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HIGHLANDS HOSPITAL AND HEALTH CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HIGHLANDS HOSPITAL AND HEALTH CENTER (EIN 25-1494705)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201231329349302208
Schema version
2010v3.4
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)
Timestamp2012-05-11T12:42:43-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

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 Signed2012-05-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY J PETRELL CPAName
Phone4126356270Phone
Date Prepared2012-05-03DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts25203277GrossReceipts
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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees441TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1013399ContributionsGrantsPriorYear
Contributions Grants Current Year1098194ContributionsGrantsCurrentYear
Program Service Revenue Prior Year23892814ProgramServiceRevenuePriorYear
Program Service Revenue CY23598836ProgramServiceRevenueCY
Investment Income Prior Year76856InvestmentIncomePriorYear
Investment Income Current Year16537InvestmentIncomeCurrentYear
Other Revenue Prior Year345821OtherRevenuePriorYear
Other Revenue Current Year476538OtherRevenueCurrentYear
Total Revenue Prior Year25328890TotalRevenuePriorYear
Total Revenue Current Year25190105TotalRevenueCurrentYear
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 Year13699670SalariesEtcPriorYear
Salaries Etc Current Year12911299SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12300636OtherExpensePriorYear
Other Expenses Current Year12609024OtherExpensesCurrentYear
Total Expenses Prior Year26000306TotalExpensesPriorYear
Total Expenses Current Year25520323TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-671416RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-330218RevenuesLessExpensesCY
Total Assets BOY11083839TotalAssetsBOY
Total Assets EOY10908116TotalAssetsEOY
Total Liabilities BOY10048629TotalLiabilitiesBOY
Total Liabilities EOY9417439TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1035210NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1490677NetAssetsOrFundBalancesEOY
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
Expense21152541Expense
Revenue23598836Revenue
DescriptionTHE HOSPITAL SERVED THE HEALTHCARE NEEDS OF THE COMMUNITY AND SURROUNDING AREAS WITH 2,543 ADMISSIONS, 11,943 PATIENT DAYS, 58,311 OUTPATIENT VISITS, AND 14,846 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 Expense21152541TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109675NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees441NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
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 (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MICHELLE P CUNNINGHAM
PRESIDENT/CEO40.00XX132927016255
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
ANNETTE GANASSI
DIRECTOR2.00X000
KHALDON AL-SAADI MD
DIRECTOR2.00X000
MICHAEL A JORDAN JR
DIRECTOR2.00X000
DEANNA SHERBONDY
DIRECTOR2.00X000
LAWRENCE KIEFER
DIRECTOR2.00X000
PAUL MEANS DO
DIRECTOR2.00X600000
JOHN S ANDURSKY
CHIEF FINANCIAL OFFICER40.00X99237015496
RONALD DELA CRUZ
SURGEON40.00187525011157X
LASZLO PETRAS
PSYCHIATRIST40.0015262304079X
GINA CANADA
FAMILY PRACTICE D.O.40.0012964703743X
FieldValueIRS element (for citing)
Total Reportable Comp From Org707959TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation50730TotalOtherCompensation
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 SERVICES424439
BRADLEY ANESTHESIA PC
RD 6 BOX 1162MT PLEASANTPA15666ANESTHESIOLOGY SERVICES400008
ANESTHESIOLOGY CONSULTSWPA
PO BOX 293MURRYSVILLEPA15668CRNA SERVICES335000
EMERGENCY RESOURCE MGMT INC
TWO HOT METAL STREET 2ND FLOORPITTSBURGHPA15203EMERGENCY ROOM PHYSICIAN331008
CPSI
6600 WALL STREETMOBILEAL36695COMPUTER SUPPORT AND APPLICATIONS280505
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Fundraising Events22108FundraisingEvents
All Other Contributions1076086AllOtherContributions
Total Contributions1098194TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column23598836TotalRevenueColumn
Related Or Exempt Function Income23598836RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue23598836TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real23400Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real23400Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column23400TotalRevenueColumn
Exclusion$23,400ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities15574Securities
Other963Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities15574Securities
Other963Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column16537TotalRevenueColumn
Exclusion$16,537ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events11180GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events22108CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses13172FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-1992TotalRevenueColumn
Exclusion-$1,992ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS REVENUE900099189678$189,678
INVEST. IN OPEN MRI OF900099163030$163,030
CAFETERIA & SNACK BAR90009979225$79,225

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column23197TotalRevenueColumn
Exclusion$23,197ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue455130TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25190105TotalRevenueColumn
Related Or Exempt Function Income23598836RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$493,075ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total263915Total
Management And General263915ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9804254Total
Program Services8156005ProgramServices
Management And General1648249ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total415653Total
Program Services341640ProgramServices
Management And General74013ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1697400Total
Program Services1401316ProgramServices
Management And General296084ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total730077Total
Program Services593291ProgramServices
Management And General136786ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total127286Total
Management And General127286ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total74742Total
Management And General74742ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total62147Total
Management And General62147ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total140314Total
Program Services61315ProgramServices
Management And General78999ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total248419Total
Management And General248419ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total858882Total
Program Services821360ProgramServices
Management And General37522ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total12605Total
Program Services12605ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total72221Total
Program Services54166ProgramServices
Management And General18055ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total997123Total
Program Services747842ProgramServices
Management And General249281ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total396904Total
Program Services297678ProgramServices
Management And General99226ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES24714592300775170684
BAD DEBT23731131779835593278
MEDICAL SUPPLIES22319242231924
PHYSICIAN FEES12136091213609
EQUIPMENT RENTAL & MAIN46617643220133975

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total862100Total
Program Services706979ProgramServices
Management And General155121ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25520323Total
Program Services21152541ProgramServices
Management And General4367782ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY448906BOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY657710BOY
EOY291761EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3116399BOY
EOY2923276EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY151483BOY
EOY159135EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY123815BOY
EOY118050EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22185276LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17654156LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4380026BOY
EOY4531120EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2205500BOY
EOY2364665EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY121500EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY398609EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11083839BOY
EOY10908116EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8837901BOY
EOY3342341EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY630728BOY
EOY632876EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY580000BOY
EOY5442222EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10048629BOY
EOY9417439EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-54324BOY
EOY555956EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY717130BOY
EOY562317EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY372404BOY
EOY372404EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1035210BOY
EOY1490677EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11083839BOY
EOY10908116EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-330218ReconcilationRevenueExpenses
Reconcilation Other Changes785685ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis197199OtherCostOrOtherBasis
Book Value197199BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9393305OtherCostOrOtherBasis
Depreciation7730256Depreciation
Book Value1663049BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis135150OtherCostOrOtherBasis
Depreciation26673Depreciation
Book Value108477BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11859157OtherCostOrOtherBasis
Depreciation9701650Depreciation
Book Value2157507BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis600465OtherCostOrOtherBasis
Depreciation195577Depreciation
Book Value404888BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4531120TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN JOINT VENTURE476575F
ASSETS LIMITED AS TO USE1888090F
FieldValueIRS element (for citing)
Total Of Book Value Securities2364665TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$880,000
ACCRUED PENSION COSTS$4,555,183
CASH OVERDRAFT$7,039
FieldValueIRS element (for citing)
Total Of Amounts5442222TotalOfAmounts
Total Revenue25190105TotalRevenue
Total Expenses25520323TotalExpenses
Excess Or Deficit For Year-330218ExcessOrDeficitForYear
Net Unrealized GL On Investments174757NetUnrealizedGLOnInvestments
Other$610,928OtherAmount
Total Adjustments785685TotalAdjustments
Excess Or Deficit Per FS455467ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt25017177TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments174757NetUnrealizedGainsInvestments
Other Revenues13172OtherRevenues
Revenue Not Rptd F990187929RevenueNotRptdF990
Revenue Subtotal24829248RevenueSubtotal
Other Revenues Not Included360857OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt360857RevenueNotRptdOnFinStmt
Total Revenue Per Form99025190105TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt25533495TotExpensesEtcAuditedFinclStmt
Other Expenses Included13172OtherExpensesIncluded
Expenses Not Rptd F99013172ExpensesNotRptdF990
Expenses Subtotal25520323ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025520323TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 GENERAL AND ADMINISTRATIVE EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF OPERATIONS AS A RESULT OF THIS GUIDANCE. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2008, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:ACCUMULATED LIABILITY FOR PENSION BENEFITS 765,741. TEMPORARILY RESTRICTED CONTRIBUTIONS 208,173. NET ASSETS RELEASED FROM RESTRICTIONS -362,986.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 13,172.
PART XII, LINE 4B - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS USED FOR CAPITAL EXPENDITURES 360,857.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 13,172.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event133288GrossReceiptsEvent1
Charitable Contributions Event122108CharitableContributionsEvent1
Gross Revenue Event111180GrossRevenueEvent1
Cash Prizes Event1250CashPrizesEvent1
Non Cash Prizes Event13358NonCashPrizesEvent1
Rent Facility Costs Event19140RentFacilityCostsEvent1
Other Direct Expenses Event1424OtherDirectExpensesEvent1
Gross Receipts Total33288GrossReceiptsTotal
Charitable Contributions Total22108CharitableContributionsTotal
Gross Revenue Total Events11180GrossRevenueTotalEvents
Cash Prizes Total Events250CashPrizesTotalEvents
Non Cash Prizes Total Events3358NonCashPrizesTotalEvents
Rent Facility Costs Total Events9140RentFacilityCostsTotalEvents
Other Direct Expenses Total Events424OtherDirectExpensesTotalEvents
Direct Expense Summary Events13172DirectExpenseSummaryEvents
Net Income Summary-1992NetIncomeSummary

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 Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense143030TotalCommunityBenefitExpense
Net Community Benefit Expense143030NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5898596TotalCommunityBenefitExpense
Direct Offsetting Revenue5777002DirectOffsettingRevenue
Net Community Benefit Expense121594NetCommunityBenefitExpense
Percent Of Total Expense0.00530PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6041626TotalCommunityBenefitExpense
Direct Offsetting Revenue5777002DirectOffsettingRevenue
Net Community Benefit Expense264624NetCommunityBenefitExpense
Percent Of Total Expense0.01150PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense184634TotalCommunityBenefitExpense
Direct Offsetting Revenue169070DirectOffsettingRevenue
Net Community Benefit Expense15564NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3887942TotalCommunityBenefitExpense
Direct Offsetting Revenue3696550DirectOffsettingRevenue
Net Community Benefit Expense191392NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense81459TotalCommunityBenefitExpense
Direct Offsetting Revenue81459DirectOffsettingRevenue

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4154035TotalCommunityBenefitExpense
Direct Offsetting Revenue3947079DirectOffsettingRevenue
Net Community Benefit Expense206956NetCommunityBenefitExpense
Percent Of Total Expense0.00900PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10195661TotalCommunityBenefitExpense
Direct Offsetting Revenue9724081DirectOffsettingRevenue
Net Community Benefit Expense471580NetCommunityBenefitExpense
Percent Of Total Expense0.02050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$983,842BadDebtExpenseAmount
Amount Attributable To248747AmountAttributableTo
Amount Reimbursed By Medicare4507281AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare6464182CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1956901MedicareSurplusOrShortfall

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

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 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
CHILD DEVELOPMENT DISORDERS DIAGNOSTIC C
413 EAST GIBSON AVECONNELLSVILLEPA15425DIAGNOSE AUTISTIC DISORDERS IN CHILDREN

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

ExplanationExplanation
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 2011.
PART I, L7 COL(F): THE BAD DEBT EXPENSE OF 2,373,113 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: HIGHLANDS HOSPITAL DOES NOT CURRENTLY HAVE A FORMALIZED METHOD TO ASSESS THE COMMUNITY FOR ITS HEALTH NEEDS. IN THE NEXT YEAR, THE ORGANIZATION PLANS TO LAUNCH A MORE FORMALIZED PROCESS TO ASSESS OUR COMMUNITY NEEDS.
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 6: 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
Written Employment ContractXWrittenEmploymentContract
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 (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RONALD DELA CRUZ
1875250000000111570198682000
LASZLO PETRAS
152623000000040790156702000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
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 12C
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 B, LINE 15
HIGHLANDS HOSPITAL MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 18
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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 174,757. ACCUMULATED LIABILITY FOR PENSION BENEFITS 765,741. TEMPORARILY RESTRICTED CONTRIBUTIONS 208,173. NET ASSETS RELEASED FROM RESTRICTIONS -362,986. TOTAL TO FORM 990, PART XI, LINE 5: 785,685.FORM 990, PART XI, LINE 5:
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 XII, LINE 2C:
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.FORM 990, PART VI, LINE 16B