2016-05-16T12:54:10-05:00 2015-06-30 550486667 ARNETT CARBIS TOOTHMAN LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2014-07-01 251494705 HIGHLANDS HOSPITAL HIGH 7246281500 401 EAST MURPHY AVENUE CONNELLSVILLE PA 15425 JOHN ANDURSKY CPA CFO 7246281500 2016-05-13 1 JEFFREY J PETRELL CPA P00138808 4126356270 2016-05-13 2014 2016-08-17 19:52:53Z MICHELLE P CUNNINGHAM 401 EAST MURPHY AVENUE CONNELLSVILLE PA 15425 28224690 0 X WWW.HIGHLANDSHOSPITAL.ORG X 1985 PA THE HOSPITAL SERVES THE HEALTHCARE NEEDS OF THE COMMUNITY AND SURROUNDING AREAS 13 12 417 50 0 0 586528 158334 25673011 26783105 44312 106613 1536130 1164473 27839981 28212525 0 0 0 0 12932087 12941537 0 0 0 13926325 13849060 26858412 26790597 981569 1421928 14980139 15184999 15194776 15206482 -214637 -21483 HIGHLANDS HOSPITAL IS COMMITTED TO PROVIDING HEALTH CARE TO THE COMMUNITY IN A COMPETENT, NURTURING, AND HEALING ENVIRONMENT. OUR STAFF WILL PROVIDE SUPPORT IN TIMES OF CRISIS AND FURNISH THE RESOURCES NECESSARY TO PROMOTE A HEALTHY LIFESTYLE. 0 0 21955588 27882168 THE HOSPITAL SERVED THE HEALTHCARE NEEDS OF THE COMMUNITY AND SURROUNDING AREAS WITH 2,371 ADMISSIONS, 10,056 PATIENT DAYS, 60,073 OUTPATIENT VISITS, AND 14,410 EMERGENCY ROOM VISITS. THE HOSPITAL PROVIDED A SIGNIFICANT AMOUNT OF HEALTHCARE TO THE INDIGENT AND LOW INCOME INDIVIDUALS REGARDLESS OF THE ABILITY TO PAY. 21955588 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 88 0 417 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 PA X JOHN ANDURSKY CPA 7246262359 401 EAST MURPHY AVENUE CONNELLSVILLE PA 15425 MICHELLE P CUNNINGHAM PRESIDENT/CEO 40.00 X X 152941 0 18686 BRUCE JAYNES CHAIRMAN 2.00 X X 0 0 0 GERALD BROWELL VICE CHAIRPERSON 2.00 X X 0 0 0 LAWRENCE KIEFER TREASURER 2.00 X X 0 0 0 FLOYD HUGGINS SECRETARY 2.00 X X 0 0 0 RICHARD A GRIMALDI DMD DIRECTOR 2.00 X 0 0 0 PAUL MEANS DO DIRECTOR 2.00 X 0 0 0 KHALDON AL-SAADI MD DIRECTOR 2.00 X 0 0 0 MICHAEL A JORDAN JR DIRECTOR 2.00 X 0 0 0 DEANNA SHERBONDY DIRECTOR 2.00 X 0 0 0 KAREN MARKO DIRECTOR 2.00 X 0 0 0 JOHN FIESTA DIRECTOR 2.00 X 0 0 0 TIFFANY PLUTO DO MEDICAL STAFF PRESIDENT 40.00 X 0 0 0 JOHN ANDURSKY CPA CHIEF FINANCIAL OFFICER 40.00 X 119672 0 15732 GINA CANADA DO FAMILY PRACTICE D.O. 40.00 X 140979 0 3547 JARON C LOTT PHARMACY DIRECTOR 40.00 X 108426 0 19142 GILBERT PEREZ MD FAMILY PRACTICE M.D. 40.00 X 136389 0 5298 658407 0 62405 5 0 1 0 FAIRCHANCE CONSTRUCTION CO PO BOX 535 FAIRCHANCE PA 15436 GENERAL CONSTRUCTION 1093881 CPSI 6600 WALL STREET MOBILE AL 36695 COMPUTER SERVICES 353085 BRADLEY ANESTHESIA PC RD 6 BOX 1162 MT PLEASANT PA 15666 ANESTHESIOLOGY SERVICES 300006 QUEST DIAGNOSTICS 16410 COLLECTION CENTER DR CHICAGO IL 60693 LABORATORY SERVICES 274388 EL-HILLAL MOHAMMAD MD 438 ASHBURY COURT MONROEVILLE PA 15146 HOSPITALIST 250025 9 19385 138949 158334 PATIENT REVENUE 900099 26783105 26783105 26783105 42681 0 42681 42681 42681 106613 0 106613 106613 106613 7372 19385 12165 -4793 -4793 MEANINGFUL USE 900099 647522 647522 MISCELLANEOUS REVENUE 900099 358226 