THE PALMERTON HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- THE PALMERTON HOSPITAL (EIN 23-5562316)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201141369349305919
- 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 D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T16:08:36-05:00 | 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 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MARKET STREET | AddressLine1 |
| City | WILLIAMSPORT | City |
| State | PA | State |
| ZIP Code | 17701 | 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 | 235562316 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE PALMERTON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PALM | NameControl |
| Phone | 6103777003 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 135 Lafayette Avenue | AddressLine1 |
| City | Palmerton | City |
| State | PA | State |
| ZIP Code | 18071 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANDREW E HARRIS | Name |
| Title | President/CEO | Title |
| Phone | 6103777003 | Phone |
| Date Signed | 2011-05-16 | DateSigned |
| Authorize Third Party | 0 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5703236023 | Phone |
| 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 | Andrew E Harris | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 135 Lafayette Avenue | AddressLine1 |
| City | Palmerton | City |
| State | PA | State |
| ZIP Code | 18071 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 29086122 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.BLMTN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1913 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | OPERATES A 111 BED ACUTE CARE HOSP, A 91 BED SKILLED NURSING FACILITY & A HOME HEALTH CARE AGENCY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 399 | TotalNbrEmployees |
| Total Nbr Volunteers | 108 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1643353 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1836838 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 24959112 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 26221667 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1886259 | InvestmentIncomePriorYear |
| Investment Income Current Year | 73188 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 689533 | OtherRevenuePriorYear |
| Other Revenue Current Year | 109377 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 29178257 | TotalRevenuePriorYear |
| Total Revenue Current Year | 28241070 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 14317734 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13816769 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 15573437 | OtherExpensePriorYear |
| Other Expenses Current Year | 13884622 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 29891171 | TotalExpensesPriorYear |
| Total Expenses Current Year | 27701391 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -712914 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 539679 | RevenuesLessExpensesCY |
| Total Assets BOY | 16626828 | TotalAssetsBOY |
| Total Assets EOY | 15703302 | TotalAssetsEOY |
| Total Liabilities BOY | 12726422 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 11225461 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3900406 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4477841 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROMOTE, MAINTAIN AND RESTORE THE GOOD HEALTH OF ALL THE PEOPLE IN THE COMMUNITIES WE SERVE THROUGH PARTNERSHIPS FOR EXCELLENCE IN HEALTHCARE SERVICE DELIVERY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 24746741 | Expense |
| Revenue | 26270706 | Revenue |
| Description | PALMERTON HOSPITAL IS AN ACUTE CARE NOT-FOR-PROFIT HOSPITAL, ORGANIZED FOR CHARITABLE AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF IRC SECTION 501(c)(3). THE ORGANIZATION'S PURPOSE IS TO PROMOTE THE HEALTH AND WELFARE OF ALL PERSONS WITHIN ITS SERVICE AREA. THE ENTITY OPERATES ACUTE INPATIENT AND GEROPSYCH BEDS AND PROVIDES OUTPATIENT EMERGENCY AND ADULT DAY CARE SERVICES TO PATIENTS IN PALMERTON, PENNSYLVANIA AND THE SURROUDING AREAS. | Description |
| Total Program Service Expense | 24746741 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 24 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 399 | 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 | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | 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 |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Andrea L Andrae | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6103774317 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 North 12th Street | AddressLine1 |
| City | Lehighton | City |
| State | PA | State |
| ZIP Code | 18235 | 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 | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| barbara green | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Conrad Biege | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| jaime mendes | ||||||||
| director | 3.00 | X | 0 | 0 | 0 | |||
| William H Fegley Jr | ||||||||
| director | 3.00 | X | 0 | 0 | 0 | |||
| Patrick Hanley DO | ||||||||
| SECRETARY | 3.00 | X | 0 | 0 | 0 | X | ||
| Michael Harleman | ||||||||
| TREASURER | 3.00 | X | 0 | 0 | 0 | X | ||
| mark sverchek | ||||||||
| director | 3.00 | X | 0 | 0 | 0 | |||
| William Mason | ||||||||
