF APPROPRIATE.3) IF IN COLLECTION, PATIENTS ARE STILL GIVEN THE OPPORTUNITY TO APPLY FOR CHARITY CARE.
BASED ON AN AVERAGE COMMERCIAL CASE RATE.PART V, LINE 19
UNINSURED INELIGIBLE, UNCOOPERATIVE PATIENTS WERE CHARGED GROSS CHARGES.PART V, LINE 21
PART VI, LINE 2: NEEDS ASSESSEMENT-MONTGOMERY HOSPITAL WORKS IN PARTNERSHIP WITH BOROUGH, COUNTY, REGIONAL AND STATE ORGANIZATIONS, ESPECIALLY MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND THE DELAWARE VALLEY HEALTH COUNCIL TO ASSESS HEALTHCARE NEEDS IN THE IMMEDIATE REGION. WORKING TOGETHER, MONTGOMERY HOSPITAL AND ITS PARTNERS HAVE CONTINUED TO IDENTIFY HEALTHCARE TRENDS AND NEEDS WITHIN OUR COMMUNITY. TO BETTER MEET THESE NEEDS, MONTGOMERY HOSPITAL PROVIDES PRENATAL EDUCATION AND CARE, AN OB/GYN CLINIC FOR UNINSURED/UNDERINSURED WOMEN, ACCESS TO CASE MANAGEMENT AND SOCIAL WORKERS, PASTORAL CARE AND HOME CARE, HOSPICE AND PALLIATIVE CARE OPTIONS FOR THE UNDERSERVED. THE HOSPITAL HOSTS A VARIETY OF SUPPORT GROUPS, PARTICIPATION IN WHICH IS FREE. THROUGHOUT THE YEAR, THE HOSPITAL PROVIDES OUTREACH AND EDUCATION PROGRAMMING OPPORTUNITIES TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE-MONTGOMERY HOSPITAL EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE HOSPITAL'S CHARITY CARE POLICY IN THE FOLLOWING WAYS:1. THE HOSPITAL'S CHARITY CARE POLICY IS POSTED IN PATIENT REGISTRATION AND IS AVAILABLE IN WRITING UPON REQUEST.2. INFORMATION ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND HOW TO RECEIVE HELP UNDERSTANDING HOSPITAL BILLS ARE INCLUDED IN THE MONTGOMERY HOSPITAL PATIENT GUIDE, GIVEN TO EVERY PATIENT UPON ADMISSION (AVAILABLE IN ENGLISH AND SPANISH. 3. THE HOSPITAL'S CHARITY CARE POLICY AND SELF-PAY FEE SCHEDULE ARE AVAILABLE FROM PATIENT REGISTRATION, EMERGENCY DEPARTMENT REGISTRATION AND THE HOSPITAL'S BILLING OFFICE.4. CHARITY CARE INFORMATION AND SELF-PAY FEE SCHEDULE ARE AVAILABLE ON THE HOSPITAL'S WEBSITE.5.TWO FINANCIAL COUSELORS ARE AVAILABLE TO EDUCATE PATIENTS ABOUT FINANCIAL OPTIONS AND ASSIST WITH COMPLETION AND FILING OF FORMS.
