2014-05-06T14:51:45-05:00 2013-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2012-07-01 250585280 ELK REGIONAL HEALTH CENTER % LAURIE MACDONALD ELKR 8147888000 763 JOHNSONBURG ROAD Suite ST MARYS PA 15857 LAURIE MACDONALD 8147888743 2014-04-29 true Brian D Todd 4178658701 2012 2015-11-30 17:44:51Z GREG BAUER 763 JOHNSONBURG ROAD ST MARYS PA 15857 79498647 false X www.elkregional.org X 1999 PA PROVIDE PREMIER HEALTHCARE SERVICES INCLUDING INPATIENT AND OUTPATIENT CARE, FAMILY, INTERNAL AND GENERAL MEDICINE, AND LONG TERM CARE SERVICES TO OUR SURROUNDING COMMUNITIES. 18 14 989 164 170576 -258015 2930245 988226 78355637 75457662 262844 232255 -776019 911178 80772707 77589321 2000 4300 0 0 43993209 43780694 0 0 0 32050634 31783261 76045843 75568255 4726864 2021066 62700208 64529742 47513630 48244356 15186578 16285386 X ELK REGIONAL HEALTH SYSTEM WILL BE THE HEALTHCARE PROVIDER OF CHOICE FOR OUR COMMUNITIES THROUGH A COMMITMENT TO SERVICE, QUALITY, PEOPLE, FINANCE AND GROWTH. false false 36310808 50108121 THE HEALTH CENTER IS A SOLE COMMUNITY HOSPITAL PROVIDING PRIMARY ACUTE CARE MEDICAL SERVICES TO TWO CAMPUSES, THE ST. MARYS HEALTH CENTER IN ST. MARYS, PENNSYLVANIA, AND THE RIDGWAY HEALTH CENTER IN RIDGWAY,PENNSYLVANIA. OTHER PROGRAM SERVICES INCLUDE MEALS ON WHEELS, COMMUNITY NURSING, HEALTHY BEGINNINGS, AND SPORTS MEDICINE AND OTHER HEALTHCARE RELATED ACTIVITIES. ADDITIONALLY, THE HEALTH CENTER RECEIVED EHR INCENTIVE PAYMENTS THROUGH THE MEANINGFUL USE PROGRAM. 13965695 9115320 ERHC PROVIDES FAMILY, INTERNAL & GENERAL MEDICINE, OB/GYN, AND ORTHOPEDIC PHYSICIAN OFFICES TO SERVE THE COMMUNITY. MANY OF THE OFFICES ARE LOCATED ON THE ERHC CAMPUS WITH A FEW OTHER LOCATIONS TO BETTER SERVE THE COMMUNITY. 8379417 9851359 ERHC PROVIDES A 138-BED LONG TERM CARE FACILITY SERVING THE NEEDS OF ELK & CAMERON COUNTIES AND THE SURROUNDING COMMUNITIES. WE ARE AT A 92% OCCUPANCY RATE. WE PROVIDE SOCIAL SERVICES AND RESIDENT ACTIVITIES. OUR TEAM OF QUALIFIED PROFESSIONALS PROVIDES 24-HOUR NURSING CARE AND REHABILITATIVE THERAPY WITH PERSONALIZED ATTENTION TO EACH RESIDENT. OTHER SERVICES OFFERED AT THE FACILITY INCLUDE HOSPICE SERVICES, TRANSPORTATION TO OUTSIDE HEALTH APPOINTMENTS, DIETICIANS, AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. 6202877 6382862 64858797 true true false true false false false false false false true true 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 true true false false false false true true true false false false true 58 0 true 989 true true true false false false false false false false false false X 18 14 false false false false true true true true true false false true true true true true true true false true true PA X LAURIE MACDONALD 8147888743 763 JOHNSONBURG ROAD ST MARYS PA 15857 X GREG