| director | 3.00 | X | 0 | 0 | 0 | |||
| william markson MD | ||||||||
| director | 3.00 | X | 0 | 0 | 0 | |||
| Thomas Munshower DO | ||||||||
| director | 3.00 | X | 0 | 0 | 0 | |||
| Shelba Scheffner | ||||||||
| VICE CHAIR | 3.00 | X | 0 | 0 | 0 | X | ||
| Reverend H Wilson Scott | ||||||||
| director | 3.00 | X | 0 | 0 | 0 | |||
| Steven Serfass | ||||||||
| director | 3.00 | X | 0 | 0 | 0 | |||
| Elizabeth Smith | ||||||||
| director | 3.00 | X | 0 | 0 | 0 | |||
| Louis Sportelli DC | ||||||||
| director | 3.00 | X | 0 | 0 | 0 | |||
| Andrew Wakstein DO | ||||||||
| director | 3.00 | X | 0 | 0 | 0 | |||
| Patrick Reilly | ||||||||
| Chairman | 3.00 | X | 0 | 0 | 0 | X | ||
| Andrew E Harris | ||||||||
| President/CEO | 20.00 | X | 0 | 315480 | 45900 | X | ||
| Ruthann Brennan | ||||||||
| VP of Clinical Services | 40.00 | 122400 | 0 | 18360 | X | |||
| Theresa Long | ||||||||
| VP of Nursing | 40.00 | 111200 | 0 | 16680 | X | |||
| Lori Frey | ||||||||
| Director - Med/Surg | 50.00 | 106248 | 0 | 15937 | X | |||
| David Plaviak | ||||||||
| FORMER (12/08) CFO/VP | 40.00 | 101492 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 441340 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 315480 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 96877 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | 1 | 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 |
|---|---|---|---|---|---|
| Sodexo | |||||
| 1900 Selwyn Avenue | Charlotte | NC | 28207 | Food Service | 1081600 |
| Pinnacle Anesthesia | |||||
| 13601 Preston Road | Dallas | TX | 75240 | Anesthesia Services | 330833 |
| lab corporation of america | |||||
| 231 maple ave | burlington | NC | 27216 | lab services | 283927 |
| ISS Solutions | |||||
| PO Box 13700-1066 | Philadelphia | PA | 19191 | Biomed Services | 181191 |
| Incare PC | |||||
| 1402 Treeline Drive | Bloomsburg | PA | 17815 | Hospitalist Services | 124998 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Related Organizations | 1683038 | RelatedOrganizations |
| Government Grants | 86336 | GovernmentGrants |
| All Other Contributions | 67464 | AllOtherContributions |
| Total Contributions | 1836838 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SVC REV | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 26221667 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26221667 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 26221667 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 48153 | TotalRevenueColumn |
| Exclusion | $48,153 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 230280 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 229400 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 880 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 880 | TotalRevenueColumn |
| Exclusion | $880 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 640687 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 615652 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 25035 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25035 | TotalRevenueColumn |
| Exclusion | $25,035 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| MEALS ON WHEELS | 624200 | 42284 | 42284 | |
| REBATES | 900099 | 10862 | $10,862 | |
| cafe meals | 900099 | 7065 | $7,065 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 48286 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6755 | RelatedOrExemptFunctionIncome |
| Exclusion | $41,531 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 108497 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28241070 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26270706 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $133,526 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10754332 | Total |
| Program Services | 9441299 | ProgramServices |
| Management And General | 1313033 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7255 | Total |
| Program Services | 6369 | ProgramServices |
| Management And General | 886 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2160284 | Total |
| Program Services | 1896528 | ProgramServices |
| Management And General | 263756 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 894898 | Total |
| Program Services | 785637 | ProgramServices |
| Management And General | 109261 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6372 | Total |
| Management And General | 6372 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47995 | Total |
| Management And General | 47995 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3231140 | Total |
| Program Services | 2724570 | ProgramServices |
| Management And General | 506570 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 137919 | Total |
| Management And General | 137919 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3313005 | Total |
| Program Services | 3187572 | ProgramServices |
| Management And General | 125433 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 515854 | Total |
| Program Services | 184236 | ProgramServices |
| Management And General | 331618 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 711308 | Total |
| Program Services | 711308 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20381 | Total |
| Program Services | 6454 | ProgramServices |
| Management And General | 13927 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5002 | Total |
