HIGHLANDS HOSPITAL AND HEALTH CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HIGHLANDS HOSPITAL AND HEALTH CENTER (EIN 25-1494705)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202301359349306640
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T12:45:27-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251494705 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JOHN ANDURSKY | InCareOfNm |
| Business Name Control | HIGH | BusinessNameControlTxt |
| Phone | 7246281500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 E MURPHY AVE | AddressLine1Txt |
| City | CONNELLSVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15425 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN ANDURSKY | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7246281500 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOHN | PersonFirstNm |
| Person Last | ANDURSKY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brian D Todd | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 4178658701 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PENN HIGHLANDS CONNELLSVILLE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN ANDURSKY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 E MURPHY AVE | AddressLine1Txt |
| City | CONNELLSVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15425 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $31,877,512 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HIGHLANDSHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | THE HOSPITAL SERVICES THE HEALTHCARE NEEDS OF THE COMMUNITY AND SURROUNDING AREAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 507 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,359,336 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,348,480 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,924,971 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,540,312 | CYProgramServiceRevenueAmt |
| PY Investment Income | $28,686 | PYInvestmentIncomeAmt |
| CY Investment Income | $36,894 | CYInvestmentIncomeAmt |
| PY Other Revenue | $236,858 | PYOtherRevenueAmt |
| CY Other Revenue | $22,950 | CYOtherRevenueAmt |
| PY Total Revenue | $38,549,851 | PYTotalRevenueAmt |
| CY Total Revenue | $30,948,636 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,261,994 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,528,591 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,585,346 | PYOtherExpensesAmt |
| CY Other Expenses | $17,764,576 | CYOtherExpensesAmt |
| PY Total Expenses | $37,847,340 | PYTotalExpensesAmt |
| CY Total Expenses | $34,293,167 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $702,511 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,344,531 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,323,597 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,698,145 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,618,797 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,881,123 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$10,295,200 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$4,182,978 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $31,298,813 | ExpenseAmt |
| Revenue | $29,540,312 | RevenueAmt |
| Desc | THE HOSPITAL SERVED THE HEALTHCARE NEEDS OF THE COMMUNITY AND SURROUNDING AREAS WITH 927 ADMISSIONS, 7,887 PATIENT DAYS, 45,405 OUTPATIENT VISITS AND 9,700 EMERGENCY ROOM VISITS. THE HOSPITAL PROVIDED A SIGNIFICANT AMOUNT OF HEALTHCARE TO THE INDIGENT AND LOW INCOME INDIVIDUALS REGARDLESS OF THE ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $31,298,813 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 87 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 507 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | false | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN ANDURSKY | PersonNm |
| Phone | 7246262359 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 E MURPHY AVE | AddressLine1Txt |
| City | CONNELLSVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15425 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| TRACY POPEY MD | ||||||||
| ORTHOPEDIC SURGEON | 40.0 | 0.0 | Yes (X) | $263,278 | $0 | $19,682 | ||
| CIMENGA TSHIBAKA | ||||||||
| GENERAL SURGEON | 40.0 | 0.0 | Yes (X) | $214,391 | $0 | $10,222 | ||
| JOHN ANDURSKY | ||||||||
| PRESIDENT | 40.0 | 0.0 | $200,835 | $0 | $11,649 | Yes (X) | Yes (X) | |
| MATTHEW MASCIA | ||||||||
| DIRECTOR OF PHARMACY | 40.0 | 0.0 | Yes (X) | $115,015 | $0 | $13,426 | ||
| MARIANNE MIELE | ||||||||
| CHIEF OPERATING OFFICER | 40.0 | 0.0 | Yes (X) | $104,553 | $0 | $5,578 | ||
| CHARLES BROWN | ||||||||
| ER NURSE | 40.0 | 0.0 | Yes (X) | $100,266 | $0 | $247 | ||
| MICHAEL A JORDAN JR | ||||||||
| CHAIRMAN | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| LAWRENCE J KIEFER | ||||||||
| VICE CHAIRMAN | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| KAREN L MARKO | ||||||||
| SECRETARY | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| FLOYD C HUGGINS | ||||||||
| TREASURER | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| GERALD BROWELL | ||||||||
| TRUSTEE | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| PJ CARTE | ||||||||
| TRUSTEE | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| JOHN F COLEMAN | ||||||||
| TRUSTEE | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| DEANNA C SHERBONDY | ||||||||
