Civic Intelligence

Punxsutawney Area Hospital Foundation

EIN 93-2244487 • 501(c)3 • Punxsutawney, PA

Pub. 78 EligibleNTEE P11

Profile

The punxsutawney area hospital foundation advances community health and wellness through philanthropy and support of punxsutawney area hospital.

81 Hillcrest DrivePunxsutawney, PA 15767

www.pah.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

62nd percentile

0.00x

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

NTEE P • <$500k nonprofits • Source year 2024

Liabilities / Revenue

64th percentile

0.00x

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

NTEE P • <$500k nonprofits • Source year 2024

Net Margin

96th percentile

95%

Higher net margin than 96% of similar nonprofits.

NTEE P • <$500k nonprofits • Source year 2024

Top Officer Pay

100th percentile

$933,558

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 246.2% of source-year revenue.

NTEE P • <$500k nonprofits • Source year 2024

Asset Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Assets

Up

$234,822

Up $234,822 from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Up

$234,822

Up $234,822 from 2023

Revenue

Up

$379,152

Up $379,152 from 2023

Expenses

Up

$20,734

Up $20,734 from 2023

Net Income

Up

$358,418

Up $358,418 from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300K$200K$100K$0Assets 2023: $0Liabilities 2023: $0Net Assets 2023: $02023Assets 2024: $234,822Liabilities 2024: $0Net Assets 2024: $234,8222024

Highlighted filing

2024

Assets$234,822
Liabilities$0
Net Assets$234,822

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400K$300K$200K$100K$0Revenue 2023: $0Expenses 2023: $0Net Income 2023: $02023Revenue 2024: $379,152Expenses 2024: $20,734Net Income 2024: $358,4182024

Highlighted filing

2024

Revenue$379,152
Expenses$20,734
Net Income$358,418

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Apr 16, 2025
Return Version
2023v6.0
Gross Receipts
$402,085
Mission and Program Overview

Mission

The punxsutawney area hospital foundation advances community health and wellness through philanthropy and support of punxsutawney area hospital.

The punxsutawney area hospital foundation will advance community health and wellness through philanthropy and support of punxsutawney area hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts-$186,509-
Investments in Publicly Traded Securities-$48,313-
Total Assets$0$234,822▲ $234,822
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets With Donor Restrictions-$233,007-
Net Assets Without Donor Restrictions-$1,815-
Total Net Assets Fund Balance$0$234,822▲ $234,822
Total Liabilities and Net Assets / Fund Balance$0$234,822▲ $234,822
Compensation and Service Providers

Board Members and Trustees

NameTitle
Timothy Clark Simpson MdChair
Jon JohnstonVice Chair
Courtney Grube Phar MdDirector
Frank RobertsDirector
Jim Curtis CluDirector
Sam SmithDirector
Stephen a WolfeCEO
Michael F IckowskiChief Financial Officer
John G SiskSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$378,105
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$1,047
All Other Contributions
$349,445
Change in Net Assets
$358,418
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$20,734
Total Fundraising Expense$8,033
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$4,963$2,127-$7,090
Other Expenses$4,074-$5,096$4,074
Advertising--$2,277$2,277
Office Expenses$877$660$660$2,197
Total Functional Expenses$9,914$2,787$8,033$20,734
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$23,980
Fundraising Direct Expenses$22,933
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournament$39,160$15,600$3,538$12,062
Fall Gala Charity Ball$13,480$8,380-$8,380
Total Events$52,640$23,980$22,933$1,047
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
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
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 sole member of punxsutawney area hospital foundation is punxsutawney area hospital.

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

The member, punxsutawney area hospital shall be entitled to vote in the election of directors and to cast one vote for each director to be elected.

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

The board shall obtain the approval of punxsutawney area hospital as the sole member of the foundation before action on any of the following matters becomes final and effective: (a) amendment of the articles of incorporation of the foundation or of these bylaws; (b) the sale, lease or exchange of all or substantially all the property or assets of the foundation; (c) merger or consolidation with any other corporation; (d) dissolution of the foundation; (e) approval of an annual budget for the foundation; (f) voting any membership or shareholder interest held by the corporation in any other organization; (g) any other matter that by law requires the approval of the members of a nonprofit corporation.

Form 990, Part VI, Section B, Line 11B

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. Prior to filing, a draft of the 990 will be reviewed by top management and will be discussed at a meeting of the finance committee of the board of directors. A final draft is provided to the full board of directors.

