2014-05-13T06:07:48-07:00 2013-06-30 Catalano Case Catalano & Fannin 1773 Kiwanis Trail / PO Box 46 Dubois PA 15801 990 2012-07-01 251490707 DuBois Regional Medical Center DUBO 8143756105 PO Box 447 DuBois PA 15801 John Sutika 2014-05-13 true W CRAIG CASE JR P00232174 8143713000 X 2012 2015-11-30 17:44:51Z 233982910 false false X www.drmc.org X 1985 PA DuBois Regional Medical Center offers residents of West Central Pennsylvania a rare combination of advanced healthcare in a warm, friendly environment. DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. See Statement of Community Benefit. 19 15 1951 246 0 624822 215183 211432640 224465191 2400893 1800901 7244872 3882594 221703227 230363869 0 0 135105651 134727035 0 165807 87734090 97177261 222839741 231904296 -1136514 -1540427 213226338 222847152 67255398 74826495 145970940 148020657 DuBois Regional Medical Center offers residents of West Central Pennsylvania a rare combination of advanced healthcare in a warm, friendly environment. DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. See Statement of Community Benefit. false false 203061769 230363869 DuBois Regional Medical Center provides a variety of comprehensive inpatient care and outpatient medical services to the residents of West Central Pennsylvania. The facility is licensed for 221 beds. In fiscal year 2011, DRMC served 9,409 inpatients with a total of 39,361 inpatient days and provided more than 482,013 outpatients visits. In addition to direct medical services, the hospital also provides other medical programs to the community including community outreach programs, clinics, support groups, education programs, health fairs and health screenings. 203061769 true true false true false false false false false true true false false true true false false true false false false false false false true false true true false false true true false false false false false false false true true true false false false false false true true true false false true 170 0 true 1951 true false false false false false false true true false 0 false false false false false false false false false false X 19 15 false false false false false true true true true false false true true true true true true true true true true PA X Brian Kline CFO 8143756377 100 Hospital Avenue DUBOIS PA 15801 William Young 1.00 0.00 X 0 0 0 Todd Stoltz 1.00 0.00 X 0 0 0 Dr Gary Ott 1.00 0.00 X 0 0 0 Dr Rajat Malik 40.00 0.00 X 587536 0 20507 Dr Gregory Roscoe 1.00 0.00 X 0 0 0 Anita McDonald 1.00 0.00 X 0 0 0 Sister Mary Ann Bader 1.00 0.00 X 0 0 0 Richard Pfingstler 1.00 0.00 X 0 0 0 Lisa M Zocco 0.00 0.00 X 0 0 0 Anthony Viglione 0.00 0.00 X 0 0 0 James E Devlin MD 1.00 0.00 X 0 0 0 Sister Mary Felice Duska 1.00 0.00 X 0 0 0 Sister Margaret Park 0.00 0.00 X 0 0 0 Gene Hoak 1.00 0.00 X 0 0 0 Dr Hazem F El Kassas MD 0.00 0.00 X 0 0 0 Nancy Micks 1.00 0.00 X 0 0 0 Dr Jonathan Pope 40.00 0.00 X 336200 0 24700 Raymond A Graeca 40.00 40.00 X X 0 616106 106276 Edward S Nasuti 1.00 0.00 X 0 0 0 Edward Yahner 1.00 0.00 X 0 0 0 James D Curtis 1.00 0.00 X 0 0 0 John Sutika 40.00 0.00 X 324636 0 38202 Patricia Cressley 40.00 0.00 X 277207 0 33500 Robert McKee 40.00 0.00 X 198928 0 30044 Denise Lucas 40.00 0.00 X 201748 0 5359 Dr Gary Dugan 40.00 0.00 X 349049 0 39593 Janice Hamscher 40.00 0.00 X 171874 0 16332 Dr Robert Armstrong 40.00 0.00 X 705261 0 24936 Dr Keith Zeliger 40.00 0.00 X 657741 0 23525 Dr Alexander Krot 40.00 0.00 X 655000 0 22396 Dr John Fabre 40.00 0.00 X 646239 0 20318 Dr Norman Hetzler 40.00 0.00 X 693811 0 23716 5805230 616106 429404 13 false true false Perfusion Professionals 101 Bradford Road Wexford PA 15090 Perfusion Services 813756 Linde Healthcare Staffing PO Box 915214 Dallas TX 75391 Healthcare Staffing 858613 Comphealth PO Box 972651 Dallas TX 75397 Healthcare Staffing 1437634 Associated Clinical Laboratories 1526 Peach Street Erie PA 16501 Lab Services 1709993 Allied Resources Medical Staffing 135 Dowlin Forge Road Exton PA 19341 Staffing Services 993022 5 82063 133120 215183 R&B, Ancillary IP 165593031 165593031 Other Program 7214323 7214323 Contractual Adj -322012573 -322012573 Ancillary OP & Physician 373670410 373670410 224465191 1610553 1610553 0 0 639156 639156 639156 639156 576213 3205181 373347 3217699 202866 -12518 190348 190348 22720 82063 27995 -5275 -5275 0 0 Restricted Operating Re 182313 182313 Other Income 1654814 1654814 Earnings from Affiliate 1411586 1411586 3248713 230363869 228543408 1605278 0 0 0 0 1590212 687942 902270 0 109935480 96743222 13043968 148290 2700539 2376474 324065 13637804 