CLARION HOSPITAL: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- CLARION HOSPITAL (EIN 25-1010039)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-15
- IRS object ID
- 202601359349315045
- Schema version
- 2024v5.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-15T19:46:06-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY ADVISORY GROUP LP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 STANWIX STREET | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251010039 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARION HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLAR | BusinessNameControlTxt |
| Phone | 8142269500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOSPITAL DRIVE | AddressLine1Txt |
| City | CLARION | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16214 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS S ALBANESI JR CPA FHFMA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8142269500 | PhoneNum |
| Signature | 2026-04-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLY A BROCIOUS | PreparerPersonNm |
| PTIN | P01254262 | PTIN |
| Phone | 4126976400 | PhoneNum |
| Preparation | 2026-04-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KENNETH P DEFURIO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOSPITAL DRIVE | AddressLine1Txt |
| City | CLARION | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $69,652,207 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.INDEPENDENCE.HEALTH | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1951 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | CLARION HOSPITAL, AN AFFILIATE OF INDEPENDENCE HEALTH SYSTEM, WILL BE RECOGNIZED AS THE PREMIER PROVIDER OF HIGH QUALITY, VALUE-DRIVEN AFFORDABLE INTEGRATED CARE IN THE REGION. WE WILL ACHIEVE THIS THROUGH UNWAVERING COMMITMENT TO INDIVIDUAL AND ORGANIZATIONAL EXCELLENCE AND TECHNOLOGICAL INNOVATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 412 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $185,156 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,659,765 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $56,469,504 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $64,858,423 | CYProgramServiceRevenueAmt |
| PY Investment Income | $546,559 | PYInvestmentIncomeAmt |
| CY Investment Income | $469,801 | CYInvestmentIncomeAmt |
| PY Other Revenue | $640,481 | PYOtherRevenueAmt |
| CY Other Revenue | $616,383 | CYOtherRevenueAmt |
| PY Total Revenue | $57,841,700 | PYTotalRevenueAmt |
| CY Total Revenue | $69,604,372 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,232,208 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,758,616 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $35,486,507 | PYOtherExpensesAmt |
| CY Other Expenses | $37,376,570 | CYOtherExpensesAmt |
| PY Total Expenses | $55,718,715 | PYTotalExpensesAmt |
| CY Total Expenses | $60,135,186 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,122,985 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,469,186 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $76,216,427 | TotalAssetsBOYAmt |
| Total Assets EOY | $57,482,035 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,161,748 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,441,171 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,054,679 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $40,040,864 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CLARION HOSPITAL, AN AFFILIATE OF INDEPENDENCE HEALTH SYSTEM, EXISTS TO PROVIDE A TRUSTED DELIVERY OF CARE WHICH MAKES A POSITIVE IMPACT ON THE LIVES OF EVERY INDIVIDUAL WE TOUCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $46,080,404 | ExpenseAmt |
| Revenue | $65,138,401 | RevenueAmt |
| Desc | CLARION HOSPITAL PROVIDED SERVICES TO 100,000 OUTPATIENTS AS WELL AS NEARLY 14,000 EMERGENCY ROOM VISITS. SERVICES INCLUDE, BUT ARE NOT LIMITED TO, RADIOLOGY SERVICES WHICH INCLUDE MRI, ULTRASOUND, CT, NUCLEAR MEDICINE AND X-RAY SERVICES, LABORATORY SERVICES, EKG AND PHYSICAL THERAPY SERVICES. CLARION HOSPITAL ALSO OFFERS SAME-DAY SURGERY, GENETIC COUNSELING, DRUG AND ALCOHOL TESTING, AND OUTPATIENT PHYSICAL THERAPY AND REHABILITATION SERVICES. CLARION HOSPITAL PROVIDED SERVICES TO 1,300 INPATIENTS FOR MEDICAL AND SURGICAL SERVICES AS WELL AS INTENSIVE CARE SERVICES. CLARION HOSPITAL PROVIDED EDUCATION AND SCREENING OPPORTUNITIES FOR THE COMMUNITY. SUPPORT GROUPS AND CLASSES ARE AVAILABLE FOR PEOPLE WITH DIABETES. THE ORGANIZATION ALSO OFFERS CPR AND EMT TRAINING COURSES AS WELL AS ON-LINE NUTRITION AND HEALTHY LIFESTYLE COURSES. CLARION HOSPITAL PROVIDED EDUCATION AND SCREENING OPPORTUNITIES FOR THE COMMUNITY. SUPPORT GROUPS AND CLASSES ARE AVAILABLE FOR NEW MOTHERS/BABIES AND PEOPLE WITH DIABETES. | Desc |
