STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PENN HIGHLANDS HEALTHCARE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
PENN HIGHLANDS HEALTHCARE (EIN 32-0345810)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-10
IRS object ID
201811349349301871
Schema version
2016v3.0
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)
Return2018-05-10T09:05:39-07:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN320345810EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Penn Highlands HealthcareBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPENNBusinessNameControlTxt
Phone8143756432PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 447AddressLine1Txt
CityDu BoisCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSteven FontainePersonNm
Person TitleCEOPersonTitleTxt
Phone8143756430PhoneNum
Signature2018-05-10SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSteven FontainePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 HOSPITAL AVEAddressLine1Txt
CityDU BOISCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,568,945GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
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 acess to a wide array of premier primary care and advanced health services while supporting a reverance for life and the worth and dignity of each individual.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$14,405,397PYProgramServiceRevenueAmt
CY Program Service Revenue$18,201,484CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$332,165CYOtherRevenueAmt
PY Total Revenue$14,405,397PYTotalRevenueAmt
CY Total Revenue$18,533,649CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$96,829CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,679,169PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,275,800CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,490,567PYOtherExpensesAmt
CY Other Expenses$3,662,525CYOtherExpensesAmt
PY Total Expenses$15,169,736PYTotalExpensesAmt
CY Total Expenses$18,035,154CYTotalExpensesAmt
PY Revenues Less Expenses-$764,339PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$498,495CYRevenuesLessExpensesAmt
Total Assets BOY$4,467,511TotalAssetsBOYAmt
Total Assets EOY$3,935,915TotalAssetsEOYAmt
Total Liabilities BOY$4,863,951TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,824,739TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$396,440NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$111,176NetAssetsOrFundBalancesEOYAmt
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 reverance for life and the worth and dignity of each individual.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,783,694ExpenseAmt
Revenue$18,201,484RevenueAmt
DescPenn Highlands Healthcare was formed in conjunction with the affiliation of DuBois Regional Medcial Center and its affiliated entities including Brookville Hospital, Clearfield Hospital and its affiliated entities and Elk Regional Hospital and its affiliated entities. 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.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$13,783,694TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document23IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Du Bois Regional Medical CenterBusinessNameLine1Txt
Business Name Line2c/o Brian KlineBusinessNameLine2Txt
FieldValueIRS element (for citing)
Phone8143756377PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 447AddressLine1Txt
Address Line2100 Hospital AveAddressLine2Txt
CityDu BoisCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15801ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Rob O'Leary
Chairman20Yes (X)Yes (X)$0$0$0
Ronald King
Vice-Chair20Yes (X)Yes (X)$0$0$0
Scott Foradora
Treasurer20Yes (X)Yes (X)$0$0$0
Dr Richard Bedger
Secretary240Yes (X)Yes (X)$0$25,000$0
Dr Thomas Carnevale
Trustee040Yes (X)$0$372,913$26,075
Dr Hazem ElKassas
Trustee10Yes (X)$0$0$0
Thomas G Gasbarre
Trustee10Yes (X)$0$0$0
David Lezzer
Trustee10Yes (X)$0$0$0
Dr Carmine Marchioli
Trustee10Yes (X)$0$0$0
Edward Nasuti
Trustee10Yes (X)$0$0$0
Robert A Ordiway
Trustee10Yes (X)$0$0$0
Richard Pfingstler
Trustee10Yes (X)$0$0$0
Dr Gregory Roscoe
Trustee10Yes (X)$0$0$0
Jim Ryan
Trustee10Yes (X)$0$0$0
Todd Stoltz
Trustee1Yes (X)$0$0$0
William Wood
Trustee10Yes (X)$0$0$0
Mark Norman
Chief Operating Officer400Yes (X)$0$219,686$18,028
Steven Fontaine
CEO400Yes (X)$0$655,693$101,286
David J McConnell
Chief Financial Officer400Yes (X)$0$407,944$62,593
Dr Gary Dugan
PHH Chief Medical Officer400Yes (X)$0$435,005$46,452Yes (X)
Dr Russ Cameron
PHH Chief Medical Officer400Yes (X)$0$705,048$47,432
Raymond A Graeca
President and CEO400Yes (X)$0$850,514$66,597Yes (X)
Cloyd Geedey
VP Supply Chain Management400Yes (X)$0$157,507$22,896
Robert McKee
VP Chief HR Officer400Yes (X)$0$262,318$34,819
Thomas Johnson
Chief Information Officer040Yes (X)$0$258,487$19,817
Gregory Bauer
Business Development Officer040Yes (X)$0$258,804$42,958
Rose Campbell
Vice-President Patient Services / Chief Nursing Officer040Yes (X)$0$67,660$9,619
Janice Hamscher
Vice-President Patient Services/Chief Nursing Officer040Yes (X)$0$276,529$35,732Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,953,108TotReportableCompRltdOrgAmt
Total Other Compensation$534,304TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Baldwin Law Group
210 West Pennsylvania AveSuite 220BaltimoreMD21204Legal Services$287,270
BKD LLP
910 E St Louis StPO Box 1190SpringfieldMO658011190Audit Services$255,665
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescManagement ServicesDesc
Business541611BusinessCd
Total Revenue Column$18,201,484TotalRevenueColumnAmt
