J C BLAIR MEMORIAL HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: J C BLAIR MEMORIAL HOSPITAL (EIN 23-1352159)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-15
IRS object ID: 202311359349312201
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	2023-05-15T14:05:05-05:00	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	231352159	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JC BLAIR MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JOSEPH MYERS PRESIDENT	InCareOfNm
Business Name Control	JCBL	BusinessNameControlTxt
Phone	8146432290	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1225 WARM SPRINGS AVENUE	AddressLine1Txt
City	HUNTINGDON	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16652	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH MYERS	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	4178658701	PhoneNum
Signature	2023-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JOSEPH	PersonFirstNm
Person Last	MYERS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	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

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

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 HUNTINGDON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JOSEPH MYERS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1225 WARM SPRINGS AVENUE	AddressLine1Txt
City	HUNTINGDON	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16652	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$67,492,467	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	COMMUNICATIONS.PHHEALTHCARE.ORG/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1909	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	HEALTHCARE PROVIDER - NOT-FOR-PROFIT ACUTE CARE HOSPITAL	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	445	TotalEmployeeCnt
Total Volunteers	75	TotalVolunteersCnt
Total Gross UBI	$972,683	TotalGrossUBIAmt
PY Contributions Grants	$3,520,770	PYContributionsGrantsAmt
CY Contributions Grants	$2,836,156	CYContributionsGrantsAmt
PY Program Service Revenue	$46,232,683	PYProgramServiceRevenueAmt
CY Program Service Revenue	$55,788,211	CYProgramServiceRevenueAmt
PY Investment Income	$695,784	PYInvestmentIncomeAmt
CY Investment Income	$207,352	CYInvestmentIncomeAmt
PY Other Revenue	$733,947	PYOtherRevenueAmt
CY Other Revenue	$588,993	CYOtherRevenueAmt
PY Total Revenue	$51,183,184	PYTotalRevenueAmt
CY Total Revenue	$59,420,712	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	$23,004,117	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$24,292,232	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$26,264,805	PYOtherExpensesAmt
CY Other Expenses	$31,020,359	CYOtherExpensesAmt
PY Total Expenses	$49,268,922	PYTotalExpensesAmt
CY Total Expenses	$55,312,591	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,914,262	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,108,121	CYRevenuesLessExpensesAmt
Total Assets BOY	$69,376,054	TotalAssetsBOYAmt
Total Assets EOY	$87,016,603	TotalAssetsEOYAmt
Total Liabilities BOY	$34,109,540	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$47,454,143	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$35,266,514	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$39,562,460	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	J.C. BLAIR MEMORIAL HOSPITAL IS COMMITTED TO BEING THE PREMIER HEALTH RESOURCE FOR THE RESIDENTS OF HUNTINGDON COUNTY AND NEARBY COMMUNITIES AND STRIVES TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT. SEE SCHEDULE O FOR ADDITIONAL DETAIL.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$51,552,601	ExpenseAmt
Revenue	$55,788,211	RevenueAmt
Desc	J.C. BLAIR MEMORIAL HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE SERVICES, AND URGENT CARE SERVICES TO FURTHER THE HEALTH AND WELLNESS OF HUNTINGDON, PENNSYLVANIA AND SURROUNDING COMMUNITIES IN HUNTINGDON COUNTY, PENNSYLVANIA. IN FISCAL YEAR 2022, CHARITY CARE SERVICES AMOUNTED TO APPROXIMATELY $585,000. PATIENTS RECEIVE MEDICALLY NECESSARY SERVICES REGARDLESS OF ABILITY TO PAY. SEE SCHEDULE O FOR ADDITIONAL DETAIL.	Desc
Total Program Service Expenses	$51,552,601	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	Yes (true)	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	59	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	445	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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
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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	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	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
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	JOSEPH MYERS PRESIDENT	PersonNm
Phone	8146438445	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1225 WARM SPRINGS AVENUE	AddressLine1Txt
City	HUNTINGDON	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16652	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JOSEPH MYERS
PRESIDENT	41.0	4.0	Yes (X)	$253,057	$0	$22,564
MUHAMMAD T QAMAR
PHYSICIAN	40.0	0.0		$151,980	$0	$12,945	Yes (X)
TODD FORTNEY
PHARMACIST	40.0	0.0		$130,234	$0	$12,672	Yes (X)
JOELLE KAMINSKY
DIRECTOR OF PHARMACY OPERATION	40.0	0.0		$121,776	$0	$20,379	Yes (X)
JOHN LEYTHAM
DIRECTOR OF PHYSICAL THERAPY	40.0	0.0		$103,289	$0	$8,739	Yes (X)
SCOTT HOUCK
REGIONAL IMAGING DIRECTOR	40.0	0.0		$102,996	$0	$4,139	Yes (X)
A KEITH BLACK
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
MIRANDA K PERUSO
CHAIR	1.0	2.0	Yes (X)	$0	$0	$0		Yes (X)
PETER HOPSICKER
SECRETARY	1.0	2.0	Yes (X)	$0	$0	$0		Yes (X)
FRED E PRICE
DIRECTOR	1.0	3.0		$0	$0	$0		Yes (X)
FRANCES V VAUGHN
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
MARGARET HALLAHAN DO
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
JAMES A TROHA
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
MARIA T PETTINGER MD
TREASURER	1.0	2.0	Yes (X)	$0	$0	$0		Yes (X)
JOHN D COURSEN
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
OSCAR JOHNSTON
VICE CHAIR	1.0	2.0	Yes (X)	$0	$0	$0		Yes (X)
CHERYL SHOPE
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
MARK MINOR
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
ANTOINETTE GRAY
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
MICHAEL SABATINI
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
RONALD LONG
DIRECTOR END 09/21	1.0	1.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$863,332	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$81,438	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
AMN HEALTHCARE INC
2735 COLLECTION CENTER DRIVE	CHICAGO	IL	606932735	NURSING	$968,196
ALLIANCE RECRUITING RESOURCES INC
PO BOX 223901	DALLAS	TX	752223901	PSYCHIATRY	$771,027
CARDIOLOGY ASSOCIATES OF ALTOONA
1321 ELEVENTH AVENUE	ALTOONA	PA	16601	CARDIOLOGY	$433,808
MAXIM HEALTHCARE STAFFING SERVICES
12558 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	NURSING	$361,257
LOCUMTENNENSCOM LLC
PO BOX 405547	ATLANTA	GA	303845547	ANESTHESIA	$222,883

