2019-05-15T13:16:36-05:00 2018-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 191037341 990 2017-07-01 231352159 JC BLAIR MEMORIAL HOSPITAL JCBL 8146432290 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 JOSEPH MYERS CEO 8146432290 2019-05-15 1 JULIUS C GREEN CPA P00350393 2159720701 96.89.178.154 2019-05-15 09:53:57 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D55C9BF7EA9CC92FF5CD8A3B56631CEAE08BA54E 2017 2019-02-21 02:37:17Z JOSEPH MYERS 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 57273260 0 X WWW.JCBLAIR.ORG X 1909 PA HEALTHCARE PROVIDER - NOT-FOR-PROFIT ACUTE CARE HOSPITAL. 13 13 573 75 979053 -899205 1695317 824347 48389377 51623555 1713657 1308199 3226806 2865160 55025157 56621261 0 1484798 0 0 28535795 29042356 0 0 0 22313500 26397663 50849295 56924817 4175862 -303556 47851721 48038064 22898255 22907442 24953466 25130622 X MISSION: J.C. BLAIR MEMORIAL HOSPITAL IS COMMITTED TO BEING THE PREMIER HEALTH RESOURCE FOR THE RESIDENTS OF HUNTINGDON COUNTY AND NEARBY COMMUNITIES AND STRIVES TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT. CONTINUED ON SCHEDULE "O".VISION: TO BE A MODEL OF EXCELLENCE FOR THE PROVISION OF A COMPREHENSIVE RANGE OF HEALTHCARE AND WELLNESS SERVICES DESIGNED TO CONTINUALLY IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR THE RESIDENTS OF HUNTINGDON COUNTY AND NEARBY COMMUNITIES. 0 0 46265996 1484798 52987497 J.C. BLAIR MEMORIAL HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE SERVICES, AND URGENT CARE SERVICES TO FURTHER THE HEALTH AND WELLNESS OF HUNTINGDON, PENNSYLVANIA AND SURROUNDING COMMUNITIES IN HUNTINGDON COUNTY, PENNSYLVANIA. IN FISCAL YEAR 2018, J.C. BLAIR MEMORIAL HOSPITAL PROVIDED THE COMMUNITY WITH CHARITY CARE SERVICES AMOUNTING TO APPROXIMATELY $465,000. PATIENTS RECEIVE MEDICALLY NECESSARY SERVICES REGARDLESS OF ABILITY TO PAY. IN ADDITION, THE REIMBURSEMENT SHORTFALL FROM THE MEDICAID PROGRAM WAS OVER $2 MILLION. CONTINUED ON SCHEDULE "O".THE HOSPITAL CONTRIBUTED ALMOST $4 MILLION IN COMMUNITY BENEFIT PROGRAMS THAT INCLUDED THOUSANDS OF HOURS OF VOLUNTEER SERVICE PROVIDING FREE EDUCATION AND SCREENING PROGRAMS, MENTORING FUTURE HEALTH CARE PROFESSIONALS, PROVIDING LEADERSHIP SERVICE TO COMMUNITY ORGANIZATIONS, AND CONTRIBUTING FINANCIAL AND IN-KIND SUPPORT TO A NUMBER OF LOCAL INITIATIVES. THESE PROGRAMS INCLUDED: FREE DIABETES SELF-MANAGEMENT CLASSES, FREE BREAST-FEEDING EDUCATION AND CONSULTING FOR NEW MOTHERS, FREE NEWBORN SAFETY KITS, FREE YEAR-ROUND EDUCATIONAL PROGRAMS ON NUTRITION, HEART HEALTH, BREAST HEALTH, ETC., FREE OSTEOPOROSIS SCREENINGS, PARTICIPATION IN NUMEROUS HEALTH FAIRS THROUGHOUT THE COUNTY, AND ANNUAL WELLNESS CHECK COMPREHENSIVE BLOOD SCREENINGS. ALSO, J.C. BLAIR PROVIDED A $1 MILLION COMMUNITY GRANT TO THE BROAD TOP AREA MEDICAL CENTER FQHC TO SUPPORT THE PRIMARY CARE NETWORK AND ITS 6 PRACTICES. THE HOSPITAL ALSO SUPPORTED THE EXPANSION AND RENOVATION OF THE ENDOSCOPY SUITE. OUR COMMUNITY BENEFIT PROGRAMS ARE ALL FOCUSED ON THE GOALS, STRATEGIES, AND ACTION PLANS OUTLINED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. 46265996 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 40 0 1 573 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X JOSEPH MYERS EXECUTIVE VICE PRESID 8146438445 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 FRED E PRICE CHAIRMAN 1.00 3.00 X X 0 0 0 ARTHUR J DECAMP VICE CHAIR 1.00 3.00 X X 0 0 0 ROBERT S RITCHEY TREASURER 1.00 2.00 X X 0 0 0 ELLEN F SLOAN SECRETARY 1.00 2.00 X X 0 0 0 JOHN P THOMPSON ASSISTANT SECRETARY 1.00 2.00 X X 0 0 0 FRANCES VAUGHN DIRECTOR 1.00 1.00 X 0 0 0 CHRIS MARKLEY DIRECTOR 1.00 1.00 X 0 0 0 JOHN D COURSEN DIRECTOR 1.00 1.00 X 0 0 0 A KEITH BLACK DIRECTOR 1.00 1.00 X 0 0 0 JAMES E SCHALL MD DIRECTOR 1.00 1.00 X 0 0 0 MARIA T PETTINGER MD DIRECTOR 1.00 1.00 X 0 0 