2022-05-16T14:30:39-05:00 2021-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2020-07-01 320345810 PENN HIGHLANDS HEALTHCARE INC % BRIAN S KLINE CFO PH DUBO PENN 8143756432 PO BOX 447 DUBOIS PA 15801 STEVEN M FONTAINE CEO 8143756432 2022-05-16 true STEVEN M FONTAINE 999009999 Brian D Todd P00422601 4178658701 2 2020 2022-09-23 18:48:47Z STEVEN FONTAINE CEO PO BOX 447 100 HOSPITAL AVE DUBOIS PA 15801 81691009 false X WWW.PHHEALTHCARE.ORG X 2011 PA PENN HIGHLANDS HEALTHCARE IS A COMMUNITY-BASED AND CONTROLLED HEALTH CARE SYSTEM THAT EXISTS TO IMPROVE REGIONAL ACCESS TO QUALITY HEALTHCARE. 23 15 415 17 0 0 0 8633495 58832066 72991133 126970 38529 0 -12502 58959036 81650655 0 0 0 0 32372912 40403590 0 0 0 28659821 32859533 61032733 73263123 -2073697 8387532 62053076 174985367 30046450 134591209 32006626 40394158 X OUR 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. false false 64066159 72991133 PENN 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. 64066159 true true false false false false false false false false true false true true true false false true false false false false false false true false false false false true true false false false false false false false false false true false false false false true true true true false false true 55 0 true 415 true false false false false false true true false false false false true false X 23 15 true false true false false true false true true false false true true true true true true true true false PA X BRIAN S KLINE CFO PH DUBO 8143756377 PO BOX 447 100 HOSPITAL AVENUE DUBOIS PA 15801 X STEVE FONTAINE CEO 40.0 5.0 X X 1193659 0 36784 HAZEM ELKASSAS TRUSTEE 2.0 40.0 X 792381 0 16164 DR RUSSELL CAMERON CHIEF MEDICAL OFFICER 40.0 5.0 X X 628083 0 59174 MARK NORMAN CHIEF OPERATING OFFR/TRUSTEE 40.0 5.0 X X 523813 0 50827 THOMAS CARNEVALE TRUSTEE 2.0 2.0 X 448718 0 16986 HEATHER SCHNEIDER CFO 40.0 5.0 X 421819 0 20134 ISTIKRAM QADERI CHIEF QUALITY OFFICER 40.0 5.0 X 358189 0 20134 ROSE CAMPBELL CHIEF NURSING OFFICER 40.0 5.0 X 337673 0 16986 GREG BAUER BUSINESS DEVELOPMENT OFFICER 40.0 2.0 X 313247 0 20763 BRYAN FREDRICK VP PHYSICIAN NETWORK 40.0 5.0 X 298466 0 17248 JOSEPH MYERS PRESIDENT - PENN HIGHLANDS HUN 5.0 40.0 X 272804 0 20134 JAKE MAIJALA CHIEF HUMAN RESOURCE OFFICER 40.0 2.0 X 259533 0 12123 THOMAS JOHNSON VP - MIS 40.0 5.0 X 244480 0 11210 AARON DVALLANCE DIRECTOR - SURGICAL SERVICES 5.0 40.0 X 191068 0 26663 JOHN BRUYERE VICE PRESIDENT - REVENUE CYCLE 5.0 40.0 X 196954 0 4656 CLOYD GEEDEY VP SUPPLY CHAIN MGMT 40.0 2.0 X 173219 0 20134 LAURIE MCDONALD CFO - PENN HIGHLANDS ELK 5.0 40.0 X 161036 0 15101 FRANCIS IORFIDO DIRECTOR - PHARMACY 5.0 40.0 X 165746 0 5662 JAMES DEVLIN MD TRUSTEE 2.0 40.0 X 0 139450 0 RICHARD BEDGER MD SECRETARY 40.0 0.0 X X 100141 0 0 RICHARD PFINGSTLER CHAIRMAN 5.0 0.0 X X 0 0 0 ROBERT ORDIWAY VICE CHAIRMAN 5.0 0.0 X X 0 0 0 JOANNE RYAN TREASURER 2.0 0.0 X X 0 0 0 GREGORY ROSCOE MD TRUSTEE 2.0 0.0 X 0 0 0 JIM RYAN TRUSTEE 2.0 0.0 X 0 0 0 DAVID LEZZER TRUSTEE 2.0 0.0 X 0 0 0 ROB O'LEARY TRUSTEE 2.0 0.0 X 0 0 0 TODD STOLTZ TRUSTEE 2.0 0.0 X 0 0 0 FRED PRICE TRUSTEE 2.0 0.0 X 0 0 0 SCOTT FORADORA TRUSTEE BEGIN 7/2020 2.0 0.0 X 0 0 0 TODD LEWIS TRUSTEE BEGIN 2/2021 2.0 0.0 X 0 0 0 WILLIAM YOUNG TRUSTEE 2.0 2.0 X 0 0 0 TODD MILLER TRUSTEE 2.0 0.0 X 0 0 0 DAVE NEDZINSKI TRUSTEE 2.0 2.0 X 0 0 0 ARTHUR DECAMP TRUSTEE 2.0 