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Related Organizations	$118,952	RelatedOrganizationsAmt
Government Grants	$2,569,002	GovernmentGrantsAmt
All Other Contributions	$148,202	AllOtherContributionsAmt
Total Contributions	$2,836,156	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$54,114,695	$54,114,695
OTHER REVENUE	900099	$1,529,177	$556,494	$972,683
CAFETERIA REVENUE	621500	$144,339	$144,339

Field	Value	IRS element (for citing)
Total Program Service Revenue	$55,788,211	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$67,447	TotalRevenueColumnAmt
Exclusion	$67,447	ExclusionAmt

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	$230,662	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$72,598	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$158,064	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$158,064	TotalRevenueColumnAmt
Exclusion	$158,064	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$8,139,062	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,999,157	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$139,905	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$139,905	TotalRevenueColumnAmt
Exclusion	$139,905	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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
INVESTMENT IN EQUITY INVESTEE	900099	-$44,219	-$44,219
NET PERIODIC PENSION COSTS	900099	$475,148	$475,148

Field	Value	IRS element (for citing)
Other Revenue Total	$430,929	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$59,420,712	TotalRevenueColumnAmt
Related Or Exempt Func Income	$54,815,528	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$972,683	UnrelatedBusinessRevenueAmt
Exclusion	$796,345	ExclusionAmt

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	$275,621	TotalAmt
Management And General	$275,621	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	$19,481,444	TotalAmt
Program Services	$18,133,209	ProgramServicesAmt
Management And General	$1,348,235	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$86,288	TotalAmt
Program Services	$86,288	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,919,176	TotalAmt
Program Services	$2,681,281	ProgramServicesAmt
Management And General	$237,895	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,529,703	TotalAmt
Program Services	$1,405,042	ProgramServicesAmt
Management And General	$124,661	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	$198,447	TotalAmt
Management And General	$198,447	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

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	$4,541,384	TotalAmt
Program Services	$4,171,289	ProgramServicesAmt
Management And General	$370,095	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,143,126	TotalAmt
Program Services	$1,049,968	ProgramServicesAmt
Management And General	$93,158	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$143,123	TotalAmt
Program Services	$131,459	ProgramServicesAmt
Management And General	$11,664	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,507,195	TotalAmt
Program Services	$2,302,874	ProgramServicesAmt
Management And General	$204,321	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$8,523	TotalAmt
Program Services	$7,828	ProgramServicesAmt
Management And General	$695	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	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,724	TotalAmt
Program Services	$7,095	ProgramServicesAmt
Management And General	$629	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,441,066	TotalAmt
Program Services	$1,323,628	ProgramServicesAmt
Management And General	$117,438	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$11,493,701	$11,493,701
ASSESSMENT EXPENSE	$8,022,161	$7,368,404	$653,757
REPAIRS AND MAINTENANCE	$1,353,982	$1,243,641	$110,341
LICENSES, DUES, SUBSCRIPTIONS	$129,920	$119,332	$10,588

