Civic Intelligence

Laurel Health System

990 • Fiscal year 2015 • EIN 24-0795488

Jul 01, 2014 to Jun 30, 2015 • Filed on May 13, 2016

15 MEADE ST No U-6Wellsboro, PA 16901

(570) 723-0605

Siviq Scores

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

Liabilities / Assets

90th percentile

0.91x

Higher debt load relative to assets than 90% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Liabilities / Revenue

100th percentile

296.11x

Higher debt load relative to revenue than 100% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Net Margin

89th percentile

42%

Higher net margin than 89% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Top Officer Pay

93rd percentile

$937,623

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 730.4% of source-year revenue.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Asset Growth

99th percentile

495%

Faster asset growth than 99% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Revenue Growth

1st percentile

-81%

Faster revenue growth than 1% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Assets

Up

$41,734,017

Up $34,716,131 (+495%) from 2014

Net Assets

Up

$3,720,266

Up $54,282 (+1.5%) from 2014

Liabilities

Up

$38,013,751

Up $34,661,849 (+1034%) from 2014

Revenue

Down

$128,378

Down $541,995 (-81%) from 2014

Expenses

Down

$74,096

Down $25,786 (-26%) from 2014

Net Income

Down

$54,282

Down $516,209 (-90%) from 2014

Historical Trend

Balance Sheet Trend

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

$150M$100M$50M$0Assets 2014: $7,017,886Liabilities 2014: $3,351,902Net Assets 2014: $3,665,9842014Assets 2015: $41,734,017Liabilities 2015: $38,013,751Net Assets 2015: $3,720,2662015Assets 2016: $120,647,919Liabilities 2016: $116,920,647Net Assets 2016: $3,727,2722016Assets 2019: $4,168,333Liabilities 2019: $0Net Assets 2019: $4,168,3332019Assets 2020: $28,078,065Liabilities 2020: $0Net Assets 2020: $28,078,0652020

Highlighted filing

2015

Assets$41,734,017
Liabilities$38,013,751
Net Assets$3,720,266

Operations Trend

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

$800K$600K$400K$200K$0-$200KRevenue 2014: $670,373Expenses 2014: $99,882Net Income 2014: $570,4912014Revenue 2015: $128,378Expenses 2015: $74,096Net Income 2015: $54,2822015Revenue 2016: $20,016Expenses 2016: $13,010Net Income 2016: $7,0062016Revenue 2019: $148,228Expenses 2019: -$1,756Net Income 2019: $149,9842019Revenue 2020: $144,272Expenses 2020: $29,320Net Income 2020: $114,9522020

Highlighted filing

2015

Revenue$128,378
Expenses$74,096
Net Income$54,282
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 13, 2016
Return Version
2014v6.0
Gross Receipts
$128,378
Mission and Program Overview

Mission

Laurel Health System is a subsidiary of UPMC Susquehanna. The mission of UPMC Susquehanna and affiliates is as follows: To extend God' healing love by improving the health of those we serve. Our vision is to create a world-class health system. Our values are putting patients first, sharing ownership and being servant leaders.

Laurel Health System is a subsidiary of Susquehanna Health Systems (SHS). The mission of SHS and affiliates is as follows: To extend God's healing love by improving the health of those we serve. Our vision is to create a world-class health system. Our values are putting patients first, sharing ownership and being servant leaders.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Program Related$1,504,970$1,504,970→ $0
Cash and Non-Interest-Bearing Accounts$1,295,014$1,362,914▲ $67,900
Other Notes and Loans Receivable, Net$699,600$739,200▲ $39,600
Accounts Receivable-$39,951-
Prepaid Expenses and Deferred Charges-$582-
Total Assets$7,017,886$41,734,017▲ $34,716,131
Other Assets Total$3,518,302$38,086,400▲ $34,568,098
Liabilities
Other Liabilities$2,754,358$37,634,721▲ $34,880,363
Mortgage Notes Payable Secured by Investment Property$519,285--
Tax Exempt Bond Liabilities-$379,030-
Accounts Payable and Accrued Expenses$78,259$0▼ $78,259
Total Liabilities$3,351,902$38,013,751▲ $34,661,849
Net Assets / Fund Balance
Permanently Rstr Net Assets$3,512,361$3,493,344▼ $19,017
Unrestricted Net Assets$148,845$222,144▲ $73,299
Temporarily Rstr Net Assets$4,778$4,778→ $0
Total Net Assets Fund Balance$3,665,984$3,720,266▲ $54,282
Total Liabilities and Net Assets / Fund Balance$7,017,886$41,734,017▲ $34,716,131