| Program Services | 3153 | ProgramServices |
| Management And General | 1849 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 299642 | Total |
| Program Services | 299642 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1262219 | Total |
| Program Services | 1262219 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 644228 | Total |
| Program Services | 644228 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 2192158 | 2192158 | |
| DRUGS | 748641 | 748641 | |
| REPAIRS & MAINTENANCE | 219836 | 211920 | 7916 |
| BLOOD PROCESSING | 205531 | 205531 | |
| LAUNDRY & LINEN | 118265 | 118265 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205126 | Total |
| Program Services | 117011 | ProgramServices |
| Management And General | 88115 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27701391 | Total |
| Program Services | 24746741 | ProgramServices |
| Management And General | 2954650 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1682484 | BOY |
| EOY | 596188 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2655583 | BOY |
| EOY | 3146044 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 689676 | BOY |
| EOY | 778558 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 246526 | BOY |
| EOY | 195838 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 35771915 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 27572682 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7954739 | BOY |
| EOY | 8199233 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2906180 | BOY |
| EOY | 2336471 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 414411 | BOY |
| EOY | 393578 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77229 | BOY |
| EOY | 57392 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16626828 | BOY |
| EOY | 15703302 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3037754 | BOY |
| EOY | 3317627 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5145000 | BOY |
| EOY | 4540000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 575604 | BOY |
| EOY | 1177334 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3968064 | BOY |
| EOY | 2190500 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12726422 | BOY |
| EOY | 11225461 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3451213 | BOY |
| EOY | 4217683 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125658 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 323535 | BOY |
| EOY | 260158 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3900406 | BOY |
| EOY | 4477841 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16626828 | BOY |
| EOY | 15703302 | 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 Separate | X | FinancialStatementSeparate |
| 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 D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 449193 | BeginningOfYearBalance |
| Contributions | 36601 | Contributions |
| Investment Earnings Or Losses | -63377 | InvestmentEarningsOrLosses |
| Other Expenditures | 162259 | OtherExpenditures |
| End Of Year Balance | 260158 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 541318 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -53148 | InvestmentEarningsOrLosses |
| Other Expenditures | 38977 | OtherExpenditures |
| End Of Year Balance | 449193 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 198324 | OtherCostOrOtherBasis |
| Book Value | 198324 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11489718 | OtherCostOrOtherBasis |
| Depreciation | 6204257 | Depreciation |
| Book Value | 5285461 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 344891 | OtherCostOrOtherBasis |
| Depreciation | 278823 | Depreciation |
| Book Value | 66068 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23166413 | OtherCostOrOtherBasis |
| Depreciation | 20533523 | Depreciation |
| Book Value | 2632890 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 572569 | OtherCostOrOtherBasis |
| Depreciation | 556079 | Depreciation |
| Book Value | 16490 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8199233 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| BLUE CROSS WORKING CAPITAL ADVANCE | $171,128 |
| ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY | $340,647 |
| Due to Gnaden Huetten Memorial Hospital | $1,450,173 |
| Estimated Third-Party PAYOR Settlements | $40,000 |
| OBLIGATIONS UNDER CAPITAL LEASES | $188,552 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2190500 | TotalOfAmounts |
| Total Revenue | 28241070 | TotalRevenue |
| Total Expenses | 27701391 | TotalExpenses |
| Excess Or Deficit For Year | 539679 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 101133 | NetUnrealizedGLOnInvestments |
| Other | -$63,377 | OtherAmount |
| Total Adjustments | 37756 | TotalAdjustments |
| Excess Or Deficit Per FS | 577435 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 28508226 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 101133 | NetUnrealizedGainsInvestments |
| Other Revenues | -63377 | OtherRevenues |
| Revenue Not Rptd F990 | 37756 | RevenueNotRptdF990 |
| Revenue Subtotal | 28470470 | RevenueSubtotal |
| Other Revenues Not Included | -229400 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -229400 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 28241070 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 27930791 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 229400 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 229400 | ExpensesNotRptdF990 |