| TRUSTEE | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| RICHARD A TIBERIO | ||||||||
| TRUSTEE | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| RICHARD GRIMALDI | ||||||||
| TRUSTEE | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| JOHN A FIESTA | ||||||||
| TRUSTEE | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $998,338 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $60,804 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ELITE DIAGNOSTICS LLC | |||||
| 9731-J SOUTHERN PINE BLVD | CHARLOTTE | NC | 28273 | LAB TESTING | $917,027 |
| RYAN J WAKIM PLLC | |||||
| 1115 SRAY LANE | BRIDGEVILLE | PA | 15017 | PSYCHIATRY DOCTOR | $590,369 |
| QUEST DIAGNOSTICS | |||||
| 16410 COLLECTION CENTER DR | CHICAGO | IL | 60693 | LAB TESTING | $802,946 |
| BPW MEDICAL ASSOCIATES PC | |||||
| 265 SCOTT HAVEN ROAD | SUTERSVILLE | PA | 15083 | ANESTHESIOLOGIST | $258,454 |
| CPSI | |||||
| 6600 WALL STREET | MOBILE | AL | 36695 | COMPUTER SERVICE | $279,777 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,221,300 | GovernmentGrantsAmt |
| All Other Contributions | $127,180 | AllOtherContributionsAmt |
| Total Contributions | $1,348,480 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | $23,511,786 | $23,511,786 |
| MISCELLANEOUS REVENUE | 900099 | $5,951,365 | $5,951,365 |
| CAFETERIA REVENUE | 722514 | $56,119 | $56,119 |
| MEDICAL RECORD REVENUE | 900099 | $21,042 | $21,042 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,540,312 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,950 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,950 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,950 | TotalRevenueColumnAmt |
| Exclusion | $22,950 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $956,402 | SecuritiesAmt |
| Other | $9,368 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $928,876 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $27,526 | SecuritiesAmt |
| Other | $9,368 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,894 | TotalRevenueColumnAmt |
| Exclusion | $36,894 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,948,636 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,540,312 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $59,844 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,484 | TotalAmt |
| Management And General | $212,484 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,272,116 | TotalAmt |
| Program Services | $12,374,989 | ProgramServicesAmt |
| Management And General | $897,127 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,166 | TotalAmt |
| Program Services | $326,287 | ProgramServicesAmt |
| Management And General | $22,879 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,710,388 | TotalAmt |
| Program Services | $1,576,125 | ProgramServicesAmt |
| Management And General | $134,263 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $984,437 | TotalAmt |
| Program Services | $904,211 | ProgramServicesAmt |
| Management And General | $80,226 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,923 | TotalAmt |
| Management And General | $251,923 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,900 | TotalAmt |
| Management And General | $60,900 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,873,919 | TotalAmt |
| Program Services | $8,206,687 | ProgramServicesAmt |
| Management And General | $667,232 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,669 | TotalAmt |
| Management And General | $147,669 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $939,716 | TotalAmt |
| Program Services | $787,688 | ProgramServicesAmt |
| Management And General | $152,028 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,679 | TotalAmt |
| Program Services | $273,420 | ProgramServicesAmt |
| Management And General | $24,259 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,229,085 | TotalAmt |
| Program Services | $1,128,922 | ProgramServicesAmt |
| Management And General | $100,163 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,559 | TotalAmt |
| Program Services | $14,291 | ProgramServicesAmt |
| Management And General | $1,268 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,180 | TotalAmt |
| Program Services | $24,965 | ProgramServicesAmt |
| Management And General | $2,215 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $376,795 | TotalAmt |
| Program Services | $346,089 | ProgramServicesAmt |
| Management And General | $30,706 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,067,865 | TotalAmt |
| Program Services | $980,841 | ProgramServicesAmt |
| Management And General | $87,024 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534,256 | TotalAmt |
| Program Services | $490,717 | ProgramServicesAmt |
| Management And General | $43,539 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES AND DRUGS | $2,979,392 | $2,979,392 | |
| REPAIRS AND MAINTENANCE | $759,941 | $698,011 | $61,930 |
| LICENSES, DUES, SUBSCRIPTIONS | $202,697 | $186,178 | $16,519 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,293,167 | TotalAmt |
| Program Services | $31,298,813 | ProgramServicesAmt |
| Management And General | $2,994,354 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,590 | BOYAmt |
| EOY | $211,163 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $598,085 | BOYAmt |
