2026-04-01T16:48:48-05:00 2025-06-30 231980475 KREISCHER MILLER 100 WITMER ROAD SUITE 350 HORSHAM PA 190442369 990 2024-07-01 237740057 EAGLEVILLE HOSPITAL WORKERS COMPENSATION TRUST EAGL 6105396000 100 EAGLEVILLE ROAD EAGLEVILLE PA 19043 PAUL KANE CFO 6105396000 2026-04-01 1 1 KATIE O GALASKA P01211168 2154414600 2024 2025-03-06 01:10:19Z PAUL KANE 100 EAGLEVILLE ROAD EAGLEVILLE PA 19043 1160868 0 X N/A X 1993 PA SEE SCHEDULE O 2 2 0 2 0 0 0 0 300000 528090 6934 10610 0 0 306934 538700 0 0 146072 498561 0 0 0 0 0 158424 125528 304496 624089 2438 -85389 499030 395496 397830 126988 101200 268508 TO PROVIDE WORKER'S COMPENSATION BENEFITS FOR THE EMPLOYEES OF EAGLEVILLE HOSPITAL. 0 0 498561 528090 PROVIDE WORKER'S COMPENSATION BENEFITS FOR THE EMPLOYEES OF EAGLEVILLEHOSPITAL. 498561 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 2 2 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X PAUL KANE CFO 6105396000 100 EAGLEVILLE ROAD EAGLEVILLE PA 194080045 EUGENE J OTT CEO 2.00 38.00 X 0 463190 52259 WILLIAM KEENAN CFO 2.00 38.00 X 0 252609 26107 0 715799 78366 0 0 1 0 0 PROGRAM CONTRIBUTIONS 900099 528090 528090 528090 14409 14409 618369 622168 -3799 -3799 -3799 538700 528090 0 10610 498561 498561 5098 5098 6228 6228 EXCESS LIABILITY INSURA 98795 98795 ADMINISTRATIVE FEES 8355 8355 TRUSTEE FEES 5098 5098 STATE ASSESSMENTS 1854 1854 100 100 624089 498561 125528 0 420493 248940 78537 146556 499030 395496 28089 369741 126988 397830 126988 X 101200 268508 101200 268508 499030 395496 X -85389 9944 242753 X X 1 X 0 0 0 X X 1 EAGLEVILLE HOSPITAL 231352115 3 0 624089 0 1 624089 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 1: TO PROVIDE WORKERS' COMPENSATION BENEFITS FOR THE EMPLOYEES OF EAGLEVILLE HOSPITAL. EAGLEVILLE HOSPITAL PROVIDED $528,090 PER YEAR TO THE EAGLEVILLE HOSPITAL WORKERS' COMPENSATION TRUST TO PAY WORKERS' COMPENSATION BENEFITS. PART I, LINE 12G TO PROVIDE WORKERS' COMPENSATION BENEFITS FOR THE EMPLOYEES OF EAGLEVILLE HOSPITAL. EAGLEVILLE HOSPITAL PROVIDED $528,090 PER YEAR TO THE EAGLEVILLE HOSPITAL WORKERS' COMPENSATION TRUST TO PAY WORKERS' COMPENSATION BENEFITS. 0 CONTINGENCY RESERVE 126988 126988 X 543546 9944 9944 533602 5098 5098 538700 376238 -242753 -242753 618991 5098 5098 624089 PART X, LINE 2: THE TRUST IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (IRC) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). IN ADDITION, THE TRUST IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE IRC BECAUSE THE TRUST IS DESCRIBED IN SECTION 509(A)(3). THEREFORE, NO INCOME TAX PROVISION IS REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: TRUSTEE FEES 5,098. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN RESERVE FOR UNPAID LOSSES -242,753. PART XII, LINE 4B - OTHER ADJUSTMENTS: TRUSTEE FEES 5,098. 0 0 0 0 0 0 0 0 0 EUGENE J OTT CEO 0 413190 0 50000 0 0 0 11800 0 40459 0 515449 0 0 WILLIAM KEENAN CFO 0 237609 0 15000 0 0 0 10141 0 15966 0 278716 0 0 FORM 990, PART I, LINE 1: DESCRIPTION: TO PROVIDE WORKER'S COMPENSATION BENEFITS FOR THE EMPLOYEES OF EAGLEVILLE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED IN THE AUDIT COMMITTEE AND APPROVED BY THE COMMITTEE. THE COMMITTEE THEN PROVIDES A COPY OF THE FORM 990 TO THE GOVERNING BODY FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST DOCUMENT EACH YEAR. THE POLICY IS REGULARLY MONITORED BY THE HR DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN RESERVE FOR UNPAID LOSSES 242,753. FORM 990, PART XII, LINE 2C THE ORGANIZATION DID NOT MAKE ANY CHANGES TO ITS OVERSIGHT PROCESS DURING THE TAX YEAR. FORM 990, PART VI, LINE 15 NOT APPLICABLE - NO EMPLOYEES. EAGLEVILLE HOSPITAL PO BOX 45 100 EAGLEVILLE ROAD EAGLEVILLE PA 19043 231352115 IN-PATIENT/OUT-PATIENT TREATMENT PA 501(C)(3) LINE 3 EAGLEVILLE FOUNDATION 1 EAGLEVILLE FOUNDATION PO BOX 45 100 EAGLEVILLE ROAD EAGLEVILLE PA 19043 222565791 SUPPORTING ORGANZIATION OF EAGLEVILLE HOSPITAL PA 501(C)(3) LINE 12B, II EAGLEVILLE HOSPITAL 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0