PART VI, LINE 4: COMMUNITY INFORMATION - MONTGOMERY HOSPITAL SITS CLOSE TO THE CENTER OF NORRISTOWN, THE COUNTY SEAT OF MONTGOMERY COUNTY, PA. NORRISTOWN IS CLASSIFIED AS URBAN. PER THE 2010 US CENSUS, THE POPULATION OF NORRISTOWN IS 40.9% CAUCASIAN, 39.8% BLACK OR AFRICAN AMERICAN AND 23.5% OF HISPANIC OR LATINO DESCENT, ALMOST TRIPLE THE LATINO POPULATION REPORTED IN THE 2000 CENSUS. ALTHOUGH MONTGOMERY COUNTY IS THE THIRD MOST POPULOUS IN THE STATE AND THE MOST AFFLUENT, 17.2% OF NORRISTOWN RESIDENTS AND 13.5% OF FAMILIES IN THE BOROUGH LIVE BELOW THE POVERTY LINE COMPARED TO 2.4% OF PEOPLE IN MONTGOMERY COUNTY AND 11.9% FOR THE STATE. PROJECTIONS SHOW THAT ONE-THIRD OF THE BOROUGH'S RESIDENTS ARE UNINSURED WITH NO SOURCE OF PRIMARY CARE. IN ADDITION TO A LACK OF MEDICAL INSURANCE OR PRIMARY CARE, THE GROWING UNDOCUMENTED LATINO POPULATION IS FURTHER HAMPERED BY CULTURAL AND LANGUAGE BARRIERS WHICH PRODUCE AN OVERALL LACK OF HEALTHCARE KNOWLEDGE. LANGUAGE BARRIERS OFTEN DISSUADE ATTENDANCE AT FREE HEALTH SCREENINGS THROUGHOUT THE COUNTY BY MULTIPLE ORGANIZATIONS. ADDITIONALLY, UNDOCUMENTED INDIVIDUALS ARE OFTEN FEARFUL OF QUESTIONS BEING RAISED ABOUT CITIZENSHIP AND THEREFORE DO NOT SEEK PROPER HEALTHCARE UNTIL THE NEED IS CRITICAL. PROVIDING PROGRAMS, FAMILIARITY AND ACCESS TO MONTGOMERY HOSPITAL PROGRAMS, ESPECIALLY FOR PREVENTATIVE AND PRENATAL HEALTH NEEDS, IS IMPORTANT AT THIS TIME. IN ADDITION TO THE IMMEDIATE NORRISTOWN VICINTY, MONTGOMERY HOSPITAL'S REGIONAL REACH IS THE CENTRAL PORTION OF MONTGOMERY COUNTY, EXTENDING APPROXIMATELY 10 MILES TO THE NORTH AND WEST AND 5 MILES TO THE EAST (TOWARDS PHILADELPHIA). MONTGOMERY HOSPITAL GEOGRAPHICALLY FINDS ITSELF IN DIRECT COMPETITION WITH AT LEAST 10 OTHER SUBURBAN PHILADELPHIA HOSPITALS ALL OF WHOM ARE IN CONSTANT COMPETITION WITH HOSPITALS LOCATED DOWNTOWN, A TREND THAT FINDS ALMOST 60% OF THE POPULATION SEEKING HEALTHCARE OUTSIDE OF THE IMMEDIATE REGION.
PART VI, LINE 6: PROMOTION OF COMMUNITY HEALTH-MONTGOMERY HOSPITAL MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY. THROUGH A VARIETY OF FORMS, MONTGOMERY HOSPITAL PROVIDES OUTREACH AND EDUCATION EACH YEAR, ENGAGING WITH A NUMBER OF COMMUNITY PARTNERS. PROGRAMS INCLUDE: 1. AS A PRIMARY SOURCE OF HEALTHCARE FOR NORRISTOWN AND CENTRAL MONTGOMERY COUNTY, MONTGOMERY HOSPITAL ENJOYS BEING THE HEALTHCARE RESOURCE FOR ITS NEIGHBORS. EACH YEAR, THE HOSPITAL PROVIDES EDUCATIONAL MATERIALS AND HEALTHCARE RELATED GIVEAWAYS TO NORRISTOWN AREA SCHOOL DISTRICT, CHURCHES