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$34,654,862--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Thomas M Owlett EsqChairman
Janie M HilfigerPresident SSMH
Glenn B PoirierVice Chairman
Aneurin J Williams JrDirector
Donna R WilsonDirector
Harold F Hoose IIIDirector
J Dennis MurrayDirector
James D Baker JrDirector
Jill A Burns MDDirector
Lisa V Feil PsyDDirector
Michael W LichtyDirector
Robert P FitzgeraldDirector
Walter J Laibinis DODirector
Wendy S Swartz CPADirector
Steven P JohnsonCEO
Ronald J ButlerExec VP/CBO (Retired 4/2015)
Charles J SantangeloExec VP/CFO (Retired 5/2015)
David Lopatofsky MDExec VP/CMO (Hired 2/2015)
William C McCauley MDExec VP/CMO (Retired 1/2015)
Jan E FisherExec VP/COO
R Robert DeCampSecretary (ending 6/15)
Kathy J Wright PhDSecretary (start 6/15)
Craig G LitchfieldTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$61,104
Program Service Revenue
$0
Investment Income
$67,274
Other Revenue
$0
All Other Contributions
$61,104
Change in Net Assets
$54,282

Audited Revenue Reconciliation

Revenue per Audited Statements
$147,395
Revenue Not Reported on Financial Statements
$-19,017
Revenue Not Reported on Form 990
$-4,507
Other Revenue Adjustments
$-19,017
Total Revenue per Audited Statements
$142,888
Total Revenue per Form 990
$128,378
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$74,096
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest$14,413--$14,413
Other Expenses$5,037--$5,037
Fees for Services Management-$1,381-$1,381
Office Expenses$2--$2
Total Functional Expenses$72,715$1,381$0$74,096

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$74,096
Expenses per Audited Statements$69,589
Total Expenses per Audited Statements$69,589
Expenses Not Reported on Financial Statements$4,507
Other Expense Adjustments$4,507
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to related parties$37,608,021
AP Other - Federal Income Tax$26,700

Bond Issues

BondIssuerIssuedIssue PricePurpose
ATioga County Industrial Development Authority2010-05-07$10,000,000see part VI
BTioga County Industrial Development Authority2011-12-30$10,000,000see part VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$10,000,000--$96,527
B$8,771,468--$106,789

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

The Laurel Health System (LHS) has one corporate member, Susquehanna Health System.

Form 990, Part VI, Section A, line 7A

Susquehanna Health System (SHS), EIN 23-2751183 may elect or remove members of the governing body.