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,007	TotalAmt
Program Services	$27,562	ProgramServicesAmt
Management And General	$2,445	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$55,312,591	TotalAmt
Program Services	$51,552,601	ProgramServicesAmt
Management And General	$3,759,990	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,762	BOYAmt
EOY	$4,279	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,738,832	BOYAmt
EOY	$73,647	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$214,498	BOYAmt
EOY	$106,129	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,578,965	BOYAmt
EOY	$7,184,069	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	$1,060,277	BOYAmt
EOY	$999,532	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$395,387	BOYAmt
EOY	$303,794	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$19,382,457	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,606,164	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$13,561,148	BOYAmt
EOY	$16,776,293	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$4,676,979	BOYAmt
EOY	$4,408,538	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$42,142,206	BOYAmt
EOY	$57,160,322	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$69,376,054	BOYAmt
EOY	$87,016,603	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,460,126	BOYAmt
EOY	$6,367,422	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	$0	BOYAmt
EOY	$634,112	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	$5,555,439	BOYAmt
EOY	$15,184,523	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	$22,093,975	BOYAmt
EOY	$25,268,086	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,109,540	BOYAmt
EOY	$47,454,143	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	$32,345,319	BOYAmt
EOY	$37,062,081	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,921,195	BOYAmt
EOY	$2,500,379	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$35,266,514	BOYAmt
EOY	$39,562,460	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$69,376,054	BOYAmt
EOY	$87,016,603	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,108,121	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$440,465	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$628,290	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	$10,855	OtherActivitiesAmt
Total Lobbying Expenditures	$10,855	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 HOSPITAL IS A MEMBER OF THE HOSPITAL ASSOCIATION OF PENNSYLVANIA, HOSPITAL COUNCIL OF WESTERN PA AND THE AMERICAN HOSPITAL ASSOCIATION AS SUCH, A PERCENTAGE OF DUES IS EXPENDED BY THOSE ORGANIZATIONS ON LOBBYING ACTIVITIES. IT IS ESTIMATED THAT $10,855 OF THE DUES PAID WAS USED BY THOSE ORGANIZATIONS FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,126,131	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$421,058	InvestmentEarningsOrLossesAmt
End Year Balance	$1,705,073	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,876,612	BeginningYearBalanceAmt
Investment Earnings Or Losses	$249,519	InvestmentEarningsOrLossesAmt
End Year Balance	$2,126,131	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,876,855	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$243	InvestmentEarningsOrLossesAmt
End Year Balance	$1,876,612	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,806,323	BeginningYearBalanceAmt
Investment Earnings Or Losses	$70,532	InvestmentEarningsOrLossesAmt
End Year Balance	$1,876,855	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,819,665	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$13,342	InvestmentEarningsOrLossesAmt
End Year Balance	$1,806,323	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.95000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.05000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,910,381	OtherCostOrOtherBasisAmt
Book Value	$1,910,381	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,833,545	OtherCostOrOtherBasisAmt
Depreciation	$764,500	DepreciationAmt
Book Value	$6,069,045	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$983,056	OtherCostOrOtherBasisAmt
Depreciation	$124,203	DepreciationAmt
Book Value	$858,853	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,100,031	OtherCostOrOtherBasisAmt
Depreciation	$1,667,763	DepreciationAmt
Book Value	$3,432,268	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,555,444	OtherCostOrOtherBasisAmt
Depreciation	$49,698	DepreciationAmt
Book Value	$4,505,746	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$16,776,293	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLE	$1,560,622
DUE FROM AFFILIATES	$40,268,404
OTHER ASSETS	$11,922,558
INVESTMENTS IN AFFILIATES	$3,260,865
INTEREST RECEIVABLE	$4,886
ROU ASSET	$142,987

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$57,160,322	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY	$727,581
DUE TO AFFILIATE	$18,300,551
ACCRUED PENSION COST	$4,694,795
CONTRACT LIABILITIES	$1,399,805
ROU LIABILITY	$145,354

Field	Value	IRS element (for citing)
Total Liability	$25,268,086	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

ENDOWMENT FUNDS: J.C. BLAIR MEMORIAL HOSPITAL HAS RECORDED ON ITS BALANCE SHEET ITS INTEREST IN THE NET ASSETS OF THE J.C. BLAIR MEMORIAL HOSPITAL FOUNDATION. THE AMOUNT IS REPORTED ABOVE AND CATEGORIZED AS A TERM ENDOWMENT. THE FOUNDATION TRANSFERS FUNDS RAISED TO THE HOSPITAL FOR THE PURCHASE OF EQUIPMENT AND BUILDING IMPROVEMENTS. FUNDS RAISED AND NOT YET TRANSFERRED ARE REPORTED AS INTEREST IN NET ASSETS OF THE FOUNDATION.

SCHEDULE D, PART X, LINE 2

UNCERTAIN TAX POSITIONS: THE SYSTEMS ACCOUNT FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2022 AND 2021. THE SYSTEM'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSE.

