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HIGHLANDS HOSPITAL AND HEALTH CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HIGHLANDS HOSPITAL AND HEALTH CENTER (EIN 25-1494705)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-09
IRS object ID
201401299349302410
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-09T14:57:40-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN250988255EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARBIS WALKER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15700 CORPORATE DRIVE STE 650AddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15237ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251494705EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HIGHLANDS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHIGHNameControl
Phone7246281500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 EAST MURPHY AVENUEAddressLine1
CityCONNELLSVILLECity
StatePAState
ZIP Code15425ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN ANDURSKY CPAName
TitleCFOTitle
Phone7246281500Phone
Date Signed2014-05-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY J PETRELL CPAName
PTINP00138808PTIN
Phone4126356270Phone
Date Prepared2014-05-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHELLE P CUNNINGHAMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1401 EAST MURPHY AVENUEAddressLine1
CityCONNELLSVILLECity
StatePAState
ZIP Code15425ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24007628GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HIGHLANDSHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTHE HOSPITAL SERVES THE HEALTHCARE NEEDS OF THE COMMUNITY AND SURROUNDING AREASActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees422TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1142062ContributionsGrantsPriorYear
Contributions Grants Current Year260707ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25240183ProgramServiceRevenuePriorYear
Program Service Revenue CY22723125ProgramServiceRevenueCY
Investment Income Prior Year46611InvestmentIncomePriorYear
Investment Income Current Year1924InvestmentIncomeCurrentYear
Other Revenue Prior Year2166889OtherRevenuePriorYear
Other Revenue Current Year1010254OtherRevenueCurrentYear
Total Revenue Prior Year28595745TotalRevenuePriorYear
Total Revenue Current Year23996010TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12676535SalariesEtcPriorYear
Salaries Etc Current Year12404069SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13355655OtherExpensePriorYear
Other Expenses Current Year13264661OtherExpensesCurrentYear
Total Expenses Prior Year26032190TotalExpensesPriorYear
Total Expenses Current Year25668730TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2563555RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1672720RevenuesLessExpensesCY
Total Assets BOY12536230TotalAssetsBOY
Total Assets EOY13809309TotalAssetsEOY
Total Liabilities BOY13468316TotalLiabilitiesBOY
Total Liabilities EOY14313253TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-932086NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-503944NetAssetsOrFundBalancesEOY
Mission DescriptionHIGHLANDS 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense21128508Expense
Revenue22789354Revenue
DescriptionTHE HOSPITAL SERVED THE HEALTHCARE NEEDS OF THE COMMUNITY AND SURROUNDING AREAS WITH 2,279 ADMISSIONS, 9,741 PATIENT DAYS, 58,822 OUTPATIENT VISITS, AND 13,889 EMERGENCY ROOM VISITS. THE HOSPITAL PROVIDED A SIGNIFICANT AMOUNT OF HEALTHCARE TO THE INDIGENT AND LOW INCOME INDIVIDUALS REGARDLESS OF THE ABILITY TO PAY.Description
Total Program Service Expense21128508TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109681NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees422NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN ANDURSKY CPANamePerson
Telephone Number7246262359TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1401 EAST MURPHY AVENUEAddressLine1
CityCONNELLSVILLECity
StatePAState
ZIP Code15425ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MICHELLE P CUNNINGHAM
PRESIDENT/CEO40.00XX134992017831
GERALD BROWELL
CHAIRMAN2.00XX000
BRUCE I JAYNES
VICE CHAIRPERSON2.00XX000
FLOYD C HUGGINS
TREASURER2.00XX000
JOHN A FIESTA
SECRETARY2.00XX000
RICHARD A GRIMALDI DMD
DIRECTOR2.00X000
PAUL MEANS DO
DIRECTOR2.00X000
KHALDON AL-SAADI MD
DIRECTOR2.00X000
MICHAEL A JORDAN JR
DIRECTOR2.00X000
DEANNA SHERBONDY
DIRECTOR2.00X000
LAWRENCE KIEFER
DIRECTOR2.00X000
JOHN S ANDURSKY
CHIEF FINANCIAL OFFICER40.00X104147016295
GINA CANADA DO
FAMILY PRACTICE D.O.40.0013500003152X
JARON C LOTT
PHARMACY DIRECTOR40.00105734016073X
FieldValueIRS element (for citing)
Total Reportable Comp From Org479873TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation53351TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
QUEST DIAGNOSTICS
2769 COLLECTION CENTER DRCHICAGOIL60693LABORATORY SERVICES431203
BRADLEY ANESTHESIA PC
RD 6 BOX 1162MT PLEASANTPA15666ANESTHESIOLOGY SERVICES400169
EMERGENCY RESOURCE MGMT INC
TWO HOT METAL STREET 2ND FLOORPITTSBURGHPA15203EMERGENCY ROOM PHYSICIANS379422
EL-HILLAL MOHAMMAD MD
438 ASHBURY COURTMONROEVILLEPA15146HOSPITALIST334604
CPSI
6600 WALL STREETMOBILEAL36695COMPUTER SERVICES269745
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Fundraising Events24245FundraisingEvents
All Other Contributions236462AllOtherContributions
Total Contributions260707TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column22723125TotalRevenueColumn
Related Or Exempt Function Income22723125RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue22723125TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real30150Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real30150Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column30150TotalRevenueColumn
Exclusion$30,150ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1924Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1924Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1924TotalRevenueColumn
Exclusion$1,924ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events10026GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events24245CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses11618FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-1592TotalRevenueColumn
Exclusion-$1,592ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GAIN ON ACQUISITION OF JOINT VENT900099725356$725,356
MISCELLANEOUS REVENUE900099133271$133,271