| EOY | $319,355 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,578,124 | BOYAmt |
| EOY | $1,441,367 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,362 | BOYAmt |
| EOY | $156,206 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $501,525 | BOYAmt |
| EOY | $505,990 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,652,227 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $35,925 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,968,838 | BOYAmt |
| EOY | $13,616,302 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $706,073 | BOYAmt |
| EOY | $268,055 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $60,000 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $191,857 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,482,000 | BOYAmt |
| EOY | $927,850 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,323,597 | BOYAmt |
| EOY | $17,698,145 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,893,797 | BOYAmt |
| EOY | $12,139,308 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,526 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,404,459 | BOYAmt |
| EOY | $5,523,357 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,183,015 | BOYAmt |
| EOY | $4,218,458 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,618,797 | BOYAmt |
| EOY | $21,881,123 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$10,920,426 | BOYAmt |
| EOY | -$4,773,267 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $625,226 | BOYAmt |
| EOY | $590,289 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$10,295,200 | BOYAmt |
| EOY | -$4,182,978 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,323,597 | BOYAmt |
| EOY | $17,698,145 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,344,531 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$84,099 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$4,679 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $9,545,531 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $60,900 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $60,900 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | OTHER LOBBYING ACTIVITIES: THE ORGANIZATION IS A MEMBER OF THE HEALTHCARE COUNCIL OF WESTERN PENNSYLVANIA. A PORTION OF THESE DUES ($900) MAY BE USED FOR LOBBYING PURPOSES. THE ORGANIZATION PAID THE CAMERON COMPANIES, LLC $60,000 FOR MISCELLANEOUS LOBBYING NEEDS. THE LOBBYING ACTIVITIES PROVIDED BY THE CAMERON COMPANIES, LLC WERE THE FOLLOWING: - ARRANGED AND INTRODUCED LOCAL PHYSICIAN PRACTICE RELATIONSHIPS TO HIGHLANDS HOSPITAL TO INCREASE REFERRALS AND REVENUE IN TOXICOLOGY SERVICES; - ACQUIRED AN APPROVED $1.0 MILLION FEDERAL EARMARK APPROPRIATION FOR HIGHLANDS HOSPITAL WORKING WITH BIDEN ADMINISTRATION AND CONGRESS; - SECURED AN AWARD OF $225,000 FOR GENERAL OPERATIONS AT HIGHLANDS HOSPITAL FROM FEDERAL ARPA FUNDS; - SECURED A CRITICAL $500,000 REDEVELOPMENT ASSISTANCE CAPITAL GRANT (RACP) GRANT FROM THE COMMONWEALTH FOR HIGHLANDS HOSPITAL; - PROVIDED HIGHLANDS HOSPITAL EXECUTIVES WITH DIRECT ACCESS TO THE HIGHEST LEVELS OF FEDERAL, STATE AND LOCAL GOVERNMENT INCLUDING MEETINGS WITH PENNSYLVANIA GOVERNOR, THE SECRETARY OF THE DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT (DCED), THE DEPARTMENT OF DRUGS AND ALCOHOL PROGRAMS (DDAP), THE DEPARTMENT OF HEALTH (DOH), THE DEPARTMENT OF HUMAN SERVICES (DHS) AND OTHERS; - PROVIDED THE HOSPITAL'S EXECUTIVE MANAGEMENT ACCESS TO CORPORATE PHILANTHROPIC BENEFACTORS AND OTHER POTENTIAL NON-GOVERNMENTAL CONTRIBUTORS; - AND PROVIDED CONTINUAL ASSESSMENT OF THE LOCAL AND STATE HEALTH CARE MARKET PLACE AND POTENTIAL COMPETITION TO THE HOSPITAL'S STATUS IN THE MARKET. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $935,271 | OtherCostOrOtherBasisAmt |
| Book Value | $935,271 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,002,172 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,256 | DepreciationAmt |
| Book Value | $9,973,916 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $189,421 | OtherCostOrOtherBasisAmt |
| Depreciation | $535 | DepreciationAmt |
| Book Value | $188,886 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,293,512 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,479 | DepreciationAmt |
| Book Value | $2,287,033 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $231,851 | OtherCostOrOtherBasisAmt |
| Depreciation | $655 | DepreciationAmt |
| Book Value | $231,196 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,616,302 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $286,221 |
| OTHER RECEIVABLES | $352,814 |
| DUE FROM 3RD PARTY | $288,815 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $927,850 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTY | $2,214,058 |
