BRADFORD HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- BRADFORD HOSPITAL (EIN 25-0965270)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201141369349302084
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T10:48:30-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUMSDEN & MCCORMICK LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 403 MAIN STREET SUITE 430 | AddressLine1 |
| City | BUFFALO | City |
| State | NY | State |
| ZIP Code | 14203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 250965270 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADFORD HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BRAD | NameControl |
| Phone | 8143628257 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 116 INTERSTATE PARKWAY | AddressLine1 |
| City | BRADFORD | City |
| State | PA | State |
| ZIP Code | 16701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Richard Braun | Name |
| Title | SENIOR VP OF FINANCE | Title |
| Phone | 7163756190 | Phone |
| Date Signed | 2011-05-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael J Grimaldi | Name |
| Phone | 7168563300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADFORD REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Richard Braun | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 SOUTH Union Street Suite 300 | AddressLine1 |
| City | Olean | City |
| State | NY | State |
| ZIP Code | 14760 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 82511794 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.BRMC.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1885 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | CARING FOR OUR COMMUNITY THROUGH OUR VISION TO REMAIN THE PROVIDER OF CHOICE FOR RESIDENTS IN MCKEAN AND NEIGHBORING COUNTIES IN PA AND NY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 872 | TotalNbrEmployees |
| Total Nbr Volunteers | 17 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2272256 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 131010 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 67414343 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 64683091 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -641051 | InvestmentIncomePriorYear |
| Investment Income Current Year | 228064 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 339627 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1091090 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 69385175 | TotalRevenuePriorYear |
| Total Revenue Current Year | 66133255 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 33133690 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 33397835 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 34815765 | OtherExpensePriorYear |
| Other Expenses Current Year | 34597354 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 67949455 | TotalExpensesPriorYear |
| Total Expenses Current Year | 67995189 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1435720 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1861934 | RevenuesLessExpensesCY |
| Total Assets BOY | 57399124 | TotalAssetsBOY |
| Total Assets EOY | 81847803 | TotalAssetsEOY |
| Total Liabilities BOY | 43658363 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 71902185 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 13740761 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9945618 | NetAssetsOrFundBalancesEOY |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 13194531 | Expense |
| Revenue | 14824368 | Revenue |
| Description | BRADFORD HOSPITAL PROVIDES VARIOUS INPATIENT SERVICES, WHICH INCLUDE THE PEDIATRIC ACUTE PATIENT UNIT, OBSTETRICS AND NEWBORN CARE UNIT, CRITICAL CARE UNIT AND THE PAVILION AT BRMC WHICH IS A SKILLED NURSING FACILITY SPECIALIZING IN PROVIDING MEDICAL AND SUPPORTIVE CARE TO INDIVIDUALS WHO CAN NO LONGER REMAIN SAFELY AT HOME. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5640961 | Expense |
| Revenue | 6337735 | Revenue |
| Description | BRADFORD HOSPITAL PROVIDES VARIOUS OUTPATIENT SERVICES THROUGH THE MEDICAL AND SURGICAL UNITS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6341495 | Expense |
| Revenue | 7124820 | Revenue |
| Description | BRADFORD HOSPITAL PROVIDES VARIOUS DIAGNOSTIC SERVICES, INCLUDING MAGNETIC RESONANCE IMAGING, COMPUTED TOMOGRAPHY SCANNING, NUCLEAR MEDICINE, ULTRASOUND, ANGIOGRAPHY, MAMMOGRAPHY, STRESS LAB TESTING, AND BONE DENSITY SCANNING. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 32474115 | Expense |
