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Balance Sheet
Assets
Flat$162,041
Flat from 2011
Net Assets
Flat-$27,323
Flat from 2011
Liabilities
Flat$189,364
Flat from 2011
Revenue And Expenses
Revenue
-
No earlier filing loaded for comparison.
Expenses
Flat$755,656
Flat from 2011
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2010 to Jun 30, 2011
- Signed
- Jan 16, 2012
- Return Version
- 2010v3.7
- Gross Receipts
- $686,325
Filing and Contact Details
Filer
- EIN
- 20-4648195
Raw XML AppendixShowing 400 of 515 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccruedExpenses/EOY | 0 | 189364 |
| IRS990/AccountsReceivable/BOY | 0 | 66636 |
| IRS990/AccountsReceivable/EOY | 0 | 59362 |
| IRS990/ActivitiesConductedPartnership | 0 | false |
| IRS990/ActivityOrMissionDescription | 0 | ACMH PHYSICIAN SERVICES' PURPOSE SHALL BE TO ESTABLISH, SUPPORT, MANAGE AND FURNISH FACILITIES, PERSONNEL AND SERVICES TO OPERATE A RURAL HEALTH CLINIC AND PHYSICIAN PRACTICES. |
| IRS990/AddressPrincipalOfficerUS/AddressLine1 | 0 | ONE NOLTE DRIVE |
| IRS990/AddressPrincipalOfficerUS/City | 0 | KITTANNING |
| IRS990/AddressPrincipalOfficerUS/State | 0 | PA |
| IRS990/AddressPrincipalOfficerUS/ZIPCode | 0 | 16201 |
| IRS990/Advertising/ManagementAndGeneral | 0 | 112 |
| IRS990/Advertising/ProgramServices | 0 | 603 |
| IRS990/Advertising/Total | 0 | 715 |
| IRS990/AnnualDisclosureCoveredPersons | 0 | true |
| IRS990/AuditCommittee | 0 | true |
| IRS990/BenefitsPaidToMembersCY | 0 | 0 |
| IRS990/BenefitsPaidToMembersPriorYear | 0 | 0 |
| IRS990/BenefitsToMembers/Total | 0 | 0 |
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| IRS990/BsnssRltnshpWithOrganization | 0 | false |
| IRS990/CashNonInterestBearing/BOY | 0 | 41527 |
| IRS990/CashNonInterestBearing/EOY | 0 | 73254 |
| IRS990/ChangesToOrganizingDocs | 0 | true |
| IRS990/CollectionsOfArt | 0 | false |
| IRS990/CompCurrentOfficersDirectors/Total | 0 | 0 |
| IRS990/CompDisqualPersons/Total | 0 | 0 |
| IRS990/CompensationFromOtherSources | 0 | false |
| IRS990/CompensationProcessCEO | 0 | false |
| IRS990/CompensationProcessOther | 0 | false |
| IRS990/ComplianceWithBackupWitholding | 0 | true |
| IRS990/ConferencesMeetings/Total | 0 | 0 |
| IRS990/ConflictOfInterestPolicy | 0 | true |
| IRS990/ConservationEasements | 0 | false |
| IRS990/ConsolidatedAuditFinancialStmt | 0 | true |
| IRS990/ContractorCompensation/Compensation | 0 | 376927 |
| IRS990/ContractorCompensation/DescriptionOfServices | 0 | PHYSICIAN STAFFING |
| IRS990/ContractorCompensation/NameOfContractor/NamePerson | 0 | ARMSTRONG COUNTY MEMORIAL HOSP |
| IRS990/ContributionsGrantsCurrentYear | 0 | 0 |
| IRS990/ContributionsGrantsPriorYear | 0 | 7000 |
| IRS990/CreditCounseling | 0 | false |
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| IRS990/DeductibleNonCashContributions | 0 | false |
| IRS990/DelegationOfManagementDuties | 0 | false |
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| IRS990/DescribedIn501C3 | 0 | true |
| IRS990/Description | 0 | ACMH PHYSICIAN SERVICES PROVIDES OUTPATIENT PHYSICIAN SERVICES TO PATIENTS AT THE SOUTH BETHLEHEM CLINIC, WHICH IS LOCATED IN AN UNDERSERVED MEDICAL AREA. THESE SERVICES INCLUDE: COMPREHENSIVE, COMMUNITY-BASED CARE, INCLUDING FAMILY MEDICINE, PEDIATRICS, OB/GYN CARE, EMERGENCY CARE, AND ANCILLARY MEDICAL SERVICES IN THE FORM OF PHLEBOTOMY SERVICES. TOTAL VISITS FOR FISCAL YEAR 2011 WERE 8,237. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. |