WITHIN THE IMMEDIATE AREA, CIVIC ORGANIZATIONS SUCH AS BOY/GIRL SCOUTS OF AMERICA, LOCAL COMMUNITY CENTERS SUCH AS THE POLICE ATHLETIC LEAGUE AND AS WELL AS OUR BOROUGH AND BORDERING TOWNSHIPS. THE HOSPITAL ALSO SUPPORTS SEVERAL LOCAL "BLOCK" PARTIES EACH SUMMER BY SUPPLYING HEALTHCARE INFORMATION TO SURROUNDING NEIGHBORHOODS.2. FREE CANCER SUPPORT GROUPS FOR PATIENTS, FAMILIES AND SURVIVORS. TO INCREASE THE HOSPITAL'S OUTREACH, PARTICIPANTS DO NOT NEED TO HAVE BEEN TREATED AT THE HOSPITAL TO PARTICIPATE. SUPPORT GROUPS IN 2010-2011 INCLUDED BREAST CANCER SUPPORT, CPAP SUPPORT, LARYNGECTOMY SUPPORT, PROSTATE SUPPORT AND BEREAVEMENT SUPPORT. THE HOSPITAL'S CANCER PROGRAM ALSO PROVIDES A HEALING ARTS PROGRAM FOR PATIENTS FEATURING A FREE WIG PROGRAM FOR PATIENTS WHO HAVE LOST THEIR HAIR TO CHEMOTHERAPY. MASSAGE, MEDITATION AND OTHER RELAXATION OPPORTUNITIES ARE OFFERED THROUGHOUT THE YEAR. THE CANCER PROGRAM ALSO PARTNERS WTH THE AMERICAN CANCER SOCIETY TO PRESENT TRADEMARKED PROGRAMMING.3. EACH MAY, THE HOSPITAL HOSTS AN ANNUAL FUNDRAISER. WHILE THE "WALK THROUGH THE PARK" GENERATES ON AVERAGE $15,000 FOR CANCER PROGRAMS AT MONTGOMERY HOSPITAL, THE GREATER PURPOSE OF THE WALK IS TO BRING CANCER AWARENESS TO THE REGION WHILE SUPPORTING ALL OF THOSE WHO HAVE EVER BEEN DIAGNOSED WITH CANCER. THE WALK IS A TRUE COLLABORATION OF PHYSICIANS, PATIENTS, ORGANIZATIONS, LOCAL BUSINESSES AND INDIVIDUALS WHO WANT TO SHOW SUPPORT FOR THOSE WHO HAVE BEEN TOUCHED BY CANCER. THE WALK IS LED BY A COMMITTEE COMPRISED OF LOCAL BUSINESS LEADERS, COMMUNITY MEMBERS AND HOSPITAL PHYSICIANS AND STAFF.4. AS A TRUE COMMUNITY PARTNER, MONTGOMERY HOSPITAL PROVIDED $13,200 TO OTHER CHARITABLE ORGANIZATIONS LAST YEAR. PARTNERSHIPS WITH THESE ORGANIZATIONS HAVE CONTINUED TO LEAD TO NEW OPPORTUNITIES TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY. FROM ASSISTING MOTHERS IN NEED OF PRENATAL CARE TO SUPPORT FOR SEXUALLY ABUSED CHILDREN TO BEING A HEALTHCARE RESOURCE THROUGH FREE SCREENINGS, MONTGOMERY HOSPITAL CONTINUES TO BUILD UPON EXISTING RELATIONSHIPS TO INCREASE THE OUTREACH OF THE HOSPITAL. 5. MONTGOMERY HOSPITAL ENJOYS A CLOSE RELATIONSHIP WITH ITS NEIGHBOR HOSPITALS FROM MONTGOMERY AND BUCKS COUNTIES WITH A REGIONAL ZONE AGREEMENT, PART OF A COALITION DEVELOPED AFTER 9/11. THROUGH A MUTUAL AID AGREEMENT, HOSPITALS WITHIN THE ZONE HAVE PREDETERMINED METHODS IN PLACE TO ENCOURAGE INTER-HOSPITAL COOPERATION SHOULD A DISASTER ARISE. THE ZONE WORKS WITH AREA MUNICIPAL AND COUNTY