| Revenue | 36485453 | Revenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 32474115 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 36485453 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 57651102 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 91 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 872 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHARD BRAUN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7163756109 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 SOUTH UNION STREET SUITE 300 | AddressLine1 |
| City | OLEAN | City |
| State | NY | State |
| ZIP Code | 14760 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DAVID PRINCE | |||||||
| CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| DANIEL MCCUNE | |||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| MUHAMMED JAVED MD | |||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | |
| MARTIN DIGEL | |||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| LIVINGSTON ALEXANDER | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| SISTER ROBERTA BRUNNER | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| THOMAS BUFFAMANTE | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| CARLYLE CONN | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| PIERRE DIONNE MD | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| TIMOTHY FINAN | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| RICHARD MCDOWELL PHD | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| JILL OWENS MD | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| EDWIN PECHT | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| LYNDA QUICK | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| EDWARD SHARKEY | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| BRENDA SNOW | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| LUIS GONZALEZ MD | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| GEORGE LEONHARDT | |||||||
| PRESIDENT/CEO | 40.00 | X | 275253 | 0 | 7015 | ||
| DEBORAH PRICE | |||||||
| SENIOR VP PATIENT CARE SERVICES | 40.00 | X | 133945 | 0 | 5593 | ||
| JAMES TARASOVITCH | |||||||
| SENIOR VP/CFO | 40.00 | X | 168545 | 0 | 6896 | ||
| SYED ALLY | |||||||
| CHIEF OF PATHOLOGY | 40.00 | 351193 | 0 | 12563 | X | ||
| RICHARD FREEMAN | |||||||
| MEDICAL DIRECTOR | 40.00 | 171332 | 0 | 4995 | X | ||
| ROGER LAROCHE | |||||||
| MEDICAL DIRECTOR | 40.00 | 277490 | 0 | 10212 | X | ||
| NANCY O'DAY | |||||||
| CRNA | 40.00 | 150643 | 0 | 7951 | X | ||
| FIROZ RAHMAN | |||||||
| PSYCHIATRIST | 40.00 | 165481 | 0 | 5313 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1693882 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 60538 | TotalOtherCompensation |
| Number Individuals GT100 K | 13 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EXIGENCE OF BRADFORD LLC | |||||
| 6653 MAIN STREET | WILLIAMSVILLE | NY | 14221 | CONTRACTED EMPLOYEES | 416527 |
| HORTY SPRINGER & MATTERN | |||||
| 4614 FIFTH AVENUE | PITTSBURGH | PA | 15213 | LEGAL COUNSEL | 253236 |
| CAREFUSION SOLUTIONS LLC | |||||
| LOCKBOX 771952 1952 SOLUTIONS CENTE | CHICAGO | IL | 60677 | PHARMACY SYSTEM | 238930 |
| ABAZ SOSIC MD | |||||
| 10 VAN TASSEL WAY | BRADFORD | PA | 16701 | PHYSICIAN | 226457 |
| STAFF CARE INC | |||||
| PO BOX 281923 | ATLANTA | GA | 30384 | CONTRACTED EMPLOYEES | 217475 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Government Grants | 86215 | GovernmentGrants |
| All Other Contributions | 44795 | AllOtherContributions |
| Total Contributions | 131010 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 64683091 | TotalRevenueColumn |
| Related Or Exempt Function Income | 64683091 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 64683091 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 177239 | TotalRevenueColumn |
| Exclusion | $177,239 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 181856 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 52486 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 129370 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 129370 | TotalRevenueColumn |
| Exclusion | $129,370 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 16376878 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 16326053 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 50825 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50825 | TotalRevenueColumn |
| Exclusion | $50,825 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| WIC REVENUE | 900099 | 240249 | $240,249 |
