Liabilities / Assets
92nd percentile
Higher debt load relative to assets than 92% of similar nonprofits.
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
1.00x
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on this filing.
Net Margin
Score unavailable
Net margin requires both revenue and expenses on this filing.
Top Officer Pay
Score unavailable
This filing does not contain officer compensation rows.
Asset Growth
2nd percentile
Faster asset growth than 2% of similar nonprofits.
Revenue Growth
Score unavailable
No valid filing value is available for this score.
Balance Sheet
Assets
Down$66,596
Down $95,445 (-59%) from 2011
Net Assets
Up$0
Up $27,323 (+100%) from 2011
Liabilities
Down$66,596
Down $122,768 (-65%) from 2011
Revenue And Expenses
Revenue
-
No earlier filing loaded for comparison.
Expenses
Up$828,673
Up $73,017 (+9.7%) from 2011
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2011 to Jun 30, 2012
- Signed
- Mar 6, 2013
- Return Version
- 2011v1.5
- Gross Receipts
- $837,448
Filing and Contact Details
Filer
- EIN
- 20-4648195
Raw XML AppendixShowing 400 of 605 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.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReview | 0 | false |
| IRS990/AccountsPayableAccruedExpenses/BOY | 0 | 189364 |
| IRS990/AccountsPayableAccruedExpenses/EOY | 0 | 66596 |
| IRS990/AccountsReceivable/BOY | 0 | 59362 |
| IRS990/AccountsReceivable/EOY | 0 | 56189 |
| IRS990/ActivitiesConductedPartnership | 0 | false |
| IRS990/ActivityOrMissionDescription | 0 | ACMH PHYSICIAN SERVICES PROVIDES OUTPATIENT PHYSICIAN SERVICES TO CLINIC PATIENTS IN AN UNDERSERVED MEDICAL AREA. SERVICES INCLUDE FAMILY MEDICINE, OB/GYN CARE, AND ANCILLARY SERVICES, AMONG OTHERS. |
| 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 | 104 |
| IRS990/Advertising/ProgramServices | 0 | 566 |
| IRS990/Advertising/Total | 0 | 670 |
| IRS990/AnnualDisclosureCoveredPersons | 0 | true |
| IRS990/AuditCommittee | 0 | true |
| IRS990/BenefitsPaidToMembersCY | 0 | 0 |
| IRS990/BenefitsPaidToMembersPriorYear | 0 | 0 |
| IRS990/BenefitsToMembers/Total | 0 | 0 |
| IRS990/BsnssRltnshpThruFamilyMember | 0 | false |
| IRS990/BsnssRltnshpWithOrganization | 0 | false |
| IRS990/CashNonInterestBearing/BOY | 0 | 73254 |
| IRS990/CashNonInterestBearing/EOY | 0 | 8222 |
| IRS990/ChangesToOrganizingDocs | 0 | false |
| 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/ProgramServices | 0 | 173 |
| IRS990/ConferencesMeetings/Total | 0 | 173 |
| IRS990/ConflictOfInterestPolicy | 0 | true |
| IRS990/ConservationEasements | 0 | false |
| IRS990/ConsolidatedAuditFinancialStmt | 0 | true |
| IRS990/ContractorCompensation/Compensation | 0 | 520380 |
| IRS990/ContractorCompensation/DescriptionOfServices | 0 | STAFFING |
| IRS990/ContractorCompensation/NameOfContractor/NamePerson | 0 | ARMSTRONG COUNTY MEMORIAL HOSP |
| IRS990/ContributionsGrantsCurrentYear | 0 | 0 |
| IRS990/ContributionsGrantsPriorYear | 0 | 0 |
| IRS990/CreditCounseling | 0 | false |
| IRS990/DecisionsSubjectToApproval | 0 | true |
| IRS990/DeductibleContributionsOfArt | 0 | false |
| IRS990/DeductibleNonCashContributions | 0 | false |
| IRS990/DeferredRevenue/BOY | 0 | 0 |
| IRS990/DeferredRevenue/EOY | 0 | 0 |
| IRS990/DelegationOfManagementDuties | 0 | false |
| IRS990/DepreciationDepletion/Total | 0 | 0 |
| 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, AND ANCILLARY MEDICAL SERVICES IN THE FORM OF PHLEBOTOMY SERVICES. TOTAL VISITS FOR FISCAL YEAR 2012 WERE 8,534. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. |
| IRS990/DisregardedEntity | 0 | false |
| IRS990/DocumentRetentionPolicy | 0 | true |
| IRS990/DonorAdvisedFunds | 0 | false |
| IRS990/ElectionOfBoardMembers | 0 | true |
| IRS990/EmploymentTaxReturnsFiled | 0 | true |
| IRS990/EscrowAccountLiability/BOY | 0 | 0 |