2.0 X 0 0 0 KELLY WIKE TRUSTEE BEGIN 11/2020 2.0 2.0 X 0 0 0 7081029 139450 390883 40 false true false BKD LLP 7901 WOODWAY DRIVE WACO TX 76712 AUDIT/TAX/CONSULTING 1011960 MCNEES WALLACE NURICK 100 PINE STREET HARRISBURG PA 17108 LEGAL SERVICES 364441 MEDDATA 2100 REXFORD ROAD CHARLOTTE NC 28211 SOFTWARE 263673 MISSION SEARCH 2203 N LOIS AVE TAMPA FL 33602 STAFFING SERVICES 236197 WHITAKER WHITAKER LLC 91 TREASURE LAKE DUBOIS PA 15801 CARRIER SERVICES 805308 8 101089 7906943 625463 8633495 Management Services 541611 72991133 72991133 72991133 38529 38529 0 0 0 0 0 0 27852 101089 40354 -12502 -12502 0 0 0 0 0 0 0 81650655 72991133 26027 X 0 0 0 0 5393307 2019459 3373848 0 27547540 26767277 780263 1045614 942879 102735 4454596 4129550 325046 1962533 1769707 192826 0 886605 886605 446786 446786 0 0 0 10273711 9264282 1009429 912014 822405 89609 3981029 3598581 382448 0 0 142305 128323 13982 114060 102853 11207 0 79507 71695 7812 21023 18957 2066 0 358992 323720 35272 1370086 1235470 134616 REPAIRS AND MAINTENANCE 13810918 12453946 1356972 RECRUITING & RETENTION 252204 227424 24780 LICENSES, DUES, SUBSCRIPTIONS 210293 189631 20662 73263123 64066159 9196964 0 3493797 3139789 9309461 75831724 0 0 75 633247 0 0 0 0 0 19313100 0 0 3699722 3075849 4236264 537214 230848 3699050 0 0 0 0 33233175 41390118 0 0 12085998 27902490 62053076 174985367 17319485 35855539 0 0 0 0 2575000 69757957 0 0 0 0 0 0 0 0 10151965 28977713 30046450 134591209 X 28202001 35233349 3804625 5160809 32006626 40394158 62053076 174985367 8387532 X false true X true false X X X 7 DUBOIS REGIONAL MEDICAL CENTER 251490707 3 true 0 0 CLEARFIELD HOSPITAL 250979346 3 true 0 0 BROOKVILLE HOSPITAL 250984595 3 true 0 0 ELK REGIONAL HEALTH CENTER 250585280 3 true 0 0 JC BLAIR MEMORIAL HOSPITAL 231352159 3 true 0 0 JEFFCO HEALTH SERVICES INC 251505478 10 true 0 0 TYRONE HOSPITAL 231440116 3 true 0 0 7 0 0 true false false false true false false false false false false false false false false true true true X X true true true true SCHEDULE A, PART IV, SECTION A, LINE 5A ADDITION, 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 3 SIGNIFICANT 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 & 2B MANAGEMENT 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 3A PARENT OF SUPPORTED ORGANIZATION: PENN HIGHLANDS HEALTHCARE ELECTS THE GOVERNING BODIES OF ALL THE SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION E, LINE 3B PARENT 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 943351 537214 406137 3292913 3292913 3699050 PROGRAM RELATED SECURITY 41390118 F 41390118 DUE FROM AFFILIATES 24701135 ASSETS HELD IN DEF COMP PLAN 3201355 27902490 0 Due to Affiliates 25774492 DEFERRED COMPENSATION 3203221 28977713 SCHEDULE D, PART X, LINE 2 UNCERTAIN 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. GOLF TOURNAMENT 128941 101089 27852 40354 0 128941 101089 27852 40354 40354 -12502 X X X X X false false false false false true false false false STEVE FONTAINE CEO 800923 0 392107 0 629 0 16650 0 20134 0 1230443 0 0 0 HAZEM ELKASSAS TRUSTEE 686546 0 105835 0 0 0 0 0 16164 0 808545 0 0 0 THOMAS CARNEVALE TRUSTEE 442193 0 6525 0 0 0 0 0 16986 0 465704 0 0 0 HEATHER SCHNEIDER CFO 339266 0 82238 0 315 0 0 0 20134 0 441953 0 0 0 DR RUSSELL CAMERON CHIEF MEDICAL OFFICER 472110 0 98724 0 57249 0 42188 0 16986 0 687257 0 0 0 MARK NORMAN CHIEF OPERATING