| CAFETERIA REVENUE | 722210 | 196301 | $196,301 |
| MISCELLANEOUS | 900099 | 133550 | $133,550 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 391620 | TotalRevenueColumn |
| Related Or Exempt Function Income | 89285 | RelatedOrExemptFunctionIncome |
| Exclusion | $302,335 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 961720 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 66133255 | TotalRevenueColumn |
| Related Or Exempt Function Income | 64772376 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,229,869 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 457709 | Total |
| Management And General | 457709 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24159514 | Total |
| Program Services | 22109410 | ProgramServices |
| Management And General | 2050104 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 254015 | Total |
| Program Services | 232460 | ProgramServices |
| Management And General | 21555 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6759066 | Total |
| Program Services | 6185512 | ProgramServices |
| Management And General | 573554 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1767531 | Total |
| Program Services | 1617544 | ProgramServices |
| Management And General | 149987 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 904555 | Total |
| Program Services | 720321 | ProgramServices |
| Management And General | 184234 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 336993 | Total |
| Program Services | 268356 | ProgramServices |
| Management And General | 68637 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7618693 | Total |
| Program Services | 6066963 | ProgramServices |
| Management And General | 1551730 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335746 | Total |
| Program Services | 267363 | ProgramServices |
| Management And General | 68383 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11399354 | Total |
| Program Services | 9077602 | ProgramServices |
| Management And General | 2321752 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1455322 | Total |
| Program Services | 1158911 | ProgramServices |
| Management And General | 296411 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3452709 | Total |
| Program Services | 2749482 | ProgramServices |
| Management And General | 703227 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126673 | Total |
| Program Services | 100873 | ProgramServices |
| Management And General | 25800 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1211203 | Total |
| Program Services | 836457 | ProgramServices |
| Management And General | 374746 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2893046 | Total |
| Program Services | 1997938 | ProgramServices |
| Management And General | 895108 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 902466 | Total |
| Program Services | 718657 | ProgramServices |
| Management And General | 183809 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 1911527 | 1911527 | |
| OTHER | 1284996 | 1023276 | 261720 |
| LAUNDRY AND LINEN | 441855 | 351861 | 89994 |
| DUES AND SUBSCRIPTIONS | 192051 | 152935 | 39116 |
| LICENSES AND FEES | 130165 | 103654 | 26511 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67995189 | Total |
| Program Services | 57651102 | ProgramServices |
| Management And General | 10344087 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80248 | BOY |
| EOY | 3062 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3990249 | BOY |
| EOY | 1372291 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6918004 | BOY |
| EOY | 6018010 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1859420 | BOY |
| EOY | 1793928 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1004861 | BOY |
| EOY | 1400892 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 60645953 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 31960839 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29860888 | BOY |
| EOY | 28685114 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5019684 | BOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1247210 | BOY |
| EOY | 1390303 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7418560 | BOY |
| EOY | 41184203 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57399124 | BOY |
| EOY | 81847803 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10237218 | BOY |
| EOY | 12810014 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21748728 | BOY |
| EOY | 20290000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2459848 | BOY |