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
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,051,905	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,051,905	NetCommunityBenefitExpnsAmt
Total Expense	0.01900	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,502,391	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,858,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,643,715	NetCommunityBenefitExpnsAmt
Total Expense	0.04780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,554,296	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,858,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,695,620	NetCommunityBenefitExpnsAmt
Total Expense	0.06680	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,620	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,620	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,275,011	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,220,064	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,947	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,278,631	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,220,064	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,567	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,832,927	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,078,740	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,754,187	NetCommunityBenefitExpnsAmt
Total Expense	0.06790	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,305,525	BadDebtExpenseAmt
Bad Debt Expense Attributable	$585,010	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$8,303,694	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$8,700,518	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$396,824	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

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	JC BLAIR MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1225 WARM SPRINGS AVE	AddressLine1Txt
City	HUNTINGDON	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16652	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.JCBLAIR.ORG	WebsiteAddressTxt
State License	101101	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	INPATIENT PSYCHIATRI	OtherDesc
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JC BLAIR MEMORIAL 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	20	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	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
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	300.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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
Other Publicity	Yes (X)	OtherPublicityInd
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
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: A COMPREHENSIVE COMMUNITY-WIDE CHNA PROCESS WAS COMPLETED FOR PENN HIGHLANDS HUNTINGDON, PREVIOUSLY JC BLAIR HEALTH SYSTEM. THE 2021 CHNA BROUGHT TOGETHER HOSPITAL AND COMMUNITY PARTNERS TO IDENTIFY AND EVALUATE THE NEEDS OF THE COMMUNITY. HOSPITAL LEADERSHIP WAS INTERESTED IN HEARING FROM KEY COMMUNITY LEADERS TO OBTAIN AN OUTSIDE PERSPECTIVE OF THE HEALTH OF THE COMMUNITY AS WELL AS HELP REACH INPUT FROM UNDERSERVED POPULATIONS. THIS WAS ACCOMPLISHED THROUGH COMMUNITY LEADER INTERVIEWS, PROVIDER SURVEYS, AND PUBLIC COMMENTARY, SELECT QUESTIONS WERE UTILIZED TO SUPPORT THE PENN HIGHLANDS HUNTINGDON CHNA. KEY STAKEHOLDERS IN THE COMMUNITY WERE IDENTIFIED TO GIVE INTERVIEWS OR PUBLIC COMMENTARY. HOSPITAL STAFF DEVELOPED THE INTERVIEW AND SURVEY QUESTIONS. THE INTERVIEWS AND SURVEYS WERE USED TO OBTAIN VITAL INFORMATION ABOUT THE COMMUNITY FROM THE SOCIAL AND HEALTH SERVICES PROVIDERS WHO SERVE THEM. THE SURVEYS WERE ACTIVE FROM DECEMBER 2020 TO FEBRUARY 2021. FEEDBACK FROM 26 COMMUNITY STAKEHOLDERS WAS COLLECTED. THE HOSPITAL IDENTIFIED TARGET STAKEHOLDERS TO BE INTERVIEWED. DEVELOPED THE STAKEHOLDER INTERVIEW GUIDE AND CREATED ALL DATA COLLECTION TOOLS. INTERVIEW QUESTIONS INCLUDED THE FOLLOWING TOPICS: TOP COMMUNITY HEALTH NEEDS, ENVIRONMENTAL FACTORS DRIVING THE NEEDS, EFFORTS CURRENTLY UNDERWAY TO ADDRESS NEEDS AND ADVICE FOR THE HOSPITAL.