OFFR/TRUSTEE 419903 0 103281 0 629 0 33880 0 16947 0 574640 0 0 0 JOHN BRUYERE VICE PRESIDENT - REVENUE CYCLE 166413 0 30541 0 0 0 0 0 4656 0 201610 0 0 0 AARON DVALLANCE DIRECTOR - SURGICAL SERVICES 165468 0 17358 0 8242 0 0 0 26663 0 217731 0 0 0 FRANCIS IORFIDO DIRECTOR - PHARMACY 150072 0 15674 0 0 0 0 0 5662 0 171408 0 0 0 LAURIE MCDONALD CFO - PENN HIGHLANDS ELK 134666 0 26370 0 0 0 0 0 15101 0 176137 0 0 0 JOSEPH MYERS PRESIDENT - PENN HIGHLANDS HUN 243078 0 20522 0 9204 0 0 0 20134 0 292938 0 0 0 GREG BAUER BUSINESS DEVELOPMENT OFFICER 274613 0 38634 0 0 0 0 0 20763 0 334010 0 0 0 JAKE MAIJALA CHIEF HUMAN RESOURCE OFFICER 203773 0 55760 0 0 0 0 0 12123 0 271656 0 0 0 CLOYD GEEDEY VP SUPPLY CHAIN MGMT 172590 0 0 0 629 0 0 0 20134 0 193353 0 0 0 ISTIKRAM QADERI CHIEF QUALITY OFFICER 298691 0 58869 0 629 0 0 0 20134 0 378323 0 0 0 BRYAN FREDRICK VP PHYSICIAN NETWORK 292712 0 5125 0 629 0 0 0 17248 0 315714 0 0 0 ROSE CAMPBELL CHIEF NURSING OFFICER 281738 0 55306 0 629 0 0 0 16986 0 354659 0 0 0 THOMAS JOHNSON VP - MIS 243851 0 0 0 629 0 0 0 11210 0 255690 0 0 0 SCHEDULE J, PART I, LINE 6A COMPENSATION 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. A HOSPITAL AUTHORITY OF THE CITY OF DUBOIS 251718944 263804BQ8 2018-05-31 168594544 REFUND 2014, CONSTRUCTION false false false B HOSPITAL AUTHORITY OF THE CITY OF DUBOIS 251718944 263804CJ3 2020-11-12 67871527 CONSTRUCTION AND RENOVATION PROJEC false false false A 0 0 168594544 0 0 0 1514726 0 0 6962139 73615000 89532131 true false false true B 0 0 67088037 0 0 0 783490 0 0 413023 0 65891524 false false false true A false false false false 0 false false false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true SCHEDULE K, PART 1, LINE A TAX-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. GLWD LP OWNED BY TRUSTEE 132507 RENT false SCHEDULE 990, PART III, LINE 4A RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: GLWD, LP, IS 100% OWNED BY DR. GREGORY ROSCOE, TRUSTEE. FORM 990, PART III, LINE 4A PROGRAM 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 2 BUSINESS RELATIONSHIPS: COMPENSATED TRUSTEES AND OFFICERS SHARE A BUSINESS RELATIONSHIP THROUGH THEIR EMPLOYMENT WITH A RELATED ORGANIZATION. FORM 990, SECTION VI, PART A, LINE 4 SIGNIFICANT 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 7A POWER 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 11B FORM 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 12C MONITORING 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 & 15B COMPENSATION 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 19 GOVERNING 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 A BOARD 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 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:6420935 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANTS TOTAL FEES:2321679 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:1359397 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:149849 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:15078 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL DIRECTOR FEES TOTAL FEES:6773 PENN HIGHLANDS NATURAL THERAPIES LLC PO BOX 447 100 HOSPITAL AVE DUBOIS PA 15801 820776018 INVESTMENTS PA -273 3334085 PHH DUBOIS REGIONAL MEDICAL CENTER 100 HOSPITAL AVENUE DUBOIS PA 15801 251490707 HOSPITAL PA 501(C)(3) 3 PHH true BROOKVILLE HOSPITAL 100 HOSPITAL