2023-05-15T16:14:50-05:00 2022-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2021-07-01 250718600 WRC PENNSYLVANIA MEMORIAL HOME % JESSICA PARK WRCP 8148491205 985 ROUTE 28 BROOKVILLE PA 15825 GREGORY P BAUER CHIEF BUSINESS DEVEL 8148491205 2022-11-15 true BARBARA SEPICH 999009999 Brian D Todd P00422601 4178658701 2021 2023-04-26 12:10:37Z SEE SCHEDULE O GREGORY P BAUER 985 ROUTE 28 BROOKVILLE PA 15825 13584065 false X WWW.WRC.ORG X 1890 PA WRC PENNSYLVANIA MEMORIAL HOME PROVIDES NURSING CARE FOR THE ELDERLY, INCLUDING SKILLED NURSING CARE AND THERAPY SERVICES, PERSONAL CARE, AND INDEPENDENT LIVING. 9 6 445 12 0 0 3785810 28049 12499704 13242849 316911 313167 149780 0 16752205 13584065 0 0 0 0 7133011 5812736 0 0 0 8924336 10211817 16057347 16024553 694858 -2440488 33190698 36509042 33609061 33635564 -418363 2873478 WRC PENNSYLVANIA MEMORIAL HOME'S MISSION IS TO PROVIDE CHOICES FOR GENERATIONS. BUILT ON A NOT-FOR-PROFIT FOUNDATION OF CARING, THE ORGANIZATION OFFERS RESIDENTIAL AND PERSONAL CARE, HOME AND COMMUNITY-BASED SERVICES, SKILLED AND REHABILITATIVE HEALTH CARE. false false 13535619 13242849 CARE AND SERVICES FOR THE ELDERLY, CONSISTING OF: SKILLED NURSING AND THERAPY AT MCKINLEY HEALTH CENTER, A 90-BED NURSING FACILITY; PERSONAL CARE AT LAURELBROOKE, A 50-BED FACILITY; EDGEWOOD HEIGHTS A 40-BED FACILITY; RIDGMONT, A 40-BED FACILITY; HIGHLAND OAKS AT WATER RUN, A 60-BED FACILITY; INDEPENDENT LIVING AT THE LAURELS, 19-UNIT CARRIAGE HOME COMMUNITY AND THE VILLAS AT WATER RUN, A 9-UNIT RESIDENTIAL COMMUNITY. 13535619 true false false false false false false false false false true false false false true false false true false false true false false false false false false false false true false false false false false false false false false false false false false true false false false true 24 0 true 445 true false false false false false false false false false false false false X 9 6 false false true false true true true true true false false true true true true true true false false false PA X JESSICA PARK 8148491205 985 ROUTE 28 BROOKVILLE PA 15825 X DR RUSSELL CAMERON DIRECTOR/CMIO BEG 1/22 0.25 40.0 X 0 557133 28043 MARK NORMAN DIRECTOR/COO BEG 1/22 0.25 40.0 X 0 501599 27769 GREG BAUER DIRECTOR/CBDO BEG 1/22 1.0 40.0 X X 0 296215 29725 BARBARA SEPICH CEO 8.0 32.0 X 0 229701 11985 DOUGLAS WRIGHT VP/CAO 8.0 32.0 X 0 150920 11528 MARGARET CLARK VP/CHIEF CLINICAL & QUALITY OF 8.0 32.0 X 0 99137 27631 TRAVIS MILLENDER ADMINISTRATOR 40.0 0.0 X 101529 0 0 DR BRUCE PIERSON CHAIRMAN 0.25 0.75 X X 0 0 0 SCOTT BURNS DIRECTOR/VICE CHAIR BEG 1/22 0.25 0.75 X X 0 0 0 JAY CHAMBERLIN TREASURER 0.25 0.75 X X 0 0 0 HEIDI DENNISON CHAIR ELECT/SECRETARY BEG 1/22 0.25 0.75 X X 0 0 0 JIM DIETRICH DIRECTOR 0.25 0.75 X 0 0 0 MATTHEW OCHS DIRECTOR 0.25 0.75 X 0 0 0 JUDY BRADY DIRECTOR END 12/21 0.25 0.75 X 0 0 0 CINDY RUSSELL DIRECTOR END 12/21 0.25 0.75 X 0 0 0 BETH GERG DIRECTOR END 12/21 0.25 0.75 X 0 0 0 JANICE GRUNEWALD DIRECTOR END 12/21 0.25 0.75 X 0 0 0 PATTY HURD DIRECTOR END 12/21 0.25 0.75 X 0 0 0 RICK TOTE DIRECTOR END 12/21 0.25 0.75 X 0 0 0 101529 1834705 136681 1 false true false SYMBRIA REHAB 28100 TORCH PARKWAY WARRENVILLE IL 60555 REHAB SERVICES 613000 COMPASSIONATE CARE NURSING 21 OLLIE LN DUBOIS PA 15801 AGENCY STAFFING 496705 NATIONAL HEALTHCARE 50 MAHONING ST SUITE 100 DUBOIS PA 15801 AGENCY STAFFING 354414 PHARMERICA PO BOX 409251 ATLANTA GA 303849251 PHARMACY SERVICES 349030 4 28049 28049 NET RESIDENT SERVICE REVENUE 623000 12327029 12327029 OTHER REVENUE 900099 888072 888072 CAFE 900099 27748 27748 13242849 83419 83419 0 0 0 0 0 229748 229748 229748 229748 0 0 0 0 0 0 0 0 0 0 13584065 13242849 313167 X 0 0 0 0 0 0 4885911 4487739 398172 16157 