SCHEDULE H, PART V, SECTION B, LINE 6A	CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: PENN HIGHLANDS DUBOIS, PENN HIGHLANDS ELK, PENN HIGHLANDS BROOKVILLE, PENN HIGHLANDS CLEARFIELD AND PENN HIGHLANDS TYRONE.
SCHEDULE H, PART V, SECTION B, LINE 7A	CHNA AVAILABILITY: THE MOST RECENTLY CONDUCTED CHNA REPORT CAN BE FOUND AT THE FOLLOWING URL: WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 10A	IMPLEMENTATION STRATEGY: THE IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL: HTTPS://WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESS MENT
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING IDENTIFIED NEEDS: PENN HIGHLANDS HUNTINGDON WILL DEVELOP SPECIFIC GOALS AND STRATEGIES FOR THEIR 2021 CHNA IMPLEMENTATION PLAN BASED ON THE IDENTIFIED PRIORITIES. THE HEALTH SYSTEM WILL LEVERAGE ITS STRENGTHS AND RESOURCES AND WORK COLLABORATIVELY WITH ITS COMMUNITY PARTNERS TO ADDRESS THE IDENTIFIED NEEDS. THE IMPLEMENTATION PLAN WILL INCLUDE MEASURES, STRATEGIES AND GOALS AS TO HOW THE HEALTH SYSTEM WILL ADDRESS THE PRIORITY AREAS. PENN HIGHLANDS HUNTINGDON IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY AND WILL WORK DILIGENTLY WITH PUBLIC HEALTH AGENCIES AND COMMUNITY ORGANIZATIONS TO IMPLEMENT RELEVANT AND EFFECTIVE STRATEGIES TO ADDRESS THE IDENTIFIED AREAS OF NEED. AS THE HOSPITAL WORKS ON THEIR IMPLEMENTATION PLAN OVER THE NEXT THREE YEARS, THEY WILL ROUTINELY EVALUATE PROGRESS AND ADJUST THEIR PLAN AS NEEDED TO BEST MEET THE NEEDS OF THE COMMUNITY. WHEREVER POSSIBLE THE HOSPITAL WILL COLLABORATE WITH COMMUNITY AGENCIES TO BUILD ON CORE STRENGTHS AND LEVERAGE COMMUNITY ASSETS. TO STRENGTHEN THE HEALTH AND VITALITY OF THE COMMUNITY, THE FOLLOWING ARE RECOMMENDED: - DEVELOP EFFECTIVE COMMUNICATION STRATEGIES TO SHARE THE RESULTS OF THE CHNA WITH STAFF, PROVIDERS, LEADERSHIP, BOARD, COMMUNITY STAKEHOLDERS AND THE COMMUNITY AT LARGE. - CONTINUE TO WORK WITH COMMUNITY PARTNERS TO IDENTIFY AND LEVERAGE EXISTING COMMUNITY RESOURCES AND IDENTIFY OPPORTUNITIES FOR COLLABORATION. - CONSIDER MAINTAINING ONGOING MEETINGS WITH THE CHNA STEERING COMMITTEE TO EVALUATE PROGRESS MADE TOWARDS THE IMPLEMENTATION PLAN AS WELL AS STRENGTHEN WORKING RELATIONSHIPS AND SYNERGIES AMONG PROVIDERS. - CREATE IMPLEMENTATION STRATEGY TEAMS TO DEVELOP THE CHNA IMPLEMENTATION PLAN WHICH WILL ADDRESS KEY AREAS OF NEED AND PRIORITIES IDENTIFIED DURING THE CHNA PROCESS. - UTILIZE COMMUNITY STAKEHOLDERS AND REGIONAL PARTNERS WHEN POSSIBLE TO HELP ADDRESS IDENTIFIED NEEDS IN THE COMMUNITY. - ROUTINELY EVALUATE THE GOALS AND STRATEGIES OUTLINED IN THE CHNA IMPLEMENTATION PLAN AND ADJUST AS NEEDED TO ENSURE THE NEEDS OF THE COMMUNITY ARE BEING MET.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C	FINANCIAL ASSISTANCE POLICY APPLICATION FORM AVAILABILITY: FAP, FAP APPLICATION, PLAIN LANGUAGE SUMMARY: HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY
SCHEDULE H, PART V, SECTION B, LINE 16I	LEP TRANSLATION: THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER THE IRC SECTION 501(R). HOWEVER, THE ORGANIZATION HAS A CONTRACT WITH A TRANSLATIONS SERVICE PROVIDERS.
SCHEDULE H, PART V, SECTION B, LINE 16J	FAP AVAILABILITY: FINANCIAL COUNSELORS DISCUSS THE AVAILABILITY OF DISCOUNTED AND CHARITY CARE INDIVIDUALLY WITH PATIENTS.
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	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CONVENIENT CARE CENTER
7651 RAYSTOWN SHOPPING CENTER DR	HUNTINGDON	PA	16652	HEALTH CLINIC LAB & DIAGNOSTIC TESTING
611 MRI
611 UNIVERSITY DRIVE	STATE COLLEGE	PA	16801	MRI, CT, X-RAY DIGITAL MAMMOGRAPHY CENTER
ORBISONIA QUICK LAB
626 WATER ST 1	ORBISONIA	PA	17243	LAB