ROAD BROOKVILLE PA 15825 250984595 HOSPITAL PA 501(C)(3) 3 DRMC true CLEARFIELD HOSPITAL 809 TURNPIKE DR CLEARFIELD PA 16830 250979346 HOSPITAL PA 501(C)(3) 3 PHH true ELK REGIONAL HEALTH CENTER 763 JOHNSONBURG RD ST MARYS PA 15857 250585280 HOSPITAL PA 501(C)(3) 3 PHH true CLEAR-MED PROVIDER CORPORATION PO BOX 1260 CLEARFIELD PA 16830 251657668 PHYSICIAN SVC PA 501(C)(3) 3 PHH true DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVENUE DUBOIS PA 15801 256332829 BENEFIT TRUST PA 501(C)(9) DRMC true COMMUNITY NURSES HOME HEALTH AND HOSPICE 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 250996070 HEALTH CARE PA 501(C)(3) 10 CNI true COMMUNITY NURSES HOME SUPPORT SERVICES 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623601 HEALTH CARE PA 501(C)(3) 10 CNI true COMMUNITY NURSES INC 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623598 HEALTH CARE PA 501(C)(3) 7 PHH true ELCO HOUSING 759 JOHNSONBURG ROAD ST MARYS PA 15857 251639115 HOUSING PA 501(C)(3) 12 A I PHH true ELK REGIONAL PROFESSIONAL GROUP INC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251875183 HEALTH CARE PA 501(C)(3) 3 PHH true DRMC WORKERS COMPENSATION TRUST PO BOX 447 DUBOIS PA 15801 251741497 SUPPORT PA 501(C)(3) 12 B II DRMC true JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRINGS AVE HUNTINGDON PA 16652 231352159 HOSPITAL PA 501(C)(3) 3 PHH true JEFFCO HEALTH SERVICES INC 417 ROUTE 28 BROOKVILLE PA 15825 251505478 NURSING HOME PA 501(C)(3) 10 BROOKVILLE true JC BLAIR MEMORIAL HOSPITAL FOUNDATION 935 14TH STREET HUNTINGDON PA 16652 251881377 SUPPORT HOSP PA 501(C)(3) 12 A I PHH true PENN HIGHLANDS TYRONE 187 HOSPITAL DRIVE TYRONE PA 16686 231440116 HEALTHCARE PA 501(C)(3) 3 PHH true HELPMATES INC 250 WEST MAIN STREET RIDGWAY PA 15853 251555968 HEALTH CARE PA 501(C)(3) 10 CNI true TYRONE REGIONAL HEALTH NETWORK FOUNDATIO 187 HOSPITAL DRIVE TYRONE PA 16686 811504606 SUPPORT PA 501(C)(3) 12 A I PH TYRONE true CLEARFIELD MEDICAL ASSOCIATES 15 NORTH FRONT STREET CLEARFIELD PA 16830 251369635 PHYSICIAN OFFICES PA CLEARFIELD HOSP EXCLUDED DUBOIS REGIONAL MEDICAL GROUP 100 HOSPITAL AVENUE DUBOIS PA 15801 251856569 PHYSICIAN SERVICE PA DRMC C CORP true DUBOIS MEDICAL RISK RETENTION GROUP 100 HOSPITAL AVENUE DUBOIS PA 15801 200324622 INSURANCE SERVICE PA DRMC C CORP true BROOKCARE II INC 100 HOSPITAL ROAD BROOKVILLE PA 15825 251477768 LEASE OFFICE SPAC PA BROOKVILLE HOSP C CORP true PENN HIGHLANDS APOTHECARY INC PO BOX 447 100 HOSPITAL AVE DUBOIS PA 15801 364862024 PAIN MGMT PA PHH C CORP true false false false false false false false false false false true true false true true true false false false DUBOIS REGIONAL MEDICAL CENTER K 131931 COST BROOKVILLE HOSPITAL L 3724822 COST CLEARFIELD HOSPITAL L 5312723 COST DUBOIS REGIONAL MEDICAL CENTER L 43711303 COST ELK REGIONAL MEDICAL CENTER L 8150950 COST COMMUNITY NURSES INC L 2564885 COST JEFFCO HEALTH SERVICES INC L 1198522 COST JC BLAIR HOSPITAL L 6623911 COST TYRONE HOSPITAL L 981667 COST HELPMATES INC L 408950 COST BROOKVILLE HOSPITAL P 472175 COST TYRONE HOSPITAL P 1666115 COST CLEARFIELD HOSPITAL P 1050623 COST DUBOIS REGIONAL MEDICAL CENTER P 21560570 COST ELK REGIONAL MEDICAL CENTER P 787542 COST COMMUNITY NURSES INC P 316288 COST JEFFCO HEALTH SERVICES INC P 235060 COST JC BLAIR HOSPITAL P 2434151 COST TYRONE HOSPITAL P 1666115 COST HELPMATES INC P 83485 COST