2020-07-15T15:12:30-05:00 2019-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2018-07-01 320345810 PENN HIGHLANDS HEALTHCARE INC % BRIAN S KLINE CFO PH DUBO PENN 8143756432 PO BOX 447 DUBOIS PA 15801 STEVEN FONTAINE CEO 8143756432 2020-06-22 true Brian D Todd P00422601 4178658701 167.68.126.162 43032920201975000236 2020-07-15 P 0CBE7C12A7D19235FD4067AEEEE3D426BE4745FB EADA8263F67F30EEC173F90D1C5FD4FB3EC213FF 2018 2021-01-29 14:40:06Z STEVEN FONTAINE CEO PO BOX 447 100 HOSPITAL AVE DUBOIS PA 15801 33714191 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. 17 10 0 20 0 112375 3628100 22348404 30032459 0 34470 -14283 -10882 22446496 33684147 98092 118300 0 0 17193080 21452853 0 0 0 4949312 8583926 22240484 30155079 206012 3529068 40657646 49134226 10106391 15053903 30551255 34080323 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 25026259 118300 30032459 PENN HIGHLANDS HEALTHCARE WAS FORMED IN CONJUNCTION WITH THE AFFILIATION OF DUBOIS REGIONAL MEDICAL CENTER AND ITS AFFILIATED ENTITIES INCLUDING BROOKVILLE HOSPITAL, CLEARFIELD HOSPITAL AND ITS AFFILIATED ENTITIES AND ELK REGIONAL HOSPITAL AND ITS AFFILIATED ENTITIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 25026259 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 true false true true false false false false false false false false false true false false false false true true true true false false true 57 0 true 0 false false false false false true true false false false false false false X 17 10 true false false 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 RONALD KING CHAIRMAN 5.0 0.0 X X 0 0 0 RICHARD PFINGSTLER VICE CHAIRMAN 2.0 5.0 X X 0 0 0 DR RICHARD BEDGER SECRETARY 3.0 10.0 X X 0 25000 0 ROBERT ORDIWAY TREASURER 3.0 0.0 X X 0 0 0 DR HAZEM EL KASSAS TRUSTEE 1.0 2.0 X 0 0 0 THOMAS GASBARRE TRUSTEE 2.0 0.0 X 0 0 0 DAVID LEZZER TRUSTEE 1.0 1.0 X 0 0 0 DR CARMINE MARCHIOLI TRUSTEE 2.0 0.0 X 0 0 0 EDWARD NASUTI TRUSTEE 2.0 0.0 X 0 0 0 ROB O'LEARY TRUSTEE 2.0 0.0 X 0 0 0 DR GREGORY ROSCOE TRUSTEE 1.0 2.0 X 0 0 0 JIM RYAN TRUSTEE 2.0 0.0 X 0 0 0 TODD STOLTZ TRUSTEE 1.0 2.0 X 0 0 0 WILLIAM YOUNG TRUSTEE 2.0 0.0 X 0 0 0 DR THOMAS CARNEVALE TRUSTEE 2.0 40.0 X 0 435902 26281 SCOTT FORADORA TRUSTEE 2.0 0.0 X 0 0 0 MARK NORMAN CHIEF OPERATING OFFR/TRUSTEE 40.0 1.0 X X 371743 0 43850 STEVE FONTAINE CEO 40.0 2.0 X 875072 0 125206 DR RUSSELL CAMERON CHIEF MEDICAL OFFICER 1.0 40.0 X 0 588819 49110 ROSE CAMPBELL VP PATIENT SERVICES/CNO 1.0 40.0 X 0 312067 24797 TARUN GHOSH CHIEF FINANCIAL OFFICER 40.0 1.0 X 429222 0 31916 BRIAN KLINE VP CHIEF FINANCIAL OFFICER 1.0 40.0 X 0 313061 29929 ROBERT MCKEE VP CHIEF HR OFFICER 1.0 40.0 X 0 274574 35573 ISTIKRAM QADERI CHIEF QUALITY OFFICER 1.0 40.0 X 0 217557 21120 CLOYD