14840 1317 550537 505672 44865 360131 330783 29348 1417872 1417872 8287 8287 3878 3878 0 0 0 3894723 3577327 317396 0 272463 250259 22204 21578 19820 1758 0 711382 653409 57973 2142 1967 175 0 5905 5424 481 567052 520841 46211 0 1307812 1201233 106579 196396 180391 16005 RESIDENTIAL SERVICES EXPENSE 971325 971325 FOOD EXPENSE 629597 629597 REPAIRS AND MAINTENANCE 145032 133213 11819 LICENSES, DUES, SUBSCRIPTIONS 56373 51779 4594 16024553 13535619 2488934 0 1118873 479911 363276 1026228 0 0 2877855 1208216 0 0 0 0 0 0 27305 28505 249816 1829 29941317 1277014 22492902 28664303 0 3737433 4851575 0 0 137874 0 0 1209096 1224743 33190698 36509042 3107718 2850507 0 0 25000 0 0 0 0 0 0 0 20502192 19447725 0 0 9974151 11337332 33609061 33635564 X -721423 2410610 303060 462868 -418363 2873478 33190698 36509042 X -2440488 -756442 1489044 4999727 X false true X true false X 124909 175150 4692 3785810 28049 4118610 14281635 15055009 13699294 12499704 13242849 68778491 0 0 0 14406544 15230159 13703986 16285514 13270898 72897101 0 0 0 72897101 311647 501589 469522 85774 83419 1451951 0 311647 501589 469522 85774 83419 1451951 0 486021 401227 609357 149780 1646385 15204212 16132975 14782865 16521068 13354317 75995437 0.95923 0.94910 0.01911 0.01780 X 7509090 750090 20718989 855277 19863712 5479884 343743 5136141 2992354 77994 2914360 28664303 0 REFUNDABLE FEES 4205689 DUE TO AFFILIATE 7131643 11337332 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 POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Central America and the Caribbean 0 0 Investments 137874 0 0 0 0 137874 137874 false false false false false false false false false false false false false false false BARBARA SEPICH CEO 0 229701 0 0 0 0 0 2310 0 9675 0 241686 0 0 DOUGLAS WRIGHT VP/CAO 0 150920 0 0 0 0 0 1562 0 9966 0 162448 0 0 DR RUSSELL CAMERON DIRECTOR/CMIO BEG 1/22 0 475722 0 81411 0 0 0 0 0 28043 0 585176 0 0 GREG BAUER DIRECTOR/CBDO BEG 1/22 0 264834 0 31381 0 0 0 0 0 29725 0 325940 0 0 MARK NORMAN DIRECTOR/COO BEG 1/22 0 410036 0 91563 0 0 0 0 0 27769 0 529368 0 0 SCHEDULE J, PART I, LINE 3 CEO COMPENSATION: WRC PENNSYLVANIA MEMORIAL HOME'S TOP MANAGEMENT OFFICIAL IS PAID BY WRC SENIOR SERVICES. WRC SENIOR SERVICES USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - FORM 990 OF OTHER ORGANIZATION - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PAGE 1, SECTION C DOING BUSINESS AS: WRC PENNSYLVANIA MEMORIAL HOME DOES BUSINESS AS CLIFTON MCKINLEY HEALTH CENTER, THE LAURELS, HIGHLAND OAK AT WATER RUN, EDGEWOOD HEIGHTS, LAURELBROOKE PERSONAL CARE, AND RIDGEMONT. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: WRC PENNSYLVANIA MEMORIAL HOME AMENDED ITS BYLAWS WHEN THE ORGANIZATION MERGED WITH PENN HIGHLANDS HEALTHCARE (PHH). THE SIGNIFICANT CHANGES MADE TO THE BYLAWS INCLUDE THE FOLLOWING: - ARTICLE II: SOLE/MEMBER RESERVED POWERS WERE ADDED AND INCLUDES CERTAIN POWERS RESERVED FOR THE MEMBERS, PENN HIGHLANDS HEALTHCARE AND PENN HIGHLANDS DUBOIS. 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 WRC PENNSYLVANIA MEMORIAL HOME 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 WRC SENIOR SERVICES WAS REMOVED. THIS WILL BE A FUNCTION OF THE PENN HIGHLANDS HEALTHCARE AUDIT COMMITTEE. - ARTICLE VII: WRC PENNSYLVANIA MEMORIAL HOME IS NOW SUBJECT TO PENN HIGHLANDS HEALTHCARE SYSTEM WIDE PROGRAMS, INCLUDING THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B MEMBERS: THE SOLE MEMBER OF WRC PENNSYLVANIA MEMORIAL HOME IS WRC SENIOR SERVICES, PENN HIGHLANDS HEALTHCARE, AND PENN HIGHLANDS DUBOIS, AND WRC SENIOR SERVICES SHALL HAVE CERTAIN RESERVED POWERS WITH RESPECT TO THIS CORPORATION, INCLUDING THE APPROVAL OF THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND APPROVAL OF ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATION/GOVERNANCE DOCUMENTS. PENN HIGHLANDS DUBOIS IS RESPONSIBLE FOR DEVELOPING, IMPLEMENTING, AND OVERSEEING COMPLIANCE WITH THE BOARD ORIENTATION PROCESS. 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 MANAGEMENT OF THE ORGANIZATION. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE: WRC PENNSYLVANIA MEMORIAL HOME ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES TO FILL OUT A CONFLICTS OF INTEREST FORM. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION DETERMINATION: WRC SENIOR SERVICES, A RELATED ORGANIZATION, BOARD OF DIRECTOR'S ANNUALLY REVIEWS AND APPROVES THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT. THE ORGANIZATION USES COMPARABILITY DATA. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: AT THIS TIME, WRC PENNSYLVANIA MEMORIAL HOME DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENT AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO DIRECTORS RECEIVE ANY COMPENSATION FOR THEIR DIRECTOR DUTIES. MARK NORMAN IS COMPENSATED AS CHIEF OPERATING OFFICER OF THE PENN HIGHLANDS HEALTHCARE SYSTEM. DR. RUSSELL CAMERON IS COMPENSATED AS CHIEF MEDICAL INFORMATION OFFICER OF THE PENN HIGHLANDS HEALTHCARE SYSTEM. GREG BAUER IS COMPENSATED AS CHIEF BUSINESS DEVELOPMENT OFFICER OF THE PENN HIGHLANDS HEALTHCARE SYSTEM. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 3,908,145 FIXED ASSET VALUATION ADJUSTMENT 1,091,582 ACCOUNTS RECEIVABLE VALUATION ADJUSTMENT ----------- 4,999,727 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:3603344 FORM 990 PART IX LINE 11G DESCRIPTION:MARKETING SERVICES TOTAL FEES:103662 FORM 990 PART IX LINE 11G DESCRIPTION:DIRECTOR SERVICES TOTAL FEES:85500 FORM 990 PART IX LINE 11G DESCRIPTION:PAYROLL FEES TOTAL FEES:61182 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANTS TOTAL FEES:26661 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:14374 DUBOIS REGIONAL MEDICAL CENTER 100 HOSPITAL AVENUE DUBOIS MD 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 DRMC false CLEARFIELD HOSPITAL 809 TURNPIKE DR CLEARFIELD PA 16830 250979346 HOSPITAL PA 501(C)(3) 3 PHH false ELK REGIONAL HEALTH CENTER 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 PA 501(C)(3) 3 PHH false DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVENUE DUBOIS PA 15801 256332829 BENEFIT PLAN PA 201(C)(9) PHH 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 HALTH CARE PA 501(C)(3) 3 PHH false PENN HIGHLANDS HEALTHCARE PO BOX 447 DUBOIS PA 15801 320345810 MGMT SRVCS PA 501(C)(3) 12 III-FI NA false 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 PA 501(C)(3) 12 A I PHH false DRMC WORKERS COMPENSATION TRUST PO BOX 447 DUBOIS PA 15801 251741497 SUPPORT PA 501(C)(3) 12 B II DRMC false PENN HIGHLANDS TYRONE 187 HOSPITAL DRIVE TYRONE PA 16686 231440116 HOSPITAL PA 501(C)(3) 3 PHH false HELPMATES INC 757 JOHNSONBURG RD 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 HIGHLANDS HOSPITAL 401 EAST MURPHY AVENUE CONNELLSVILLE PA 15425 251494705 HOSPITAL PA 501(C)(3) 3 PHH false HIGHLANDS HOSPITAL FOUNDATION 401 EAST MURPHY AVENUE CONNELLSVILLE PA 15425 843713870 SUPPORT HOSP PA 501(C)(3) 12 A I PHH 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 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 JEFFCO HEALTH SERVICES INC 417 ROUTE 28 BROOKVILLE PA 15825 251505478 HEALTH CARE PA 501(C)(3) 10 BROOKVILLE false CLEARFIELD EMS 713 W FRONT ST CLEARFIELD PA 16830 251672659 EMS SERVICES PA 501(C)(3) 10 PHH false BENNETTS VALLEY PHARMACY INC 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 251417990 MED SUPPLY PA NA S CORP false false false false false false false false false false false false false true false true false false true true