| Total Program Service Expenses | $46,080,404 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 109 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 412 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOMAS S ALBANESI JR CPA FHFMA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7248324561 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOSPITAL WAY | AddressLine1Txt |
| City | BUTLER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16001 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| KENNETH P DEFURIO | |||||||||
| PRESIDENT & CEO | 10.00 | 50.00 | Yes (X) | Yes (X) | $0 | $3,614,613 | $23,311 | ||
| PAUL BACHARACH | |||||||||
| CHAIRMAN | 1.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TIMOTHY MORGUS | |||||||||
| VICE CHAIR | 1.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PATRICK HAMPSON | |||||||||
| SECRETARY (UNTIL 12/17/24) | 1.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY CURRY | |||||||||
| TREASURER | 1.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN REEFER MD | |||||||||
| TRUSTEE | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES ADISEY MD | |||||||||
| TRUSTEE/PHYSICIAN | 1.00 | 52.00 | Yes (X) | $0 | $765,506 | $32,146 | |||
| ANIE PERARD MD | |||||||||
| TRUSTEE(UNTIL 12/31/24)/PHYSICIAN | 1.00 | 52.00 | Yes (X) | $0 | $341,249 | $15,460 | |||
| TERESA PETRICK | |||||||||
| TRUSTEE | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| LARRY RICHERT | |||||||||
| SECRETARY | 1.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN SPHON | |||||||||
| TRUSTEE | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBRA THOMPSON PHD RN | |||||||||
| TRUSTEE | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| KAREN ALLEN | |||||||||
| PRESIDENT CLARION/BUTLER HOSPITAL | 20.00 | 40.00 | Yes (X) | $0 | $548,866 | $25,189 | |||
| THOMAS S ALBANESI JR CPA | |||||||||
| CHIEF FINANCIAL OFFICER | 10.00 | 50.00 | Yes (X) | $0 | $663,850 | $37,722 | |||
| DAVID ROTTINGHAUS | |||||||||
| PHYSICIAN & PROVIDER NETWORK PRESIDENT | 10.00 | 50.00 | Yes (X) | $0 | $713,182 | $25,189 | |||
| MICHAEL FIORINA DO | |||||||||
| CHIEF MEDICAL OFFICER | 10.00 | 50.00 | Yes (X) | $0 | $429,625 | $25,326 | |||
| THOMAS GENEVRO | |||||||||
| CHIEF HUMAN RESOURCES OFFICER | 10.00 | 50.00 | Yes (X) | $0 | $470,820 | $15,295 | |||
| ROGER LUTZ | |||||||||
| CHIEF INFORMATION OFFICER | 10.00 | 50.00 | Yes (X) | $0 | $412,850 | $25,503 | |||
| WILLIAM MADDEN | |||||||||
| CHIEF OPERATING OFFICER | 10.00 | 50.00 | Yes (X) | $0 | $429,561 | $7,388 | |||
| PAMELA HEPP ESQ | |||||||||
| GENERAL COUNSEL | 10.00 | 50.00 | Yes (X) | $0 | $534,359 | $7,053 | |||
| MATT SCHNUR | |||||||||
| PRESIDENT, BUTLER MEMORIAL & CLARION HOSPITALS | 20.00 | 40.00 | Yes (X) | $0 | $210,124 | $10,102 | |||
| CAROL J FOX MD | |||||||||
| CHIEF MEDICAL OFFICER | 10.00 | 50.00 | Yes (X) | $0 | $675,147 | $23,135 | |||
| MARY ELLEN SICHAK | |||||||||
| CRNA | 40.00 | $240,151 | $0 | $16,794 | Yes (X) | ||||
| THOMAS MORGO | |||||||||
| CRNA | 40.00 | $159,085 | $0 | $15,189 | Yes (X) | ||||
| LESLIE WALTERS | |||||||||
| CHIEF NURSING OFFICER | 40.00 | $174,487 | $0 | $23,730 | Yes (X) | ||||
| CHRISTIE CONRAD | |||||||||
| PHARMACIST | 40.00 | $151,792 | $0 | $23,872 | Yes (X) | ||||
| NICOLE DEHNER | |||||||||
| PHARMACY MANAGER | 40.00 | $147,322 | $0 | $26,493 | Yes (X) | ||||
| ERIC HUSS | |||||||||
| FORMER CHIEF FINANCIAL OFFICER | 0.00 | 0.00 | $0 | $100,800 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $872,837 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,910,552 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $378,897 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CLARION REHABILITATION SERVICES | |||||
| 18 SPORTSMAN DRIVE | LOXAHATCHEE | FL | 33470 | REHABILITATION SERVICES | $2,749,636 |
| AMERGIS HEALTHCARE STAFFING INC | |||||
| 12558 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | AGENCY STAFFING | $1,331,572 |
| METZ CULINARY MANAGEMENT | |||||
| 2 WOODLAND DR | DALLAS | PA | 18612 | FOOD SERVICES | $282,963 |
| QUEST DIAGNOSTICS | |||||
| 14225 NEWBROOK DRIVE | CHANTILLY | VA | 20151 | LAB SERVICES | $222,631 |
| DJD ANESTHESIA ASSOCIATES | |||||
| 216 SYCAMORE DRIVE | SHIPPENVILLE | PA | 16254 | ANETHESIA SERVICES | $220,042 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,551,195 | GovernmentGrantsAmt |
| All Other Contributions | $108,570 | AllOtherContributionsAmt |
| Total Contributions | $3,659,765 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT CARE SERVICE REVENUE | 621400 | $64,579,912 | $64,579,912 |
| OTHER OPERATING REVENUE | 621400 | $278,511 | $278,511 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $64,858,423 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $356,686 | TotalRevenueColumnAmt |
| Exclusion | $356,686 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $384,240 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $47,835 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $336,405 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $336,405 | TotalRevenueColumnAmt |