| IRS990/DisregardedEntity | 0 | false |
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| IRS990/ElectionOfBoardMembers | 0 | true |
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| IRS990/FeesForServicesLobbying/Total | 0 | 0 |
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| IRS990/FeesForServicesOther/Total | 0 | 14051 |
| IRS990/FeesForServicesProfFundraising/Total | 0 | 0 |
| IRS990/FinancialStatementConsolidated | 0 | X |
| IRS990/FollowSFAS117 | 0 | X |
| IRS990/ForeignActivities | 0 | false |
| IRS990/ForeignFinancialAccount | 0 | false |
| IRS990/ForeignGrants/Total | 0 | 0 |
| IRS990/ForeignOffice | 0 | false |
| IRS990/Form8282PropertyDisposedOf | 0 | false |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 0 | 1.0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 1 | 1.0 |
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| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 3 | 1.0 |
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| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 5 | 1.0 |
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| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 2 | X |
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| IRS990/Form990PartVIISectionA/NamePerson | 0 | JOHN LEWIS |
| IRS990/Form990PartVIISectionA/NamePerson | 1 | HAROLD ALTMAN MD |
| IRS990/Form990PartVIISectionA/NamePerson | 2 | CHASE MCCLISTER |
| IRS990/Form990PartVIISectionA/NamePerson | 3 | HELEN BURNS RN PHD |
| IRS990/Form990PartVIISectionA/NamePerson | 4 | JAMES RAMAGE |
| IRS990/Form990PartVIISectionA/NamePerson | 5 | PATRICK C BURNS |
| IRS990/Form990PartVIISectionA/Officer | 0 | X |
| IRS990/Form990PartVIISectionA/Officer | 1 | X |
| IRS990/Form990PartVIISectionA/Officer | 2 | X |
| IRS990/Form990PartVIISectionA/Officer | 3 | X |
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| IRS990/Form990PartVIISectionA/OtherCompensation | 1 | 17620 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 2 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 3 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 4 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 5 | 30194 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 0 | 0 |
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| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 2 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 3 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 4 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 5 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 0 | 336324 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 1 | 282489 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 2 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 3 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 4 | 0 |
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| IRS990/Form990PartVIISectionA/Title | 0 | DIRECTOR/CEO |
| IRS990/Form990PartVIISectionA/Title | 1 | CHAIRMAN/CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionA/Title | 2 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionA/Title | 3 | DIRECTOR THROUGH 11/10 |
| IRS990/Form990PartVIISectionA/Title | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionA/Title | 5 | CFO |
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| IRS990/FSAudited | 0 | true |
| IRS990/FundraisingActivities | 0 | false |
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| IRS990/Gaming | 0 | false |