Form 990, Part VI, Section A, line 7B

All the business and affairs of the Entity shall be managed and controlled by the Board of Directors, subject to the oversight of the sole member, Susquehanna Health System (SHS), of the management and operation of the Entity, except that the following powers are reserved exclusively to the sole Member of the Entity, and no attempted exercise of any such powers by anyone other than the sole Member shall be valid of any force or effect whatsoever. The sole Member shall exercise its powers through its Board of Directors. The sole Member shall have the exclusive authority to exercise the following powers: A) to appoint or elect the directors B) to appoint and remove the President following consultation with the Entity C) to approve the nominees for elected offices and to return the list of approved nominees to the governing bodies for election D) to remove, with or without cause, any director or any elected officer E) to amend the Governing Instruments and to approve all amendments to the Governing Instruments which are proposed for adoption F) to approve the annual operating and capital budgets G) to establish requirements for a unified budget H) to approve the incurrence or issuance of debt proposed by Entity and the encumbrance of any Entity assets to secure any such incurred debt I) to incur debt (or to cause debt to be incurred) on behalf of the Entity J) to require contributions in cash or cash equivalents to support the working capital needs or capital projects of any one or more System Entities K) to require that any debt incurred on a System-wide basis by or at the direction of SHS shall be the joint and several obligation of each System Entity L) to direct or approve any cash contributions or any other capital contributions made by one System Entity to another System Entity M) to allocate any financial resources in such manner as SHS determines to be necessary N) to approve the sale, transfer or other disposition of Entity or Entity property unless it is made in the ordinary course of business or involves assets with a fair market value of less than one hundred thousand dollars O) to direct the transfer of property from the Entity to one or more other System Entities P) to approve of any investment of assets by Entity not within the limits of the System's approved investment policy Q) to establish requirements for the approval of the acquisition, purchase, sale, transfer, encumbrance, leasing, construction or demolition of land or building outside the ordinary course of business R) to approve any decision with respect to the addition, modification or discontinuance of any patient care or diagnostic program or health care service S) to approve of any change in licensure of Entity; licensure of any Facility; certification, registration, accreditation, permit, or related approval of any activity T) to require Entity to add, modify, relocate or discontinue any patient care of diagnostic program or health care service U) to approve or direct any merger, consolidation, organization, reorganization, joint venture, corporate division, sale, conversion, lease or exchange of substantially all the assets, dissolution, liquidation or any other modification of corporate structure or affiliations affecting the autonomy, governance, or operations, and the creation or acquisition of any new affiliate by Entity V) to dissolve or terminate the existence of Entity and to determine the distribution of assets upon such termination or dissolution W) to coordinate managed care plans involving Entity, including decisions concerning entry into or renewal of any contract or agreement relation thereto X) to develop and/or enter into key strategic relationships on behalf of Entity Y) to select any outside financial auditors, general legal counsel or investment advisors to provide services on behalf of the Entity.

Form 990, Part VI, Section B, line 11

A high-level overview of Forms 990 is presented to the parent Board of Directors (Susquehanna Health System #23-2751183) before filing and complete drafts of all returns are made available to all Board members through the CEO's and CFO's offices.

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

Annually on the 1st day of January, Susquehanna Health System sends to all directors, officers, management staff and contracted physicians a questionnaire to be completed and returned by January 15. A report is submitted to the Board of Directors to notify them of any conflicts of interest disclosed.

Form 990, Part VI, Section B, line 15

On a bi-annual basis, an independent compensation consulting firm performs an analysis of the leadership salary structure in relationship to the labor market using data from four different salary surveys. Their analysis is reviewed with the Governance committee of the Board of Directors. The firm then outlines its recommendations for the proposed executive salary structure to the committee for their consideration and approval.

Form 990, Part VI, Section C, line 19

Governing documents, financial statements, and conflict of interest policies are available upon request from the person listed as possessor of the information on line 20.

Filing and Contact Details

Filer

Filer Name
Laurel Health System
EIN
24-0795488
Phone
5707230605
Address
15 MEADE ST No U-6, WELLSBORO, PA 16901

Signing Officer

Name
Eric D Pohjala
Title
Executive Vice President / CFO
Phone
5703213175
Signed
2016-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steven P Johnson
Formed
1989
Legal Domicile
Pa
Voting Board Members
16
Independent Board Members
12
Employees
0
Volunteers
15

Preparer

Firm
Bkd Llp
Address
910 E St Louis Street Suite 200, Springfield, MO 65806
Preparer
Brian D Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Part XII, line 2C

The organization has changed neither the oversight process nor the independent accountant selection process during the fiscal year.

Part V, Line 1A

All 1099's were issued by Susquehanna Health System (EIN 23-2751183) for the twelve months ended June 30, 2015. All expenses were then allocated back to the related entities.