| Exclusion | $336,405 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $113,115 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $113,115 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,115 | TotalRevenueColumnAmt |
| Exclusion | $113,115 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $279,978 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $279,978 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $279,978 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $69,604,372 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,138,401 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $806,206 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,573,861 | TotalAmt |
| Program Services | $12,828,919 | ProgramServicesAmt |
| Management And General | $4,744,942 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,000 | TotalAmt |
| Program Services | $306,600 | ProgramServicesAmt |
| Management And General | $113,400 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,503,499 | TotalAmt |
| Program Services | $2,557,554 | ProgramServicesAmt |
| Management And General | $945,945 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,261,256 | TotalAmt |
| Program Services | $920,717 | ProgramServicesAmt |
| Management And General | $340,539 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,627 | TotalAmt |
| Management And General | $87,627 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,300 | TotalAmt |
| Management And General | $25,300 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,049,140 | TotalAmt |
| Program Services | $10,360,952 | ProgramServicesAmt |
| Management And General | $3,688,188 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,710 | TotalAmt |
| Program Services | $156,008 | ProgramServicesAmt |
| Management And General | $57,702 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,487 | TotalAmt |
| Program Services | $275,566 | ProgramServicesAmt |
| Management And General | $101,921 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,317 | TotalAmt |
| Program Services | $77,611 | ProgramServicesAmt |
| Management And General | $28,706 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,392,956 | TotalAmt |
| Program Services | $1,016,858 | ProgramServicesAmt |
| Management And General | $376,098 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,500 | TotalAmt |
| Program Services | $163,885 | ProgramServicesAmt |
| Management And General | $60,615 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,997 | TotalAmt |
| Program Services | $6,568 | ProgramServicesAmt |
| Management And General | $2,429 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119 | TotalAmt |
| Program Services | $87 | ProgramServicesAmt |
| Management And General | $32 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,914,831 | TotalAmt |
| Program Services | $1,397,827 | ProgramServicesAmt |
| Management And General | $517,004 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $989,779 | TotalAmt |
| Program Services | $722,539 | ProgramServicesAmt |
| Management And General | $267,240 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL AND OTHER SUPPL | $10,496,039 | $10,496,039 | |
| G&A COST ALLOCATION | $2,312,045 | $2,312,045 | |
| BAD DEBT EXPENSE | $2,075,872 | $2,075,872 | |
| MA MODERNIZATION ASSESS | $1,327,249 | $1,327,249 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,774,602 | TotalAmt |
| Program Services | $1,389,553 | ProgramServicesAmt |
| Management And General | $385,049 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,135,186 | TotalAmt |
| Program Services | $46,080,404 | ProgramServicesAmt |
| Management And General | $14,054,782 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,275 | BOYAmt |
| EOY | $1,275 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,433,769 | BOYAmt |
| EOY | $7,464,889 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,371,889 | BOYAmt |
| EOY | $5,815,203 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $785,988 | BOYAmt |
| EOY | $912,140 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $629,444 | BOYAmt |
| EOY | $327,690 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $80,504,465 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $63,041,747 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,484,634 | BOYAmt |
| EOY | $17,462,718 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,666,924 | BOYAmt |
| EOY | $7,295,674 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,578,810 | BOYAmt |
| EOY | $2,578,811 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,591,764 | BOYAmt |
| EOY | $1,632,872 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,671,930 | BOYAmt |
| EOY | $13,990,763 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,216,427 | BOYAmt |
| EOY | $57,482,035 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,901,739 | BOYAmt |
| EOY | $11,293,309 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,482 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,240,527 | BOYAmt |
