2012-05-14T08:26:49-07:00 2011-06-30 Catalano Case Catalano & Fannin 1773 Kiwanis Trail / PO Box 46 Dubois PA 15801 990 2010-07-01 251490707 DuBois Regional Medical Center DUBO 8143756105 PO Box 447 DuBois PA 15801 Patricia Cressley 2012-05-14 W CRAIG CASE JR 8143713000 X 2010 2016-02-24 21:20:13Z 214014632 false false X www.drmc.org X 1985 PA DuBois Regional Medical Center offers residents of West Central Pennsylvania a rare combination of advanced healthcare in a warm, friendly environment. DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. See Statement of Community Benefit. 20 14 1989 231 0 1244888 477794 202287569 205894799 2174644 1763524 3542358 5127927 209249459 213264044 0 0 122441248 128232323 0 167656 81803570 84964370 204244818 213196693 5004641 67351 201002238 217851741 59270256 70665919 141731982 147185822 DuBois Regional Medical Center offers residents of West Central Pennsylvania a rare combination of advanced healthcare in a warm, friendly environment. DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. See Statement of Community Benefit. false false 186280473 213264045 DuBois Regional Medical Center provides a variety of comprehensive inpatient care and outpatient medical services to the residents of West Central Pennsylvania. The facility is licensed for 221 beds. In fiscal year 2011, DRMC served 9,409 inpatients with a total of 39,361 inpatient days and provided more than 482,013 outpatients visits. In addition to direct medical services, the hospital also provides other medical programs to the community including community outreach programs, clinics, support groups, education programs, health fairs and health screenings. 186280473 true true true true false false false false false true true false false true true false false true false false false false false false true false true true false false true true false false false false false false false true true true false false false false false true true true false false true 215 0 true 1989 true false false false false false false false false true true false 0 false false false false false false false false false false false X 20 14 false false false false false false false true true false false false true true true true true true true true true true X Patricia Cressley VP CFO 8143756299 100 Hospital Avenue DUBOIS PA 15801 William Young 1.00 X 0 0 0 Todd Stoltz 1.00 X 0 0 0 Sister Rita Kartavich 40.00 X 27821 0 2169 Sister Mary Felice Duska 1.00 X 0 0 0 Sister Mary Ann Bader 1.00 X 0 0 0 Scott Foradora 2.00 X 0 0 0 Robert McKee 40.00 X X 187377 0 28512 Richard Pfingstler 1.00 X 0 0 0 Raymond A Graeca 40.00 X X X 583212 0 94410 Patricia Cressley 40.00 X X 247387 0 32450 Nancy Micks 1.00 X 0 0 0 Mrs Janine Johnson 1.00 X 0 0 0 James McCurdy 1.00 X 0 0 0 James E Devlin MD 1.00 X 16425 0 0 James D Curtis 1.00 X 0 0 0 Gene Hoak 1.00 X 0 0 0 Gary Macioce 40.00 X X 251885 0 33132 Edward Yahner 1.00 X 0 0 0 Edward S Nasuti 1.00 X 0 0 0 Dr Stephen M Fall 40.00 X 666231 0 24232 Dr Rajat Malik 40.00 X 544154 0 21424 Dr Norman Hetzler 40.00 X 673017 0 23756 Dr Keith Zeliger 40.00 X 770885 0 23801 Dr Jonathan Pope 40.00 X 355377 0 24511 Dr Gregory Roscoe 1.00 X 0 0 0 Dr Gautam Yagnik 40.00 X 765350 0 16635 Dr Gary Ott 1.00 X 0 0 0 Dr Gary Dugan 40.00 X X 344891 0 38414 Dr Alexander Krot 40.00 X 765000 0 24023 Denise Lucas 40.00 X X 209485 0 23686 Anita McDonald 1.00 X 0 0 0 6408497 411155 156 false true false Womens Care of Western PA 145 Hospital Avenue DuBois PA 15801 Prof Services 762967 Staff Care 222 W Las Colinas Blvd Suite 1230 Irving TX 75039 Healthcare Prof 627308 Insight Health Corp PO Box 847689 Dallas TX 752847689 Medical Services 1348476 Biotronics Inc 1370 Beulah Road Pittsburgh PA 15235 Perfusion Services 802362 Associated Clinical Laboratories 1526 Peach Street Erie PA 16501 Lab Services 1608393 5 75201 402593 477794 R&B, Ancillary IP 171529653 171529653 Other Program 2325844 2325844 Contractual Adj -282295701 -282295701 Ancillary OP & Physician 314335003 314335003 205894799 1749113 1749113 0 0 571207 571207 571207 571207 686902 40755 156168 557078 530734 -516323 14411 14411 36208 75201 37342 -1134 -1134 0 0 Restricted Operating Re 203109 203109 Other Income 4550533 4550533 Earnings from Affiliate -195788 -195788 4557854 213264044 211038271 1747979 0 0 0 0 1802492 541877 1260615 1481015 1481015 103487509 91935602 11404366 147541 2502005 2201764 300241 12686745 11164336 1522409 6272557 5519850 752707 1383775 1270522 113253 1414710 1414710 99628 99628 60000 60000 0 0 7443735 6550487 893248 605254 532624 72491 139 988851 870189 116767 1895 3554299 3127783 426516 0 3184054 2801968 382086 373671 328830 44841 0 425129 374114 51015 1361232 1197884 163348 0 13405022 11796419 1608603 3552517 3126215 426302 Supplies 30618929 26944658 3674176 95 Purchased Services 7540603 6635731 889211 15661 Miscellaneous Exp 1855092 1632481 220286 2325 Maintenance Contracts 1964656 1728897 235759 Bad Debt 5133213 4517227 615986 0 213196693 186280473 26748564 167656 5299987 8010367 1215953 1097291 0 24785645 26737774 0 0 0 0 2734854 3132193 217001803 109345974 100112717 107655829 53836489 51821535 0 0 0 13016593 19396752 201002238 217851741 25530541 23192437 888165 1348864 26991412 38520456 3708439 6319236 2151699 1284926 59270256 70665919 X 140350486 145822126 1381496 1363696 141731982 147185822 201002238 217851741 X 67351 5386489 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 60000 false false false false false true false true 60000 true false false 60000 false false 36194 1965 213 38372 33369 2553 272 36194 31274 1710 385 33369 true false false 3202283 3202283 117553662 52037543 65516119 655198 342175 313023 91643408 53967953 37675455 3947252 2998303 948949 107655829 Pledged Guarantees-Unemployment Pledged Guarantees - Workers Comp 491 Other Assets 1323489 Miscellaneous Receivables 10190429 Investment in Affiliates 3051785 Inventory for use 2043357 Goodwill 1380057 Deferred Financing 27672 Deferred Equity 1379472 19396752 Third Party Rate Adj.&Compliance Reserve 1284926 1284926 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. DRMC's Endowment Fund will be used for purchase of capital items used in patient care. X X X false Golf Tournament 111409 75201 36208 13882 7968 15492 111409 75201 36208 13882 7968 15492 37342 -1134 true true true X false true true true false false false 2941440 2941440 0.01380 33387797 23508630 9879167 0.04630 36329237 23508630 12820607 0.06010 60 522964 522964 0.00250 1 705396 705396 0.00330 1 628473 628473 0.00290 40 345778 345778 0.00160 102 2202611 2202611 0.01030 102 38531848 23508630 15023218 0.07040 false 2315079 58284424 60844805 -2560381 X true true Kidney Care ServicesDuBois Dialysis Services 0.69000 0.31000 Kidney Care Services LLC Dialysis Services 0.74000 0.26000 1 0 DuBois Regional Medical Center

100 Hospital Avenue DuBois PA 15801

X DuBois Regional Medical Center 1 true true 200.0000 false true X X X X X true true X X X true X X true X X X X X true X false true Part VI - States Where Community Benefit Report Filed PA Part VI - Explanation Of How Organization Furthers Its Exempt Purpose DuBois Regional Medical Center offers residents of West Central Pennsylvania a rare combination of advanced healthcare in a warm, friendly environment. Widely recognized as one of the leading health centers of its kind in the Commonwealth, DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. Our combined vision is to be positioned as the premier provider of comprehensive, quality services to our broad region. Providing inpatient and outpatient hospital care represents the largest portion of these services. DRMC's mission in maintaining these services is accomplished by providing access to healthcare services for all, including individuals who are unable to pay for such services. DRMC has a tradition of serving the poor and underprivileged of the area by providing care, programs and services to enhance their quality of life. Beyond the inpatient and outpatient hospital care, there are many other ways in which DRMC and our employees serve our community every day. DRMC has an ongoing commitment to the communities it serves with a range of community outreach programs, such as clinics, support groups, educational programs, health fairs and health screenings. Our employees volunteer their time and talents to improve our community in many ways. In addition to giving to organizations, they provide information on health and safety to the community. They provide direct patient care on a volunteer basis at the local DuBois Free Clinic. The Clinic was established for low-income people who could not afford health insurance. The success and reputation of DRMC is a direct result of the dedicated efforts of our Board of Directors, Administration, Physicians and Staff. With the continued support of the DRMC family and the communities we serve, DRMC will remain a valuable resource to our area. Part VI - Community Information DRMC's 221 licensed beds are housed in two facilities two miles from one another in DuBois, a small town in West Central Pennsylvania. The combined tradition of providing high quality, compassionate care began with its predecessors, DuBois Hospital and Maple Avenue Hospital in 1897. In 1985, the two organizations joined to create DRMC, and since then, the medical center has grown for the benefit of the entire community. DRMC West, houses acute inpatient care and a full range of ancillary services. In addition DRMC offers access to primary and specialty care health centers in seven communities. DRMC's primary care physicians bring family health care close to home in Brockway, Curwensville, Force, Penn Township (Grampian), Reynoldsville, Sykesville, Punxsutawney, and multiple DuBois locations. As one of the largest private employers in Clearfield County, DRMC is a significant part of the area's economy. We take pride in the role we play in shaping the quality of life for residents of the communities we serve. We also believe that the population we serve is both very proud and greatful to have DRMC as their primary health care provider. Part VI - Patient Education of Eligibility for Assistance DRMC posts a "Notice of Charity Care" at all points of registration, including all employed physician practices. The "notices" include a statement as to the availability of charity care and how to apply. DRMC employs a Financial Counselor who meets individually with all inpatients admitted to the facility who indicate no health care coverage. The Financial Counselor interviews the patient, and if appropriate, discusses and educates the patient relative to Medical Assistance, Blue Chip and the hospital's charity care program. The Financial Counselor completes and/or assists the patient with the necessary applications, and follow-thru with the physician and the assigned County Board of Assistance caseworker. The Financial Counselor also contacts other patients with larger dollar account balances to discuss and educate the patient's need for financial assistance. Additionally, DuBois Regional Medical Center employs a credit/collections staff who also contact, educate and offer assistance to other patients with financial need to help with health care costs. Part VI - Needs Assessment A) The hospital collects data on an ongoing basis regarding patients who travel to outlying areas for services not offered by DRMC. Based on this data, services are added and/or improved upon in order to serve the needs of the community as effectively and efficiently as possible.B) DRMC routinely sends patient satisfaction surveys to those receiving medical services. These surveys allow patients to offer suggestions regarding how the hospital could better serve them as patients and the community as a whole.C) DRMC offers a variety of educational programs that allow employees to interact on a one-on-one basis with the residents of the community as a whole.D) The medical staff of the hospital consistently participates in research and continuing medical education. This knowledge allows the hospital to remain updated on the latest medical news and techniques in order to offer patients the highest and most innovative levels of care.E) DRMC hired an outside firm to assist with conducting a Community Health Needs Assessment (CHNA). The assessment took place between March and August, 2011. The contractor gathered secondary data in Clearfield and surrounding counties; conducted various focus groups with key audiences and users of healthcare/social services to identify areas for perspective improvement within the community. DRMC held a community retreat with community leaders to report and present the findings of the collection phase. The community leaders provided input to help determine and prioritize which issues needed to be addressed within the community. The contractor is currently in the process of developing a master plan of initiatives for DRMC to be posted to its web site. Number of Hospital Faciltiy - 0 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services It is possible if the payer applied deductible to the full charge amount. Number of Hospital Faciltiy - 0 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance A discount of 25% is extended to uninsured patients not qualifying for charity care. (The 25% discount amount matches the discount amount offered to our large multi-payer groups, such as Intergroup/Vantage, etc.) Additionally, a 40% discount is offered to uninsured/under-insured patients who have a patient-pay balance exceeding 25% of the family annual income but are not eligible for charity care. A 60% discount is applied for patients with non-covered pharmacy expenses. (This is applied primarily to the pharmacy expense deemed by medicare as non-covered.) Number of Hospital Faciltiy - 0 Part V, Line 13g - Other Means Hospital Facility Publicized the Policy A notice of availability is posted at all points of registration and included in our patient handbook Part III, Line 9b - Provisions On Collection Practices For Qualified Patients The hospital offers free charity care to those patients who qualify. A patient with family income at or below 200% of Schedule A of the poverty guidelines, or below this level due to medical indigency, is eligible to receive free medical services provided liquid assets are not in excess of $25,000. See (3) (below) "Patient Education of Eligibility for Assistance" for "Notice of Charity Care" policy. Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) A discount of 25% is extended to uninsured patients not qualifyig for charity care. Additionally, a 40% discount is offered to uninsured/under-insured patients who have a patient-pay balance exceeding 25% of the family annual income but are not eligible for charity care. A 60% discount is applied for patients with non-covered pharmacy expenses. X X X X X false true false false false false false false false false Robert McKee 167828 19549 15105 13407 215889 Raymond A Graeca 464072 104607 14533 81000 13410 677622 Patricia Cressley 221154 26233 19904 12546 279837 Gary Macioce 225654 26231 20309 12823 285017 Dr Stephen M Fall 647250 4795 14186 9800 14432 690463 Dr Rajat Malik 540000 4154 9800 11624 565578 Dr Norman Hetzler 654036 4795 14186 9800 13956 696773 Dr Keith Zeliger 765000 5885 9800 14001 794686 Dr Jonathan Pope 281185 74192 10599 13912 379888 Dr Gautam Yagnik 765000 350 4142 12493 781985 Dr Gary Dugan 293169 35055 16667 24458 13956 383305 Dr Alexander Krot 765000 9800 14223 789023 Denise Lucas 187359 22126 17239 6447 233171 Hospital Authority of Cle 251718944 000000000 2007-08-22 9114708 Capital Purchases false false 444965 15000000 11971091 3028909 2012 false false true true false false false false false true true false false false false false Hospital Authority of City of DuBois 251718944 000000000 2007-08-22 9205969 Refinancing false false Hospital Authority of City of DuBois 251718944 000000000 2008-12-17 9770204 Refinancing false false Clearfield County Ind Dev Authority 251430476 000000000 2007-08-22 5155433 Refinancing false false Hospital Authority of City of DuBois 251718944 000000000 2007-08-22 9114708 Refinancing false false 400751 9205969 9205969 2005 true false true true 1376841 9770204 9770204 2009 true false true true 530980 5155433 5155433 2001 true false true true 417417 9114708 9114708 2005 true false true true false false false false false true false false false false false true false false false false false true false false false false false true true false false false false false true false false false false false true false false false false false true false false false false false false Andrew Sutika See Part V 92931 Compensation false Douglas Dale See Part V 28308 Compensation false Linda McKee See Part V 26639 Compensation false Jill Zimmerman See Part V 57601 Compensation false Michelle Sutika Bennett See Part V 105513 Compensation false Kristy Yount See Part V 75305 Compensation false Dr Steve Graeca See Part V 365854 Compensation false Women's Care of Western PA See Part V 728864 Payments for Services false (1) Dr. Gary Ott is the owner of Women's Care of Western PA. Dr. Ott is also a DRMC Board Member. DRMC makes payment to Women's Care for medical director services as well as clinical services related to the Health Beginnings Program.(2) Dr. Steven Graeca is an employed physicain and also son of DRMC's president, Raymond Graeca.(3) Kristy Yount is an employee of DRMC and also daughter of a DRMC Board member, Nancy Micks.(4) Michelle Bennett is an employee of DRMC and also the daughter of DRMC senior management member, John Sutika.(5) Jill Zimmerman is an employee of DRMC and also sister of a DRMC senior management member, Patricia Cressley.(6) Linda McKee is an employee of DRMC and also the wife of a DRMC senior management member, Bob McKee.(7) Doug Dale is an employee of DRMC and also a relative of DRMC senior management member, John Sutika.(8) Andrew Sutika is an employee of DRMC and also the brother of a DRMC senior management member, John Sutika. Form 990, Part VII Raymond A. Graeca, Presidet and CEO and Patricia Cressley, CFO performed management services for Kidney Care Services, LLC and Kidney Care Services, DuBois, both of which are related entities. Each officer dedicates approximately one hour per week for each entity. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The conflict of interest statement and other governing documents are available to the public at the public's request. They are located in a "Public Binder" in the administrative offices of DRMC Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees An independant firm is hired to compare, review, and recommend all senior officers' compensation. The Board of Directors provides the final approval. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Yearly, Board members are required to complete a new conflict of interest statement. At any time, any Board member may question a possible conflict of interest and a thorough review would then be completed. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process Form 990 was presented to the Board of Directors at a regularly scheduled board meeting for review and approval. Nathan D Yingling Cancer Center 815 Doctors Drive Clearfield PA 16830 205114093 Radiation/Oncology PA 501(c)(3) Clearfield Hospital and DRMC false Kidney Care Services DuBois LLC 635 Maple Ave Suite D DuBois PA 15801 510644566 Dialysis PA na Related -100567 821658 false true Kidney Care Services LLC 635 Maple Ave Suite D DuBois PA 15801 510644566 Dialysis PA na Related -527546 730031 false true DuBois Medical Risk Retention Group 1200 G Street NW Suite 800 Washington DC 20005 200324622 Insurance Services PA na Corp 1336301 6536155 1.00000 DuBois Regional Medical Group 100 Hospital Avenue DuBois PA 15801 251856569 Pediatric Services PA na -557943 1481079 1.00000 false false false true false false false false true false true true true true true true false false DuBois Medical Risk Retention Group l 1050000 DuBois Regional Medical Group i 65835 Kidney Care Services DuBois LLC l 80022 Kidney Care Services DuBois LLC d 1084177 Kidney Care Services LLC d 1195017