GEEDY VP SUPPLY CHAIN MGMT 1.0 40.0 X 0 160890 24562 BRYAN FREDERICKS PHYSICIAN NETWORK PRESIDENT 1.0 40.0 X 0 275723 29734 1676037 2603593 442078 3 false true false WHITAKER CARRIER SERVICE 60 TREASURE LAKE DUBOIS PA 15801 COURIER SERVICES 676159 KL GATES LLP 210 SIXTH AVENUE PITTSBURGH PA 15222 LEGAL SERVICES 611652 BKD LLP 7901 WOODWAY DRIVE WACO TX 76712 AUDIT/TAX/CONSULTING 427080 BALDWIN LAW GROUP 600 FAIRMOUNT AVENUE TOWSON MD 21286 LEGAL SERVICES 236762 CAPTIS HEALTH LLC 7601 FRANCE AVENUE S STE 500 EDINA MN 55435 SUPPLY CHAIN CONSULT 105882 5 129182 3498918 3628100 Management Services 541611 30032459 30032459 30032459 34470 34470 0 0 0 0 0 0 19162 129182 30044 -10882 -10882 0 0 0 0 0 0 0 33684147 30032459 23588 X 118300 118300 0 0 0 1877009 1877009 0 16494487 16062743 431744 0 3081357 2901579 179778 0 0 1645155 1645155 215200 215200 0 0 0 3819623 3376547 443076 942602 833260 109342 848211 749819 98392 0 0 133577 118082 15495 131762 116478 15284 0 2436 2153 283 0 0 30513 26973 3540 170051 150325 19726 REPAIRS AND MAINTENANCE 279375 246967 32408 LICENSES, DUES, SUBSCRIPTIONS 183555 162263 21292 RECRUITING & RETENTION 181866 160770 21096 30155079 25026259 5128820 0 3845613 722597 0 9428642 0 0 306 1428 0 0 0 0 0 0 0 0 539222 1188866 217295 83990 22232 133305 0 0 0 0 29734257 33233175 0 0 6516016 4426213 40657646 49134226 6776391 8546826 0 0 0 0 0 2455000 0 0 0 0 0 0 0 0 3330000 4052077 10106391 15053903 X 29539164 29842773 803605 4029064 208486 208486 30551255 34080323 40657646 49134226 3529068 X false true X true false X X X 6 DUBOIS REGIONAL MEDICAL CENTER 251490707 3 true 38816 0 CLEARFIELD HOSPITAL 250979346 3 true 29281 0 BROOKVILLE HOSPITAL 250984595 3 true 23581 0 ELK REGIONAL HEALTH CENTER 250585280 3 true 26622 0 JC BLAIR MEMORIAL HOSPITAL 231352159 3 true 0 0 JEFFCO HEALTH SERVICES INC 251505478 3 true 0 0 6 118300 true false false false true false 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 5Q ADDITION OF SUPPORTED ORGANIZATIONS: DURING THE FISCAL YEAR, PENN HIGHLANDS HEALTHCARE ADDED TWO SUPPORTED ORGANIZATIONS: (i) JEFFCO HEALTH SERVICES, INC 25-1505478 AND JC BLAIR MEMORIAL HOSPITAL 23-1352159 (ii) THROUGH THE STRATEGIC ACQUISITION OF JEFFCO HEALTH SERVICES AND JC BLAIR MEMORIAL HOSPITAL, THE ORGANIZATION WILL HAVE THE OPPORTUNITY TO EXPAND ITS SERVICE AREA AND PROVIDE MORE COMPREHENSIVE HEALTH CARE SERVICES IN ITS CURRENT SERVICE AREA. (iii) THE POWER TO ENTER INTO A PURCHASE AGREEMENT, MERGER, CONSOLIDATION OR ACQUISITION IS LISTED IN THE ORGANIZATION'S BYLAWS AS A RESERVED POWER OF PENN HIGHLANDS HEALTHCARE. (iv) THE ACQUISITION WAS ACCOMPLISHED THROUGH AN ACQUISITION AGREEMENT (AFFILIATION) AND AMENDMENTS TO THE ORGANIZING DOCUMENTS OF THE NEWLY SUPPORTED ORGANIZATIONS. 