0 MIRANDA PERUSO DIRECTOR 1.00 1.00 X 0 0 0 HANY SHANOUDY MD DIRECTOR 40.00 1.00 X 0 0 0 JOHN D ROTH MD DIRECTOR (UNTIL 9/1/2017) 40.00 1.00 X 212911 0 13627 ADAM R DIMM START 0712017 CHIEF EXECUTIVE OFFICER 41.00 4.00 X 0 0 0 JOSEPH MYERS START 1212017 EXECUTIVE VICE PRESIDENT 41.00 4.00 X 3462 0 0 JENNIFER E HOLT PHYSICIAN 40.00 X 495780 0 23443 ASHISH A BAGAL PHYSICIAN 40.00 X 332085 0 2505 MUHAMMAD T QAMAR PHYSICIAN 40.00 X 261663 0 13839 GEORGE E FLEMING PHYSICIAN 40.00 X 214228 0 8898 CAROLYN WRIGHT PHYSICIAN 40.00 X 199582 0 24391 1719711 0 86703 18 0 1 0 RIVERSIDE ANESTHESIA 1 RUTHERFORD RD STE 101 HARRISBURG PA 17109 ANESTHESIA SERVICES 615500 CARDIOLOGY ASSOCIATES OF ALTOONA 1321 11TH AVE ALTOONA PA 16601 CARDIOLOGY SERVICES 175053 JACKSON & COKER LOCUM TENENS LLC PO BOX 277638 ATLANTA GA 30384 MEDICAL STAFFING SERVICES 171848 HAI RENTALS PO BOX 830 HUNTINGDON PA 16652 FACILITIES RENTALS 154910 A2Z HEALTHCARE IT CONSULTING INC 42 LAWRENCE LANE LEXINGTON MA 02421 IT SERVICES 147020 9 623707 200640 824347 NET PATIENT SERVICE REVENUE 621110 51623555 51623555 51623555 261725 261725 260737 364446 -103709 -103709 -103709 1334027 287553 1046474 1046474 1046474 CRNA SERVICES 623000 1291472 1291472 DIETARY SVCS REVENUE 812900 707559 707559 PLANT OPERATIONS SVCS 541610 271200 271200 698638 72470 294 625874 2968869 56621261 52987497 979053 1830364 X 1484798 1484798 163305 125087 38218 22076010 16909548 5166462 1347331 1032014 315317 3845853 2945805 900048 1609857 1215909 393948 206834 206834 39630 39630 4909 4909 6617635 5295362 1322273 83086 83086 2859874 2318450 541424 504486 189570 314916 1992338 1932088 60250 91956 35155 56801 204030 204030 1624631 1624631 765400 765400 MED SUPPLIES & PHARMACY 5129608 5129608 BAD DEBT 3801650 3801650 REPAIRS & MAINTENANCE 1220846 817173 403673 FOOD 587577 3933 583644 663173 435785 227388 56924817 46265996 10658821 0 15879 8851 414552 463683 1000000 1000000 7238829 5808865 735559 852297 348359 276069 39567468 28566640 11228824 11000828 5404997 4780073 21464722 23847398 47851721 48038064 6883766 7440633 4990996 5874446 11023493 9592363 22898255 22907442 X 22354521 22700572 795306 605552 1803639 1824498 24953466 25130622 47851721 48038064 X -303556 -337371 818083 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 4909 4909 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF THE HOSPITAL ASSOCIATION OF PENNSYLVANIA, HOSPITAL COUNCIL OF WESTERN PA AND THE AMERICAN HOSPITAL ASSOCIATION. AS SUCH, A PERCENTAGE OF DUES IS EXPENDED BY THOSE ORGANIZATIONS ON LOBBYING ACTIVITIES. IT IS ESTIMATED THAT $4,909 OF THE DUES PAID WAS USED BY THOSE ORGANIZATIONS FOR LOBBYING ACTIVITIES. 1819665 -13342 1806323 1762866 56799 1819665 1789597 -26731 1762866 1845750 -56153 1789597 1707837 137913 1845750 0.00000 0.95000 0.05000 1 1 1 518428 518428 13308565 7233050 6075515 1373947 930447 443500 23387890 19563022 3824868 978638 840121 138517 11000828 INSURANCE RECOVERIES RECEIVABLE 1282716 DUE FROM AFFILIATES 18319283 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1692372 ASSETS RECEIVED UNDER REVOCABLE TRUST 125493 DEFERRED FINANCING COSTS, NET 90396 INTEREST IN NET ASSETS OF AFFILIATE 345845 ACCRUED INTEREST 1991293 23847398 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 1718719 ACCRUED PENSION COST 7265725 REFUNDABLE ADVANCE 125493 OBLIGATIONS UNDER CAPITAL LEASE 222426 THIRD-PARTY PAYOR SETTLEMENTS 100000 LINE OF CREDIT 160000 9592363 X 53664769 -337371 -2983567 -3320938 56985707 -364446 -364446 56621261 53487613 364446 364446 53123167 3801650 3801650 56924817 PART V, LINE 4: J.C. BLAIR MEMORIAL HOSPITAL HAS RECORDED ON ITS BALANCE SHEET ITS INTEREST IN THE NET ASSETS OF THE J.C. BLAIR MEMORIAL HOSPITAL FOUNDATION. THAT AMOUNT IS REPORTED ABOVE AND CATEGORIZED AS A TERM ENDOWMENT. THE FOUNDATION TRANSFERS FUNDS RAISED TO THE HOSPITAL FOR THE PURCHASE OF EQUIPMENT AND BUILDING IMPROVEMENTS. FUNDS RAISED AND NOT YET TRANSFERRED ARE REPORTED AS INTEREST IN NET ASSETS OF THE FOUNDATION. PART X, LINE 2: THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2018 AND 2017. THE SYSTEM'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED ON FINANCIALS -3,801,650. CHANGE IN NET ASSETS OF FOUNDATION -230,911. VALUATION GAIN 2,683. PENSION LIABILITY ADJUSTMENT 2,406,042. LOSS ON PENSION SETTLEMENT -1,359,731. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -364,446. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 364,446. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED ON FINANCIALS 3,801,650. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 464623 464623 0.00870 6332056 5176562 1155494 0.02180 6796679 5176562 1620117 0.03050 286990 286990 0.00540 89360 89360 0.00170 1975674 1975674 0.03720 23745 23745 0.00040 2375769 2375769 0.04470 9172448 5176562 3995886 0.07520 1006676 1020743 0 0.00000 2500 2500 0.00000 2500 2500 0.00000 1011676 1020743 5000 0.00000 1 1278070 639035 4381397 6425548 -2044151 X 1 1 1 1 JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 WWW.JCBLAIR.ORG 101101 X X X INPATIENT PSYCHIATRIC UNIT JC BLAIR MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X HTTP://WWW.JCBLAIR.ORG/SITES/DEFAULT/FILES/FILES/CHNA2016.PDF X 1 15 1 HTTP://WWW.JCBLAIR.ORG/COMMUNITY 0 1 X 250.000000000000 400.000000000000 X X X 1 1 X X X X X 1 X WWW.JCBLAIR.ORG/SERVICES/FINSERVICES.PHP X WWW.JCBLAIR.ORG/SERVICES/FINSERVICES.PHP X WWW.JCBLAIR.ORG/SERVICES/FINSERVICES.PHP X X X X X 1 X 0 X 1 X 0 1 J.C. BLAIR MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE NEEDS ASSESSMENT IS COMPRISED OF BOTH PRIMARY AND SECONDARY DATA. THE PRIMARY DATA WAS COLLECTED FROM A SERIES OF SURVEYS DISTRIBUTED THROUGHOUT DIFFERENT POPULATIONS IN HUNTINGDON COUNTY. THE SECONDARY DATA WAS COMPILED FROM VARIOUS SOURCES INCLUDING THE PENNSYLVANIA DEPARTMENT OF HEALTH (COUNTY HEALTH PROFILES AND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)), THE CENTERS FOR DISEASE CONTROL, AND HEALTHY PEOPLE 2020.ADDITIONAL DATA WAS COLLECTED FROM THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY, PENNSYLVANIA PARTNERSHIPS FOR CHILDREN, PENNSYLVANIA HEALTH CARE COST CONTAINMENT COUNCIL, COMMUNITY BEHAVIORAL HEALTH ORGANIZATION, PENNSYLVANIA YOUTH SURVEY REPORT, AND THE HUNTINGDON COUNTY HEAD START COMMUNITY ASSESSMENT.THE HUNTINGDON COUNTY PLANNING OFFICE, HUNTINGDON COUNTY BUSINESS AND INDUSTRY, HUNTINGDON CHILD AND ADULT DEVELOPMENT CORPORATION, PENNSYLVANIA DEPARTMENT OF TRANSPORTATION, UNITED WAY, AND OTHER LOCAL, STATE, AND NATIONAL SOURCES ALSO PROVIDED ASSISTANCE IN DATA COLLECTION.IN ADDITION TO THE SECONDARY DATA THAT WAS REPORTED, SEVERAL SURVEYS WERE DISTRIBUTED IN ORDER TO COLLECT PRIMARY DATA. A TOTAL OF SEVEN SURVEYS WERE CREATED AND DISTRIBUTED THROUGHOUT HUNTINGDON COUNTY. FIVE OF THE SEVEN SURVEYS FOCUSED ON DISTINCT GROUPS INCLUDING: EMPLOYERS, CHURCH LEADERS, EDUCATORS, HEALTH PROVIDERS, AND HUMAN SERVICE PROVIDERS. OUR INTENTION WAS TO HAVE EACH GROUP REFLECT ON THE HEALTH NEEDS OF THE POPULATIONS THEY SERVE AND REPORT BACK TO J.C. BLAIR HEALTH SYSTEM ON THEIR INSIGHTS. ADDITIONALLY, WE INCLUDE TWO INDIVIDUAL SURVEYS. ONE WAS DISTRIBUTED AND COLLECTED AT THE HUNTINGDON COUNTY FAIR AND ONE WAS DISTRIBUTED AND COLLECTED THROUGHOUT THE COMMUNITY.THE INDIVIDUAL FAIR SURVEY IS AN ANONYMOUS TEN-QUESTION PAPER SURVEY THAT WAS COMPLETED BY A TOTAL OF 406 RESPONDENTS DURING A SPAN OF FIVE DAYS AT THE HUNTINGDON COUNTY FAIR IN AUGUST 2015. THE INDIVIDUAL COMMUNITY MEMBER SURVEY IS AN ANONYMOUS ELEVEN-QUESTION SURVEY DISTRIBUTED BOTH ELECTRONICALLY AND IN HARD COPY THAT WAS COMPLETED BY A TOTAL OF 265 RESPONDENTS DURING THE MONTHS OF FEBRUARY, MARCH, AND APRIL OF 2016.THE FIVE STAKEHOLDER SURVEYS WERE CREATED AND DISTRIBUTED IN ELECTRONIC FORM AND DISTRIBUTED VIA EMAIL. THE SURVEYS WERE ALSO CREATED AND DISTRIBUTED IN PAPER FORM. THE EDUCATOR SURVEY WAS COMPLETED BY 70 RESPONDENTS, THE HEALTH PROVIDER SURVEY WAS COMPLETED BY 31 RESPONDENTS, THE EMPLOYER SURVEY WAS COMPLETED BY 24 RESPONDENTS, THE HEALTH AND HUMAN SERVICE PROVIDER SURVEY WAS COMPLETED BY 21 RESPONDENTS, AND THE CHURCH LEADER SURVEY WAS COMPLETED BY 9 RESPONDENTS. J.C. BLAIR MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING LIST OF PRIORITY NEEDS CREATED A CATALYST FOR DISCUSSION WITH STAKEHOLDERS THROUGH THE HUNTINGDON COUNTY HEALTHY COMMUNITIES PARTNERSHIP TO REVIEW THE ASSESSMENT AND SELECT THE HEALTHCARE NEEDS J.C. BLAIR WILL FOCUS ON FOR THE NEXT THREE-YEAR PERIOD. THE PREDOMINANT THEMES THAT AROSE ARE:-ACCESS TO AFFORDABLE HEALTHCARE-MENTAL HEALTH AND SUBSTANCE ABUSE-HEALTHY LIFESTYLES - NUTRITION AND PHYSICAL FITNESSJ.C. BLAIR HAS DEVELOPED ITS IMPLEMENTATION STRATEGY AND WILL CREATE TASK FORCES WITH LEADERS FROM THE HOSPITAL TO ENSURE THE PLAN IS EXECUTED. THIS COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WILL ADDRESS THE IDENTIFIED HEALTHCARE NEEDS BY:-CONTINUING AND STRENGTHENING EXISTING PROGRAMS AND SERVICES -EXPLORING NEW STRATEGIES INTERNALLY-COLLABORATING WITH COMMUNITY ORGANIZATIONS TO IMPLEMENT EVIDENCE-BASED BEST PRACTICES ACROSS HUNTINGDON COUNTYPLEASE SEE THE IMPLEMENTATION PLAN FOR FULL DETAILS.THE OVERALL GOAL OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. CERTAINLY THERE ARE MANY PRESSING HEALTH ISSUES THAT MERIT ATTENTION. HOWEVER, GIVEN THE COMPLEXITY OF COMMUNITY NEEDS AND THE LIMITED RESOURCES AVAILABLE AT J.C. BLAIR, THE INITIATIVES NOT SELECTED BY J.C. BLAIR ARE BEYOND THE CAPACITY OF THE SYSTEM TO ADDRESS OR ARE CURRENTLY BEING ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS. THESE INCLUDE LACK OF TRANSPORTATION; LACK OF EMPLOYMENT OPPORTUNITIES; INSURANCE BARRIERS AND LACK OF FAMILY SUPPORT/INVOLVEMENT. J.C. BLAIR MEMORIAL HOSPITAL PART V, SECTION B, LINE 15E: THE POLICY WAS MADE AVAILABLE UPON REQUEST. J.C. BLAIR MEMORIAL HOSPITAL PART V, SECTION B, LINE 16J: FINANCIAL COUNSELORS DISCUSS THE AVAILABILITY OF DISCOUNTED AND CHARITY CARE INDIVIDUALLY WITH PATIENTS. J.C. BLAIR MEMORIAL HOSPITAL PART V, SECTION B, LINE 24: THE AMOUNT CHARGED TO FINANCIAL ASSISTANCE POLICY-ELIGIBLE PATIENTS IS BASED ON MEDICAID RATES. 2 1 - CONVENIENT CARE CENTER 7651 RAYSTOWN SHOPPING CENTER DR HUNTINGTON PA 16652 HEALTH CLINIC, LAB & DIAGNOSTIC TESTING CENTER 2 - 611 MRI 611 UNIVERSITY DRIVE STATE COLLEGE PA 16801 MRI, CT, X-RAY & DIGITAL MAMMOGRAPHY CENTER PART I, LINE 3C: THE ORGANIZATION OFFERS A 20% DISCOUNT FOR PROMPT PAYMENT REGARDLESS OF INCOME. PART I, LINE 6A: J.C. BLAIR HEALTH SYSTEMS, INC., PARENT OF J.C. BLAIR MEMORIAL HOSPITAL, PRODUCES AN ANNUAL REPORT WHICH INCLUDES A REPORT OF COMMUNITY BENEFIT. THE REPORT HIGHLIGHTS THE COST OF CHARITY CARE AND THE SHORTFALL BETWEEN MEDICAL ASSISTANCE PAYMENTS AND THE COST OF CARE, AND THE VALUE OF THE COMMUNITY BENEFIT PROGRAMS CATEGORIZED AS REQUIRED IN THE 990 TAX RETURN. IT ALSO PROVIDES A NARRATIVE SECTION LISTING EXAMPLES OF THE EVENTS HOSPITAL LEADERSHIP, BOARD MEMBERS, MEDICAL STAFF AND EMPLOYEES PARTICIPATE IN OR SPONSOR. THE ANNUAL REPORT IS DISTRIBUTED AT AN ANNUAL PUBLIC MEETING, THROUGH THE MAIL, THROUGH THE HOSPITAL WEBSITE AND THROUGHOUT THE ORGANIZATION. PART I, LINE 7: THE HOSPITAL USES THE COST TO CHARGE RATIO TO DETERMINE COSTS. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED OUT FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCH H, PART I, LINE 7, COLUMN (F) IS $3,801,650. PART II, COMMUNITY BUILDING ACTIVITIES: MUCH OF THE BENEFIT TO THE COMMUNITY COMES FROM PARTICIPATION IN COLLABORATIVE EFFORTS THAT HELP TO ASSESS COMMUNITY NEED AND TO ADDRESS HEALTH ISSUES IN HUNTINGDON COUNTY. SOME OF THE DIRECT SERVICE ACTIVITIES INCLUDE FREE BREAST HEALTH AND HEART HEALTH SCREENINGS FOR WOMEN, SUPPORTED BY TWO GRANTS, FREE DIABETES SELF-MANAGEMENT CLASSES, EDUCATIONAL PROGRAMS, MENTORING FUTURE HEALTH CARE PROFESSIONALS THROUGH INTERNSHIPS AND STUDENT PRACTICUMS, PARTICIPATION IN HEALTH FAIRS, PATIENT ADVOCACY AND PROMOTION OF HEALTHY LIFESTYLES. INDIRECT SUPPORT OF THESE ACTIVITIES INCLUDE HOSPITAL STAFF AND MEDICAL STAFF MEMBERS SERVING IN LEADERSHIP AND WORKING ROLES ON BOARDS AND COMMITTEES THAT IMPACT THE HEALTH STATUS AND WELL-BEING OF COMMUNITY MEMBERS. IN FY2016 611 MRI WAS RENOVATED. THIS FACILITY MAKES HIGH QUALITY HEALTH CARE FACILITIES MORE ACCESSIBLE TO BOTH HUNTINGTON AND CENTRE COUNTY RESIDENTS. THE EMERGENCY DEPARTMENT RECEIVED A MUCH NEEDED RENOVATION AND WAS FINISHED IN 2017. ALSO, A NEW CARDIAC HEART CATHERIZATION LAB WAS OPENED IN MAY 2017. BOTH THE CARDIAC CATH LAB AND NEW ER RENOVATION HELPS MAKE HIGH QUALITY HEALTHCARE FACILITIES MORE ACCESSIBLE FOR HUNTINGDON COUNTY RESIDENTS. PART III, LINE 2: BAD DEBT EXPENSE IS TAKEN AT COST FROM THE HOSPITAL'S COST REPORT. PART III, LINE 3: THE HOSPITAL ESTIMATES THAT APPROXIMATELY 50% OF ITS BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION CHARITY FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FEELS THIS SHOULD BE CONSIDERED COMMUNITY BENEFIT AS THEY ARE PROVIDING CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. PART III, LINE 4: ACCOUNTS RECEIVABLE, PATIENTS, ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED ON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 62% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2018 AND 54% AT JUNE 30, 2017. THIS INCREASE REFLECTS CHANGES MADE IN THE CALCULATION OF THE ALLOWANCE RESULTING FROM LOWER COLLECTIONS ON SELF-PAY RECEIVABLES DURING 2018. THE SYSTEM'S SELF-PAY ACCOUNT WRITE-OFFS (NET OF RECOVERIES) INCREASED TO APPROXIMATELY $3,559,000 IN 2018 FROM APPROXIMATELY $2,520,000 IN 2017. THIS INCREASE IS THE RESULT OF HIGHER VOLUMES OF SELF-PAY REVENUES DURING 2018. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THIRD-PARTY PAYORS INCREASED FROM 2% OF THIRD-PARTY ACCOUNTS RECEIVABLE AT JUNE 30, 2017 TO 5% IN 2018. THE SYSTEM DID NOT INCUR SIGNIFICANT AMOUNTS OF BAD DEBT WRITE-OFFS RELATED TO THIRD-PARTY PAYORS DURING 2018 AND 2017. THE SYSTEM HAS NOT CHANGED ITS FINANCIAL ASSISTANCE POLICY IN 2018 OR 2017. PART III, LINE 8: LINE 6 INCLUDES ALLOWABLE COSTS REPORTED ON THE COST REPORT FOR BOTH, PART A AND PART B. LINE 5 REVENUES REPORTED INCLUDE ALL NET REVENUES FOR MEDICARE, INCLUDING PART A AND PART B, AS REPORTED ON THE 2017 COST REPORT.THE HOSPITAL CENTER IS RECEIVING LESS THAN THE COST OF PROVIDING CARE TO PATIENTS THROUGH THE PROSPECTIVE PAYMENT SYSTEM. IN SPITE OF THIS, THE HOSPITAL IS STILL COMMITTED TO MEETING THE MEDICAL NEEDS OF THE COMMUNITY. THEREFORE, MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. PART III, LINE 9B: IF A PATIENT IS DETERMINED TO BE FINANCIALLY INDIGENT, THE CREDIT DEPARTMENT WILL ASSIST THE PATIENT IN APPLYING FOR OTHER FINANCIAL ASSISTANCE SUCH AS: STATE AND FEDERAL PROGRAMS, CIVIC ORGANIZATIONS, REHABILITATION PROGRAMS, RELIGIOUS ORGANIZATIONS, RELATIVES OR FRIENDS. IF NO SOURCE OF FINANCIAL ASSISTANCE IS AVAILABLE, THE HOSPITAL WILL REVIEW THE ACCOUNT FOR A CHARITY ALLOWANCE ONLY ON THE CURRENT ACCOUNT. NO BAD DEBT ACCOUNTS WILL BE INCLUDED IN THIS REVIEW. ALL CHARITY ALLOWANCES MUST BE APPROVED BY THE CHIEF FINANCIAL OFFICER OR DELEGATED REPRESENTATIVE. PART VI, LINE 2: IN 2015, J.C. BLAIR CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT, USING QUANTITATIVE ANALYSIS AND QUALITATIVE DATA COLLECTION WITH A REPRESENTATIVE CROSS-SECTION OF HEALTHCARE PROFESSIONALS, COMMUNITY LEADERS, AND AREA RESIDENTS REPRESENTING MANY GROUPS, INCLUDING LOW-INCOME RESIDENTS AND OTHERS AFFECTED BY HEALTH DISPARITIES. THE ASSESSMENT PROCESS CONCLUDED IN SPRING 2016.MUCH OF THE BENEFIT TO THE COMMUNITY COMES FROM PARTICIPATION IN COLLABORATIVE EFFORTS THAT HELP TO ACCESS COMMUNITY NEED AND TO ADDRESS HEALTH ISSUES IN HUNTINGDON COUNTY. SOME OF THE DIRECT SERVICES ACTIVITIES INCLUDE FREE BREAST HEALTH AND HEART HEALTH SCREENINGS FOR WOMEN, FREE DIABETES SELF-MANAGEMENT CLASSES, EDUCATIONAL PROGRAMS, MENTORING FUTURE HEALTH CARE PROFESSIONALS THROUGH INTERNSHIPS AND STUDENT PRACTICUMS, PARTICIPATION IN HEALTH FAIRS, PATIENT ADVOCACY AND PROMOTION OF HEALTHY LIFESTYLES. INDIRECT SUPPORT OF THESE ACTIVITIES INCLUDE HOSPITAL STAFF AND MEDICAL STAFF MEMBERS SERVING IN LEADERSHIP AND WORKING ROLES ON BOARDS AND COMMITTEES THAT IMPACT THE HEALTH STATUS AND WELL-BEING OF COMMUNITY MEMBERS. PART VI, LINE 3: IN ORDER TO BE ELIGIBLE FOR CHARITY CARE, A PATIENT WHO DOES NOT HAVE HEALTH INSURANCE MUST COMPLETE AN APPLICATION FOR MEDICAL ASSISTANCE AND BE DENIED COVERAGE. SUCH PATIENTS, DESIGNATED AS SELF-PAY, ARE OFFERED ASSISTANCE BY OUR SELF-PAY FINANCIAL COUNSELORS IN COMPLETING APPLICATIONS FOR MEDICAL ASSISTANCE. COUNSELORS FOLLOW UP WITH PATIENTS IF APPLICATIONS ARE NOT COMPLETED OR INFORMATION IS NOT RETURNED. THE HOSPITAL ALSO HAS ACCESS TO LIMITED FUNDS (THE INCOME FROM A TRUST WHICH HAS BEEN DESIGNATED TO BE USED FOR CHARITY CARE). APPLICANTS FOR CHARITY CARE ARE SCREENED FOR ELIGIBILITY FOR THIS PROGRAM. IN ADDITION, A RESTRICTED DONATION FROM A COMMUNITY MEMBER HAS PROVIDED FOR PAYMENT FOR HEALTH CARE SERVICES WHICH ARE NOT ELIGIBLE FOR ANY OTHER PROGRAMS OR INSURANCE COVERAGES. A GENEROUS AMOUNT OF $10,000 HAS ALREADY PROVIDED COVERAGE FOR COSTS OF CARE FOR SEVERAL PATIENTS FOR NEEDED SERVICES. PATIENT BROCHURES ARE PROVIDED TO EXPLAIN THE AVAILABILITY OF ASSISTANCE AND CHARITY CARE PROGRAMS.THE FEDERAL POVERTY LEVEL GUIDELINES WITH OUR 250% MULTIPLIER ARE POSTED IN LOCATIONS FREQUENTED BY PATIENTS, SUCH AS THE EMERGENCY DEPARTMENT AND REGISTRATION AREAS. IF A PATIENT IS SELF PAY AT THE TIME OF REGISTRATION, THE REGISTRATION CLERK NOTIFIES A PATIENT FINANCIAL COUNSELOR AND PROVIDES THE PATIENT WITH A FINANCIAL ASSISTANCE PROGRAM LETTER. THE PROGRAM LETTER OFFERS A 20% SELF PAY DISCOUNT PROGRAM AND CHARITY CARE PROGRAM OUTLINE. PATIENT COUNSELORS ADVISE AND ASSIST WITH THE APPLICATION PROCESS. TO APPLY FOR CHARITY CARE, THE PATIENT MUST FIRST APPLY FOR MEDICAL ASSISTANCE. THIS PROCESS CAN TAKE UP TO 30 DAYS FOR MEDICAL ASSISTANCE APPROVAL OR DENIAL. IF MEDICAL ASSISTANCE COVERAGE IS DENIED, THE PATIENT IS ASKED TO CONTACT THE PATIENT COUNSELOR FOR ASSISTANCE WITH COMPLETING THE CHARITY CARE APPLICATION, OR TO HAVE THE APPLICATION MAILED OUT TO THE PATIENT. ONCE THE PATIENT IS DETERMINED TO BE ELIGIBLE, THE PATIENT IS ISSUED AN IDENTIFICATION CARD, WHICH THEY MAY PRESENT AT FUTURE VISITS TO VALIDATE THEY HAVE BEEN DETERMINED TO BE ELIGIBLE FOR CHARITY CARE. ELIGIBILITY MUST BE RENEWED EVERY SIX MONTHS. THE HOSPITAL IS CURRENTLY DEVELOPING A NEW BROCHURE WHICH DESCRIBES THE CHARITY PROGRAM ALONG WITH OTHER FINANCIAL POLICIES, SUCH AS PROMPT PAYMENT DISCOUNTS AND ELIGIBILITY FOR PAYMENT PLANS AND GRANT FUNDED CARE. PART VI, LINE 4: THE HOSPITAL SERVES THE RESIDENTS OF HUNTINGDON COUNTY AND IS THE ONLY HOSPITAL IN THE COUNTY. THE POPULATION IN THE COUNTY IS APPROXIMATELY 45,943, SPREAD ACROSS MANY SMALL BOROUGHS AND VILLAGES. THERE ARE A NUMBER OF AMISH AND MENNONITE SETTLEMENTS IN THE REGION. THE COMMUNITIES IN THE PRIMARY SERVICE AREA ARE HUNTINGDON, SMITHFIELD, MOUNT UNION, ALEXANDRIA, ORBISONIA, PETERSBURG, THREE SPRINGS, MAPLETON DEPOT, JAMES CREEK, MILL CREEK. A NUMBER OF SMALL COMMUNITIES MAKE UP THE SECONDARY SERVICE AREA. THE AREA IS RURAL. HUNTINGDON COUNTY IS IN THE 'RIDGE AND VALLEY' SECTION OF PENNSYLVANIA, WHICH MAKES FOR SMALL COMMUNITIES CONNECTED BY WINDING AND HILLY SECONDARY ROADS. DAIRY AND OTHER FARMING IS ALSO PREVALENT IN THE VALLEYS. 