12001268 1636536 6863000 6039440 823560 4232747 3724817 507930 180201 180201 103624 103624 60000 60000 0 0 11181567 9839779 1341788 506382 445616 60666 100 986205 867860 116862 1483 4084934 3594742 490192 0 3694140 3250843 443297 381093 335362 45540 191 0 393121 345946 46664 511 1362418 1198928 163490 0 14017012 12334971 1682041 3460876 3045571 415305 Maintenance Contracts 1910813 1681515 229279 19 Bad Debt 6657214 5858348 798866 Purchased Services 8018678 7056437 947529 14712 Supplies 34368041 30243876 4124093 72 1578195 1388812 188954 429 231904296 203061769 28676720 165807 3514239 1633087 1019671 1047006 0 30367878 32676525 0 0 0 0 2923553 3717326 231289763 128291695 104951853 102998068 51335463 55249876 0 0 0 19113681 25525264 213226338 222847152 23809549 25108977 1294812 1781591 34490435 30576851 5324552 15225920 2336050 2133156 67255398 74826495 X 144699012 146674500 1271928 1346157 145970940 148020657 213226338 222847152 X -1540427 3009681 580463 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true false true 60000 true false false 60000 false false 41013 6401 55 47469 38372 2545 96 41013 36194 1965 213 38372 33369 2553 272 36194 31274 1710 385 33369 true false false 3758414 3758414 125233671 60556728 64676943 676118 423774 252344 97298208 63977748 33320460 4323352 3333445 989907 102998068 Pledged Guarantees - Workers Comp 664 Other Assets 1271860 Miscellaneous Receivables 13660071 Investment in Affiliates 4758129 Inventory for use 2662277 Goodwill 1350028 Deferred Financing 15373 Deferred Pension Plan 1806862 25525264 Third Party Rate Adj.&Compliance Reserve 2133156 2133156 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. DRMC's Endowment Fund will be used for purchase of capital items used in patient care. X X X false Golf Tournament 104783 82063 22720 12973 5812 9210 104783 82063 22720 12973 5812 9210 27995 -5275 true true true X false true true true false false false 2896868 2896868 0.01250 34728583 26774219 7954364 0.03430 37625451 26774219 10851232 0.04680 558470 558470 0.00240 841525 841525 0.00360 619379 619379 0.00270 63579 63579 0.00030 2082953 2082953 0.00900 39708404 26774219 12934185 0.05580 false 2995746 62501746 64128108 -1626362 X true true Kidney Care ServicesDuBois Dialysis Services 0.69000 0.31000 Kidney Care Services LLC Dialysis Services 0.74000 0.26000 1 1 DuBois Regional Medical Center

100 Hospital Avenue DuBois PA 15801

X DuBois Regional Medical Center 1 true X X X X X X X X X 12 true false true X X X X X X X X X true false false true true 200.0000 false false false false false false true X false false Part VI - States Where Community Benefit Report Filed PA Part VI - Explanation Of How Organization Furthers Its Exempt Purpose DuBois Regional Medical Center offers residents of West Central Pennsylvania a rare combination of advanced healthcare in a warm, friendly environment. Widely recognized as one of the leading health centers of its kind in the Commonwealth, DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. Our combined vision is to be positioned as the premier provider of comprehensive, quality services to our broad region. Providing inpatient and outpatient hospital care represents the largest portion of these services. DRMC's mission in maintaining these services is accomplished by providing access to healthcare services for all, including individuals who are unable to pay for such services. DRMC has a tradition of serving the poor and underprivileged of the area by providing care, programs and services to enhance their quality of life. Beyond the inpatient and outpatient hospital care, there are many other ways in which DRMC and our employees serve our community every day. DRMC has an ongoing commitment to the communities it serves with a range of community outreach programs, such as clinics, support groups, educational programs, health fairs and health screenings. Our employees volunteer their time and talents to improve our community in many ways. In addition to giving to organizations, they provide information on health and safety to the community. They provide direct patient care on a volunteer basis at the local DuBois Free Clinic. The Clinic was established for low-income people who could not afford health insurance. The success and reputation of DRMC is a direct result of the dedicated efforts of our Board of Directors, Administration, Physicians and Staff. With the continued support of the DRMC family and the communities we serve, DRMC will remain a valuable resource to our area. Part VI - Community Information DRMC's 221 licensed beds