Supplemental Information Detail SupplementalInformationDetail (13 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 WORKSHEETS 1 AND 3.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: VARIOUS RENOVATIONS TO CLINIC BUILDINGS, 611 CENTER IN STATE COLLEGE, AND THE HOSPITAL AS A WHOLE LIKE THE IT DEPARTMENT, OR, CATH LAB ETC. THESE ACTIVITIES HELP THE HOSPITAL MAKE HIGH QUALITY HEALTHCARE ACCESSIBLE TO RESIDENTS OF HUNTINGDON COUNTY.
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: THE HOSPITAL ESTIMATES THAT APPROXIMATELY 50% OF ITS BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION CHARITY FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FEELS THIS SHOULD BE CONSIDERED COMMUNITY BENEFIT AS THEY ARE PROVIDING CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
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 B, 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. 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: IF A PATIENT IS DETERMINED TO BE FINANCIALLY INDIGENT, THE CREDIT DEPARTMENT WILL ASSIST THE PATIENT IN APPLYING FOR OTHER FINANCIAL ASSISTANCE SUCH AS STATE AND FEDERAL PROGRAMS, CIVIC ORGANIZATIONS, REHABILITATION PROGRAMS, RELIGIOUS ORGANIZATIONS, RELATIVES OR FRIENDS. IF NO SOURCE OF FINANCIAL ASSISTANCE IS AVAILABLE, THE HOSPITAL WILL REVIEW THE ACCOUNT FOR A CHARITY ALLOWANCE ONLY ON THE CURRENT ACCOUNT. NO BAD DEBT ACCOUNTS WILL BE INCLUDED IN THIS REVIEW. ALL CHARITY ALLOWANCES MUST BE APPROVED BY THE CHIEF FINANCIAL OFFICER OR DELEGATED REPRESENTATIVE.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: IN 2021, PENN HIGHLANDS HUNTINGDON CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT, USING QUANTITATIVE ANALYSIS AND QUALITATIVE DATA COLLECTION WITH A REPRESENTATIVE CROSS SECTION OF HEALTHCARE PROFESSIONALS, COMMUNITY LEADERS, AND AREA RESIDENTS REPRESENTING MANY GROUPS, INCLUDING LOW-INCOME RESIDENTS AND OTHERS AFFECTED BY HEALTH DISPARITIES. THE ASSESSMENT PROCESS CONCLUDED IN SPRING 2021. MUCH OF THE BENEFIT TO THE COMMUNITY COMES FROM PARTICIPATION IN COLLABORATIVE EFFORTS THAT HELP TO ACCESS COMMUNITY NEED AND TO ADDRESS HEALTH ISSUES IN HUNTINGDON COUNTY. SOME OF THE DIRECT SERVICES ACTIVITIES INCLUDE FREE BREAST HEALTH AND HEART HEALTH SCREENINGS FOR WOMEN, FREE DIABETES SELF-MANAGEMENT CLASSES, EDUCATIONAL PROGRAMS, MENTORING FUTURE HEALTH CARE PROFESSIONALS THROUGH INTERNSHIPS AND STUDENT PRACTICUMS, PARTICIPATION IN HEALTH FAIRS, PATIENT ADVOCACY AND PROMOTION OF HEALTHY LIFESTYLES. INDIRECT SUPPORT OF THESE ACTIVITIES INCLUDE HOSPITAL STAFF AND MEDICAL STAFF MEMBERS SERVING IN LEADERSHIP AND WORKING ROLES ON BOARDS AND COMMITTEES THAT IMPACT THE HEALTH STATUS AND WELL-BEING OF COMMUNITY MEMBERS.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: IN ORDER TO BE ELIGIBLE FOR CHARITY CARE, A PATIENT WHO DOES NOT HAVE HEALTH INSURANCE MUST COMPLETE AN APPLICATION FOR MEDICAL ASSISTANCE AND BE DENIED COVERAGE. SUCH PATIENTS, DESIGNATED AS SELF-PAY, ARE OFFERED ASSISTANCE BY OUR SELF-PAY FINANCIAL COUNSELORS. IN COMPLETING APPLICATIONS FOR MEDICAL ASSISTANCE COUNSELORS FOLLOW UP WITH PATIENTS. IF APPLICATIONS ARE NOT COMPLETED OR INFORMATION IS NOT RETURNED THE HOSPITAL ALSO HAS ACCESS TO LIMITED FUNDS (THE INCOME FROM A TRUST WHICH HAS BEEN DESIGNATED TO BE USED FOR CHARITY CARE). APPLICANTS FOR CHARITY CARE ARE SCREENED FOR ELIGIBILITY FOR THIS PROGRAM. IN ADDITION, A RESTRICTED DONATION FROM A COMMUNITY MEMBER HAS PROVIDED FOR PAYMENT FOR HEALTH CARE SERVICES WHICH ARE NOT ELIGIBLE FOR ANY OTHER PROGRAMS OR INSURANCE COVERAGES. A GENEROUS AMOUNT OF $10,000 HAS ALREADY PROVIDED COVERAGE FOR COSTS OF CARE FOR SEVERAL PATIENTS FOR NEEDED SERVICES. PATIENT BROCHURES ARE PROVIDED TO EXPLAIN THE AVAILABILITY OF ASSISTANCE AND CHARITY CARE PROGRAMS. THE FEDERAL POVERTY LEVEL GUIDELINES WITH OUR 250% MULTI PLIER ARE POSTED IN LOCATIONS FREQUENTED BY PATIENTS, SUCH AS THE EMERGENCY DEPARTMENT AND REGISTRATION AREAS. IF A PATIENT IS SELF PAY AT THE TIME OF