2023-05-15T14:05:05-05:00 2022-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2021-07-01 231352159 JC BLAIR MEMORIAL HOSPITAL % JOSEPH MYERS PRESIDENT JCBL 8146432290 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 JOSEPH MYERS PRESIDENT 4178658701 2023-05-15 true JOSEPH MYERS XXX-XX-XXXX Brian D Todd P00422601 4178658701 2 2021 2023-04-26 12:10:37Z PENN HIGHLANDS HUNTINGDON JOSEPH MYERS 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 67492467 false X COMMUNICATIONS.PHHEALTHCARE.ORG/ X 1909 PA HEALTHCARE PROVIDER - NOT-FOR-PROFIT ACUTE CARE HOSPITAL 14 14 445 75 972683 3520770 2836156 46232683 55788211 695784 207352 733947 588993 51183184 59420712 0 0 0 0 23004117 24292232 0 0 0 26264805 31020359 49268922 55312591 1914262 4108121 69376054 87016603 34109540 47454143 35266514 39562460 X 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. false false 51552601 55788211 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. 51552601 true true false true false false false false false true true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 59 0 true 445 true true true false false false false false false false false false false false X 14 14 false false false false true true true true true false false true true true true true true true false false PA X JOSEPH MYERS PRESIDENT 8146438445 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 JOSEPH MYERS PRESIDENT 41.0 4.0 X 253057 0 22564 MUHAMMAD T QAMAR PHYSICIAN 40.0 0.0 X 151980 0 12945 TODD FORTNEY PHARMACIST 40.0 0.0 X 130234 0 12672 JOELLE KAMINSKY DIRECTOR OF PHARMACY OPERATION 40.0 0.0 X 121776 0 20379 JOHN LEYTHAM DIRECTOR OF PHYSICAL THERAPY 40.0 0.0 X 103289 0 8739 SCOTT HOUCK REGIONAL IMAGING DIRECTOR 40.0 0.0 X 102996 0 4139 A KEITH BLACK DIRECTOR 1.0 1.0 X 0 0 0 MIRANDA K PERUSO CHAIR 1.0 2.0 X X 0 0 0 PETER HOPSICKER SECRETARY 1.0 2.0 X X 0 0 0 FRED E PRICE DIRECTOR 1.0 3.0 X 0 0 0 FRANCES V VAUGHN DIRECTOR 1.0 1.0 X 0 0 0 MARGARET HALLAHAN DO DIRECTOR 1.0 1.0 X 0 0 0 JAMES A TROHA DIRECTOR 1.0 1.0 X 0 0 0 MARIA T PETTINGER MD TREASURER 1.0 2.0 X X 0 0 0 JOHN D COURSEN DIRECTOR 1.0 1.0 X 0 0 0 OSCAR JOHNSTON VICE CHAIR 1.0 2.0 X X 0 0 0 CHERYL SHOPE DIRECTOR 1.0 1.0 X 0 0 0 MARK MINOR DIRECTOR 1.0 1.0 X 0 0 0 ANTOINETTE GRAY DIRECTOR 1.0 1.0 X 0 0 0 MICHAEL SABATINI DIRECTOR 1.0 1.0 X 0 0 0 RONALD LONG DIRECTOR END 09/21 1.0 1.0 X 0 0 0 863332 0 81438 6 false true false AMN HEALTHCARE INC 2735 COLLECTION CENTER DRIVE CHICAGO IL 606932735 NURSING 968196 ALLIANCE RECRUITING RESOURCES INC PO BOX 223901 DALLAS TX 752223901 PSYCHIATRY 771027 CARDIOLOGY ASSOCIATES OF ALTOONA 1321 ELEVENTH AVENUE ALTOONA PA 16601 CARDIOLOGY 433808 MAXIM HEALTHCARE STAFFING SERVICES 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 NURSING 361257 LOCUMTENNENSCOM LLC PO BOX 405547 ATLANTA GA 303845547 ANESTHESIA 222883 11 118952 2569002 148202 2836156 NET PATIENT SERVICE REVENUE 621110 54114695 54114695 OTHER REVENUE 900099 1529177 556494 972683 CAFETERIA REVENUE 621500 144339 144339 55788211 67447 67447 0 0 230662 72598 158064 0 158064 158064 8139062 7999157 139905 139905 139905 0 0 0 0 0 0 0 0 0 INVESTMENT IN EQUITY INVESTEE 900099 -44219 -44219 NET PERIODIC PENSION COSTS 