AGENCIES, EMS, DELAWARE VALLEY HEALTH COUNCIL, AND THE STATE. IN ADDITION, THE HOSPITAL HOSTS A SAFETY/EMERGENCY PREPARATION MEETING EACH MONTH FOR STAFF MEMBERS TO RECEIVE CONTINUOUS TRAINING AND ASSESS ANY NEEDS WITHIN THE COMMUNITY. THE MUNICIPAL FIRE DEPARTMENT IS INVITED AS A PARTICIPANT AT LEAST ONCE EACH YEAR AS IS THE SAFETY OFFICER FROM THE EXCELON NUCLEAR POWER PLANT, LOCATED 20 MILES TO THE NORTHWEST OF THE HOSPITAL.6. WHEN A PUBLIC HEALTH CRISIS DEVELOPS, MONTGOMERY HOSPITAL IS A RESPONSIVE, COLLABORATIVE COMMUNITY PARTNER. THE HOSPITAL WORKS IN CONJUNCTION WITH LOCAL PUBIC HEALTH AGENCIES TO BRING AWARENESS TO THE COMMUNITY REGARDING HEALTH CARE OUTREACH. THIS YEAR THE HOSPITAL HAS WORKED WITH THESE AGENCIES, INCLUDING THE DEPARTMENT OF HEALTH, TO EDUCATE THE COMMUNITY ABOUT:THE IMPORTANCE OF FLU VACCINATIONS, PROPER HAND WASHING TECHNIQUES, SIGNS OF HEART TROUBLE, IMPORTANCE OF ADVANCED DIRECTIVES, THE NEEED FOR PROPER PRE-NATAL CARE AND THE DANGERS OF CO-SLEEPING WITH INFANTS. IN RESPONSE TO A DRAMATIC INCREASE IN INFANT MORTALITY WITHIN THE BOROUGH IN 2011, THE HOSPITAL ADOPTED A "NO LOOSE BLANKET" POLICY, OUTFITTING EACH NEWBORN DELIVERED WITH TWO WEARABLE AND SEASONALLY APPROPRIATE SLEEP SACKS TO HELP DECREASE THE RISK OF SIDS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 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
SCOTT A MELNICK MD
0141194000000010945015213900
MURRAY SWIM
1564750147090000020980173282000
ANN WITKOWSKI
1813060201140000080390209459000
PAT MODAFFERI
1432090205790000035580167346000
TIMOTHY M CASEY
6650450292229030776540007577804110706000
EDWARD LADELY
27144202644200000170350314919000
MICHAEL T KOST
163913000000021630166076000
ALICE SHIRAKAWA
153520000000000153520000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ABOARD MEMBERS AND OFFICERS ARE ELECTED BY THE MONTGOMERY HOSPITAL MEDICAL CENTER EXECUTIVE COMMITTEE (BOARD).
FORM 990, PART VI, SECTION A, LINE 7BA MAJORITY OF ELECTED BOARD MEMBERS AT A MEETING CONSTITUTES A QUORUM. A BOARD VOTE AT A MEETING WITH A QUORUM CARRIES ANY ACTION.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS FIRST REVIEWED BY THE DIRECTOR OF FINANCE. ALL DATA IS TIED BACK TO THE ORIGINAL SUPPORTING DOCUMENTS. DATA IS ALSO TIED BACK TO THE AUDITED FINANCIAL STATEMENTS. AFTER REVIEW BY THE DIRECTOR OF FINANCE, FORM 990 IS REVIEWED BY THE CEO. THE CEO THEN PRESENTS THE FORM 990 TO A SUB COMMITTEE OF THE BOARD FOR REVIEW. AFTER ALL REVIEWS, THE CEO SIGNS THE TAX RETURN AND IT IS FILED.
OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON A YEARLY BASIS.FORM 990, PART VI, SECTION B, LINE 12C
A COMPENSATION COMMITTEE IS USED TO APPROVE COMPENSATION FOR THE CEO AND OFFICERS. AN OUTSIDE COMPANY IS USED TO COMPLETE COMPARABILITY STUDIES. AN OUTSIDE REVIEW OF THE SURVEYS IS COMPLETED BY AN INDEPENDENT PERSON. THE COMPENSATION COMMITTEE REVIEWS THE DATA AND ULTIMATELY APPROVES OR DISAPPROVES OF ANY EXECUTIVE COMPENSATION. THERE ARE DOCUMENTED MINUTES OF THE COMPENSATION COMMITTEE MEETINGS. THESE MINUTES ARE KEPT CONFIDENTIAL AND ARE STORED IN THE EXECUTIVE OFFICE FILES.FORM 990, PART VI, SECTION B, LINE 15
FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUESTFORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:UNREALIZED GAIN/LOSS ON INVESTMENTS 3,242,000. RESTRICTED CONTRIBUTIONS 218,000. NET ASSETS RELEASED FROM RESTRICTIONS FOR PROPERTY & EQUIPMENT ACQUISITIONS 62,000. NET ASSETS RELEASED FROM RESTRICTIONS -149,000. MISCELLANEOUS/ROUNDING 501. INCREASE/DECREASE IN ASSETS HELD IN PERPETUITY BY TRUSTEES 1,145,000. CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY 5,143,000. TOTAL TO FORM 990, PART XI, LINE 5: 9,661,501.FORM 990, PART XI, LINE 5:
PROCESS FOR OVERSIGHT OF AUDIT OF FINANCIAL STATEMENTSTHE PROCESS FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR.FORM 990, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
FORNANCE PHYSICIAN SERVICES
1330 POWELL STREETNORRISTOWNPA19401232275991HEALTH CAREPA501(C)(3)11AAEHN0
MONTGOMERY HEALTH FOUNDATION
1330 POWELL STREET SUITE 309NORRISTOWNPA19401222456265FINANCIAL SUPPORT OF MONTGOMERY HOSPITALPA501(C)(3)11BAEHN0
MONTGOMERY HOSPITAL WORKERS COMPENSATION
1301 POWELL STREETNORRISTOWNPA19401232351775HEALTH CAREPA501(C)(3)11AAEHN0
BROADLINE RISK RETENTION GROUP
100 BANK STREETBURLINGTONVT05401272583356INSURANCEVT501(C)(3)11AAEHN0
EINSTEIN PRACTICE PLAN
5501 OLD YORK ROADPHILADELPHIAPA19141232664784HEALTH CAREPA501(C)(3)11AAEHN0
MONTGOMERY HOSPITAL SELF INSURED TRUST
1301 POWELL STREETNORRISTOWNPA19401556151681INSURANCEPA501(C)(3)11AAEHN0
ALBERT EINSTEIN HEALTHCARE NETWORK
5501 OLD YORK ROADPHILADELPHIAPA19141232290323HEALTH CAREPA501(C)(3)11B0N/A
ALBERT EINSTEIN MEDICAL CENTER
5501 OLD YORK ROADPHILADELPHIAPA19141231396794HEALTH CAREPA501(C)(3)3AEHN0
EINSTEIN COMMUNITY HEALTH ASSOCIATES
5501 OLD YORK ROADPHILADELPHIAPA19141232760086HEALTH CAREPA501(C)(3)11AAEHN0
BELMONT CTR FOR COMPREHENSIVE TREATMENT
4200 MONUMENT ROADPHILADELPHIAPA19131231352200HEALTH CAREPA501(C)(3)3AEHN0
GHMC MANAGEMENT INC
101 E OLNEY AVENUEPHILADELPHIAPA19141232225809HEALTH CAREPA501(C)(3)11AAEHN0
EINSTEIN MEDICAL CENTER MONTOMERY
5501 OLD YORK ROADPHILADELPHIAPA19141204193243HEALTH CAREPA501(C)(3)3AEHN0
FRIENDS OF MOSS REHAB
12TH STREETS TABOR ROADPHILADELPHIAPA19141222483287HEALTH CAREPA501(C)(3)11AAEHN0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
CMMC INC
15 W WOOD STREETNORRISTOWNPA19401232256479REAL ESTATE MANAGEMENTPAN/AC
EINSTEIN HEALTHCARE SYSTEMS INC
101 OLNEY AVENUEPHILADELPHIAPA19120232314938HOLDING COMPANYPAN/AC
REHAB VENTURES INC
1200 W TABOR ROADPHILADELPHIAPA19141232619394HOLDING COMPANYPAN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType
NO TRANSACTIONS ARE WITH CONTROLLED ENTITIES OR NON-501(C)(3) ORGANIZATIONS
I
NO TRANSACTIONS ARE WITH CONTROLLED ENTITIES OR NON-501(C)(3) ORGANIZATIONS
J
NO TRANSACTIONS ARE WITH CONTROLLED ENTITIES OR NON-501(C)(3) ORGANIZATIONS
Q
NO TRANSACTIONS ARE WITH CONTROLLED ENTITIES OR NON-501(C)(3) ORGANIZATIONS
R