| Expenses Subtotal | 27701391 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 27701391 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | TERM ENDOWMENT FUNDS ARE USED FOR THE PURCHASE OF PLANT AND EQUIPMENT TO FURTHER THE MISSION OF THE ORGANIZATION. |
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | The Hospital accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. Management has determined there were no tax uncertainties that met the recognition threshold. |
| Part XI, Line 8 - Other Adjustments: | VALUATION LOSS: -63377. | |
| Part XII, Line 2d - Other Adjustments: | VALUATION LOSS: -63377. | |
| Part XII, Line 4b - Other Adjustments: | RENTAL EXPENSES: -229400. | |
| Part XIII, Line 2d - Other Adjustments: | RENTAL EXPENSES: 229400. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 0 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 47215 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13009 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 34206 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 947151 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 354532 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 592619 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02320 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 488981 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 176746 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 312235 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01220 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1483347 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 544287 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 939060 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03670 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 45382 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 45382 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8800 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8800 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 434567 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 284037 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 150530 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 65085 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42284 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22801 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 553834 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 326321 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 227513 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2037181 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 870608 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1166573 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04560 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $816,274 | BadDebtExpenseAmount |
| Amount Attributable To | 81627 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 12874771 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 9612696 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 3262075 | 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 | 0 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Palmerton Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 135 Lafayette Avenue | AddressLine1 |
| City | Palmerton | City |
| State | PA | State |
| ZIP Code | 18071 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | Geripsych Unit | Other |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subsidized Health Services Expln | Part I, Line 7g: Subsidized health services included under Schedule H for the Palmerton Hospital are the Adult Day Services Program. Adult Day Services of the Blue Mountain Health System offers an alternative to nursing care while providing respite for those caring for someone at home. The program offers a warm, friendly atmosphere and the opportunity for seniors to develop friendships while participating in activities they enjoy. Our experienced staff includes registered nurses, licensed practical nurses, certified therapeutic recreation specialists and certified nurse aides. The Palmerton Hospital provided subsidies of approximately $150,000 to the Adult Day Services Center during FY2010.Subsidized health services included under Schedule H for the Gnaden Huetten Memorial Hospital are the Family Planning Clinic. The National Family Planning Program, also know as Title X (ten) of the Public Health Service Act, was established in 1970 to ensure that no American woman would be denied access to family planning assistance because of her economic condition. For more than three decades, Title X has been an integral component of our nation's public health care system, providing high quality family planning services and other preventive health care to low-income or uninsured individuals who may otherwise lack access to health care. Maternal and Family Health Services administers the program through a network of direct and contract service providers. In addition to direct sites, the network system includes hospitals, Planned Parenthood affiliates, community health centers and physician groups. The Gnaden Huetten Memorial Hospital provided subsidies of approximately $30,000 to our Family Planning Clinic during FY2010. | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Part I, Line 7f: The amount of bad debt expense included on Form 990, Part IX, Line 25 column (A) but subtracted out for purposes of calculating the percentage on Sch H, Part I, Line 7, Column (f) is $2,192,158. | PercentOfTotalExpenseExpln |