900099 475148 475148 430929 59420712 54815528 972683 796345 0 0 0 0 275621 275621 0 19481444 18133209 1348235 86288 86288 2919176 2681281 237895 1529703 1405042 124661 0 198447 198447 0 0 0 0 4541384 4171289 370095 0 1143126 1049968 93158 143123 131459 11664 0 2507195 2302874 204321 8523 7828 695 0 0 7724 7095 629 0 1441066 1323628 117438 0 MEDICAL SUPPLIES & DRUGS 11493701 11493701 ASSESSMENT EXPENSE 8022161 7368404 653757 REPAIRS AND MAINTENANCE 1353982 1243641 110341 LICENSES, DUES, SUBSCRIPTIONS 129920 119332 10588 30007 27562 2445 55312591 51552601 3759990 0 7762 4279 1738832 73647 214498 106129 5578965 7184069 0 0 0 0 0 0 1060277 999532 395387 303794 19382457 2606164 13561148 16776293 4676979 4408538 0 0 0 0 0 0 42142206 57160322 69376054 87016603 6460126 6367422 0 0 0 634112 0 0 0 0 0 0 5555439 15184523 0 0 22093975 25268086 34109540 47454143 X 32345319 37062081 2921195 2500379 35266514 39562460 69376054 87016603 X 4108121 -440465 628290 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 10855 10855 false SCHEDULE C, PART II-B, LINE 1 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. 2126131 -421058 1705073 1876612 249519 2126131 1876855 -243 1876612 1806323 70532 1876855 1819665 -13342 1806323 0.95000 0.05000 true true true 1910381 1910381 6833545 764500 6069045 983056 124203 858853 5100031 1667763 3432268 4555444 49698 4505746 16776293 OTHER RECEIVABLE 1560622 DUE FROM AFFILIATES 40268404 OTHER ASSETS 11922558 INVESTMENTS IN AFFILIATES 3260865 INTEREST RECEIVABLE 4886 ROU ASSET 142987 57160322 0 DUE TO THIRD PARTY 727581 DUE TO AFFILIATE 18300551 ACCRUED PENSION COST 4694795 CONTRACT LIABILITIES 1399805 ROU LIABILITY 145354 25268086 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. true true X true X true X true true true false false 1051905 1051905 0.01900 9502391 6858676 2643715 0.04780 10554296 6858676 3695620 0.06680 3620 3620 0.00010 2275011 2220064 54947 0.00100 2278631 2220064 58567 0.00110 12832927 9078740 3754187 0.06790 true 2305525 585010 8303694 8700518 -396824 X true true 1 1 JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRINGS AVE HUNTINGDON PA 16652 WWW.JCBLAIR.ORG 101101 X X X INPATIENT PSYCHIATRI 1 JC BLAIR MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 20 true true false true X SEE PART V, SECTION C true 21 true SEE PART V, SECTION C false true X 200. 300. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X X true X false false 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. 3 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 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. X X X false false false false false false false false JOSEPH MYERS PRESIDENT 227405 0 10105 0 15547 0 15000 0 7564 0 275621 0 0 0 MUHAMMAD T QAMAR PHYSICIAN 135729 0 0 0 16251 0 5895 0 7050 0 164925 0 0 0 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 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 JC BLAIR MEDICAL SERVICES INC 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 251881378 PROVDER SERVI PA NA C CORP 0 0 1.00000 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 false false true false false false false false false true false true true true true true true true true