| DUE TO 3RD PARTY | $2,004,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,218,458 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITION TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $680,981 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $680,981 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01990 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,621,735 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,241,598 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,380,137 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04020 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,302,716 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,241,598 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,061,118 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06010 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,051 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,368,705 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,897,280 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,471,426 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,372,756 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,897,280 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,475,477 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,675,472 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,138,878 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,536,595 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16140 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,160,988 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $195,046 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,489,824 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,802,374 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$312,550 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 E MURPHY AVE | AddressLine1Txt |
| City | CONNELLSVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15425 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HIGHLANDSHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 37301 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V SECTION B, LINE 5 | COMMUNITY INPUT: 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 PERSON, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS, AND INTERNAL PROGRAM MANAGERS. THE HIGHLANDS HOSPITAL STEERING COMMITTEE MET TWO TIMES BETWEEN MARCH 2021 AND APRIL 2021 TO PROVIDE GUIDANCE ON THE VARIOUS COMPONENTS OF THE CHNA. KEY INFORMANT SURVEY: THE CHNA LEADERSHIP IDENTIFIED KEY COMMUNITY STAKEHOLDERS TO PARTICIPATE IN KEY INFORMANT SURVEY. THE CHNA STEERING REFINED THE STAKEHOLDER LIST TO ENSURE BROAD COMMUNITY REPRESENTATION. STRATEGY SOLUTIONS, INC DEVELOPED THE KEY INFORMANT SURVEY AND CREATED AN ONLINE SURVEY. HIGHLANDS HOSPITAL STAFF REACHED OUT TO THE COMMUNITY STAKEHOLDERS TO INVITE THEM TO PARTICIPATE. A TOTAL OF 17 SURVEYS WERE COMPLETED. |
| SCHEDULE H, PART V, SECTION B, LINE 7A | CHNA AVAILABILITY: HTTPS://WWW.HIGHLANDSHOSPITAL.ORG/ABOUT-US/COMMUNITYNEEDS |
| SCHEDULE H, PART V, SECTION B, LINE 10A | IMPLEMENTATION STRATEGY: HTTPS://WWW.HIGHLANDSHOSPITAL.ORG/ABOUT-US/COMMUNITYNEEDS |
| SCHEDULE H, PART V, SECTION B, LINE 11 | ADDRESSING IDENTIFIED NEEDS: HIGHLANDS HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED THROUGH ITS CHNA. AS WITH MOST HEALTH CARE FACILITIES, HIGHLANDS HOSPITAL HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES IDENTIFIED IN THE CHNA. IN CONJUNCTION WITH ITS 2021 COMMUNITY HEALTH NEEDS ASSESSMENT, HIGHLANDS HOSPITAL DEVELOPED A SYSTEM-WIDE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS THE HIGHLANDS' SERVICE AREA. HIGHLANDS' FOCUS WILL BE ON BEHAVIORAL HEALTH (INCLUDING AUTISM AND PTSD), CHRONIC DISEASE/DIABETES, WOMEN'S HEALTH, AND ACCESS TO CARE. HEALTH PRIORITY: BEHAVIORAL HEALTH GOAL: INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES WITH A FOCUS ON DEVELOPING BEST PRACTICES TO IDENTIFY, TREAT, AND REFER PATIENTS PRESENTING WITH BEHAVIORAL HEALTH CONCERNS. HEALTH PRIORITY: CHRONIC DISEASE/DIABETES GOAL: DECREASE PREVENTABLE CHRONIC DISEASE BY ENSURING ACCESS TO RESOURCES, KNOWLEDGE, AND OPPORTUNITIES FOR INDIVIDUALS TO ADOPT HEALTHY BEHAVIORS. GOAL: IMPROVE MANAGEMENT AND OUTCOMES FOR PATIENTS DIAGNOSED WITH DIABETES. HEALTH PRIORITY: WOMEN'S HEALTH GOAL: INCREASE ACCESS TO WOMEN'S HEALTH CARE SERVICES FOCUSING ON DEVELOPMENT AND IMPLEMENTATION OF BEST PRACTICE STANDARDS OF CARE WITH THE OVERALL GOAL OF IMPROVING HEALTH OUTCOMES FOR WOMEN AND FAMILIES. HEALTH PRIORITY: ACCESS TO CARE GOAL: IMPROVE INDIVIDUAL, COMMUNITY AND POPULATION HEALTH BY ADDRESSING SOCIAL DETERMINANTS THAT INCREASE BARRIERS TO HEALTHCARE AND CAUSE DISPARITIES IN HEALTH OUTCOMES. |
| SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C | FAP, FAP APPLICATION, PLAIN LANGUAGE SUMMARY: WWW.HIGHLANDSHOSPITAL.ORG/GENERAL-INFORMATION/CHARITY-CARE |
| SCHEDULE H, PART V, SECTION B, LINE 20E | OTHER EFFORTS: THE BILLING STATEMENT STATES THAT THERE IS A FAP AVAILABLE AND GIVES INFORMATION ON HOW TO CONTACT SOMEONE FOR THE APPLICATION. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| HIGHLANDS HOSPITAL REGIONAL CENTER FOR | ||||
| 700 PARK ST | CONNELLSVILLE | PA | 15425 | SCHOOL FOR CHILDREN WITH AUTISM |
| CONNELLSVILLE MRI | ||||
| 2616A MEMORIAL BLVD | CONNELLSVILLE | PA | 15425 | MRI SCANNING |
| HIGHLANDS HOSPITAL DIABETES CENTER | ||||
| 1064 MORELL AVE | CONNELLSVILLE | PA | 15425 | EDUCATION FOR DIABETES |
| HIGHLANDS HEALTHSTOP | ||||
| 201 N PITTSBURGH ST | CONNELLSVILLE | PA | 15425 | BLOOD DRAW STATION |
| HIGHLANDS HEALTHSTOP | ||||
| 814 VANDERBILT RD | CONNELLSVILLE | PA | 15425 | BLOOD DRAW STATION |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7, COLUMN F | PERCENT OF TOTAL EXPENSES: THE PERCENT OF TOTAL EXPENSES ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A). |
