UPMC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- UPMC (EIN 23-2176963)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-09
- IRS object ID
- 201141299349301654
- Schema version
- 2009v1.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-09T12:47:22-07:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232176963 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOLDIERS & SAILORS MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOLD | NameControl |
| Phone | 5707230603 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 32-36 CENTRAL AVE | AddressLine1 |
| City | WELLSBORO | City |
| State | PA | State |
| ZIP Code | 169011840 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RONALD M GILBERT JR CPA | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 5707230603 | Phone |
| Date Signed | 2011-05-09 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAN FISHER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 32-36 CENTRAL AVENUE | AddressLine1 |
| City | WELLSBORO | City |
| State | PA | State |
| ZIP Code | 16901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 45394838 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | laurelhs.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1919 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | Soldiers + Sailors Memorial Hospital (SSMH), located in Wellsboro, Pennsylvania, is an 83 bed acute care,sole community hospital which serves a rural population of over 50,000 people. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 531 | TotalNbrEmployees |
| Total Nbr Volunteers | 83 | TotalNbrVolunteers |
| Total Gross UBI | 78452 | TotalGrossUBI |
| Contributions Grants Prior Year | 385322 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 568722 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 41887102 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 43332781 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -383801 | InvestmentIncomePriorYear |
| Investment Income Current Year | 429507 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 235260 | OtherRevenuePriorYear |
| Other Revenue Current Year | 259910 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 42123883 | TotalRevenuePriorYear |
| Total Revenue Current Year | 44590920 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 21030997 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21899237 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 19962501 | OtherExpensePriorYear |
| Other Expenses Current Year | 19484558 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 40993498 | TotalExpensesPriorYear |
| Total Expenses Current Year | 41383795 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1130385 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3207125 | RevenuesLessExpensesCY |
| Total Assets BOY | 29719944 | TotalAssetsBOY |
| Total Assets EOY | 32556111 | TotalAssetsEOY |
| Total Liabilities BOY | 15832945 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 16480723 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 13886999 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 16075388 | NetAssetsOrFundBalancesEOY |
| Mission Description | Soldiers + Sailors Memorial Hospital (SSMH), located in Wellsboro, Pennsylvania, is an | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 36159021 | Expense |
| Revenue | 43332781 | Revenue |
| Description | THE HOSPITAL IS AN 83 BED ACUTE CARE HOSPITAL, WHICH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, NOR ARE SUCH AMOUNTS REPORTED AS REVENUE. THE CHARITY CARE CHARGES FOREGONE AMOUNTED TO $1,388,000 IN 2010. THE FOLLOWING IS A SUMMARY OF THE SERVICES PROVIDED TO PATIENTS: INPATIENT ADMISSIONS 2,456 NEWBORN DELIVERIES 281 OUTPATIENT VISITS 107,966 SURGERIES PERFORMED 3,859 EMERGENCY DEPT VISITS 16,007 LABORATORY TESTS 252,614 CAT SCANS 6,891 MRI TESTS 2,198 ULTRASOUND TESTS 5,328 NUCLEAR MED TESTS 1,269 RADIOLOGY TESTS 29,263 PT TREATMENTS 37,291 OCC THERAPY TREATMENTS 15,665 SPEECH THRPY TRMNT 3,849 DURING 2010 MEDICARE AND MEDICAL ASSISTANCE CHARGES ACCOUNTED FOR 62% OF THE HOSPITAL'S TOTAL CHARGES. | Description |
| Total Program Service Expense | 36159021 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 531 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RONALD M GILBERT JR CPA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5707230603 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 32-36 CENTRAL AVE | AddressLine1 |
| City | WELLSBORO | City |
| State | PA | State |
| ZIP Code | 169011840 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JAMES D BAKER JR | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| R ROBERT DECAMP | |||||||
| Secretary | 1.00 | X | 0 | 0 | 0 | X | |