CAFETERIA & SNACK BAR9000996622966229

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column56840TotalRevenueColumn
Exclusion$56,840ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue981696TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23996010TotalRevenueColumn
Related Or Exempt Function Income22789354RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$945,949ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total273265Total
Management And General273265ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9767714Total
Program Services8080076ProgramServices
Management And General1687638ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total222523Total
Program Services179677ProgramServices
Management And General42846ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1402970Total
Program Services1160389ProgramServices
Management And General242581ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total737597Total
Program Services595576ProgramServices
Management And General142021ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total194892Total
Management And General194892ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total192628Total
Management And General192628ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total101029Total
Program Services38270ProgramServices
Management And General62759ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total234707Total
Management And General234707ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total806675Total
Program Services760434ProgramServices
Management And General46241ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total12167Total
Program Services12167ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total89077Total
Program Services66808ProgramServices
Management And General22269ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1002145Total
Program Services751609ProgramServices
Management And General250536ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total407634Total
Program Services305726ProgramServices
Management And General101908ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT27489092061682687227
PURCHASED SERVICES24050212237634167387
MEDICAL SUPPLIES23040322304032
PHYSICIAN FEES14508601450860

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1314885Total
Program Services1123568ProgramServices
Management And General191317ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25668730Total
Program Services21128508ProgramServices
Management And General4540222ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY234682BOY
EOY103978EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2167011BOY
EOY1449753EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4026615BOY
EOY3190665EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY187685BOY
EOY168824EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY136357BOY
EOY148170EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26676567LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18843202LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4541519BOY
EOY7833365EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY930430BOY
EOY539396EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY94500BOY
EOY67500EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY217431BOY
EOY307658EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12536230BOY
EOY13809309EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3377088BOY
EOY3722870EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY50600BOY
EOY70800EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1711875BOY
EOY4467460EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8328753BOY
EOY6052123EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13468316BOY
EOY14313253EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1363502BOY
EOY-968414EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY59012BOY
EOY92066EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY372404BOY
EOY372404EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-932086BOY
EOY-503944EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12536230BOY
EOY13809309EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1672720ReconcilationRevenueExpenses
Reconciliation Unrealized Invest140409ReconciliationUnrealizedInvest
Reconcilation Other Changes1960453ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$900OtherActivitiesAmount
Total Lobbying Expenditures IIB900TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationA PORTION OF HIGHLAND HOSPITAL'S DUES TO HOSPITAL COUNCIL OF WESTERN PENNSYLVANIA ARE USED FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis197411OtherCostOrOtherBasis
Book Value197411BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9773248OtherCostOrOtherBasis
Depreciation8585949Depreciation
Book Value1187299BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis135150OtherCostOrOtherBasis
Depreciation40941Depreciation
Book Value94209BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13697789OtherCostOrOtherBasis
Depreciation9990436Depreciation
Book Value3707353BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2872969OtherCostOrOtherBasis
Depreciation225876Depreciation
Book Value2647093BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7833365TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COSTS$6,044,099
INTEREST RATE SWAP LIABILITY$8,024
FieldValueIRS element (for citing)
Total Of Amounts6052123TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt21360470TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments140409NetUnrealizedGainsInvestments
Other Revenues11618OtherRevenues
Revenue Not Rptd F990152027RevenueNotRptdF990
Revenue Subtotal21208443RevenueSubtotal
Other Revenues Not Included2787567OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2787567RevenueNotRptdOnFinStmt
Total Revenue Per Form99023996010TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt22931439TotExpensesEtcAuditedFinclStmt
Other Expenses Included11618OtherExpensesIncluded
Expenses Not Rptd F99011618ExpensesNotRptdF990
Expenses Subtotal22919821ExpensesSubtotal
Other Expenses Not Included2748909OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2748909ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025668730TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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, 2010, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 11,618.
PART XI, LINE 4B - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS USED FOR CAPITAL EXPENDITURES 38,658. BAD DEBT EXPENSE 2,748,909.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 11,618.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 2,748,909.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event134271GrossReceiptsEvent1
Charitable Contributions Event124245CharitableContributionsEvent1
Gross Revenue Event110026GrossRevenueEvent1
Cash Prizes Event1250CashPrizesEvent1
Rent Facility Costs Event110025RentFacilityCostsEvent1
Other Direct Expenses Event11343OtherDirectExpensesEvent1
Gross Receipts Total34271GrossReceiptsTotal
Charitable Contributions Total24245CharitableContributionsTotal
Gross Revenue Total Events10026GrossRevenueTotalEvents
Cash Prizes Total Events250CashPrizesTotalEvents
Rent Facility Costs Total Events10025RentFacilityCostsTotalEvents
Other Direct Expenses Total Events1343OtherDirectExpensesTotalEvents
Direct Expense Summary Events11618DirectExpenseSummaryEvents
Net Income Summary-1592NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense486597TotalCommunityBenefitExpense
Net Community Benefit Expense486597NetCommunityBenefitExpense
Percent Of Total Expense0.02120PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6115565TotalCommunityBenefitExpense
Direct Offsetting Revenue6275006DirectOffsettingRevenue
Net Community Benefit Expense-159441NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6602162TotalCommunityBenefitExpense
Direct Offsetting Revenue6275006DirectOffsettingRevenue
Net Community Benefit Expense327156NetCommunityBenefitExpense
Percent Of Total Expense0.02120PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3805092TotalCommunityBenefitExpense
Direct Offsetting Revenue2056250DirectOffsettingRevenue
Net Community Benefit Expense1748842NetCommunityBenefitExpense
Percent Of Total Expense0.07630PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense153999TotalCommunityBenefitExpense
Direct Offsetting Revenue153999DirectOffsettingRevenue

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3959091TotalCommunityBenefitExpense
Direct Offsetting Revenue2210249DirectOffsettingRevenue
Net Community Benefit Expense1748842NetCommunityBenefitExpense
Percent Of Total Expense0.07630PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10561253TotalCommunityBenefitExpense
Direct Offsetting Revenue8485255DirectOffsettingRevenue
Net Community Benefit Expense2075998NetCommunityBenefitExpense
Percent Of Total Expense0.09750PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,089,628BadDebtExpenseAmount
Amount Reimbursed By Medicare3690184AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5481505CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1791321MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1HIGHLANDS HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1401 E MURPHY AVEAddressLine1
CityCONNELLSVILLECity
StatePAState
ZIP Code15425ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HIGHLANDS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
Other Needs AddressedXOtherNeedsAddressed
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
HIGHLANDS HOSPITAL DIABETES CENTER
1032 MORRELL AVECONNELLSVILLEPA15425EDUCATION OF DIABETICS
HIGHLANDS HEALTHSTOP
109 CROSSROADS ROADSCOTTDALEPA15683BLOOD DRAW STATION
HIGHLANDS HEALTHSTOP
201 N PITTSBURGH STCONNELLSVILLEPA15425BLOOD DRAW STATION
HIGHLANDS HEALTHSTOP
814 VANDERBILT ROADCONNELLSVILLEPA15425BLOOD DRAW STATION
HIGHLANDS HEALTHSTOP
250 LAUREL DRIVECONNELLSVILLEPA15425BLOOD DRAW STATION
CHILD DEVELOPMENT DISORDERS DIAGNOSTIC C
413 EAST GIBSON AVECONNELLSVILLEPA15425DIAGNOSE AUTISTIC DISORDERS IN CHILDREN
CONNELLSVILLE MRI
2600 MEMORIAL BLVDCONNELLSVILLEPA15425MRI

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifier
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 2013. THE EMERGENCY ROOM IS NECESSARY FOR THE COMMUNITY.
PART I, L7 COL(F): THE BAD DEBT EXPENSE OF 2,748,909 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 V, SECTION B, LINE 3: 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 6I: THE ORGANIZATION HAS DEVELOPED AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE NEEDS IDENTIFIED WITHIN THE CHNA. THIS DOCUMENT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE USING THIS SPECIFIC LINK: HTTP://WWW.HIGHLANDSHOSPITAL.ORG/WP-CONTENT/UPLOADS/2013/08/.MASTER-CHNA-REPORT-FINAL-8-22-13.PDFHIGHLANDS HOSPITAL
PART V, SECTION B, LINE 7: AS WITH MOST HEATH CARE FACILITIES, WE HAVE LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES IDENTIFIED IN THE CHNA.HIGHLANDS HOSPITAL
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.
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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMICHELLE P CUNNINGHAMNamePerson
TitlePRESIDENT/CEOTitle
Base Compensation Filing Org134992BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org4147DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org13684NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org152823TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11HIGHLANDS 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 12CHIGHLANDS 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 15HIGHLANDS 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 18HIGHLANDS HOSPITAL MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC.
FORM 990, PART VI, SECTION C, LINE 19AT 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 1,935,411. TEMPORARILY RESTRICTED CONTRIBUTIONS 71,712. NET ASSETS RELEASED FROM RESTRICTIONS -38,658. CHANGE IN INTEREST RATE SWAP LIABILITY -8,012.CHANGES IN NET ASSETS OR FUND BALANCES:
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 16BWHEN 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.