| Needs Assessment | Part VI, Line 2: The hospitals of the Blue Mountain Health System assess the community health needs through review of emergency room statistics as well as inquiry during regular Pennsylvania Department of Health surveys to identify far-reaching health needs faced by people in the communities served by the hospitals. Those results are evaluated over time and serve as the basis to develop new or expanded plans to address services in response to need. The Blue Mountain Health System develops programs and services to address community health needs and makes investments in initiatives that align with the Health System's core mission.Beyond that focus are programs and services that benefit every resident and support the far reaching goal of a healthier community. The Health System relies on the engagement and support of key stakeholders, including the medical staff of the hospitals of the Blue Mountain Health System, as well as the vital Carbon County Partners for Progress and numerous other community organizations. Together, we work toward developing a network of care and support that provides quality medical care for our community members. The Health System continues to use data from the Partners for Progress Community Assessment 2009 as a guide in developing programs and services and making community benefit investments in 2010.Adult Priority NeedsPrimary-Affordability of health care-Accessibility of medical care-Access to affordable mental and behavioral health careSecondary-Access to affordable prescription medications-Substance abuse prevention and treatmentOther-Smoking prevention and cessation-Nutrition-Weight management and exerciseYouth and Teen NeedsAccess and affordability of care-Dental-Health care-Suicide prevention-Mental and behavioral health-Family planning services | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: In accordance with Pennsylvania State reporting requirements, the Blue Mountain Health System's charity care expense is reported based upon costs versus charges. Charity Care includes the Health System's traditional inpatient and emergency services, as well as the care provided as part of external educational programs and services such as through our Family Planning program.More people were served through the Hospital's charitable care and financial assistance programs in virtually all categories, as follows:-Gnaden Huetten Memorial Hospital Charitable Care - 310 patients-Palmerton Hospital Charitable Care - 140 patients-Blue Mountain Health System's "Healthy Smiles, Happy Kids" Dental Van - 1,109 served in 2010Signage will be visible in all Blue Mountain Health System points of registration in order to create awareness of the financial assistance program. At a minimum, signage will be posted in all patient intake areas, including, but not limited to, the emergency department, and the admission/patient registration area. In recent years, the Health System has expanded the number of financial counselors available to assist patients. A key goal is to identify community members in need sooner. Counselors proactively seek out patients prior to treatment in an effort to connect them with public insurance programs as appropriate or to encourage them to complete an assistance application. The result is more charity care and less reported as bad debt; most importantly, community members are provided with the support to access the medical care they need. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: The median income of households in Carbon County was $47,283. Seventy-four percent of the households received earnings and 25 percent received retirement income other than Social Security. Thirty-nine percent of the households received Social Security. The average income from Social Security was $15,428.In 2005-2009, 10 percent of people of Carbon County were in poverty. Sixteen percent of related children under 18 were below the poverty level, compared with 7 percent of people 65 years old and over. Seven percent of all families and 27 percent of families with a female householder and no husband present had incomes below the poverty level.Two percent of the people living in Carbon County in 2005-2009 were foreign born. Ninety-eight percent was native, including 80 percent who were born in Pennsylvania. Among people at least five years old living in Carbon County in 2005-2009, 4 percent spoke a language other than English at home. Of those speaking a language other than English at home, 32 percent spoke Spanish and 68 percent spoke some other language; 22 percent reported that they did not speak English "very well." | CommunityInformation |