| EOY | 2378776 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9212569 | BOY |
| EOY | 36423395 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43658363 | BOY |
| EOY | 71902185 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13598491 | BOY |
| EOY | 9803348 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142270 | BOY |
| EOY | 142270 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13740761 | BOY |
| EOY | 9945618 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57399124 | BOY |
| EOY | 81847803 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $4,881 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 4881 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | THE ORGANIZATION PAYS ANNUAL DUES TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA. A PORTION OF DUES PAID TO THIS ORGANIZATION IS ATTRIBUTABLE TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 307231 | OtherCostOrOtherBasis |
| Book Value | 307231 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 42661007 | OtherCostOrOtherBasis |
| Depreciation | 19998977 | Depreciation |
| Book Value | 22662030 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2122871 | OtherCostOrOtherBasis |
| Depreciation | 650922 | Depreciation |
| Book Value | 1471949 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14869950 | OtherCostOrOtherBasis |
| Depreciation | 11310940 | Depreciation |
| Book Value | 3559010 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 684894 | OtherCostOrOtherBasis |
| Book Value | 684894 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 28685114 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 847583 |
| DUE FROM RELATED PARTIES | 29205184 |
| OTHER ASSETS | 2103035 |
| ASSETS LIMITED AS TO USE | 9028401 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 41184203 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| MINIMUM PENSION LIABILITY | $12,202,764 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $1,156,104 |
| ESTIMATED SELF INSURANCE COSTS | $222,458 |
| DUE TO RELATED PARTIES | $22,842,069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 36423395 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 454980 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 454980 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10977705 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11565101 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -587396 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 50530152 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 59383644 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -8853492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 61962837 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 70948745 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -8985908 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 61962837 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 70948745 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -8985908 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $836,736 | BadDebtExpenseAmount |
| Amount Attributable To | 455184 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 19773343 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10029407 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 9743936 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | OtherOther |
|---|---|---|---|---|---|
| BRADFORD REGIONAL MEDICAL CENTER | |||||
| 116 INTERSTATE PARKWAY | BRADFORD | PA | 16701 | X | |
| VNA | |||||
| 20 SCHOOL STREET | BRADFORD | PA | 16701 | VISITING NURSING | |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Shortfall As Community Benefit | Part III, Line 8: NONE TREATED AS COMMUNITY BENEFIT. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: COLLECTION PRACTICES:i) BRMC will not cause the forced sale or foreclosure on a patient's primary residence.ii) BRMC will not send account to collection if the patient has submitted a completed application for financial assistance, including the required documentation, while an application is pending.iii) BRMC will provide written notification to a patient at least 30-days before an account is sent to collection. This written notice may be included on a bill. iv) BRMC requires that a collection agency have its written consent prior to starting legal action for collection.v) BRMC will train all general hospital staff who interact with patients or have responsibility for billing and collection.vi) BRMC will measure our compliance with these polices.vii) BRMC requires any collection agency under contract to follow our financial assistance policy and provides information to patient's on how to apply, where appropriate.viii) BRMC does not allow collection activity if the patient is determined eligible for Medicaid for the services that were rendered and BRMC is able to collect Medicaid payment. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: BRMC utilizes the following methods to monitor and assess the community's health care needs: Patient data, CDC public health data and statistics from the Pennsylvania Department of Health, and a McKean County community health needs survey. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: I) Information regarding payment of bill and financial assistance can be found on our website.II) Self Pay IP & SDS patients are contacted by our Medicaid Application specialist to compile Medical Assistance application & financial assistance application.III) All statements have a message if they need assistance with their bill to contact our office. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: The hospital's service area is comprised of several counties in northwest Pennsylvania totaling approximately 75,000 individuals. The population's median age is 40. The male population is 50.75% and the female population is 49.25%. The median household income is $39,862. The average people per household is 2.28. Current unemployment rate is approximately 11%. The percentage of people with the following levels of education is 29% some college; 24% some high school; 8% no high school; 11% with Associate's Degree; 18% Bachelor's Degree; 10% Master's Degree. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: N/A | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: Surgical Specialty Resources & Needs Assessment: - BRMC has 9.65 surgical specialists in 7 surgical specialties- Surgical specialists age 60 & older comprise 2 FTEs or 12% of the surgical staff- For 2009, surgical specialty needs were identified in OB/GYN & Ophthalmology- Between 2010 & 2013, surgical specialty succession needs will include otolaryngology & urology- In addition, call coverage needs exist for general surgery & access for Medicaid recipients in GYN & Orthopedics with significant referral out for orthopedics | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: BRADFORD REGIONAL MEDICAL CENTER IS PART OF THE UPPER ALLEGHENY HEALTH SYSTEM (UAHS), AN INTEGRATION OF TWO REGIONAL HOSPITALS UNDER A COMMON PARENT ORGANIZATION. UAHS HAS A MISSION OF COLLABORATIVE HEALTH CARE IN THE TWO COMMUNITIES SERVED BY THE INTEGRATED HOSPITALS TO MEET THE HEALTH CARE NEEDS OF THE RESIDENTS AND SURROUNDING AREAS. THIS INTEGRATION ALSO ALLOWS BOTH HOSPITALWS TO REALIZE MORE ROBUST PURCHASING POWER AND PHYSICIAN RECRUITMENT OPPORTUNITIES THAN EITHER HOSPITAL COULD GENERATE ON THEIR OWN. | AffiliatedHealthCareSystem |
| Reports Filed With States | PA | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GEORGE LEONHARDT | |||||||||||||
| 275253 | 0 | 0 | 0 | 0 | 0 | 4000 | 0 | 3015 | 0 | 282268 | 0 | 137627 | 0 |
| JAMES TARASOVITCH | |||||||||||||
| 168545 | 0 | 0 | 0 | 0 | 0 | 2921 | 0 | 3975 | 0 | 175441 | 0 | 84273 | 0 |
| SYED ALLY | |||||||||||||
| 351193 | 0 | 0 | 0 | 0 | 0 | 4612 | 0 | 7951 | 0 | 363756 | 0 | 175597 | 0 |
| RICHARD FREEMAN | |||||||||||||
| 171332 | 0 | 0 | 0 | 0 | 0 | 4290 | 0 | 705 | 0 | 176327 | 0 | 85666 | 0 |
| ROGER LAROCHE | |||||||||||||
| 277490 | 0 | 0 | 0 | 0 | 0 | 2261 | 0 | 7951 | 0 | 287702 | 0 | 138745 | 0 |
| NANCY O'DAY | |||||||||||||
| 150643 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7951 | 0 | 158594 | 0 | 75322 | 0 |
| FIROZ RAHMAN | |||||||||||||
| 165481 | 0 | 0 | 0 | 0 | 0 | 2000 | 0 | 3313 | 0 | 170794 | 0 | 82741 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 1b | ReturnReference |
| Explanation | CLUB DUES WERE PAID FOR DEBORAH PRICE, NELLIE WALLACE AND FRANCIE AMBUSKE. DUES PAID FOR EACH INDIVIDUAL WERE $600. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCKEAN COUNTY HOSPITAL AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 251513489 | IssuerEIN |
| CUSIP Number | 581293CE5 | CUSIPNumber |
| Date Issued | 2005-09-14 | DateIssued |
| Issue Price | 24093208 | IssuePrice |
| Description Of Purpose | CAPITAL PROJECTS AND REFUNDING PAST BONDS | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 23330000 | TotalProceeds |
| Amount In Reserve Fund | 5399022 | AmountInReserveFund |