BAUER 40.0 3.0 X X 284020 22853 ROB O'LEARY 1.0 2.0 X X FRANK SCUTELLA 1.0 2.0 X X MARY AGNES MARSHALL 1.0 2.0 X X DON FLEMING 1.0 1.0 X JOHN ROGERS 1.0 2.0 X FATHER ERIC VOGT 1.0 1.0 X FRANK STRAUB 1.0 1.0 X STEVE QUINN 1.0 1.0 X BILL CONRAD 1.0 2.0 X TONY KING 1.0 2.0 X JUNE SORG 1.0 1.0 X BOB ORDIWAY 1.0 1.0 X X DR DAVID JOHE 1.0 41.0 X 481597 5382 ANITA WENDEL 1.0 1.0 X JOANNE RYAN 1.0 1.0 X JOHN PICCOLO 1.0 1.0 X DAVE NEDZINSKI 1.0 2.0 X LAURIE MACDONALD 40.0 3.0 X 152234 22058 MARK HOFFMAN 40.0 X 104383 3390 DAVID WOLFE 40.0 X 105475 18501 MATTHEW ROMANIA 40.0 X 109994 18921 JULIE SZYMANSKI 40.0 X 105493 4231 WILLIAM WITTMAN 40.0 X 161569 20710 1023168 481597 116046 9 false true true LEONARD S FIORE GEN CONTRACTOR 2177378 HEALTHCARE SERVICES GROUP HOUSEKEEPING SERVICE 1464126 SODEXO NUTRITION SERVICES 1032359 ASSOCIATED CLINICAL LABORATORIES LAB SERVICES 598861 POLSINELLI SHUGHART PC LEGAL SERVICES 464095 17 273573 119555 595098 988226 NET PATIENT SERVICE REVENUE 621990 73120380 73120380 CAFETERIA INCOME 722514 406364 406364 EHR INCENTIVE REVENUE 621990 1196064 1196064 OTHER SERVICE REVENUE 621990 734854 734854 75457662 202964 202964 0 0 530346 450763 79583 0 79583 79583 1461856 25998 1458563 3293 25998 29291 29291 0 0 0 MOB HOUSEKEEPING 812900 49278 49278 PHYSICIAN BILLING 519100 121298 121298 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 661019 661019 831595 77589321 75457662 170576 972857 4300 4300 0 0 0 510377 0 510377 0 66647 0 66647 0 34927900 31135738 3792162 0 1620964 1460472 160492 0 4318012 3892250 425762 0 2336794 2071561 265233 0 0 653840 0 653840 0 137696 0 137696 0 0 0 30944 0 30944 0 6456313 5153358 1302955 0 182689 0 182689 0 8110598 7205926 904672 0 411319 0 411319 0 0 1377284 1235332 141952 0 57734 50918 6816 0 0 168441 127072 41369 0 828451 725849 102602 0 0 3102460 2718225 384235 0 1145104 472533 672571 0 MEDICAL SUPPLIES & DRUGS 4508315 4508315 BAD DEBT 4045580 4045580 RECRUITING & RETENTION 364755 5000 359755 LICENSES, DUES, SUBSCRIPTIONS 201370 46368 155002 368 368 75568255 64858797 10709458 0 5615 5666 6142822 3634419 1156944 771161 7312930 8175441 0 0 0 0 0 0 546189 534401 416433 456084 95385292 61240309 33617572 34144983 4620814 4938641 4901163 5482459 0 0 0 0 3979726 6386487 62700208 64529742 9133126 10817926 0 0 0 0 7307893 6721719 0 0 0 0 19837442 20465709 0 0 11235169 10239002 47513630 48244356 X 14029632 15516334 1156946 769052 0 0 15186578 16285386 62700208 64529742 X 2021066 -3466 -918792 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7583 7583 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I THE ORGANIZATION IS A MEMBER OF SEVERAL ORGANIZATIONS OF WHICH A PORTION OF THE DUES ARE ATTRIBUTABLE TO LOBBYING. THE ORGANIZATION IS A MEMBER OF THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP), TO