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 AND PENN HIGHLANDS ELK. 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 AND PENN HIGHLANDS BROOKVILLE. 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 217295 83990 133305 133305 0 DUE FROM AFFILIATES 4426213 4426213 0 Due to Affiliates 4052077 4052077 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 148344 129182 19162 3325 13219 12203 1297 0 148344 129182 19162 3325 13219 12203 1297 30044 -10882 true BROOKVILLE HOSPITAL 100 HOSPITAL ROAD BROOKVILLE PA 15825 250984595 501(C)(3) 23581 PASS-THROUGH SUPPORT CLEARFIELD HOSPITAL 809 TURNPIKE DRIVE CLEARFIELD PA 16830 250979346 501(C)(3) 29281 PASS-THROUGH SUPPORT DUBOIS REGIONAL MEDICAL CENTER 100 HOSPITAL AVENUE DUBOIS PA 15801 251490707 501(C)(3) 38816 PASS-THROUGH SUPPORT ELK REGIONAL HEALTH CENTER 763 JOHNSON RD ST MARYS PA 15857 250585280 501(C)(3) 26622 PASS-THROUGH SUPPORT 4 SCHEDULE I, PART I, LINE 2 MONITORING OF GRANT FUNDS: THE GOLF TOURNAMENT FUNDS ARE DISTRIBUTED BASED ON DESIGNATIONS MADE BY DONORS BUT IF DONORS DO NOT MAKE DESIGNATIONS THEN THE FUNDS ARE DISTRIBUTED EVENLY AMONG THE PENN HIGHLANDS HOSPITALS. THE EXPENSES OF THE TOURNAMENT ARE DISTRIBUTED EVENLY AMONG THE HOSPITALS. X X X X X false true false false false false false false false DR THOMAS CARNEVALE TRUSTEE 0 429171 0 6000 0 731 0 11000 0 15281 0 462183 0 0 STEVE FONTAINE CEO 641731 0 203175 0 30166 0 107260 0 17946 0 1000278 0 0 0 DR RUSSELL CAMERON CHIEF MEDICAL OFFICER 0 460817 0 83175 0 44827 0 34041 0 15069 0 637929 0 0 BRIAN KLINE VP CHIEF FINANCIAL OFFICER 0 256001 0 56806 0 254 0 23040 0 6889 0 342990 0 0 ROBERT MCKEE VP CHIEF HR OFFICER 0 232150 0 41018 0 1406 0 20504 0 15069 0 310147 0 0 ISTIKRAM QADERI CHIEF QUALITY OFFICER 0 182921 0 20000 0 14636 0 9154 0 11966 0 238677 0 0 CLOYD GEEDY VP SUPPLY CHAIN MGMT 0 160414 0 0 0 476 0 6376 0 18186 0 185452 0 0 ROSE CAMPBELL VP PATIENT SERVICES/CNO 0 252534 0 45540 0 13993 0 22728 0 2069 0 336864 0 0 MARK NORMAN CHIEF OPERATING OFFR/TRUSTEE 298077 0 67500 0 6166 0 25904 0 17946 0 415593 0 0 0 TARUN GHOSH CHIEF FINANCIAL OFFICER 352246 0 76500 0 476 0 17000 0 14916 0 461138 0 0 0 BRYAN FREDERICKS PHYSICIAN NETWORK PRESIDENT 0 240384 0 30469 0 4870 0 12019 0 17715 0 305457 0 0 SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS RECEIVED CONTRIBUTIONS TO A 457(F) PLAN DURING THE YEAR: $77,760 STEVE FONTAINE $ 4,541 DR. RUSSELL CAMERON A HOSPITAL AUTHORITY OF THE CITY OF DUBOIS 251718944 263804BQ8 2018-05-31 168594544 REFUND 2014, CONSTRUCTION false false false A 0 0 168594544 0 0 0 1514726 0 0 6962139 73615000 89532131 true false false true A false false false false 0 false false false true A false true false false false