| Community Building Activities | Part VI, Line 5: In 2010, the hospitals, programs and services of the Blue Mountain Health System provided many community health improvement services. Included in this category are the community outreach programs and services offered by the Health System's Community Education program that includes health and wellness education, life-saving CPR and emergency support and information, and specific programming to help people make healthier lifestyle choices. Also included are the myriad of support group activities that help patients and their families manage chronic health conditions.In the fall of 2010, the Blue Mountain Health System collaborated with the Carbon County Emergency Management Agency on the largest service project in recent years - an emergency preparedness drive-thru influenza vaccination program in which more than 2,100 free seasonal influenza vaccinations were distributed to area residents. This program was found to be an invaluable arrangement in the event of a mass inoculation would be needed. Local fire, police, and ambulance personnel as well as the local school districts and college and university students were involved in the planning of the event. Approximately 50 staff persons from the Health System donated their time and effort to ensure the project was a successful one. The Health System's "Healthy Smiles, Happy Kids" Dental Van provides under-insured or non-insured children in Carbon and Schuylkill Counties with preventative and restorative dental care. In 2010, the Dental Van team, consisting of a board-certified dentist, a dental hygienist and a dental assistant/driver, cared for 1,109 children. The van has become the "dental home" for more than 2,000 children since its inception.Free screening mammograms and breast ultrasound procedures are provided to women, and men, who are uninsured or who have no insurance as part of the Health System's Women's Health Services program. During 2010, nearly 200 persons took advantage of the Blue Mountain Health System's breast cancer voucher screening program. The Health System's Ladies Night Out event served approximately 220 with breast cancer awareness and education. Support groups - Adult Day Services Caregiver Support group, Women's Breast Cancer Support Group, Bariatric & Weight Loss support groupsHealth Fairs - children's health fair and the national senior health and fitness dayWorkforce Wellness programHealth Images television program/Community newsletterGeneral screenings provided at other organization's events - blood pressure, cholesterol, body fat analysis, stroke risk, depression. Family Planning ClinicHaving highly trained medical personnel benefits everyone in the community. Beyond on-going education for physicians, nurses, emergency medical technicians, and other clinicians, the Blue Mountain Health System supported numerous initiatives in 2010 to further the capabilities of area medical personnel, investing $17,600 in Health Professions Education (Gnaden - $8,800 and Palmerton - $8,800).The Health System provided clinical rotations to medical students of Pennsylvania State University and Pennsylvania College of Osteopathic Medicine through the East Central Area Health Education Center. Living accommodations are provided during the time of each student's rotation. Through the Health System's Staff Development department, numerous persons were trained in CPR, ALS, PALS, and Rhythm monitoring. The Health System also provided a clinical setting for undergraduate nursing students enrolled in various local colleges and universities, namely, Lehigh Carbon Community College, Northampton Area Community College, Cedar Crest College, Wilkes University and Johnson College of Technology. Having highly trained medical personnel benefits everyone in the community. Beyond on-going education for physicians, nurses, emergency medical technicians, and other clinicians, the Blue Mountain Health System supported numerous initiatives in 2010 to further the capabilities of area medical personnel. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: The medical staff of the Blue Mountain Health System is an open medical staff allowing submissions for privileges and credentialing from any interested physician or surgeon. The board of directors is comprised of 18 individuals from various community organizations such as financial institutions, telecommunication, recreation, and representation from the medical staff. Of the 18 members of the board of directors, 13 reside immediately within the primary service area of the health system. All of the board members are independent, with the exception of the President and Chief Executive Officer, who is employed directly by the health system. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: During difficult economic times when more people are unemployed or are struggling to make ends meet, community members rely upon the hospitals of the Blue Mountain Health System's long standing tradition to provide needed medical care regardless of insurance coverage or financial ability to pay for services.For the Blue Mountain Health System, fiscal year 2010 was one of the most challenging financial years in its history. Decreasing government reimbursement, lower than anticipated patient volume and greater numbers of people needing financial assistance combined to create nearly the perfect storm, wreaking havoc with our financial expectations early on in the year. Yet, the Health System never wavered from either its not-for-profit mission or its attention to quality care and patient safety. In fact, any surplus funds are used for two main items, capital equipment purchases or for staff compensation. The Blue Mountain Health System provided over $5,500,000 in programs and services to meet the health needs of the residents of our communities. That number, however, reflects only a small piece of the organization's mission-driven story of this past year. (Gnaden Huetten Memorial Hospital $4,300,000; Palmerton Hospital $1,200,000)Attentive to the needs of our community's lower income and most vulnerable populations, the Health System served 450 patients through its financial assistance programs. Overall, approximately $5,177,000 was provided in free and subsidized patient care. (Gnaden - $4,087,000 and 12,502 patient visits; Palmerton - $1,090,000 and 5,102 patient visits), which addresses identified community health needs of access and affordability of medical care.In the area of Community Health Services, there was an increase in both the investment and numbers served through community health and wellness education as well as screenings and fairs.The Blue Mountain Health System invested approximately $95,000 (Gnaden - $49,450 and Palmerton - $45,382) and provided health and wellness education for hundreds of community members last year. One area where the Health System's investment increased dramatically was in emergency preparedness and response - working with the Carbon County Emergency Management Agency - with more than 50 staff persons volunteering to provide more than 2,100 free influenza vaccines to area residents as well as assist local schools with administering more than 1500 H1N1 influenza vaccinations during the potential pandemic timeframe. | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | 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 (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Andrew E Harris | |||||||||||||
| 0 | 306000 | 0 | 0 | 0 | 9480 | 0 | 0 | 0 | 45900 | 0 | 361380 | 0 | 0 |
| David Plaviak | |||||||||||||
| 101492 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 101492 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | THE ORGANIZATION INCLUDED $2,530 FOR CLUB DUES IN PRESIDENT/CEO ANDREW HARRIS' REPORTABLE INCOME FOR THE FISCAL YEAR ENDED JUNE 30, 2010. THIS AMOUNT WAS INCLUDED AS TAXABLE INCOME FOR MR. HARRIS. |
| Part I, Line 4a | Part I, Line 4a: DAVID PLAVIAK - SEVERANCE PAYMENT - $101,492 FOR PERIOD FROM 1/2/2009 TO 7/3/2009. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARBON COUNTY HOSPITAL AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 232280834 | IssuerEIN |
| CUSIP Number | 140868dx5 | CUSIPNumber |
| Date Issued | 2003-10-01 | DateIssued |
| Issue Price | 3891707 | IssuePrice |
| Description Of Purpose | Refund 1997 bond issue & pay issue costs | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 3891707 | TotalProceeds |
| Issuance Costs From Proceeds | 91834 | IssuanceCostsFromProceeds |
| Year Of Subst Completion | 2003 | 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 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 (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | The BMHS staff communicated to the Finance Committee of the Board that the Forms 990 were prepared by ParenteBeard LLC, as well as communicating the general types of information contained in the filing and how to access the specific report. |
| Form 990, Part VI, Section B, line 12c | The conflict policy must be signed off on an annual basis by all governing body members, officers, and key employees. THIS PROCESS IS MONITORED BY THE ADMINISTRATIVE ASSISTANT TO THE PRESIDENT/CEO. ANY CONFLICTS NOTED WOULD BE COMMUNICATED TO THE COMPLIANCE COMMITTEE. THERE HAVE BEEN NO OCCURENCES OF ANY CONFLICTS NOT BEING DISCLOSED. |
| Form 990, Part VI, Section B, line 15 | Senior Management salaries are determined by the market. Human Resources participate in various salary surveys to determine the correct salary range. The Appalachian Hospital Human Resource Society conducts an annual salary survey for all positions. In addition, the Pennsylvanian Hospital Association conducts an annual survey with Yaffe Associates for senior management employees. The market data is analyzed and the goal is to pay at the 50 percentile. Salaries are recommended by Human Resources and approved by the President and CEO. The executive committee of the board serves as the Compensation Committee and approves recommendations for salary increases. The executive committee approves increases for the CEO. Senior Management has received the same general increases as the staff employees received. |
| Form 990, Part VI, Section C, line 19 | Form 990, Part VI, Section C, Line 19: UPON REQUEST, THE ORGANIZATION MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 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 |
|---|---|---|---|---|---|---|---|---|---|
| BLUE MOUNTAIN HEALTH SYSTEM INC | |||||||||
| 211 NORTH 12TH STREET | Lehighton | PA | 182351195 | 201311316 | MAINTAINS AN INTEGRATED HEALTH CARE SYSTEM | PA | 501(c)(3) | 11a | N/A |
| CMS MEDICAL CARE CORPORATION | |||||||||
| 211 NORTH 12TH STREET | Lehighton | PA | 182351195 | 232473899 | OWNS AND OPERATES AMBULATORY CARE CENTERS IN VARIOUS COMMUNITIES | PA | 501(c)(3) | 3 | N/A |
| GNADEN HUETTEN MEMORIAL HOSPITAL INC | |||||||||
| 211 NORTH 12TH STREET | Lehighton | PA | 182351195 | 240795436 | OPERATES AN ACUTE CARE HOSP, A NURSING FACILITY & A HOME HEALTH CARE AGENCY | PA | 501(c)(3) | 3 | N/A |
| 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 | 1 | 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 | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | 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 |