12.4% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL. AVERAGE PER CAPITA INCOME IS APPROXIMATELY $31,231 AND MEDIAN HOUSEHOLD INCOME IS ABOUT $44,786. 13% OF THE POPULATION IS UNINSURED. A FEW OF THE COMMUNITIES SERVED BY THE HOSPITAL ARE DESIGNATED AS MEDICALLY UNDERSERVED OR HEALTH PROFESSIONAL SERVICE AREAS, BUT THE BOROUGH OF HUNTINGDON, WHERE THE HOSPITAL IS LOCATED, IS NOT. PART VI, LINE 5: THE GOVERNING BODY IS REPRESENTATIVE OF THE COMMUNITIES IN THE PRIMARY AND SECONDARY SERVICE AREAS OF THE HOSPITAL. THE CHIEF AND VICE CHIEF OF THE MEDICAL STAFF ARE VOTING MEMBERS OF THE BOARD. EMPLOYEES ARE GENERALLY NOT ALLOWED TO SERVE AS VOTING MEMBERS OF THE BOARD, HOWEVER, ONE EMPLOYED PHYSICIAN SERVES AS VICE CHIEF OF THE MEDICAL STAFF AND IS A VOTING MEMBER BY VIRTUE OF THAT POSITION. MEMBERS OF THE MEDICAL STAFF WHO SERVE ON THE BOARD MAY HAVE CONTRACTUAL RELATIONSHIPS WITH THE HOSPITAL OR ITS AFFILIATES, WHICH THEY ARE REQUIRED TO DISCLOSE IN CONFLICT OF INTEREST STATEMENTS. ANY CONFLICTS THAT MEET THE REPORTING THRESHOLDS OF THE 990 ARE DULY REPORTED. MEDICAL STAFF PRIVILEGES ARE GRANTED THROUGH AN APPLICATION AND CREDENTIALING PROCESS AND ARE GRANTED IN ACCORDANCE WITH BYLAWS AND RULES AND REGULATIONS OF THE MEDICAL STAFF AND BOARD OF DIRECTORS. J.C. BLAIR MEMORIAL HOSPITAL IS A SMALL, RURAL HOSPITAL THAT IS NOT ENGAGED IN RESEARCH, BUT IT DOES ALLOCATE FUNDS ANNUALLY FOR THE UPGRADE OF PATIENT CARE EQUIPMENT AND FOR EXPENDITURES IN TECHNOLOGY OR FACILITES TO IMPROVE THE SAFETY AND CARE OF PATIENTS. RECENT EXAMPLES OF PURCHASES AND UPGRADES ARE A NEW DIGITAL MAMMOGRAPHY SYSTEM, ORTHOPEDIC SURGERY EQUIPMENT, STEREOTACTIC SPECIMEN IMAGING SYSTEM, AND A DIETARY TRAYLINE SYSTEM. RECENT TECHNOLOGY INVESTMENTS INCLUDE NURSING DOCUMENTATION, ELECTRONIC MEDICATION ADMINISTRATION RECORD AND BEDSIDE MEDICATION VERIFICATION. PART VI, LINE 6: J.C. BLAIR MEMORIAL HOSPITAL IS PART OF J.C. BLAIR HEALTH SYSTEM, INC. THE HEALTH SYSTEM ALSO INCLUDES A FOUNDATION, WHICH RAISES FUNDS THROUGH DONATIONS AND GRANTS TO HELP THE HOSPITAL ACQUIRE NEEDED EQUIPMENT AND PROVIDE HEALTH AND PREVENTION PROGRAMMING. THE HEALTH SYSTEM ALSO INCLUDES J.C. BLAIR MEDICAL SERVICES, INC., WHICH HAS GROWN QUICKLY OVER THE PAST FEW YEARS OPERATING PHYSICIAN PRACTICES, ALLOWING FOR A TURNKEY SET UP THAT ENHANCES RECRUITMENT OF NEW PROVIDERS. THE COMPANIES WORK TOGETHER UNDER THE PARENT COMPANY UMBRELLA TO DELIVER HEALTH CARE SERVICES AND ACCOMPLISH THE VISION OF THE HEALTH SYSTEM: TO BE A MODEL OF EXCELLENCE FOR THE PROVISION OF A COMPREHENSIVE RANGE OF HEALTHCARE AND WELLNESS SERVICES DESIGNED TO CONTINUALLY IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR THE RESIDENTS OF HUNTINGDON COUNTY AND NEARBY COMMUNITIES.THE SYSTEM ENTERED INTO AN AFFILIATION WITH PINNACLE HEALTH SYSTEM ("PINNACLE") THROUGH A MEMBERSHIP INTEREST PURCHASE AGREEMENT (THE "AGREEMENT"), ON MAY 1, 2014. UNDER THE TERMS OF THE AGREEMENT, THIS AFFILIATION WILL, AMONG OTHER THINGS, (A) PROVIDE THE SYSTEM WITH ACCESS TO PINNACLE'S CLINICAL AND OPERATING CAPABILITIES, INCLUDING ACCESS TO MANAGEMENT AND LEADERSHIP, CONTRACTS FOR PROCUREMENT OF PHARMACEUTICAL SUPPLIES AND OTHER CORPORATE SUPPORT SERVICES; (B) ENSURE THE AVAILABILITY OF ADEQUATE PHYSICIAN AND OTHER HEALTH CARE PROFESSIONALS; (C) IMPLEMENT CLINICAL INTEGRATION INITIATIVES; AND (D) SUPPORT PROGRAMS TO HELP THE SYSTEM ACHIEVE FINANCIAL SUSTAINABLITIY. PART VI, LINE 7, REPORTS FILED WITH STATES PA 1 BROAD TOP AREA MEDICAL CENTER INC PO BOX 127 BROAD TOP CITY PA 166210127 251239335 501(C)(3) 1484798 0 N/A N/A COMMUNITY BENEFIT PROGRAMS 1 0 PART I, LINE 2: THE HOSPITAL