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| IRS990/GrantsAndSimilarAmntsPriorYear | 0 | 0 |
| IRS990/GrantsToDomesticIndividuals/Total | 0 | 0 |
| IRS990/GrantsToDomesticOrgs/Total | 0 | 0 |
| IRS990/GrantsToIndividuals | 0 | false |
| IRS990/GrantsToOrganizations | 0 | false |
| IRS990/GrantToRelatedPerson | 0 | false |
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| IRS990/GroupReturnForAffiliates | 0 | false |
| IRS990/Hospital | 0 | false |
| IRS990/IncomeFromInvestBondProceeds/TotalRevenueColumn | 0 | 0 |
| IRS990/IndependentAuditFinancialStmt | 0 | false |
| IRS990/IndoorTanningServices | 0 | false |
| IRS990/InfoInScheduleOPartVI | 0 | X |
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| IRS990/InformationTechnology/Total | 0 | 0 |
| IRS990/Insurance/Total | 0 | 0 |
| IRS990/Interest/Total | 0 | 0 |
| IRS990/InvestmentIncomeCurrentYear | 0 | 0 |
| IRS990/InvestmentIncomePriorYear | 0 | 0 |
| IRS990/InvestmentIncome/TotalRevenueColumn | 0 | 0 |
| IRS990/InvestmentInJointVenture | 0 | false |
| IRS990/LoanToOfficerOrDQP | 0 | false |
| IRS990/LobbyingActivities | 0 | false |
| IRS990/LocalChapters | 0 | false |
| IRS990/MaterialDiversionOrMisuse | 0 | false |
| IRS990/MembersOrStockholders | 0 | true |
| IRS990/MethodOfAccountingAccrual | 0 | X |
| IRS990/MinutesOfCommittees | 0 | true |
| IRS990/MinutesOfGoverningBody | 0 | true |
| IRS990/MissionDescription | 0 | ACMH PHYSICIAN SERVICES' PURPOSE SHALL BE TO ESTABLISH, SUPPORT, MANAGE AND FURNISH FACILITIES, PERSONNEL AND SERVICES TO OPERATE A RURAL HEALTH CLINIC AND PHYSICIAN PRACTICES. |
| IRS990/MoreThan5000KToIndividuals | 0 | false |
| IRS990/MoreThan5000KToOrganizations | 0 | false |
| IRS990/NameOfPrincipalOfficerPerson | 0 | JOHN I LEWIS |
| IRS990/NbrIndependentVotingMembers | 0 | 2 |
| IRS990/NbrVotingGoverningBodyMembers | 0 | 4 |
| IRS990/NbrVotingMembersGoverningBody | 0 | 4 |
| IRS990/NetAssetsOrFundBalancesBOY | 0 | -197265 |
| IRS990/NetAssetsOrFundBalancesEOY | 0 | -27323 |
| IRS990/NetGainOrLossInvestments/TotalRevenueColumn | 0 | 0 |
| IRS990/NetIncomeFromFundraisingEvents/TotalRevenueColumn | 0 | 0 |
| IRS990/NetIncomeFromGaming/TotalRevenueColumn | 0 | 0 |
| IRS990/NetIncomeOrLoss/TotalRevenueColumn | 0 | 0 |
| IRS990/NetUnrelatedBusinessTxblIncome | 0 | 0 |
| IRS990/NonDeductibleContributions | 0 | false |
| IRS990/NumberFormsTransmittedWith1096 | 0 | 3 |
| IRS990/NumberIndependentVotingMembers | 0 | 2 |
| IRS990/NumberIndividualsGT100K | 0 | 0 |
| IRS990/NumberOfContractorsGT100K | 0 | 1 |
| IRS990/NumberOfEmployees | 0 | 49 |
| IRS990/NumberW2GIncluded | 0 | 0 |
| IRS990/Occupancy/ManagementAndGeneral | 0 | 1910 |
| IRS990/Occupancy/ProgramServices | 0 | 10283 |
| IRS990/Occupancy/Total | 0 | 12193 |
| IRS990/OfficeExpenses/ManagementAndGeneral | 0 | 6210 |
| IRS990/OfficeExpenses/ProgramServices | 0 | 13863 |
| IRS990/OfficeExpenses/Total | 0 | 20073 |
| IRS990/OfficerEntityWithBsnssRltnshp | 0 | false |
| IRS990/OfficerMailingAddress | 0 | false |
| IRS990/Organization501c3 | 0 | X |
| IRS990/OtherAssetsTotal/EOY | 0 | 29425 |
| IRS990/OtherEmployeeBenefits/ManagementAndGeneral | 0 | 9451 |
| IRS990/OtherEmployeeBenefits/ProgramServices | 0 | 62004 |
| IRS990/OtherEmployeeBenefits/Total | 0 | 71455 |
| IRS990/OtherExpensePriorYear | 0 | 659659 |
| IRS990/OtherExpensesCurrentYear | 0 | 130095 |
| IRS990/OtherExpenses/Description | 0 | LICENSES, DUES & SUBSCRIPTIONS |
| IRS990/OtherExpenses/Description | 1 | MEDICAL SUPPLIES & DRUGS |
| IRS990/OtherExpenses/Description | 2 | OTHER |
