HIGHLANDS HOSPITAL AND HEALTH CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: HIGHLANDS HOSPITAL AND HEALTH CENTER (EIN 25-1494705)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-12
IRS object ID: 201141329349302984
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-12T14:14:22-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Carbis Walker LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	5700 Corporate Drive Ste 650	AddressLine1
City	Pittsburgh	City
State	PA	State
ZIP Code	15237	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	251494705	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Highlands Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	HIGH	NameControl
Phone	7246281500	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 East Murphy Avenue	AddressLine1
City	Connellsville	City
State	PA	State
ZIP Code	15425	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	officer	Name
Title	CFO	Title
Phone	7246281500	Phone
Date Signed	2011-05-09	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Jeffrey J Petrell CPA	Name
Phone	4126356270	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Michelle P Cunningham	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	401 East Murphy Avenue	AddressLine1
City	Connellsville	City
State	PA	State
ZIP Code	15425	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	25355795	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.highlandshospital.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1985	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	The Hospital serves the healthcare needs of the community and surrounding areas	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	448	TotalNbrEmployees
Total Nbr Volunteers	6	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	500162	ContributionsGrantsPriorYear
Contributions Grants Current Year	1013399	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	24967145	ProgramServiceRevenuePriorYear
Program Service Revenue CY	23892814	ProgramServiceRevenueCY
Investment Income Prior Year	-203912	InvestmentIncomePriorYear
Investment Income Current Year	76856	InvestmentIncomeCurrentYear
Other Revenue Prior Year	603006	OtherRevenuePriorYear
Other Revenue Current Year	345821	OtherRevenueCurrentYear
Total Revenue Prior Year	25866401	TotalRevenuePriorYear
Total Revenue Current Year	25328890	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	13782137	SalariesEtcPriorYear
Salaries Etc Current Year	13699670	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	12897544	OtherExpensePriorYear
Other Expenses Current Year	12300636	OtherExpensesCurrentYear
Total Expenses Prior Year	26679681	TotalExpensesPriorYear
Total Expenses Current Year	26000306	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-813280	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-671416	RevenuesLessExpensesCY
Total Assets BOY	10843397	TotalAssetsBOY
Total Assets EOY	11083839	TotalAssetsEOY
Total Liabilities BOY	10288531	TotalLiabilitiesBOY
Total Liabilities EOY	10048629	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	554866	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1035210	NetAssetsOrFundBalancesEOY
Mission Description	Highlands Hospital is committed to providing health care to the community in a competent, nurturing, and healing environment. Our staff will provide support in times of crisis and furnish the resources necessary to promote a healthy lifestyle.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	21766684	Expense
Revenue	23892814	Revenue
Description	The Hospital served the healthcare needs of the community and surrounding areas with 2,636 admissions, 11,820 patient days, 58,322 outpatient visits, and 14,878 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 Expense	21766684	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	79	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	448	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Excess Business Holdings	0	ExcessBusinessHoldings
Taxable Distributions	0	TaxableDistributions
Distribution To Donor	0	DistributionToDonor
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	John Andursky cpa	NamePerson
Telephone Number	7246262359	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	401 East Murphy Avenue	AddressLine1
City	Connellsville	City
State	PA	State
ZIP Code	15425	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Michelle P Cunningham
President/CEO	40.00	X	X	128621	0	37245
John S Andursky
Chief Financial Officer	40.00		X	97771	0	22621
GERALD BROWELL
Chairman	2.00	X	X	0	0	0
BRUCE I JAYNES
Vice Chairperson	2.00	X	X	0	0	0
Floyd C Huggins
Treasurer	2.00	X	X	0	0	0
JOHN A Fiesta
Secretary	2.00	X	X	0	0	0
Richard A Grimaldi DMD
director	2.00	X		0	0	0
Annette Ganassi
director	2.00	X		0	0	0
Khaldon Al-Saadi MD
director	2.00	X		0	0	0
Michael A Jordan Jr
director	2.00	X		0	0	0
Deanna Sherbondy
director	2.00	X		0	0	0
Lawrence Kiefer
Director	2.00	X		0	0	0
Paul Means DO
director	2.00	X		6000	0	0
RONALD DELA CRUZ
Surgeon	40.00			232090	0	11034	X
LASZLO PETRAS
Psychiatrist	40.00			145871	0	5849	X
Gina Canada
Family Practice D.O.	40.00			117464	0	11648	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	727817	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	88397	TotalOtherCompensation
Number Individuals GT100 K	4	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
cpsi
6600 wall street	Mobile	AL	36695	computer support and applications	515827
bradley anesthesia pc
RD 6 BOX 1162	MT PLEASANT	PA	15666	anesthesiology services	400008
quest diagnostics
2769 COLLECTION CENTER DR	CHICAGO	IL	60693	laboratory services	336849
anesthesiology consultswpa
PO Box 293	MURRYSVILLE	PA	15668	crna services	335000
LARRY STEPT MD
139 YORKSHIRE DRIVE	PITTSBURGH	PA	15208	emergency room physician	191840

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	11	NumberOfContractorsGT100K
All Other Contributions	1013399	AllOtherContributions
Total Contributions	1013399	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Patient Revenue	Description
Business Code	900099	BusinessCode
Total Revenue Column	23892814	TotalRevenueColumn
Related Or Exempt Function Income	23892814	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	23892814	TotalProgramServiceRevenue

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	23400	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	23400	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	23400	TotalRevenueColumn
Exclusion	$23,400	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	76480	Securities
Other	376	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	76480	Securities
Other	376	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	76856	TotalRevenueColumn
Exclusion	$76,856	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	43403	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	26905	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	16498	TotalRevenueColumn
Exclusion	$16,498	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Invest. in Open MRI of	900099	98409	$98,409
Miscellaneous Revenue	900099	96906	$96,906
Cafeteria & Snack Bar	900099	84795	$84,795

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	25813	TotalRevenueColumn
Exclusion	$25,813	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	305923	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	25328890	TotalRevenueColumn
Related Or Exempt Function Income	23892814	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$422,677	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	286258	Total
Management And General	286258	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	10088691	Total
Program Services	8459967	ProgramServices
Management And General	1628724	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	683500	Total
Program Services	587127	ProgramServices
Management And General	96373	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1891459	Total
Program Services	1573839	ProgramServices
Management And General	317620	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	749762	Total
Program Services	614922	ProgramServices
Management And General	134840	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	117366	Total
Management And General	117366	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	91139	Total
Management And General	91139	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	130946	Total
Program Services	65672	ProgramServices
Management And General	65274	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	228664	Total
Management And General	228664	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	910471	Total
Program Services	871372	ProgramServices
Management And General	39099	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	10808	Total
Program Services	10808	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	64805	Total
Program Services	48604	ProgramServices
Management And General	16201	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	907509	Total
Program Services	680632	ProgramServices
Management And General	226877	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	426969	Total
Program Services	320227	ProgramServices
Management And General	106742	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	2343866	2343866
PURCHASED SERVICES	2316621	2240941	75680
BAD DEBT	2005629	1504222	501407
PHYSICIAN FEES	1355615	1355615
EQUIPMENT RENTAL & MAIN	453056	408838	44218

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	937172	Total
Program Services	680032	ProgramServices
Management And General	257140	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	26000306	Total
Program Services	21766684	ProgramServices
Management And General	4233622	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1978	BOY
EOY	448906	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	973316	BOY
EOY	657710	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	3277999	BOY
EOY	3116399	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	163279	BOY
EOY	151483	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	111080	BOY
EOY	123815	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	21050560	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	16670534	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	4151760	BOY
EOY	4380026	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1563985	BOY
EOY	2205500	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	600000	BOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	10843397	BOY
EOY	11083839	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	9364257	BOY
EOY	8837901	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	324274	BOY
EOY	630728	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	600000	BOY
EOY	580000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	10288531	BOY
EOY	10048629	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-455973	BOY
EOY	-54324	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	638435	BOY
EOY	717130	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	372404	BOY
EOY	372404	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	554866	BOY
EOY	1035210	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10843397	BOY
EOY	11083839	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	197010	OtherCostOrOtherBasis
Book Value	197010	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9219388	OtherCostOrOtherBasis
Depreciation	7669797	Depreciation
Book Value	1549591	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	135150	OtherCostOrOtherBasis
Depreciation	19539	Depreciation
Book Value	115611	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11450826	OtherCostOrOtherBasis
Depreciation	8961801	Depreciation
Book Value	2489025	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	48186	OtherCostOrOtherBasis
Depreciation	19397	Depreciation
Book Value	28789	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4380026	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN JOINT VENTURE	464764	F
ASSETS LIMITED AS TO USE	1740736	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	2205500	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Line of Credit	Description
Amount	$580,000	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	580000	TotalOfAmounts
Total Revenue	25328890	TotalRevenue
Total Expenses	26000306	TotalExpenses
Excess Or Deficit For Year	-671416	ExcessOrDeficitForYear
Net Unrealized GL On Investments	68259	NetUnrealizedGLOnInvestments
Other	$1,083,501	OtherAmount
Total Adjustments	1151760	TotalAdjustments
Excess Or Deficit Per FS	480344	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	25424054	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	68259	NetUnrealizedGainsInvestments
Other Revenues	26905	OtherRevenues
Revenue Not Rptd F990	95164	RevenueNotRptdF990
Revenue Subtotal	25328890	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	25328890	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	26027211	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	26905	OtherExpensesIncluded
Expenses Not Rptd F990	26905	ExpensesNotRptdF990
Expenses Subtotal	26000306	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	26000306	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part X:	Description of Uncertain Tax Positions Under FIN 48:	THE ORGANIZATION FOLLOWS THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") INTERPRETATION NO. 48, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109" ("FIN 48"). FIN 48 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE ORGANIZATION'S FINANCIAL STATEMENT AND 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 IS MET. THE STANDARD ALSO PROVIDES GUIDANCE ON THE DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THE ADOPTION OF FIN 48 DID NOT HAVE A MATERIAL EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENESE. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS OF OPERATIONS AS A RESULT OF THE ADOPTION OF FIN 48.
Part XI, Line 8 - Other Adjustments:		accumulated liability for pension benefits: 1004806. temporarily restricted contributions: 252914. NET ASSETS RELEASED FROM RESTRICTIONS: -174219.
Part XII, Line 2d - Other Adjustments:		Fundraising Expenses: 26905.
Part XIII, Line 2d - Other Adjustments:		Fundraising Expenses: 26905.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Golf Outing	NameOfEvent1
Gross Receipts Event1	26616	GrossReceiptsEvent1
Gross Revenue Event1	26616	GrossRevenueEvent1
Cash Prizes Event1	250	CashPrizesEvent1
Non Cash Prizes Event1	1768	NonCashPrizesEvent1
Rent Facility Costs Event1	8929	RentFacilityCostsEvent1
Food And Beverage Event1	1146	FoodAndBeverageEvent1
Other Direct Expenses Event1	405	OtherDirectExpensesEvent1
Name Of Event2	5K Race	NameOfEvent2
Gross Receipts Event2	16787	GrossReceiptsEvent2
Gross Revenue Event2	16787	GrossRevenueEvent2
Other Direct Expenses Event2	14407	OtherDirectExpensesEvent2
Gross Receipts Total	43403	GrossReceiptsTotal
Gross Revenue Total Events	43403	GrossRevenueTotalEvents
Cash Prizes Total Events	250	CashPrizesTotalEvents
Non Cash Prizes Total Events	1768	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	8929	RentFacilityCostsTotalEvents
Food And Beverage Total Events	1146	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	14812	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	26905	DirectExpenseSummaryEvents
Net Income Summary	16498	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	0	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	106169	TotalCommunityBenefitExpense
Net Community Benefit Expense	106169	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5733442	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3878397	DirectOffsettingRevenue
Net Community Benefit Expense	1855045	NetCommunityBenefitExpense
Percent Of Total Expense	0.07730	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5839611	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3878397	DirectOffsettingRevenue
Net Community Benefit Expense	1961214	NetCommunityBenefitExpense
Percent Of Total Expense	0.08170	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	209665	TotalCommunityBenefitExpense
Direct Offsetting Revenue	188313	DirectOffsettingRevenue
Net Community Benefit Expense	21352	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3354987	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3134952	DirectOffsettingRevenue
Net Community Benefit Expense	220035	NetCommunityBenefitExpense
Percent Of Total Expense	0.00920	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26544	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26544	DirectOffsettingRevenue

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3591196	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3349809	DirectOffsettingRevenue
Net Community Benefit Expense	241387	NetCommunityBenefitExpense
Percent Of Total Expense	0.01010	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9430807	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7228206	DirectOffsettingRevenue
Net Community Benefit Expense	2202601	NetCommunityBenefitExpense
Percent Of Total Expense	0.09180	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$2,005,629	BadDebtExpenseAmount
Amount Attributable To	500000	AmountAttributableTo
Amount Reimbursed By Medicare	4448239	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	4453243	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-5004	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Highlands Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	401 E Murphy Ave	AddressLine1
City	Connellsville	City
State	PA	State
ZIP Code	15425	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	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.	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g: The Emergency Department operated at a loss during fiscal year 2010.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part I, Line 7f: The Bad debt expense of 2,005,629 included on Form 990, Part IX, line 25, column A was subtracted for purposes of calculating the percentage of total expenses.	PercentOfTotalExpenseExpln
Bad Debt Footnote	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.	BadDebtFootnote
Shortfall As Community Benefit	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.	ShortfallAsCommunityBenefit
Debt Collection Policy	Part III, Line 9b: Patients are not billed once they are determined to qualify for charity care.	DebtCollectionPolicy
Needs Assessment	Part VI, Line 2: Highlands Hospital does not currently have a formalized method to assess the community for its health needs. In the next few years, the organization plans to launch a more formalized process to assess our community needs.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: Hospital staff provide charity care information to patients upon registration and information is included in admissions packets.	PatientEducationAssistance
Community Information	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.	CommunityInformation
Other Information	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.	OtherInformation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Michelle P Cunningham
128621	0	0	0	0	0	23456	0	13789	0	165866	0	0	0
RONALD DELA CRUZ
232090	0	0	0	0	0	0	0	11034	0	243124	0	0	0
LASZLO PETRAS
145871	0	0	0	0	0	0	0	5849	0	151720	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section B, line 11	Highlands Hospital HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY THE TREASURER. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 TO REVIEW BEFORE IT IS FILED.
Form 990, Part VI, Section B, line 12c	Highlands Hospital ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES TO FILL OUT A CONFLICTS OF INTEREST FORM. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING.
Form 990, Part VI, Section B, line 15	Highlands Hospital's board of directors annually reviews and approves the compensation of their organization's top management and key employees.
Form 990, Part VI, Section C, line 18	Highlands Hospital MAKES ITS FORM 990 and form 1023 available TO THE PUBLIC.
Form 990, Part VI, Section C, line 19	AT THIS TIME, Highlands Hospital DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS available TO THE GENERAL PUBLIC.
FORM 990, PART XI, LINE 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.