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

Every member of the board, and every individual appointed to the board or board committees, as well as all key management personnel and physician leaders, are required to execute a conflict of interest disclosure statement, which will be updated at least on an annual basis or as additional conflicting interests arise. In addition, every member of the board will specifically acknowledge the conflict of interest policy and his/her attempt to abide by it by signing the acknowledgement form. Every board committee member, officer, key management employee, and physician leader is required to sign this acknowledgement as well. The acknowledgement and disclosure forms will be kept on file by the chief executive officer, and the chairman and vice-chairman will be familiar with the statements that are filed by board members in order to guide their conduct in the event a conflict arises. Every person covered by this policy shall submit in writing to the chief executive officer a conflict of interest disclosure statement listing all financial and conflicting interests. Each statement will be resubmitted with any necessary changes each year or as any additional conflicting or financial interests arise. 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 disclosure statement filed by the chairman. Penalties for non-compliance: failure to comply with this policy shall constitute grounds for removal from office and, in the case of key management personnel, termination of employment.

Form 990, Part VI, Section B, Line 15

The ceo's compensation is paid by indiana regional medical center (irmc). Positions for officers and key employees are reviewed on an annual basis. Appropriate comparisons are made on a regional and national level in order to maintain a fair and equitable compensation structure. An external consultant is utilized to prepare comparative salary data for the board's review. All recommendations are approved by irmc's board of directors and documented in the board minutes.

Form 990, Part VI, Section C, Line 19

Governing documents, conflict of interest policy, and financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Punxsutawney Area Hospital Foundation
EIN
93-2244487
Phone
8149381800
Address
81 HILLCREST DRIVE, PUNXSUTAWNEY, PA 15767

Signing Officer

Name
Michael F Ickowski
Title
CFO
Phone
8149381800
Signed
2025-04-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John G Sisk
Formed
2023
Legal Domicile
Pa
Voting Board Members
7
Independent Board Members
5
Employees
0
Volunteers
5

Preparer

Firm
Baker Tilly Advisory Group Lp
Address
20 STANWIX STREET, PITTSBURGH, PA 15222
Preparer
Kelly a Brocious CPA
Phone
4126976400
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Other fees: program service expenses 4,963. Management and general expenses 2,127. Fundraising expenses 0. Total expenses 7,090.

FORM 990, PART XI, LINE 9:

Transfers to affiliates -125,411.

Financial Statement Notes

PART X, LINE 2:

