Civic Intelligence

Blue Mountain Health System Inc

990 • Fiscal year 2016 • EIN 20-1311316

Jul 01, 2015 to Jun 30, 2016 • Filed on May 11, 2017

211 North 12th StreetLehighton, PA 18235-1195

(610) 377-7003

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

14th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

14th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

12th percentile

-26%

Higher net margin than 12% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

98th percentile

$591,567

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 151.7% of source-year revenue.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

5th percentile

-24%

Faster asset growth than 5% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

80th percentile

24%

Faster revenue growth than 80% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Assets

Down

$1,932,389

Down $617,666 (-24%) from 2015

Net Assets

Down

$1,932,389

Down $208,866 (-9.8%) from 2015

Liabilities

Down

$0

Down $408,800 (-100%) from 2015

Revenue

Up

$389,851

Up $75,213 (+24%) from 2015

Expenses

Up

$491,509

Up $18,924 (+4.0%) from 2015

Net Income

Up

-$101,658

Up $56,289 (+36%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$3.0M$2.0M$1.0M$0Assets 2010: $2,077,958Liabilities 2010: $262,958Net Assets 2010: $1,815,0002010Assets 2011: $2,366,737Liabilities 2011: $388,223Net Assets 2011: $1,978,5142011Assets 2012: $2,348,722Liabilities 2012: $422,669Net Assets 2012: $1,926,0532012Assets 2013: $2,557,678Liabilities 2013: $553,254Net Assets 2013: $2,004,4242013Assets 2014: $2,550,385Liabilities 2014: $275,546Net Assets 2014: $2,274,8392014Assets 2015: $2,550,055Liabilities 2015: $408,800Net Assets 2015: $2,141,2552015Assets 2016: $1,932,389Liabilities 2016: $0Net Assets 2016: $1,932,3892016Assets 2017: $1,983,680Liabilities 2017: $0Net Assets 2017: $1,983,6802017

Highlighted filing

2016

Assets$1,932,389
Liabilities$0
Net Assets$1,932,389

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500KExpenses 2010: $1,352,2002010Expenses 2011: $484,8452011Expenses 2012: $311,3112012Expenses 2013: $478,2792013Revenue 2014: $622,041Expenses 2014: $677,535Net Income 2014: -$55,4942014Revenue 2015: $314,638Expenses 2015: $472,585Net Income 2015: -$157,9472015Revenue 2016: $389,851Expenses 2016: $491,509Net Income 2016: -$101,6582016Revenue 2017: $304,267Expenses 2017: $371,112Net Income 2017: -$66,8452017

Highlighted filing

2016

Revenue$389,851
Expenses$491,509
Net Income-$101,658
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 11, 2017
Return Version
2015v3.0
Gross Receipts
$478,208
Mission and Program Overview

Mission

To promote, maintain and restore the good health of all the people in the communities we serve through partnerships for excellence in healthcare service delivery. Please refer to schedule o for the organization's community benefit statement.

To establish and maintain an integrated health care system.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$2,515,529$1,677,105▼ $838,424
Savings and Temporary Cash Investments$34,526$59,529▲ $25,003
Total Assets$2,550,055$1,932,389▼ $617,666
Other Assets Total$0$195,755▲ $195,755
Liabilities
Accounts Payable and Accrued Expenses$408,800$0▼ $408,800
Total Liabilities$408,800$0▼ $408,800
Net Assets / Fund Balance
Unrestricted Net Assets$2,111,516$1,904,002▼ $207,514
Permanently Rstr Net Assets$20,819$20,819→ $0
Temporarily Rstr Net Assets$8,920$7,568▼ $1,352
Total Net Assets Fund Balance$2,141,255$1,932,389▼ $208,866
Total Liabilities and Net Assets / Fund Balance$2,550,055$1,932,389▼ $617,666

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$195,755--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$1,023,902-▼ $64,413-$959,489
2014$1,063,024-▼ $39,122-$1,023,902
2013$1,012,102-▲ $50,922-$1,063,024
2012$961,340-▲ $50,762-$1,012,102
2011$991,769-▼ $30,429-$961,340
Compensation and Service Providers

Employees

NameTitleOtherTotal
Robert Grob DoDirector$121,875$121,875
Patrick Hanley DoSecretary$17,450$17,450