358226 CAFETERIA & SNACK BAR 900099 65695 65695 55142 27620 27522 1126585 28212525 27882168 0 172023 307031 307031 10414061 8649844 1764217 1433113 1187827 245286 787332 637270 150062 31353 31353 161201 161201 171396 171396 96844 39659 57185 276146 276146 919334 864968 54366 9940 9940 208055 156041 52014 1205017 903763 301254 459680 344760 114920 BAD DEBT 3088651 2316488 772163 MEDICAL SUPPLIES 2323639 2323639 PURCHASED SERVICES 2042770 1846374 196396 PHYSICIAN FEES 1447210 1447210 1407824 1227805 180019 26790597 21955588 4835009 0 621079 466056 585086 836184 3211869 3746727 154424 187765 92201 64456 25361371 19000604 6801223 6360767 1111610 1166691 493637 502441 40500 13500 1868510 1840412 14980139 15184999 3008650 3404188 90600 110000 5711113 5239571 6384413 6452723 15194776 15206482 X -630529 -445029 43488 51142 372404 372404 -214637 -21483 14980139 15184999 X 1421928 -74426 -1154348 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 900 900 0 PART II-B, LINE 1: A PORTION OF HIGHLAND HOSPITAL'S DUES TO HEALTHCARE COUNCIL OF WESTERN PENNSYLVANIA ARE USED FOR LOBBYING. 197411 197411 11843983 9453981 2390002 184892 59974 124918 12785355 9230667 3554688 349730 255982 93748 6360767 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 358412 GOODWILL 1482000 1840412 ACCRUED PENSION COSTS 6448362 INTEREST RATE SWAP LIABILITY 4361 6452723 X 25043857 -74426 12165 -62261 25106118 3106407 3106407 28212525 23714111 12165 12165 23701946 3088651 3088651 26790597 PART X, LINE 2: THE HOSPITAL FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THIS GUIDANCE HAD NO MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN PROFESSIONAL FEES AND MISCELLANEOUS EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS (DEFICIT) AS A RESULT OF THIS GUIDANCE. GENERALLY, TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2012, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 12,165. PART XI, LINE 4B - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS USED FOR CAPITAL EXPENDITURES 17,756. BAD DEBT EXPENSE 3,088,651. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 12,165. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 3,088,651. GOLF OUTING 26757 19385 7372 250 7372 4543 26757 19385 7372 250 7372 4543 12165 -4793 1 1 1 X 1 X 1 1 0 1 1 458088 0 458088 0.01930 6018729 6338543 -319814 0.00000 6476817 6338543 138274 0.01930 31638 1618 30020 0.00130 5566866 4211776 1355090 0.05720 5598504 4213394 1385110 0.05850 12075321 10551937 1523384 0.07780 0 1119938 3664786 2856054 808732 X 1 1 1 1 HIGHLANDS HOSPITAL 401 E MURPHY AVE CONNELLSVILLE PA 15425 WWW.HIGHLANDSHOSPITAL.ORG X X X HIGHLANDS HOSPITAL 1 0 0 1 X X X X X X X X 12 1 0 0 1 X WWW.HIGHLANDSHOSPITAL.ORG X 1 12 1 WWW.HIGHLANDSHOSPITAL.ORG 0 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X X X 1 0 X X X 1 X 0 0 HIGHLANDS HOSPITAL PART V, SECTION B, LINE 5: HIGHLANDS HOSPITAL FORMED A PLANNING COMMITTEE THAT CONSISTED OF MEDICAL CENTER BOARD MEMBERS, COMMUNITY LEADERS AND STAFF TO GUIDE THIS STUDY. FUNDAMENTAL