Punxsutawney area hospital foundation is a tax-exempt organization and not subject to federal or state income taxes in accordance with section 501(c)(3) of the internal revenue code. On such basis, it will not incur any liability for income taxes, except for possible unrelated business income. Management annually reviews its tax provisions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0PUNXSUTAWNEY AREA HOSPITAL FOUNDATION IS A TAX-EXEMPT ORGANIZATION AND NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ON SUCH BASIS, IT WILL NOT INCUR ANY LIABILITY FOR INCOME TAXES, EXCEPT FOR POSSIBLE UNRELATED BUSINESS INCOME. MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0STEPHEN A WOLFE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1TIMOTHY CLARK SIMPSON MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2JOHN G SISK
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3MICHAEL F ICKOWSKI
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CHAIR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2SECRETARY/TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3CHIEF FINANCIAL OFFICER
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IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE CEO'S COMPENSATION IS PAID BY INDIANA REGIONAL MEDICAL CENTER. INDIANA REGIONAL MEDICAL CENTER USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1INDIANA REGIONAL MEDICAL CENTER HAS A SUPPLEMENTAL, NONQUALIFIED RETIREMENT PLAN UNDER IRC SECTION 457(F) FOR PRESIDENT & CEO, STEPHEN A. WOLFE. PAY OUTS TO HIM WERE $138,553, AND CONTRIBUTIONS TO THE PLAN WERE $94,502 DURING CALENDAR YEAR 2023. PUNXSUTAWNEY AREA HOSPITAL HAS A SUPPLEMENTAL, NONQUALIFIED RETIREMENT PLAN UNDER IRC SECTION 457(F) FOR DR. KHABBAZ. DURING 2023, $30,000 WAS CONTRIBUTED TO THE PLAN.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 4B
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE SOLE MEMBER OF PUNXSUTAWNEY AREA HOSPITAL FOUNDATION IS PUNXSUTAWNEY AREA HOSPITAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE MEMBER, PUNXSUTAWNEY AREA HOSPITAL SHALL BE ENTITLED TO VOTE IN THE ELECTION OF DIRECTORS AND TO CAST ONE VOTE FOR EACH DIRECTOR TO BE ELECTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE BOARD SHALL OBTAIN THE APPROVAL OF PUNXSUTAWNEY AREA HOSPITAL AS THE SOLE MEMBER OF THE FOUNDATION BEFORE ACTION ON ANY OF THE FOLLOWING MATTERS BECOMES FINAL AND EFFECTIVE: (A) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE FOUNDATION OR OF THESE BYLAWS; (B) THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF THE FOUNDATION; (C) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION; (D) DISSOLUTION OF THE FOUNDATION; (E) APPROVAL OF AN ANNUAL BUDGET FOR THE FOUNDATION; (F) VOTING ANY MEMBERSHIP OR SHAREHOLDER INTEREST HELD BY THE CORPORATION IN ANY OTHER ORGANIZATION; (G) ANY OTHER MATTER THAT BY LAW REQUIRES THE APPROVAL OF THE MEMBERS OF A NONPROFIT CORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE 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. PRIOR TO FILING, A DRAFT OF THE 990 WILL BE REVIEWED BY TOP MANAGEMENT AND WILL BE DISCUSSED AT A MEETING OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. A FINAL DRAFT IS PROVIDED TO THE FULL BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4EVERY MEMBER OF THE BOARD, AND EVERY INDIVIDUAL APPOINTED TO THE BOARD OR BOARD COMMITTEES, AS WELL AS ALL KEY MANAGEMENT PERSONNEL AND PHYSICIAN LEADERS, ARE REQUIRED TO EXECUTE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, WHICH WILL BE UPDATED AT LEAST ON AN ANNUAL BASIS OR AS ADDITIONAL CONFLICTING INTERESTS ARISE. IN ADDITION, EVERY MEMBER OF THE BOARD WILL SPECIFICALLY ACKNOWLEDGE THE CONFLICT OF INTEREST POLICY AND HIS/HER ATTEMPT TO ABIDE BY IT BY SIGNING THE ACKNOWLEDGEMENT FORM. EVERY BOARD COMMITTEE MEMBER, OFFICER, KEY MANAGEMENT EMPLOYEE, AND PHYSICIAN LEADER IS REQUIRED TO SIGN THIS ACKNOWLEDGEMENT AS WELL. THE ACKNOWLEDGEMENT AND DISCLOSURE FORMS WILL BE KEPT ON FILE BY THE CHIEF EXECUTIVE OFFICER, AND THE CHAIRMAN AND VICE-CHAIRMAN WILL BE FAMILIAR WITH THE STATEMENTS THAT ARE FILED BY BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT IN THE EVENT A CONFLICT ARISES. EVERY PERSON COVERED BY THIS POLICY SHALL SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND CONFLICTING INTERESTS. EACH STATEMENT WILL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTERESTS ARISE. 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 DISCLOSURE STATEMENT FILED BY THE CHAIRMAN. PENALTIES FOR NON-COMPLIANCE: FAILURE TO COMPLY WITH THIS POLICY SHALL CONSTITUTE GROUNDS FOR REMOVAL FROM OFFICE AND, IN THE CASE OF KEY MANAGEMENT PERSONNEL, TERMINATION OF EMPLOYMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE CEO'S COMPENSATION IS PAID BY INDIANA REGIONAL MEDICAL CENTER (IRMC). POSITIONS FOR OFFICERS AND KEY EMPLOYEES ARE REVIEWED ON AN ANNUAL BASIS. APPROPRIATE COMPARISONS ARE MADE ON A REGIONAL AND NATIONAL LEVEL IN ORDER TO MAINTAIN A FAIR AND EQUITABLE COMPENSATION STRUCTURE. AN EXTERNAL CONSULTANT IS UTILIZED TO PREPARE COMPARATIVE SALARY DATA FOR THE BOARD'S REVIEW. ALL RECOMMENDATIONS ARE APPROVED BY IRMC'S BOARD OF DIRECTORS AND DOCUMENTED IN THE BOARD MINUTES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7OTHER FEES: PROGRAM SERVICE EXPENSES 4,963. MANAGEMENT AND GENERAL EXPENSES 2,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,090.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8TRANSFERS TO AFFILIATES -125,411.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART XI, LINE 9:
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