WHICH IT PAYS $7,897 IN GENERAL MEMBERSHIP DUES. OF THAT AMOUNT, 26.27% MAY BE ATTRIBUTABLE TO LOBBYING, OR $2,075. THE ORGANIZATION ALSO PAYS $16,714 OF AHA MEMBERSHIP DUES TO HAP, OF WHICH 23.98% MAY BE ATTRIBUTABLE TO LOBBYING, OR $4,008. THE ORGANIZATION IS ALSO A MEMBER OF THE HOSPITAL COUNCIL OF WESTERN PENNSYLVANIA, OF WHICH 15% OF ITS $10,000 DUES ARE ATTRIBUTABLE TO LOBBYING, OR $1,500. TOTAL DUES ATTRIBUTABLE TO LOBBYING ARE $7,583. 215000 144166 359166 1791609 56765558 29871082 28686085 34419316 29618037 4801279 10882 2038761 1751190 298453 34144983 CLOSELY-HELD EQUITY INTERESTS 5482459 5482459 DUE FROM AFFILIATES 1475448 OTHER RECEIVABLE 1960810 ACCRUED INTEREST 15837 SPA MALPRACTICE RESERVE 2934392 6386487 0 ACCRUED PENSION LIABILITY 9236176 DUE TO THIRD PARTY PAYERS 1002826 10239002 72916627 -3466 -4866221 -4869687 77786314 -196993 -196993 77589321 71733501 210826 210826 71522675 4045580 4045580 75568255 UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 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. OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE D, PART XI, LINE 2D $1,394,420 CHANGE IN DEFINED BENEFIT PLAN (2,215,061) TRANSFER TO AFFILIATES (4,045,580) BAD DEBT EXPENSE ------------ $(4,866,221) OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 SCHEDULE D, PART XI, LINE 4B $(210,826) ERHC RENTAL EXPENSES 13,833 REM NET RENTAL INCOME ----------- $(196,993) OTHER EXPENSES INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25 SCHEDULE D, PART XII, LINE 2D $ 210,826 ERHC RENTAL EXPENSES OTHER EXPENSES INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4B $4,045,580 BAD DEBT EXPENSE true true X true X true X true true true false true true 149088 149088 0.00210 9916673 7738643 2178030 0.03050 10065761 7738643 2327118 0.03260 161279 42037 115975 0.00160 7590 2856 4734 0.00010 9054624 6112733 2941891 0.04110 4665 4665 0.00010 9228158 6157626 3067265 0.04290 19293919 13896269 5394383 0.07550 3055 3055 0.00010 134573 32285 102288 0.00140 137628 32285 105343 0.00150 true 4045580 440968 16420643 17200591 -779948 X true false RASC LLC SURGERY CENTER 0.81793 0.18207 1 1 ELK REGIONAL HEALTH CENTER

963 JOHNSONBURGH ROAD ST MARYS PA 15857

X X SKILLED NURSING PHYSICIAN OFFICES ELK REGIONAL HEALTH CENTER 1 true X X X X X X X X X 12 true false true X X X X X X true false true true 100 true 400. true X X X X X true true X X X true false X X X true X false false 6 PINECREST MANOR

763 JOHNSONBURG ROAD ST MARYS PA 15857

NURSING HOME (SKILLED NURSING) ERHC RIDGWAY CAMPUS

304 METOXET STREET RIDGWAY PA 15853

MEDICAL EXPRESS PHYSICAL THERAPY DR STOKES

275 E FOURTH STREET EMPORIUM PA 15834

PHYSICIAN OFFICES DR CARUSO

174 SKYLINE DRIVE KERSEY PA 15846

PHYSICIAN OFFICES DR MCKIMM