| SCHEDULE H, PART I, LINE 7 | COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1 AND 3. |
| SCHEDULE H, PART III, SECTION A, LINE 2 | BAD DEBT EXPENSE METHODOLOGY: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2022. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE U.S. CENSUS BUREAU. THE MOST RECENT US CENSUS BUREAU INDICATES THAT 16.8 PERCENT OF FAYETTE COUNTY WAS CONSIDERED TO LIVE IN POVERTY. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT NOTE CAN BE FOUND ON PAGE 19 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, SECTION C, LINE 8 | COMMUNITY BENEFIT: 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. THE ORGANIZATION USES INFORMATION FROM THE MEDICARE COST REPORT TO COMPUTE THE MEDICARE ALLOWABLE COSTS OF CARE ON LINE 6. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | COLLECTION POLICY: PATIENTS ARE NOT BILLED ONCE THEY ARE DETERMINED TO QUALIFY FOR CHARITY CARE. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: DURING FISCAL YEAR 2022, HIGHLANDS HOSPITAL CONDUCTED A COUNTY-WIDE COMMUNITY NEEDS HEALTH 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. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CHARITY CARE IS PROVIDED TO PATIENTS WITH A DEMONSTRATED INABILITY TO PAY. A PATIENT IS ELIGIBLE FOR CHARITY CARE CONSIDERATION BASED UPON MEETING CERTAIN INCOME ELIGIBILITY CRITERIA. HIGHLANDS HOSPITAL PROVIDES MEDICALLY NECESSARY TREATMENT TO ALL WHO SEEK IT, WITHOUT REGARD TO AGE, RACE, SEX, RELIGION, OR NATIONAL ORIGIN. HIGHLANDS HOSPITAL WILL PROVIDE FREE OR BELOW COST CARE TO THOSE PATIENTS WHO UPON COMPLETION OF PROPER APPLICATION ARE DETERMINED ELIGIBLE FOR SUCH DISCOUNTS. HOSPITAL STAFF PROVIDE CHARITY CARE INFORMATION TO PATIENTS UPON REGISTRATION AND INFORMATION IS INCLUDED IN ADMISSIONS PACKETS. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: HIGHLANDS HOSPITAL PRIMARY SERVICE AREA COVERS THE COUNTIES OF FAYETTE AND WESTMORELAND. THE POPULATION IN BOTH FAYETTE AND WESTMORELAND COUNTIES HAS BEEN DECREASING AND IS PROJECTED TO CONTINUE TO DECREASE INTO 2026. THE COUNTIES ARE PREDOMINATELY CAUCASIAN AND THERE ARE SLIGHTLY MORE FEMALES. THE MEDIAN AGE IS SLIGHTLY HIGHER IN WESTMORELAND COUNTY (47.7 VS 45.5) AND IS PROJECTED TO INCREASE IN BOTH COUNTIES INDICATING THE POPULATION IS AGING. APPROXIMATELY HALF OF THE POPULATION IN EITHER COUNTY IS MARRIED WHILE ONE IN TEN ARE DIVORCED. JUST UNDER ONE THIRD OF RESIDENTS (29.5%) IN WESTMORELAND COUNTY HAVE A COLLEGE DEGREE, WHILE ONLY 17.7% OF THOSE IN FAYETTE ARE COLLEGE GRADUATES. THE AVERAGE HOUSEHOLD INCOME IS OVER $13,000 HIGHER IN WESTMORELAND COUNTY COMPARED TO FAYETTE COUNTY. MOST OF THE LABOR FORCE IN BOTH COUNTIES IS EMPLOYED, WITH APPROXIMATELY HALF OF THOSE EMPLOYED HOLDING WHITE COLLAR OCCUPATIONS. 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. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: 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. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: PENN HIGHLANDS CONNELLSVILLE IS PART OF PENN HIGHLANDS HEALTHCARE (PHH, SYSTEM). PHH IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO COORDINATE AND MANAGE THE INTEGRATION OF THE DELIVERY OF HEALTHCARE SERVICES TO THE NORTH CENTRAL PENNSYLVANIA AREA. THE SYSTEM INCLUDES THE CONSOLIDATED FINANCIAL STATEMENTS OF PENN HIGHLANDS HEALTHCARE, PENN HIGHLANDS DUBIOUS, PENN HIGHLANDS ELK, PENN HIGHLANDS CLEARFIELD, PENN HIGHLANDS TYRONE, PENN HIGHLANDS HUNTINGDON, AND PENN HIGHLANDS MON VALLEY. THE PENN HIGHLANDS HUNTINGDON PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -PENN HIGHLANDS HUNTINGDON PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE SERVICES AND URGENT CARE SERVICES TO FURTHER THE HEALTH AND WELLNESS OF RESIDENTS IN HUNTINGDON, PENNSYLVANIA, AND SURROUNDING AREAS. -PENN HIGHLANDS HUNTINGDON FOUNDATION EARNS REVENUE THROUGH FUNDRAISING TO SUPPORT HEALTH CARE PROGRAMS OF PENN HIGHLANDS HUNTINGDON. THE PENN HIGHLANDS DUBOIS PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -DUBOIS REGIONAL MEDICAL CENTER (DRMC) PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS IN DUBOIS, PENNSYLVANIA, AND SURROUNDING AREAS. -BROOKVILLE HOSPITAL (BROOKVILLE), A CRITICAL ACCESS HOSPITAL IN BROOKVILLE, PENNSYLVANIA. BROOKVILLE EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES. -BROOKVILLE INCLUDES BROOKCARE, A CORPORATION WHOSE PRIMARY BUSINESS IS TO RENT OFFICE SPACE TO PHYSICIANS AND VARIOUS DEPARTMENTS OF BROOKVILLE HOSPITAL. -JEFFCO HEALTH SERVICES, A POST-ACUTE HEALTHCARE SERVICE PROVIDER. -DUBOIS MEDICAL RISK RETENTION GROUP (DMRRG), PROVIDES LIABILITY INSURANCE TO DUBOIS COMPANIES AS WELL AS EMPLOYEE HEALTH INSURANCE FOR THE SYSTEM. DUBOIS IS THE SOLE MEMBER OF THE CLASS A VOTING AND PARTICIPATING CERTIFICATES OF DMRRG. -DUBOIS REGIONAL MEDICAL GROUP (DRMG), PROVIDES PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES. -WRC SENIOR SERVICES IS A HOUSING, HEALTHCARE, AND RESIDENT SERVICE PROVIDER IN WESTERN PENNSYLVANIA. -WRC PENNSYLVANIA MEMORIAL HOME, A CORPORATION THAT OWNS AND OPERATES A CONTINUING CARE RETIREMENT COMMUNITY. -WRC HEALTH CARE SUPPORTIVE SERVICES, A HOME AND COMMUNITY-BASED SERVICES PROVIDER. -WRC NORTH FORK HEIGHTS, A HOUSING PROJECT FOR LOW-INCOME ELDERLY INDIVIDUALS REGULATED BY THE UNITED STATES DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD). THE PENN HIGHLANDS ELK (ELK) PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -ELK REGIONAL HEALTH CENTER (ELK) PROVIDES PRIMARY ACUTE CARE MEDICAL SERVICES AT TWO CAMPUSES, THE ST. MARYS HEALTH CENTER IN ST. MARYS, PENNSYLVANIA, AND THE RIDGWAY HEALTH CENTER IN RIDGWAY, PENNSYLVANIA. -COMMUNITY NURSES, INC. AND SUBSIDIARIES (COMMUNITY NURSES), IS COMPRISED OF COMMUNITY NURSES HOME HEALTH AND HOSPICE, INC., WHICH PROVIDES SKILLED NURSING, PROFESSIONAL HOME HEALTH AND HOSPICE SERVICES, HOME HEALTH AIDE, PHYSICAL THERAPY, SPEECH THERAPY AND OCCUPATIONAL THERAPY; COMMUNITY NURSES HOME HEALTH SUPPORT SERVICES, INC., WHICH PROVIDES VARIOUS NONPROFESSIONAL HOME HEALTH RELATED SUPPORTIVE SERVICES, AND HELPMATES WHICH PROVIDES PRIVATE DUTY HOME COMPANION, RESPITE, PERSONAL CARE AND HOMEMAKER SERVICES. -ELK REGIONAL PROFESSIONAL GROUP, INC., IS COMPRISED OF VARIOUS PHYSICIAN PRACTICES. -ELCO HOUSING, INC., WAS FORMED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND TO CARRY OUT THE PURPOSES OF ELK BY SERVING AS A GENERAL PARTNER IN ELCO GLEN LIMITED PARTNERSHIP, THE PURPOSE OF WHICH IS TO ACQUIRE, CONSTRUCT, PROVIDE AND OPERATE RENTAL HOUSING AND RELATED FACILITIES SUITED TO THE NEEDS AND LIVING REQUIREMENTS OF ELIGIBLE OCCUPANTS AS DETERMINED BY THE FARMERS HOME ADMINISTRATION (FMHA). -ELK VENTURES, LLC (ELK VENTURES), A SINGLE MEMBER LLC OF ELK REGIONAL HEALTH CENTER, WAS FORMED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND TO CARRY OUT THE PURPOSES OF ELK. THE PENN HIGHLANDS CLEARFIELD (CLEARFIELD) PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -CLEARFIELD HOSPITAL PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN CLEARFIELD COUNTY AND THE SURROUNDING AREAS. -CLEARFIELD MEDICAL ASSOCIATES (CMA), OWNS AND OPERATES THE MEDICAL ARTS BUILDING LOCATED ON CLEARFIELD HOSPITAL'S CAMPUS. -CLEAR-CARE CORPORATION (CLEAR-CARE), PROVIDES MEDICAL EQUIPMENT TO CUSTOMERS. THE PENN HIGHLANDS TYRONE PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -TYRONE HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE HOSPITAL SERVICES. -TYRONE FOUNDATION WHICH PROVIDES SUPPORT. THE PENN HIGHLANDS MON VALLEY PORTION OF THE PHH SYSTEM INCLUDED THE FOLLOWING ENTITIES AND OPERATIONS: -MON VALE HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE HOSPITAL SERVICES. -MONONGAHELA VALLEY HOSPITAL FOUNDATION WHICH PROVIDES SUPPORT. THE PENN HIGHLANDS CONNELLSVILLE PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -HIGHLANDS HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE HOSPITAL SERVICES; -HIGHLANDS FOUNDATION WITH PROVIDES SUPPORT. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN ANDURSKY | ||||||||||||||
| PRESIDENT | $200,835 | $0 | $0 | $0 | $0 | $0 | $6,071 | $0 | $5,578 | $0 | $212,484 | $0 | $0 | $0 |
| TRACY POPEY MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $263,278 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,682 | $0 | $282,960 | $0 | $0 | $0 |
| CIMENGA TSHIBAKA | ||||||||||||||
| GENERAL SURGEON | $214,391 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,222 | $0 | $224,613 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | SIGNIFICANT CHANGES IN GOVERNING DOCUMENTS: HIGHLANDS HOSPITAL AMENDED ITS BYLAWS WHEN THE ORGANIZATION WAS ACQUIRED BY PENN HIGHLANDS HEALTHCARE(PHH). THE SIGNIFICANT CHANGES MADE TO THE BYLAWS INCLUDE THE FOLLOWING: - ARTICLE I: GENERAL PROVISIONS WERE ADDED AND INCLUDE THE UPDATED NAME OF HIGHLANDS HOSPITAL TO HIGHLANDS HOSPITAL D/B/A PENN HIGHLANDS CONNELLSVILLE. THE HOSPITAL IS NOW A CONTROLLED SUBSIDIARY OF PENN HIGHLANDS HEALTHCARE. - ARTICLE II: SOLE/MEMBER RESERVED POWERS WERE ADDED AND INCLUDES CERTAIN POWERS RESERVED FOR THE SOLE MEMBER, PENN HIGHLANDS HEALTHCARE. THESE POWERS ARE SPECIFIED IN ARTICLE II, SECTION 2.1(B) OF THE PENN HIGHLANDS HEALTHCARE BYLAWS. - ARTICLE III: THE AUTHORITY OF THE BOARD OF DIRECTORS OF HIGHLANDS HOSPITAL IS SUBJECT TO THE POWERS RESERVED TO PENN HIGHLANDS HEALTHCARE. THIS INCLUDES THE APPROVAL, OR TERMINATION, OF DIRECTORS ON THE BOARD. - ARTICLE IV: THE AUDIT COMMITTEE OF THE HIGHLANDS HOSPITAL WAS REMOVED. THIS WILL BE A FUNCTION OF THE PENN HIGHLANDS HEALTHCARE AUDIT COMMITTEE. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS: PENN HIGHLANDS HEALTHCARE (PHH) HOLDS CERTAIN POWERS, INCLUDING THE APPROVAL OF THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND APPROVAL OF ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE DOCUMENTS. PHH SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE ELECTION AND REMOVAL OF DIRECTORS: PRIOR TO THE END OF PHH'S FISCAL YEAR, THE PHH BOARD WILL MEET TO ELECT THE DIRECTORS, WITH THE EXCEPTION OF EX-OFFICIO DIRECTORS. AT LEAST SIXTY (60) DAYS IN ADVANCE OF THIS MEETING, HIGHLANDS HOSPITAL SHALL PROVIDE TO PHH'S GOVERNANCE/NOMINATING COMMITTEE (THE PHH GOVERNANCE/NOMINATING COMMITTEE) A LIST OF ONE OR MORE CANDIDATES (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION) FOR EACH EXPIRING DIRECTOR POSITION, WITH THE EXCEPTION OF ANY EX-OFFICIO DIRECTORS. THE LIST OF CANDIDATES SHALL HAVE BEEN DEVELOPED BY HIGHLANDS HOSPITAL IN CONSULTATION WITH THIS ORGANIZATION'S BOARD. THE PHH GOVERNANCE/NOMINATING COMMITTEE SHALL REVIEW EACH CANDIDATE IN ACCORDANCE WITH THE CRITERIA SET FORTH IN THE PHH BYLAWS, THE CRITERIA, IF ANY, SET FORTH IN THIS ORGANIZATION'S BYLAWS OR POLICIES FOR WHICH SAID CANDIDATE IS BEING CONSIDERED