are housed in two facilities two miles from one another in DuBois, a small town in West Central Pennsylvania. The combined tradition of providing high quality, compassionate care began with its predecessors, DuBois Hospital and Maple Avenue Hospital in 1897. In 1985, the two organizations joined to create DRMC, and since then, the medical center has grown for the benefit of the entire community. DRMC West, houses acute inpatient care and a full range of ancillary services. In addition DRMC offers access to primary and specialty care health centers in seven communities. DRMC's primary care physicians bring family health care close to home in Brockway, Curwensville, Force, Penn Township (Grampian), Reynoldsville, Sykesville, Punxsutawney, and multiple DuBois locations. As one of the largest private employers in Clearfield County, DRMC is a significant part of the area's economy. We take pride in the role we play in shaping the quality of life for residents of the communities we serve. We also believe that the population we serve is both very proud and greatful to have DRMC as their primary health care provider. Part VI - Patient Education of Eligibility for Assistance DRMC posts a "Notice of Charity Care" at all points of registration, including all employed physician practices. The "notices" include a statement as to the availability of charity care and how to apply. DRMC employs a Financial Counselor who meets individually with all inpatients admitted to the facility who indicate no health care coverage. The Financial Counselor interviews the patient, and if appropriate, discusses and educates the patient relative to Medical Assistance, Blue Chip and the hospital's charity care program. The Financial Counselor completes and/or assists the patient with the necessary applications, and follow-thru with the physician and the assigned County Board of Assistance caseworker. The Financial Counselor also contacts other patients with larger dollar account balances to discuss and educate the patient's need for financial assistance. Additionally, DuBois Regional Medical Center employs a credit/collections staff who also contact, educate and offer assistance to other patients with financial need to help with health care costs. Part VI - Needs Assessment A) The hospital collects data on an ongoing basis regarding patients who travel to outlying areas for services not offered by DRMC. Based on this data, services are added and/or improved upon in order to serve the needs of the community as effectively and efficiently as possible.B) DRMC routinely sends patient satisfaction surveys to those receiving medical services. These surveys allow patients to offer suggestions regarding how the hospital could better serve them as patients and the community as a whole.C) DRMC offers a variety of educational programs that allow employees to interact on a one-on-one basis with the residents of the community as a whole.D) The medical staff of the hospital consistently participates in research and continuing medical education. This knowledge allows the hospital to remain updated on the latest medical news and techniques in order to offer patients the highest and most innovative levels of care.E) DRMC hired an outside firm to assist with conducting a Community Health Needs Assessment (CHNA). The assessment took place between March and August, 2011. The contractor gathered secondary data in Clearfield and surrounding counties; conducted various focus groups with key audiences and users of healthcare/social services to identify areas for perspective improvement within the community. DRMC held a community retreat with community leaders to report and present the findings of the collection phase. The community leaders provided input to help determine and prioritize which issues needed to be addressed within the community. The contractor is currently in the process of developing a master plan of initiatives for DRMC to be posted to its web site. Number of Hospital Faciltiy - 1 Part V, Line 20d - Other Billing Determination of Individuals Without Insurance A 25% discount is provided to uninsured patients not eligible for charity care to allow for a match to the 25% discount provided to the Intergroup/Vantage large multi-payer groups. These multi-payer groups are our Commercial Insurances taht are outside of a managed care contract. All uninsured patients receive this discount regardless of income. The only qualification is for the patient to be uninsured.In addition, a 40% discount is provided to uninsured and underinsured patients not eligible for charity care with a patient-pay balance exceeding 25% of the family's annual income. There are no income guidelines. Proof of income is requested only to verify that the patient-pay balance exceeds 25% of the family's annual income. Number of Hospital Faciltiy - 1 Part V, Line 3 - Account Input from Person Who Represent the Community In order to complete the Community Health Needs Assessment, DuBois Regional Medical Center spoke to several community leaders including buisness owners, politicians and other government workers, hospital administraiton and personnel and others involved in the area's healthcare community. Several organizatons were invited to meet with the committe including Susan Ford from the county Drug and Alcohol Commission, Nanci Mattison from Catholic Charties, Robert Newell from the American Red Cross and Gene Kephert from Senclair Child Services, just to name a few. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients The hospital offers free charity care to those patients who qualify. A patient with family income at or below 200% of Schedule A of the poverty guidelines, or below this level due to medical indigency, is eligible to receive free medical services provided liquid assets are not in excess of $25,000. See (3) (below) "Patient Education of Eligibility for Assistance" for "Notice of Charity Care" policy. Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) A discount of 25% is extended to uninsured patients not qualifyig for charity care. Additionally, a 40% discount is offered to uninsured/under-insured patients who have a patient-pay balance exceeding 25% of the family annual income but are not eligible for charity care. A 60% discount is applied for patients with non-covered pharmacy expenses. X X X X X false false false false false false false false false false Robert McKee 177493 21435 15957 14087 228972 Raymond A Graeca 488871 113999 13236 84029 22247 722382 Patricia Cressley 186058 27866 63283 22406 11094 310707 John Sutika 266573 47018 11045 37194 1008 362838 Janice Hamscher 146154 25720 7308 9024 188206 Dr Robert Armstrong 550000 155261 10000 14936 730197 Dr Rajat Malik 587308 228 10000 10507 608043 Dr Norman Hetzler 623361 70450 10000 13716 717527 Dr Keith Zeliger 628041 29700 10000 13525 681266 Dr Jonathan Pope 261000 75200 10000 14700 360900 Dr John Fabre 645439 800 10000 10318 666557 Dr Gary Dugan 296981 35033 17035 24849 14744 388642 Dr Alexander Krot 655000 10000 12396 677396 Denise Lucas 193956 7792 5359 207107 A Hospital Authority of Cle 251718944 000000000 2007-08-22 15000000 Capital Purchases false false A 2282293 15000000 15000000 false false true true A false false false false false false true A true false false false false D Hospital Authority of City of DuBois 251718944 000000000 2007-08-22 9205969 Refinancing false false C Hospital Authority of City of DuBois 251718944 000000000 2008-12-17 9770204 Refinancing false false B Clearfield County Ind Dev Authority 251430476 000000000 2007-08-22 5155433 Refinancing false false A Hospital Authority of City of DuBois 251718944 000000000 2007-08-22 9114708 Refinancing false false D 2287072 9205969 9205969 true false true true C 6203727 9770204 9770204 true false true true B 4767437 5155433 5155433 true false true true A 2383031 9114708 9114708 true false true true D false false false false false false true C false false false false false false true B false false false false false false true A false false false false false false true D true false false false false C true false false false false B true false false false false A true false false false false false Megan Devlin See Part V 87360 Compensation false Lauren Dale See Part V 64947 Compensation false ClearJeff Primary Care See Part V 223740 Guaranteed Payments false Dr Nico Roscoe See Part V 66674 Education Loan Pmts false Dr Brandon Roscoe See Part V 83239 Education Loan Pmts false Andrew Sutika See Part V 95979 Compensation false Douglas Dale See Part V 28396 Compensation false Linda McKee See Part V 34918 Compensation false Jill Zimmerman See Part V 59205 Compensation false Michelle Sutika Bennett See Part V 115969 Compensation false Kristy Yount See Part V 79605 Compensation false Dr Steve Graeca See Part V 524727 Compensation false Women's Care of Western PA See Part V 1037846 Payments for Services false (1) Women's Care of Western PA is owned by Board Member, Dr. Gary Ott. $473,846 is payment for services and $600,000 is payment for the purchase of his physician practice.(2) Dr. Steven Graeca is the son of Raymond Graeca, the President of DRMC's parent company, Penn Highlands Healthcare. (3) Kristy Yount is the daughter of a DRMC Board member, Nancy Micks.(4) Michelle Bennett is the daughter of DRMC President, John Sutika.(5) Jill Zimmerman is the sister of a DRMC senior management member, Patricia Cressley.(6) Linda McKee is the wife of a DRMC senior management member, Bob McKee.(7) Doug Dale is a relative of DRMC President, John Sutika.(8) Andrew Sutika is the brother of a DRMC President, John Sutika.(9) Dr. Brandon Roscoe is the son of Board Member Dr. Gregory Roscoe.(10) Dr. Nicco Roscoe is the daughter-in-law of Board Member Dr. Gregory Roscoe(11) Clearfield Jefferson Primary Care Assoiciates is owned by Dr. Brandon and Dr. Nico Roscoe, family members of Board Memeber Dr. Gregory Roscoe.(12) Lauren Dale is a relative of DRMC's President, John Sutika.(13) Megan Devlin is a relative of Board Member, Dr. James Devlin. Form 990, Part VII John Sutika, President and CEO and Patricia Cressley, CFO performed management services for Kidney Care Services, LLC and Kidney Care Services, DuBois, both of which are related entities. Each officer dedicates approximately one hour per week for each entity. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Other = $580463 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The conflict of interest statement and other governing documents are available to the public at the public's request. They are located in a "Public Binder" in the administrative offices of DRMC Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees An independant firm is hired to compare, review, and recommend all senior officers' compensation. The Board of Directors provides the final approval. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Yearly, Board members are required to complete a new conflict of interest statement. At any time, any Board member may question a possible conflict of interest and a thorough review would then be completed. Form 990, Part VI, Line 11b Form 990, Part VI, Line 11b: Form 990 Review Process DRMC will be submitting the Form 990 to meet the May 15th deadline for filing. The complete Form 990 will be provided to the finance committee and board of directors at the May meetings which are on May 20 and 21. At that time, the committees will review the Form 990 and have an opportunity to discuss any information contained within the Form 990. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Effective October 1, 2011, PHH became the other body of DRMC. It holds certain reserved powers over DRMC, including the power to elect the directors of DRMC (other than ex-officio directors) from a panel of individuals submitted to PHH by DRMC's board and nominated by PHH's Governance/Nominating Committee. The Sisters of Mercy have a right to nominate up to three of its sisters to sit on the DRMC board of directors (subject to certain restrictions). PHH also has the power to remove directors. Penn Highlands Healthcare 100 Hospital Avenue DuBois PA 15801 320345810 Hospital Mgmt Services PA 501(c)(3) N/A false Clearfield Hospital 809 Turnpike Ave Clearfield PA 16830 250979346 Hospital PA 501(c)(3) Penn Highlands Healthcare true Brookville Hospital 100 Hospital Road Brookville PA 15825 250984595 Hospital PA 501(c)(3) Penn Highlands Healthcare true Nathan D Yingling Cancer Center 815 Doctors Drive Clearfield PA 16830 205114093 Radiation/Oncology PA 501(c)(3) Clearfield Hospital and DRMC true Kidney Care Services DuBois LLC 635 Maple Ave Suite D DuBois PA 15801 510644566 Dialysis PA na 19208 1020866 false true 0.72000 Kidney Care Services LLC 635 Maple Ave Suite D DuBois PA 15801 510644566 Dialysis PA na -22517 639531 false true 0.69000 DuBois Medical Risk Retention Group PO BOX 447 Washington DC 20005 200324622 Insurance Services PA na Corp 2652823 9185993 1.00000 false DuBois Regional Medical Group PO BOX 447 DuBois PA 15801 251856569 Pediatric Services PA na Corp -1048657 1642148 1.00000 false true false false false false false false false false true true false true false true false true false false DuBois Medical Risk Retention Group m 1092263 Cost Kidney Care Services DuBois LLC q 49668 Cost Kidney Care Services DuBois LLC m 228600 Cost Kidney Care Services DuBois LLC k 77901 Cost Kidney Care Services DuBois LLC a 34355 Cost Kidney Care Services LLC q 74959 Cost Kidney Care Services LLC a 53692 Cost Clearfield Hospital q 5547104 Cost Clearfield Hospital o 802693 Cost Brookville Hospital q 493289 Cost Brookville Hospital o 1010586 Cost Brookville Hospital k 52370 Cost Brookville Hospital j 165253 Cost