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Clearfield Hospital
Clearfield, PA 16830
| Bed count | 89 | Medicare provider number | 390052 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 0 Total amount spent on community benefits as % of operating expenses$ 0 - Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 0 Medicaid as % of operating expenses$ 0 Costs of other means-tested government programs as % of operating expenses$ 0 Health professions education as % of operating expenses$ 0 Subsidized health services as % of operating expenses$ 0 Research as % of operating expenses$ 0 Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 Community building*
as % of operating expenses$ 0 - * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 0 Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? Not available Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 0 including grants of $ 0) (Revenue $ 0) AS A PART OF PENN HIGHLANDS HEALTHCARE, PENN HIGHLANDS CLEARFIELD CONTINUES ITS RICH TRADITION OF PROVIDING EXCELLENT CARE TO THE COMMUNITIES IT SERVES. IT CONTINUES TO EXPAND AND CREATE ACCESS TO A LARGE NUMBER OF MEDICAL, SURGICAL AND SUPPORT SERVICES. ITS AWARD-WINNING HOME HEALTH CARE SERVES A LARGE GEOGRAPHIC REGION. PENN HIGHLANDS CLEARFIELD CONSISTS OF AN ACTIVE EMERGENCY DEPARTMENT, MEDICAL-SURGICAL UNITS, BEHAVIORAL HEALTH SERVICES, CARDIAC DIAGNOSTIC SERVICES, REHABILITATION SERVICES, CARDIAC REHAB, CHEMOTHERAPY, IMAGING SERVICES, LABORATORY SERVICES, NUTRITION COUNSELING, PULMONARY REHABILITATION, SURGICAL SERVICES, WOUND CARE AND A SWING-BED PROGRAM.
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Facility Information
SCHEDULE H, PART 1, LINE 1 CEASING OF OPERATIONS: EFFECTIVE JULY 1, 2021, CLEARFIELD AND ITS SUBSIDIARIES MERGED CAMPUS WITH PENN HIGHLANDS DUBOIS AND CEASED TO EXIST. CLEARFIELD HOSPITAL IS FILING A FINAL RETURN FOR THE CURRENT YEAR. CLEARFIELD HOSPITAL DID NOT HAVE A FINANCIAL ASSISTANCE POLICY OR ANY COMMUNITY BENEFITS DURING THE TAX YEAR BECAUSE OF THIS MERGER.
SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: PENN HIGHLANDS AND THE ASSOCIATED HOSPITALS HIRED THE FIRM TRIPP UMBACH TO FACILITATE THE PREPARATION OF THE CHNA AND COLLABORATED WITH HOSPITALS AND OUTSIDE ORGANIZATIONS IN THE SURROUNDING REGION. DURING THE CHNA PROCESS, COMMUNITY INPUT WAS SOUGHT FROM A VARIETY OF COMMUNITY MEMBERS AND ORGANIZATIONS, INCLUDING INPUT FROM ALCOHOL AND DRUG ABUSE SERVICES, ALCOHOLICS ANONYMOUS, FREE CLINIC OF DUBOIS, POLICE DEPARTMENTS, CHAMBER OF COMMERCE AND EMS SERVICES TO JUST NAME A FEW. THE PROCESS INCLUDED PUBLIC COMMENTARY, SECONDARY DATA COLLECTION AND ANALYSIS, STAKEHOLDER INTERVIEWS, HAND-DISTRIBUTED SURVEYS AND COMMUNITY HEALTH FORUM/RETREAT. THE HOSPITAL WORKED WITH LEADERS WITHIN THE HEALTHCARE SYSTEM AS WELL AS WITH SEVERAL MEMBERS OUTSIDE OF THE SYSTEM FROM VARIOUS ORGANIZATIONS AND BACKGROUNDS. THIS LIST IS INCLUDED IN THE CHNA REPORT.
SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: PENN HIGHLANDS DUBOIS, PENN HIGHLANDS BROOKVILLE, PENN HIGHLANDS ELK, PENN HIGHLANDS TYRONE AND PENN HIGHLANDS HUNTINGDON WHICH ARE ALL PART OF THE PENN HIGHLANDS HEALTHCARE SYSTEM.
SCHEDULE H, PART V, SECTION B, LINE 7A CHNA REPORT URL: WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY URL: HTTPS://WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESS MENT
SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING IDENTIFIED NEEDS: THE HOSPITAL'S CHNA GIVES A VERY DETAILED OVERVIEW OF THE METHODS AND ACTIVITIES THAT WENT INTO DEVELOPING A STRATEGIC PLAN FOR ASSESSING THE NEEDS OF THE COMMUNITY AND CHOOSING WHAT THE MOST IMPORTANT AND ATTAINABLE GOALS WOULD BE. THESE NEEDS ARE PRESENTED IN THE CHNA WITH A DETAILED EXPLANATION OF THE ISSUES, HOW THIS INFORMATION WAS GATHERED, INCLUDING PRIMARY AND SECONDARY DATA, WHAT THE GOALS ARE TO DEAL WITH THE ISSUES AND THE NEXT STEPS TO TAKE TO ATTAIN THESE GOALS. THE REPORT ADDRESSES THE TOP FIVE HEALTH NEEDS OF THE COMMUNITY AND FOCUSES ON THOSE ISSUES. THE IMPLEMENTATION PLAN ONLINE INCLUDES DETAIL OF ANNUAL ACTIVITIES.
SCHEDULE H, PART V, SECTION B, LINE 16A, B, AND C FAP, FAP APPLICATION, PLAIN LANGUAGE SUMMARY URL: HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY
SCHEDULE H, PART V, SECTION B, LINE 20E OTHER EFFORTS: THE BILLING STATEMENT STATES THAT THERE IS A FAP AVAILABLE AND GIVES INFORMATION ON HOW TO CONTACT SOMEONE FOR THE APPLICATION.
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Supplemental Information
SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: THE ACTIONS THAT PHH/PHPN MAY TAKE WITH REGARD TO THE NON-PAYMENT BY AN INDIVIDUAL WHO IS ABLE TO PAY FOR SERVICES, INCLUDING COLLECTION ACTIONS AND POSSIBLE REPORTING TO CREDIT AGENCIES ARE CONTAINED IN PHH/PHPN'S BILLING AND COLLECTION POLICY. FOR INDIVIDUALS WHO QUALIFY FOR FAP AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED MEDICAL BILLS, PHH/PHPN WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTIONS AGENCIES. PHH/PHPN WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS(ECA) SUCH AS LAWSUITS, LIENS ON RESIDENCES OR OTHER SIMILAR LEGAL ACTIONS FOR ANY INDIVIDUAL WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FAP. REASONABLE EFFORTS SHALL INCLUDE: A) NOTIFYING THE INDIVIDUAL OF THE FAP UPON ADMISSION, IN WRITTEN AND ORAL COMMUNICATIONS WITH THE INDIVIDUAL REGARDING THEIR BILL AND INCLUDING INFORMATION ON THE FAP ON STATEMENTS; B) WRITTEN DOCUMENTATION THAT PHH/PHPN HAS ATTEMPTED TO OFFER THE INDIVIDUAL THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE PURSUANT TO THIS POLICY AND THAT THE INDIVIDUAL HAS NOT COMPLIED WITH THE APPLICATION REQUIREMENTS; C) VALIDATING THAT THE INDIVIDUAL OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENTS HAVE BEEN IDENTIFIED AND BILLED BY PHH/PHPN; D) DOCUMENTATION THAT THE INDIVIDUAL HAS BEEN OFFERED A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN.
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: PENN HIGHLANDS CLEARFIELD PARTICIPATED IN A COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY TRIPP UMBACH.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: CLEARFIELD HOSPITAL SERVES SEVERAL COUNTIES IN WESTERN AND CENTRAL PA. OUR CORE POPULATION HAS MEDICARE OR MEDICAID. PENN HIGHLANDS CLEARFIELD IS DESIGNATED AS A MEDICARE DEPENDENT HOSPITAL.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: CLEARFIELD HOSPITAL, DBA PENN HIGHLANDS CLEARFIELD, IS VITAL TO THE COMMUNITIES IT HAS SERVED FOR MORE THAN 100 YEARS. LOCATED IN NORTHWEST CENTRAL PENNSYLVANIA, IT PROVIDES HEALTHCARE ACCESS TO A POPULATION THAT WOULD HAVE TO TRAVEL MORE THAN 20-45 MILES OR NOT RECEIVE CARE AT ALL IF IT DIDN'T EXIST. IT PROVIDES MEDICAL, SURGICAL AND SUPPORT SERVICES, INCLUDING: EMERGENCY SERVICES, A TELEMETRY UNIT, SURGICAL SUITES, CARDIOPULMONARY, CARDIAC REHABILITATION, A WOUND CLINIC, NUCLEAR MEDICINE, CT, MRI, PET SCANNING, LABORATORY SERVICES, AND OCCUPATIONAL, SPEECH AND PHYSICAL THERAPY. PH CLEARFIELD TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS ARE GIVEN PAYMENT OPTIONS FOR ALL LEVELS OF FINANCIAL NEEDS. THEY MAY BE DIRECTED TO PROGRAMS THAT THEY QUALIFY FOR, SUCH AS MEDICARE, MEDICAID OR VETERANS SERVICES, OR THEY MAY QUALIFY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM THAT GIVES DISCOUNTS UP TO 100 PERCENT. OUTSIDE OF THE HOSPITAL, EMPLOYEES ATTEND EVENTS TO PROVIDE INFORMATION ON HEALTH AND SAFETY TO THE COMMUNITY. PH CLEARFIELD IS A VALUABLE ASSET, AND WITH THE GUIDANCE OF COMMUNITY LEADERS, HOSPITAL LEADERS AND STAFF, IT WILL REMAIN SO FOR YEARS TO COME.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: PENN HIGHLANDS HEALTHCARE (PHH, SYSTEM) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO COORDINATE AND MANAGE THE INTEGRATION OF THE DELIVERY OF HEALTHCARE SERVICES TO THE NORTH CENTRAL PENNSYLVANIA AREA. PENN HIGHLANDS HEALTHCARE INCLUDES PENN HIGHLANDS NATURAL THERAPIES, LLC AND PENN HIGHLANDS APOTHECARY, INC. THESE COMPANIES WERE FORMED IN 2017. DUBOIS REGIONAL MEDICAL CENTER (DRMC) PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS IN DUBOIS, PENNSYLVANIA, AND SURROUNDING AREAS. DUBOIS INCLUDES BROOKVILLE HOSPITAL (BROOKVILLE), A CRITICAL ACCESS HOSPITAL IN BROOKVILLE, PENNSYLVANIA. BROOKVILLE EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES. BROOKVILLE INCLUDES BROOKCARE, A CORPORATION WHOSE PRIMARY BUSINESS IS TO RENT OFFICE SPACE TO PHYSICIANS AND VARIOUS DEPARTMENTS OF BROOKVILLE HOSPITAL. BROOKVILLE ALSO INCLUDES JEFFCO HEALTH SERVICES. JEFFCO HEALTH SERVICES IS A SKILLED NURSING AND REHABILITATION FACILITY IN BROOKVILLE, PA. DUBOIS INCLUDES DUBOIS MEDICAL RISK RETENTION GROUP (DMRRG). DMRRG PROVIDES LIABILITY INSURANCE TO THE DUBOIS COMPANIES. DUBOIS IS THE SOLE MEMBER OF THE CLASS A VOTING AND PARTICIPATING CERTIFICATES OF DMRRG. DUBOIS INCLUDES DUBOIS REGIONAL MEDICAL GROUP (DRMG). DRMG PROVIDES PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES. ELK REGIONAL HEALTH CENTER (ELK) PROVIDES PRIMARY ACUTE CARE MEDICAL SERVICES AT TWO CAMPUSES, THE ST. MARYS HEALTH CENTER IN ST. MARYS, PENNSYLVANIA, AND THE RIDGWAY HEALTH CENTER IN RIDGWAY, PENNSYLVANIA. ELK INCLUDES THE COMMUNITY NURSES ENTITIES AND HELPMATES. JC BLAIR MEMORIAL HOSPITAL IS A NON-PROFIT COMMUNITY HOSPITAL LOCATED IN HUNTINGDON, PA. JC BLAIR HOSPITAL INCLUDES JC BLAIR MEMORIAL HOSPITAL FOUNDATION. PENN HIGHLANDS TYRONE IS A NON-PROFIT HOSPITAL LOCATED IN TYRONE, PA. TYRONE HOSPITAL INCLUDES TYRONE REGIONAL HEALTH NETWORK FOUNDATION.
