2021-05-17T09:31:14-05:00 2020-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2019-07-01 250585280 ELK REGIONAL HEALTH CENTER % LAURIE MACDONALD ELKR 8147888233 763 JOHNSONBURG ROAD ST MARYS PA 15857 LAURIE MACDONALD CFO 8147888233 2020-10-30 true Brian D Todd P00422601 4178658701 2019 2022-09-23 18:48:47Z PENN HIGHLANDS ELK BRAD CHAPMAN 763 JOHNSONBURG ROAD ST MARYS PA 15857 68736467 false X WWW.PHHEALTHCARE.ORG X 1999 PA PROVIDE PREMIER HEALTHCARE SERVICES INCLUDING INPATIENT AND OUTPATIENT CARE, FAMILY, INTERNAL AND GENERAL MEDICINE, AND LONG TERM CARE SERVICES TO OUR SURROUNDING COMMUNITIES. 14 9 633 124 44450 -21361 439808 316492 63949164 62256230 694532 474415 856483 806305 65939987 63853442 405 0 0 0 31870406 29541827 0 0 0 29843965 29811163 61714776 59352990 4225211 4500452 84821078 94802930 52617715 63735634 32203363 31067296 ELK REGIONAL HEALTH CENTER D/B/A PENN HIGHLANDS ELK WILL BE THE HEALTHCARE PROVIDER OF CHOICE FOR OUR COMMUNITIES THROUGH A COMMITMENT TO SERVICE, QUALITY, PEOPLE, FINANCE AND GROWTH. false false 43379105 51413008 PH ELK IS A CRITICAL ACCESS HOSPITAL PROVIDING PRIMARY ACUTE CARE MEDICAL SERVICES TO TWO CAMPUSES, THE ST. MARYS HEALTH CENTER IN ST. MARYS, PENNSYLVANIA, AND THE RIDGWAY HEALTH CENTER IN RIDGWAY, PENNSYLVANIA. 5492092 10843222 PH ELK PROVIDES A 138-BED LONG TERM CARE FACILITY SERVING THE NEEDS OF ELK AND CAMERON COUNTIES AND THE SURROUNDING COMMUNITIES. WE ARE AT AN 83% OCCUPANCY RATE. WE PROVIDE SOCIAL SERVICES AND RESIDENT ACTIVITIES. OUR TEAM OF QUALIFIED PROFESSIONALS PROVIDES 24-HOUR NURSING CARE AND REHABILITATIVE THERAPY WITH PERSONALIZED ATTENTIONTO EACH RESIDENT. OTHER SERVICES OFFERED AT THE FACILITY INCLUDE HOSPICE SERVICES, TRANSPORTATION TO OUTSIDE HEALTH APPOINTMENTS, DIETICIANS, AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. 48871197 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false true true true false false false false true true false false false true 53 0 true 633 true true true false false false false false false false false false false false X 14 9 true false false false true true true true true false false true true true true true true true true false X LAURIE MACDONALD 8147888743 763 JOHNSONBURG ROAD ST MARYS PA 15857 X DR STEVEN KOCH DIRECTOR 1.0 40.0 X 0 724229 37912 BRAD CHAPMAN PRES/CEO PH ELK 40.0 2.5 X X 250913 0 32329 LAURIE MACDONALD CFO/VP FINANCE 40.0 1.0 X 192056 0 33851 CHRISTINE GARNER DIRECTOR OF NURSING 40.0 0.0 X 147531 0 10472 MARK HOFFMAN REHAB SERVICE LINE DIRECTOR 40.0 0.0 X 152384 0 4771 CHRIS BARACKMAN DIRECTOR OF PHARMACY 40.0 0.0 X 111286 0 28570 DIANE COLGAN PHARMACIST 40.0 0.0 X 110598 0 11308 DAVE NEDZINSKI CHAIRMAN 1.0 1.0 X X 0 0 0 DON FLEMING DIRECTOR 1.0 3.0 X 0 0 0 DAVID OBLEY MD MEDICAL STAFF PRESIDENT 1.0 0.0 X 0 0 0 JOHN PICCOLO VICE CHAIRMAN 1.0 1.0 X X 0 0 0 HEIDI THOMAS DIRECTOR 1.0 1.0 X 0 0 0 CHERYL RUFFNER TREASURER 1.0 0.0 X X 0 0 0 TINA SOLAK DIRECTOR 1.0 0.0 X 0 0 0 KEVIN OKNEFSKI DIRECTOR 1.0 2.25 X 0 0 0 STEVE STOLTZ DIRECTOR 1.0 0.0 X 0 0 0 JEFF AZZATO DIRECTOR 1.0 0.0 X 0 0 0 KATE BROCK DIRECTOR 1.0 0.0 X 0 0 0 FRANK STRAUB SECRETARY 1.0 1.0 X X 0 0 0 964768 724229 159213 6 false true false CROTHALL HEALTHCARE 1500 LIBERTY RIDGE DR WAYNE PA 19087 HOUSEKEEPING SVCS 1288295 ASSOCIATED CLINICAL LABORATORIES 1526 PEACH ST ERIE PA 16501 LAB SERVICES 544082 MORRISON HEALTHCARE 400 NORTHRIDGE RD SANDY SPRINGS GA 30350 NUTRITION SVCS 1370744 AMNSTAFF CARE 12400 HIGH BLUFF DR SAN DIEGO CA 92130 PHY/MIDLEVEL/RN S 1580314 HALLSTROM CONSTRUCTION INC PO BOX 648 DUBOIS PA 15801 PCM RENOVATIONS 3458429 15 316492 316492 NET PATIENT SERVICE REVENUE 621990 60595956 60595956 OTHER SERVICE REVENUE 621990 1369629 1369629 CAFETERIA INCOME 722514 217606 217606 AUXILIARY INCOME 900099 73039 73039 62256230 666079 666079 0 0 562918 256142 306776 0 306776 306776 4435219 4626883 -191664 -191664 -191664 0 0 0 0 0 0 0 0 0 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 455079 455079 MOB HOUSEKEEPING 812900 44450 44450 499529 63853442 62256230 44450 1236270 X 0 0 0 0 509121 509121 201377 66397 134980 22944639 22909507 35132 529641 530535 -894 3535052 3504918 30134 1821997 1779910 42087 0 49235 49235 1400 1400 0 0 0 13396270 5304209 8092061 5315 2787 2528 3990123 3577123 413000 3396 2583 813 0 987801 958424 29377 61128 43592 17536 0 26015 19139 6876 945454 719004 226450 0 3481501 2647631 833870 911324 911324 MEDICAL SUPPLIES & DRUGS 5690911 5690911 OTHER EXPENSES 200000 152097 47903 LICENSES, DUES, SUBSCRIPTIONS 54487 45932 8555 RECRUITING & RETENTION 6803 5174 1629 59352990 48871197 10481793 0 10309591 17163540 8001472 5836917 0 0 6001251 5409722 0 0 0 0 0 0 532919 524475 753073 78269 55602279 19697451 34445201 35904828 12669346 12870153 3644676 3702485 0 0 3339888 2851432 5123661 10461109 84821078 94802930 6759236 4325615 0 0 0 6112153 29099593 28557479 0 0 0 0 261411 194823 0 0 16497475 24545564 52617715 63735634 X 32203363 31067296 0 0 32203363 31067296 84821078 94802930 X 4500452 -103782 -5532737 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false SCHEDULE C, PART II-B, LINE 1I LOBBYING ACTIVITIES: THE ORGANIZATION IS A MEMBER OF THE HOSPITAL COUNCIL OF WESTERN PENNSYLVANIA. A PORTION OF DUES PAID TO THIS ORGANIZATION MAY BE ATTRIBUTABLE TO LOBBYING. 4122842 4122843 32202300 11680125 20522175 12850264 7274424 5575840 6426872 742902 5683970 35904828 DUE FROM AFFILIATES 2475548 OTHER RECEIVABLE 6935588 EST AMT DUE FROM THIRD PARTIES 124942 SPA MALPRACTICE RESERVE 925031 10461109 0 ACCRUED PENSION LIABILITY 17634710 DUE TO THIRD PARTY PAYERS 1133192 DUE TO AFFILIATE 239936 MALPRACTICE LIABILITY 1400000 MEDICARE CONTRACT LIABILITY 4137726 24545564 63894180 -103782 -103782 63997962 -144520 -144520 63853442 59609132 256142 256142 59352990 59352990 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 POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 4B OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT LINE 1: $ (256,142) RENTAL EXPENSE 111,622 CONTRIBUTIONS FOR ACQUISITION OF PROPERTY & EQUIPMENT ------------ $ (144,520) SCHEDULE D, PART XII, LINE 2D OTHER EXPENSES INCLUDED ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 256,142 RENTAL EXPENSES true true X true X true X true false false 210215 210215 0.00350 9865956 8477931 1388025 0.02340 10076171 8477931 1598240 0.02690 33440 21695 11745 0.00020 40976 6312 34664 0.00060 13158275 8588670 4569605 0.07700 13232691 8616677 4616014 0.07780 23308862 17094608 6214254 0.10470 true 2723352 307738 17055323 16339489 715834 X true false 1 1 ELK REGIONAL HEALTH CENTER 763 JOHNSONBURGH ROAD ST MARYS PA 15857 WWW.PHHEALTHCARE.ORG 010901 X X X SKILLED NURSING PHYSICIAN OFFICES ELK REGIONAL HEALTH CENTER 1 false false true X X X X X X X X 17 true true false true X SEE PART V, SECTION C true 17 true SEE PART V, SECTION C false true X 200. 300. X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X true X false X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: THE CHNA ASSESSMENT CONDUCTED BY TRIPP UMBACH FOR ELK REGIONAL HEALTH CENTER INCLUDED PRIMARY AND SECONDARY DATA COLLECTION, INTERVIEWS WITH COMMUNITY STAKEHOLDERS, FOCUS GROUPS WITH KEY AUDIENCES, AND A COMMUNITY PLANNING RETREAT. THE CHNA REPRESENTED A COMPREHENSIVE COMMUNITY-WIDE PROCESS WHERE ELK REGIONAL HEALTH CENTER CONNECTED WITH A WIDE RANGE OF PUBLIC AND PRIVATE ORGANIZATIONS SUCH AS EDUCATIONAL INSTITUTIONS, HEALTH-RELATED PROFESSIONALS, LOCAL GOVERNMENT OFFICIALS, HUMAN SERVICE ORGANIZATIONS, AND FAITH-BASED ORGANIZATIONS TO EVALUATE THE COMMUNITY'S HEALTH AND SOCIAL NEEDS. SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: - PH DUBOIS - PH BROOKVILLE - PH CLEARFIELD SCHEDULE H, PART V, SECTION B, LINE 7A WEBSITE WHERE CHNA IS AVAILABLE: HTTPS://WWW.PHHEALTHCARE.ORG/SEARCH/?Q=COMMUNITY+HEALTH+NEEDS+ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 10A WEBSITE WHERE IMPLEMENTATION STRATEGY IS AVAILABLE: HTTPS://WWW.PHHEALTHCARE.ORG/SEARCH/?Q=COMMUNITY+HEALTH+NEEDS+ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING IDENTIFIED NEEDS: PENN HIGHLANDS ELK LISTENS TO COMMUNITY CONCERNS, ANALYZES HEALTHCARE UTILIZATION AND COSTS, EXPLORES ACCESS ISSUES, AND COLLABORATES WITH AND DEVELOPS EFFECTIVE PROGRAMS TO IMPROVE THE HEALTH OF THOSE IN WEST CENTRAL PENNSYLVANIA. BASED ON THE ABOVE COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS AND THE PRIORITIZED NEEDS, THREE COMMUNITY NEEDS WILL BE IMPLEMENTED AND FURTHER EXPLORED. OF THE IDENTIFIED CHNA AND PRIORITIZED HEALTH NEEDS, PENN HIGHLANDS ELK WILL FOCUS ON THREE OF THE COMMUNITY NEEDS: 1) ACCESS TO HEALTH CARE 2) CHRONIC CONDITIONS 3) SUBSTANCE ABUSE HOWEVER, PENN HIGHLANDS ELK REPORTED THAT THESE NEEDS ARE BEING ADDRESSED TO SOME DEGREE BY ORGANIZATIONS, PROGRAMS/INITIATIVES OPERATED BY REGIONAL LOCAL COMMUNITY-BASED ORGANIZATIONS LOCALLY. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C FINANCIAL ASSISTANCE POLICY: 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. 