| EOY | $6,147,862 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,161,748 | BOYAmt |
| EOY | $17,441,171 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,253,213 | BOYAmt |
| EOY | $38,198,290 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,801,466 | BOYAmt |
| EOY | $1,842,574 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,054,679 | BOYAmt |
| EOY | $40,040,864 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,216,427 | BOYAmt |
| EOY | $57,482,035 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $9,469,186 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $126,839 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,609,840 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,403,998 | OtherCostOrOtherBasisAmt |
| Book Value | $2,403,998 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,962,959 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,556,421 | DepreciationAmt |
| Book Value | $6,406,538 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $685,164 | OtherCostOrOtherBasisAmt |
| Depreciation | $639,245 | DepreciationAmt |
| Book Value | $45,919 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,527,232 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,962,654 | DepreciationAmt |
| Book Value | $5,564,578 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,925,112 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,883,427 | DepreciationAmt |
| Book Value | $3,041,685 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,462,718 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $5,102,244 |
| DUE FROM THIRD PARTY | $8,724,421 |
| ROU OPERATING LEASES | $164,098 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $13,990,763 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| REFUNDABLE ADVANCES | $6,024,962 |
| OPERATING LEASE LIABILITY | $122,900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,147,862 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,409,661 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,409,661 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02430 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,565,349 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,047,175 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,518,174 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04340 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,269 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,647 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,982,279 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,065,822 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,927,835 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $74,946 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,630 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,268,916 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,021,272 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,247,644 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,343,862 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,054,902 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,288,960 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02220 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,326,141 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,120,724 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,216,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08990 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $2,075,872 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $9,244,697 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,231,755 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $12,942 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARION HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOSPITAL DRIVE | AddressLine1Txt |
| City | CLARION | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | INDEPENDENCE.HEALTH/LOCATIONS/CLARION- | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARION HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | INDEPENDENCE.HEALTH/ABOUT-US/COMMUNITY-WELLNESS | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | INDEPENDENCE.HEALTH/ABOUT-US/COMMUNITY-WELLNESS | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | INDEPENDENCE.HEALTH/PATIENTS-VISITORS/FINANCIAL-SERVICES | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | INDEPENDENCE.HEALTH/PATIENTS-VISITORS/FINANCIAL-SERVICES | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | INDEPENDENCE.HEALTH/PATIENTS-VISITORS/FINANCIAL-SERVICES | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CLARION HOSPITAL | PART V, SECTION B, LINE 5: ASSESSMENT COMMITTEE MEMBERSHIP KATHY SELVAGGI, MS, MD, FAAHPM; BRIDGET THORNTON MS; LESLIE WALTERS DNP, CRNP, FNP-BC; EMILY BONK: JUAN DE SANTIAGO MHA, MBA; DAVID MCDEAVITT PHD, SUPERINTENDENT OF ALLEGHENY-CLARION SCHOOL DISTRICT METHODS THE ASSESSMENT COMMITTEE GATHERED INPUT FROM INDIVIDUALS AND ORGANIZATIONS THAT REPRESENT THE