| IRS990/OtherExpenses/ProgramServices | 0 | 3999 |
| IRS990/OtherExpenses/ProgramServices | 1 | 77321 |
| IRS990/OtherExpenses/ProgramServices | 2 | 720 |
| IRS990/OtherExpenses/Total | 0 | 3999 |
| IRS990/OtherExpenses/Total | 1 | 77321 |
| IRS990/OtherExpenses/Total | 2 | 720 |
| IRS990/OtherRevenueCurrentYear | 0 | 0 |
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| IRS990/OtherSalariesAndWages/Total | 0 | 541069 |
| IRS990/PartialLiquidation | 0 | false |
| IRS990/PaymentsToAffiliates/Total | 0 | 0 |
| IRS990/PayrollTaxes/ManagementAndGeneral | 0 | 1724 |
| IRS990/PayrollTaxes/ProgramServices | 0 | 11313 |
| IRS990/PayrollTaxes/Total | 0 | 13037 |
| IRS990/PensionPlanContributions/Total | 0 | 0 |
| IRS990/PoliticalActivities | 0 | false |
| IRS990/PremiumsPaid | 0 | false |
| IRS990/PriorExcessBenefitTransaction | 0 | false |
| IRS990/ProfessionalFundraising | 0 | false |
| IRS990/ProgramServiceRevenue/BusinessCode | 0 | 621400 |
| IRS990/ProgramServiceRevenue/BusinessCode | 1 | 624100 |
| IRS990/ProgramServiceRevenueCY | 0 | 686325 |
| IRS990/ProgramServiceRevenue/Description | 0 | PROGRAM SERVICE REVENUE |
| IRS990/ProgramServiceRevenue/Description | 1 | OTHER PROGRAM SERVICE REVENUE |
| IRS990/ProgramServiceRevenuePriorYear | 0 | 583201 |
| IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome | 0 | 678989 |
| IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome | 1 | 7336 |
| IRS990/ProgramServiceRevenue/TotalRevenueColumn | 0 | 678989 |
| IRS990/ProgramServiceRevenue/TotalRevenueColumn | 1 | 7336 |
| IRS990/ProhibitedTaxShelterTrans | 0 | false |
| IRS990/QuidProQuoContributions | 0 | false |
| IRS990/ReconcilationOtherChanges | 0 | 239273 |
| IRS990/ReconcilationRevenueExpenses | 0 | -69331 |
| IRS990/RegularMonitoringEnforcement | 0 | true |
| IRS990/RelatedEntity | 0 | true |
| IRS990/RelatedOrgControlledEntity | 0 | false |
| IRS990/ReportFin48Footnote | 0 | false |
| IRS990/ReportInvestOthSecurities | 0 | false |
| IRS990/ReportLandBldgEquip | 0 | false |
| IRS990/ReportOtherAssets | 0 | true |
| IRS990/ReportOtherLiabilities | 0 | false |
| IRS990/ReportProgRelInvest | 0 | false |
| IRS990/Revenue | 0 | 686325 |
| IRS990/RevenuesLessExpensesCY | 0 | -69331 |
| IRS990/RevenuesLessExpensesPriorYear | 0 | -69458 |
| IRS990/RoyaltiesRevenue/TotalRevenueColumn | 0 | 0 |
| IRS990/Royalties/Total | 0 | 0 |
| IRS990/SalariesEtcCurrentYear | 0 | 625561 |
| IRS990/SalariesEtcPriorYear | 0 | 0 |
| IRS990ScheduleA/Hospital170b1Aiii | 0 | X |
| IRS990/ScheduleBRequired | 0 | false |
| IRS990ScheduleD/ExcessOrDeficitForYear | 0 | -69331 |
| IRS990ScheduleD/ExcessOrDeficitPerFS | 0 | 169942 |
| IRS990ScheduleD/ExpensesSubtotal | 0 | 755656 |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation | 0 | 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. |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation | 1 | TRANSFER FROM AFFILIATES $239,273 |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation | 2 | TRANSFER FROM AFFILIATES $239,273 |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier | 0 | UNCERTAIN TAX POSITIONS |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier | 1 | OTHER RECONCILING CHANGE IN NET ASSETS |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier | 2 | OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 |
| IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference | 0 | SCHEDULE D, PART X, LINE 2 |
| IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference | 1 | SCHEDULE D, PART XI, LINE 8 |
| IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference | 2 | SCHEDULE D, PART XII, LINE 2D |
| IRS990ScheduleD/OtherAmount | 0 | 239273 |
| IRS990ScheduleD/OtherAssets/BookValue | 0 | 29425 |
| IRS990ScheduleD/OtherAssets/Description | 0 | RECEIVABLE FROM AFFILIATE |
| IRS990ScheduleD/OtherRevenues | 0 | 239273 |
| IRS990ScheduleD/RevenueNotRptdF990 | 0 | 239273 |
| IRS990ScheduleD/RevenueSubtotal | 0 | 686325 |
| IRS990ScheduleD/TotalAdjustments | 0 | 239273 |
| IRS990ScheduleD/TotalBookValueOtherAssets | 0 | 29425 |
| IRS990ScheduleD/TotalExpenses | 0 | 755656 |
| IRS990ScheduleD/TotalExpensesPerForm990 | 0 | 755656 |
| IRS990ScheduleD/TotalRevenue | 0 | 686325 |
| IRS990ScheduleD/TotalRevenuePerForm990 | 0 | 686325 |
| IRS990ScheduleD/TotExpensesEtcAuditedFinclStmt | 0 | 755656 |
| IRS990ScheduleD/TotRevenueEtcAuditedFinclStmt | 0 | 925598 |
| IRS990ScheduleJ/AnyNonFixedPayments | 0 | false |
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| IRS990ScheduleJ/EquityBasedCompArrangement | 0 | false |
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| IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs | 0 | 30000 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs | 1 | 15000 |
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| IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs | 1 | 235119 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs | 2 | 163368 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg | 1 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs | 1 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg | 1 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs | 0 | 18962 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs | 1 | 2250 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs | 2 | 10580 |
| IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation | 0 | ARMSTRONG COUNTY MEMORIAL HOSPITAL, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE. |
| IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation | 1 | JOHN I. LEWIS $16,712 PATRICK C. BURNS $ 8,330 THE 457(F) PLAN THAT ARMSTRONG COUNTY MEMORIAL HOSPITAL ESTABLISHED FOR A SELECT GROUP OF MANAGEMENT INCLUDE THE FOLLOWING TERMS: A PARTICIPANT SHALL BECOME FULLY VESTED IN HIS DEFERRED COMPENSATION ACCOUNT, AND INCOME, GAINS AND LOSSES ATTRIBUTABLE THERETO, IF HE REMAINS IN SERVICE WITH THE EMPLOYER UNTIL THE FIRST TO OCCUR OF THE FOLLOWING EVENTS: (A) THE DEATH OF THE PARTICIPANT; (B) THE DISABILITY OF THE PARTICIPANT; (C) THE DATE THE PARTICIPANT ATTAINS AGE 65; OR (D)THE DATE A PARTICIPANT IS TERMINATED FROM EMPLOYMENT WITH THE EMPLOYER DUE TO A CHANGE OF CONTROL EVENT. UPON VESTING, THE DEFERRED COMPENSATION ACCOUNT WILL BE INCLUDIBLE IN THE GROSS INCOME OF THE PARTICIPANT PURSUANT TO CODE SECTION 457(F). |
| IRS990ScheduleJ/Form990ScheduleJPartIII/Identifier | 0 | COMPENSATION OF THE TOP MANAGEMENT OFFICIAL |
| IRS990ScheduleJ/Form990ScheduleJPartIII/Identifier | 1 | 457(F) PLAN |
| IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference | 0 | SCHEDULE J, PART I, LINE 3 |
| IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference | 1 | SCHEDULE J, PART I, LINE 4B |
| IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson | 0 | JOHN LEWIS |
| IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson | 1 | HAROLD ALTMAN MD |
| IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson | 2 | PATRICK C BURNS |
| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsFilingOrg | 1 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsFilingOrg | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs | 0 | 19141 |
| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs | 1 | 15370 |
| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs | 2 | 19614 |
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| IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationRelatedOrgs | 2 | 231199 |
| IRS990ScheduleJ/InitialContractException | 0 | false |
| IRS990/ScheduleJRequired | 0 | true |
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| IRS990ScheduleO/GeneralExplanation/Explanation | 0 | ACMH PHYSICIAN SERVICES IS COMMITTED TO IMPROVING THE EMOTIONAL AND PHYSICAL HEALTH OF ITS PATIENTS THROUGH SUPERIOR CLINICAL CARE AND THE COMPASSIONATE MANAGEMENT OF ILLNESS AND DISABILITY. ACMH PHYSICIAN SERVICES OPERATES A RURAL HEALTH CLINIC ORGANIZED TO IMPROVE HEALTH OUTCOMES AND REDUCE HEALTH DISPARITIES FOR RESIDENTS OF THE NORTHEASTERN PORTION OF ARMSTRONG COUNTY, PA, INCLUDING THE AMISH, A RELIGIOUS AND CULTURAL MINORITY POPULATION THAT LIVE IN ACMH'S SERVICE AREA. THE AREA SERVED BY ACMH PHYSICIAN SERVICES IS AN AREA DESIGNATED AS A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA AND MEDICALLY UNDERSERVED AREA. THE RESIDENTS OF THE SERVICE AREA PREVIOUSLY DID NOT HAVE ACCESS TO COMPREHENSIVE PRIMARY CARE. PURSUANT TO THE ORGANIZATION'S CHARITY CARE POLICY, CHARGES ARE FULLY OR PARTIALLY WRITTEN OFF FOR PATIENTS MEETING THE CRITERIA SPECIFIED IN THE POLICY. CHARGES EXCLUDED UNDER THE ORGANIZATION'S CHARITY CARE POLICY WERE APPROXIMATELY $3,451 FOR THE FISCAL YEAR. KEY PRINCIPLES OF THE COMPREHENSIVE COMMUNITY-BASED HEALTH SERVICE DELIVERY MODEL INCLUDE THE FOLLOWING: - THE SYSTEM SERVES THE UNIVERSAL POPULATION OF THE SERVICE AREA IN ORDER TO PREVENT DISPARITIES OF OUTCOME. THE UNIVERSAL POPULATION INCLUDES ALL PERSONS WITHIN THE SERVICE DELIVERY AREA, INCLUDING BOTH PERMANENT AND TRANSIENT INDIVIDUALS. - THE POPULATION BEING SERVED HAS ACCESS TO CARE FOR INDIVIDUALS WHEN THEY BELIEVE THEY NEED IT, AT HOURS AND LOCATIONS CONVENIENT TO THEM. - CARE OCCURS WITHIN A CULTURAL FRAMEWORK APPROPRIATE TO THE PATIENT. - PATIENTS HAVE A ROLE AND RESPONSIBILITY TO AID AND ACTIVELY PARTICIPATE IN THEIR CARE. - PATIENTS HAVE THE RIGHT TO MAKE FREE AND INFORMED DECISIONS REGARDING TREATMENT MODALITIES, INCLUDING THE RIGHT TO REFUSE TREATMENT. - THE COSTS OF CARE PROVIDED ARE WITHIN ACHIEVABLE RANGES AND DISTRIBUTED EQUITABLY AND RESPONSIBLY. SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS DURING THE FISCAL YEAR. THE FOLLOWING CHANGES WERE SIGNIFICANT: THE ORIGINAL REQUIREMENT OF BOARD MEMBERS TO ATTEND A MINIMUM OF 75% OF BOARD OF DIRECTORS MEETINGS WAS REMOVED. A MAJORITY OF DIRECTORS ARE NOW REQUIRED TO BE INDEPENDENT DIRECTORS INSTEAD OF ONLY DISINTERESTED. A REQUIREMENT WAS INCLUDED THAT ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES ABIDE BY THE CORPORATION'S CONFLICT OF INTEREST POLICY. THE PRESIDENT NOW HAS THE AUTHORITY TO ESTABLISH BANK ACCOUNTS WITHOUT FURTHER APPROVAL OF THE BOARD. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 1 | THE SOLE MEMBER OF ACMH PHYSICIAN SERVICES IS ARMSTRONG CENTER FOR MEDICINE AND HEALTH (ACMH), THE PARENT ORGANIZATION. ARMSTRONG CENTER FOR MEDICINE AND HEALTH (ACMH) HAS THE FOLLOWING AUTHORITY OVER ACMH PHYSICIAN SERVICES: 1) THE BOARD SHALL CONSIST OF NO LESS THAN FOUR, NO MORE THAN SIX DIRECTORS, INCLUDING THE PRESIDENT OF THE CORPORATION WHO SHALL BE AN EX OFFICIO DIRECTOR, WITH VOTE. THE EXACT NUMBER OF DIRECTORS SHALL BE THE NUMBER FIXED FROM TIME TO TIME BY RESOLUTION OF ACMH. (ARTICLE III, SECTION 2). 2) ACMH SHALL APPOINT THE DIRECTORS OF THE CORPORATION (ARTICLE III, SECTION 3). THE BOARD SHALL OBTAIN THE APPROVAL OF ACMH BEFORE ACTION ON ANY OF THE FOLLOWING MATTERS BECOMES FINAL AND EFFECTIVE: 1) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THIS CORPORATION OR OF THESE BYLAWS, 2) THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF THIS CORPORATION, 3) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION, 4) DISSOLUTION OF THIS CORPORATION AND DISTRIBUTION OF ASSETS PURSUANT THERETO, 5) APPROVAL OF THE ANNUAL BUDGET AND LONG-RANGE PLAN FOR THIS CORPORATION, 6) ANY TRANSFER OF FUNDS BY GRANT, GIFT, OR LOAN FROM THIS CORPORATION, AND 7) ANY OTHER MATTER THAT BY LAW REQUIRES THE APPROVAL OF THE OTHER BODY OF A NON-PROFIT CORPORATION (ARTICLE III, SECTION 1). |
| IRS990ScheduleO/GeneralExplanation/Explanation | 2 | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CFO AND THE FINANCE DEPARTMENT PERFORM AN INITIAL REVIEW OF THE COMPLETED 990. ANY NECESSARY CHANGES ARE MADE AND THEN THE REVISED COPY IS PRESENTED TO THE CFO AND CEO FOR FINAL REVIEW. THE 990 IS PRESENTED BY THE CFO TO THE FINANCE COMMITTEE FOR THEIR CONSIDERATION. THEIR FINDINGS ARE SUBMITTED TO THE BOARD OF DIRECTORS, WHICH APPROVES THE TAX RETURN. ONCE APPROVED, THE TAX RETURN IS SIGNED BY THE CEO AND FILED WITH THE IRS. A COPY OF THE SUBMITTED TAX RETURN IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 3 | THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REQUESTING ON AN ANNUAL BASIS THAT MEMBERS OF THE BOARD OF DIRECTORS, ALL CORPORATE OFFICERS, AND ALL KEY EMPLOYEES COMPLETE A QUESTIONNAIRE LISTING ALL ORGANIZATIONS WITH WHICH THEY HAVE AN AFFILIATION. THE POLICY OF THE ORGANIZATION DESCRIBE HOW ANY CONFLICTS OF INTEREST ARE TO BE ADDRESSED. "THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH ALL SUCH DISCLOSURE STATEMENTS IN CASE A CONFLICT ARISES. THE VICE-CHAIRMAN OF THE BOARD SHALL BE FAMILIAR WITH THE STATEMENT FILED BY THE CHAIRMAN." IF A CONFLICT OF INTEREST SHOULD ARISE, THE MEMBERS ABSTAIN FROM THE VOTE RELATING TO THAT MATTER AND THE BOARD REVIEWS WHETHER THE MEMBER SHOULD BE REMOVED FROM THE BOARD OF DIRECTORS. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PAID BY ARMSTRONG COUNT MEMORIAL HOSPITAL (ACMH HOSPITAL). THE PROCESS ACMH HOSPITAL USES TO DETERMINE IF THE OFFICERS OF THE ORGANIZATION ARE TO RECEIVE A WAGE ADJUSTMENT IS AS FOLLOWS: 1)A SALARY COMPARISON IS PREPARED BY MARC CAMMARATA ASSOCIATES, USING SURVEYS FROM YAFFE, SULLIVAN COTTER AND WATSON WYATT; 2) THE INFORMATION IS COMPILED BY THE VP OF HUMAN RESOURCES AND GIVEN TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR CONSIDERATION AND INPUT; 3) CHANGES TO EXECUTIVE COMPENSATION REQUIRE A SIGNED DOCUMENT FROM THE CHAIR OF THE HOSPITAL BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS REVIEWED AS DESCRIBED ABOVE, ON AN AS NEEDED BASIS WAS WAS LAST COMPLETED IN OCTOBER 2010. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 4 | THE ORGANIZATION TAKES THE FOLLOWING ACTIONS RELEASING INFORMATION REGARDING ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS: IF A REQUEST IS MADE TO REVIEW THE UNAUDITED FINANCIAL STATEMENTS IT IS DISCUSSED AND ON A CASE BY CASE BASIS AS TO WHETHER THE INFORMATION WILL BE RELEASED. THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE ORGANIZATIONS THAT REQUEST THEM. A CODE OF CONDUCT FOR THE ORGANIZATION IS AVAILABLE TO THE PUBLIC ON ITS WEBSITE AT WWW.ACMH.ORG. THE CORPORATION'S GOVERNING DOCUMENTS ARE KEPT IN THE ADMINISTRATIVE DEPARTMENT OF THE HOSPITAL. THESE DOCUMENTS CAN BE VIEWED UPON REQUEST, BUT THEY ARE NOT ALLOWED TO BE TAKEN FROM THEIR DESIGNATED AREA OR HAVE COPIES MADE WITHOUT PERMISSION. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 5 | ACMH PHYSICIAN SERVICES DID NOT DIRECTLY COMPENSATE EMPLOYEES DURING FISCAL YEAR ENDED 6/30/11, BUT RATHER, EMPLOYEES ARE COMPENSATED THROUGH ARMSTRONG COUNTY MEMORIAL HOSPITAL, A RELATED ORGANIZATION. JOHN I. LEWIS, ACMH HOSPITAL PRESIDENT/CEO, WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN ACMH HOSPITAL, ACMH FOUNDATION, GLADE RUN MEDICAL ASSOCITES, ACMH PHYSICIAN SERVICES, ARMSTRONG CENTER FOR MEDICINE & HEALTH, AND ARMSCARE, INC. PATRICK BURNS, ACMH HOSPITAL CFO/VP OF FINANCE, WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN ACMH HOSPITAL, ACMH FOUNDATION, GLADE RUN MEDICAL ASSOCIATES, ACMH PHYSICIAN SERVICES, ARMSTRONG CENTER FOR MEDICINE & HEALTH, AND ARMSCARE, INC. HAROLD ALTMAN, ACMH HOSPITAL VICE PRESIDENT OF MEDICAL AFFAIRS, WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN ACMH HOSPITAL,GLADE RUN MEDICAL ASSOCIATES, INC, ACMH PHYSICIAN SERVICES AND ARMSTRONG CENTER FOR MEDICINE & HEALTH, INC. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 6 | TRANSFER FROM AFFILIATES $239,273 |
| IRS990ScheduleO/GeneralExplanation/Identifier | 0 | PROGRAM SERVICE ACCOMPLISHMENTS |
| IRS990ScheduleO/GeneralExplanation/Identifier | 1 | MEMBERS, STOCKHOLDERS, OR OTHER PERSONS |
| IRS990ScheduleO/GeneralExplanation/Identifier | 2 | REVIEW OF THE FORM 990 |
| IRS990ScheduleO/GeneralExplanation/Identifier | 3 | CONFLICT OF INTEREST POLICY |
| IRS990ScheduleO/GeneralExplanation/Identifier | 4 | DOCUMENT DISCLOSURE |
| IRS990ScheduleO/GeneralExplanation/Identifier | 5 | RELATED HOURS |
| IRS990ScheduleO/GeneralExplanation/Identifier | 6 | OTHER CHANGES IN NET ASSETS |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 0 | FORM 990, PART III, LINE 4 |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 1 | FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 2 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 3 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 4 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 5 | FORM 990, PART VII, SECTION A, COLUMN B |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 6 | FORM 990, PART XI, LINE 5 |
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| IRS990ScheduleR/Form990ScheduleRPartII/ExemptCodeSection | 1 | 501(C)(3) |
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| IRS990ScheduleR/Form990ScheduleRPartII/ExemptCodeSection | 3 | 501(C)(3) |
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| IRS990ScheduleR/Form990ScheduleRPartII/NameOfDisregardedEntity/BusinessNameLine1 | 1 | ARMSTRONG CENTER FOR MEDICINE & HEALTH |
| IRS990ScheduleR/Form990ScheduleRPartII/NameOfDisregardedEntity/BusinessNameLine1 | 2 | ARMSTRONG HEALTH & EDUCATION FOUNDATION |
| IRS990ScheduleR/Form990ScheduleRPartII/NameOfDisregardedEntity/BusinessNameLine1 | 3 | GLADE RUN MEDICAL ASSOCIATES INC |
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Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2011 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $162,041
- Liabilities
- $189,364
- Net assets
- -$27,323
- Revenue
- -
- Expenses
- $755,656
- Net income
- -