| IRS990/EscrowAccountLiability/EOY | 0 | 0 |
| IRS990/ExcessBenefitTransaction | 0 | false |
| IRS990/Expense | 0 | 731634 |
| IRS990/FamilyOrBusinessRelationship | 0 | false |
| IRS990/FederalGrantAuditRequired | 0 | false |
| IRS990/FeesForServicesAccounting/Total | 0 | 0 |
| IRS990/FeesForServicesInvstMgmntFees/Total | 0 | 0 |
| IRS990/FeesForServicesLegal/Total | 0 | 0 |
| IRS990/FeesForServicesLobbying/Total | 0 | 0 |
| IRS990/FeesForServicesManagement/Total | 0 | 0 |
| IRS990/FeesForServicesOther/ManagementAndGeneral | 0 | 2212 |
| IRS990/FeesForServicesOther/ProgramServices | 0 | 12050 |
| IRS990/FeesForServicesOther/Total | 0 | 14262 |
| 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 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 2 | 1.0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 3 | 1.0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 4 | 1.0 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 5 | 40.0 |
| IRS990/Form990PartVIISectionA/HighestCompensatedEmployee | 0 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 0 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 1 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 2 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 3 | X |
| IRS990/Form990PartVIISectionA/NamePerson | 0 | JOHN I LEWIS |
| IRS990/Form990PartVIISectionA/NamePerson | 1 | HAROLD ALTMAN MD |
| IRS990/Form990PartVIISectionA/NamePerson | 2 | CHASE MCCLISTER |
| IRS990/Form990PartVIISectionA/NamePerson | 3 | JAMES RAMAGE |
| IRS990/Form990PartVIISectionA/NamePerson | 4 | PATRICK C BURNS |
| IRS990/Form990PartVIISectionA/NamePerson | 5 | CHAD SHAFFER MD |
| IRS990/Form990PartVIISectionA/Officer | 0 | X |
| IRS990/Form990PartVIISectionA/Officer | 1 | X |
| IRS990/Form990PartVIISectionA/Officer | 2 | X |
| IRS990/Form990PartVIISectionA/Officer | 3 | X |
| IRS990/Form990PartVIISectionA/OtherCompensation | 0 | 70961 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 1 | 18540 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 2 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 3 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 4 | 46167 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 5 | 20261 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 0 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 1 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 2 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 3 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 4 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 5 | 225841 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 0 | 349751 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 1 | 298637 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 2 | 535 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 3 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 4 | 210990 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 5 | 0 |
| 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 |
| IRS990/Form990PartVIISectionA/Title | 4 | CFO |
| IRS990/Form990PartVIISectionA/Title | 5 | PHYSICIAN |
| IRS990/Form990ProvidedToGoverningBody | 0 | true |
| IRS990/FormersListed | 0 | false |
| IRS990/FSAudited | 0 | true |
| IRS990/FundraisingActivities | 0 | false |
| IRS990/FundsToPayPremiums | 0 | false |
| IRS990/Gaming | 0 | false |
| IRS990/GrantsAndSimilarAmntsCY | 0 | 0 |
| IRS990/GrantsAndSimilarAmntsPriorYear | 0 | 0 |
| IRS990/GrantsPayable/BOY | 0 | 0 |
| IRS990/GrantsPayable/EOY | 0 | 0 |
| IRS990/GrantsToDomesticIndividuals/Total | 0 | 0 |
| IRS990/GrantsToDomesticOrgs/Total | 0 | 0 |
| IRS990/GrantsToIndividuals | 0 | false |
| IRS990/GrantsToOrganizations | 0 | false |
| IRS990/GrantToRelatedPerson | 0 | false |
| IRS990/GrossReceipts | 0 | 837448 |
| IRS990/GroupReturnForAffiliates | 0 | false |
| IRS990/Hospital | 0 | false |
| IRS990/IncomeFromInvestBondProceeds/TotalRevenueColumn | 0 | 0 |
| IRS990/IndependentAuditFinancialStmt | 0 | false |
| IRS990/IndoorTanningServices | 0 | false |
| IRS990/InfoInScheduleOPartIII | 0 | X |
| IRS990/InfoInScheduleOPartIX | 0 | X |
| IRS990/InfoInScheduleOPartV | 0 | X |
| IRS990/InfoInScheduleOPartVI | 0 | X |
| IRS990/InfoInScheduleOPartVII | 0 | X |
| IRS990/InfoInScheduleOPartXI | 0 | X |
| IRS990/InformationTechnology/Total | 0 | 0 |
| IRS990/Insurance/ProgramServices | 0 | 7884 |
| IRS990/Insurance/Total | 0 | 7884 |
| IRS990/IntangibleAssets/BOY | 0 | 0 |
| IRS990/IntangibleAssets/EOY | 0 | 0 |
| IRS990/Interest/Total | 0 | 0 |
| IRS990/InventoriesForSaleOrUse/BOY | 0 | 0 |
| IRS990/InventoriesForSaleOrUse/EOY | 0 | 0 |
| IRS990/InvestmentIncomeCurrentYear | 0 | 0 |
| IRS990/InvestmentIncomePriorYear | 0 | 0 |
| IRS990/InvestmentIncome/TotalRevenueColumn | 0 | 0 |
| IRS990/InvestmentInJointVenture | 0 | false |
| IRS990/InvestmentsOtherSecurities/BOY | 0 | 0 |
| IRS990/InvestmentsOtherSecurities/EOY | 0 | 0 |
| IRS990/InvestmentsProgramRelated/BOY | 0 | 0 |
| IRS990/InvestmentsProgramRelated/EOY | 0 | 0 |
| IRS990/InvestmentsPubTradedSecurities/BOY | 0 | 0 |
| IRS990/InvestmentsPubTradedSecurities/EOY | 0 | 0 |
| IRS990/LandBuildingsEquipmentBasisNet/BOY | 0 | 0 |
| IRS990/LoansFromOfficersDirectors/BOY | 0 | 0 |
| IRS990/LoansFromOfficersDirectors/EOY | 0 | 0 |
| 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/MortNotesPyblSecuredInvestProp/BOY | 0 | 0 |
| IRS990/MortNotesPyblSecuredInvestProp/EOY | 0 | 0 |
| IRS990/NameOfPrincipalOfficerPerson | 0 | JOHN I LEWIS |
| IRS990/NbrIndependentVotingMembers | 0 | 2 |
| IRS990/NbrVotingGoverningBodyMembers | 0 | 4 |
| IRS990/NbrVotingMembersGoverningBody | 0 | 4 |
| IRS990/NetAssetsOrFundBalancesBOY | 0 | -27323 |
| IRS990/NetAssetsOrFundBalancesEOY | 0 | 0 |
| 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 | 2 |
| IRS990/NumberIndependentVotingMembers | 0 | 2 |
| IRS990/NumberIndividualsGT100K | 0 | 1 |
| IRS990/NumberOfContractorsGT100K | 0 | 1 |
| IRS990/NumberOfEmployees | 0 | 8 |
| IRS990/NumberW2GIncluded | 0 | 0 |
| IRS990/Occupancy/ManagementAndGeneral | 0 | 1851 |
| IRS990/Occupancy/ProgramServices | 0 | 10086 |
| IRS990/Occupancy/Total | 0 | 11937 |
| IRS990/OfficeExpenses/ManagementAndGeneral | 0 | 3188 |
| IRS990/OfficeExpenses/ProgramServices | 0 | 17526 |
| IRS990/OfficeExpenses/Total | 0 | 20714 |
| IRS990/OfficerEntityWithBsnssRltnshp | 0 | false |
| IRS990/OfficerMailingAddress | 0 | false |
| IRS990/Organization501c3 | 0 | X |
| IRS990/OtherAssetsTotal/BOY | 0 | 29425 |
| IRS990/OtherAssetsTotal/EOY | 0 | 2185 |
| IRS990/OtherEmployeeBenefits/ManagementAndGeneral | 0 | 12121 |
| IRS990/OtherEmployeeBenefits/ProgramServices | 0 | 76255 |
| IRS990/OtherEmployeeBenefits/Total | 0 | 88376 |
| IRS990/OtherExpensePriorYear | 0 | 130095 |
| IRS990/OtherExpensesCurrentYear | 0 | 174789 |
| IRS990/OtherExpenses/Description | 0 | BAD DEBT |
| IRS990/OtherExpenses/Description | 1 | MEDICAL SUPPLIES & DRUGS |
| IRS990/OtherExpenses/Description | 2 | LICENSES, DUES, SUBSCRIPTIONS |
| IRS990/OtherExpenses/Description | 3 | OTHER |
| IRS990/OtherExpenses/ProgramServices | 0 | 43409 |
| IRS990/OtherExpenses/ProgramServices | 1 | 68781 |
| IRS990/OtherExpenses/ProgramServices | 2 | 6188 |
| IRS990/OtherExpenses/ProgramServices | 3 | 391 |
| IRS990/OtherExpenses/Total | 0 | 43409 |
| IRS990/OtherExpenses/Total | 1 | 68781 |
| IRS990/OtherExpenses/Total | 2 | 6188 |
| IRS990/OtherExpenses/Total | 3 | 391 |
| IRS990/OtherLiabilities/BOY | 0 | 0 |
| IRS990/OtherLiabilities/EOY | 0 | 0 |
| IRS990/OtherNotesLoansReceivableNet/BOY | 0 | 0 |
| IRS990/OtherNotesLoansReceivableNet/EOY | 0 | 0 |
| IRS990/OtherRevenueCurrentYear | 0 | 0 |
| IRS990/OtherRevenuePriorYear | 0 | 0 |