416 N BROAD ST EMPORIUM PA 15834

PHYSICIAN OFFICES DR SORG

1095 MILLION DOLLAR HIGHWAY ST MARYS PA 15857

PHYSICAN OFFICES PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7 TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $4,045,580. COST TO CHARGE RATIO SCHEDULE H, PART I, LINE 7 THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEETS 1 AND 3. WORKSHEET 6 USED ACTUAL COST DATA. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, WHICH IS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. ACCOUNTS ARE CONSIDERED DELIQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. LINE 2 REPORTS THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS FROM THE AUDITED FINANCIAL STATEMENTS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B, LINE 8 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. COLLECTION POLICY SCHEDULE H, PART III, SECTION C, LINE 9B THOSE INDIVIDUALS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, SUBSEQUENT TO THEIR ACCOUNT BALANCE BEING ADJUSTED ACCORDINGLY, ACTUALLY ARE TREATED IN THE SAME MANNER AS ALL OTHER INDIVIDUALS WITH SELF-PAY BALANCES. COMMUNITY REPRESENTATION SCHEDULE H, PART V, LINE 3 THE CHNA ASSESSMENT CONDUCTED BY TRIPP UMBACH FOR ELK REGIONAL HEALTH CENTER INCLUDED PRIMARY AND SECONDARY DATA COLLECTION, INTERVIEWS WITH COMMUNITY STAKEHOLDERS, FOCUS GROUPS WITH KEY AUDIENCES, AND A COMMUNITY PLANNING RETREAT. THE CHNA REPRESENTED A COMPREHENSIVE COMMUNITY-WIDE PROCESS WHERE ELK REGIONAL HEALTH CENTER CONNECTED WITH A WIDE RANGE OF PUBLIC AND PRIVATE ORGANIZATIONS SUCH AS EDUCATIONAL INSTITUTIONS, HEALTH-RELATED PROFESSIONALS, LOCAL GOVERNMENT OFFICIALS, HUMAN SERVICE ORGANIZATIONS, AND FAITH-BASED ORGANIZATIONS TO EVALUATE THE COMMUNITY'S HEALTH AND SOCIAL NEEDS. IMPLEMENTATION STRATEGY SCHEDULE H, PART V, LINE 6 IN RESPONSE TO THE RESULTS OF ELK REGIONAL HEALTH CENTER'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION CAN BE FOUND AT THE FOLLOWING URL: http://www.elkregional.org/content/aboutus/health-needs-assessment NEEDS ASSESSMENT: THE ORGANIZATION IS IN THE PROCESS OF COMPLETING A FORMAL NEEDS ASSESSMENT. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE CHARITY CARE POLICY, IN ITS ENTIRETY, APPEARS ON THE HOSPITAL WEBSITE. THE ASSOCIATED ELIGIBILITY FORM IS OBTAINABLE HERE AS WELL. THE SELF-PAY COLLECTION PROCESS PROVIDES FOR A CHARITY CARE APPLICATION AND EXPLANATION LETTER TO BE SENT ON EVERY OUTSTANDING PATIENT ACCOUNT FOR WHICH THERE IS NOT A PAYMENT MADE SUBSEQUENT TO THE INITIAL STATEMENT BEING RECEIVED. THERE ARE ALSO SIGNS POSTED IN CERTAIN AREAS OF THE HEALTH CENTER WHICH PROMOTE THE EXISTENCE OF THE CHARITY CARE POLICY AND DIRECT INTERESTED INDIVIDUALS ACCORDINGLY. COMMUNITY INFORMATION: THE ORGANIZATION PROVIDES SERVICES TO RESIDENTS OF ALL AGES IN ELK AND CAMERON COUNTIES AND THE SURROUNDING AREAS. ELK AND CAMERON COUNTIES HAVE A POPULATION OF APPROXIMATELY 37,000. ADULTS OVER AGE 65 REPRESENT ABOUT 20% OF THE POPULATION. PERSONS BELOW POVERTY LEVEL ACCOUNT FOR ABOUT 11% OF THE POPULATION. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $43,000, AND THE MEDIAN VALUE OF OWNER-OCCUPIED HOUSING UNITS IS APPROXIMATELY $89,000. ELK REGIONAL IS ONE OF TWO MAJOR HEALTH SYSTEMS THAT SERVE THE ELK AND CAMERON COUNTY COMMUNITIES. COMMUNITY BUILDING ACTIVITIES: ERHC STRIVES TO PROVIDE WELLNESS AND EDUCATIONAL PROGRAMS FOR COMMUNITY MEMBERS TO MAINTAIN A HEALTHY LIFESTYLE. ERHC PROVIDES SMOKE DETECTORS TO PARENTS OF NEWBORNS TO TAKE HOME WITH THEM & INSTALL IN THEIR HOMES. ERHC WORKS WITH THE LOCAL LIONS CLUB & ROTARY CLUB TO PROVIDE SERVICES TO THE COMMUNITY. ERHC PARTICIPATES IN ACTIVITIES WITH THE ST. MARYS CHAMBER OF COMMERCE AND BELONGS TO THE BOARDS OF THE FAMILY RESOURCE NETWORK AND THE STATE HEALTH IMPROVEMENT PLAN. ERHC PROVIDES JOB SHADOWING TO THE LOCAL HIGH SCHOOL STUDENTS AND HAS A SCHOOL TO WORK PROGRAM FOR STUDENTS. ERHC ALSO PARTICIPATES IN THE PHEAA PROGRAM TO HIRE STUDENTS AS SUMMER WORKERS TO GIVE THEM WORK EXPERIENCE IN VARIOUS FIELDS. ORGANIZATION HAS AN OPEN MEDICAL STAFF AND THE BOARD IS COMPRISED OF PEOPLE WHO ARE LEADERS IN THE COMMUNITY. THE PHYSICIAN OFFICES & OUTPATIENT THERAPY OFFICES LOCATED THROUGHOUT THE COMMUNITIES GIVE PATIENTS EASIER ACCESS TO VARIOUS SERVICES. ERHC PARTICIPATES IN AND HOLDS HEALTH FAIRS WHERE FREE SCREENINGS & LOW OR NO COSTS TESTING ARE PROVIDED TO PROMOTE PREVENTATIVE CARE AND HEALTH LIFESTYLES. ERHC HOLDS MANY EDUCATIONAL CLASSES FOR THE PUBLIC SUCH AS DIABETES EDUCATION, WOMEN'S HEALTH ISSUES, SUPPORT GROUPS, ETC. ERHC ALSO OFFERS VARIOUS EXERCISE CLASSES SUCH AS PILATES, BOOT CAMP, YOGA, ETC., ALONG WITH WELLNESS CLASSES. THE ORGANIZATION PERIODICALLY HAS PRESS RELEASES ON DIFFERENCE HEALTH ISSUES. OTHER INFORMATION: THE ORGANIZATION HAS AN OPEN MEDICAL STAFF AND THE BOARD IS COMPRISED OF PEOPLE WHO ARE LEADERS IN THE COMMUNITY. THE PHYSICIAN OFFICES & OUTPATIENT THERAPY OFFICES LOCATED THROUGHOUT THE COMMUNITIES GIVE PATIENTS EASIER ACCESS TO VARIOUS SERVICES. ERHC PARTICIPATES IN AND HOLDS HEALTH FAIRS WHERE FREE SCREENINGS & LOW OR NO COSTS TESTING ARE PROVIDED TO PROMOTE PREVENTATIVE CARE AND HEALTH LIFESTYLES. ERHC HOLDS MANY EDUCATIONAL CLASSES FOR THE PUBLIC SUCH AS DIABETES EDUCATION, WOMEN'S HEALTH ISSUES, SUPPORT GROUPS, ETC. ERHC ALSO OFFERS VARIOUS EXERCISE CLASSES SUCH AS PILATES, BOOT CAMP, YOGA, ETC., ALONG WITH WELLNESS CLASSES. THE ORGANIZATION PERIODICALLY HAS PRESS RELEASES ON DIFFERENCE HEALTH ISSUES. AFFILIATED HEALTH CARE SYSTEM ROLES: ELK REGIONAL HEALTH CENTER IS A FULLY-ACCREDITED, NOT-FOR-PROFIT 80-BED GENERAL ACUTE CARE INSTITUTION BACKED BY THE EXPERTISE OF A DEDICATED, EMPLOYED PHYSICIAN GROUP AND THE STRENGTH OF A CLINICAL RELATIONSHIP WITH UPMC HAMOT IN ERIE, PA. WITH CAMPUSES IN ST. MARYS AND RIDGWAY AND PHYSICIAN OFFICES IN A NUMBER OF LOCATIONS THROUGHOUT THE REGION, ELK REGIONAL PROUDLY SERVES THE RESIDENTS OF ELK AND CAMERON COUNTIES. IT IS THE ONGOING MISSION OF THE ELK REGIONAL HEALTH SYSTEM TO PROVIDE PREMIER HEALTHCARE SERVICES TO PATIENTS THROUGH COMMITMENTS TO SERVICE, QUALITY, PEOPLE, FINANCE AND GROWTH - ALL WHILE MAINTAINING ECONOMIC VIABILITY AND KEEPING AN EYE ON THE FUTURE. THE HOSPITAL AND PHYSICIAN OFFICES WORK WITH COMMUNITY NURSES INC., TO PROVIDE FLU SHOT CLINICS TO THE COMMUNITY. THE FOUNDATION AND AUXILIARY PROVIDE EDUCATIONAL CLASSES AND SCHOLARSHIPS. THERE ARE MANY SCREENINGS & HEALTH CLINICS HELD THROUGHOUT THE YEAR TO PROMOTE HEALTHY LIVING & PREVENTATIVE CARE. ERHC ALSO OFFERS EXERCISE, NUTRITION, AND RELAXATION CLASSES. THE HEALTH SYSTEM FOUNDATION OFFERS 2 SCHOLARSHIPS EACH YEAR TO STUDENTS PURSUING HEALTH CARE FIELDS. COMMUNITY NURSES INC ESTABLISHED A SERENITY GARDEN FOR PINE CREST MANOR (SKILLED NURSING FACILITY) RESIDENTS AND FAMILY AND FOR THE GENERAL PUBLIC TO USE AS A MEDIATION GARDEN. CNI ALSO PROVIDES ADULT DAY CARE SERVICES FOR THE COMMUNITY. THE HOSPITAL AUXILIARY GIVES A SCHOLARSHIP TO A TEEN VOLUNTEER FROM EACH LOCAL SCHOOL WHO ARE GOING TO STUDY A HEALTH CARE RELATED FIELD. THE PHYSICIAN OFFICES AND COMMUNITY NURSES WORK TOGETHER TO PUT ON VARIOUS FLU CLINICS TO PROVIDE ANNUAL FLU SHOTS TO MEMBERS OF THE COMMUNITY. ERHC PROVIDES A SMOKING CESSATION PROGRAM TO THE PUBLIC FOR THOSE WHO ARE TRYING TO QUIT SMOKING. ERHC HAS A CRNP THAT GOES INTO THE LOCAL SCHOOLS EACH YEAR TO EDUCATE STUDENTS ABOUT GOOD HYGIENE AND HEALTH ISSUES ASSOCIATED WITH ADOLESCENCE. THE ORGANIZATION ALSO PROVIDES FREE SPORTS PHYSICALS FOR THE LOCAL YOUTH FOOTBALL TEAM. X X X X X false true false false false false false false false GREG BAUER 257105 9598 17317 8059 0 14794 0 306873 0 LAURIE MACDONALD 141794 10440 4409 0 17649 0 174292 0 DR DAVID JOHE 478565 1494 1538 0 0 0 5382 0 486979 WILLIAM WITTMAN 161306 263 4927 0 15783 0 182279 0 SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B 457(F) PLAN EMPLOYEE CONTRIBUTIONS GREG BAUER $4,500 ELLEN SCUTELLA SEE PART V. 34004 SEE PART V. false NICKLAS INSURANCE AGENCY SEE PART V. 179944 SEE PART V. false KAREN GASPARI SEE PART V. 32643 SEE PART V. false ST MARY'S PHARMACYHOME MEDICAL SEE PARY V. 159100 SEE PART V. false BUSINESS TRANSACTIONS SCHEDULE L, PART IV (1) ELLEN SCUTELLA IS THE WIFE OF FRANK SCUTELLA, CHAIRMAN ELECT. SHE WAS EMPLOYED BY ELK REGIONAL HEALTH CENTER WITH REPORTABLE COMPENSATION OF $32,850 AND RELATED BENEFITS OF $1,154. TOTAL