| ENRICO J DOGANIERO DO | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT P FITZGERALD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| RHONDA S KELLER | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL W LICHTY | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| CRAIG G LITCHFIELD | |||||||
| Treasurer | 1.00 | X | 0 | 0 | 0 | X | |
| J DENNIS MURRAY PHD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| DONNA R WILSON | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| THOMAS M OWLETT ESQ | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| MARY CATHERINE PHINNEY | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| GLENN B POIRIER | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| JAMES J RAKOSKI | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| ANEURIN J WILLIAMS | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| JAN FISHER | |||||||
| President and Chief Executive Officer | 40.00 | 222261 | 0 | 19281 | X | ||
| RONALD BUTLER | |||||||
| Executive Vice President | 40.00 | 0 | 285037 | 16100 | X | ||
| RONALD GILBERT | |||||||
| Chief Financial Officer | 40.00 | 0 | 161907 | 9180 | X | ||
| CRAIG DEVENPORT | |||||||
| Director of Pharmacy | 40 | 125046 | 9416 | X | |||
| CRAIG KONZEN | |||||||
| Pharmacist | 40 | 111595 | 13746 | X | |||
| JANIE HILFIGER | |||||||
| Chief Nursing Executive | 40 | 103268 | 15065 | X | |||
| DAVE MILANO | |||||||
| Director of Rehab | 40 | 102827 | 14058 | X | |||
| STEPHEN BORTZ | |||||||
| Pharmacist | 40 | 100698 | 11310 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 765695 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 446944 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 108156 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LACK & STROSSER ARCHITECTURE | |||||
| 230 MARKET STREET | LEWISBURG | PA | 17837 | Architect | 619512 |
| LABORATORY CORP OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | Lab Testing | 344688 |
| SIEMENS MEDICAL SOLUTIONS | |||||
| 51 VALLEY STREAM PARKWAY | MALVERN | PA | 19355 | Maintenance Contracts | 283447 |
| WILLIAM REICH | |||||
| 32-36 CENTRAL AVE | WELLSBORO | PA | 16901 | Pathologist | 220000 |
| MOREL & ASSOCIATES | |||||
| 846 BENT CREEK DR | LITITZ | PA | 17543 | Consulting | 195164 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Related Organizations | 8750 | RelatedOrganizations |
| Government Grants | 548131 | GovernmentGrants |
| All Other Contributions | 11841 | AllOtherContributions |
| Total Contributions | 568722 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Revenue, net | 900099 | 42037091 | 42037091 |
| Pharmacy Sales | 900099 | 776650 | 776650 |
| Paramedic | 900099 | 278064 | 278064 |
| Food sales cafeteria | 900099 | 162795 | 162795 |
| Other | 900099 | 78181 | 78181 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 43332781 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 328054 | TotalRevenueColumn |
| Exclusion | $328,054 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 259910 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 259910 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 259910 | TotalRevenueColumn |
| Related Or Exempt Function Income | 181458 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 78452 | UnrelatedBusinessRevenue |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 887631 | Securities |
| Other | 17740 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 803918 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 83713 | Securities |
| Other | 17740 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 101453 | TotalRevenueColumn |
| Exclusion | $101,453 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44590920 | TotalRevenueColumn |
| Related Or Exempt Function Income | 43514239 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 78452 | UnrelatedBusinessRevenue |
| Exclusion | $429,507 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 241541 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 241541 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16419741 | Total |
| Program Services | 14993515 | ProgramServices |
| Management And General | 1426226 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 870266 | Total |
| Program Services | 784061 | ProgramServices |
| Management And General | 86205 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3150222 | Total |
| Program Services | 2838174 | ProgramServices |
| Management And General | 312048 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1217467 | Total |
| Program Services | 1096870 | ProgramServices |