BROAD INTERESTS OF THE CLARION REGION; THIS WAS COMPLETED THROUGH A RANGE OF METHODS. -MULTIPLE MEETINGS WERE HELD WITH THE INDEPENDENCE HEALTH SYSTEM-CLARION HOSPITAL COMMUNITY ASSESSMENT TEAM TO IDENTIFY THE TOP HEALTH PRIORITIES WITHIN THE PRIMARY SERVICE AREA OF CLARION COUNTY. -INDEPENDENCE HEALTH SYSTEM- CLARION HOSPITAL COLLECTED HEALTH DATA FROM COUNTY HEALTH RANKINGS, CENTERS FOR DISEASE CONTROL AND PREVENTION, WORLD LIFE EXPECTANCY, PAYS (PENNSYLVANIA YOUTH SURVEY), AND US CENSUS. -208 COMMUNITY MEMBERS AND 16 STAKEHOLDERS COMPLETED ELECTRONIC AND PAPER SURVEYS TO PROVIDE ADDITIONAL DATA TO SURVEY THE HEALTH OF THE PEOPLE IN THE CLARION COUNTY REGION. -FOCUS GROUPS MET AND DISCUSSED THE DATA COLLECTED FROM ALL THE SOURCES ABOVE. THE MAIN THEMES THAT AROSE THROUGHOUT THE DISCUSSION WERE MENTAL/BEHAVIORAL HEALTH, FOOD INSECURITY, AND ACCESS TO CARE, TRANSPORTATION, SUBSTANCE ABUSE, DIABETES, OBESITY, AND CHILDCARE. |
| CLARION HOSPITAL | PART V, SECTION B, LINE 11: 2024 IMPLEMENTATION GOALS HEALTH & SUBSTANCE ABUSE -SEEK, SUPPORT, AND ESTABLISH COMMUNITY PARTNERSHIPS THAT ENHANCE AND EXPAND BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES. FOOD INSECURITY -PROVIDE EDUCATION AND ACCESS TO COMMUNITY RESOURCES THAT PROMOTE WELL-BALANCED NUTRITION AND HEALTHY EATING HABITS. HEALTHY LIFESTYLES -SUPPORT AND ENHANCE PHYSICAL ACTIVITY AND NUTRITION PROGRAMS TO BETTER MANAGE CHRONIC DISEASE WITHIN OUR COMMUNITIES.AS WITH MOST HEATH CARE FACILITIES, CLARION HOSPITAL HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES. |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COSTING METHODOLOGY IS BASED ON THE RATIO OF COST TO CHARGES FROM THE HOSPITAL'S ACCOUNTING SYSTEM. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,075,872. |
| PART III, LINE 4: | THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS. |
| PART III, LINE 9B: | THE NEED FOR CHARITY CARE IS ADDRESSED AS SOON AS A PATIENT INDICATES A FINANCIAL HARDSHIP. GENERALLY, THIS OCCURS AT THE TIME OF SERVICE OR UPON THE INITIAL BILLING. A PATIENT WILL HAVE 90 DAYS FROM THE DATE OF FIRST STATEMENT TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY. ACCOUNTS CURRENTLY IN COLLECTION WILL NOT BE APPROVED UNDER THE CHARITY CARE PROGRAM. |
| PART VI, LINE 2: | CLARION HOSPITAL IS GOVERNED BY A BOARD OF VOLUNTEER DIRECTORS WHO REPRESENT THE COMMUNITY WE SERVE. THROUGH THEIR INPUT AND OCCASIONAL COMMUNITY SURVEYS, CLARION HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF ITS SERVICE AREA. EVERY THREE YEARS, THE CLARION HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT IN COMPLIANCE WITH THE IRS REGULATIONS FOR NOT-FOR-PROFIT HOSPITALS. |
| PART VI, LINE 3: | MEDICAID APPLICATIONS ARE GIVEN TO SELF PAY PATIENTS IN EMERGENCY ROOM AND INPATIENT. THE HOSPITAL FINANCIAL POLICY AND BUSINESS OFFICE CONTACT INFORMATION ARE AVAILABLE AT REGISTRATION DESKS. FREE CARE GUIDELINES ARE PRINTED ON REVERSE SIDE OF PATIENT STATEMENTS. |
| PART VI, LINE 4: | CLARION HOSPITAL SERVES CLARION COUNTY AND PARTS OF THE SURROUNDING COUNTIES, INCLUDING VENANGO, FOREST, JEFFERSON, AND ARMSTRONG. OUR SERVICE AREA IS IN A RURAL PART OF WESTERN PENNSYLVANIA, WITH MANY LIVING BELOW OR WELL BELOW THE NATIONAL AND STATE INCOME AVERAGE. ACCORDING TO US CENSUS BUREAU DATA, AT JULY 1, 2022 CLARION COUNTY HAD AN ESTIMATED POPULATION OF 37,346 WITH AN AVERAGE AGE OF 41.5 AND A MEDIAN HOUSEHOLD INCOME OF $53,096. ADDITIONAL GEOGRAPHIC AND DEMOGRAPHIC INFORMATION CAN BE OBTAINED FROM THE MOST RECENTLY COMPLETED CLARION HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT WHICH IS POSTED ON THE HOSPITAL'S WEBSITE. |
| PART VI, LINE 5: | CLARION HOSPITAL, AN AFFILIATE OF INDEPENDENCE HEALTH SYSTEM, EXISTS TO PROVIDE A TRUSTED DELIVERY OF CARE WHICH MAKES A POSITIVE IMPACT ON THE LIVES OF EVERY INDIVIDUAL WE TOUCH. EVERY LIFE MEANS THAT INDEPENDENCE HEALTH SYSTEM DOES NOT DISCRIMINATE FOR RACE, RELIGION, GENDER, COLOR, OR CREED AND ACCEPTS ALL PATIENTS FOR ANY SERVICES, REGARDLESS OF THE ABILITY TO PAY FOR THOSE SERVICES. INDEPENDENCE HEALTH SYSTEM STRIVES TO PROVIDE ITS COMMUNITIES WITH STATE OF THE ART EQUIPMENT AND FACILITIES. THIS CAN ONLY BE ACCOMPLISHED BY INVESTING ANY EXCESS IN REVENUES OVER EXPENSES INDEPENDENCE HEALTH SYSTEM MAY HAVE IN SECURE INVESTMENTS TO PROVIDE FOR FUTURE TECHNOLOGY, TREATMENTS OF CARE, AND MAINTAIN AGING FACILITIES. INDEPENDENCE HEALTH SYSTEM ENCOURAGES PATIENTS TO TELL IT WHAT IT IS DOING RIGHT AND WRONG THROUGH PATIENT SATISFACTION SURVEYS AND INDEPENDENCE HEALTH SYSTEM REACTS TO THOSE SURVEYS. INDEPENDENCE HEALTH SYSTEM STRIVES TO PROVIDE ITS PATIENTS WITH GREATER ACCESS TO CARE THROUGH OFF SITE CLINICS AND DIAGNOSTIC SERVICE CENTERS. INDEPENDENCE HEALTH SYSTEM ASSISTS ITS MEDICAL STAFF IN RECRUITING TOP OF THE CLASS DOCTORS TO PROVIDE SERVICES TO ITS COMMUNITY WHERE THERE IS A NEED AND A SHORTAGE OF PHYSICIANS. INDEPENDENCE HEALTH SYSTEM ALSO RECRUITS SPECIALTY PHYSICIANS THAT WOULD HELP TO OFFSET THE BURDEN OF CALL COVERAGE AND FOR SUCCESSION PLANNING, WHICH IS ESSENTIAL FOR THE CONTINUUM OF CARE. |