FOLLOWS HRSA GUIDELINES FOR ALL PROCEDURES REGARDING GRANT FUNDS. X X X 0 0 0 0 0 0 0 0 0 JOHN D ROTH MD DIRECTOR (UNTIL 9/1/2017) 212911 0 0 0 0 0 10080 0 3547 0 226538 0 0 0 JENNIFER E HOLT PHYSICIAN 495780 0 0 0 0 0 15000 0 8443 0 519223 0 0 0 ASHISH A BAGAL PHYSICIAN 332085 0 0 0 0 0 0 0 2505 0 334590 0 0 0 MUHAMMAD T QAMAR PHYSICIAN 261663 0 0 0 0 0 10466 0 3373 0 275502 0 0 0 GEORGE E FLEMING PHYSICIAN 214228 0 0 0 0 0 4800 0 4098 0 223126 0 0 0 CAROLYN WRIGHT PHYSICIAN 199582 0 0 0 0 0 24000 0 391 0 223973 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 JC BLAIR HEALTH SYSTEM ENTERED INTO A "STRATEGIC AFFILIATION AND SUPPORT AGREEMENT" WITH UPMC PINNACLE WHERE PINNACLE WILL PROVIDE CERTAIN MANAGEMENT SERVICES AND SUPPORT FOR JC BLAIR MEMORIAL HOSPITAL AND RELATED ENTITIES. CHIEF EXECUTIVE OFFICER, ADAM R. DIMM, IS COMPENSATED BY PINNACLE AS PART OF THESE MANAGEMENT SERVICES. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WAS REVIEWED IN DETAIL BY THE ACCOUNTING DEPARTMENT AND CFO. A COPY OF THE 990 WAS MADE AVAILABLE TO BOARD MEMBERS BEFORE IT WAS FILED. THE BOARD HAD A CHANCE TO VIEW THE 990 THROUGH EMAIL, OR IN PERSON AND THE BOARD APPROVED THE 990 AT A BOARD MEETING BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, KEY EMPLOYEES, AND BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY AND RETURN TO THE EXECUTIVE ASSISTANT WHO REVIEWS AND MONITORS COMPLIANCE WITH THE POLICY. BOARD MEMBERS ARE REQUIRED TO ABSTAIN FROM VOTING ON MATTERS THAT INVOLVE CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO AND CFO WAS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BASED ON SALARY MARKET DATA. IF THE EXECUTIVE IS ELIGIBLE FOR A PERFORMANCE BONUS, THE CRITERIA FOR DETERMINATION OF THE BONUS IS DEVELOPED BY ESTABLISHING OBJECTIVES AND MEASUREMENTS THAT WILL INDICATE THE DEGREE TO WHICH OBJECTIVES HAVE BEEN ACCOMPLISHED. APPROVAL IS DOCUMENTED VIA COMMITTEE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE FEES: PROGRAM SERVICE EXPENSES 1,438,589. MANAGEMENT AND GENERAL EXPENSES 387,233. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,825,822. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 875,704. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 875,704. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,308,548. MANAGEMENT AND GENERAL EXPENSES 435,776. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,744,324. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,672,521. MANAGEMENT AND GENERAL EXPENSES 150,269. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,822,790. BILLING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 46,804. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,804. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 302,191. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 302,191. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF FOUNDATION -230,911. VALUATION GAIN 2,683. PENSION LIABILITY ADJUSTMENT 2,406,042. LOSS ON PENSION SETTLEMENT -1,359,731. JC BLAIR HEALTH SYSTEMS INC 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 251881383 PROVIDE SUPPORT TO RELATED ORGANIZATIONS PA 501(C)(3) LINE 12B, II N/A 0 JC BLAIR MEMORIAL HOSPITAL FOUNDATION 935 14TH STREET HUNTINGDON PA 16652 231352159 TO SUPPORT HEALTH CARE PROGRAMS OF THE HOSPTIAL PA 501(C)(3) LINE 12A, I JC BLAIR HEALTH SYSTEMS INC 0 JC BLAIR REAL ESTATE HOLDINGS 1226 WARM SPRINGS AVENUE HUNTINGDON PA 16652 251881380 REAL ESTATE HOLDING PA N/A C 0 JC BLAIR REHABILITATION SERVICES INC 1226 WARM SPRINGS AVENUE HUNTINGDON PA 16652 251881385 REHABILITATION SERVICES PA N/A C 0 JC BLAIR MEDICAL SERVICES INC 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 251881378 PROVIDER OF HOSPITALIST SERVICES AND OPERATIONS OF PHYSICAN PRACTICES PA N/A C 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 1