| Management And General | 120597 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1979613 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1979613 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5413 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 5413 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44241 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 44241 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1395450 | Total |
| Program Services | 951205 | ProgramServices |
| Management And General | 444245 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13811 | Total |
| Program Services | 5330 | ProgramServices |
| Management And General | 8481 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7716123 | Total |
| Program Services | 7470000 | ProgramServices |
| Management And General | 246123 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 670553 | Total |
| Program Services | 469387 | ProgramServices |
| Management And General | 201166 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1141261 | Total |
| Program Services | 1127602 | ProgramServices |
| Management And General | 13659 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110837 | Total |
| Program Services | 105201 | ProgramServices |
| Management And General | 5636 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45836 | Total |
| Program Services | 40067 | ProgramServices |
| Management And General | 5769 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59467 | Total |
| Program Services | 59467 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2485539 | Total |
| Program Services | 2485539 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313457 | Total |
| Program Services | 313457 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Bad Debt | 2577483 | 2577483 | 0 | 0 |
| Physician Services | 525068 | 525068 | 0 | 0 |
| Telephone | 119331 | 100264 | 19067 | 0 |
| Tuition | 92329 | 96675 | -4346 | 0 |
| Unrelated Business Income Tax | 3193 | 0 | 3193 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185553 | Total |
| Program Services | 119656 | ProgramServices |
| Management And General | 65897 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41383795 | Total |
| Program Services | 36159021 | ProgramServices |
| Management And General | 5224774 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 730 | BOY |
| EOY | 730 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59571 | BOY |
| EOY | 72776 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3930914 | BOY |
| EOY | 3719533 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6446153 | BOY |
| EOY | 9234474 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 809169 | BOY |
| EOY | 775582 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 747402 | BOY |
| EOY | 808397 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 48766838 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 35313840 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13310545 | BOY |
| EOY | 13452998 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4388950 | BOY |
| EOY | 4374098 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26510 | BOY |
| EOY | 117523 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29719944 | BOY |
| EOY | 32556111 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2923224 | BOY |
| EOY | 2689187 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17026 | BOY |
| EOY | 12056 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 981858 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5413017 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7479678 | BOY |
| EOY | 12797622 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15832945 | BOY |
| EOY | 16480723 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13403891 | BOY |
| EOY | 15992240 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 405860 | BOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77248 | BOY |
| EOY | 83148 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13886999 | BOY |
| EOY | 16075388 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29719944 | BOY |
| EOY | 32556111 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 368037 | OtherCostOrOtherBasis |
| Book Value | 368037 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16836903 | OtherCostOrOtherBasis |
| Depreciation | 12293867 | Depreciation |
| Book Value | 4543036 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2504710 | OtherCostOrOtherBasis |
| Depreciation | 953811 | Depreciation |
| Book Value | 1550899 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28280003 | OtherCostOrOtherBasis |
| Depreciation | 21763023 | Depreciation |
| Book Value | 6516980 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 777185 | OtherCostOrOtherBasis |
| Depreciation | 303139 | Depreciation |