| PART VI, LINE 6: | CLARION HOSPITAL IS PART OF INDEPENDENCE HEALTH SYSTEM. INDEPENDENCE HEALTH SYSTEM (IHS) COMPRISES BUTLER MEMORIAL, CLARION, FRICK, LATROBE, AND WESTMORELAND HOSPITALS. WITH A TOTAL BED COMPLEMENT OF 925, THE SYSTEM HAS MORE THAN 1,000 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS AND 7,300 EMPLOYEES. IHS IS NOW THE THIRD LARGEST HEALTHCARE SYSTEM IN WESTERN PENNSYLVANIA, SERVING A POPULATION BASE OF 750,000 IN A FOOTPRINT SPANNING MORE THAN 10 COUNTIES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH P DEFURIO | ||||||||||||||
| PRESIDENT & CEO | $0 | $1,015,575 | $0 | $0 | $0 | $2,599,038 | $0 | $5,175 | $0 | $18,136 | $0 | $3,637,924 | $0 | $2,501,911 |
| JAMES ADISEY MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | $0 | $462,342 | $0 | $183,975 | $0 | $119,189 | $0 | $13,800 | $0 | $18,346 | $0 | $797,652 | $0 | $0 |
| DAVID ROTTINGHAUS | ||||||||||||||
| PHYSICIAN & PROVIDER NETWORK PRESIDE | $0 | $546,886 | $0 | $0 | $0 | $166,296 | $0 | $5,175 | $0 | $20,014 | $0 | $738,371 | $0 | $86,493 |
| THOMAS S ALBANESI JR CPA | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $506,372 | $0 | $0 | $0 | $157,478 | $0 | $18,292 | $0 | $19,430 | $0 | $701,572 | $0 | $0 |
| CAROL J FOX MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $518,439 | $0 | $0 | $0 | $156,708 | $0 | $21,355 | $0 | $1,780 | $0 | $698,282 | $0 | $0 |
| KAREN ALLEN | ||||||||||||||
| PRESIDENT CLARION/BUTLER HOSPITAL | $0 | $486,730 | $0 | $0 | $0 | $62,136 | $0 | $5,175 | $0 | $20,014 | $0 | $574,055 | $0 | $0 |
| PAMELA HEPP ESQ | ||||||||||||||
| GENERAL COUNSEL | $0 | $508,862 | $0 | $0 | $0 | $25,497 | $0 | $5,175 | $0 | $1,878 | $0 | $541,412 | $0 | $0 |
| THOMAS GENEVRO | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $0 | $162,156 | $0 | $0 | $0 | $308,664 | $0 | $3,943 | $0 | $11,352 | $0 | $486,115 | $0 | $253,308 |
| MICHAEL FIORINA DO | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $425,762 | $0 | $0 | $0 | $3,863 | $0 | $5,175 | $0 | $20,151 | $0 | $454,951 | $0 | $0 |
| ROGER LUTZ | ||||||||||||||
| CHIEF INFORMATION OFFICER | $0 | $368,219 | $0 | $0 | $0 | $44,631 | $0 | $5,175 | $0 | $20,328 | $0 | $438,353 | $0 | $0 |
| WILLIAM MADDEN | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $421,771 | $0 | $0 | $0 | $7,790 | $0 | $0 | $0 | $7,388 | $0 | $436,949 | $0 | $0 |
| ANIE PERARD MD | ||||||||||||||
| TRUSTEE(UNTIL 12/31/24)/PHYSICIAN | $0 | $317,782 | $0 | $0 | $0 | $23,467 | $0 | $0 | $0 | $15,460 | $0 | $356,709 | $0 | $0 |
| MARY ELLEN SICHAK | ||||||||||||||
| CRNA | $217,357 | $0 | $0 | $0 | $22,794 | $0 | $9,692 | $0 | $7,102 | $0 | $256,945 | $0 | $0 | $0 |
| MATT SCHNUR | ||||||||||||||
| PRESIDENT, BUTLER MEMORIAL & CLARION | $0 | $209,734 | $0 | $0 | $0 | $390 | $0 | $3,185 | $0 | $6,917 | $0 | $220,226 | $0 | $0 |
| LESLIE WALTERS | ||||||||||||||
| CHIEF NURSING OFFICER | $173,165 | $0 | $0 | $0 | $1,322 | $0 | $7,317 | $0 | $16,413 | $0 | $198,217 | $0 | $0 | $0 |
| CHRISTIE CONRAD | ||||||||||||||
| PHARMACIST | $138,203 | $0 | $0 | $0 | $13,589 | $0 | $6,295 | $0 | $17,577 | $0 | $175,664 | $0 | $0 | $0 |
| THOMAS MORGO | ||||||||||||||
| CRNA | $151,901 | $0 | $0 | $0 | $7,184 | $0 | $6,475 | $0 | $8,714 | $0 | $174,274 | $0 | $0 | $0 |
| NICOLE DEHNER | ||||||||||||||
| PHARMACY MANAGER | $147,033 | $0 | $0 | $0 | $289 | $0 | $6,267 | $0 | $20,226 | $0 | $173,815 | $0 | $0 | $0 |
| ERIC HUSS | ||||||||||||||
| FORMER CHIEF FINANCIAL OFFICER | $0 | $0 | $0 | $0 | $0 | $100,800 | $0 | $0 | $0 | $0 | $0 | $100,800 | $0 | $66,472 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE CEO IS PAID BY BUTLER HEALTHCARE PROVIDERS, A NONPROFIT RELATED CORPORATION. BUTLER HEALTHCARE PROVIDERS USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, INDEPENDENT LEGAL REVIEW, AND APPROVAL BY THE BOARD AND BOARD COMPENSATION COMMITTEE. |
| PART I, LINES 4A-B | BUTLER HEALTHCARE PROVIDERS, A RELATED ORGANIZATION UTILIZES A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) TO RECRUIT AND RETAIN LEADERSHIP TALENT. VESTING PERIODS ARE 5 AND 10 YEARS, FOR ALL EXECUTIVES, WITH THE EXCEPTION OF THE PRESIDENT/CEO, AT AGE 65. THE THIRD VESTING PERIOD FOR THE PRESIDENT/CEO IS AGE 60. ELIGIBLE EXECUTIVES RECEIVE DISTRIBUTIONS UPON REACHING THE VESTING PERIODS. ALL CONTRIBUTIONS TO THE SERP HAVE BEEN REPORTED PREVIOUSLY AND ARE REPORTED ANNUALLY. THE ANNUAL ACCRUAL AMOUNTS FOR CALENDAR YEAR 2024 WERE: KENNETH P DEFURIO, $351,888; KAREN ALLEN, $60,001. DURING CALENDAR YEAR 2024, ERIC HUSS RECEIVED SEVERANCE IN THE AMOUNT OF $34,328. |
| PART I, LINE 7 | EMPLOYEES ARE ELIGIBLE AND RECEIVED BONUS COMPENSATION. BONUSES ARE NOT GUARANTEED AND ARE AWARDED BASED ON BOARD APPROVED METRICS WHICH INCLUDE QUALITY, SERVICES, AND STRATEGIC FINANCIAL PERFORMANCE. |
