2021-05-03T10:55:27-05:00 2020-06-30 550486667 ARNETT CARBIS TOOTHMAN LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2019-07-01 251494705 HIGHLANDS HOSPITAL HIGH 7246281500 401 EAST MURPHY AVENUE CONNELLSVILLE PA 15425 JOHN ANDURSKY CPA CEO 7246281500 2021-05-03 1 KELLY A BROCIOUS CPA P01254262 4126356270 2021-05-03 2019 2022-09-23 18:48:47Z JOHN ANDURSKY CPA 401 EAST MURPHY AVENUE CONNELLSVILLE PA 15425 26249026 0 X WWW.HIGHLANDSHOSPITAL.ORG X 1985 PA THE HOSPITAL SERVES THE HEALTHCARE NEEDS OF THE COMMUNITY AND SURROUNDING AREAS 11 10 472 50 0 0 1840664 948835 27866589 24308466 267984 115531 323746 858229 30298983 26231061 0 0 0 0 15085844 16250696 0 0 0 16663132 16232252 31748976 32482948 -1449993 -6251887 16976749 14556199 21296803 28405952 -4320054 -13849753 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. 0 0 27169806 25159842 THE HOSPITAL SERVED THE HEALTHCARE NEEDS OF THE COMMUNITY AND SURROUNDING AREAS WITH 1,183 ADMISSIONS, 7,992 PATIENT DAYS, 69,226 OUTPATIENT VISITS, AND 9,390 EMERGENCY ROOM VISITS. THE HOSPITAL PROVIDED A SIGNIFICANT AMOUNT OF HEALTHCARE TO THE INDIGENT AND LOW INCOME INDIVIDUALS REGARDLESS OF THE ABILITY TO PAY. 27169806 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 71 0 472 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 PA X JOHN ANDURSKY CPA 7246262359 401 EAST MURPHY AVENUE CONNELLSVILLE PA 15425 JOHN ANDURSKY PRESIDENT & CEO 40.00 X X 197656 0 31625 MICHAEL A JORDAN CHAIRMAN 2.00 X X 0 0 0 LAWRENCE KIEFER VICE CHAIRMAN 2.00 X X 0 0 0 FLOYD HUGGINS TREASURER 2.00 X X 0 0 0 KAREN MARKO SECRETARY 2.00 X X 0 0 0 PAUL MEANS DO DIRECTOR 2.00 X 0 0 0 DEANNA SHERBONDY DIRECTOR 2.00 X 0 0 0 RICHARD GRIMALDI DIRECTOR 2.00 X 0 0 0 GERALD BROWELL DIRECTOR 2.00 X 0 0 0 JOHN FIESTA DIRECTOR 2.00 X 0 0 0 BRUCE JAYNES DIRECTOR 2.00 X 0 0 0 RYANN BRADLEY CFO 40.00 X 0 0 0 GINA CANADA DO FAMILY PRACTICE PHYSICIAN 40.00 X 151615 0 6065 GILBERT PEREZ MD FAMILY PRACTICE PHYSICIAN 40.00 X 146580 0 15391 TRACY POPEY MD ORTHOPEDIC SURGEON 40.00 X 265252 0 29178 MARY JANE KROSOFF CHIEF HR OFFICER 40.00 X 110484 0 18783 CIMENGA TSHIBAKA MD GENERAL SURGEON 40.00 X 213492 0 23484 1085079 0 124526 7 0 1 0 SELECT TOXICOLOGY LAB STL LLC PO BOX 186 MANNING SC 29102 LAB TESTING 750292 RYAN J WAKIM PLLC 1115 SRAY LANE BRIDGEVILLE PA 15017 PSYCHIATRY DOCTOR 629917 EMERGENCY SOLUTIONS INC 4000 HAMPTON CENTER SUITE B MORGANTOWN WV 26505 EMERGENCY ROOM DOCTORS 549000 BPW MEDICAL ASSOCIATES 265 SCOTT HAVEN ROAD SUTERSVILLE PA 15083 ANESTHESIOLOGIST 464240 SUMMIT DIAGNOSTICS LLC 88 STILES ROAD SUITE 103 SALEM NH 03079 TOXICOLOGY TESTING CONTRACTOR 380000 13 31646 917189 948835 PATIENT REVENUE 900099 24308466 24308466 24308466 14000 0 14000 14000 14000 110531 5000 0 0 110531 5000 115531 115531 10818 31646 17965 -7147 -7147 MISCELLANEOUS REVENUE 900099 755116 755116 CAFETERIA & SNACK BAR 900099 72619 72619 MEDICAL RECORDS INCOME 900099 23641 23641 851376 26231061 25159842 0 122384 12970636 10726536 2244100 275510 227843 47667 2063846 1706772 357074 940704 777949 162755 