Community Benefit Insight - Tax-exempt hospital

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Brookville Hospital

Brookville Hospital

100 Hospital Road
Brookville, PA 15825

Bed count	35	Medicare provider number	391312	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 250984595

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

5.04%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 185,679 0.56 %
Medicaid as % of operating expenses	$ 1,470,234 4.42 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 22,148 0.07 %
Subsidized health services as % of operating expenses	$ 0 0 %
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.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
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: 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	$ 1,001,737 3.01 %
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?	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	$ 144,250 14.40 %

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: 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

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 $ 22551637 including grants of $ 0) (Revenue $ 27016459)
BROOKVILLE HOSPITAL PROVIDES A WIDE VARIETY OF OUTPATIENT SERVICES TO THE COMMUNITY. THE 24-HOUR PHYSICIAN-STAFFED EMERGENCY DEPARTMENT PROVIDED OVER 8,200 VISITS THIS YEAR. THERE ARE 3 FAMILY PRACTICE RURAL HEALTH CLINICS, A UROLOGY PRACTICE, A GENERAL SURGERY PRACTICE, A FAMILY HEALTH CLINIC AND A Q-CARE WALK IN CLINIC THAT HAD OVER 37,000 VISITS. OTHER SERVICES INCLUDE OUTPATIENT PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, GENERAL RADIOLOGY, CAT SCAN, MRI, PET, ULTRASOUND, NUCLEAR MEDICINE, CARDIOLOGY, LABORATORY SERVICES, PAIN CLINIC, AND OUTPATIENT PSYCH SERVICES. OUR SURGEONS PERFORMED 1,487 SURGERIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

4B (Expenses $ 5475246 including grants of $ 0) (Revenue $ 6559247)
BROOKVILLE HOSPITAL IS A 35 BED HOSPITAL THAT PROVIDED INPATIENT SERVICES TO OVER 624 PATIENTS THIS YEAR. INPATIENT SERVICES INCLUDED TREATMENTS FOR BOTH MEDICAL AND SURGICAL PATIENTS. MANY O OUR PATIENTS WERE TREATED IN THE GERO-PSYCHIATRIC UNIT OF THE HOSPITAL. THIS UNIT SPECIALIZES IN PSYCHIATRIC DISORDERS FOR PATIENTS OVER THE AGE OF 55.

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 BROOKVILLE HOSPITAL 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 BROOKVILLE HOSPITAL 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: THE CHNA WAS CONDUCTED ALONG WITH DUBOIS REGIONAL MEDICAL CENTER, TYRONE HOSPITAL, JC BLAIR MEMORIAL HOSPITAL, CLEARFIELD HOSPITAL, AND ELK REGIONAL HEALTH CENTER, RELATED ORGANIZATIONS.

SCHEDULE H, PART V, SECTION B, LINE 7D
WEBSITE WHERE CHNA IS AVAILABLE: WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

SCHEDULE H, PART V, SECTION B, LINE 10A
WEBSITE WHERE IMPLEMENTATION STRATEGY IS AVAILABLE: HTTPS://WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESS MENT

SCHEDULE H, PART V, SECTION B, LINE 11
ADDRESSING IDENTIFIED NEEDS: PENN HIGHLANDS HEALTHCARE AND EACH OF ITS HOSPITALS PROVIDES AN ARRAY OF SERVICES, ASSISTANCE, AND PROGRAMS IN A COMBINED EFFORT TO ADDRESS THE NEEDS OF THE REGION. THE EXECUTION OF SERVICES AND PROGRAMS AT PENN HIGHLANDS BROOKVILLE FOCUSES ON PROVIDING HIGH-QUALITY CARE AND AMENITIES TO IMPROVE OVERALL COMMUNITY HEALTH, SOLIDIFY RELATIONSHIPS WITH COMMUNITY BASED ORGANIZATIONS, COLLECT COMMUNITY FEEDBACK, AND CONTINUALLY EVALUATE THE HOSPITAL'S STRATEGIES. PENN HIGHLANDS HEALTHCARE'S COMMUNITY HEALTH INITIATIVES IN CONJUNCTION WITH LOCAL COMMUNITY ORGANIZATIONS HAVE A UNIFIED STRENGTH TO IMPROVE THE HEALTH AND HEALTH EQUITY OF COMMUNITY MEMBERS, IN PARTICULAR THE UNDERSERVED, DISENFRANCHISED, LOW-INCOME, UNDERSERVED, AND VULNERABLE POPULATIONS. PENN HIGHLANDS BROOKVILLE LISTENS TO COMMUNITY CONCERNS, ANALYZES HEALTHCARE UTILIZATION AND COSTS, EXPLORES ACCESS ISSUES, COLLABORATES WITH AND DEVELOPS EFFECTIVE PROGRAMS TO IMPROVE THE HEALTH OF THOSE IN THIS PORTION OF WEST CENTRAL PENNSYLVANIA. BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS AND THE PRIORITIZED NEEDS, THREE COMMUNITY NEEDS WILL BE ADDRESSED AND FURTHER EXPLORED. DESPITE MANY CHALLENGES FACING A RURAL, CRITICAL ACCESS HOSPITAL, PENN HIGHLANDS BROOKVILLE, IN COLLABORATION WITH OTHER PARTNERS IN OUR REGION, MADE STRIDES TO MEET MANY OF THE COMMUNITY NEEDS. OF THE IDENTIFIED CHNA AND PRIORITIZED HEALTH NEEDS, PENN HIGHLANDS BROOKVILLE FOCUSED ON THREE OF THE COMMUNITY NEEDS: ACCESS TO CARE, BEHAVIORAL HEALTH (MENTAL AND SUBSTANCE ABUSE), AND CHRONIC DISEASES. ACCESS TO CARE: PENN HIGHLANDS BROOKVILLE'S 2021 CHNA IDENTIFIED ACCESS TO CARE, IN PARTICULAR THE LACK OF PRIMARY CARE PHYSICIANS/SPECIALIST AND SPECIALTY CARE, AS NEEDS IN THE COMMUNITY. THE PRIORITY STRATEGIES WILL FOCUS ON THE HOSPITAL'S EFFORTS TO IMPROVE ACCESS TO CARE TO THOSE IN REGION. ACCESS TO CARE, IN PARTICULAR PRIMARY CARE AND SPECIALTY CARE IS IMPORTANT TO RESIDENTS IN ORDER TO MANAGE THEIR HEALTH, RECEIVE TREATMENTS, AND TAKE PREVENTATIVE MEASURES. ACCESS TO CARE TENDS TO INCLUDE INSURANCE COVERAGE, LACK OF HEALTH SERVICES, AND TIMELINESS OF CARE. IT CAN ALSO INCLUDE HIGH COST OF SERVICES, TRANSPORTATION ISSUES, AND AVAILABILITY OF PROVIDERS. PENN HIGHLANDS BROOKVILLE WILL SPECIFICALLY ADDRESS ACCESS TO CARE EMPHASIZING THE NEED FOR ADDITIONAL PRIMARY AND SPECIALTY PHYSICIANS AND SPECIALTY SERVICES SUCH AS CANCER. STRATEGIES AND PLANS RELATED TO CANCER WILL BE ADDRESSED AT THE SYSTEM LEVEL WITH INVOLVEMENT FROM ALL PHH FACILITIES. IT IS IMPORTANT TO NOTE THAT ACCESS TO CARE HAS BEEN A PRIORITY FOR PENN HIGHLANDS HEALTHCARE FOR MANY YEARS, INCLUDING THE PREVIOUS CHNA AND IMPLEMENTATION PLAN. TWO HEALTH PRIORITY STRATEGIES THAT WILL NO LONGER BE COMPLETED/TRACKED BY PENN HIGHLANDS BROOKVILLE HOSPITAL IN THIS IMPLEMENTATION STRATEGY PLAN FALLS UNDER THE COMMUNITY HEALTH NEED, ACCESS TO CARE. PENN HIGHLANDS BROOKVILLE DOES NOT HAVE THE RESOURCES OR PROFESSIONAL STAFF REQUIRED TO ADEQUATELY ENGAGE WITH COMMUNITY PARTNERS AT HEALTH FAIRS AND SCHOOL DISTRICT FUNCTIONS. PENN HIGHLANDS BROOKVILLE ALSO DOES NOT HAVE THE RESOURCES TO INCREASE/IMPROVE THE NUMBER OF RESIDENTS TO RECEIVE CARE AT THE CARE FACILITIES. HOSPITAL-BASED STAFF MEMBERS ARE DEEPLY INVOLVED WITH THE DEVELOPMENT OF THE IMPLEMENTATION STRATEGY PLAN AND WILL BE ALERTED TO ADDITIONAL OPPORTUNITIES AND PROSPECTS TO COLLABORATE WITH OTHER COMMUNITY AGENCIES WHOSE MISSION IS TO IMPROVE ACCESS TO CARE AND DIMINISH/REMOVE BARRIERS RELATED TO OVERALL HEALTH ACCESSIBILITY. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE): BEHAVIORAL HEALTH, WHICH INCLUDES MENTAL HEALTH AND SUBSTANCE ABUSE, AFFECTS FAMILIES AND INDIVIDUALS THROUGHOUT THE UNITED STATES, AND THE PENN HIGHLANDS HEALTHCARE SERVICE AREA IS NO EXCEPTION. THE DISEASE AND THE NUMBER OF RESIDENTS DIAGNOSED WITH THE DISEASE CONTINUE TO GROW EXPONENTIALLY. ALONG WITH THE GROWTH, THE NEEDS FOR MENTAL HEALTH SERVICES AND SUBSTANCE ABUSE PROGRAMS HAVE NOT DIMINISHED. MENTAL HEALTH IS AN IMPORTANT PART OF OVERALL HEALTH AND WELL-BEING. MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING. IT AFFECTS HOW WE THINK, FEEL, AND ACT. MENTAL HEALTH ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE HEALTHY CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD. THE USE OF DRUGS AND ALCOHOL IS INCREASING. SUBSTANCE ABUSE IS OFTEN INTERTWINED WITH THOSE WHO ALSO HAVE A MENTAL HEALTH ILLNESS. IT IS IMPORTANT TO NOTE THAT THESE CONDITIONS HAVE BEEN A PRIORITY FOR PENN HIGHLANDS HEALTHCARE FOR MANY YEARS, INCLUDING THE PREVIOUS CHNA AND IMPLEMENTATION PLAN. DUE TO PENN HIGHLANDS HEALTHCARE HAVING ITS OWN DEDICATED BEHAVIORAL HEALTH DEPARTMENT, THE IMPLEMENTATION STRATEGY PLAN WILL BE ADDRESSED FROM A SYSTEM PERSPECTIVE. THE HOSPITAL PLANS TO ADDRESS BARRIERS THAT IMPEDE THE ABILITY TO MEET THE ASSESSMENT AND TREATMENT DEMAND, IDENTIFY AVAILABLE TRANSPORTATION TO TREATMENT, DEVELOP A LIST OF HOSPITAL DETOX BEDS AND REHABS IN THE AREA, AND EDUCATE THE STAFF ON DRUG TRENDS AND TREATMENT. CHRONIC DISEASES/CONDITIONS: BROADLY DEFINED, CHRONIC CONDITIONS ARE CONDITIONS THAT LAST MORE THAN ONE YEAR AND REQUIRE ONGOING MEDICAL ATTENTION OR LIMIT DAILY ACTIVITIES. HEART DISEASE, CANCER, AND DIABETES ARE LEADING CAUSES OF DEATH AND DISABILITY IN THE UNITED STATES. THE ENGAGEMENT OF HEALTHY BEHAVIORS AND POSITIVE HABITS SUCH AS REGULAR PHYSICAL ACTIVITY, GETTING ADEQUATE AMOUNTS OF SLEEP, EATING/FOLLOWING A HEALTHY DIET, AND ELIMINATING THE USE OF TOBACCO AND ALCOHOL CAN SIGNIFICANTLY REDUCE DISEASE AND IMPROVE ONE'S QUALITY OF LIFE. LIVING A HEALTHY LIFESTYLE IS ESSENTIAL TO ADDRESSING A SPECIFIC HEALTH PROBLEM OR MAINTAINING ONE'S HEALTH, AND IT REDUCES THE LIKELIHOOD TO BE DIAGNOSED WITH A CHRONIC DISEASE. PENN HIGHLANDS BROOKVILLE IS COMMITTED TO ADDRESSING THE COMMUNITIES' NEEDS TO IMPROVING HEALTH EQUITY, HEALTHY BEHAVIORS, AND HEALTH OUTCOMES. UNDER THE UMBRELLA OF CHRONIC DISEASES/CONDITIONS, SOCIAL DETERMINANTS OF HEALTH PLAY A SIGNIFICANT ROLE INTO THE HEALTH BEHAVIORS AND HEALTH OUTCOMES OF RESIDENTS. PENN HIGHLANDS BROOKVILLE ADDRESSES SOCIOECONOMIC CONCERNS THROUGH A VARIETY OF FACETS SUCH AS EMPLOYEES TRAINING FOR INCLUSION AND DIVERSITY (HEALTH EQUITY), EMPLOYMENT OF RESIDENTS TO HOSPITAL WORK FORCE, IN-KIND DONATIONS, AND MENTORING OPPORTUNITIES. PENN HIGHLANDS BROOKVILLE'S HEALTH NEEDS ARE MULTIDIMENSIONAL, INVOLVING BOTH HEALTH AND SOCIOECONOMIC ISSUES. AS A LARGE COMMUNITY HEALTH NEED, PENN HIGHLANDS BROOKVILLE IDENTIFIED CHRONIC DISEASES/CONDITIONS (E.G., DIABETES, CHRONIC OBSTRUCTIVE PULMONARY DISEASES, HIGH BLOOD PRESSURE) AS PREVALENT IN THE COMMUNITY. IT IS IMPORTANT TO NOTE THAT THESE CONDITIONS HAVE BEEN A PRIORITY FOR PENN HIGHLANDS HEALTHCARE FOR MANY YEARS, INCLUDING THE PREVIOUS CHNA AND IMPLEMENTATION STRATEGY PLAN. THE FOLLOWING TABLE IS PENN HIGHLANDS BROOKVILLE'S PLAN TO ADDRESS THE ISSUE OF CHRONIC DISEASES/CONDITIONS IN COMMUNITY. THE HOSPITAL WILL EXPAND AWARENESS AND SERVICES TO PROMOTE PREVENTATIVE HEALTH AND WELLNESS THROUGHOUT THE COMMUNITY. THE HOSPITAL WITH EXPAND DIABETES AND NUTRITION EDUCATION SERVICES AND CREATE EDUCATION MATERIALS.

SCHEDULE H, PART VI, SECTION B, LINES 16A, 16B, & 16C
FAP APPLICATION & PLAIN LANGUAGE SUMMARY: 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.

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 EQUALS TOTAL OPERATING EXPENSES PER PART OF IX, LINE 25 OF THE FORM 990.

SCHEDULE H, PART I, LINE 7
COSTING METHODOLOGY: THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS OF IRS WORKSHEETS 1 AND 3.

SCHEDULE H, PART III, SECTION A, LINE 2
BAD DEBT EXPENSE: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2022. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.

SCHEDULE H, PART III, SECTION A, LINE 3
BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE U.S. CENSUS BUREAU. THE MOST RECENT US CENSUS BUREAU INDICATES THAT 14.4 PERCENT OF JEFFERSON COUNTY WAS CONSIDERED TO LIVE IN POVERTY.

SCHEDULE H, PART III, SECTION A, LINE 4
"BAD DEBT EXPENSE FOOTNOTE: THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND ON PAGE 19 OF THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED ""PATIENT ACCOUNTS RECEIVABLE."""

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: THE HOSPITAL OFFERS FREE AND DISCOUNTED CHARITY CARE TO THOSE PATIENTS WHO QUALIFY. A PATIENT WITH FAMILY INCOME AT OR BELOW 200% OF SCHEDULE A OF THE POVERTY GUIDELINES, OR BELOW THIS LEVEL DUE TO MEDICAL INDIGENCY, IS ELIGIBLE TO RECEIVE FREE MEDICAL SERVICES. DISCOUNTED SERVICES ARE OFFERED TO PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 300% OF SCHEDULE A OF THE POVERTY GUIDELINES.

SCHEDULE H, PART VI, LINE 2
NEEDS ASSESSMENT: THE HOSPITAL COLLECTS DATA ON AN ONGOING BASIS REGARDING PATIENTS WHO TRAVEL TO OUTLYING AREAS FOR SERVICES NOT OFFERED BY PENN HIGHLANDS BROOKVILLE. BASED ON THIS DATA, SERVICES ARE ADDED AND IMPROVED UPON IN ORDER TO SERVE THE NEEDS OF THE COMMUNITY AS EFFECTIVELY AND EFFICIENTLY AS POSSIBLE. PH BROOKVILLE ROUTINELY SENDS PATIENT SATISFACTION SURVEYS TO THOSE RECEIVING MEDICAL SERVICES. THESE SURVEYS ALLOW PATIENTS TO OFFER SUGGESTIONS REGARDING HOW THE HOSPITAL COULD BETTER SERVE PATIENTS AND THE COMMUNITY AS A WHOLE. PH BROOKVILLE OFFERS A VARIETY OF EDUCATION PROGRAMS THAT ALLOW EMPLOYEES TO INTERACT ON A ONE-ON-ONE BASIS WITH THE RESIDENTS OF THE COMMUNITY AS A WHOLE. IN ADDITION, THE MEDICAL STAFF OF THE HOSPITAL CONSISTENTLY PARTICIPATES IN RESEARCH AND CONTINUING EDUCATION. THIS KNOWLEDGE ALLOWS THE HOSPITAL TO REMAIN UPDATED ON THE LATEST MEDICAL NEWS AND TECHNIQUES IN ORDER TO OFFER PATIENTS THE HIGHEST AND MOST INNOVATIVE LEVELS OF CARE. PENN HIGHLANDS HIRED AN OUTSIDE FIRM TO ASSIST WITH CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT. THE CONTRACTOR GATHERED SECONDARY DATA IN JEFFERSON AND SURROUNDING COUNTIES, CONDUCTED VARIOUS FOCUS GROUPS WITH KEY AUDIENCES AND USERS OF HEALTHCARE AND SOCIAL SERVICES TO IDENTIFY AREAS FOR PERSPECTIVE IMPROVEMENT WITHIN THE COMMUNITY. THE CONTRACTOR HAS DEVELOPED A MASTER PLAN OF INITIATIVES FOR PH BROOKVILLE WHICH HAS BEEN POSTED ON THE HOSPITAL'S WEBSITE.

SCHEDULE H, PART VI, LINE 3
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: INFORMATION IS POSTED AT REGISTRATION AREA AND IN WAITING AREAS. SELF PAY PATIENTS ARE GIVEN INFORMATION WITH THE FIRST BILL. THE CARE MANAGEMENT DEPARTMENT WORKS WITH ALL INPATIENTS AND WITH OUTPATIENTS AS NEEDED/REQUESTED.

SCHEDULE H, PART VI, LINE 4
COMMUNITY INFORMATION: BROOKVILLE HOSPITAL SERVES BROOKVILLE AND THE SURROUNDING COMMUNITIES. THE SERVICE AREA EXTENDS NORTH TO MARIENVILLE AND SOUTH TO NEW BETHLEHEM, AND INCLUDES JEFFERSON COUNTY, FOREST COUNTY AND CLARION COUNTY. THIS SERVICE AREA IS IN A RURAL PART OF WESTERN PENNSYLVANIA, WITH MANY RESIDENTS LIVING BELOW OR WELL BELOW THE NATIONAL AND STATE INCOME AVERAGE. ACCORDING TO THE US CENSUS BUREAU'S MOST RECENT DATA, APPROXIMATELY 15 PERCENT OF INDIVIDUALS LIVING IN THIS AREA WERE CONSIDERED TO LIVE IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS APPROXIMATELY $38,500. FROM THE RECENTLY COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENT, THE SERVICE AREA INCLUDES 22% OF UNINSURED ADULTS, 7.8% OF CHILDREN WHO ARE UNINSURED. UNEMPLOYMENT RATES FOR CLEARFIELD AND JEFFERSON COUNTY WERE JUST OVER 8%. THE MEDIAN AGE OF THE POPULATION IS ABOUT 42, WITH ABOUT 18% 65 AND OVER. CLEARFIELD COUNTY HAS A 45.9% URBAN POPULATION, WHILE JEFFERSON HAS A 33.8% URBAN POPULATION.

SCHEDULE H, PART VI, LINE 5
PROMOTION OF COMMUNITY HEALTH: BROOKVILLE HOSPITAL PARTICIPATES IN AND PROVIDES MANY HEALTH FAIR AND COUNSELING OPPORTUNITIES THROUGHOUT THE YEAR, INCLUDING THOSE ASSOCIATED WITH MENTAL HEALTH, DIABETES, NUTRITION AND WEIGHT MANAGEMENT. ALSO, THE ORGANIZATION WORKS TO PROMOTE LEARNING THROUGH THE MEDICAL EXPLORERS PROGRAM AND LOCAL CAREER DAYS.

SCHEDULE H, PART VI, LINE 6
AFFILIATED HEALTH CARE SYSTEM: BROOKVILLE HOSPITAL IS A SUBSIDIARY OF DUBOIS REGIONAL MEDICAL CENTER (DRMC). DRMC HAS AN AFFILIATION AGREEMENT WITH CLEARFIELD HOSPITAL, ELK REGIONAL HEALTH CENTER, TYRONE HOSPITAL AND HUNTINGDON HOSPITAL. THESE ORGANIZATIONS ARE OVERSEEN BY PENN HIGHLANDS HEALTHCARE, THE PARENT AND SOLE MEMBER OF DRMC, CLEARFIELD HOSPITAL, ELK REGIONAL HEALTH CENTER, TYRONE HOSPITAL, HIGHLANDS HOSPITAL, AND JC BLAIR MEMORIAL HOSPITAL.

Operating expenses	$ 33,273,188
Total amount spent on community benefits as % of operating expenses	$ 1,678,061 5.04 %