| PART II | INDEPENDENCE HEALTH SYSTEM PRESIDENT & CEO KENNETH DEFURIO TURNED 60 DURING CALENDAR YEAR 2024. REACHING AGE 60 TRIGGERED A REQUIRED VESTED SERP PAYOUT OF $2,501,911. FOR THE PAST 18 YEARS, INDIVIDUAL SERP PAYMENTS FOR THE CEO HAD PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J. THIS REPORTED 2024 AMOUNT IS A TOTAL OF ALL PREVIOUSLY REPORTED FUNDING AMOUNTS. SERP PLANS ARE USED AS RECRUITMENT AND RETENTION VEHICLES IN A COMPETITIVE EXECUTIVE MARKET. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | PER THE BY-LAWS OF THE ORGANIZATION, THE ORGANIZATION SHALL HAVE ONE CORPORATE MEMBER, BUTLER HEALTH SYSTEM, INC. THERE SHALL BE NO OTHER MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | BUTLER HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | A WEB-BASED SOFTWARE PROGRAM IS USED TO ADMINISTER A CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE ANNUALLY TO ALL BOARD TRUSTEES, KEY EMPLOYEES AND CERTAIN OTHER DIRECTORS, MANAGERS AND CONTRACTED PHYSICIANS. COMPLIANCE IN COMPLETING THE FORM IS REQUIRED AT 100% FOR OFFICERS, TRUSTEES AND KEY EMPLOYEES. THE DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER, CHIEF LEGAL OFFICER AND CERTAIN BOARD COMMITTEES. ADDITIONALLY, THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT IS SHARED WITH EMPLOYEES, MEDICAL STAFF AND BUSINESS PARTNERS THROUGH ONE OR MORE OF THE FOLLOWING METHODS: POSTING ON THE ORGANIZATION'S INTRANET WEBSITE, ON THE ORGANIZATION'S PUBLIC WORLD WIDE WEBSITE, IN ITS POLICY MANUAL AND IN ITS CORPORATE CODE. REPORTS AND SUBSEQUENT FINDINGS OF NON-COMPLIANCE RESULT IN DISCIPLINARY ACTION THROUGH HUMAN RESOURCES, THE OFFICE OF MEDICAL AFFAIRS, OR THROUGH COMPANY SANCTIONS TOWARDS BUSINESS PARTNERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF TRUSTEES RECOGNIZES THE GREAT CHALLENGES AND DIFFICULTIES THAT HEALTHCARE EXECUTIVES FACE, PARTICULARLY IN THE CURRENT ERA OF NATIONAL AND STATE HEALTHCARE REFORM. IN ADDITION, THE PITTSBURGH REGIONAL MARKET IS HIGHLY COMPETITIVE AND CHANGING RAPIDLY. THE BOARD COMPETES FOR AND SEEKS EXECUTIVE TALENT ON A NATIONAL BASIS. IT ENGAGES EXPERT COMPENSATION CONSULTANTS, UTILIZING NATIONAL COMPARATIVE DATA TO GUIDE THE DETERMINATION OF COMPETITIVE, APPROPRIATE LEVELS OF COMPENSATION. THE EXECUTIVE COMPENSATION PROCESS IS OVERSEEN BY THE EXECUTIVE/COMPENSATION COMMITTEE OF THE IHS BOARD OF TRUSTEES. THE COMMITTEE IS COMPOSED ENTIRELY OF "DISINTERESTED" MEMBERS WITH NO CONFLICTS OF INTEREST. THE TOTAL COMPENSATION PROGRAM FOR EXECUTIVES CONSISTS OF CASH COMPENSATION AND BENEFITS. FACTORS TAKEN INTO CONSIDERATION IN DETERMINING COMPENSATION FOR EXECUTIVES INCLUDE: MARKET DEMAND AND COMPETITION FOR SIMILAR POSITIONS, EXPERIENCE AND TENURE, AND ACTUAL PERFORMANCE AND EFFECTIVENESS. BASED ON THESE AND OTHER PERTINENT CRITERIA, IHS TARGETS TOTAL COMPENSATION TO FALL WITHIN A RANGE OF THE 25TH TO 75TH PERCENTILE OF THE MARKET. IHS EXECUTIVE COMPENSATION GENERALLY WILL NOT EXCEED THE 75TH PERCENTILE OF THE MARKET. EXCEPTIONS TO THIS MAY BE SUBJECT TO REVIEW AND RECOMMENDATION BY THE COMPENSATION COMMITTEE, WHICH IN TURN IS SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES. EXCEPTION MUST BE SUPPORTED BY ORGANIZATIONAL AND/OR INDIVIDUAL PERFORMANCE, OR A RETENTION/RECRUITMENT CIRCUMSTANCE THAT WARRANTS SUCH COMPENSATION. THE COMPENSATION COMMITTEE CONSISTS EXCLUSIVELY OF INDEPENDENT INDIVIDUALS WITH NO REAL OR PERCEIVED CONFLICTS OF INTEREST IN RECOMMENDING EXECUTIVE COMPENSATION GUIDELINES AND LEVELS. WHILE BENEFITS ARE ACCOUNTED FOR IN SCHEDULE J, ACTUAL "TAKE HOME" PAY TO THE EXECUTIVE TYPICALLY CONSISTS ONLY OF BASE SALARY, AND INCENTIVE AWARD EARNED, IF EARNED. APPLICABLE TAXES OR OTHER WITHHOLDINGS ARE DEDUCTED. ANNUAL INCREASES IN BASE PAY, IF ANY, ARE BASED ON COMPETITIVE MARKET TRENDS FROM THE COMPARISON GROUP. SUPPLEMENTAL RETIREMENT BENEFITS ARE USED AS A VEHICLE FOR EXECUTIVE RECRUITMENT AND RETENTION WITH APPROPRIATE VESTING PERIODS. THE BOARD OF TRUSTEES REVIEWS AND APPROVES EXECUTIVE COMPENSATION IN ITS ENTIRETY, INCLUDING THE USE OF "TALLY SHEETS", WHICH DISCLOSE 100% EXECUTIVE COMPENSATION. THE BOARD OF TRUSTEES ENGAGES EXTERNAL COMPENSATION AND LEGAL EXPERTISE TO ASSURE REASONABLENESS OF EXECUTIVE COMPENSATION LEVELS. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS FORM 990, FORM 990-T, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | AT THIS TIME, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,335,192. MANAGEMENT AND GENERAL EXPENSES 2,713,016. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,048,208. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 389,182. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 389,182. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,076,978. MANAGEMENT AND GENERAL EXPENSES 768,197. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,845,175. OTHER SERVICE FEES: PROGRAM SERVICE EXPENSES 559,600. MANAGEMENT AND GENERAL EXPENSES 206,975. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 766,575. |