60558 60558 208018 208018 188507 188507 254815 72343 182472 284621 284621 1230512 1169839 60673 8670 8670 327262 245447 81815 1079406 809555 269851 554913 416185 138728 PURCHASED SERVICES 5348505 5011740 336765 BAD DEBT 2262476 1696857 565619 MEDICAL SUPPLIES 1517536 1517536 PHYSICIAN FEES 1486828 1486828 1419625 1295706 123919 32482948 27169806 5313142 0 3135 475294 9 110552 4468028 1767058 218792 233854 252914 236939 33234365 23787771 9056899 9446594 924169 794408 28500 9500 2024303 1482000 16976749 14556199 8417102 9293308 135949 95553 5077053 5791766 7666699 13225325 21296803 28405952 X -5167055 -14508179 847001 658426 -4320054 -13849753 16976749 14556199 X -6251887 -89157 -3188655 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 900 900 0 PART II-B, LINE 1: A PORTION OF HIGHLAND HOSPITAL'S DUES TO HEALTHCARE COUNCIL OF WESTERN PENNSYLVANIA ARE USED FOR LOBBYING. 197411 197411 16154689 10475748 5678941 184892 105684 79208 16227774 12916072 3311702 469599 290267 179332 9446594 ASSETS LIMITED AS TO USE 794408 F 794408 GOODWILL 1482000 1482000 ACCRUED PENSION COSTS 10132360 ESTIMATED THIRD PARTY SETTLEMENTS 24965 PAYCHECK PROTECTION LOAN 3068000 13225325 X 23836380 -89157 46625 -42532 23878912 2352149 2352149 26231061 30257951 37479 37479 30220472 2262476 2262476 32482948 PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND HAS BEEN RECOGNIZED AS TAX EXEMPT UNDER SECTION 501(A) OF THE CODE. THE HOSPITAL FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANYS FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN PROFESSIONAL FEES AND MISCELLANEOUS EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF OPERATIONS OR CHANGES IN NET ASSETS (DEFICIT) AS A RESULT OF THIS GUIDANCE. GENERALLY, TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2017, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 17,965. NET ASSETS RELEASED FROM RESTRICTION 9,146. PERIODIC PENSION BENEFITS 19,514. PART XI, LINE 4B - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED CONTRIBUTIONS 89,673. BAD DEBT EXPENSE 2,262,476. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 17,965. PERIODIC PENSION BENEFITS 19,514. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,262,476. GOLF OUTING 42464 31646 10818 6202 10818 945 42464 31646 10818 6202 10818 945 17965 -7147 1 1 1 X 1 X 1 1 0 1 1 583325 583325 0.01930 10566150 9390499 1175651 0.03890 11149475 9390499 1758976 0.05820 7803 7803 0.00030 5849258 3959832 1889426 0.06250 5857061 3959832 1897229 0.06280 17006536 13350331 3656205 0.12100 0 2262476 2063827 1998887 64940 X 1 1 1 1 HIGHLANDS HOSPITAL 401 E MURPHY AVE CONNELLSVILLE PA 15425 WWW.HIGHLANDSHOSPITAL.ORG 37301 X X X HIGHLANDS HOSPITAL 1 0 0 1 X X X X X X X X 18 1 0 0 1 X WWW.HIGHLANDSHOSPITAL.ORG/ABOUT-US/COMMUNITYNEEDS X 1 18 1 WWW.HIGHLANDSHOSPITAL.ORG/ABOUT-US/COMMUNITYNEEDS 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X WWW.HIGHLANDSHOSPITAL.ORG/GENERAL-INFORMATION/CHARITY-CARE X WWW.HIGHLANDSHOSPITAL.ORG/GENERAL-INFORMATION/CHARITY-CARE X WWW.HIGHLANDSHOSPITAL.ORG/GENERAL-INFORMATION/CHARITY-CARE