FOR BOARD SERVICE, AND THE POLICIES AND RULES OF PHH, INCLUDING, WITHOUT LIMITATION, THE CONFLICT OF INTEREST POLICY (ALL OF WHICH SHALL BE REFERRED TO COLLECTIVELY HEREIN AS THE ELIGIBILITY CRITERIA) AND DEVELOP A LIST OF ONE OR MORE CANDIDATES FOR EACH OPEN POSITION (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION). ONCE THE SLATE OF CANDIDATES IS NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE, THE BOARD OF HIGHLAND HOSPITAL SHALL SUBMIT TO THE PHH BOARD FOR ELECTION SUCH SLATE OF CANDIDATES FOR THE OPEN BOARD POSITIONS. THE PHH BOARD MAY ELECT BY A VOTE OF THE MAJORITY OR REFUSE TO ELECT EACH CANDIDATE SUBMITTED BY THE BOARD OF HIGHLANDS HOSPITAL AND MAY NOT ELECT ANY CANDIDATE NOT SUBMITTED BY THE BOARD OF HIGHLANDS HOSPITAL AND NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE. THE BOARD OF PHH HAS THE POWER TO REMOVE SUCH DIRECTOR AT ANY TIME WITH OR WITHOUT CAUSE. IN THE EVENT THAT THIS ORGANIZATION DESIRES TO FILL A VACANCY OCCURRING ON ITS BOARD, THE PHH GOVERNANCE/NOMINATING COMMITTEE AND THE BOARD OF PHH, AT THE REQUEST OF HIGHLANDS HOSPITAL, SHALL ACT TO FILL SUCH VACANCY. SUBJECT TO THE APPROVAL OF PHH AS SET FORTH IN THE BYLAWS, THE ARTICLES AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS OR ARTICLES MAY BE ADOPTED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE BOARD. WRITTEN NOTICE OF THE INTENT TO AMEND THE BYLAWS OR THE ARTICLES AND A DRAFT OF THE PROPOSED CHANGE SHALL BE SENT TO ALL DIRECTORS, BY THE SECRETARY, AT LEAST FIVE (5) DAYS PRIOR TO ANY MEETING AT WHICH AMENDMENT OF THE BYLAWS OR THE ARTICLES IS INTENDED. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY THE TREASURER. THE RETURN IN THE 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 | MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: PENN HIGHLANDS HEALTHCARE, INC. (PHH), MAINTAINS A CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL SUBSIDIARIES. THE CONFLICT OF INTEREST POLICY APPLIES TO BOARD MEMBERS, OFFICERS, EXECUTIVE EMPLOYEES, AND ANY OTHER MANAGER OR SUPERVISOR EXERCISING SUBSTANTIAL INFLUENCE OVER OPERATIONS. EACH COVERED PERSON WILL PROMPTLY AND FULLY DISCLOSE ALL MATERIAL FACTS OF EVERY ACTUAL OR POTENTIAL DUAL INTEREST EXISTING AT THE TIME WHEN HE/SHE BECOMES A COVERED PERSON, AND ANNUALLY THROUGH EACH PHH SYSTEM ENTITY'S DISCLOSURE STATEMENT, WHICH REQUESTS DISCLOSURE OF RELATIONSHIPS, INVESTMENTS, AND TRANSACTIONS THAT MAY LEAD TO AN ACTUAL CONFLICT OF INTEREST. ALL COMPLETED DISCLOSURE STATEMENTS WILL BE PROVIDED TO THE PHH GOVERNANCE/NOMINATING COMMITTEE. THIS COMMITTEE, IN CONSULTATION WITH THE CHAIRPERSON OR VICE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD, SHALL EVALUATE THE COMPLETED DISCLOSURE STATEMENTS AND DETERMINE IF THERE ARE ANY CONFLICTS THAT ARE SO PERVASIVE AS TO RENDER ANY COVERED PERSON INELIGIBLE FOR SERVICE. THE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD WILL DISCLOSE TO THE FULL BOARD OF SAID PHH SYSTEM ENTITY ALL DUAL INTERESTS REPORTED TO HIM OR HER UNDER THE POLICY AND WILL ALSO MAKE THE DISCLOSURE STATEMENTS OF ALL COVERED PERSONS AVAILABLE TO DIRECTORS AT ANY TIME DURING THE YEAR. IF A POTENTIAL DUAL INTEREST ARISES AS A RESULT OF A CONTEMPLATED PHH SYSTEM ENTITY BOARD (OR COMMITTEE) ACTION, THE CHAIRPERSON OF SAID PHH SYSTEM ENTITY'S BOARD OR THE INTERESTED PERSON SHALL, OR ANY OTHER DIRECTOR MAY, RAISE THE QUESTION OF THE INTERESTED PERSON'S DUAL INTEREST. THE DISINTERESTED MEMBERS OF THE PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION, ARRANGEMENT, OR POLICY GIVING RISE TO THE DUAL INTEREST TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION, ARRANGEMENT, OR POLICY. A COVERED PERSON WHO HAS A DUAL INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE A PRESENTATION TO SAID BOARD (OR COMMITTEE), TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. IF A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE DETERMINES THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON SHALL BE SO ADVISED AND THE CHAIRPERSON OF A PHH SYSTEM ENTITY'S BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE OR DIRECT MANAGEMENT TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, IF THIS HAS NOT ALREADY BEEN DONE. ANY INTERESTED PERSON WHO HAS AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING ANY SUCH TRANSACTION OR ARRANGEMENT. IF AN INDIVIDUAL WHOSE COMPANY OR EMPLOYER HAS A BUSINESS RELATIONSHIP WITH A PHH SYSTEM ENTITY, BUT THE INDIVIDUAL DOES NOT HAVE AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THIS BUSINESS RELATIONSHIP, THE INDIVIDUAL MAY NONETHELESS VOLUNTARILY RECUSE HIM/HERSELF FROM VOTING ON ANY MATTERS RELATED TO THE RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINES 15A & 15B | COMPENSATION DETERMINATION: THE 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 19 | GOVERNING DOCUMENT AVAILABILITY: THE HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. THE HOSPITAL DOES MAKE ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS: $ 5,672,411 FAIR VALUE SET UP IN FIXED ASSETS (1,482,000) GOODWILL ACCRUAL TO ACTUAL ADJUSTMENT ( 700,315) MoA MODERNIZATION ACCRUAL TO ACTUAL ADJUSTMENT ( 42,863) CHILD DEVELOPMENT ACCRUAL TO ACTUAL ADJUSTMENT 6,098,298 OTHER CHANGES RELATED TO DEFINED BENEFIT PENSION PLAN ------------ $ 9,545,531 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT SERVICES TOTAL FEES:5982020 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:1763535 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ASSESSMENT FEE TOTAL FEES:635851 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TEMPORARY HELP TOTAL FEES:486664 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MARKETING SERVICES TOTAL FEES:5849 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HIGHLANDS HOSPITAL FOUNDATION | ||||||||||