Related Or Exempt Func Income$18,201,484RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$18,201,484TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$132,125FundraisingGrossIncomeAmt
Fundraising Direct Expenses$35,296FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,829TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$96,829ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$235,336TotalRevenueColumnAmt
Related Or Exempt Func Income$235,336RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$235,336OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,533,649TotalRevenueColumnAmt
Related Or Exempt Func Income$18,436,820RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$96,829ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$96,829TotalAmt
Program Services$96,829ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,510,077TotalAmt
Program Services$2,033,162ProgramServicesAmt
Management And General$476,915ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$9,293,489TotalAmt
Program Services$7,527,725ProgramServicesAmt
Management And General$1,765,764ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,472,234TotalAmt
Program Services$2,002,510ProgramServicesAmt
Management And General$469,724ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$775,934TotalAmt
Program Services$142,694ProgramServicesAmt
Management And General$633,240ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$334,887TotalAmt
Management And General$334,887ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$255,000TotalAmt
Management And General$255,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$633,917TotalAmt
Program Services$633,917ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$31,251TotalAmt
Program Services$25,313ProgramServicesAmt
Management And General$5,938ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$140,805TotalAmt
Program Services$114,052ProgramServicesAmt
Management And General$26,753ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$88,231TotalAmt
Program Services$71,467ProgramServicesAmt
Management And General$16,764ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,142TotalAmt
Program Services$12,265ProgramServicesAmt
Management And General$2,877ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$145,032TotalAmt
Program Services$117,476ProgramServicesAmt
Management And General$27,556ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,242,326TotalAmt
Program Services$1,006,284ProgramServicesAmt
Management And General$236,042ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,035,154TotalAmt
Program Services$13,783,694ProgramServicesAmt
Management And General$4,251,460ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,417,876BOYAmt
EOY$3,169,016EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$854,688BOYAmt
EOY$353,854EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$142,431BOYAmt
EOY$130,671EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$75,709LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$38,335LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$52,516BOYAmt
EOY$37,374EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$245,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,467,511BOYAmt
EOY$3,935,915EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,179,237BOYAmt
EOY$2,170,668EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$278,221BOYAmt
EOY$1,337,762EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,406,493BOYAmt
EOY$316,309EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,863,951BOYAmt
EOY$3,824,739EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY-$396,440BOYAmt
EOY$111,176EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$396,440BOYAmt
EOY$111,176EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,467,511BOYAmt
EOY$3,935,915EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$498,495ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$9,121PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations4SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
DuBois Regional Medical Center
2514907073Yes (1)$0$0
Clearfield Hospital
2509793463Yes (1)$0$0
Brookville Hospital
2509845953Yes (1)$0$0
Elk Regional Health Center
2505852803Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total4SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice Investment0SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Activities TestYes (X)ActivitiesTestInd
Parent Supported OrgYes (X)ParentSupportedOrgInd
Activities Further Exempt PrpsYes (1)ActivitiesFurtherExemptPrpsInd
Activities Engaged Org InvlmntYes (1)ActivitiesEngagedOrgInvlmntInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part IV, Section E, Line 2aPenn Highlands Healthcare Inc provided Management services, HR services, Payroll services, IT services, 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 and Penn Highlands Brookville. Each individual hospital would have needed to pay for these costs if the parent company didn't provide them.
Schedule A, Part IV, Section E, Line 2bPenn Highlands Healthcare Inc provided HR services, Payroll services, IT services, Development, Recruitment, compliance, Supply Chain and Advertising to DuBois Regional Medical center, Elk Regional Health Center, Elk Regional Health Center, Clearfield Hospital and Brookville Hospital. Each individual hospital would have needed to pay for these costs if the parent company didn't provide them.
Schedule A, Part IV, Section E, Line 3aThe supported organizations recommend officers and directors to the parent corporation and the parent corporation reviews and approves the recommendations.