| Book Value | 474046 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13452998 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEFERRED FINANCING COSTS | Description |
| Book Value | 117523 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 117523 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 3rd PARTY PAYORS | $1,537,484 |
| ACCRUED POST RETIREMENT HEALTH CARE BENEFIT | $1,701,390 |
| ACCRUED MEDICAL MALPRACTICE INSURANCE COST | $557,327 |
| ACCRUED PENSION EXPENSE | $5,267,250 |
| Notes Payable Affiliate - Current | $435,293 |
| Notes Payable Affiliate - Long Term | $3,298,878 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12797622 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 499616 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 499616 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01210 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5659020 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3286334 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2372686 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05730 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6158636 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3286334 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2872302 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06940 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6158636 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3286334 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2872302 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06940 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $927,894 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 12780557 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 12696297 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 84260 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAUREL MANAGEMENT SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Provide executive management, accounting, etc | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.00000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.00000 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOLDIERS & SAILORS MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 32-36 CENTRAL AVENUE | AddressLine1 |
| City | WELLSBORO | City |
| State | PA | State |
| ZIP Code | 16901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | OUR COMMUNITY BENEFIT REPORT IS CONTAINED IN THE ANNUAL REPORT | AnnualCommunityBenefitExpln |
| Costing Method Used | TOTAL COMMUNITY BENEFIT EXPENSE WAS DERIVED FROM WORKSHEET 2, | CostingMethodUsed |
| Percent Of Total Expense Expln | BAD DEBT EXPENSE OF $2,577,483 IS INCLUDED IN FUNCTIONAL EXPENSES | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | THE ESTIMATED COST OF BAD DEBT EXPENSE IS CALCULATED USING | BadDebtFootnote |
| Shortfall As Community Benefit | THE MEDICARE COST REPORT USES A COST PER DAY FOR ROUTINE | ShortfallAsCommunityBenefit |
| Debt Collection Policy | PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE | DebtCollectionPolicy |
| Needs Assessment | THE BOARD OF DIRECTORS IS COMPOSED OF VARIOUS COMMUNITY LEADERS | NeedsAssessment |
| Patient Education Assistance | THE ORGANIZATIONS CHARITY CARE POLICY IS POSTED AT EVERY | PatientEducationAssistance |
| Community Information | THE ORGANIZATION SERVES TIOGA COUNTY AND SURROUNDING AREAS. | CommunityInformation |
| Community Building Activities | THE ORGANIZATION PARTICIPATES IN COMMUNITY BUILDING THROUGH VARIOUS | CommunityBuildingActivities |
| Other Information | THE FACILITY HAS AN OPEN MEDICAL STAFF POLICY. THE BOARD OF DIRECTORS | OtherInformation |
| Affiliated Health Care System | THE HOSPITAL IS PART OF LAUREL HEALTH SYSTEM, WHICH CONSISTS OF | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|
| JAN FISHER | |||||||
| 222261 | 8653 | 10628 | 241542 | ||||
| RONALD BUTLER | |||||||
| 285037 | 12515 | 3585 | 301137 | ||||
| RONALD GILBERT | |||||||
| 161907 | 4520 | 4659 | 171086 | ||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Pt I Line 6b | Identifier |
| Explanation | The Laurel Health System's Executive Compensation Policy and Program describes Laurel Health System's executive compensation program for key senior managers. Laurel Health System's annual incentive plan is designed to focus the attention of key executives on the key annual system goals as approved by the Board of Trustees, and to be performance-based; each individual's compensation is based on both System and individual performance. The Executive Compensation Committee of the Board (Committee) adopts performance measures annually, establishes a target incentive pool of funds, and awards the actual incentives at the end of the year based on actual performance against the established standards. Laurel Health System targets both base and total cash compensation at the 50th percentile (P50) of the market of comparable health systems. Laurel Health System's incentive plan consists of System circuit breakers, system performance measures and individual incentive targets, which are established and approved annually by the Committee. Performance measures assess overall Laurel Health System performance and are calibrated in terms of threshold, target and maximum performance levels. Measures include financial and nonfinancial criteria in order to reflect a balanced sense of System performance. Incentive targets are expressed as a percentage of base salary and are reviewed annually to reflect internal equity and external competitiveness. The actual incentive fund is determined at the conclusion of the fiscal year once the performance levels for the System performance measures are known. Award levels for each measure are calculated using the weight for each measure and the performance levels. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (21 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI-A, Line 2 | Board member Robert DeCamp is the father-in-law of board member Thomas Owlett. |
| Pt VI-B, Line 11A | Members of the board of directors of Laurel Health System are provided a copy of the Form |
| 990 prior to filing. The CFO reviews the Form 990 with the | |
| Finance Committee of the board of directors and responds to any questions. | |
| Subsequent to this meeting, the Finance Committee then recommends to the board | |
| of directors that the Form 990 be approved for filing. | |
| Pt VI-B, Line 12c | Annually on the 1st day of January the CEO sends to all |
| directors, officers, management staff and contracted physicians | |
| a questionnaire to be completed and returned by Jan 15. | |
| A report is submitted to the board of directors to notify | |
| any conflicts of interest disclosed. | |
| Pt VI-B, Line 15 | On a bi-annual basis an independent compensation consulting firm performs |
| an analysis of the leadership salary structure in relationship | |
| to the labor market using data from four different salary | |
| surveys. Their analysis is reviewed with the Governance | |
| Committee of the board of directors. The firm then outlines | |
| its recommendations for the proposed executive salary | |
| structure to the committee for their consideration and approval. | |
| Pt VI-C, Line 19 | Governing documents and financial statements are available |
| to the public upon request. The conflict of interest | |
| policy is also available upon request. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| LAUREL HEALTH SYSTEM | |||||||||
| 15 MEADE ST | WELLSBORO | PA | 16901 | 240795488 | Support entities affiliated with Laurel Health System | PA | 501(c)3 | 509(a)(3) | LAUREL HEALTH SYSTEM |
| LAUREL REALTY | |||||||||
| 15 MEADE ST | WELLSBORO | PA | 16901 | 231403678 | Own and manage real estate in support of Laurel Health | PA | 501(c)2 | 509(a)(3) | LAUREL HEALTH SYSTEM |
| LAUREL MANAGEMENT SERVICES | |||||||||
| 15 MEADE ST | WELLSBORO | PA | 16901 | 251644910 | Management consulting and supervisory services | PA | 501(c)3 | 509(a)(3) | LAUREL HEALTH SYSTEM |
| NORTH PENN COMPREHENSIVE HEALTH SERVICES | |||||||||
| 22 WALNUT ST | WELLSBORO | PA | 16901 | 231889724 | Provide general health and social services | PA | 501(c)3 | 509(a)(3) | LAUREL HEALTH SYSTEM |
| THE GREEN HOME | |||||||||
| 37 CENTRAL AVENUE | WELLSBORO | PA | 16901 | 240804365 | Operate skilled nursing & assisted living facilities | PA | 501(c)3 | 509(a)(3) | LAUREL HEALTH SYSTEM |
| TIOGA HEALTH CARE PROVIDERS | |||||||||
| 15 MEADE ST | WELLSBORO | PA | 16901 | 251765538 | Employ physician specialists | PA | 501(c)3 | 509(a)(3) | LAUREL HEALTH SYSTEM |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|
| TYOGA CARENET | |||||||||
| 15 MEADE STREET | WELLSBORO | PA | 16901 | 251810967 | Integrate health care regionally | PA | LAUREL HEALTH SYS | C | 0.00000 |
| TIOGA MANAGEMENT SERVICES ORGANIZATION | |||||||||
| 15 MEADE STREET | WELLSBORO | PA | 16901 | 232886336 | Manage physician practices | PA | LAUREL HEALTH SYS | C | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| NORTH PENN COMPREHENSIVE HEALTH SERVICES - RENT PAYMENTS | |
| a | 48774 |
| LAUREL MANAGEMENT SERVICES - RENT PAYMENTS | |
| a | 29404 |
| LAUREL HEALTH SYSTEM - LOAN TO PARENT | |
| d | 3376140 |
| LAUREL REALTY - RENT | |
| j | 66331 |
| LAUREL MANAGEMENT SERVICES - MANAGEMENT FEE | |
| l | 1979613 |
| NORTH PENN COMPREHENSIVE HEALTH SERVICES | |
| o | 84293 |
| TIOGA HEALTH CARE PROVIDERS | |
| o | 305068 |
| NORTH PENN COMPREHENSIVE HEALTH SERVICES | |
| p | 305553 |
| LAUREL REALTY | |
| p | 60056 |