TO THE CHNA WAS COMMUNITY SUPPORT AND ENGAGEMENT. THIS SUPPORT AND ENGAGEMENT CAME BY WAY OF PARTICIPATION OF THE PLANNING COMMITTEE AS WELL AS THROUGH AN ON-LINE SURVEY, FOCUS GROUPS AND INTERVIEWS. INDIVIDUALS AND ORGANIZATIONS ENGAGED INCLUDES THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, STATE, REGIONAL AND LOCAL HEALTH-RELATED AGENCIES WITH CURRENT DATA AND OTHER INFORMATION RELEVANT TO THE NEEDS OF COMMUNITIES SERVED BY THE HOSPITAL, AS WELL AS LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS.THE PRIMARY DATA COLLECTION PROCESS INCLUDED QUALITATIVE DATA FROM 307 COMMUNITY COLLECTED SURVEYS. HIGHLANDS HOSPITAL ALSO RECEIVED EIGHT BOARD OF TRUSTEES SURVEYS WHICH DATA CAPTURED PERSONAL PERSPECTIVES FROM COMMUNITY MEMBERS, HEALTH CARE STAFF AND LEADERS WITH INSIGHT AND EXPERTISE INTO THE HEALTH OF A SPECIFIC POPULATION GROUP OR ISSUE, A SPECIFIC COMMUNITY OR THE REGION OVERALL. HIGHLANDS HOSPITAL PART V, SECTION B, LINE 11: AS WITH MOST HEATH CARE FACILITIES, WE HAVE LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES IDENTIFIED IN THE CHNA. PART V, SECTION B, LINE 2 THE CHNA WAS LAST CONDUCTED DURING THE ORGANIZATION'S 2012 TAX YEAR, WHICH IS EQUVIALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2013. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR. 8 HIGHLANDS HOSPITAL REGIONAL CENTER FOR A 323 BREAKNECK ROAD CONNELLSVILLE PA 15425 SCHOOL FOR AUTISTIC CHILDREN CONNELLSVILLE MRI 2616A MEMORIAL BLVD CONNELLSVILLE PA 15425 MRI SCANNING HIGHLANDS HOSPITAL DIABETES CENTER 1064 MORRELL AVENUE CONNELLSVILLE PA 15425 EDUCATION OF DIABETICS HIGHLANDS HEALTHSTOP 201 N PITTSBURGH ST CONNELLSVILLE PA 15425 BLOOD DRAW STATION HIGHLANDS HEALTHSTOP 814 VANDERBILT RD CONNELLSVILLE PA 15425 BLOOD DRAW STATION HIGHLANDS HEALTHSTOP 109 CROSSROADS ROAD SCOTTSDALE PA 15683 BLOOD DRAW STATION HIGHLANDS HEALTHSTOP 250 LAUREL DRIVE CONNELLSVILLE PA 15425 BLOOD DRAW STATION CHILD DEVELOPMENT DISORDERS DIAGNOSTIC C 413 EAST GIBSON AVE CONNELLSVILLE PA 15425 DIAGNOSE AUTISTIC DISORDERS IN CHILDREN PART I, LINE 7: A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART I, LINE 7. PART I, LINE 7G: THE EMERGENCY DEPARTMENT OPERATED AT A LOSS DURING FISCAL YEAR 2015. THE EMERGENCY ROOM IS NECESSARY FOR THE COMMUNITY. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE OF 3,088,651 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES. PART III, LINE 4: HIGHLANDS HOSPITAL'S FINANCIAL STATEMENTS DO NOT INCLUDE A BAD DEBT FOOTNOTE. THE BAD DEBT EXPENSE CONSISTS OF THE PORTION OF SELF-PAY BALANCES THAT IS SENT TO COLLECTIONS AND THE RESERVED AMOUNTS BASED ON AGING OF SELF-PAY ACCOUNTS RECEIVABLE.A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III. PART III, LINE 8: A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART III, LINE 6. PART III, LINE 9B: PATIENTS ARE NOT BILLED ONCE THEY ARE DETERMINED TO QUALIFY FOR CHARITY CARE. PART VI, LINE 2: DURING FISCAL YEAR 2013, HIGHLANDS HOSPITAL CONDUCTED A COUNTY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS STUDY WAS CONDUCTED TO IDENTIFY THE HEALTH NEEDS AND ISSUES OF THE REGION AND TO PROVIDE USEFUL INFORMATION TO PUBLIC HEALTH AND HEALTH CARE PROVIDERS, POLICY MAKERS, COLLABORATIVE GROUPS, SOCIAL SERVICE AGENCIES, COMMUNITY GROUPS AND ORGANIZATIONS, CHURCHES, BUSINESSES, AND CONSUMERS WHO ARE INTERESTED IN IMPROVING THE HEALTH STATUS OF THE COMMUNITY AND REGION. THE RESULTS ENABLE THE MEDICAL CENTER, LOCAL HEALTH DEPARTMENT AND OTHER PROVIDERS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS AND COMMIT RESOURCES. PART VI, LINE 3: HOSPITAL STAFF PROVIDE CHARITY CARE INFORMATION TO PATIENTS UPON REGISTRATION AND INFORMATION IS INCLUDED IN ADMISSIONS PACKETS. PART VI, LINE 4: THE DEMOGRAPHICS OF THE COMMUNITY INCLUDES A HIGH PERCENTAGE OF ELDERLY AND LOW INCOME HOUSEHOLDS. MANY OF THESE RESIDENTS ARE UNINSURED AND UNDERINSURED RESULTING IN A HIGH PERCENTAGE OF UNCOMPENSATED CARE. THE POPULATION, ALSO, HAS A HIGH VOLUME OF CHRONIC ILLNESSES SUCH AS CORONARY DISEASE, DIABETES AND PULMONARY DISEASE. PART VI, LINE 5: THE GOVERNING BOARD IS MADE UP OF INDIVIDUALS WHO LIVE AND/OR WORK IN THE COMMUNITY WHO VOLUNTEER THEIR TIME AND SERVICES TO ASSIST IN THE GOVERNANCE OF THE ORGANIZATION. MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS WHO EXPRESS AN INTEREST TO JOIN. THE MEDICAL STAFF OPERATES INDEPENDENTLY OF THE ADMINISTRATIVE MANAGEMENT OF THE ORGANIZATION. THE ORGANIZATION CURRENTLY LACKS SURPLUS FUNDS. IT UTILIZES GRANTS AND CONTRIBUTIONS FOR THE ADVANCEMENT OF SERVICES AND IMPROVEMENTS. X X X 0 0 0 0 0 0 0 0 0 MICHELLE P CUNNINGHAM PRESIDENT/CEO 152941 0 0 0 0 0 5200 0 13486 0 171627 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 HIGHLANDS HOSPITAL HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY THE TREASURER. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 TO REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C HIGHLANDS HOSPITAL ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES TO FILL OUT A CONFLICTS OF INTEREST FORM. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 HIGHLANDS HOSPITAL'S BOARD OF DIRECTORS ANNUALLY REVIEWS AND APPROVES THE COMPENSATION OF THEIR ORGANIZATION'S TOP MANAGEMENT AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 18 HIGHLANDS HOSPITAL MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, HIGHLANDS HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: ACCUMULATED LIABILITY FOR PENSION BENEFITS -1,164,967. TEMPORARILY RESTRICTED CONTRIBUTIONS 25,410. NET ASSETS RELEASED FROM RESTRICTIONS -17,756. CHANGE IN INTEREST RATE SWAP LIABILITY 2,965. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S BOARD OF DIRECTORS ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE PROCESS IS CONSISTENT WITH PRIOR YEARS AND HAS NOT CHANGED. FORM 990, PART VI, LINE 16B WHEN HIGHLANDS HOSPITAL CONTEMPLATES ENTERING INTO A JOINT VENTURE WITH FOR PROFIT ORGANIZATIONS, IT ENGAGES LEGAL COUNSEL AND TAX COUNSEL TO ENSURE THAT THE TAX EXEMPT STATUS OF THE HOSPITAL IS SAFEGUARDED.