| IRS990/OtherSalariesAndWages/ManagementAndGeneral | 0 | 75833 |
| IRS990/OtherSalariesAndWages/ProgramServices | 0 | 477063 |
| IRS990/OtherSalariesAndWages/Total | 0 | 552896 |
| IRS990/PartialLiquidation | 0 | false |
| IRS990/PaymentsToAffiliates/Total | 0 | 0 |
| IRS990/PayrollTaxes/ManagementAndGeneral | 0 | 1730 |
| IRS990/PayrollTaxes/ProgramServices | 0 | 10882 |
| IRS990/PayrollTaxes/Total | 0 | 12612 |
| IRS990/PensionPlanContributions/Total | 0 | 0 |
| IRS990/PermanentlyRestrictedNetAssets/BOY | 0 | 0 |
| IRS990/PermanentlyRestrictedNetAssets/EOY | 0 | 0 |
| IRS990/PledgesAndGrantsReceivable/BOY | 0 | 0 |
| IRS990/PledgesAndGrantsReceivable/EOY | 0 | 0 |
| IRS990/PoliticalActivities | 0 | false |
| IRS990/PremiumsPaid | 0 | false |
| IRS990/PrepaidExpensesDeferredCharges/BOY | 0 | 0 |
| IRS990/PrepaidExpensesDeferredCharges/EOY | 0 | 0 |
| IRS990/PriorExcessBenefitTransaction | 0 | false |
| IRS990/ProfessionalFundraising | 0 | false |
| IRS990/ProgramServiceRevenue/BusinessCode | 0 | 621400 |
| IRS990/ProgramServiceRevenue/BusinessCode | 1 | 624100 |
| IRS990/ProgramServiceRevenueCY | 0 | 837448 |
| IRS990/ProgramServiceRevenue/Description | 0 | PROGRAM SERVICE REVENUE |
| IRS990/ProgramServiceRevenue/Description | 1 | OTHER PROGRAM SERVICE REVENUE |
| IRS990/ProgramServiceRevenuePriorYear | 0 | 686325 |
| IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome | 0 | 829415 |
| IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome | 1 | 8033 |
| IRS990/ProgramServiceRevenue/TotalRevenueColumn | 0 | 829415 |
| IRS990/ProgramServiceRevenue/TotalRevenueColumn | 1 | 8033 |
| IRS990/ProhibitedTaxShelterTrans | 0 | false |
| IRS990/QuidProQuoContributions | 0 | false |
| IRS990/ReceivablesFromDisqualPersons/BOY | 0 | 0 |
| IRS990/ReceivablesFromDisqualPersons/EOY | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtc/BOY | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtc/EOY | 0 | 0 |
| IRS990/ReconcilationOtherChanges | 0 | 18548 |
| IRS990/ReconcilationRevenueExpenses | 0 | 8775 |
| 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 | false |
| IRS990/ReportOtherLiabilities | 0 | false |
| IRS990/ReportProgRelInvest | 0 | false |
| IRS990/Revenue | 0 | 837448 |
| IRS990/RevenuesLessExpensesCY | 0 | 8775 |
| IRS990/RevenuesLessExpensesPriorYear | 0 | -69331 |
| IRS990/RoyaltiesRevenue/TotalRevenueColumn | 0 | 0 |
| IRS990/Royalties/Total | 0 | 0 |
| IRS990/SalariesEtcCurrentYear | 0 | 653884 |
| IRS990/SalariesEtcPriorYear | 0 | 625561 |
| IRS990/SavingsAndTempCashInvestments/BOY | 0 | 0 |
| IRS990/SavingsAndTempCashInvestments/EOY | 0 | 0 |
| IRS990ScheduleA/Hospital170b1Aiii | 0 | X |
| IRS990/ScheduleBRequired | 0 | false |
| IRS990ScheduleD/ExcessOrDeficitForYear | 0 | 8775 |
| IRS990ScheduleD/ExcessOrDeficitPerFS | 0 | 27323 |
| IRS990ScheduleD/ExpensesNotRptdOnFinStmt | 0 | 43409 |
| IRS990ScheduleD/ExpensesSubtotal | 0 | 785264 |
| 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 | INCLUDED IN THE EXCESS OF REVENUES OVER EXPENSES OF $8,775 FOR THE FISCAL YEAR IS A ONE-TIME INCREASE TO REVENUE OF $22,910. THIS PAYMENT WAS RECEIVED IN JULY 2011 AND WAS FOR COST REPORT SETTLEMENTS DATED DECEMBER 2007 THROUGH SEPTEMBER 2009. |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation | 2 | TRANSFER FROM AFFILIATES $ 18,548 THE TRANSFER FROM AFFILIATE'S AMOUNT IS A RESULT OF ARMSTRONG COUNTY MEMORIAL HOSPITAL RELIEVING A PORTION OF THE AMOUNT DUE TO THEM FROM THE ACMH PHYSICIAN SERVICES ENTITY. |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation | 3 | PROVISION FOR UNCOLLECTIBLE ACCOUNTS $(43,409) TRANSFER FROM AFFILIATES 18,548 ---------- $(24,861) |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation | 4 | PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 43,409 |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier | 0 | UNCERTAIN TAX POSITIONS |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier | 1 | EXCESS OF REVENUES OVER EXPENSES |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier | 2 | OTHER RECONCILING CHANGE IN NET ASSETS |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier | 3 | OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier | 4 | OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 |
| IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference | 0 | SCHEDULE D, PART X, LINE 2 |
| IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference | 1 | SCHEDULE D, PART XI, LINE 3 |
| IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference | 2 | SCHEDULE D, PART XI, LINE 8 |
| IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference | 3 | SCHEDULE D, PART XII, LINE 2D |
| IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference | 4 | SCHEDULE D, PART XIII, LINE 4B |
| IRS990ScheduleD/OtherAmount | 0 | 18548 |
| IRS990ScheduleD/OtherExpensesNotIncluded | 0 | 43409 |
| IRS990ScheduleD/OtherRevenues | 0 | -24861 |
| IRS990ScheduleD/RevenueNotRptdF990 | 0 | -24861 |
| IRS990ScheduleD/RevenueSubtotal | 0 | 837448 |
| IRS990ScheduleD/TotalAdjustments | 0 | 18548 |
| IRS990ScheduleD/TotalExpenses | 0 | 828673 |
| IRS990ScheduleD/TotalExpensesPerForm990 | 0 | 828673 |
| IRS990ScheduleD/TotalRevenue | 0 | 837448 |
| IRS990ScheduleD/TotalRevenuePerForm990 | 0 | 837448 |
| IRS990ScheduleD/TotExpensesEtcAuditedFinclStmt | 0 | 785264 |
| IRS990ScheduleD/TotRevenueEtcAuditedFinclStmt | 0 | 812587 |
| IRS990ScheduleJ/AnyNonFixedPayments | 0 | false |
| IRS990ScheduleJ/CompBasedNetEarningsFilingOrg | 0 | false |
| IRS990ScheduleJ/CompBasedNetEarningsRelateOrgs | 0 | false |
| IRS990ScheduleJ/CompBasedOnRevenueOfFilingOrg | 0 | false |
| IRS990ScheduleJ/CompBasedOnRevenueRelatedOrgs | 0 | false |
| IRS990ScheduleJ/EquityBasedCompArrangement | 0 | false |
| IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg | 1 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg | 3 | 201485 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg | 1 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg | 3 | 24356 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs | 0 | 25000 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs | 1 | 10000 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs | 2 | 15000 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs | 3 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs | 0 | 286501 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs | 1 | 244274 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs | 2 | 167367 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs | 3 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg | 1 | 0 |
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| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg | 3 | 0 |
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| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs | 3 | 0 |
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| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg | 3 | 1500 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs | 0 | 51492 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs | 1 | 2250 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs | 2 | 26140 |
| IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs | 3 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation | 0 | TRAVEL FOR COMPANIONS WAS PROVIDED FOR THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A: JOHN I. LEWIS $ 267 CHASE MCCLISTER $ 535 HAROLD ALTMAN, MD $ 271 ALL AMOUNTS WERE PAID BY ARMSTRONG COUNTY MEMORIAL HOSPITAL, A RELATED ORGANIZATION. THE HOSPITAL REQUIRED SUBSTANTIATION PRIOR TO REIMBURSING OR ALLOWING EXPENSES INCURRED REGARDING THE TRAVEL FOR COMPANIONS. |
| IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation | 1 | 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 | 2 | JOHN I. LEWIS AND PATRICK C. BURNS PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN. THEY RECEIVED THE FOLLOWING 457(F) CONTRIBUTIONS: JOHN I. LEWIS $ 49,242 PATRICK C. BURNS $ 23,890 THE 457(F) PLAN THAT ARMSTRONG COUNTY MEMORIAL HOSPITAL ESTABLISHED FOR A SELECT GROUP OF MANAGEMENT INCLUDES 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 OF THE FOLLOWING EVENTS OCCURS: (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/Explanation | 3 | MANAGEMENT USES MGMA PUBLISHED STANDARDS TO ESTABLISH A BASE SALARY FOR PROVIDERS. IN ADDITION TO THE BASE SALARY, PROVIDERS HAVE THE ABILITY TO EARN INCENTIVES BASED UPON THEIR PRODUCTIVITY AS REFLECTED IN WORK RVU MEASURES. IN ADDITION, THE CEO PRESENTS GOALS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF WHAT THE ORGANIZATION HOPES TO ACHIEVE DURING EACH FISCAL YEAR. THESE GOALS ARE BASED ON REVENUES, NET EARNINGS, AND OTHER MEASURES. DEPENDING ON THE RESULTS, THE EXECUTIVE COMMITTEE OF THE BOARD, WITH INPUT FROM THE CEO, DETERMINES WHAT AMOUNT OF BONUSES (IF ANY) WILL BE PAID. ALL BONUSES WERE PAID BY ARMSTRONG COUNTY MEMORIAL HOSPITAL. |
| IRS990ScheduleJ/Form990ScheduleJPartIII/Identifier | 0 | TRAVEL FOR COMPANIONS |
| IRS990ScheduleJ/Form990ScheduleJPartIII/Identifier | 1 | COMPENSATION OF THE TOP MANAGEMENT OFFICIAL |
| IRS990ScheduleJ/Form990ScheduleJPartIII/Identifier | 2 | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN |
| IRS990ScheduleJ/Form990ScheduleJPartIII/Identifier | 3 | BONUS PAYMENTS |
| IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference | 0 | SCHEDULE J, PART I, LINE 1 |
| IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference | 1 | SCHEDULE J, PART I, LINE 3 |
| IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference | 2 | SCHEDULE J, PART I, LINE 4B |
| IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference | 3 | SCHEDULE J, PART II, COLUMN B (II) |
| IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson | 0 | JOHN I LEWIS |
| IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson | 1 | HAROLD ALTMAN MD |
| IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson | 2 | PATRICK C BURNS |
| IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson | 3 | CHAD SHAFFER MD |
| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsFilingOrg | 0 | 0 |
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| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs | 0 | 19469 |
| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs | 1 | 16290 |
| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs | 2 | 20027 |
| IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs | 3 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationFilingOrg | 1 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationFilingOrg | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationFilingOrg | 3 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationRelatedOrgs | 0 | 38250 |
| IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationRelatedOrgs | 1 | 44363 |
| IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationRelatedOrgs | 2 | 28623 |
| IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationRelatedOrgs | 3 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationFilingOrg | 0 | 0 |
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| IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationFilingOrg | 3 | 246102 |
| IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationRelatedOrgs | 0 | 420712 |
| IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationRelatedOrgs | 1 | 317177 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $66,596
- Liabilities
- $66,596
- Net assets
- $0
- Revenue
- -
- Expenses
- $828,673
- Net income
- -