Schedule A, Part IV, Section E, Line 3bControl 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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$75,709InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$38,335DepreciationAmt
Book Value$37,374BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$37,374TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescInvestment in AffiliateDesc
Book Value$245,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$245,000TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescINTERERST RATE SWAP AGREEMENTDesc
Amt$316,309Amt
FieldValueIRS element (for citing)
Total Liability$316,309TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf FundraiserEvent1Nm
Gross Receipts Event1$132,125GrossReceiptsEvent1Amt
Charitable Contri Event1$0CharitableContriEvent1Amt
Gross Revenue Event1$132,125GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$9,514NonCashPrizesEvent1Amt
Rent Facility Costs Event1$9,064RentFacilityCostsEvent1Amt
Food And Beverage Event1$12,270FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$4,448OtherDirectExpensesEvent1Amt
Food And Beverage Other Events$0FoodAndBeverageOtherEventsAmt
Entertainment Other Events$0EntertainmentOtherEventsAmt
Gross Receipts Total$132,125GrossReceiptsTotalAmt
Charitable Contributions Tot$0CharitableContributionsTotAmt
Gross Revenue Total Events$132,125GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$9,514NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$9,064RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$12,270FoodAndBeverageTotalEventsAmt
Entertainment Total Events$0EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$4,448OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$35,296DirectExpenseSummaryEventsAmt
Net Income Summary$96,829NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmt
Brookville Hospital
100 Hospital RdBrookvillePA15825250984595501(c)3$18,702$0
Clearfield Hospital
809 Turnpike DrClearfieldPA16830250979346501(c)(3)$19,802$0
DuBois Regional Medical Center
100 Hospital AveDu BoisPA15801251490707501(c)(3)$38,282$0
Elk Regional Health Center
763 Johnsonburg RdSt MarysPA15857250585280501(c)(3)$20,042$0
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationThe 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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
Steven Fontaine
CEO$0$533,005$0$122,688$0$0$0$84,192$0$17,094$0$756,979$0$0
Dr Gary Dugan
PHH Chief Medical Officer$0$359,582$0$75,423$0$0$0$28,464$0$17,988$0$481,457$0$0
Robert McKee
VP Chief HR Officer$0$222,300$0$40,018$0$0$0$20,007$0$14,812$0$297,137$0$0
Dr Russ Cameron
Chief Operating Officer$0$482,286$0$222,762$0$0$0$32,009$0$15,423$0$752,480$0$0
Cloyd Geedey
VP Supply Chain Management$0$156,007$0$1,500$0$0$0$4,908$0$17,988$0$180,403$0$0
Mark Norman
Chief Operating Officer$0$186,840$0$32,846$0$0$0$7,933$0$10,095$0$237,714$0$0
Raymond A Graeca
President and CEO$0$460,237$0$183,050$0$207,227$0$56,700$0$9,897$0$917,111$0$0
David J McConnell
Chief Financial Officer$0$357,416$0$50,528$0$0$0$42,000$0$20,593$0$470,537$0$0
Thomas Johnson
Chief Information Officer$0$233,170$0$25,317$0$0$0$8,930$0$10,886$0$278,303$0$0
Gregory Bauer
Business Development Officer$0$239,775$0$19,029$0$0$0$26,847$0$16,111$0$301,762$0$0
Janice Hamscher
Vice-President Patient Services/Chief Nursing Officer$0$248,931$0$27,598$0$0$0$18,378$0$17,354$0$312,261$0
Rose Campbell
Vice-President Patient Services / Chief Nursing Officer$0$67,660$0$0$0$0$0$5,763$0$3,856$0$77,279$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aSteven Fontaine, CEO, receives an annual flexible benefit allowance. The expenses available for reimbursement under this allowance are: automobile allowance and auto expenses; supplemental LTD premiums; premiums on term life insurance coverage, health club memberships, and tax/financial planning, all of which are reported as fully taxable compensation on the W-2.