Board Members and Trustees

NameTitle
Barbara GreenBoard Finance Chair
Michael HarlemanChairman
Andrew E HarrisPresident & CEO
Louis Sportelli DcVice Chairman
Conrad BiegeDirector
Gary WentzDirector
Hon Steven SerfassDirector
Jaime MendesDirector
James Shober IiiDirector
John Dematte Iv DcDirector
Patrick ReillyDirector
Rev Robert VonfrischDirector
Shelba ScheffnerDirector
William H Fegley JrDirector
William KissnerDirector
William Markson MdDirector
William MasonDirector
Andrea L AndraeChief Financial Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$400,593
Program Service Revenue
$0
Investment Income
$33,592
Other Revenue
$-44,334
All Other Contributions
$184,530
Change in Net Assets
$-101,658

Audited Revenue Reconciliation

Revenue per Audited Statements
$478,208
Revenue Not Reported on Financial Statements
$-88,357
Revenue Not Reported on Form 990
$-107,208
Other Revenue Adjustments
$-88,357
Total Revenue per Audited Statements
$371,000
Total Revenue per Form 990
$389,851
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$286,352
Total Fundraising Expense$205,157
Other Expenses$106,246
Salaries, Compensation, and Employee Benefits$98,911
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$286,352--$286,352
Office Expenses--$97,979$97,979
Other Salaries and Wages--$76,177$76,177
Other Employee Benefits--$22,734$22,734
Other Expenses--$8,267$8,267
Total Functional Expenses$286,352$0$205,157$491,509

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$579,866
Expenses per Audited Statements$491,509
Total Expenses per Form 990$491,509
Expenses Not Reported on Form 990$88,357
Expenses Not Reported on Financial Statements$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Gnaden Huetten Memorial HospitalLehighton, PA501(c)(3)Other Operating Needs$286,352
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$88,357
Fundraising Gross Income$44,023
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gala$104,480$13,135$6,827$6,308
Auction$60,590$12,173$1,006$11,167
Total Events$260,086$44,023$88,357$-44,334
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1

An executive committee of the board of directors has the broad authority to act on behalf of the governing body. The committee is composed of seven members of the board of directors and includes all four officers of the board.

Form 990, Part VI, Section B, Line 11

The blue mountain health system (bmhs) staff communicated to the finance committee of the board that the forms 990 were prepared by baker tilly virchow krause, llp, as well as communicated the general types of information contained in the filing. The board is provided the details to access the 990 through a secured board "portal" prior to issuance.

Form 990, Part VI, Section B, Line 12C

The conflict statement 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. A conflict is considered to be any direct or indirect financial interest, and any conflicts noted are communicated to the compliance committee. There were no conflicts disclosed for this year. If a conflict were to exist, the interested person may not be present during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest.

Form 990, Part VI, Section B, Line 15

Senior management salaries are determined by the executive committee using market values obtained. 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 hospital association of pennsylvania conducts an annual survey with yaffe associates for senior management employees. The market data is analyzed by human resources and the goal is to pay at the 50 percentile. Salaries of other employees 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. Review and approvals of salaries are documented via committee minutes. Senior management has received the same general increases as the staff employees received.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Blue Mountain Health System Inc
EIN
20-1311316
Phone
6103777003
Address
211 NORTH 12TH STREET, LEHIGHTON, PA 18235-1195

Signing Officer

Name
Andrea Andrae
Title
Chief Financial Officer
Phone
6103777003
Signed
2017-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Andrea L Andrae
Formed
2004
Legal Domicile
Pa
Voting Board Members
19
Independent Board Members
14
Employees
2
Volunteers
10

Preparer

Firm
Baker Tilly Virchow Krause Llp
Address
1650 MARKET STREET SUITE 4500, PHILADELPHIA, PA 19103
Preparer
Julius C Green CPA
Phone
2159720701
Supplemental Narrative

Additional Explanations

FORM 990 PART V LINE 2:

Salaries reported on form 990, part ix, line 7 are the portion of salaries allocated to blue mountain health system (bmhs). All employees providing services to bmhs are employees of gnaden huetten memorial hospital (ghmh). Bmhs issues no w-2 forms, the w-2 forms are issued by ghmh (ein 24-0795436), a related tax-exempt organization.

Financial Statement Notes

PART V, LINE 4:

The endowments are in perpetuity; the annual earning distibutions are unrestricted for capital and operations of either palmerton hospital or gnaden huetten memorial hospital.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Fundraising expenses -88,357.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Fundraising expenses 88,357.

FORM 990, SCHEDULE D, PART V, LINE 1A:

The beginning balance of the endowment funds includes a restatement of $586,223 pertaining to 2011.

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IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4PRESIDENT & CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR
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