Civic Intelligence

Dubois Regional Medical Center Employee

990 • Fiscal year 2022 • EIN 25-6332829

Jul 01, 2021 to Jun 30, 2022 • Filed on Apr 12, 2023

Organization ProfileN/A
PO Box 447Dubois, PA 15801-0447

(814) 375-6377

Siviq Scores

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

Liabilities / Assets

53rd percentile

0.00x

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

2022 filings • 501(c)9 • $500k-$1M nonprofits • Source year 2022

Liabilities / Revenue

53rd percentile

0.00x

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

2022 filings • 501(c)9 • $500k-$1M nonprofits • Source year 2022

Net Margin

24th percentile

-12%

Higher net margin than 24% of similar nonprofits.

2022 filings • 501(c)9 • $500k-$1M nonprofits • Source year 2022

Top Officer Pay

100th percentile

$1,230,443

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 147.2% of source-year revenue.

2022 filings • 501(c)9 • $500k-$1M nonprofits • Source year 2022

Asset Growth

33rd percentile

-10%

Faster asset growth than 33% of similar nonprofits.

2022 filings • 501(c)9 • $500k-$1M nonprofits • Annualized from 2021 to 2022

Revenue Growth

16th percentile

-36%

Faster revenue growth than 16% of similar nonprofits.

2022 filings • 501(c)9 • $500k-$1M nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / Assets53rd percentile

Assets

Down

$913,202

Down $103,407 (-10%) from 2021

Net Assets

Down

$913,202

Down $103,407 (-10%) from 2021

Liabilities

Flat

$0

Flat from 2021

Revenue And Expenses
Liabilities / Revenue53rd percentileNet Margin24th percentile

Revenue

Down

$835,772

Down $476,331 (-36%) from 2021

Expenses

Down

$939,179

Down $403,460 (-30%) from 2021

Net Income

Down

-$103,407

Down $72,871 (-239%) from 2021

Historical Trend

Balance Sheet Trend

Asset Growth33rd percentile

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

$1.5M$1.0M$500K$0Assets 2021: $1,016,609Liabilities 2021: $0Net Assets 2021: $1,016,6092021Assets 2022: $913,202Liabilities 2022: $0Net Assets 2022: $913,2022022Assets 2023: $710,641Liabilities 2023: $0Net Assets 2023: $710,6412023

Highlighted filing

2022

Assets$913,202
Liabilities$0
Net Assets$913,202
Open 2022 Filing

Operations Trend

Revenue Growth16th percentile

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

$1.5M$1.0M$500K$0-$500KRevenue 2021: $1,312,103Expenses 2021: $1,342,639Net Income 2021: -$30,5362021Revenue 2022: $835,772Expenses 2022: $939,179Net Income 2022: -$103,4072022Revenue 2023: $556,832Expenses 2023: $759,393Net Income 2023: -$202,5612023

Highlighted filing

2022

Revenue$835,772
Expenses$939,179
Net Income-$103,407
Open 2022 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
Apr 12, 2023
Return Version
2021v4.0
Gross Receipts
$835,772
Mission and Program Overview

Mission

The employee benefit trust was created for the purpose of funding a dental plan and a flexible spending plan medical and dependent care with contributions from DuBois Regional Medical Center and it's participating employees.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,016,609$913,202▼ $103,407
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$1,016,609$913,202▼ $103,407
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,016,609$913,202▼ $103,407
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$1,016,609$913,202▼ $103,407
Total Liabilities and Net Assets / Fund Balance$1,016,609$913,202▼ $103,407
Compensation and Service Providers
Top Officer Pay100th percentile

Board Members and Trustees

NameTitle
John S SutikaPresident CEO Penn Highlands DuBois
Steven M FontaineCEO Penn Highlands Healthcare
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$833,456
Investment Income
$2,316
Other Revenue
$0
All Other Contributions
$0
Change in Net Assets
$-103,407
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$93,433
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
Benefits to Members$845,746--$845,746
Total Functional Expenses$926,884$12,295$0$939,179
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with 35% controlled entity
No
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Part VI, Line 8A

“n a”

Part VI, Line 11A

“Part VI #11b - Form is completed by DRMC staff accountant and reviewed with by accounting manager. Form is then forwarded to John S. Sutika trustee of DRMC Employee Benefit Plan Trust for review and signatures.”

Part VI, Line 19

“Part VI #19 - Financial statements are available to the public in the offices of DRMC's CFO Brian S. Kline and CEO John S. Sutika or by request.”

Filing and Contact Details

Filer

Filer Name
Drmc Employee Benefit Plan Trust
EIN
25-6332829
In Care Of
% John S Sutika
Phone
8143756377
Address
PO BOX 447, DUBOIS, PA 15801-0447

Signing Officer

Name
John S Sutika
Title
President PHH DuBois
Signed
2023-04-12
Discuss with paid preparer
No

Organization Details

Formed
1988
Legal Domicile
Pa
Voting Board Members
2
Independent Board Members
2
Employees
0
Volunteers
0
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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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IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt20
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt00
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt10
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt20
IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt00
IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt10
IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt20
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt00
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt00
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt00
IRS990/OtherSalariesAndWagesGrp/TotalAmt00
IRS990/OthNotesLoansReceivableNetGrp/BOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/FundraisingAmt00
IRS990/PaymentsToAffiliatesGrp/ManagementAndGeneralAmt00
IRS990/PaymentsToAffiliatesGrp/ProgramServicesAmt00
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt00
IRS990/PayrollTaxesGrp/ProgramServicesAmt00
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/FundraisingAmt00
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt00
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt0John S Sutika
IRS990/PriorPeriodAdjustmentsAmt00
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0525920
IRS990/ProgramServiceRevenueGrp/BusinessCd1525920
IRS990/ProgramServiceRevenueGrp/Desc0Employee Contributions
IRS990/ProgramServiceRevenueGrp/Desc1Hospital Contributions
IRS990/ProgramServiceRevenueGrp/ExclusionAmt00
IRS990/ProgramServiceRevenueGrp/ExclusionAmt10
IRS990/ProgramServiceRevenueGrp/ExclusionAmt20
IRS990/ProgramServiceRevenueGrp/ExclusionAmt30
IRS990/ProgramServiceRevenueGrp/ExclusionAmt40
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0833456
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt10
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt20
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt30
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt40
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0833456
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt10
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt20
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt30
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt40
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt10
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt20
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt30
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt40
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt00
IRS990/ProgSrvcAccomActy2Grp/GrantAmt00
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt00
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt00
IRS990/ProgSrvcAccomActy3Grp/GrantAmt00
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt00
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt01242020
IRS990/PYInvestmentIncomeAmt02364
IRS990/PymtTravelEntrtnmntPubOfclGrp/FundraisingAmt00
IRS990/PymtTravelEntrtnmntPubOfclGrp/ManagementAndGeneralAmt00
IRS990/PymtTravelEntrtnmntPubOfclGrp/ProgramServicesAmt00
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0100619
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt01309739
IRS990/PYRevenuesLessExpensesAmt0-30536
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt01342639
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt01312103
IRS990/QuidProQuoContributionsInd0false

Document Assets

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Filings

Displayed year

2022 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$913,202
Liabilities
$0
Net assets
$913,202
Revenue
$835,772
Expenses
$939,179
Net income
-$103,407
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.71$0.00$0.71$0.56$0.76$0.20
2022Detailed filing. Detailed filing data is available for this year.$0.91$0.00$0.91$0.84$0.94$0.10
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.02$0.00$1.02$1.31$1.34$0.03