| FORM 990, PART XI, LINE 9: | OTHER -2,484,840. TRANSFER FROM (TO) AFFILIATES 875,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LATROBE AREA HOSPITAL | |||||||||||
| 121 W SECOND AVENUE | LATROBE | PA | 15650 | 250965414 | HEALTH CARE | PA | 501(C)(3) | LINE 3 | EXCELA HEALTH | 0 | |
| WESTMORELAND REGIONAL HOSPITAL | |||||||||||
| 532 WEST PITTSBURGH STREET | GREENSBURG | PA | 15601 | 250965612 | HEALTH CARE | PA | 501(C)(3) | LINE 3 | EXCELA HEALTH | 0 | |
| LATROBE AREA HOSPITAL CHARITABLE FOUNDATION | |||||||||||
| ONE MELLON WAY | LATROBE | PA | 15650 | 251750654 | FUNDRAISING | PA | 501(C)(3) | LINE 12A, I | LATROBE AREA HOSPITAL | 0 | |
| WESTMORELANDFRICK HOSPITAL FOUNDATION | |||||||||||
| 532 WEST PITTSBURGH STREET | GREENSBURG | PA | 15601 | 251309084 | FUNDRAISING | PA | 501(C)(3) | LINE 12A, I | EXCELA HEALTH | 0 | |
| FRICK HOSPITAL | |||||||||||
| 508 SOUTH CHURCH STREET | MOUNT PLEASANT | PA | 15650 | 250965375 | HEALTH CARE | PA | 501(C)(3) | LINE 3 | EXCELA HEALTH | 0 | |
| EXCELA HEALTH HOME CARE AND HOSPICE | |||||||||||
| 532 WEST PITTSBURGH STREET | GREENSBURG | PA | 15601 | 203474707 | HEALTH CARE | PA | 501(C)(3) | LINE 10 | EXCELA HEALTH | 0 | |
| EXCELA HEALTH | |||||||||||
| 532 WEST PITTSBURGH STREET | GREENSBURG | PA | 15601 | 251471089 | HEALTH CARE | PA | 501(C)(3) | LINE 12C, III-FI | INDEPENDENCE HEALTH SYSTEM | 0 | |
| CAREGIVERS OF SOUTHWESTERN PA | |||||||||||
| 532 WEST PITTSBURGH STREET | GREENSBURG | PA | 15601 | 251570733 | HEALTH CARE | PA | 501(C)(3) | LINE 10 | EXCELA HEALTH | 0 | |
| MOUNTAIN VIEW CANCER ASSOCIATES INC | |||||||||||
| 200 VILLAGE DRIVE | GREENSBURG | PA | 15601 | 030480551 | HEALTH CARE | PA | 501(C)(3) | LINE 3 | EXCELA HEALTH | 0 | |
| BUTLER HEALTH SYSTEM | |||||||||||
| ONE HOSPITAL WAY | BUTLER | PA | 16001 | 251441855 | HC DELIV SYST | PA | 501(C)(3) | LINE 10 | INDEPENDENCE HEALTH SYSTEM | 0 | |
| BUTLER HEALTHCARE PROVIDERS | |||||||||||
| ONE HOSPITAL WAY | BUTLER | PA | 16001 | 250965274 | HOSPITAL | PA | 501(C)(3) | LINE 3 | BUTLER HEALTH SYSTEM | 0 | |
| BUTLER MEDICAL PROVIDERS | |||||||||||
| ONE HOSPITAL WAY | BUTLER | PA | 16001 | 251441961 | PHYSICIAN PRACTICE | PA | 501(C)(3) | LINE 3 | BUTLER HEALTH SYSTEM | 0 | |
| NIXSAR CORPORATION | |||||||||||
| ONE HOSPITAL WAY | BUTLER | PA | 16001 | 251441960 | REAL ESTATE | PA | 501(C)(3) | LINE 12B, II | BUTLER HEALTH SYSTEM | 0 | |
| BUTLER HEALTH SYSTEM FOUNDATION | |||||||||||
| ONE HOSPITAL WAY | BUTLER | PA | 16001 | 261543883 | FUNDRAISING | PA | 501(C)(3) | LINE 12A, I | BUTLER HEALTH SYSTEM | 0 | |
| CLARION HOSPITAL | |||||||||||
| ONE HOSPITAL WAY | CLARION | PA | 16214 | 251010039 | HOSPITAL | PA | 501(C)(3) | LINE 3 | BUTLER HEALTH SYSTEM | 0 | |
| CLARION HOSPITAL SELF INS TRUST FUND | |||||||||||
| ONE HOSPITAL WAY | CLARION | PA | 16217 | 250766602 | SELF INSURANCE | PA | 501(C)(3) | LINE 12A, I | CLARION HOSPITAL | Yes (1) | |
| BUTLER MEMORIAL HOSPITAL AUXILIARY | |||||||||||
| ONE HOSPITAL WAY | BUTLER | PA | 16001 | 251457575 | AUXILIARY | PA | 501(C)(3) | LINE 10 | BUTLER HEALTH SYSTEM | 0 | |
| INDEPENDENCE HEALTH SYSTEM | |||||||||||
| ONE HOSPITAL WAY | BUTLER | PA | 16001 | 921340805 | HEALTH CARE | PA | 501(C)(3) | LINE 12B, II | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| BUTLER AMBULATORY SURGERY CENTER LLC | |||||||||
| 102 TECHNOLOGY DRIVE | BUTLER | PA | 16001 | 061728190 | AMBULATORY SURG. | PA | N/A | 0 | 0 |
| BHS FASTERCARE | |||||||||
| ONE HOSPITAL WAY | BUTLER | PA | 16001 | 271961562 | URGENT CARE | PA | N/A | 0 | 0 |
| BHS FASTER CARE LABORATORY | |||||||||
| ONE HOSPITAL WAY | BUTLER | PA | 16001 | 800628384 | LAB. SERVICES | PA | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EXCELA HEALTH PHYSICIAN PRACTICES | |||||||||||||
| 532 WEST PITTSBURGH STREET | GREENSBURG | PA | 15601 | 251744392 | HEALTH CARE | PA | N/A | C | 0 | ||||
| EXCELA HEALTH HOLDING COMPANY | |||||||||||||
| 532 WEST PITTSBURGH STREET | GREENSBURG | PA | 15601 | 251826537 | HEALTH CARE | PA | N/A | C | 0 | ||||
| EXCELA HEALTH VENTURES LLC | |||||||||||||
| 532 WEST PITTSBURGH STREET | GREENSBURG | PA | 15601 | 461290845 | REAL ESTATE | PA | N/A | C | 0 | ||||
| EXCELA RECIPROCAL RRG & SUBSIDIARY | |||||||||||||
| 100 BANK STREET SUITE 610 | BURLINGTON | VT | 05401 | 464602850 | INSURANCE | VT | N/A | C | 0 | ||||
| EXCELA PHYSICIAN HOSPITAL ORGANIZATION LLC | |||||||||||||
| 532 WEST PITTSBURGH STREET | GREENSBURG | PA | 15601 | 820639487 | HEALTH CARE | PA | N/A | C | 0 | ||||
| EXCELA HEALTH DIVERSIFIED SERVICES LLC | |||||||||||||
| 532 WEST PITTSBURGH STREET | GREENSBURG | PA | 15601 | 871455824 | HEALTH CARE | PA | N/A | C | 0 | ||||
| PCA OF BUTLER PC | |||||||||||||
| 480 EAST JEFFERSON STREET | BUTLER | PA | 16001 | 251351445 | PHY. OFFICE | PA | N/A | C | 0 | ||||
| CLARION DEVELOPMENT CORPORATION | |||||||||||||
| ONE HOSPITAL DRIVE | CLARION | PA | 16214 | 251516298 | PHARMACY | PA | C | Yes (1) | CLARION HOSPITAL | $32,551 | $3,982,778 | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |