Community Benefit Insight - Tax-exempt hospital

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Elk Regional Health Center

Penn Highlands Elk

763 Johnsonburg Road
St Marys, PA 15857

Bed count	80	Medicare provider number	390154	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 250585280

Display data for year:

Community Benefit Spending- 2014
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

6.95%

Spending by Community Benefit Category- 2014
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2014

Additional data

Community Benefit Expenditures: 2014

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 70,902 0.11 %
Medicaid as % of operating expenses	$ 1,378,243 2.18 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 99,332 0.16 %
Subsidized health services as % of operating expenses	$ 2,803,194 4.43 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 50,992 0.08 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 850 0.00 %
Community building* as % of operating expenses	$ 0 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 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: 2014

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	$ 4,196,815 6.63 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	YES

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?	YES
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	$ 407,091 9.70 %

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:
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.
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.
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.

Community Health Needs Assessment Activities: 2014

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: 2014

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

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 $ 41623506 including grants of $ 0) (Revenue $ 52664696)
PHH ELK IS A SOLE COMMUNITY HOSPITAL PROVIDING PRIMARY ACUTE CARE MEDICAL SERVICES TO TWO CAMPUSES, THE ST. MARYS HEALTH CENTER IN ST. MARYS, PENNSYLVANIA, AND THE RIDGWAY HEALTH CENTER IN RIDGWAY, PENNSYLVANIA. OTHER PROGRAM SERVICES INCLUDE MEALS ON WHEELS, COMMUNITY NURSING, HEALTHY BEGINNINGS, AND SPORTS MEDICINE AND OTHER HEALTHCARE RELATED ACTIVITIES. ADDITIONALLY, THE HEALTH CENTER RECEIVED EHR INCENTIVE PAYMENTS THROUGH THE MEANINGFUL USE PROGRAM.

4B (Expenses $ 10314533 including grants of $ 0) (Revenue $ 10754047)
PHH ELK PROVIDES A 138-BED LONG TERM CARE FACILITY SERVING THE NEED OF ELK AND CAMERON COUNTIES AND THE SURROUNDING COMMUNITIES. WE ARE AT A 90% OCCUPANCY RATE. WE PROVIDE SOCIAL SERVICES AND RESIDENT ACTIVITIES. OUR TEAM OF QUALIFIED PROFESSIONALS PROVIDES 24-HOUR NURSING CARE AND REHABILITATIVE THERAPY WITH PERSONALIZED ATTENTION TO EACH RESIDENT. OTHER SERVICES OFFERED AT THE FACILITY INCLUDE HOSPICE SERVICES, TRANSPORTATION TO OUTSIDE HEALTH APPOINTMENTS, DIETICIANS, AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY.

4C (Expenses $ 1870943 including grants of $ 0) (Revenue $ 735320)
PHH ELK PROVIDES FAMILY, INTERNAL AND GENERAL MEDICINE, OB/GYN, AND ORTHOPEDIC PHYSICIAN OFFICES TO SERVE THE COMMUNITY. MANY OF THE OFFICES ARE LOCATED ON THE ERHC CAMPUS WITH A FEW OTHER LOCATIONS TO BETTER SERVE THE COMMUNITY.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

SCHEDULE H, PART V, SECTION B, LINE 5
COMMUNITY INPUT: THE CHNA ASSESSMENT CONDUCTED BY TRIPP UMBACH FOR ELK REGIONAL HEALTH CENTER INCLUDED PRIMARY AND SECONDARY DATA COLLECTION, INTERVIEWS WITH COMMUNITY STAKEHOLDERS, FOCUS GROUPS WITH KEY AUDIENCES, AND A COMMUNITY PLANNING RETREAT. THE CHNA REPRESENTED A COMPREHENSIVE COMMUNITY-WIDE PROCESS WHERE ELK REGIONAL HEALTH CENTER CONNECTED WITH A WIDE RANGE OF PUBLIC AND PRIVATE ORGANIZATIONS SUCH AS EDUCATIONAL INSTITUTIONS, HEALTH-RELATED PROFESSIONALS, LOCAL GOVERNMENT OFFICIALS, HUMAN SERVICE ORGANIZATIONS, AND FAITH-BASED ORGANIZATIONS TO EVALUATE THE COMMUNITY'S HEALTH AND SOCIAL NEEDS.

SCHEDULE H, PART V, SECTION B, LINE 6A
CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: - PH DUBOIS - PH BROOKVILLE - PH CLEARFIELD

SCHEDULE H, PART V, SECTION B, LINE 7A
WEBSITE WHERE CHNA IS AVAILABLE: https://www.phhealthcare.org/about/search~default.aspx?q=Financial assistance

SCHEDULE H, PART V, SECTION B, LINE 10A
WEBSITE WHERE IMPLEMENTATION STRATEGY IS AVAILABLE: https://www.phhealthcare.org/data/uploads/contentblock/2013%20Community%20 Needs%20Assessment%20PHE.pdf

SCHEDULE H, PART V, SECTION B, LINE 11
"ADDRESSING IDENTIFIED NEEDS: ELK REGIONAL HEALTH CENTER LISTENS TO COMMUNITY CONCERNS, ANALYZES HEALTHCARE UTILIZATION AND COSTS, EXPLORES ACCESS ISSUES, AND COLLABORATES WITH AND DEVELOPS EFFECTIVE PROGRAMS TO IMPROVE THE HEALTH OF THOSE IN WEST CENTRAL PENNSYLVANIA. BASED ON THE ABOVE COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS AND THE PRIORITIZED NEEDS, TWO COMMUNITY NEEDS WILL BE IMPLEMENTED AND FURTHER EXPLORED. IT IS IMPORTANT TO NOTE THAT WHILE ""PROVIDER WORKFORCE"" WAS NOT A COMMUNITY NEED THAT WAS A DIRECT RESULT FROM THE CHNA FINDINGS, ELK REGIONAL HEALTH CENTER WILL TACKLE THIS ISSUE IN ORDER TO INCREASE THE MANPOWER ISSUE AND ADDRESS THE WORKFORCE ISSUES THAT DIRECTLY AFFECT COMMUNITY RESIDENTS. TACKLING THE LACK OF AVAILABLE PHYSICIANS AND ALLIED HEALTH PROFESSIONALS IN THE AREA WILL ALSO HELP AND IMPROVE COMMUNITY RESIDENTS' ABILITY TO ACCESS AFFORDABLE HEALTHCARE SERVICES AND INFORMATION. ACCESS TO AFFORDABLE HEALTHCARE AND PREVENTIVE HEALTHCARE AND WELLNESS WERE IDENTIFIED AS DIRECT NEEDS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE PROGRAMS DESCRIBED IN THE FOLLOWING IMPLEMENTATION PLAN ADDRESSES THE TARGETED HEALTH PRIORITIES THAT HOSPITAL LEADERS BELIEVE WILL HAVE THE MOST IMPACT WITHIN THE COMMUNITY. OF THE IDENTIFIED CHNA AND PRIORITIZED HEALTH NEEDS, ELK REGIONAL HEALTH CENTER WILL FOCUS ON TWO OF THE COMMUNITY REQUIREMENTS: 1) DENTAL CARE 2) PROVIDER WORKFORCE THE HEALTH NEEDS NOT BEING ADDRESSED FROM THE CHNA ARE STILL IMPORTANT FOR THE COMMUNITY. HOWEVER, ELK REGIONAL HEALTH CENTER REPORTED THAT THESE NEEDS ARE BEING ADDRESSED TO SOME DEGREE BY ORGANIZATIONS, PROGRAMS/INITIATIVES OPERATED BY REGIONAL AND LOCAL COMMUNITY-BASED ORGANIZATIONS LOCALLY. THROUGH ANALYSIS AND DISCUSSIONS RESULTING FROM A WORK SESSION HELD WITH REPRESENTATIVES FROM ELK REGIONAL HEALTH CENTER, THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA THAT WILL NOT BE ADDRESSED ARE: 1) ACCESS TO AFFORDABLE HEALTHCARE 2) PREVENTIVE HEALTHCARE & WELLNESS ON APRIL 15, 2013, ELK REGIONAL HEALTH CENTER COMPLETED A WORK SESSION FACILITATED BY TRIPP UMBACH, WHERE AN IMPLEMENTATION PLAN WAS DISCUSSED AND CONCEPTS WERE DEVELOPED FOR THE NEEDS SELECTED BY ELK REGIONAL HEALTH CENTER. THE IMPLEMENTATION PLANNING PROCESS INCLUDED THE FOLLOWING STEPS: 1)SELECT KEY COMMUNITY NEEDS WHERE THE HOSPITAL WILL TAKE A LEADERSHIP ROLE 2) IDENTIFY GOALS AND KEY OBJECTIVES THAT WILL BE ACHIEVED THROUGH THE HOSPITAL'S LEADERSHIP IN THE SELECTED NEED AREAS 3) DEVELOP INVENTORIES OF INTERNAL HOSPITAL AS WELL AS EXTERNAL COMMUNITY RESOURCES ALREADY FOCUSED ON THE SELECTED NEED AREAS 4) DEVELOP SPECIFIC STRATEGIES TO BE IMPLEMENTED BY THE HOSPITAL TO ACHIEVE MEASURABLE COMMUNITY HEALTH IMPROVEMENT IN SELECTED NEED AREAS BASED ON THE CHNA FINDINGS, ELK REGIONAL HEALTH CENTER SHOULD ALSO COORDINATE ITS EFFORTS WITH THE PENNSYLVANIA'S STATE HEALTH IMPROVEMENT PLAN (SHIP). SHIP'S APPROACH IS A RECOGNIZED, COORDINATED, CONTINUOUS, AND INTEGRATED SYSTEM OF CARE; LINKING COMMUNITY HEALTH AND INDIVIDUAL HEALTH THAT WOULD CREATE THE MOST BENEFIT FOR THE LARGEST GROUP OF PEOPLE. SHIP PROVIDES INFORMATION AND DATA TO ASSIST COMMUNITIES, STAKEHOLDERS, AND OTHER STATE AGENCIES IN THEIR EFFORTS TO IDENTIFY ISSUES AND TRENDS THAT IMPACT OVERALL HEALTH. THREE MAIN COMPONENTS CHARACTERIZE SHIP'S FOCUS ON LINKING COMMUNITY HEALTH AND INDIVIDUAL HEALTH: 1. EMPHASIS ON HEALTH STATUS: PLANNING BY ADDRESSING THE ROOT OR UNDERLYING CAUSES OF PREMATURE DISEASE, DEATH, AND DISABILITY. 2. ENGAGEMENT OF COMMUNITY-BASED HEALTH IMPROVEMENT PARTNERSHIPS: ENGAGING PARTNERSHIPS, KNOWN AS SHIP-AFFILIATED PARTNERSHIPS, TO COORDINATE RESOURCES AND ADDRESS LOCAL HEALTH IMPROVEMENT ISSUES AND PRIORITIES IN MEANINGFUL WAYS. 3. ACCESS TO RELEVANT DATA: PROVIDING THE INFORMATION AND DATA NECESSARY FOR COMMUNITIES TO ASSESS LOCAL HEALTH STATUS AND TO DEVELOP LOCAL HEALTH IMPROVEMENT PRIORITIES. SHORT-TERM GOALS WILL BE MEASURED ANNUALLY IN EACH OF THE PRIORITY AREAS RELATED TO THE PROGRAM. ADJUSTMENTS AND MODIFICATIONS WILL BE MADE TO THE PROGRAM AS ISSUES EMERGE AND DEVELOP. IT IS IMPORTANT TO REPORT THAT ELK REGIONAL HEALTH CENTER WILL TAKE THE PRIMARY LEADER ROLE IN ADDRESSING DENTAL CARE AND PROVIDER WORKFORCE NEEDS. REGIONAL HOSPITALS AND OTHER COMMUNITY ORGANIZATIONS AND HEALTHCARE PROVIDERS WILL ALSO PROVIDE SUPPORTIVE ROLES TO OTHER HEALTH AND COMMUNITY ISSUES AS NEEDED."

SCHEDULE H, PART V, SECTION B, LINES 16A & 16B
FINANCIAL ASSISTANCE POLICY: https://www.phhealthcare.org/about/search~default.aspx?q=Financial assistance

SCHEDULE H, PART V, SECTION B, LINE 22D
MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: DURING FISCAL YEAR 15, THE INSURANCE RATE WAS CHARGED WHICH WAS THEN REDUCED BY THE FINANCIAL AID. THE ORGANIZATION IS IN THE PROCESS OF REVISING THIS POLICY FOR FISCAL YEAR 16.

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART I, LINE 7, COLUMN F
PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $4,196,815. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEETS 1 AND 3. WORKSHEET 6 USED ACTUAL COST DATA.

SCHEDULE H, PART III, SECTION A, LINES 2, 3 & 4
BAD DEBT EXPENSE METHODOLOGY: THE MONTHLY BAD DEBT EXPENSE IS COMPRISED OF TWO COMPONENTS. ONE IS THE DIRECT WRITE OFFS FROM ACCOUNTS RECEIVABLE (THE 5500 ACCOUNTS THAT RELATE TO SELF-PAY ADJUSTMENTS) WHICH GO DIRECTLY TO BAD DEBT EXPENSE AND WILL VARY ACCORDING TO THE LEVEL OF ACTIVITY. THE OTHER COMPONENT IS THE ADJUSTMENT TO THE RESERVE ACCOUNT WHICH IS BASED ON THE BALANCES SITTING IN THE VARIOUS SELF-PAY AGE BUCKETS AT THE END OF EACH MONTH. THE ASSIGNMENT OF SELF-PAY BALANCES TO COLLECTION AGENCIES THROUGHOUT THE MONTH AFFECT THIS RESERVE ENTRY. DISCOUNTS ON PATIENT ACCOUNTS ARE PROCESSED BY CREDIT ACCORDING THE ESTABLISHED POLICY GUIDELINES. SPECIAL CIRCUMSTANCE DISCOUNTS ARE APPROVED ON A CASE BY-CASE BASIS BY THE PATIENT ACCOUNTS MANAGER. PAYMENTS ON PATIENT ACCOUNTS ARE POSTED BY CREDIT AND ARE BASED ON CASH SUMMARY SHEETS PREPARED BY AN INDIVIDUAL IN THE PAYROLL/FINANCE DEPARTMENT. LINE 2 REPORTS THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS FROM THE AUDITED FINANCIAL STATEMENTS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS INCLUDES A FOOTNOTE REGARDING BAD DEBT EXPENSE. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.

SCHEDULE H, PART III, SECTION C, LINE 9B
COLLECTION POLICY: COLLECTION PRACTICES FROM DAY 1 SELF-PAY ARE CONSISTENT ACROSS THE ENTIRE SELF-PAY POPULATION. ONCE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE (IE CHARITY CARE TO SOME DEGREE) THEN THAT PATIENT'S ACCOUNT(S) ARE PROCESSED ACCORDINGLY BALANCE-WISE.

SCHEDULE H, PART VI, LINE 2
NEEDS ASSESSMENT: THE ORGANIZATION COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2015. SEE PART V, SECTION B, FOR ADDITIONAL INFORMATION. THIS IS NOW DONE AT THE PHH LEVEL.

SCHEDULE H, PART VI, LINE 3
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE CHARITY CARE POLICY, IN ITS ENTIRETY, APPEARS ON THE HOSPITAL WEBSITE. THE ASSOCIATED ELIGIBILITY FORM IS OBTAINABLE HERE AS WELL. THE SELF-PAY COLLECTION PROCESS PROVIDES FOR A CHARITY CARE APPLICATION AND EXPLANATION LETTER TO BE SENT ON EVERY OUTSTANDING PATIENT ACCOUNT FOR WHICH THERE IS NOT A PAYMENT MADE SUBSEQUENT TO THE INITIAL STATEMENT BEING RECEIVED. THERE ARE ALSO SIGNS POSTED IN CERTAIN AREAS OF THE HEALTH CENTER WHICH PROMOTE THE EXISTENCE OF THE CHARITY CARE POLICY AND DIRECT INTERESTED INDIVIDUALS ACCORDINGLY.

SCHEDULE H, PART VI, LINE 4
COMMUNITY INFORMATION: THE ORGANIZATION PROVIDES SERVICES TO RESIDENTS OF ALL AGES IN ELK AND CAMERON COUNTIES AND THE SURROUNDING AREAS. ELK AND CAMERON COUNTIES HAVE A POPULATION OF APPROXIMATELY 37,000. ADULTS OVER AGE 65 REPRESENT ABOUT 20% OF THE POPULATION. PERSONS BELOW POVERTY LEVEL ACCOUNT FOR ABOUT 11% OF THE POPULATION. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $43,000, AND THE MEDIAN VALUE OF OWNER-OCCUPIED HOUSING UNITS IS APPROXIMATELY $89,000. ELK REGIONAL IS ONE OF TWO MAJOR HEALTH SYSTEMS THAT SERVE THE ELK AND CAMERON COUNTY COMMUNITIES.

SCHEDULE H, PART VI, LINE 5
PROMOTION OF COMMUNITY HEALTH: ERHC STRIVES TO PROVIDE WELLNESS AND EDUCATIONAL PROGRAMS FOR COMMUNITY MEMBERS TO MAINTAIN A HEALTHY LIFESTYLE. ERHC PROVIDES SMOKE DETECTORS TO PARENTS OF NEWBORNS TO TAKE HOME WITH THEM AND INSTALL IN THEIR HOMES. ERHC WORKS WITH THE LOCAL LIONS CLUB AND ROTARY CLUB TO PROVIDE SERVICES TO THE COMMUNITY. ERHC PARTICIPATES IN ACTIVITIES WITH THE ST. MARYS CHAMBER OF COMMERCE AND BELONGS TO THE BOARDS OF THE FAMILY RESOURCE NETWORK AND THE STATE HEALTH IMPROVEMENT PLAN. ERHC PROVIDES JOB SHADOWING TO THE LOCAL HIGH SCHOOL STUDENTS AND HAS A SCHOOL TO WORK PROGRAM FOR STUDENTS. ERHC ALSO PARTICIPATES IN THE PHEAA PROGRAM TO HIRE STUDENTS AS SUMMER WORKERS TO GIVE THEM WORK EXPERIENCE IN VARIOUS FIELDS. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF AND THE BOARD IS COMPRISED OF PEOPLE WHO ARE LEADERS IN THE COMMUNITY. THE PHYSICIAN OFFICES AND OUTPATIENT THERAPY OFFICES LOCATED THROUGHOUT THE COMMUNITIES GIVE PATIENTS EASIER ACCESS TO VARIOUS SERVICES. ERHC PARTICIPATES IN AND HOLDS HEALTH FAIRS WHERE FREE SCREENINGS AND LOW OR NO COSTS TESTING ARE PROVIDED TO PROMOTE PREVENTATIVE CARE AND HEALTH LIFESTYLES. ERHC HOLDS MANY EDUCATIONAL CLASSES FOR THE PUBLIC SUCH AS DIABETES EDUCATION, WOMEN'S HEALTH ISSUES, SUPPORT GROUPS, ETC. ERHC ALSO OFFERS VARIOUS EXERCISE CLASSES SUCH AS PILATES, BOOT CAMP, YOGA, ETC., ALONG WITH WELLNESS CLASSES. THE ORGANIZATION PERIODICALLY HAS PRESS RELEASES ON DIFFERENCE HEALTH ISSUES.

SCHEDULE H, PART VI, LINE 6
AFFILIATED HEALTH CARE SYSTEM: ELK REGIONAL HEALTH CENTER IS A FULLY-ACCREDITED, NOT-FOR-PROFIT 80 BED GENERAL ACUTE CARE INSTITUTION BACKED BY THE EXPERTISE OF A DEDICATED, EMPLOYED PHYSICIAN GROUP. WITH CAMPUSES IN ST. MARYS AND RIDGWAY AND PHYSICIAN OFFICES IN A NUMBER OF LOCATIONS THROUGHOUT THE REGION, ELK REGIONAL PROUDLY SERVES THE RESIDENTS OF ELK AND CAMERON COUNTIES. IT IS THE ONGOING MISSION OF THE ELK REGIONAL HEALTH SYSTEM TO PROVIDE PREMIER HEALTHCARE SERVICES TO PATIENTS THROUGH COMMITMENTS TO SERVICE, QUALITY, PEOPLE, FINANCE AND GROWTH - ALL WHILE MAINTAINING ECONOMIC VIABILITY AND KEEPING AN EYE ON THE FUTURE. THE HOSPITAL AND PHYSICIAN OFFICES WORK WITH COMMUNITY NURSES INC., TO PROVIDE FLU SHOT CLINICS TO THE COMMUNITY. THE FOUNDATION AND AUXILIARY PROVIDE EDUCATIONAL CLASSES AND SCHOLARSHIPS. THERE ARE MANY SCREENINGS & HEALTH CLINICS HELD THROUGHOUT THE YEAR TO PROMOTE HEALTHY LIVING & PREVENTATIVE CARE. ERHC ALSO OFFERS EXERCISE, NUTRITION, AND RELAXATION CLASSES. THE HEALTH SYSTEM FOUNDATION PROVIDES FUNDS FOR TWO SCHOLARSHIPS EACH YEAR TO STUDENTS PURSUING HEALTH CARE FIELDS. THESE SCHOLARSHIPS ARE ADMINISTERED BY THE ELK COUNTY COMMUNITY FOUNDATION. COMMUNITY NURSES INC ESTABLISHED A SERENITY GARDEN FOR PINE CREST MANOR (SKILLED NURSING FACILITY) RESIDENTS AND FAMILY AND FOR THE GENERAL PUBLIC TO USE AS A MEDIATION GARDEN. CNI ALSO PROVIDES ADULT DAY CARE SERVICES FOR THE COMMUNITY. THE HOSPITAL AUXILIARY GIVES A SCHOLARSHIP TO A TEEN VOLUNTEER FROM EACH LOCAL SCHOOL WHO ARE GOING TO STUDY A HEALTH CARE RELATED FIELD. THE PHYSICIAN OFFICES AND COMMUNITY NURSES WORK TOGETHER TO PUT ON VARIOUS FLU CLINICS TO PROVIDE ANNUAL FLU SHOTS TO MEMBERS OF THE COMMUNITY. ERHC PROVIDES A SMOKING CESSATION PROGRAM TO THE PUBLIC FOR THOSE WHO ARE TRYING TO QUIT SMOKING. ERHC HAS A CRNP THAT GOES INTO THE LOCAL SCHOOLS EACH YEAR TO EDUCATE STUDENTS ABOUT GOOD HYGIENE AND HEALTH ISSUES ASSOCIATED WITH ADOLESCENCE. THE ORGANIZATION ALSO PROVIDES FREE SPORTS PHYSICALS FOR THE LOCAL YOUTH FOOTBALL TEAM. THE AFFILIATED HEALTH CARE SYSTEM INCLUDES THE COMMUNITY NURSES, INC. AND SUBSIDIARIES, ELK REGIONAL PROFESSIONAL GROUP, INC., ELK REGIONAL HEALTH CENTER AUXILIARY, INC., ELCO HOUSING, INC., AND ELK REGIONAL HEALTH CENTER FOUNDATION. IN OCTOBER 2012, THE ELK ENTITIES SIGNED AN AFFILIATION AGREEMENT EFFECTIVE JULY 1, 2013, WITH PENN HIGHLANDS HEALTHCARE, A PENNSYLVANIA NONPROFIT CORPORATION (PENN HIGHLANDS). PENN HIGHLANDS BECAME THE SOLE MEMBER OF ERHC. THIS AFFILIATION EXPANDS TO INCLUDE RELATIONSHIPS WITH ADDITIONAL PENNSYLVANIA NOT-FOR-PROFIT HOSPITALS INCLUDING DUBOIS REGIONAL MEDICAL CENTER LOCATED IN DUBOIS, PA, BROOKVILLE HOSPITAL LOCATED IN BROOKVILLE, PA, AND CLEARFIELD HOSPITAL LOCATED IN CLEARFIELD, PA, AS WELL AS THEIR SUBSIDIARY ORGANIZATIONS.

Operating expenses	$ 63,330,118
Total amount spent on community benefits as % of operating expenses	$ 4,403,513 6.95 %