| Issuance Costs From Proceeds | 763208 | IssuanceCostsFromProceeds |
| Capital Expenditures | 23330000 | CapitalExpenditures |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | A DRAFT COPY OF THE FORM 990 IS REVIEWED FOR ACCURACY AND COMPLETENESS BY THE HOSPITAL'S CHIEF OPERATING OFFICER AND SENIOR MANAGEMENT OF UPPER ALLEGHENY HEALTH SYSTEM. IN ADDITION, A FINAL DRAFT COPY OF THE FORM 990 IS PROVIDED TO MEMBERS OF THE BOARD OF DIRECTORS TO REVIEW AND COMMENT PRIOR TO FILING WITH THE IRS. |
| Form 990, Part VI, Section B, line 12c | THE HOSPITAL'S CONFLICT OF INTEREST POLICY IS PRESENTED AND REVIEWED ANNUALLY. EACH MEMBER OF THE BOARD COMPLETES A DISCLOSURE FORM. SEE THE FORMAL POLICY, AS OUTLINED IN THE ORGANIZATION'S BYLAWS, BELOW. CONFLICTS OF INTEREST: EACH DIRECTOR, PRIOR TO TAKING HIS POSITION ON THE BOARD, AND ALL PRESENT DIRECTORS AS SOON AS PRACTICABLE AFTER THE ADOPTION OF THESE BYLAWS, SHALL SUBMIT IN WRITING TO THE CHAIRMAN OF THE BOARD AND THE CHIEF EXECUTIVE OFFICER A LIST OF ALL BUSINESS OR OTHER ORGANIZATIONS OF WHICH HE IS AN OFFICER, DIRECTOR, TRUSTEE, MEMBER, OWNER (EITHER AS SOLE PROPRIETOR OR PARTNER), SHAREHOLDER WITH 5% OR GREATER INTEREST IN ALL OUTSTANDING VOTING SHARES, EMPLOYEE OR AGENT, WITH WHICH THE CORPORATION HAS, OR MIGHT BE REASONABLY IN THE FUTURE ENTER INTO, A RELATIONSHIP OR A TRANSACTION IN WHICH THE DIRECTOR WOULD HAVE CONFLICTING INTERESTS. EACH WRITTEN STATEMENT WILL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH THE STATEMENTS OF ALL DIRECTORS IN ORDER TO GUIDE HIS CONDUCT SHALL A CONFLICT ARISE. THE CHAIRMAN-ELECT OF THE BOARD SHALL BE FAMILIAR WITH THE STATEMENT FILED BY THE CHAIRMAN. SHOULD THE CHAIRMAN-ELECT POSITION BE VACANT, THE MOST SENIOR MEMBER OF THE EXECUTIVE COMMITTEE WILL ASSUME THIS RESPONSIBILITY. AT SUCH TIME AS ANY MATTER COMES BEFORE THE BOARD IN SUCH A WAY AS TO GIVE RISE TO A CONFLICT OF INTEREST, THE AFFECTED DIRECTOR SHALL MAKE KNOWN THE POTENTIAL CONFLICTM WHETHER DISCLOSED BY HIS WRITTEN STATEMENT OR NOT, AND AFTER ANSWERING ANY QUESTIONS THAT MIGHT BE ASKED HIM, SHALL WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION. SHOULD THE MATTER BE BROUGHT TO A VOTE, THE AFFECTED DIRECTOR SHALL NOT VOTE ON IT. IN THE EVENT THE CONFLICT OF INTEREST AFFECTS THE CHAIRMAN, THE CHARIMAN-ELECT IS EMPOWERED AND SHALL REQUIRE THAT THE CHAIRMAN REMOVE HIMSELF IN THE SAME MANNER, AND FOR THE DURATION OF DISCUSSION AND ACTION ON THE MATTER THE CHAIRMAN-ELECT SHALL PRESIDE. SHOULD THE CHAIRMAN-ELECT POSITION BE VACANT, THE MOST SENIOR MEMBER OF THE EXECUTIVE COMMITTEE WILL ASSUME THIS RESPONSIBILITY. IF THE MATTER IS THE ITEM OF BUSINESS FOR WHICH A SPECIAL MEETING OF THE BOARD WAS CALLED, THE AFFECTED DIRECTOR SHALL NOT BE COUNTED TO ESTABLISH A QUORUM, NOR SHALL HE PARTICIPATE IN THE DELIBERATIONS OR VOTE ON IT. |
| Form 990, Part VI, Section B, line 15 | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND APPROVED COMPENSATION PACKAGES PROVIDED TO THE PRESIDENT AND OTHER ORGANIZATION VICE PRESIDENTS. COMPARABILITY DATA FROM THE HOSPITAL COUNCIL OF WESTERN PA MANAGEMENT COMPENSATION SURVEY IS USED DURING THE REVIEW. |
| Form 990, Part VI, Section C, line 19 | THE HOSPITAL'S FORM 990, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST, FOR A LEGITIMATE BUSINESS PURPOSE (AS DETERMINED BY TOP MANAGEMENT), FROM THE HOSPITAL'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART XI, QUESTION 2 | THE ORGANIZATION'S TOP MANAGEMENT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT, AS WELL AS THE CHOICE OF AN INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| BRADFORD REGIONAL MEDICAL SERVICES | |||||||||
| 116-156 INTERSTATE PARKWAY | BRADFORD | PA | 16701 | 232875157 | PHYSICIANS PRACTICE | PA | 501(c)(3) | Line 3 | N/A |
| BRADFORD HOSPITAL FOUNDATION | |||||||||
| 20 SCHOOL STREET | BRADFORD | PA | 16701 | 251612399 | FUNDRAISING | PA | 501(c)(3) | Line 9 | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADFORD HEALTH ENTERPRISES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 116-156 INTERSTATE PARKWAY | AddressLine1 |
| City | BRADFORD | City |
| State | PA | State |
| ZIP Code | 16701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251591420 | EIN |
| Primary Activity | INVESTMENT | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 43622 | ShareOfTotalIncome |
| Share Of EOY Assets | 200000 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType |
|---|
| BRADFORD HOSPITAL FOUNDATION |
| M |
| BRADFORD REGIONAL MEDICAL SERVICES |
| M |