COMPENSATION RECEIVED WAS $34,004. (2) FRANK SCUTELLA IS AN OWNER OF NICKLAS INSURANCE AGENCY. THE ORGANIZATION RECEIVES PROPERTY, BOILER, AND BUSINESS AUTO INSURANCE FROM THE AGENCY, WITH TOTAL PAYMENTS EQUAL TO $179,944 FOR THE YEAR. (3) KAREN GASPARI IS THE SISTER OF LAURIE MACDONALD, ERHC CFO/VP OF FINANCE. SHE IS EMPLOYED BY ERHC AND RECEIVED REPORTABLE COMPENSATION OF $31,413 AND RELATED BENEFITS OF $1,230. TOTAL COMPENSATION RECEIVED WAS $32,643. (4) FRANK STRAUB, DIRECTOR, IS THE OWNER OF ST. MARYS PHARMACY AND SMP HOME MEDICAL. THE ORGANIZATION PURCHASED PHARMACY DRUGS FOR PINECREST MANOR AND OXYGEN CONCENTRATORS AT A TOTAL COST OF $159,100 FOR FYE 6/30/2013. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4D THE HEALTH CENTER IS A SOLE COMMUNITY HOSPITAL PROVIDING PRIMARY ACUTE CARE MEDICAL SERVICES TO TWO CAMPUSES, THE ST. MARYS HEALTH CENTER IN ST. MARYS, PENNSYLVANIA, AND THE RIDGWAY HEALTH CENTER IN RIDGWAY, PENNSYLVANIA. OTHER PROGRAM SERVICES INCLUDE MEALS ON WHEELS, COMMUNITY NURSING, HEALTHY BEGINNINGS, AND SPORTS MEDICINE AND OTHER HEALTHCARE RELATED ACTIVITIES. ADDITIONALLY, THE HEALTH CENTER RECEIVED EHR INCENTIVE PAYMENTS THROUGH THE MEANINGFUL USE PROGRAM. MEMBERS FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ELK REGIONAL HEALTH SYSTEM (ERHS), A RELATED PENNSYLVANIA NON-PROFIT CORPORATION. ERHS AND ERHC HAVE A COMMON BOARD OF DIRECTORS. ALL POWERS OF ERHC ARE EXERCISED BY THE BOARD OF DIRECTORS PROVIDED THAT THE BOARD OBTAINS THE APPROVAL OF THE HEALTH SYSTEM BEFORE ACTION ON ANY MATTERS BECOMES FINAL AND EFFECTIVE. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B 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 DRAFT FORM 990 IS REVIEWED BY THE CFO AND THE CONTROLLER. AFTER ALL SUGGESTED CHANGES FROM THE CFO AND CONTROLLER ARE MADE, THE UPDATED DRAFT FORM 990 IS PRESENTED AT THE FINANCE COMMITTEE MEETING. AFTER ANY FINAL CHANGES ARE MADE, A COPY IS PROVIDED TO THE FULL BOARD BEFORE FILING. CONFLICT OF INTEREST POLICY COMPLIANCE FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS GIVEN TO BOARD MEMBERS ANNUALLY ALONG WITH A LETTER AND DISCLOSURE STATEMENT. THE CHAIRMAN OF THE BOARD REVIEWS THESE DISCLOSURE STATEMENTS AND SUBMITS A REPORT TO THE EXECUTIVE COMMITTEE CONCERNING ANY CONFLICTS OF INTEREST. THE BOARD MEMBERS ALSO COMPLETE A SEPARATE QUESTIONNAIRE DEVELOPED TO HELP ANSWER THE NEW FORM 990 QUESTIONS. ANY INDIVIDUAL HAVING A CONFLICT OF INTEREST WITH RESPECT TO ANY MATTER WILL NEITHER VOTE NOR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. THIS INDIVIDUAL WILL ALSO NOT BE COUNTED IN DETERMINING THE QUORUM FOR ANY ACTION ON THE MATTER IN QUESTION. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE OF THE INTEREST, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. COMPENSATION DETERMINATION FORM 990, PART VI, SECTION B, LINES 15A & 15B THE CEO'S CONTRACT IS REVIEWED ANNUALLY BY THE BOARD. AS PART OF THIS PROCESS, THE BOARD USES AN OUTSIDE CONSULTING FIRM AND SALARY SURVEYS AS COMPARABILITY DATA. NO OTHER OFFICERS RECEIVE THIS SALARY REVIEW. THE PROCESS IS DISCUSSED WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND DOCUMENTED IN THE MINUTES. THE CHAIRMAN OF THE BOARD SIGNS THE CONTRACT APPROVING ANY CHANGES AS AGREED UPON. IN 2011, A COMPENSATION COMMITTEE WAS STARTED AND AN EXECUTIVE COMPENSATION PHILOSOPHY WAS DEVELOPED. GOVERNING DOCUMENT AVAILABILITY FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST FROM LORI SCUTELLA, ADMINISTRATIVE SECRETARY. DOCUMENTS MAY BE MAILED, E-MAILED, FAXED, OR HELD FOR PICKUP BY REQUESTING PERSONS. BOARD MEMBER COMPENSATION FORM 990, PART VII, SECTION A NO DIRECTORS RECEIVE ANY COMPENSATION FOR THEIR DIRECTOR DUTIES. DR. DAVID JOHE IS PAID AS A PHYSICIAN IN ERPG AND IS PRESIDENT OF MEDICAL STAFF. GREG BAUER RECEIVES COMPENSATION FOR HIS DUTIES AS PRESIDENT/CEO OF THE ELK REGIONAL HEALTH SYSTEM AND RELATED ORGANIZATIONS. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 $ 1,394,420 CHANGE IN DEFINED BENEFIT PLAN (2,215,061) TRANSFERS TO AFFILIATES (98,151) REM TRANSFERS TO AFFILIATES ----------- $ (918,792) ELK REGIONAL SURGERY CENTER REAL ESTATE 1376 BUCKTAIL ROAD ST MARYS PA 15857 272160971 REAL EST MGMT PA 13833 1695905 ERHC ELK REGIONAL HEALTH SYSTEM FOUNDATION 763 JOHNSONBURG ROAD ST MARYS PA 15857 251636685 SUPPORT PA 501(C)(3) 11A I ERHS false ELCO HOUSING 759 JOHNSONBURG ROAD ST MARYS PA 15857 251639115 HOUSING PA 501(C)(3) 7 ERHS false ELK REGIONAL PROFESSIONAL GROUP INC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251875183 HEALTH CARE PA 501(C)(3) 3 ERHS false ELK REGIONAL HEALTH SYSTEM AUXILIARY 763 JOHNSONBURG ROAD ST MARYS PA 15857 251429093 SUPPORT PA 501(C)(3) 7 ERHS false ELK REGIONAL HEALTH SYSTEM 763 JOHNSONBURG ROAD ST MARYS PA 15857 251636723 HEALTH CARE PA 501(C)(3) 9 NA false COMMUNITY NURSES HOME HEALTH & HOSPICE 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 250996070 HEALTH CARE PA 501(C)(3) 9 CNI false COMMUNITY NURSES HOME SUPPORT SERVICES 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623601 HEALTH CARE PA 501(C)(3) 9 CNI false COMMUNITY NURSES INC 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623598 HEALTH CARE PA 501(C)(3) 7 ERHS false ELK REG MRI CTR 763 JOHNSONBURG ROAD ST MARYS PA 15857 251924737 MRI CENTER PA ERHC RELATED 0 0 false false 0.99000 REG AMBUL SURG CTR 1376 BUCKTAIL ROAD ST MARYS PA 15857 251873083 SURGERY CENTE PA ERHC RELATED 272460 3055705 false false 0.81793 false false true true false false false false false true true false false true true false false true false