X X X 1 X 0 1 X 0 0 HIGHLANDS HOSPITAL PART V, SECTION B, LINE 5: TO GUIDE THIS ASSESSMENT, 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 PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS, AND INTERNAL PROGRAM MANAGERS. THE HIGHLANDS HOSPITAL STEERING COMMITTEE MET TWO TIMES BETWEEN FEBRUARY 2018 AND MAY 2018 TO PROVIDE GUIDANCE ON THE VARIOUS COMPONENTS OF THE CHNA. INTERCEPT SURVEYS THE CHNA LEADERSHIP AT HIGHLANDS HOSPITAL IDENTIFIED GROUPS THAT WOULD BE APPROPRIATE TO CONDUCT INTERCEPT SURVEYS. SOME WERE COMPLETED AS ONE-ON-ONE CONVERSATIONS WHILE OTHERS WERE FILLED OUT BY THE RESPONDENTS AND TURNED IN. STRATEGY SOLUTIONS, INC. WORKED WITH HIGHLANDS HOSPITAL TO DEVELOP THE INTERCEPT SURVEY QUESTIONNAIRE AND CREATE AN ONLINE DATA COLLECTION TOOL. HIGHLANDS HOSPITAL STAFF SCHEDULED AND CONDUCTED THE INTERCEPT SURVEYS. A TOTAL OF THREE GROUPS WERE GIVEN THE INTERCEPT SURVEY, AS SEEN IN TABLE 2, WITH A TOTAL OF 43 INDIVIDUALS PARTICIPATING.STAKEHOLDER INTERVIEWS THE CHNA LEADERSHIP AT HIGHLANDS HOSPITAL IDENTIFIED KEY COMMUNITY STAKEHOLDERS TO PARTICIPATE IN A ONE-ON-ONE STAKEHOLDER INTERVIEW. STRATEGY SOLUTIONS, INC. DEVELOPED THE STAKEHOLDER INTERVIEW GUIDE AND CREATED AN ONLINE DATA COLLECTION TOOL. HIGHLANDS HOSPITAL STAFF SCHEDULED AND CONDUCTED THE INTERVIEWS AND ENTERED THE DATA INTO THE ONLINE COLLECTION TOOL. AS SHOWN IN TABLE 3, A TOTAL OF NINE STAKEHOLDER INTERVIEWS WERE COMPLETED.COMMUNITY SURVEY THE CHNA LEADERSHIP AT HIGHLANDS HOSPITAL REVIEWED THE COMMUNITY SURVEY USED IN THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT AND DETERMINED THAT THE QUESTIONS WERE STILL RELEVANT. STRATEGY SOLUTIONS, INC. CREATED AN ONLINE AND PAPER VERSION OF THE COMMUNITY SURVEY. STRATEGY SOLUTIONS DEVELOPED A UNIQUE WEBLINK THAT WAS SHARED WITH THE HIGHLANDS CHNA LEADERSHIP AND THEN DISTRIBUTED TO THE COMMUNITY AT LARGE. THE SURVEY LINK WENT "LIVE" ON FEBRUARY 20, 2018 AND REMAINED OPEN UNTIL MAY 1, 2018. A TOTAL OF 293 SURVEYS WERE COMPLETED AND INCLUDED IN THE ANALYSIS. HIGHLANDS HOSPITAL PART V, SECTION B, LINE 11: HIGHLANDS HOSPITALS DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED THROUGH ITS CHNA. AS WITH MOST HEATH CARE FACILITIES, HIGHLANDS HOSPITAL HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES IDENTIFIED IN THE CHNA. PART V, SECTION B, LINE 2 THE CHNA WAS LAST CONDUCTED DURING THE ORGANIZATION'S 2018 TAX YEAR, WHICH IS EQUVIALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2019. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR. 8 1 - HIGHLANDS HOSPITAL REGIONAL CENTER FOR A 323 BREAKNECK ROAD CONNELLSVILLE PA 15425 SCHOOL FOR AUTISTIC CHILDREN 2 - CONNELLSVILLE MRI 2616A MEMORIAL BLVD CONNELLSVILLE PA 15425 MRI SCANNING 3 - HIGHLANDS HOSPITAL DIABETES CENTER 1064 MORRELL AVENUE CONNELLSVILLE PA 15425 EDUCATION OF DIABETICS 4 - HIGHLANDS HEALTHSTOP 201 N PITTSBURGH ST CONNELLSVILLE PA 15425 BLOOD DRAW STATION 5 - HIGHLANDS HEALTHSTOP 814 VANDERBILT RD CONNELLSVILLE PA 15425 BLOOD DRAW STATION 6 - HIGHLANDS HEALTHSTOP 109 