| 401 E MURPHY AVE | CONNELLSVILLE | PA | 15425 | 843713870 | FUNDRAISING | PA | FUNDRAISING | 12 A I | HIGHLANDS HO | Yes (true) |
| JC BLAIR MEMORIAL HOSPITAL | ||||||||||
| 1225 WARM SPRINGS AVENUE | HUNTINGDON | PA | 16652 | 231352159 | HOSPITAL | PA | 501(C)(3) | 3 | PHH | false |
| JC BLAIR MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 935 14TH STREET | HUNTINGDON | PA | 16652 | 251881377 | SUPPORT HOSP | PA | 501(C)(3) | 12 A I | PHH | false |
| PENN HIGHLANDS HEALTHCARE | ||||||||||
| PO BOX 447 | DUBOIS | PA | 15801 | 320345810 | MGMT SERVICES | PA | 501(C)(3) | 12 C III-FI | NA | false |
| DUBOIS REGIONAL MEDICAL CENTER | ||||||||||
| 100 HOSPITAL AVENUE | DUBOIS | PA | 15801 | 251490707 | HOSPITAL | PA | 501(C)(3) | 3 | PHH | false |
| BROOKVILLE HOSPITAL | ||||||||||
| 100 HOSPITAL ROAD | BROOKVILLE | PA | 15825 | 250984595 | HOSPITAL | PA | 501(C)(3) | 3 | PHH | false |
| CLEARFIELD HOSPITAL | ||||||||||
| 809 TURNPIKE DR | CLEARFIELD | PA | 16830 | 250979346 | HOSPITAL | PA | 501(C)(3) | 3 | PHH | false |
| ELK REGIONAL HEALTH CARE | ||||||||||
| 763 JOHNSONBURG RD | ST MARYS | PA | 15857 | 250585280 | HOSPITAL | PA | 501(C)(3) | 3 | PHH | false |
| CLEAR-MED PROVIDER CORPORATION | ||||||||||
| PO BOX 1260 | CLEARFIELD | PA | 16830 | 251657668 | PHYSICIAN SVC | PA | 501(C)(3) | 3 | PHH | false |
| DRMC EMPLOYEE BENEFITS PLAN TRUST | ||||||||||
| 100 HOSPITAL AVENUE | DUBOIS | PA | 15801 | 256332829 | BENEFIT TRUST | PA | 501(C)(9) | DRMC | false | |
| COMMUNITY NURSES HOME HEALTH AND HOSPICE | ||||||||||
| 757 JOHNSONBURG ROAD STE 200 | ST MARYS | PA | 15857 | 250996070 | HEALTH CARE | PA | 501(C)(3) | 10 | CNI | false |
| COMMUNITY NURSES HOME SUPPORT SERVICES | ||||||||||
| 757 JOHNSONBURG ROAD STE 200 | ST MARYS | PA | 15857 | 251623601 | HEALTH CARE | PA | 501(C)(3) | 10 | CNI | false |
| COMMUNITY NURSES INC | ||||||||||
| 757 JOHNSONBURG ROAD STE 200 | ST MARYS | PA | 15857 | 251623598 | HEALTH CARE | PA | 501(C)(3) | 10 | PHH | false |
| ELCO HOUSING | ||||||||||
| 759 JOHNSONBURG ROAD | ST MARYS | PA | 15857 | 251639115 | HOUSING | PA | 501(C)(3) | 12 A I | PHH | false |
| ELK REGIONAL PROFESSIONAL GROUP INC | ||||||||||
| 763 JOHNSONBURG ROAD | ST MARYS | PA | 15857 | 251875183 | HEALTH CARE | PA | 501(C)(3) | 3 | PHH | false |
| DRMC WORKERS COMPENSATION TRUST | ||||||||||
| PO BOX 447 | DUBOIS | PA | 15801 | 251741497 | SUPPORT | PA | 501(C)(3) | 12 B II | DRMC | false |
| JEFFCO HEALTH SERVICES INC | ||||||||||
| 417 ROUTE 28 | BROOKVILLE | PA | 15825 | 251505478 | NURSING HOME | PA | 501(C)(3) | 10 | BROOKVILLE | false |
| PENN HIGHLANDS TYRONE | ||||||||||
| 187 HOSPITAL DR | TYRONE | PA | 15853 | 231440116 | HOSPITAL | PA | 501(C)(3) | 3 | PHH | false |
| HELPMATES INC | ||||||||||
| 757 JOHNSONBURG ROAD | ST MARYS | PA | 15857 | 251555968 | HEALTH CARE | PA | 501(C)(3) | 10 | CNI | false |
| TYRONE REGIONAL HEALTH NETWORK FOUNDATIO | ||||||||||
| 187 HOSPITAL DRIVE | TYRONE | PA | 16686 | 814504606 | SUPPORT | PA | 501(C)(3) | 12 A I | PH TYRONE | false |
| WRC HEALTH CARE SUPPORT SERVICES | ||||||||||
| 985 ROUTE 28 | BROOKVILLE | PA | 15825 | 251601734 | HEALTH CARE | PA | 501(C)(3) | 10 | WRC SR SRVCS | false |
| WRC SENIOR SERVICES | ||||||||||
| 985 ROUTE 28 | BROOKVILLE | PA | 15825 | 251552925 | HEALTH CARE | PA | 501(C)(3) | 10 | DRMC | false |
| WRC NORTH FORK HEIGHTS | ||||||||||
| 985 ROUTE 28 | BROOKVILLE | PA | 15825 | 251684846 | HEALTH CARE | PA | 501(C)(3) | 10 | WRC SR SRVCS | false |
| WRC PENNSYLVANIA MEMORIAL HOME | ||||||||||
| 985 ROUTE 28 | BROOKVILLE | PA | 15825 | 250718600 | HEALTH CARE | PA | 501(C)(3) | 10 | WRC SR SRVCS | false |
| WRC SUPPORTIVE LIVING | ||||||||||
| 985 ROUTE 28 | BROOKVILLE | PA | 15825 | 251605893 | HEALTH CARE | PA | 501(C)(3) | 10 | WRC SR SRVCS | false |
| MONONGAHELA VALLEY HOSPITAL FOUNDATION | ||||||||||
| 1163 COUNTRY CLUB ROAD | MONONGAHELA | PA | 15063 | 825336533 | FUNDRAISING | PA | 501(C)(3) | 12 B II | PHH | false |
| MONONGAHELA VALLEY HOSPITAL INC | ||||||||||
| 1163 COUNTRY CLUB ROAD | MONONGAHELA | PA | 15063 | 237218917 | HOSPITAL | PA | 501(C)(3) | 3 | PHH | false |
| CLEARFIELD EMS | ||||||||||
| 713 W FRONT ST | CLEARFIELD | PA | 16830 | 251672659 | EMS SERVICES | PA | 501(C)(3) | 10 | PHH | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| BENNETTS VALLEY PHARMACY | |||||||||
| PO BOX 112 | ST MARYS | PA | 15857 | 251601794 | PHARMACY | PA | NA | S CORP | false |
| E NICHOLSON PHARMACY | |||||||||
| 265 ALLEGHENY BLVD | BROOKVILLE | PA | 15825 | 473117408 | PHARMACY | PA | NA | S CORP | false |
| DUBOIS MEDICAL SUPPLY | |||||||||
| PO BOX 263 | DUBOIS | PA | 15801 | 241417990 | MED SUPPLY | PA | NA | S CORP | false |
| PREMIER HEALTH CARE STAFFING INC | |||||||||
| 100 HOSPITAL AVE | DUBOIS | PA | 15801 | 874757426 | STAFFING SRVCS | PA | NA | C CORP | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |