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PENN HIGHLANDS HEALTHCARE: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
PENN HIGHLANDS HEALTHCARE (EIN 32-0345810)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202231369349308883
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-16T14:30:39-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN320345810EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PENN HIGHLANDS HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% BRIAN S KLINE CFO PH DUBOInCareOfNm
Business Name ControlPENNBusinessNameControlTxt
Phone8143756432PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 447AddressLine1Txt
CityDUBOISCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN M FONTAINEPersonNm
Person TitleCEOPersonTitleTxt
Phone8143756432PhoneNum
Signature2022-05-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSTEVEN MPersonFirstNm
Person LastFONTAINEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian D ToddPreparerPersonNm
PTINP00422601PTIN
Phone4178658701PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVEN FONTAINE CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 447 100 HOSPITAL AVEAddressLine1Txt
CityDUBOISCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$81,691,009GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PHHEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionPENN HIGHLANDS HEALTHCARE IS A COMMUNITY-BASED AND CONTROLLED HEALTH CARE SYSTEM THAT EXISTS TO IMPROVE REGIONAL ACCESS TO QUALITY HEALTHCARE.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee415TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$8,633,495CYContributionsGrantsAmt
PY Program Service Revenue$58,832,066PYProgramServiceRevenueAmt
CY Program Service Revenue$72,991,133CYProgramServiceRevenueAmt
PY Investment Income$126,970PYInvestmentIncomeAmt
CY Investment Income$38,529CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue-$12,502CYOtherRevenueAmt
PY Total Revenue$58,959,036PYTotalRevenueAmt
CY Total Revenue$81,650,655CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$32,372,912PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,403,590CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$28,659,821PYOtherExpensesAmt
CY Other Expenses$32,859,533CYOtherExpensesAmt
PY Total Expenses$61,032,733PYTotalExpensesAmt
CY Total Expenses$73,263,123CYTotalExpensesAmt
PY Revenues Less Expenses-$2,073,697PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,387,532CYRevenuesLessExpensesAmt
Total Assets BOY$62,053,076TotalAssetsBOYAmt
Total Assets EOY$174,985,367TotalAssetsEOYAmt
Total Liabilities BOY$30,046,450TotalLiabilitiesBOYAmt
Total Liabilities EOY$134,591,209TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$32,006,626NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$40,394,158NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR COMMUNITY-BASED AND CONTROLLED HEALTH CARE SYSTEM EXISTS TO IMPROVE REGIONAL ACCESS TO A WIDE ARRAY OF PREMIER PRIMARY CARE AND ADVANCED HEALTH SERVICES WHILE SUPPORTING A REVERENCE FOR LIFE AND THE WORTH AND DIGNITY OF EACH INDIVIDUAL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$64,066,159ExpenseAmt
Revenue$72,991,133RevenueAmt
DescPENN HIGHLANDS HEALTHCARE WAS FORMED IN CONJUNCTION WITH THE AFFILIATION OF DUBOIS REGIONAL MEDICAL CENTER AND ITS AFFILIATED ENTITIES INCLUDING BROOKVILLE HOSPITAL AND ITS AFFILIATED ENTITIES, CLEARFIELD HOSPITAL AND ITS AFFILIATED ENTITIES, JC BLAIR MEMORIAL HOSPITAL AND ITS AFFILIATED ENTITIES AND ELK REGIONAL HOSPITAL AND ITS AFFILIATED ENTITIES AND TYRONE HOSPITAL AND IT'S AFFILIATED ENTITIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Desc
Total Program Service Expenses$64,066,159TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document55IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee415EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRIAN S KLINE CFO PH DUBOPersonNm
Phone8143756377PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 447 100 HOSPITAL AVENUEAddressLine1Txt
CityDUBOISCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15801ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVE FONTAINE
CEO40.05.0Yes (X)Yes (X)$1,193,659$0$36,784
HAZEM ELKASSAS
TRUSTEE2.040.0Yes (X)$792,381$0$16,164
DR RUSSELL CAMERON
CHIEF MEDICAL OFFICER40.05.0Yes (X)Yes (X)$628,083$0$59,174
MARK NORMAN
CHIEF OPERATING OFFR/TRUSTEE40.05.0Yes (X)Yes (X)$523,813$0$50,827
THOMAS CARNEVALE
TRUSTEE2.02.0Yes (X)$448,718$0$16,986
HEATHER SCHNEIDER
CFO40.05.0Yes (X)$421,819$0$20,134
ISTIKRAM QADERI
CHIEF QUALITY OFFICER40.05.0$358,189$0$20,134Yes (X)
ROSE CAMPBELL
CHIEF NURSING OFFICER40.05.0$337,673$0$16,986Yes (X)
GREG BAUER
BUSINESS DEVELOPMENT OFFICER40.02.0$313,247$0$20,763Yes (X)
BRYAN FREDRICK
VP PHYSICIAN NETWORK40.05.0$298,466$0$17,248Yes (X)
JOSEPH MYERS
PRESIDENT - PENN HIGHLANDS HUN5.040.0$272,804$0$20,134Yes (X)
JAKE MAIJALA
CHIEF HUMAN RESOURCE OFFICER40.02.0$259,533$0$12,123Yes (X)
THOMAS JOHNSON
VP - MIS40.05.0$244,480$0$11,210Yes (X)
AARON DVALLANCE
DIRECTOR - SURGICAL SERVICES5.040.0$191,068$0$26,663Yes (X)
JOHN BRUYERE
VICE PRESIDENT - REVENUE CYCLE5.040.0$196,954$0$4,656Yes (X)
CLOYD GEEDEY
VP SUPPLY CHAIN MGMT40.02.0$173,219$0$20,134Yes (X)
LAURIE MCDONALD
CFO - PENN HIGHLANDS ELK5.040.0$161,036$0$15,101Yes (X)
FRANCIS IORFIDO
DIRECTOR - PHARMACY5.040.0$165,746$0$5,662Yes (X)
JAMES DEVLIN MD
TRUSTEE2.040.0Yes (X)$0$139,450$0
RICHARD BEDGER MD
SECRETARY40.00.0Yes (X)Yes (X)$100,141$0$0
RICHARD PFINGSTLER
CHAIRMAN5.00.0Yes (X)Yes (X)$0$0$0
ROBERT ORDIWAY
VICE CHAIRMAN5.00.0Yes (X)Yes (X)$0$0$0
JOANNE RYAN
TREASURER2.00.0Yes (X)Yes (X)$0$0$0
GREGORY ROSCOE MD
TRUSTEE2.00.0Yes (X)$0$0$0
JIM RYAN
TRUSTEE2.00.0Yes (X)$0$0$0
DAVID LEZZER
TRUSTEE2.00.0Yes (X)$0$0$0
ROB O'LEARY
TRUSTEE2.00.0Yes (X)$0$0$0
TODD STOLTZ
TRUSTEE2.00.0Yes (X)$0$0$0
FRED PRICE
TRUSTEE2.00.0Yes (X)$0$0$0
SCOTT FORADORA
TRUSTEE BEGIN 7/20202.00.0Yes (X)$0$0$0
TODD LEWIS
TRUSTEE BEGIN 2/20212.00.0Yes (X)$0$0$0
WILLIAM YOUNG
TRUSTEE2.02.0Yes (X)$0$0$0
TODD MILLER
TRUSTEE2.00.0Yes (X)$0$0$0
DAVE NEDZINSKI
TRUSTEE2.02.0Yes (X)$0$0$0
ARTHUR DECAMP
TRUSTEE2.02.0Yes (X)$0$0$0
KELLY WIKE
TRUSTEE BEGIN 11/20202.02.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,081,029TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$139,450TotReportableCompRltdOrgAmt
Total Other Compensation$390,883TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K40IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BKD LLP
7901 WOODWAY DRIVEWACOTX76712AUDIT/TAX/CONSULTING$1,011,960
MCNEES WALLACE NURICK
100 PINE STREETHARRISBURGPA17108LEGAL SERVICES$364,441
MEDDATA
2100 REXFORD ROADCHARLOTTENC28211SOFTWARE$263,673
MISSION SEARCH
2203 N LOIS AVETAMPAFL33602STAFFING SERVICES$236,197
WHITAKER WHITAKER LLC
91 TREASURE LAKEDUBOISPA15801CARRIER SERVICES$805,308
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Fundraising$101,089FundraisingAmt
Related Organizations$7,906,943RelatedOrganizationsAmt
Government Grants$625,463GovernmentGrantsAmt
Total Contributions$8,633,495TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescManagement ServicesDesc
Business541611BusinessCd
Total Revenue Column$72,991,133TotalRevenueColumnAmt
Related Or Exempt Func Income$72,991,133RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$72,991,133TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,529TotalRevenueColumnAmt
Exclusion$38,529ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$27,852FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$101,089ContriRptFundraisingEventAmt
Fundraising Direct Expenses$40,354FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$12,502TotalRevenueColumnAmt
Exclusion-$12,502ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,650,655TotalRevenueColumnAmt
Related Or Exempt Func Income$72,991,133RelatedOrExemptFuncIncomeAmt
Exclusion$26,027ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,393,307TotalAmt
Program Services$2,019,459ProgramServicesAmt
Management And General$3,373,848ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,547,540TotalAmt
Program Services$26,767,277ProgramServicesAmt
Management And General$780,263ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,045,614TotalAmt
Program Services$942,879ProgramServicesAmt
Management And General$102,735ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,454,596TotalAmt
Program Services$4,129,550ProgramServicesAmt
Management And General$325,046ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,962,533TotalAmt
Program Services$1,769,707ProgramServicesAmt
Management And General$192,826ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$886,605TotalAmt
Management And General$886,605ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$446,786TotalAmt
Management And General$446,786ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,273,711TotalAmt
Program Services$9,264,282ProgramServicesAmt
Management And General$1,009,429ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$912,014TotalAmt
Program Services$822,405ProgramServicesAmt
Management And General$89,609ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,981,029TotalAmt
Program Services$3,598,581ProgramServicesAmt
Management And General$382,448ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$142,305TotalAmt
Program Services$128,323ProgramServicesAmt
Management And General$13,982ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$114,060TotalAmt
Program Services$102,853ProgramServicesAmt
Management And General$11,207ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$79,507TotalAmt
Program Services$71,695ProgramServicesAmt
Management And General$7,812ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$21,023TotalAmt
Program Services$18,957ProgramServicesAmt
Management And General$2,066ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$358,992TotalAmt
Program Services$323,720ProgramServicesAmt
Management And General$35,272ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,370,086TotalAmt
Program Services$1,235,470ProgramServicesAmt
Management And General$134,616ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE$13,810,918$12,453,946$1,356,972
RECRUITING & RETENTION$252,204$227,424$24,780
LICENSES, DUES, SUBSCRIPTIONS$210,293$189,631$20,662

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$73,263,123TotalAmt
Program Services$64,066,159ProgramServicesAmt
Management And General$9,196,964ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,493,797BOYAmt
EOY$3,139,789EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,309,461BOYAmt
EOY$75,831,724EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$75BOYAmt
EOY$633,247EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$19,313,100EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,699,722BOYAmt
EOY$3,075,849EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,236,264LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$537,214LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$230,848BOYAmt
EOY$3,699,050EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$33,233,175BOYAmt
EOY$41,390,118EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,085,998BOYAmt
EOY$27,902,490EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$62,053,076BOYAmt
EOY$174,985,367EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,319,485BOYAmt
EOY$35,855,539EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,575,000BOYAmt
EOY$69,757,957EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,151,965BOYAmt
EOY$28,977,713EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,046,450BOYAmt
EOY$134,591,209EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,202,001BOYAmt
EOY$35,233,349EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,804,625BOYAmt
EOY$5,160,809EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,006,626BOYAmt
EOY$40,394,158EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$62,053,076BOYAmt
EOY$174,985,367EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,387,532ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations7SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (7 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
DUBOIS REGIONAL MEDICAL CENTER
2514907073Yes (true)$0$0
CLEARFIELD HOSPITAL
2509793463Yes (true)$0$0
BROOKVILLE HOSPITAL
2509845953Yes (true)$0$0
ELK REGIONAL HEALTH CENTER
2505852803Yes (true)$0$0
JC BLAIR MEMORIAL HOSPITAL
2313521593Yes (true)$0$0
JEFFCO HEALTH SERVICES INC
25150547810Yes (true)$0$0
TYRONE HOSPITAL
2314401163Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total7SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgYes (true)OrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (true)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (true)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (true)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Activities TestYes (X)ActivitiesTestInd
Parent Supported OrgYes (X)ParentSupportedOrgInd
Activities Further Exempt PrpsYes (true)ActivitiesFurtherExemptPrpsInd
Activities Engaged Org InvlmntYes (true)ActivitiesEngagedOrgInvlmntInd
Appoint Elect Majority OfficerYes (true)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (true)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART IV, SECTION A, LINE 5AADDITION, SUBSTITUTION OR REMOVAL OF SUPPORTED ORGANIZATION: TYRONE HOSPITAL EIN: 23-1440116 WAS ADDED AS A SUPPORTED ORGANIZATION DURING THE TAX YEAR WHEN PENN HIGHLANDS HEALTHCARE BECAME THE SOLE MEMBER OF TYRONE HOSPITAL. AS A RESULT OF THE ACQUISITION, PHH WILL HAVE AN OPPORTUNITY TO EXPAND ITS SERVICE AREA TO INCLUDE SEVERAL COUNTIES ADJACENT TO THOSE IT CURRENTLY SERVES. PHH ALSO EXPECTS TO ACHIEVE COST SAVINGS THROUGH ELIMINATION OF CERTAIN DUPLICATIVE ADMINISTRATIVE AND OTHER FUNCTIONS. PHH, OPERATING UNDER THE POWERS LISTED IN ITS BYLAWS, HAS THE AUTHORITY TO ENTER INTO A MERGER OR CONSOLIDATION. AN AFFILIATION AGREEMENT WAS EXECUTED BETWEEN PENN HIGHLANDS HEALTHCARE AND TYRONE HOSPITAL THROUGH AN AMENDMENT TO THE BYLAWS.
SCHEDULE A, PART IV, SECTION D, LINE 3SIGNIFICANT VOICE: THE BOARD IS COMPRISED OF INDIVIDUALS APPROVED BY RELATED TAX-EXEMPT ORGANIZATIONS PENN HIGHLANDS DUBOIS, PENN HIGHLANDS CLEARFIELD, PENN HIGHLANDS BROOKVILLE, PENN HIGHLANDS HUNTINGDON, PENN HIGHLANDS JEFFERSON MANOR, PENN HIGHLANDS ELK AND PENN HIGHLANDS TYRONE. THEREFORE, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN ALL ACTIVITIES INCLUDING INVESTMENT POLICIES AND DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND ASSETS.
SCHEDULE A, PART IV, SECTION E, LINE 2A & 2BMANAGEMENT SERVICES PROVIDED: PENN HIGHLANDS HEALTHCARE PROVIDED SEVERAL MANAGEMENT SERVICES INCLUDING HR, PAYROLL, IT, DEVELOPMENT, RECRUITMENT, COMPLIANCE, SUPPLY CHAIN, ADVERTISING AND OTHER SERVICES TO THE HOSPITALS IN THE PENN HIGHLANDS HEALTHCARE SYSTEM INCLUDING PENN HIGHLANDS DUBOIS, PENN HIGHLANDS ELK, PENN HIGHLANDS CLEARFIELD, PENN HIGHLANDS HUNTINGDON, PENN HIGHLANDS JEFFERSON MANOR, PENN HIGHLANDS BROOKVILLE AND PENN HIGHLANDS TYRONE. EACH INDIVIDUAL HOSPITAL WOULD NEED TO PAY FOR THESE COSTS IF THE PARENT COMPANY DIDN'T PROVIDE THEM.
SCHEDULE A, PART IV, SECTION E, LINE 3APARENT OF SUPPORTED ORGANIZATION: PENN HIGHLANDS HEALTHCARE ELECTS THE GOVERNING BODIES OF ALL THE SUPPORTED ORGANIZATIONS.
SCHEDULE A, PART IV, SECTION E, LINE 3BPARENT OF SUPPORTED ORGANIZATION: CONTROL IS EXERCISED THROUGH THE RESERVED POWERS OF THE BYLAWS. THE RESERVED POWERS IN THE BYLAWS INCLUDE BUT ARE NOT LIMITED TO APPROVING ALL FUNDAMENTAL TRANSACTIONS OF A SYSTEM SUBSIDIARY, INCLUDING AMENDMENTS OF THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE DOCUMENTS, ALL STRATEGIC PLANS, ALL CAPITAL, OPERATING AND CASH FLOW BUDGETS, ALL QUALITY PLANS, ANY CHANGES PROPOSED THAT COULD AFFECT THE NOT-FOR-PROFIT, TAX-EXEMPT STATUS OF THIS CORPORATION OR ANY SYSTEM SUBSIDIARY, ANY CHANGE IN MISSION OR DIRECTION OF A SUBSIDIARY, INCLUDING, WITHOUT LIMITATION, ANY DECISION TO ADD OR DISCONTINUE A LINE OF SERVICE OR ADD OR DISCONTINUE ANY OF THE CLINICAL SERVICES. THE ENTITY OVERSEES ALL TRANSACTIONS FOR THE PURCHASE OF ASSETS WITH A CURRENT FAIR MARKET VALUE IN EXCESS OF $500,000 AND THE ENTERING INTO ANY CONTRACT, MORTGAGE OR ANY OTHER UNBUDGETED OPERATING EXPENDITURE IN EXCESS OF $500,000. RESERVED POWERS ALSO INCLUDE THE NOMINATION AND ELECTION OF CERTAIN SYSTEM SUBSIDIARY DIRECTORS AND CERTAIN SYSTEM SUBSIDIARY OFFICERS AND OTHER SYSTEM-WIDE ITEMS INCLUDING SELECTION OF THE INDEPENDENT AUDITOR AND LEGAL COUNSEL, ESTABLISHMENT OF THE CHARITABLE CARE POLICY, REALLOCATION OF INCOME AND/OR CAPITAL AMONG THE SYSTEM SUBSIDIARIES, THE ADDITION OF NEW SYSTEM SUBSIDIARIES AND THE ESTABLISHMENT AND IMPLEMENTATION OF SYSTEM-WIDE PROGRAMS, POLICIES AND INITIATIVES.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$943,351OtherCostOrOtherBasisAmt
Depreciation$537,214DepreciationAmt
Book Value$406,137BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,292,913OtherCostOrOtherBasisAmt
Book Value$3,292,913BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,699,050TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescPROGRAM RELATED SECURITYDesc
Book Value$41,390,118BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$41,390,118TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$24,701,135
ASSETS HELD IN DEF COMP PLAN$3,201,355
FieldValueIRS element (for citing)
Total Book Value Other Assets$27,902,490TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to Affiliates$25,774,492
DEFERRED COMPENSATION$3,203,221
FieldValueIRS element (for citing)
Total Liability$28,977,713TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationUNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITION TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$128,941GrossReceiptsEvent1Amt
Charitable Contri Event1$101,089CharitableContriEvent1Amt
Gross Revenue Event1$27,852GrossRevenueEvent1Amt
Other Direct Expenses Event1$40,354OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$128,941GrossReceiptsTotalAmt
Charitable Contributions Tot$101,089CharitableContributionsTotAmt
Gross Revenue Total Events$27,852GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$40,354OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$40,354DirectExpenseSummaryEventsAmt
Net Income Summary-$12,502NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVE FONTAINE
CEO$800,923$0$392,107$0$629$0$16,650$0$20,134$0$1,230,443$0$0$0
HAZEM ELKASSAS
TRUSTEE$686,546$0$105,835$0$0$0$0$0$16,164$0$808,545$0$0$0
THOMAS CARNEVALE
TRUSTEE$442,193$0$6,525$0$0$0$0$0$16,986$0$465,704$0$0$0
HEATHER SCHNEIDER
CFO$339,266$0$82,238$0$315$0$0$0$20,134$0$441,953$0$0$0
DR RUSSELL CAMERON
CHIEF MEDICAL OFFICER$472,110$0$98,724$0$57,249$0$42,188$0$16,986$0$687,257$0$0$0
MARK NORMAN
CHIEF OPERATING OFFR/TRUSTEE$419,903$0$103,281$0$629$0$33,880$0$16,947$0$574,640$0$0$0
JOHN BRUYERE
VICE PRESIDENT - REVENUE CYCLE$166,413$0$30,541$0$0$0$0$0$4,656$0$201,610$0$0$0
AARON DVALLANCE
DIRECTOR - SURGICAL SERVICES$165,468$0$17,358$0$8,242$0$0$0$26,663$0$217,731$0$0$0
FRANCIS IORFIDO
DIRECTOR - PHARMACY$150,072$0$15,674$0$0$0$0$0$5,662$0$171,408$0$0$0
LAURIE MCDONALD
CFO - PENN HIGHLANDS ELK$134,666$0$26,370$0$0$0$0$0$15,101$0$176,137$0$0$0
JOSEPH MYERS
PRESIDENT - PENN HIGHLANDS HUN$243,078$0$20,522$0$9,204$0$0$0$20,134$0$292,938$0$0$0
GREG BAUER
BUSINESS DEVELOPMENT OFFICER$274,613$0$38,634$0$0$0$0$0$20,763$0$334,010$0$0$0
JAKE MAIJALA
CHIEF HUMAN RESOURCE OFFICER$203,773$0$55,760$0$0$0$0$0$12,123$0$271,656$0$0$0
CLOYD GEEDEY
VP SUPPLY CHAIN MGMT$172,590$0$0$0$629$0$0$0$20,134$0$193,353$0$0$0
ISTIKRAM QADERI
CHIEF QUALITY OFFICER$298,691$0$58,869$0$629$0$0$0$20,134$0$378,323$0$0$0
BRYAN FREDRICK
VP PHYSICIAN NETWORK$292,712$0$5,125$0$629$0$0$0$17,248$0$315,714$0$0$0
ROSE CAMPBELL
CHIEF NURSING OFFICER$281,738$0$55,306$0$629$0$0$0$16,986$0$354,659$0$0$0
THOMAS JOHNSON
VP - MIS$243,851$0$0$0$629$0$0$0$11,210$0$255,690$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 6AFormAndLineReferenceDesc
ExplanationCOMPENSATION CONTINGENT ON NET EARNINGS: MEMBERS OF THE MANAGEMENT TEAM ARE ELIGIBLE FOR AN INCENTIVE BONUS EACH YEAR BASED ON PREDETERMINED CRITERIA. SUCH CRITERIA INCLUDES MULTIPLE FACTORS SUCH AS MEETING STRATEGIC AND OTHER PERFORMANCE METRICS INCLUDING GROWTH OF SERVICES, CUSTOMER SATISFACTION, FINANCIAL PERFORMANCE, QUALITY IMPROVEMENTS, AMONG OTHER GOALS.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
HOSPITAL AUTHORITY OF THE CITY OF DUBOIS
A251718944263804BQ82018-05-31$168,594,544REFUND 2014, CONSTRUCTIONfalsefalsefalse
HOSPITAL AUTHORITY OF THE CITY OF DUBOIS
B251718944263804CJ32020-11-12$67,871,527CONSTRUCTION AND RENOVATION PROJECfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$168,594,544$0$0$0$1,514,726$0$0$6,962,139$73,615,000$89,532,131Yes (true)falsefalseYes (true)
B$0$0$67,088,037$0$0$0$783,490$0$0$413,023$0$65,891,524falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctChange In Use Bond Financed PropChangeInUseBondFinancedPropPct
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0.00000falsefalsefalseYes (true)0.000000.000000.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART 1, LINE AFormAndLineReferenceDesc
ExplanationTAX-EXEMPT BONDS: THE TAX-EXEMPT BONDS LISTED ON SCHEDULE K WERE ISSUED FOR THE BENEFIT OF THE TAX-EXEMPT ENTITIES INCLUDED IN THE AFFILIATED SYSTEM OF PENN HIGHLANDS HEALTHCARE, INCLUDING THE FOLLOWING: PENN HIGHLANDS DUBOIS PENN HIGHLANDS ELK PENN HIGHLANDS CLEARFIELD PENN HIGHLANDS BROOKVILLE PENN HIGHLANDS HUNTINGDON JEFFCO HEALTH SERVICES SCHEDULE K HAS ONLY BEEN PREPARED FOR PENN HIGHLANDS HEALTHCARE AND INCLUDES ALL PROCEEDS OF TAX-EXEMPT BONDS, OF WHICH THE BALANCE ARE SHOWN ON THE BALANCE SHEETS OF THE RELATED TAX-EXEMPT ORGANIZATIONS ABOVE.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonGLWD LPPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionOWNED BY TRUSTEERelationshipDescriptionTxt
Transaction$132,507TransactionAmt
TransactionRENTTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE 990, PART III, LINE 4AFormAndLineReferenceDesc
ExplanationRELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: GLWD, LP, IS 100% OWNED BY DR. GREGORY ROSCOE, TRUSTEE.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4APROGRAM SERVICE ACCOMPLISHMENTS: THE PURPOSE FOR THE AFFILIATION IS TO ENSURE THE ACCESSIBILITY OF HEALTH CARE SERVICES IN THE CLEARFIELD, DUBOIS, ELK AND BROOKVILLE AREAS, ENHANCE ACCESS TO HIGH-QUALITY PATIENT CARE FACILITIES FOR PATIENTS AND MEDICAL STAFFS OF THE HOSPITALS, OFFER A BROADER RANGE OF SERVICES AND CREATE COST EFFICIENCIES IN THE DELIVERY OF HEALTH CARE SERVICES TO THE COMMUNITY. PENN HIGHLANDS HEALTHCARE EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF THE SUPPORTED ORGANIZATIONS AND THE OTHER SUBSIDIARIES, INCLUDING OVERSEEING AND IMPLEMENTING A SYSTEM-WIDE CONFLICT OF INTEREST POLICY AND PASTORAL CARE PROGRAM.
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPS: COMPENSATED TRUSTEES AND OFFICERS SHARE A BUSINESS RELATIONSHIP THROUGH THEIR EMPLOYMENT WITH A RELATED ORGANIZATION.
FORM 990, SECTION VI, PART A, LINE 4SIGNIFICANT CHANGES TO BYLAWS: THE ORGANIZATION'S BYLAWS WERE AMENDED DURING THE FISCAL YEAR TO REFLECT THE ADDITION OF TYRONE HOSPITAL TO THE PENN HIGHLANDS HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7APOWER TO ELECT OR APPOINT BOARD: THE BOARD IS COMPRISED OF INDIVIDUALS APPROVED BY RELATED TAX-EXEMPT ORGANIZATIONS PENN HIGHLANDS DUBOIS, PENN HIGHLANDS CLEARFIELD, PENN HIGHLANDS BROOKVILLE, PENN HIGHLANDS ELK, PENN HIGHLANDS HUNTINGDON, PENN HIGHLANDS JEFFERSON MANOR AND TYRONE HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE COMPLETE FORM 990 WILL BE PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS. AT THAT TIME, THE COMMITTEE WILL REVIEW THE FORM 990 AND HAVE THE OPPORTUNITY TO DISCUSS ANY INFORMATION CONTAINED WITHIN THE DOCUMENT.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: PENN HIGHLANDS HEALTHCARE, INC. (PHH), MAINTAINS A CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL SUBSIDIARIES. THE CONFLICT OF INTERESTS POLICY APPLIES TO BOARD MEMBERS, OFFICERS, EXECUTIVE EMPLOYEES, AND ANY OTHER MANAGER OR SUPERVISOR EXERCISING SUBSTANTIAL INFLUENCE OVER OPERATIONS. EACH COVERED PERSON WILL PROMPTLY AND FULLY DISCLOSE ALL MATERIAL FACTS OF EVERY ACTUAL OR POTENTIAL DUAL INTEREST EXISTING AT THE TIME WHEN HE/SHE BECOMES A COVERED PERSON, AND ANNUALLY THROUGH EACH PHH SYSTEM ENTITY'S DISCLOSURE STATEMENT, WHICH REQUESTS DISCLOSURE OF RELATIONSHIPS, INVESTMENTS, AND TRANSACTIONS THAT MAY LEAD TO AN ACTUAL CONFLICT OF INTEREST. ALL COMPLETED DISCLOSURE STATEMENTS WILL BE PROVIDED TO THE PHH GOVERNANCE/NOMINATING COMMITTEE. THIS COMMITTEE, IN CONSULTATION WITH THE CHAIRPERSON OR VICE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD, SHALL EVALUATED THE COMPLETED DISCLOSURE STATEMENTS AND DETERMINE IF THERE ARE ANY CONFLICTS THAT ARE SO PERVASIVE AS TO RENDER ANY COVERED PERSON INELIGIBLE FOR SERVICE. THE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD WILL DISCLOSE TO THE FULL BOARD OF SAID PHH SYSTEM ENTITY ALL DUAL INTERESTS REPORTED TO HIM OR HER UNDER THE POLICY AND WILL ALSO MAKE THE DISCLOSURE STATEMENTS OF ALL COVERED PERSONS AVAILABLE TO DIRECTORS AT ANY TIME DURING THE YEAR. IF A POTENTIAL DUAL INTEREST ARISE AS A RESULT OF A CONTEMPLATED PHH SYSTEM ENTITY BOARD (OR COMMITTEE) ACTION, THE CHAIRPERSON OF SAID PHH SYSTEM ENTITY'S BOARD OF THE INTERESTED PERSON SHALL, OR ANY OTHER DIRECTOR MAY, RAISE THE QUESTION OF THE INTERESTED PERSON'S DUAL INTEREST. THE DISINTERESTED MEMBERS OF THE PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) WILL EVALUATED THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION, ARRANGEMENT, OR POLICY GIVING RISE TO THE DUAL INTEREST TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION, ARRANGEMENT, OR POLICY. A COVERED PERSON WHO HAS A DUEL INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE A PRESENTATION TO SAID BOARD (OR COMMITTEE), TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. IF A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE DETERMINES THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON SHALL BE SO ADVISED AND THE CHAIRPERSON OF A PHH SYSTEM ENTITY'S BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE OR DIRECT MANAGEMENT TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, IF THIS HAS NOT ALREADY BEEN DONE. ANY INTERESTED PERSON WHO HAS AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING ANY SUCH TRANSACTION OR ARRANGEMENT. IF AN INDIVIDUAL WHOSE COMPANY OR EMPLOYER HAS A BUSINESS RELATIONSHIP WITH A PHH SYSTEM ENTITY, BUT THE INDIVIDUAL DOES NOT HAVE AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THIS BUSINESS RELATIONSHIPS, THE INDIVIDUAL MAY NONETHELESS VOLUNTARILY RECUSE HIM/HERSELF FROM VOTING ON ANY MATTERS RELATED TO THE RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINES 15A & 15BCOMPENSATION DETERMINATION: THE PENN HIGHLANDS HEALTHCARE EXECUTIVE COMPENSATION COMMITTEE CONSULTS WITH THE HEALTHCARE CONSULTING FIRM, YAFEE & COMPANY TO OBTAIN COMPARABLE DATA TO MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING EXECUTIVE COMPENSATION. THE PENN HIGHLANDS HEALTHCARE BOARD OF DIRECTORS IS ACUTELY AWARE OF THE HEIGHTENED PUBLIC SCRUTINY OF EXECUTIVE COMPENSATION AND THE NEED TO CONSIDER REGULATORY COMPLIANCE WHEN SETTING EXECUTIVE PAY. COMPENSATION REVIEWS ARE DONE ON A CONTINUOUS BASIS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENT AVAILABILITY: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION ABOARD MEMBER COMPENSATION: NO TRUSTEES RECEIVE ANY COMPENSATION FOR THEIR TRUSTEE DUTIES. DR. THOMAS CARNEVALE IS COMPENSATED AS A PHYSICIAN AT PENN HIGHLANDS DUBOIS. STEVE FONTAINE IS COMPENSATED AS CEO OF THE PENN HIGHLANDS HEALTHCARE SYSTEM. DR. RUSS CAMERON IS COMPENSATED AS CHIEF MEDICAL OFFICER OF THE PENN HIGHLANDS HEALTHCARE SYSTEM. MARK NORMAN IS COMPENSATED AS CHIEF OPERATING OFFICER OF THE PENN HIGHLANDS HEALTHCARE SYSTEM. HAZEM ELKASSAS, RICHARD BEDGER AND JAMES DEVLIN ARE COMPENSATED AS EMPLOYEES AND/OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR A RELATED ORGANIZATION.
FORM 990 PART IX LINE 11GDESCRIPTION:OUTSIDE SERVICES TOTAL FEES:6420935
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTANTS TOTAL FEES:2321679
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION FEES TOTAL FEES:1359397
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:149849
FORM 990 PART IX LINE 11GDESCRIPTION:LAB SERVICES TOTAL FEES:15078
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL DIRECTOR FEES TOTAL FEES:6773

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PENN HIGHLANDS NATURAL THERAPIES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 447 100 HOSPITAL AVEAddressLine1Txt
CityDUBOISCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15801ZIPCd
FieldValueIRS element (for citing)
EIN820776018EIN
Primary ActivitiesINVESTMENTSPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Total Income-$273TotalIncomeAmt
End Of Year Assets$3,334,085EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PHHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
DUBOIS REGIONAL MEDICAL CENTER
100 HOSPITAL AVENUEDUBOISPA15801251490707HOSPITALPA501(C)(3)3PHHYes (true)
BROOKVILLE HOSPITAL
100 HOSPITAL ROADBROOKVILLEPA15825250984595HOSPITALPA501(C)(3)3DRMCYes (true)
CLEARFIELD HOSPITAL
809 TURNPIKE DRCLEARFIELDPA16830250979346HOSPITALPA501(C)(3)3PHHYes (true)
ELK REGIONAL HEALTH CENTER
763 JOHNSONBURG RDST MARYSPA15857250585280HOSPITALPA501(C)(3)3PHHYes (true)
CLEAR-MED PROVIDER CORPORATION
PO BOX 1260CLEARFIELDPA16830251657668PHYSICIAN SVCPA501(C)(3)3PHHYes (true)
DRMC EMPLOYEE BENEFITS PLAN TRUST
100 HOSPITAL AVENUEDUBOISPA15801256332829BENEFIT TRUSTPA501(C)(9)DRMCYes (true)
COMMUNITY NURSES HOME HEALTH AND HOSPICE
757 JOHNSONBURG ROAD STE 200ST MARYSPA15857250996070HEALTH CAREPA501(C)(3)10CNIYes (true)
COMMUNITY NURSES HOME SUPPORT SERVICES
757 JOHNSONBURG ROAD STE 200ST MARYSPA15857251623601HEALTH CAREPA501(C)(3)10CNIYes (true)
COMMUNITY NURSES INC
757 JOHNSONBURG ROAD STE 200ST MARYSPA15857251623598HEALTH CAREPA501(C)(3)7PHHYes (true)
ELCO HOUSING
759 JOHNSONBURG ROADST MARYSPA15857251639115HOUSINGPA501(C)(3)12 A IPHHYes (true)
ELK REGIONAL PROFESSIONAL GROUP INC
763 JOHNSONBURG ROADST MARYSPA15857251875183HEALTH CAREPA501(C)(3)3PHHYes (true)
DRMC WORKERS COMPENSATION TRUST
PO BOX 447DUBOISPA15801251741497SUPPORTPA501(C)(3)12 B IIDRMCYes (true)
JC BLAIR MEMORIAL HOSPITAL
1225 WARM SPRINGS AVEHUNTINGDONPA16652231352159HOSPITALPA501(C)(3)3PHHYes (true)
JEFFCO HEALTH SERVICES INC
417 ROUTE 28BROOKVILLEPA15825251505478NURSING HOMEPA501(C)(3)10BROOKVILLEYes (true)
JC BLAIR MEMORIAL HOSPITAL FOUNDATION
935 14TH STREETHUNTINGDONPA16652251881377SUPPORT HOSPPA501(C)(3)12 A IPHHYes (true)
PENN HIGHLANDS TYRONE
187 HOSPITAL DRIVETYRONEPA16686231440116HEALTHCAREPA501(C)(3)3PHHYes (true)
HELPMATES INC
250 WEST MAIN STREETRIDGWAYPA15853251555968HEALTH CAREPA501(C)(3)10CNIYes (true)
TYRONE REGIONAL HEALTH NETWORK FOUNDATIO
187 HOSPITAL DRIVETYRONEPA16686811504606SUPPORTPA501(C)(3)12 A IPH TYRONEYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CLEARFIELD MEDICAL ASSOCIATESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 NORTH FRONT STREETAddressLine1Txt
CityCLEARFIELDCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16830ZIPCd
FieldValueIRS element (for citing)
EIN251369635EIN
Primary ActivitiesPHYSICIAN OFFICESPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CLEARFIELD HOSPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeEXCLUDEDPredominantIncomeTypeTxt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
DUBOIS REGIONAL MEDICAL GROUP
100 HOSPITAL AVENUEDUBOISPA15801251856569PHYSICIAN SERVICEPADRMCC CORPYes (true)
DUBOIS MEDICAL RISK RETENTION GROUP
100 HOSPITAL AVENUEDUBOISPA15801200324622INSURANCE SERVICEPADRMCC CORPYes (true)
BROOKCARE II INC
100 HOSPITAL ROADBROOKVILLEPA15825251477768LEASE OFFICE SPACPABROOKVILLE HOSPC CORPYes (true)
PENN HIGHLANDS APOTHECARY INC
PO BOX 447 100 HOSPITAL AVEDUBOISPA15801364862024PAIN MGMTPAPHHC CORPYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DUBOIS REGIONAL MEDICAL CENTER
K$131,931COST
BROOKVILLE HOSPITAL
L$3,724,822COST
CLEARFIELD HOSPITAL
L$5,312,723COST
DUBOIS REGIONAL MEDICAL CENTER
L$43,711,303COST
ELK REGIONAL MEDICAL CENTER
L$8,150,950COST
COMMUNITY NURSES INC
L$2,564,885COST
JEFFCO HEALTH SERVICES INC
L$1,198,522COST
JC BLAIR HOSPITAL
L$6,623,911COST
TYRONE HOSPITAL
L$981,667COST
HELPMATES INC
L$408,950COST
BROOKVILLE HOSPITAL
P$472,175COST
TYRONE HOSPITAL
P$1,666,115COST
CLEARFIELD HOSPITAL
P$1,050,623COST
DUBOIS REGIONAL MEDICAL CENTER
P$21,560,570COST
ELK REGIONAL MEDICAL CENTER
P$787,542COST
COMMUNITY NURSES INC
P$316,288COST
JEFFCO HEALTH SERVICES INC
P$235,060COST
JC BLAIR HOSPITAL
P$2,434,151COST
TYRONE HOSPITAL
P$1,666,115COST
HELPMATES INC
P$83,485COST