CROSSROADS ROAD SCOTTSDALE PA 15683 BLOOD DRAW STATION 7 - HIGHLANDS HEALTHSTOP 250 LAUREL DRIVE CONNELLSVILLE PA 15425 BLOOD DRAW STATION 8 - CHILD DEVELOPMENT DISORDERS DIAGNOSTIC C 413 EAST GIBSON AVE CONNELLSVILLE PA 15425 DIAGNOSE AUTISTIC DISORDERS IN CHILDREN PART I, LINE 7: A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART I, LINE 7. PART I, LINE 7G: THE EMERGENCY DEPARTMENT OPERATED AT A LOSS DURING FISCAL YEAR 2020. THE EMERGENCY ROOM IS NECESSARY FOR THE COMMUNITY. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE OF 2,262,476 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES. PART III, LINE 4: HIGHLANDS HOSPITAL'S FINANCIAL STATEMENTS DO NOT INCLUDE A BAD DEBT FOOTNOTE. THE BAD DEBT EXPENSE CONSISTS OF THE PORTION OF SELF-PAY BALANCES THAT IS SENT TO COLLECTIONS AND THE RESERVED AMOUNTS BASED ON AGING OF SELF-PAY ACCOUNTS RECEIVABLE.A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III. PART III, LINE 8: A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART III, LINE 6. PART III, LINE 9B: PATIENTS ARE NOT BILLED ONCE THEY ARE DETERMINED TO QUALIFY FOR CHARITY CARE. PART VI, LINE 2: DURING FISCAL YEAR 2019, HIGHLANDS HOSPITAL CONDUCTED A COUNTY-WIDE COMMUNITY HEALTH NEEDS 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. PART VI, LINE 3: HOSPITAL STAFF PROVIDE CHARITY CARE INFORMATION TO PATIENTS UPON REGISTRATION AND INFORMATION IS INCLUDED IN ADMISSIONS PACKETS. PART VI, LINE 4: 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. PART VI, LINE 5: 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. X X X 0 0 0 0 0 0 0 0 0 JOHN ANDURSKY PRESIDENT & CEO 197656 0 0 0 0 0 5972 0 25653 0 229281 0 0 0 GINA CANADA DO FAMILY PRACTICE PHYSICIAN 151615 0 0 0 0 0 0 0 6065 0 157680 0 0 0 GILBERT PEREZ MD FAMILY PRACTICE PHYSICIAN 146580 0 0 0 0 0 4440 0 10951 0 161971 0 0 0 TRACY POPEY MD ORTHOPEDIC SURGEON 265252 0 0 0 0 0 8100 0 21078 0 294430 0 0 0 CIMENGA TSHIBAKA MD GENERAL SURGEON 213492 0 0 0 0 0 6490 0 16994 0 236976 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B HIGHLANDS HOSPITAL HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY THE TREASURER. THE RETURN IS THEN 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 HIGHLANDS HOSPITAL 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, LINE 15 HIGHLANDS HOSPITAL'S 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 18 HIGHLANDS HOSPITAL MAKES ITS FORM 990, FINANCIAL STATEMENTS, AND FORM 1023 AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, HIGHLANDS HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: ACCUMULATED LIABILITY FOR PENSION BENEFITS -3,188,655. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S BOARD OF DIRECTORS ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE PROCESS IS CONSISTENT WITH PRIOR YEARS AND HAS NOT CHANGED. FORM 990, PART VI, LINE 16B WHEN HIGHLANDS HOSPITAL CONTEMPLATES ENTERING INTO A JOINT VENTURE WITH FOR PROFIT ORGANIZATIONS, IT ENGAGES LEGAL COUNSEL AND TAX COUNSEL TO ENSURE THAT THE TAX EXEMPT STATUS OF THE HOSPITAL IS SAFEGUARDED.