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Nonprofiteer
← POCONO HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF INS TR

Form 990 for tax year 2023

Filed by POCONO HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF INS TR.

Totals

Total revenue
$46,304
Total expenses
-$148,985
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$46,304
Other revenue
$0
Total assets, end of year
$3,126,778
Total liabilities, end of year
$626,534
Net assets or fund balances, end of year
$2,500,244
Program services expenses (Part IX)
-$159,664
Management and general expenses
$10,679
Fundraising expenses
$0
Program service expenses (Part III)
-$159,664

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $113,823 · excluded $113,823

  • 7a · Gross sales of assets other than inventory

    securities $802,019

  • 7b · Less cost or other basis and sales expenses

    securities $869,538

  • 7c · Gain or loss

    securities -$67,519

  • 7d · Net gain or loss

    total -$67,519 · excluded -$67,519

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $10,679 · management and general $10,679

  • 23 · Insurance

    total -$159,664 · program services -$159,664

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $352,657 · end of year $341,181

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $275,000

  • 11 · Investments: publicly traded securities

    beginning of year $2,246,096 · end of year $2,510,597

  • 25 · Other liabilities

    beginning of year $0 · end of year $626,534

  • 27 · Net assets without donor restrictions

    beginning of year $2,598,753 · end of year $2,500,244

Mission and programs · 2023

Mission

OUR MISSION IS WHO WE ARE AND WHAT WE DO: TO PROVIDE WORLD-CLASS CARE CLOSE TO HOME. OUR VISION IS WHAT WE AIM FOR: TO BEST SERVE OUR COMMUNITY TO BUILD A HEALTHIER COMMUNITY.

Activities or mission (Part I)

HOLDING OF FUNDS FOR SELF-INSURANCE PROGRAM FOR GENERAL AND PROFESSIONAL LIABILITY.

  • THE TRUST WAS CREATED FOR THE PURPOSE OF ACCUMULATING AND HOLDING FUNDS FOR USE IN THE SELF-INSURANCE PROGRAM FOR PROFESSIONAL LIABILITY RISKS. THE TRUST HOLDS FUNDS ON BEHALF OF POCONO HEALTH SYSTEM AND ITS NOT-FOR-PROFIT AFFILIATED CORPORATIONS, INCLUDING LEHIGH VALLEY HOSPITAL-POCONO, FAMILY CARE CENTERS, INC., POCONO AMBULATORY SERVICES, INC., POCONO HEALTH FOUNDATION, AND POCONO VNA-HOSPICE.

    Expenses -$159,664 · Revenue $46,303

As filed on the 2023 return.

Listed in Part VII

  • Pnc Bank

    TRUSTEE

    Total calculated
    $10,679
    From this org
    $10,679
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Cornelio R Catena

    PRESIDENT

    Total calculated
    $731,760
    From this org
    $0
    From related orgs
    $714,900
    Other
    $16,860
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $622,278 related
    Bonus
    $0 + $89,734 related
    Other
    $0 + $2,888 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $16,860 related
    Filer's total
    $0 + $731,760 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE PRESIDENT, CORNELIO R. CATENA, IS COMPENSATED BY LEHIGH VALLEY HOSPITAL (LVH), A RELATED ORGANIZATION. LVH USES THE FOLLOWING METHODS TO DETERMINE THEIR COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • CHP-LVHN JV LLC

    HOSPITAL OPERATIONS · DE

  • EASTERN PENNSYLVANIA ENDOSCOPY CENTER LLC

    ENDOSCOPY SERVICES · PA

  • FAIRGROUNDS MEDICAL CENTER

    REAL ESTATE RENTALS · PA

  • HAZLETON SURGERY CENTER LLC

    SURGICAL SERVICES · PA

  • HEALTH NETWORK LABORATORIES LLC (FINAL 03-31-2024)

    LABORATORY SERVICES · PA

  • HEALTH NETWORK LABORATORIES LLC

    LABORATORY SERVICES · PA

  • LEHIGH VALLEY IMAGING LLC

    IMAGING SERVICES · PA

  • LVHN RECIPROCAL RISK RETENTION GROUP

    INSURANCE SERVICES · PA

  • MONROE ENDOSCOPY CENTER LLC

    ENDOSCOPY SERVICES · PA

  • NAZARETH ENDOSCOPY CENTER LLC

    ENDOSCOPY SERVICES · PA

  • POCONO AMBULATORY SURGERY CENTER LTD

    SURGICAL SERVICES · PA

  • POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE LP

    INVESTMENTS · PA

  • SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP

    REAL ESTATE RENTALS · PA

  • UHS-LVHN JV LLC

    HOSPITAL OPERATIONS · PA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CARBON SCHUYLKILL ENDOSCOPY CENTER INC

    S · ENDOSCOPY SERVICES · PA

  • LEHIGH VALLEY ANESTHESIA SERVICES PC (FINAL 09-30-2023)

    C · ANESTHESIA SERVICES · PA

  • LEHIGH VALLEY HEALTH SERVICES INC

    C · HEALTH CARE RELATED SERVICES · PA

  • LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC

    C · HEALTH CARE RELATED SERVICES · PA

  • POPULYTICS INC

    C · HEALTH CARE RELATED SERVICES · PA

  • SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION (FINAL 03-31-2024)

    C · REAL ESTATE RENTALS · PA

  • SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION

    C · CONDOMINIUM ASSOCIATION · PA

  • SPECTRUM HEALTH VENTURES INC

    C · HEALTH CARE RELATED SERVICES · PA

Provenance

Return type
form_990
Tax year
2023
Filed
10 June 2025
IRS schema version
2023v6.0
Source object
202511619349300616

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