Schedule J, Part I, Line 4Raymond Graeca, Steven Fontaine and Russ Cameron participated in 457F and 457B plans funded by Penn Highlands DuBois. David McConnell participated in 457B plan funded by Penn Highlands Clearfield.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL AUTHORITY OF THE CITY OF DUBOISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN251718944BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2014-06-26BondIssuedDt
Issue Price$90,000,000IssuePriceAmt
PurposeREFINANCING AND PURCHASE OF CAPITAL ITEMSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$12,998,750RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$90,000,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$0IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Total Private Business Use0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part I-06/26/2014 90,000,000 HOSPITAL AUTHORITY OF THE CITY OF DUBOISFormAndLineReferenceDesc
ExplanationThe refinancing bond issue was negotiated by the parent company, Penn Highlands Healthcare Inc to benefit the hospitals within the Penn Highlands system. These related parties are: Penn Highlands DuBois, Penn Highlands Elk, Penn Highlands Brookville, and Penn Highlands Clearfield. Penn Highlands Healthcare Inc does not carry this liability on the balance sheet. Each hospital is legally responsible for its portion of the liability and thus, reports this on its balance sheet.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Dr Thomas Carnevale
Employee of Penn Highlands Clearfield$372,913Physician Services0
Dr Gregory Roscoe
Trustee$102,114Lease of Office Space from Trustee0
Oncology Hematology Assoc of PA
Owned by Dr Elkassas & Dr Marchioli$769,364Payment for on-call and medical director0
William Nasuti
brother of a Board Member$53,419Wages0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IVFormAndLineReferenceDesc
ExplanationDr. C. Marchioli and Dr. H El Kassas are owners of Oncology Hematology Associates of Northern Pennsylvania, PC.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bPenn Highlands Healthcare, Inc.'s Finance Committee and the Board of Directors reviewed the 990 at the regularly scheduled meetings.
Form 990, Part VI, Section B, Line 12cA system-wide Conflict of Interest Policy and Healthcare Disclosure Statement is sent to each Board Member in July. All documents are required to be returned, reviewed and filed.
Form 990, Part VI, Section B, Line 15The Penn Highlands Healthcare Executive Compensation Committee consults with the healthcare consulting firm, Yaffee & 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.
Form 990, Part VI, Section C, Line 19The organization's governing documents, conflict of interest policy and financial statements are available to the public upon request.
Form 990, Part VII, Section A, Line 1aOfficers are paid via payroll through DuBois Regional Medical Center (25-1490707) and Clearfield Hospital (25-0979346). These wages are reported as W-2 income through these organizations and billed to Penn Highlands Healthcare Inc.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Du Bois Regional Medical Center
PO Box 447100 Hospital AveDu BoisPA15801251490707HospitalPA501(c)(3)3Penn Highlands Healthcare IncYes (1)
Brookville Hospital
100 Hospital RdBrookvillePA15825250984595HospitalPA501(c)(3)3Du Bois Regional Medical CenterYes (1)
Clearfield Hospital
809 Turnpike DrClearfieldPA16830250979346HospitalPA501(c)(3)3Penn Highlands Healthcare IncYes (1)
Elk Regional Health Center
763 Johnsonburg RdSt MarysPA15857250585280HospitalPA501(c)(3)3Penn Highlands Healthcare IncYes (1)
Clear-Med Provider Corporation
PO Box 1260ClearfieldPA16830251657668Outpatient PhysicianPA501(c)(3)3Clearfield HospitalYes (1)
DRMC Auxiliary
100 Hospital AvePO Box 447Du BoisPA15801251531359Support Du Bois Regional Medical CenterPA501(c)(3)11Yes (1)N/A
DRMC Employee Benefits Plan Trust
100 Hospital AveDu BoisPA15801256332829DuBois Regional Medical Center's Employee BenefitsPA501(c)(3)3Du Bois Regional Medical CenterYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Du Bois Regional Medical Group
100 Hospital AveDu BoisPA15801251856569Medical practicesPADu Bois Regional Medical CenterC0
Du Bois Medical Risk Retention Group
100 Hospital AveDu BoisPA15801200324622Insurance ServicePADu Bois Regional Medical CenterC0
Brookcare II Inc
100 Hospital RdBrookvillePA15825251477768Lease Office SpacePABrookville HospitalC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Brookville Hospital
b$18,702Contribution from Golf Tournament
Clearfield Hospital
b$19,802Contribution from the Golf Tournament
Du Bois Regional Medical Center
b$38,282Contribution from the Golf Tournament
Elk Regional Health Center
b$20,042Contribution from the Golf Tournament
Du Bois Regional Medical Center
k$143,475Cost
Brookville Hospital
l$1,254,722Cost
Clearfield Hospital
l$1,967,085Cost
Du Bois Regional Medical Center
l$11,883,365Cost
Elk Regional Health Center
l$3,096,312Cost
Brookville Hospital
o$96,390Cost
Clearfield Hospital
o$1,312,406Cost
Du Bois Regional Medical Center
o$10,830,370Cost
Elk Regional Health Center
o$1,275,835Cost
Du Bois Regional Medical Center
p$59,614Cost