1 ERHC RIDGWAY CAMPUS 304 METOXET STREET RIDGWAY PA 15853 Q CARE, PHYSICIAN OFFICE, PHYSICAL THERAPY, LAB RADIOLOGY SERVICES SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEETS 1 AND 3. WORKSHEET 6 USED ACTUAL COST DATA. SCHEDULE H, PART III, SECTION A, LINE 2, 3, & 4 BAD DEBT EXPENSE METHODOLOGY: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH CENTER'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, 2020. 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. THE SYSTEM HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES SUCH AS COPAYS AND DEDUCTIBLES. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE SYSTEM EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE FOR FINANCIAL REPORTING. LINE 2 REPORTS THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS FROM THE INTERNAL FINANCIAL STATEMENTS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: COLLECTION PRACTICES FROM DAY 1 SELF-PAY ARE CONSISTENT ACROSS THE ENTIRE SELF-PAY POPULATION. ONCE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE (IE CHARITY CARE TO SOME DEGREE) THEN THAT PATIENT'S ACCOUNT(S) ARE PROCESSED ACCORDINGLY BALANCE-WISE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: THE ORGANIZATION COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2018. SEE PART V, SECTION B, FOR ADDITIONAL INFORMATION. THIS IS NOW DONE AT THE PHH LEVEL. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION ELIGIBILITY FOR ASSISTANCE: THE CHARITY CARE POLICY, IN ITS ENTIRETY, APPEARS ON THE HOSPITAL WEBSITE. THE ASSOCIATED ELIGIBILITY FORM IS OBTAINABLE HERE AS WELL. THE SELF-PAY COLLECTION PROCESS PROVIDES FOR A CHARITY CARE APPLICATION AND EXPLANATION LETTER TO BE SENT ON EVERY OUTSTANDING PATIENT ACCOUNT FOR WHICH THERE IS NOT A PAYMENT MADE SUBSEQUENT TO THE INITIAL STATEMENT BEING RECEIVED. THERE ARE ALSO SIGNS POSTED IN CERTAIN AREAS OF THE HEALTH CENTER WHICH PROMOTE THE EXISTENCE OF THE CHARITY CARE POLICY AND DIRECT INTERESTED INDIVIDUALS ACCORDINGLY. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: THE ORGANIZATION PROVIDES SERVICES TO RESIDENTS OF ALL AGES IN ELK AND CAMERON COUNTIES AND THE SURROUNDING AREAS. ELK AND CAMERON COUNTIES HAVE A POPULATION OF APPROXIMATELY 36,000. ADULTS OVER AGE 65 REPRESENT ABOUT 22% OF THE POPULATION. THE AVERAGE HOUSEHOLD INCOME IS APPROXIMATELY $57,000. ELK REGIONAL IS ONE OF TWO MAJOR HEALTH SYSTEMS THAT SERVE THE ELK AND CAMERON COUNTY COMMUNITIES. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: ERHC STRIVES TO PROVIDE WELLNESS AND EDUCATIONAL PROGRAMS FOR COMMUNITY MEMBERS TO MAINTAIN A HEALTHY LIFESTYLE. ERHC PROVIDES SMOKE DETECTORS TO PARENTS OF NEWBORNS TO TAKE HOME WITH THEM AND INSTALL IN THEIR HOMES. ERHC WORKS WITH THE LOCAL LIONS CLUB AND ROTARY CLUB TO PROVIDE SERVICES TO THE COMMUNITY. ERHC PARTICIPATES IN ACTIVITIES WITH THE ST. MARYS CHAMBER OF COMMERCE AND BELONGS TO THE BOARDS OF THE FAMILY RESOURCE NETWORK AND THE STATE HEALTH IMPROVEMENT PLAN. ERHC PROVIDES JOB SHADOWING TO THE LOCAL HIGH SCHOOL STUDENTS AND HAS A SCHOOL TO WORK PROGRAM FOR STUDENTS. ERHC ALSO PARTICIPATES IN THE PHEAA PROGRAM TO HIRE STUDENTS AS SUMMER WORKERS TO GIVE THEM WORK EXPERIENCE IN VARIOUS FIELDS. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF AND THE BOARD IS COMPRISED OF PEOPLE WHO ARE LEADERS IN THE COMMUNITY. THE PHYSICIAN OFFICES AND OUTPATIENT THERAPY OFFICES LOCATED THROUGHOUT THE COMMUNITIES GIVE PATIENTS EASIER ACCESS TO VARIOUS SERVICES. ERHC PARTICIPATES IN AND HOLDS HEALTH FAIRS WHERE FREE SCREENINGS AND LOW OR NO COSTS TESTING ARE PROVIDED TO PROMOTE PREVENTATIVE CARE AND HEALTH LIFESTYLES. ERHC HOLDS MANY EDUCATIONAL CLASSES FOR THE PUBLIC SUCH AS DIABETES EDUCATION, WOMEN'S HEALTH ISSUES, SUPPORT GROUPS, ETC. DUBOIS REGIONAL MEDICAL CENTER PROVIDED AN EMPLOYEE TO PROVIDE EDUCATION TO VARIOUS SENIOR CENTERS ON BEHALF OF ERHC. ERHC ALSO OFFERS VARIOUS EXERCISE CLASSES SUCH AS PILATES, BOOT CAMP, YOGA, ETC., ALONG WITH WELLNESS CLASSES. THE ORGANIZATION PERIODICALLY HAS PRESS RELEASES ON DIFFERENCE HEALTH ISSUES. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: ELK REGIONAL HEALTH CENTER IS A FULLY-ACCREDITED, NOT-FOR-PROFIT 80 BED GENERAL ACUTE CARE INSTITUTION BACKED BY THE EXPERTISE OF A DEDICATED, EMPLOYED PHYSICIAN GROUP. WITH CAMPUSES IN ST. MARYS AND RIDGWAY AND PHYSICIAN OFFICES IN A NUMBER OF LOCATIONS THROUGHOUT THE REGION, ELK REGIONAL PROUDLY SERVES THE RESIDENTS OF ELK AND CAMERON COUNTIES. IT IS THE ONGOING MISSION OF THE ELK REGIONAL HEALTH SYSTEM TO PROVIDE PREMIER HEALTHCARE SERVICES TO PATIENTS THROUGH COMMITMENTS TO SERVICE, QUALITY, PEOPLE, FINANCE AND GROWTH - ALL WHILE MAINTAINING ECONOMIC VIABILITY AND KEEPING AN EYE ON THE FUTURE. THE HOSPITAL AND PHYSICIAN OFFICES WORK WITH COMMUNITY NURSES INC., TO PROVIDE FLU SHOT CLINICS TO THE COMMUNITY. THE FOUNDATION AND AUXILIARY, OPERATING UNDER ERHC, PROVIDE EDUCATIONAL CLASSES AND SCHOLARSHIPS. THERE ARE MANY SCREENINGS AND HEALTH CLINICS HELD THROUGHOUT THE YEAR TO PROMOTE HEALTHY LIVING AND PREVENTATIVE CARE. ERHC ALSO OFFERS EXERCISE, NUTRITION, AND RELAXATION CLASSES. THE HEALTH SYSTEM FOUNDATION PROVIDES FUNDS FOR TWO SCHOLARSHIPS EACH YEAR TO STUDENTS PURSUING HEALTH CARE FIELDS. THESE SCHOLARSHIPS ARE ADMINISTERED BY THE ELK COUNTY COMMUNITY FOUNDATION. COMMUNITY NURSES INC ESTABLISHED A SERENITY GARDEN FOR PINE CREST MANOR (SKILLED NURSING FACILITY) RESIDENTS AND FAMILY AND FOR THE GENERAL PUBLIC TO USE AS A MEDIATION GARDEN. CNI ALSO PROVIDES ADULT DAY CARE SERVICES FOR THE COMMUNITY. THE HOSPITAL AUXILIARY GIVES A SCHOLARSHIP TO A TEEN VOLUNTEER FROM EACH LOCAL SCHOOL WHO ARE GOING TO STUDY A HEALTH CARE RELATED FIELD. THE PHYSICIAN OFFICES AND COMMUNITY NURSES WORK TOGETHER TO PUT ON VARIOUS FLU CLINICS TO PROVIDE ANNUAL FLU SHOTS TO MEMBERS OF THE COMMUNITY. THE AFFILIATED HEALTH CARE SYSTEM INCLUDES THE COMMUNITY NURSES, INC. AND SUBSIDIARIES, ELK REGIONAL PROFESSIONAL GROUP, INC., AND ELCO HOUSING, INC. IN OCTOBER 2012, THE ELK ENTITIES SIGNED AN AFFILIATION AGREEMENT EFFECTIVE JULY 1, 2013, WITH PENN HIGHLANDS HEALTHCARE, A PENNSYLVANIA NONPROFIT CORPORATION (PENN HIGHLANDS). PENN HIGHLANDS BECAME THE SOLE MEMBER OF ERHC. THIS AFFILIATION EXPANDS TO INCLUDE RELATIONSHIPS WITH ADDITIONAL PENNSYLVANIA NOT-FOR-PROFIT HOSPITALS INCLUDING DUBOIS REGIONAL MEDICAL CENTER LOCATED IN DUBOIS, PA, BROOKVILLE HOSPITAL LOCATED IN BROOKVILLE, PA, AND CLEARFIELD HOSPITAL LOCATED IN CLEARFIELD, PA, AS WELL AS THEIR SUBSIDIARY ORGANIZATIONS. IN MAY 2020, HELPMATES INC BECAME PART OF COMMUNITY NURSES INC. HELPMATES IS A HOME SUPPORT PROVIDING HOME SUPPORT TO MANY COUNTIES IN CENTRAL AND WESTERN PA. false false false false false false false false false BRAD CHAPMAN PRES/CEO PH ELK 205633 0 29835 0 15445 0 8437 0 23892 0 283242 0 0 0 LAURIE MACDONALD CFO/VP FINANCE 159085 0 22716 0 10255 0 5002 0 28849 0 225907 0 0 0 DR STEVEN KOCH DIRECTOR 0 693697 0 30421 0 111 0 11200 0 26712 0 762141 0 0 MARK HOFFMAN REHAB SERVICE LINE DIRECTOR 141866 0 10263 0 255 0 4255 0 516 0 157155 0 0 0 CHRISTINE GARNER DIRECTOR OF NURSING 132255 0 14545 0 731 0 4035 0 6437 0 158003 0 0 0 SCHEDULE J, PART I, LINE 3 CEO COMPENSATION: PENN HIGHLANDS HEALTHCARE, INC. (PHH), A RELATED ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO. PHH USES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE. ST MARY'S PHARMACYHOME MEDICAL SEE PART V. 257102 SEE PART V. false KAREN GASPARI SEE PART V. 28958 SEE PART V. false REBECCA PICCOLO SEE PART V. 106022 SEE PART V. false LEANNE RUFFNER SEE PART V. 66397 SEE PART V. false SCHEDULE L, PART IV BUSINESS TRANSACTIONS: (1) FRANK STRAUB, DIRECTOR, IS THE OWNER OF ST. MARYS PHARMACY AND SMP HOME MEDICAL. THE ORGANIZATION PURCHASED PHARMACY DRUGS FOR PINECREST MANOR AND OXYGEN CONCENTRATORS AT A TOTAL COST OF $257,102 FOR FYE 6/30/2020. (2) KAREN GASPARI IS THE SISTER OF LAURIE MACDONALD, ERHC CFO. SHE IS EMPLOYED BY ERHC AND RECEIVED TOTAL COMPENSATION AND BENEFITS $28,958. (3) REBECCA PICCOLO IS THE WIFE OF JOHN PICCOLO, A DIRECTOR OF THE BOARD. SHE IS EMPLOYED AS AN OCCUPATIONAL THERAPIST AND RECEIVED COMPENSATION OF $106,022. (4) LEANNE RUFFNER IS THE DAUGHTER-IN-LAW OF CHERYL RUFFNER, A DIRECTOR OF THE BOARD. SHE IS EMPLOYED AS A REGISTERED NURSE AND RECEIVED COMPENSATION OF $66,397. FORM 990, PART VI, SECTION A, LINE 2 FAMILIAL AND BUSINESS RELATIONSHIPS: FRANK STRAUB 50% OWNER ST. MARYS PHARMACY DOES BUSINESS WITH DICKINSON MENTAL HEALTH. HEIDI THOMAS IS CEO OF DICKINSON AND IS ALSO PH ELK BOARD MEMBER. FORM 990, PART VI, SECTION A, LINE 6, 7A & 7B MEMBERS: PENN HIGHLANDS HEALTHCARE (PHH) HOLDS CERTAIN POWERS, INCLUDING THE APPROVAL OF THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND APPROVAL OF ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE DOCUMENTS. PHH SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE ELECTION AND REMOVAL OF DIRECTORS: PRIOR TO THE END OF PHH'S FISCAL YEAR, THE PHH BOARD WILL MEET TO ELECT THE DIRECTORS, WITH THE EXCEPTION OF EX-OFFICIO DIRECTORS. AT LEAST SIXTY (60) DAYS IN ADVANCE OF THIS MEETING, ELK SHALL PROVIDE TO PHH'S GOVERNANCE/NOMINATING COMMITTEE (THE PHH GOVERNANCE/NOMINATING COMMITTEE) A LIST OF ONE OR MORE CANDIDATES (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION) FOR EACH EXPIRING DIRECTOR POSITION, WITH THE EXCEPTION OF ANY EX-OFFICIO DIRECTORS. THE LIST OF CANDIDATES SHALL HAVE BEEN DEVELOPED BY ELK IN CONSULTATION WITH THIS ORGANIZATION'S BOARD. THE PHH GOVERNANCE/NOMINATING COMMITTEE SHALL REVIEW EACH CANDIDATE IN ACCORDANCE WITH THE CRITERIA SET FORTH IN THE PHH BYLAWS, THE CRITERIA, IF ANY, SET FORTH IN THIS ORGANIZATION'S BYLAWS OR POLICIES FOR WHICH SAID CANDIDATE IS BEING CONSIDERED FOR BOARD SERVICE, AND THE POLICIES AND RULES OF PHH, INCLUDING, WITHOUT LIMITATION, THE CONFLICT OF INTEREST POLICY (ALL OF WHICH SHALL BE REFERRED TO COLLECTIVELY HEREIN AS THE ELIGIBILITY CRITERIA) AND DEVELOP A LIST OF ONE OR MORE CANDIDATES FOR EACH OPEN POSITION (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION). ONCE THE SLATE OF CANDIDATES IS NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE, THE BOARD OF ELK SHALL SUBMIT TO THE PHH BOARD FOR ELECTION SUCH SLATE OF CANDIDATES FOR THE OPEN BOARD POSITIONS. THE PHH BOARD MAY ELECT BY A VOTE OF THE MAJORITY OR REFUSE TO ELECT EACH CANDIDATE SUBMITTED BY THE BOARD OF ELK AND MAY NOT ELECT ANY CANDIDATE NOT SUBMITTED BY THE BOARD OF ELK AND NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE. THE BOARD OF PHH HAS THE POWER TO REMOVE SUCH DIRECTOR AT ANY TIME WITH OR WITHOUT CAUSE. IN THE EVENT THAT THIS ORGANIZATION DESIRES TO FILL A VACANCY OCCURRING ON ITS BOARD, THE PHH GOVERNANCE/NOMINATING COMMITTEE AND THE BOARD OF PHH, AT THE REQUEST OF ELK, SHALL ACT TO FILL SUCH VACANCY. SUBJECT TO THE APPROVAL OF PHH AS SET FORTH IN THE BYLAWS, THE ARTICLES AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS OR ARTICLES MAY BE ADOPTED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE BOARD. WRITTEN NOTICE OF THE INTENT TO AMEND THE BYLAWS OR THE ARTICLES AND A DRAFT OF THE PROPOSED CHANGE SHALL BE SENT TO ALL DIRECTORS, BY THE SECRETARY, AT LEAST FIVE (5) DAYS PRIOR TO ANY MEETING AT WHICH AMENDMENT OF THE BYLAWS OR THE ARTICLES IS INTENDED. 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 DRAFT FORM 990 IS REVIEWED BY THE CFO AND THE CONTROLLER. AFTER ALL SUGGESTED CHANGES FROM THE CFO AND CONTROLLER ARE MADE, THE UPDATED DRAFT FORM 990 IS PROVIDED FOR REVIEW TO THE FULL BOARD. ANY QUESTIONS OR COMMENTS FROM THE BOARD ARE ADDRESSED BEFORE FILING. 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 INTEREST 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 EVALUATE 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 ARISES AS A RESULT OF A CONTEMPLATED PHH SYSTEM ENTITY BOARD (OR COMMITTEE) ACTION, THE CHAIRPERSON OF SAID PHH SYSTEM ENTITY'S BOARD OR 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 EVALUATE 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 DUAL 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 RELATIONSHIP, 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 & B COMPENSATION DETERMINATION: AN INDEPENDENT FIRM, YAFFEE & CO, IS HIRED TO COMPARE, REVIEW, AND RECOMMEND ALL SENIOR OFFICERS COMPENSATION. THE PHH EXEC BOARD & PHH BOARD OF DIRECTORS PROVIDES THE FINAL APPROVAL. REVIEW IS DONE IN OCTOBER. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST FROM LORI SCUTELLA, ADMINISTRATIVE SECRETARY. DOCUMENTS MAY BE MAILED, E-MAILED, FAXED, OR HELD FOR PICKUP BY REQUESTING PERSONS. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO DIRECTORS RECEIVE ANY COMPENSATION FOR THEIR DIRECTOR DUTIES. BRAD CHAPMAN IS COMPENSATED FOR HIS DUTIES AS CEO OF PHH AND PHH ELK. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ (199,922) TRANSFER TO AFFILIATE (5,332,815) CHANGE IN ACCRUED PENSION LIABILITY ------------- $ (5,532,737) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:9329813 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:2532728 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:1464482 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:37883 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:31364 ELK VENTURES LLC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251924733 MEMBER SVCS PA 42100 ERHC ELCO HOUSING 759 JOHNSONBURG ROAD ST MARYS PA 15857 251639115 HOUSING PA 501(C)(3) 12 A I PHH false ELK REGIONAL PROFESSIONAL GROUP INC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251875183 HEALTH CARE PA 501(C)(3) 3 PHH false COMMUNITY NURSES HOME HEALTH & HOSPICE 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 250996070 HEALTH CARE PA 501(C)(3) 10 CNI false COMMUNITY NURSES HOME SUPPORT SERVICES 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623601 HEALTH CARE PA 501(C)(3) 10 CNI false COMMUNITY NURSES INC 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623598 HEALTH CARE PA 501(C)(3) 7 PHH false DUBOIS REGIONAL MEDICAL CENTER 100 HOSPITAL AVE DUBOIS PA 15801 251490707 HOSPITAL PA 501(C)(3) 3 PHH false BROOKVILLE HOSPITAL 100 HOSPITAL RD BROOKVILLE PA 15825 250984595 HOSPITAL PA 501(C)(3) 3 DRMC false CLEARFIELD HOSPITAL 809 TURNPIKE DR CLEARFIELD PA 16830 250979346 HOSPITAL PA 501(C)(3) 3 PHH false NATHANIEL D YINGLING CANCER CENTER 815 DOCTORS DR CLEARFIELD PA 16830 205114093 RADIATION ONC PA 501(C)(3) 3 PHH false CLEAR-MED PROVIDER CORPORATION PO BOX 1260 CLEARFIELD PA 16830 251657668 OUTPAT. PHYS. PA 501(C)(3) 3 PHH false DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVE DUBOIS PA 15810 256332829 DRMC EMP BENE PA 501(C)(9) PHH false PENN HIGHLANDS HEALTHCARE PO BOX 447 DUBOIS PA 15801 320345810 MGMT SERVICES PA 501(C)(3) 12 C III-FI NA false JEFFCO HEALTH SERVICES INC 417 ROUTE 28 BROOKVILLE PA 15825 251505478 SNF PA 501(C)(3) 10 BROOKVILLE false JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRING AVENUE HUNTINGDON PA 16652 231352159 HOSPITAL PA 501(C)(3) 3 PHH false JC BLAIR MEMORIAL HOSPITAL FOUNDATION 935 14TH STREET HUNTINGDON PA 16652 251881377 PA 501(C)(3) 12A I PHH false true false false true true false false false false true true false false true true true true true false