Part V, Line 2A & 2B

Explanation: Susquehanna Health System EIN #23-2751183 utilizes a common paymaster which includes the following entities: Divine Providence Hospital EIN #24-0499343 Muncy Valley Hospital EIN #24-0806023 The Williamsport Hospital EIN #24-0795508 Susquehanna Health Foundation EIN #23-2743470 Susquehanna Physician Services EIN #23-2449454 Williamsport Area Ambulance Service Cooperative EIN #23-2416166 Laurel Realty EIN #23-1403678 Laurel Management Services EIN #25-1644910 Soldiers + Sailors Memorial Hospital EIN #23-2176963 The Green Home EIN #24-0804365 Tioga Health Care Providers Inc EIN #25-1765538 Tyoga Carenet EIN #25-1810967 The total number of employees reported on Form W-3 would be 3,956 for Susquehanna Health System EIN #23-2751183. Of that total, 0 employees' payroll expenses were recorded by Laurel Health System.

Financial Statement Notes

Part X, Line 2:

Management has evaluated their income tax positions under the guidance included in ASC 740. Based on that review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Part XI, Line 2D - Other Adjustments:

Federal Tax -4507.

Part XI, Line 4B - Other Adjustments:

Permanently restricted investment returns -19017.

Part XII, Line 4B - Other Adjustments:

Federal tax 4507.

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IRS990/Form990PartVIISectionAGrp/PersonNm0James D Baker Jr
IRS990/Form990PartVIISectionAGrp/PersonNm1Jill A Burns MD
IRS990/Form990PartVIISectionAGrp/PersonNm2R Robert DeCamp
IRS990/Form990PartVIISectionAGrp/PersonNm3Lisa V Feil PsyD
IRS990/Form990PartVIISectionAGrp/PersonNm4Robert P Fitzgerald
IRS990/Form990PartVIISectionAGrp/PersonNm5Harold F Hoose III
IRS990/Form990PartVIISectionAGrp/PersonNm6Walter J Laibinis DO
IRS990/Form990PartVIISectionAGrp/PersonNm7Michael W Lichty
IRS990/Form990PartVIISectionAGrp/PersonNm8Craig G Litchfield
IRS990/Form990PartVIISectionAGrp/PersonNm9J Dennis Murray
IRS990/Form990PartVIISectionAGrp/PersonNm10Thomas M Owlett Esq
IRS990/Form990PartVIISectionAGrp/PersonNm11Glenn B Poirier
IRS990/Form990PartVIISectionAGrp/PersonNm12Wendy S Swartz CPA
IRS990/Form990PartVIISectionAGrp/PersonNm13Aneurin J Williams Jr
IRS990/Form990PartVIISectionAGrp/PersonNm14Donna R Wilson
IRS990/Form990PartVIISectionAGrp/PersonNm15Kathy J Wright PhD
IRS990/Form990PartVIISectionAGrp/PersonNm16Steven P Johnson
IRS990/Form990PartVIISectionAGrp/PersonNm17Charles J Santangelo
IRS990/Form990PartVIISectionAGrp/PersonNm18Janie M Hilfiger
IRS990/Form990PartVIISectionAGrp/PersonNm19Jan E Fisher
IRS990/Form990PartVIISectionAGrp/PersonNm20William C McCauley MD
IRS990/Form990PartVIISectionAGrp/PersonNm21David Lopatofsky MD
IRS990/Form990PartVIISectionAGrp/PersonNm22Ronald J Butler
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
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IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
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IRS990/Form990PartVIISectionAGrp/TitleTxt13Director
IRS990/Form990PartVIISectionAGrp/TitleTxt14Director
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IRS990/Form990PartVIISectionAGrp/TitleTxt16CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt17Exec VP/CFO (Retired 5/2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt18President SSMH
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IRS990/MissionDesc0Laurel Health System is a subsidiary of Susquehanna Health Systems (SHS). The mission of SHS and affiliates is as follows: To extend God' healing love by improving the health of those we serve. Our vision is to create a world-class health system. Our values are putting patients first, sharing ownership and being servant leaders.
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0The Green Home
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