REGISTRATION, THE REGISTRATION CLERK NOTIFIES A PATIENT FINANCIAL COUNSELOR AND PROVIDES THE PATIENT WITH A FINANCIAL ASSISTANCE PROGRAM LETTER. THE PROGRAM LETTER OFFERS A 20% SELF PAY DISCOUNT PROGRAM AND CHARITY CARE PROGRAM OUTLINE PATIENT COUNSELORS ADVISE AND ASSIST WITH THE APPLICATION PROCESS. TO APPLY FOR CHARITY CARE, THE PATIENT MUST FIRST APPLY FOR MEDICAL ASSISTANCE THIS PROCESS CAN TAKE UP TO 30 DAYS FOR MEDICAL ASSISTANCE APPROVAL OR DENIAL. IF MEDICAL ASSISTANCE COVERAGE IS DENIED, THE PATIENT IS ASKED TO CONTACT THE PATIENT COUNSELOR FOR ASSISTANCE WITH COMPLETING THE CHARITY CARE APPLICATION, OR TO HAVE THE APPLICATION MAILED OUT TO THE PATIENT. ONCE THE PATIENT IS DETERMINED TO BE ELIGIBLE, THE PATIENT IS ISSUED AN IDENTIFICATION CARD, WHICH THEY MAY PRESENT AT FUTURE VISITS TO VALIDATE THEY HAVE BEEN DETERMINED. TO BE ELIGIBLE FOR CHARITY CARE ELIGIBILITY MUST BE RENEWED EVERY SIX MONTHS. THE HOSPITAL IS CURRENTLY DEVELOPING A NEW BROCHURE WHICH DESCRIBES THE CHARITY PROGRAM ALONG WITH OTHER FINANCIAL POLICIES, SUCH AS PROMPT PAYMENT DISCOUNTS AND ELIGIBILITY FOR PAYMENT PLANS AND GRANT FUNDED CARE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: PENN HIGHLANDS HUNTINGDON IS THE HEALTHCARE LEADER IN HUNTINGDON COUNTY, SERVING THE COMMUNITY'S HEALTHCARE NEEDS AND STRIVING TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT FOR OVER 100 YEARS. THE HOSPITAL IS THE ONLY HOSPITAL IN RURAL HUNTINGDON COUNTY, SERVING OVER 45,000 COUNTY RESIDENTS SPREAD ACROSS MANY SMALL BOROUGHS AND VILLAGES. THE HOSPITAL'S REGION INCLUDES BEDFORD, BLAIR, HUNTINGDON, JUNIATE AND MIFFLIN COUNTIES. THERE ARE A NUMBER OF AMISH AND MENNONITE SETTLEMENTS IN THE REGION. THE COMMUNITIES IN THE PRIMARY SERVICE AREA ARE HUNTINGDON, SMITHFIELD, MOUNT UNION, ALEXANDRIA, ORBISONIA, PETERSBURG, THREE SPRINGS, MAPLETON DEPOT, JAMES CREEK AND MILL CREEK. A NUMBER OF SMALL COMMUNITIES MAKE UP THE SECONDARY SERVICE AREA. ACCORDING TO THE MOST RECENTLY COMPLETED CHNA, 9.5% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY LEVEL.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: THE GOVERNING BODY IS REPRESENTATIVE OF THE COMMUNITIES IN THE PRIMARY AND SECONDARY SERVICE AREAS OF THE HOSPITAL. PENN HIGHLANDS HUNTINGDON IS A SMALL, RURAL HOSPITAL THAT IS NOT ENGAGED IN RESEARCH, BUT IT DOES ALLOCATE FUNDS ANNUALLY FOR THE UPGRADE OF PATIENT CARE EQUIPMENT AND FOR EXPENDITURES IN TECHNOLOGY OR FACILITIES TO IMPROVE THE SAFETY AND CARE OF PATIENTS RECENT EXAMPLES OF PURCHASES AND UPGRADES ARE A NEW DIGITAL MAMMOGRAPHY SYSTEM, ORTHOPEDIC SURGERY EQUIPMENT, STEREOTACTIC SPECIMEN IMAGING SYSTEM, AND A DIETARY TRAYLINE SYSTEM RECENT TECHNOLOGY INVESTMENTS INCLUDE NURSING DOCUMENTATION, ELECTRONIC MEDICATION ADMINISTRATION RECORD AND BEDSIDE MEDICATION VERIFICATION.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: PENN HIGHLANDS HUNTINGDON 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 DUBOIS, PENN HIGHLANDS ELK, PENN HIGHLANDS CLEARFIELD, PENN HIGHLANDS TYRONE, PENN HIGHLANDS MON VALLEY AND PENN HIGHLANDS CONNELLSVILLE. 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)
Independent Consultant	Yes (X)	IndependentConsultantInd
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
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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
JOSEPH MYERS
PRESIDENT	$227,405	$0	$10,105	$0	$15,547	$0	$15,000	$0	$7,564	$0	$275,621	$0	$0	$0
MUHAMMAD T QAMAR
PHYSICIAN	$135,729	$0	$0	$0	$16,251	$0	$5,895	$0	$7,050	$0	$164,925	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART 990, PART III, LINE 1	ORGANIZATIONAL MISSION: VISION - TO BE A MODEL OF EXCELLENCE FOR THE PROVISION OF A COMPREHENSIVE RANGE OF HEALTHCARE AND WELLNESS SERVICES DESIGNED TO CONTINUALLY IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR THE RESIDENTS OF HUNTINGDON COUNTY AND NEARBY COMMUNITIES.
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS: THE HOSPITAL CONTRIBUTED A GREAT DEAL IN COMMUNITY BENEFIT PROGRAMS THAT INCLUDED THOUSANDS OF HOURS OF VOLUNTEER SERVICE PROVIDING FREE EDUCATION AND SCREENING PROGRAMS, MENTORING FUTURE HEALTH CARE PROFESSIONALS, PROVIDING LEADERSHIP SERVICE TO COMMUNITY ORGANIZATIONS, AND CONTRIBUTING FINANCIAL AND IN-KIND SUPPORT TO A NUMBER OF LOCAL INITIATIVES. THESE PROGRAMS INCLUDED: FREE DIABETES SELF-MANAGEMENT CLASSES, FREE BREAST-FEEDING EDUCATION AND CONSULTING FOR NEW MOTHERS, FREE NEWBORN SAFETY KITS, FREE YEAR ROUND EDUCATIONAL PROGRAMS ON NUTRITION, HEART HEALTH, BREAST HEALTH, ETC., FREE OSTEOPOROSIS SCREENINGS, PARTICIPATION IN NUMEROUS HEALTH FAIRS THROUGHOUT THE COUNTY, AND ANNUAL WELLNESS CHECK COMPREHENSIVE BLOOD SCREENINGS. OUR COMMUNITY BENEFIT PROGRAMS ARE ALL FOCUSED ON THE GOALS, STRATEGIES, AND ACTION PLANS OUTLINED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN.
FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B	MEMBERS: EFFECTIVE JUNE 1, 2019, PENN HIGHLANDS HEALTHCARE EXECUTED AN ACQUISITION WITH J.C. BLAIR HOSPITAL AND RELATED ENTITIES. AS PART OF THE AGREEMENT, PENN HIGHLANDS HEALTHCARE BECAME THE SOLE MEMBER OF J.C. BLAIR MEMORIAL HOSPITAL AND RELATED ENTITIES. IN ITS CAPACITY AS SOLE MEMBER OF THE FOUNDATION, PENN HIGHLANDS HEALTHCARE, INC. HAS THE RIGHT TO, AMONG OTHER THINGS, APPOINT TRUSTEES. PENN HIGHLANDS HEALTHCARE HAS THE RIGHT TO, AMONG OTHER THINGS, APPOINT TRUSTEES, APPROVE MAJOR EXPENDITURES, AND APPROVE LONG-TERM BORROWING.
FORM 990, PART VI, SECTION B, LINE 11B	990 REVIEW PROCESS: THE 990 WAS REVIEWED IN DETAIL BY THE FINANCE DEPARTMENT AND PRESIDENT. A COPY OF THE 990 WAS MADE AVAILABLE TO BOARD MEMBERS BEFORE IT WAS FILED. THE BOARD HAD A CHANCE TO VIEW THE 990 THROUGH EMAIL OR IN PERSON, AND THE BOARD APPROVED THE 990 BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING OF CONFLICT OF INTEREST POLICY: OFFICERS, KEY EMPLOYEES, AND BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY AND RETURN TO THE EXECUTIVE ASSISTANT WHO REVIEWS AND MONITORS COMPLIANCE WITH THE POLICY. BOARD MEMBERS ARE REQUIRED TO ABSTAIN FROM VOTING ON MATTERS THAT INVOLVE CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15A	OFFICER COMPENSATION: COMPENSATION FOR THE CEO WAS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BASED ON SALARY MARKET DATA. IF THE EXECUTIVE IS ELIGIBLE FOR A PERFORMANCE BONUS, THE CRITERIA FOR DETERMINATION OF THE BONUS IS DEVELOPED BY ESTABLISHING OBJECTIVES AND MEASUREMENTS THAT WILL INDICATE THE DEGREE TO WHICH OBJECTIVES HAVE BEEN ACCOMPLISHED. APPROVAL IS DOCUMENTED VIA COMMITTEE MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9	OTHER CHANGE IN NET ASSETS: $ 1,049,106 CHANGE IN DEFINED PENSION PLAN GAINS AND LOSSES ( 420,816) CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS ------------ $ 628,290

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
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 CENTER
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)	7	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	16686	231440116	HOSPITAL	PA	501(C)(3)	3	PHH	false
HELPMATES INC
250 WEST MAIN STREET	RIDGWAY	PA	15853	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
HIGHLANDS HOSPITAL
401 EAST MURPHY AVENUE	CONNELLSVILLE	PA	15425	251494705	HOSPITAL	PA	501(C)(3)	3	PHH	false
HIGHLANDS HOSPITAL FOUNDATION
401 E MURPHY AVENUE	CONNELLSVILLE	PA	15425	843713870	SUPPORT HOSP	PA	501(C)(3)	12 A I	PHH	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
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
WRC SUPPORTIVE LIVING
985 ROUTE 28	BROOKVILLE	PA	15825	251605893	HEALTH CARE	PA	501(C)(3)	10	WRC SR SRVCS	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 (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
JC BLAIR MEDICAL SERVICES INC
1225 WARM SPRINGS AVENUE	HUNTINGDON	PA	16652	251881378	PROVDER SERVI	PA	NA	C CORP	$0	$0	1.00000	Yes (true)
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	Yes (true)	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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd