2023-05-15T12:45:27-05:00 2022-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2021-07-01 251494705 HIGHLANDS HOSPITAL % JOHN ANDURSKY HIGH 7246281500 401 E MURPHY AVE CONNELLSVILLE PA 15425 JOHN ANDURSKY PRESIDENT 7246281500 2022-11-15 true JOHN ANDURSKY 999009999 Brian D Todd P00422601 4178658701 2021 2023-04-26 12:10:37Z PENN HIGHLANDS CONNELLSVILLE JOHN ANDURSKY 401 E MURPHY AVE CONNELLSVILLE PA 15425 31877512 false X WWW.HIGHLANDSHOSPITAL.ORG X 1985 PA THE HOSPITAL SERVICES THE HEALTHCARE NEEDS OF THE COMMUNITY AND SURROUNDING AREAS. 12 11 507 50 0 0 5359336 1348480 32924971 29540312 28686 36894 236858 22950 38549851 30948636 0 0 0 0 17261994 16528591 0 0 0 20585346 17764576 37847340 34293167 702511 -3344531 15323597 17698145 25618797 21881123 -10295200 -4182978 HIGHLANDS HOSPITAL IS COMMITTED TO PROVIDING HEALTH CARE TO THE COMMUNITY IN A COMPETENT, NURTURING AND HEALING ENVIRONMENT. OUR STAFF WILL PROVIDE SUPPORT IN TIMES OF CRISIS AND FURNISH THE RESOURCES NECESSARY TO PROMOTE A HEALTHY LIFESTYLE. false false 31298813 29540312 THE HOSPITAL SERVED THE HEALTHCARE NEEDS OF THE COMMUNITY AND SURROUNDING AREAS WITH 927 ADMISSIONS, 7,887 PATIENT DAYS, 45,405 OUTPATIENT VISITS AND 9,700 EMERGENCY ROOM VISITS. THE HOSPITAL PROVIDED A SIGNIFICANT AMOUNT OF HEALTHCARE TO THE INDIGENT AND LOW INCOME INDIVIDUALS REGARDLESS OF THE ABILITY TO PAY. 31298813 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 87 0 true 507 true false false false false false false false false false false false false false X 12 11 false false true false true true true true true false false true true true true true true true true true false PA X JOHN ANDURSKY 7246262359 401 E MURPHY AVE CONNELLSVILLE PA 15425 TRACY POPEY MD ORTHOPEDIC SURGEON 40.0 0.0 X 263278 0 19682 CIMENGA TSHIBAKA GENERAL SURGEON 40.0 0.0 X 214391 0 10222 JOHN ANDURSKY PRESIDENT 40.0 0.0 X X 200835 0 11649 MATTHEW MASCIA DIRECTOR OF PHARMACY 40.0 0.0 X 115015 0 13426 MARIANNE MIELE CHIEF OPERATING OFFICER 40.0 0.0 X 104553 0 5578 CHARLES BROWN ER NURSE 40.0 0.0 X 100266 0 247 MICHAEL A JORDAN JR CHAIRMAN 2.0 0.0 X X 0 0 0 LAWRENCE J KIEFER VICE CHAIRMAN 2.0 0.0 X X 0 0 0 KAREN L MARKO SECRETARY 2.0 0.0 X X 0 0 0 FLOYD C HUGGINS TREASURER 2.0 0.0 X X 0 0 0 GERALD BROWELL TRUSTEE 2.0 0.0 X 0 0 0 PJ CARTE TRUSTEE 2.0 0.0 X 0 0 0 JOHN F COLEMAN TRUSTEE 2.0 0.0 X 0 0 0 DEANNA C SHERBONDY TRUSTEE 2.0 0.0 X 0 0 0 RICHARD A TIBERIO TRUSTEE 2.0 0.0 X 0 0 0 RICHARD GRIMALDI TRUSTEE 2.0 0.0 X 0 0 0 JOHN A FIESTA TRUSTEE 2.0 0.0 X 0 0 0 998338 0 60804 6 false true false ELITE DIAGNOSTICS LLC 9731-J SOUTHERN PINE BLVD CHARLOTTE NC 28273 LAB TESTING 917027 RYAN J WAKIM PLLC 1115 SRAY LANE BRIDGEVILLE PA 15017 PSYCHIATRY DOCTOR 590369 QUEST DIAGNOSTICS 16410 COLLECTION CENTER DR CHICAGO IL 60693 LAB TESTING 802946 BPW MEDICAL ASSOCIATES PC 265 SCOTT HAVEN ROAD SUTERSVILLE PA 15083 ANESTHESIOLOGIST 258454 CPSI 6600 WALL STREET MOBILE AL 36695 COMPUTER SERVICE 279777 14 1221300 127180 1348480 NET PATIENT SERVICE REVENUE 621990 23511786 23511786 MISCELLANEOUS REVENUE 900099 5951365 5951365 CAFETERIA REVENUE 722514 56119 56119 MEDICAL RECORD REVENUE 900099 21042 21042 29540312 0 0 0 22950 22950 0 22950 22950 956402 9368 928876 27526 9368 36894 36894 0 0 0 0 0 0 0 0 0 0 30948636 29540312 59844 X 0 0 0 0 212484 212484 0 13272116 12374989 897127 349166 326287 22879 1710388 1576125 134263 984437 904211 80226 0 0 251923 251923 60900 60900 0 0 8873919 8206687 667232 147669 147669 939716 787688 152028 297679 273420 24259 0 1229085 1128922 100163 15559 14291 1268 0 27180 24965 2215 376795 346089 30706 0 1067865 980841 87024 534256 490717 43539 MEDICAL SUPPLIES AND DRUGS 2979392 2979392 REPAIRS AND MAINTENANCE 759941 698011 61930 LICENSES, DUES, SUBSCRIPTIONS 202697 186178 16519 34293167 31298813 2994354 0 255590 211163 598085 319355 0 0 2578124 1441367 0 0 0 0 0 0 233362 156206 501525 505990 13652227 35925 8968838 13616302 0 0 706073 268055 0 60000 0 191857 1482000 927850 15323597 17698145 9893797 12139308 0 0 137526 0 0 0 0 0 0 0 6404459 5523357 0 0 9183015 4218458 25618797 21881123 X -10920426 -4773267 625226 590289 -10295200 -4182978 15323597 17698145 X -3344531 -84099 -4679 9545531 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 60900 60900 false SCHEDULE C, PART II-B, LINE 1 OTHER LOBBYING ACTIVITIES: THE ORGANIZATION IS A MEMBER OF THE HEALTHCARE COUNCIL OF WESTERN PENNSYLVANIA. A PORTION OF THESE DUES ($900) MAY BE USED FOR LOBBYING PURPOSES. THE ORGANIZATION PAID THE CAMERON COMPANIES, LLC $60,000 FOR MISCELLANEOUS LOBBYING NEEDS. THE LOBBYING ACTIVITIES PROVIDED BY THE CAMERON COMPANIES, LLC WERE THE FOLLOWING: - ARRANGED AND INTRODUCED LOCAL PHYSICIAN PRACTICE RELATIONSHIPS TO HIGHLANDS HOSPITAL TO INCREASE REFERRALS AND REVENUE IN TOXICOLOGY SERVICES; - ACQUIRED AN APPROVED $1.0 MILLION FEDERAL EARMARK APPROPRIATION FOR HIGHLANDS HOSPITAL WORKING WITH BIDEN ADMINISTRATION AND CONGRESS; - SECURED AN AWARD OF $225,000 FOR GENERAL OPERATIONS AT HIGHLANDS HOSPITAL FROM FEDERAL ARPA FUNDS; - SECURED A CRITICAL $500,000 REDEVELOPMENT ASSISTANCE CAPITAL GRANT (RACP) GRANT FROM THE COMMONWEALTH FOR HIGHLANDS HOSPITAL; - PROVIDED HIGHLANDS HOSPITAL EXECUTIVES WITH DIRECT ACCESS TO THE HIGHEST LEVELS OF FEDERAL, STATE AND LOCAL GOVERNMENT INCLUDING MEETINGS WITH PENNSYLVANIA GOVERNOR, THE SECRETARY OF THE DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT (DCED), THE DEPARTMENT OF DRUGS AND ALCOHOL PROGRAMS (DDAP), THE DEPARTMENT OF HEALTH (DOH), THE DEPARTMENT OF HUMAN SERVICES (DHS) AND OTHERS; - PROVIDED THE HOSPITAL'S EXECUTIVE MANAGEMENT ACCESS TO CORPORATE PHILANTHROPIC BENEFACTORS AND OTHER POTENTIAL NON-GOVERNMENTAL CONTRIBUTORS; - AND PROVIDED CONTINUAL ASSESSMENT OF THE LOCAL AND STATE HEALTH CARE MARKET PLACE AND POTENTIAL COMPETITION TO THE HOSPITAL'S STATUS IN THE MARKET. 935271 935271 10002172 28256 9973916 189421 535 188886 2293512 6479 2287033 231851 655 231196 13616302 DEPOSITS 286221 OTHER RECEIVABLES 352814 DUE FROM 3RD PARTY 288815 927850 0 DUE TO RELATED PARTY 2214058 DUE TO 3RD PARTY 2004400 4218458 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITION TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true true false true true 680981 680981 0.01990 9621735 8241598 1380137 0.04020 10302716 8241598 2061118 0.06010 4051 4051 0.00010 6368705 2897280 3471426 0.10120 6372756 2897280 3475477 0.10130 16675472 11138878 5536595 0.16140 false 1160988 195046 2489824 2802374 -312550 X true true 1 1 HIGHLANDS HOSPITAL 401 E MURPHY AVE CONNELLSVILLE PA 15425 WWW.HIGHLANDSHOSPITAL.ORG 37301 X X X HIGHLANDS HOSPITAL 1 false false true X X X X X X X X X 21 true false false true X SEE PART V, SECTION C X true 21 true SEE PART V, SECTION C false true X 200. 400. X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X X true X false false SCHEDULE H, PART V SECTION B, LINE 5 COMMUNITY INPUT: HIGHLANDS HOSPITAL'S LEADERSHIP TEAM FORMED A STEERING COMMITTEE THAT CONSISTED OF HOSPITAL LEADERS WHO REPRESENTED THE BROAD INTERESTS OF THEIR LOCAL REGION. THESE INCLUDED REPRESENTATIVES WHO UNDERSTOOD THE NEEDS AND ISSUES RELATED TO VARIOUS UNDERREPRESENTED GROUPS INCLUDING MEDICALLY UNDERSERVED POPULATIONS, LOW-INCOME PERSON, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS, AND INTERNAL PROGRAM MANAGERS. THE HIGHLANDS HOSPITAL STEERING COMMITTEE MET TWO TIMES BETWEEN MARCH 2021 AND APRIL 2021 TO PROVIDE GUIDANCE ON THE VARIOUS COMPONENTS OF THE CHNA. KEY INFORMANT SURVEY: THE CHNA LEADERSHIP IDENTIFIED KEY COMMUNITY STAKEHOLDERS TO PARTICIPATE IN KEY INFORMANT SURVEY. THE CHNA STEERING REFINED THE STAKEHOLDER LIST TO ENSURE BROAD COMMUNITY REPRESENTATION. STRATEGY SOLUTIONS, INC DEVELOPED THE KEY INFORMANT SURVEY AND CREATED AN ONLINE SURVEY. HIGHLANDS HOSPITAL STAFF REACHED OUT TO THE COMMUNITY STAKEHOLDERS TO INVITE THEM TO PARTICIPATE. A TOTAL OF 17 SURVEYS WERE COMPLETED. SCHEDULE H, PART V, SECTION B, LINE 7A CHNA AVAILABILITY: HTTPS://WWW.HIGHLANDSHOSPITAL.ORG/ABOUT-US/COMMUNITYNEEDS SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY: HTTPS://WWW.HIGHLANDSHOSPITAL.ORG/ABOUT-US/COMMUNITYNEEDS SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING IDENTIFIED NEEDS: HIGHLANDS HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED THROUGH ITS CHNA. AS WITH MOST HEALTH CARE FACILITIES, HIGHLANDS HOSPITAL HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES IDENTIFIED IN THE CHNA. IN CONJUNCTION WITH ITS 2021 COMMUNITY HEALTH NEEDS ASSESSMENT, HIGHLANDS HOSPITAL DEVELOPED A SYSTEM-WIDE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS THE HIGHLANDS' SERVICE AREA. HIGHLANDS' FOCUS WILL BE ON BEHAVIORAL HEALTH (INCLUDING AUTISM AND PTSD), CHRONIC DISEASE/DIABETES, WOMEN'S HEALTH, AND ACCESS TO CARE. HEALTH PRIORITY: BEHAVIORAL HEALTH GOAL: INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES WITH A FOCUS ON DEVELOPING BEST PRACTICES TO IDENTIFY, TREAT, AND REFER PATIENTS PRESENTING WITH BEHAVIORAL HEALTH CONCERNS. HEALTH PRIORITY: CHRONIC DISEASE/DIABETES GOAL: DECREASE PREVENTABLE CHRONIC DISEASE BY ENSURING ACCESS TO RESOURCES, KNOWLEDGE, AND OPPORTUNITIES FOR INDIVIDUALS TO ADOPT HEALTHY BEHAVIORS. GOAL: IMPROVE MANAGEMENT AND OUTCOMES FOR PATIENTS DIAGNOSED WITH DIABETES. HEALTH PRIORITY: WOMEN'S HEALTH GOAL: INCREASE ACCESS TO WOMEN'S HEALTH CARE SERVICES FOCUSING ON DEVELOPMENT AND IMPLEMENTATION OF BEST PRACTICE STANDARDS OF CARE WITH THE OVERALL GOAL OF IMPROVING HEALTH OUTCOMES FOR WOMEN AND FAMILIES. HEALTH PRIORITY: ACCESS TO CARE GOAL: IMPROVE INDIVIDUAL, COMMUNITY AND POPULATION HEALTH BY ADDRESSING SOCIAL DETERMINANTS THAT INCREASE BARRIERS TO HEALTHCARE AND CAUSE DISPARITIES IN HEALTH OUTCOMES. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C FAP, FAP APPLICATION, PLAIN LANGUAGE SUMMARY: WWW.HIGHLANDSHOSPITAL.ORG/GENERAL-INFORMATION/CHARITY-CARE SCHEDULE H, PART V, SECTION B, LINE 20E OTHER EFFORTS: THE BILLING STATEMENT STATES THAT THERE IS A FAP AVAILABLE AND GIVES INFORMATION ON HOW TO CONTACT SOMEONE FOR THE APPLICATION. 5 HIGHLANDS HOSPITAL REGIONAL CENTER FOR 700 PARK ST CONNELLSVILLE PA 15425 SCHOOL FOR CHILDREN WITH AUTISM CONNELLSVILLE MRI 2616A MEMORIAL BLVD CONNELLSVILLE PA 15425 MRI SCANNING HIGHLANDS HOSPITAL DIABETES CENTER 1064 MORELL AVE CONNELLSVILLE PA 15425 EDUCATION FOR DIABETES HIGHLANDS HEALTHSTOP 201 N PITTSBURGH ST CONNELLSVILLE PA 15425 BLOOD DRAW STATION HIGHLANDS HEALTHSTOP 814 VANDERBILT RD CONNELLSVILLE PA 15425 BLOOD DRAW STATION SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSES: THE PERCENT OF TOTAL EXPENSES ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A). SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1 AND 3. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE METHODOLOGY: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2022. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE U.S. CENSUS BUREAU. THE MOST RECENT US CENSUS BUREAU INDICATES THAT 16.8 PERCENT OF FAYETTE COUNTY WAS CONSIDERED TO LIVE IN POVERTY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT NOTE CAN BE FOUND ON PAGE 19 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION C, LINE 8 COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE ORGANIZATION USES INFORMATION FROM THE MEDICARE COST REPORT TO COMPUTE THE MEDICARE ALLOWABLE COSTS OF CARE ON LINE 6. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: PATIENTS ARE NOT BILLED ONCE THEY ARE DETERMINED TO QUALIFY FOR CHARITY CARE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: DURING FISCAL YEAR 2022, HIGHLANDS HOSPITAL CONDUCTED A COUNTY-WIDE COMMUNITY NEEDS HEALTH ASSESSMENT (CHNA). THIS STUDY WAS CONDUCTED TO IDENTIFY THE HEALTH NEEDS AND ISSUES OF THE REGION AND TO PROVIDE USEFUL INFORMATION TO PUBLIC HEALTH AND HEALTH CARE PROVIDERS, POLICY MAKERS, COLLABORATIVE GROUPS, SOCIAL SERVICE AGENCIES, COMMUNITY GROUPS AND ORGANIZATIONS, CHURCHES, BUSINESSES, AND CONSUMERS WHO ARE INTERESTED IN IMPROVING THE HEALTH STATUS OF THE COMMUNITY AND REGION. THE RESULTS ENABLE THE MEDICAL CENTER, LOCAL HEALTH DEPARTMENT, AND OTHER PROVIDERS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS, AND COMMIT RESOURCES. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CHARITY CARE IS PROVIDED TO PATIENTS WITH A DEMONSTRATED INABILITY TO PAY. A PATIENT IS ELIGIBLE FOR CHARITY CARE CONSIDERATION BASED UPON MEETING CERTAIN INCOME ELIGIBILITY CRITERIA. HIGHLANDS HOSPITAL PROVIDES MEDICALLY NECESSARY TREATMENT TO ALL WHO SEEK IT, WITHOUT REGARD TO AGE, RACE, SEX, RELIGION, OR NATIONAL ORIGIN. HIGHLANDS HOSPITAL WILL PROVIDE FREE OR BELOW COST CARE TO THOSE PATIENTS WHO UPON COMPLETION OF PROPER APPLICATION ARE DETERMINED ELIGIBLE FOR SUCH DISCOUNTS. HOSPITAL STAFF PROVIDE CHARITY CARE INFORMATION TO PATIENTS UPON REGISTRATION AND INFORMATION IS INCLUDED IN ADMISSIONS PACKETS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: HIGHLANDS HOSPITAL PRIMARY SERVICE AREA COVERS THE COUNTIES OF FAYETTE AND WESTMORELAND. THE POPULATION IN BOTH FAYETTE AND WESTMORELAND COUNTIES HAS BEEN DECREASING AND IS PROJECTED TO CONTINUE TO DECREASE INTO 2026. THE COUNTIES ARE PREDOMINATELY CAUCASIAN AND THERE ARE SLIGHTLY MORE FEMALES. THE MEDIAN AGE IS SLIGHTLY HIGHER IN WESTMORELAND COUNTY (47.7 VS 45.5) AND IS PROJECTED TO INCREASE IN BOTH COUNTIES INDICATING THE POPULATION IS AGING. APPROXIMATELY HALF OF THE POPULATION IN EITHER COUNTY IS MARRIED WHILE ONE IN TEN ARE DIVORCED. JUST UNDER ONE THIRD OF RESIDENTS (29.5%) IN WESTMORELAND COUNTY HAVE A COLLEGE DEGREE, WHILE ONLY 17.7% OF THOSE IN FAYETTE ARE COLLEGE GRADUATES. THE AVERAGE HOUSEHOLD INCOME IS OVER $13,000 HIGHER IN WESTMORELAND COUNTY COMPARED TO FAYETTE COUNTY. MOST OF THE LABOR FORCE IN BOTH COUNTIES IS EMPLOYED, WITH APPROXIMATELY HALF OF THOSE EMPLOYED HOLDING WHITE COLLAR OCCUPATIONS. THE DEMOGRAPHICS OF THE COMMUNITY INCLUDES A HIGH PERCENTAGE OF ELDERLY AND LOW INCOME HOUSEHOLDS. MANY OF THESE RESIDENTS ARE UNINSURED AND UNDERINSURED RESULTING IN A HIGH PERCENTAGE OF UNCOMPENSATED CARE. THE POPULATION, ALSO, HAS A HIGH VOLUME OF CHRONIC ILLNESSES SUCH AS CORONARY DISEASE, DIABETES AND PULMONARY DISEASE. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE GOVERNING BOARD IS MADE UP OF INDIVIDUALS WHO LIVE AND/OR WORK IN THE COMMUNITY WHO VOLUNTEER THEIR TIME AND SERVICES TO ASSIST IN THE GOVERNANCE OF THE ORGANIZATION. MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS WHO EXPRESS AN INTEREST TO JOIN. THE MEDICAL STAFF OPERATES INDEPENDENTLY OF THE ADMINISTRATIVE MANAGEMENT OF THE ORGANIZATION. THE ORGANIZATION CURRENTLY LACKS SURPLUS FUNDS. IT UTILIZES GRANTS AND CONTRIBUTIONS FOR THE ADVANCEMENT OF SERVICES AND IMPROVEMENTS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: PENN HIGHLANDS CONNELLSVILLE IS PART OF PENN HIGHLANDS HEALTHCARE (PHH, SYSTEM). PHH IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO COORDINATE AND MANAGE THE INTEGRATION OF THE DELIVERY OF HEALTHCARE SERVICES TO THE NORTH CENTRAL PENNSYLVANIA AREA. THE SYSTEM INCLUDES THE CONSOLIDATED FINANCIAL STATEMENTS OF PENN HIGHLANDS HEALTHCARE, PENN HIGHLANDS DUBIOUS, PENN HIGHLANDS ELK, PENN HIGHLANDS CLEARFIELD, PENN HIGHLANDS TYRONE, PENN HIGHLANDS HUNTINGDON, AND PENN HIGHLANDS MON VALLEY. THE PENN HIGHLANDS HUNTINGDON PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -PENN HIGHLANDS HUNTINGDON PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE SERVICES AND URGENT CARE SERVICES TO FURTHER THE HEALTH AND WELLNESS OF RESIDENTS IN HUNTINGDON, PENNSYLVANIA, AND SURROUNDING AREAS. -PENN HIGHLANDS HUNTINGDON FOUNDATION EARNS REVENUE THROUGH FUNDRAISING TO SUPPORT HEALTH CARE PROGRAMS OF PENN HIGHLANDS HUNTINGDON. THE PENN HIGHLANDS DUBOIS PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -DUBOIS REGIONAL MEDICAL CENTER (DRMC) PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS IN DUBOIS, PENNSYLVANIA, AND SURROUNDING AREAS. -BROOKVILLE HOSPITAL (BROOKVILLE), A CRITICAL ACCESS HOSPITAL IN BROOKVILLE, PENNSYLVANIA. BROOKVILLE EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES. -BROOKVILLE INCLUDES BROOKCARE, A CORPORATION WHOSE PRIMARY BUSINESS IS TO RENT OFFICE SPACE TO PHYSICIANS AND VARIOUS DEPARTMENTS OF BROOKVILLE HOSPITAL. -JEFFCO HEALTH SERVICES, A POST-ACUTE HEALTHCARE SERVICE PROVIDER. -DUBOIS MEDICAL RISK RETENTION GROUP (DMRRG), PROVIDES LIABILITY INSURANCE TO DUBOIS COMPANIES AS WELL AS EMPLOYEE HEALTH INSURANCE FOR THE SYSTEM. DUBOIS IS THE SOLE MEMBER OF THE CLASS A VOTING AND PARTICIPATING CERTIFICATES OF DMRRG. -DUBOIS REGIONAL MEDICAL GROUP (DRMG), PROVIDES PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES. -WRC SENIOR SERVICES IS A HOUSING, HEALTHCARE, AND RESIDENT SERVICE PROVIDER IN WESTERN PENNSYLVANIA. -WRC PENNSYLVANIA MEMORIAL HOME, A CORPORATION THAT OWNS AND OPERATES A CONTINUING CARE RETIREMENT COMMUNITY. -WRC HEALTH CARE SUPPORTIVE SERVICES, A HOME AND COMMUNITY-BASED SERVICES PROVIDER. -WRC NORTH FORK HEIGHTS, A HOUSING PROJECT FOR LOW-INCOME ELDERLY INDIVIDUALS REGULATED BY THE UNITED STATES DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD). THE PENN HIGHLANDS ELK (ELK) PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -ELK REGIONAL HEALTH CENTER (ELK) PROVIDES PRIMARY ACUTE CARE MEDICAL SERVICES AT TWO CAMPUSES, THE ST. MARYS HEALTH CENTER IN ST. MARYS, PENNSYLVANIA, AND THE RIDGWAY HEALTH CENTER IN RIDGWAY, PENNSYLVANIA. -COMMUNITY NURSES, INC. AND SUBSIDIARIES (COMMUNITY NURSES), IS COMPRISED OF COMMUNITY NURSES HOME HEALTH AND HOSPICE, INC., WHICH PROVIDES SKILLED NURSING, PROFESSIONAL HOME HEALTH AND HOSPICE SERVICES, HOME HEALTH AIDE, PHYSICAL THERAPY, SPEECH THERAPY AND OCCUPATIONAL THERAPY; COMMUNITY NURSES HOME HEALTH SUPPORT SERVICES, INC., WHICH PROVIDES VARIOUS NONPROFESSIONAL HOME HEALTH RELATED SUPPORTIVE SERVICES, AND HELPMATES WHICH PROVIDES PRIVATE DUTY HOME COMPANION, RESPITE, PERSONAL CARE AND HOMEMAKER SERVICES. -ELK REGIONAL PROFESSIONAL GROUP, INC., IS COMPRISED OF VARIOUS PHYSICIAN PRACTICES. -ELCO HOUSING, INC., WAS FORMED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND TO CARRY OUT THE PURPOSES OF ELK BY SERVING AS A GENERAL PARTNER IN ELCO GLEN LIMITED PARTNERSHIP, THE PURPOSE OF WHICH IS TO ACQUIRE, CONSTRUCT, PROVIDE AND OPERATE RENTAL HOUSING AND RELATED FACILITIES SUITED TO THE NEEDS AND LIVING REQUIREMENTS OF ELIGIBLE OCCUPANTS AS DETERMINED BY THE FARMERS HOME ADMINISTRATION (FMHA). -ELK VENTURES, LLC (ELK VENTURES), A SINGLE MEMBER LLC OF ELK REGIONAL HEALTH CENTER, WAS FORMED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND TO CARRY OUT THE PURPOSES OF ELK. THE PENN HIGHLANDS CLEARFIELD (CLEARFIELD) PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -CLEARFIELD HOSPITAL PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN CLEARFIELD COUNTY AND THE SURROUNDING AREAS. -CLEARFIELD MEDICAL ASSOCIATES (CMA), OWNS AND OPERATES THE MEDICAL ARTS BUILDING LOCATED ON CLEARFIELD HOSPITAL'S CAMPUS. -CLEAR-CARE CORPORATION (CLEAR-CARE), PROVIDES MEDICAL EQUIPMENT TO CUSTOMERS. THE PENN HIGHLANDS TYRONE PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -TYRONE HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE HOSPITAL SERVICES. -TYRONE FOUNDATION WHICH PROVIDES SUPPORT. THE PENN HIGHLANDS MON VALLEY PORTION OF THE PHH SYSTEM INCLUDED THE FOLLOWING ENTITIES AND OPERATIONS: -MON VALE HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE HOSPITAL SERVICES. -MONONGAHELA VALLEY HOSPITAL FOUNDATION WHICH PROVIDES SUPPORT. THE PENN HIGHLANDS CONNELLSVILLE PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -HIGHLANDS HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE HOSPITAL SERVICES; -HIGHLANDS FOUNDATION WITH PROVIDES SUPPORT. X X X false false false false false false false false false JOHN ANDURSKY PRESIDENT 200835 0 0 0 0 0 6071 0 5578 0 212484 0 0 0 TRACY POPEY MD ORTHOPEDIC SURGEON 263278 0 0 0 0 0 0 0 19682 0 282960 0 0 0 CIMENGA TSHIBAKA GENERAL SURGEON 214391 0 0 0 0 0 0 0 10222 0 224613 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES IN GOVERNING DOCUMENTS: HIGHLANDS HOSPITAL AMENDED ITS BYLAWS WHEN THE ORGANIZATION WAS ACQUIRED BY PENN HIGHLANDS HEALTHCARE(PHH). THE SIGNIFICANT CHANGES MADE TO THE BYLAWS INCLUDE THE FOLLOWING: - ARTICLE I: GENERAL PROVISIONS WERE ADDED AND INCLUDE THE UPDATED NAME OF HIGHLANDS HOSPITAL TO HIGHLANDS HOSPITAL D/B/A PENN HIGHLANDS CONNELLSVILLE. THE HOSPITAL IS NOW A CONTROLLED SUBSIDIARY OF PENN HIGHLANDS HEALTHCARE. - ARTICLE II: SOLE/MEMBER RESERVED POWERS WERE ADDED AND INCLUDES CERTAIN POWERS RESERVED FOR THE SOLE MEMBER, PENN HIGHLANDS HEALTHCARE. THESE POWERS ARE SPECIFIED IN ARTICLE II, SECTION 2.1(B) OF THE PENN HIGHLANDS HEALTHCARE BYLAWS. - ARTICLE III: THE AUTHORITY OF THE BOARD OF DIRECTORS OF HIGHLANDS HOSPITAL IS SUBJECT TO THE POWERS RESERVED TO PENN HIGHLANDS HEALTHCARE. THIS INCLUDES THE APPROVAL, OR TERMINATION, OF DIRECTORS ON THE BOARD. - ARTICLE IV: THE AUDIT COMMITTEE OF THE HIGHLANDS HOSPITAL WAS REMOVED. THIS WILL BE A FUNCTION OF THE PENN HIGHLANDS HEALTHCARE AUDIT COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: PENN HIGHLANDS HEALTHCARE (PHH) HOLDS CERTAIN POWERS, INCLUDING THE APPROVAL OF THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND APPROVAL OF ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE DOCUMENTS. PHH SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE ELECTION AND REMOVAL OF DIRECTORS: PRIOR TO THE END OF PHH'S FISCAL YEAR, THE PHH BOARD WILL MEET TO ELECT THE DIRECTORS, WITH THE EXCEPTION OF EX-OFFICIO DIRECTORS. AT LEAST SIXTY (60) DAYS IN ADVANCE OF THIS MEETING, HIGHLANDS HOSPITAL SHALL PROVIDE TO PHH'S GOVERNANCE/NOMINATING COMMITTEE (THE PHH GOVERNANCE/NOMINATING COMMITTEE) A LIST OF ONE OR MORE CANDIDATES (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION) FOR EACH EXPIRING DIRECTOR POSITION, WITH THE EXCEPTION OF ANY EX-OFFICIO DIRECTORS. THE LIST OF CANDIDATES SHALL HAVE BEEN DEVELOPED BY HIGHLANDS HOSPITAL IN CONSULTATION WITH THIS ORGANIZATION'S BOARD. THE PHH GOVERNANCE/NOMINATING COMMITTEE SHALL REVIEW EACH CANDIDATE IN ACCORDANCE WITH THE CRITERIA SET FORTH IN THE PHH BYLAWS, THE CRITERIA, IF ANY, SET FORTH IN THIS ORGANIZATION'S BYLAWS OR POLICIES FOR WHICH SAID CANDIDATE IS BEING CONSIDERED FOR BOARD SERVICE, AND THE POLICIES AND RULES OF PHH, INCLUDING, WITHOUT LIMITATION, THE CONFLICT OF INTEREST POLICY (ALL OF WHICH SHALL BE REFERRED TO COLLECTIVELY HEREIN AS THE ELIGIBILITY CRITERIA) AND DEVELOP A LIST OF ONE OR MORE CANDIDATES FOR EACH OPEN POSITION (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION). ONCE THE SLATE OF CANDIDATES IS NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE, THE BOARD OF HIGHLAND HOSPITAL SHALL SUBMIT TO THE PHH BOARD FOR ELECTION SUCH SLATE OF CANDIDATES FOR THE OPEN BOARD POSITIONS. THE PHH BOARD MAY ELECT BY A VOTE OF THE MAJORITY OR REFUSE TO ELECT EACH CANDIDATE SUBMITTED BY THE BOARD OF HIGHLANDS HOSPITAL AND MAY NOT ELECT ANY CANDIDATE NOT SUBMITTED BY THE BOARD OF HIGHLANDS HOSPITAL AND NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE. THE BOARD OF PHH HAS THE POWER TO REMOVE SUCH DIRECTOR AT ANY TIME WITH OR WITHOUT CAUSE. IN THE EVENT THAT THIS ORGANIZATION DESIRES TO FILL A VACANCY OCCURRING ON ITS BOARD, THE PHH GOVERNANCE/NOMINATING COMMITTEE AND THE BOARD OF PHH, AT THE REQUEST OF HIGHLANDS HOSPITAL, SHALL ACT TO FILL SUCH VACANCY. SUBJECT TO THE APPROVAL OF PHH AS SET FORTH IN THE BYLAWS, THE ARTICLES AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS OR ARTICLES MAY BE ADOPTED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE BOARD. WRITTEN NOTICE OF THE INTENT TO AMEND THE BYLAWS OR THE ARTICLES AND A DRAFT OF THE PROPOSED CHANGE SHALL BE SENT TO ALL DIRECTORS, BY THE SECRETARY, AT LEAST FIVE (5) DAYS PRIOR TO ANY MEETING AT WHICH AMENDMENT OF THE BYLAWS OR THE ARTICLES IS INTENDED. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: 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. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY THE TREASURER. THE RETURN IN THE FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 TO REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: PENN HIGHLANDS HEALTHCARE, INC. (PHH), MAINTAINS A CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL SUBSIDIARIES. THE CONFLICT OF INTEREST POLICY APPLIES TO BOARD MEMBERS, OFFICERS, EXECUTIVE EMPLOYEES, AND ANY OTHER MANAGER OR SUPERVISOR EXERCISING SUBSTANTIAL INFLUENCE OVER OPERATIONS. EACH COVERED PERSON WILL PROMPTLY AND FULLY DISCLOSE ALL MATERIAL FACTS OF EVERY ACTUAL OR POTENTIAL DUAL INTEREST EXISTING AT THE TIME WHEN HE/SHE BECOMES A COVERED PERSON, AND ANNUALLY THROUGH EACH PHH SYSTEM ENTITY'S DISCLOSURE STATEMENT, WHICH REQUESTS DISCLOSURE OF RELATIONSHIPS, INVESTMENTS, AND TRANSACTIONS THAT MAY LEAD TO AN ACTUAL CONFLICT OF INTEREST. ALL COMPLETED DISCLOSURE STATEMENTS WILL BE PROVIDED TO THE PHH GOVERNANCE/NOMINATING COMMITTEE. THIS COMMITTEE, IN CONSULTATION WITH THE CHAIRPERSON OR VICE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD, SHALL EVALUATE THE COMPLETED DISCLOSURE STATEMENTS AND DETERMINE IF THERE ARE ANY CONFLICTS THAT ARE SO PERVASIVE AS TO RENDER ANY COVERED PERSON INELIGIBLE FOR SERVICE. THE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD WILL DISCLOSE TO THE FULL BOARD OF SAID PHH SYSTEM ENTITY ALL DUAL INTERESTS REPORTED TO HIM OR HER UNDER THE POLICY AND WILL ALSO MAKE THE DISCLOSURE STATEMENTS OF ALL COVERED PERSONS AVAILABLE TO DIRECTORS AT ANY TIME DURING THE YEAR. IF A POTENTIAL DUAL INTEREST ARISES AS A RESULT OF A CONTEMPLATED PHH SYSTEM ENTITY BOARD (OR COMMITTEE) ACTION, THE CHAIRPERSON OF SAID PHH SYSTEM ENTITY'S BOARD OR THE INTERESTED PERSON SHALL, OR ANY OTHER DIRECTOR MAY, RAISE THE QUESTION OF THE INTERESTED PERSON'S DUAL INTEREST. THE DISINTERESTED MEMBERS OF THE PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION, ARRANGEMENT, OR POLICY GIVING RISE TO THE DUAL INTEREST TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION, ARRANGEMENT, OR POLICY. A COVERED PERSON WHO HAS A DUAL INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE A PRESENTATION TO SAID BOARD (OR COMMITTEE), TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. IF A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE DETERMINES THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON SHALL BE SO ADVISED AND THE CHAIRPERSON OF A PHH SYSTEM ENTITY'S BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE OR DIRECT MANAGEMENT TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, IF THIS HAS NOT ALREADY BEEN DONE. ANY INTERESTED PERSON WHO HAS AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING ANY SUCH TRANSACTION OR ARRANGEMENT. IF AN INDIVIDUAL WHOSE COMPANY OR EMPLOYER HAS A BUSINESS RELATIONSHIP WITH A PHH SYSTEM ENTITY, BUT THE INDIVIDUAL DOES NOT HAVE AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THIS BUSINESS RELATIONSHIP, THE INDIVIDUAL MAY NONETHELESS VOLUNTARILY RECUSE HIM/HERSELF FROM VOTING ON ANY MATTERS RELATED TO THE RELATIONSHIP. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION DETERMINATION: THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND APPROVES THE COMPENSATION OF THEIR ORGANIZATION'S TOP MANAGEMENT AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: THE HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. THE HOSPITAL DOES MAKE ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 5,672,411 FAIR VALUE SET UP IN FIXED ASSETS (1,482,000) GOODWILL ACCRUAL TO ACTUAL ADJUSTMENT ( 700,315) MoA MODERNIZATION ACCRUAL TO ACTUAL ADJUSTMENT ( 42,863) CHILD DEVELOPMENT ACCRUAL TO ACTUAL ADJUSTMENT 6,098,298 OTHER CHANGES RELATED TO DEFINED BENEFIT PENSION PLAN ------------ $ 9,545,531 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:5982020 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:1763535 FORM 990 PART IX LINE 11G DESCRIPTION:ASSESSMENT FEE TOTAL FEES:635851 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY HELP TOTAL FEES:486664 FORM 990 PART IX LINE 11G DESCRIPTION:MARKETING SERVICES TOTAL FEES:5849 HIGHLANDS HOSPITAL FOUNDATION 401 E MURPHY AVE CONNELLSVILLE PA 15425 843713870 FUNDRAISING PA FUNDRAISING 12 A I HIGHLANDS HO true JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 231352159 HOSPITAL PA 501(C)(3) 3 PHH false JC BLAIR MEMORIAL HOSPITAL FOUNDATION 935 14TH STREET HUNTINGDON PA 16652 251881377 SUPPORT HOSP PA 501(C)(3) 12 A I PHH false PENN HIGHLANDS HEALTHCARE PO BOX 447 DUBOIS PA 15801 320345810 MGMT SERVICES PA 501(C)(3) 12 C III-FI NA false DUBOIS REGIONAL MEDICAL CENTER 100 HOSPITAL AVENUE DUBOIS PA 15801 251490707 HOSPITAL PA 501(C)(3) 3 PHH false BROOKVILLE HOSPITAL 100 HOSPITAL ROAD BROOKVILLE PA 15825 250984595 HOSPITAL PA 501(C)(3) 3 PHH false CLEARFIELD HOSPITAL 809 TURNPIKE DR CLEARFIELD PA 16830 250979346 HOSPITAL PA 501(C)(3) 3 PHH false ELK REGIONAL HEALTH CARE 763 JOHNSONBURG RD ST MARYS PA 15857 250585280 HOSPITAL PA 501(C)(3) 3 PHH false CLEAR-MED PROVIDER CORPORATION PO BOX 1260 CLEARFIELD PA 16830 251657668 PHYSICIAN SVC PA 501(C)(3) 3 PHH false DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVENUE DUBOIS PA 15801 256332829 BENEFIT TRUST PA 501(C)(9) DRMC false COMMUNITY NURSES HOME HEALTH AND HOSPICE 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 250996070 HEALTH CARE PA 501(C)(3) 10 CNI false COMMUNITY NURSES HOME SUPPORT SERVICES 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623601 HEALTH CARE PA 501(C)(3) 10 CNI false COMMUNITY NURSES INC 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623598 HEALTH CARE PA 501(C)(3) 10 PHH false ELCO HOUSING 759 JOHNSONBURG ROAD ST MARYS PA 15857 251639115 HOUSING PA 501(C)(3) 12 A I PHH false ELK REGIONAL PROFESSIONAL GROUP INC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251875183 HEALTH CARE PA 501(C)(3) 3 PHH false DRMC WORKERS COMPENSATION TRUST PO BOX 447 DUBOIS PA 15801 251741497 SUPPORT PA 501(C)(3) 12 B II DRMC false JEFFCO HEALTH SERVICES INC 417 ROUTE 28 BROOKVILLE PA 15825 251505478 NURSING HOME PA 501(C)(3) 10 BROOKVILLE false PENN HIGHLANDS TYRONE 187 HOSPITAL DR TYRONE PA 15853 231440116 HOSPITAL PA 501(C)(3) 3 PHH false HELPMATES INC 757 JOHNSONBURG ROAD ST MARYS PA 15857 251555968 HEALTH CARE PA 501(C)(3) 10 CNI false TYRONE REGIONAL HEALTH NETWORK FOUNDATIO 187 HOSPITAL DRIVE TYRONE PA 16686 814504606 SUPPORT PA 501(C)(3) 12 A I PH TYRONE false WRC HEALTH CARE SUPPORT SERVICES 985 ROUTE 28 BROOKVILLE PA 15825 251601734 HEALTH CARE PA 501(C)(3) 10 WRC SR SRVCS false WRC SENIOR SERVICES 985 ROUTE 28 BROOKVILLE PA 15825 251552925 HEALTH CARE PA 501(C)(3) 10 DRMC false WRC NORTH FORK HEIGHTS 985 ROUTE 28 BROOKVILLE PA 15825 251684846 HEALTH CARE PA 501(C)(3) 10 WRC SR SRVCS false WRC PENNSYLVANIA MEMORIAL HOME 985 ROUTE 28 BROOKVILLE PA 15825 250718600 HEALTH CARE PA 501(C)(3) 10 WRC SR SRVCS false WRC SUPPORTIVE LIVING 985 ROUTE 28 BROOKVILLE PA 15825 251605893 HEALTH CARE PA 501(C)(3) 10 WRC SR SRVCS false MONONGAHELA VALLEY HOSPITAL FOUNDATION 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 825336533 FUNDRAISING PA 501(C)(3) 12 B II PHH false MONONGAHELA VALLEY HOSPITAL INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 237218917 HOSPITAL PA 501(C)(3) 3 PHH false CLEARFIELD EMS 713 W FRONT ST CLEARFIELD PA 16830 251672659 EMS SERVICES PA 501(C)(3) 10 PHH false BENNETTS VALLEY PHARMACY PO BOX 112 ST MARYS PA 15857 251601794 PHARMACY PA NA S CORP false E NICHOLSON PHARMACY 265 ALLEGHENY BLVD BROOKVILLE PA 15825 473117408 PHARMACY PA NA S CORP false DUBOIS MEDICAL SUPPLY PO BOX 263 DUBOIS PA 15801 241417990 MED SUPPLY PA NA S CORP false PREMIER HEALTH CARE STAFFING INC 100 HOSPITAL AVE DUBOIS PA 15801 874757426 STAFFING SRVCS PA NA C CORP false false false false false false false false false false false false false false false false false false false false