false 0 false 0 false true A 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 REALATED TAX-EXEMPT ORGANIZATIONS ABOVE. GLWD LP OWNED BY TRUSTEE 121022 RENT false ONCOLOGY HEMATOLOGY ASSOC OF PA OWNED BY TRUSTEE 777668 PHYSICIAN SERVICES false SUSQUEHANNA ANESTHESIOLOGISTS OWNED BY TRUSTEE 815407 PHYSICIAN SERVICES false SCHEDULE 990, PART III, LINE 4A RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: (1) GLWD, LP, IS 100% OWNED BY DR. GREGORY ROSCOE, TRUSTEE. (2) ONCOLOGY HEMATOLOGY ASSOCIATES OF PENNSYLVANIA IS 100% OWNED BY TRUSTEES DR. CARMINE MARCHIOLI AND DR. HAZEM EL KASSAS. (3) SUSQUEHANNA ANESTHESIOLOGISTS IS 100% OWNED BY TRUSTEE DR. RICHARD BEDGER. 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: DR. CARMINE MARCHIOLI AND DR. HAZEM EL KASSAS SHARE A BUSINESS RELATIONSHIP THROUGH OWNERSHIP IN AN UNRELATED ENTITY. COMPENSATED TRUSTEES AND OFFICERS SHARE A BUSINESS RELATIONSHIP THROUGH THEIR EMPLOYMENT WITH A RELATED ORGANIZATION. 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, AND PENN HIGHLANDS JEFFERSON MANOR. 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. RICHARD BEDGER IS COMPENSATED AS A PHYSICIAN AT PENN HIGHLANDS CLEARFIELD. 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. FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:2518976 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANTS TOTAL FEES:1245298 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:39240 PENN HIGHLANDS NATURAL THERAPIES LLC PO BOX 447 100 HOSPITAL AVENUE DUBOIS PA 15801 820776018 INVESTMENTS PA -256 3334617 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 PHH 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) 3 PHH true JC BLAIR MEMORIAL HOSPITAL FOUNDATION 935 14TH STREET HUNTINGDON PA 16652 251881377 SUPPORT HOSP PA 501(C)(3) 12A I PHH true CLEARFIELD MEDICAL ASSOCIATES CLEARFIELD 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 AVE 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 HIGHANDS APOTHECARY INC PO BOX 447 100 HOSPITAL AVE DUBOIS PA 15801 364862024 PAIN MGMT PA PHH C CORP true CLEAR-CARE CORPORATION PO BOX 1411 CLEARFIELD PA 16830 251512107 MEDICAL EQUIPMENT PA CLEARFIELD HOSP C CORP true false true true false false false false false false false true true false true true true false false false JEFFCO HEALTH SERVICES INC C 3498918 FMV DUBOIS REGIONAL MEDICAL CENTER K 191545 COST DUBOIS REGIONAL MEDICAL CENTER L 19847844 COST ELK REGIONAL HEALTH CENTER L 4307909 COST CLEARFIELD HOSPITAL L 2582331 COST BROOKVILLE HOSPITAL L 2024629 COST COMMUNITY NURSES INC L 1269741 COST DUBOIS REGIONAL MEDICAL CENTER P 24627484 COST BROOKVILLE HOSPITAL P 261295 COST ELK REGIONAL HEALTH CENTER P 1495248 COST CLEARFIELD HOSPITAL P 566471 COST