2015-05-15T14:46:00-05:00 2014-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-07-01 250585280 ELK REGIONAL HEALTH CENTER % LAURIE MACDONALD ELKR 8147888000 763 JOHNSONBURG ROAD Suite ST MARYS PA 15857 LAURIE MACDONALD CFO 8147888000 2015-01-12 true Brian D Todd P00422601 8147888000 2013 2016-03-07 17:11:31Z PENN HIGHLANDS ELK ROSE CAMPBELL 763 JOHNSONBURG ROAD ST MARYS PA 15857 77347573 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. 18 16 953 157 129104 988226 1530397 75457662 73511921 232255 184202 911178 628036 77589321 75854556 4300 2125 0 0 43780694 41331759 0 0 1448 31783261 33621751 75568255 74955635 2021066 898921 64529742 72010087 48244356 52551566 16285386 19458521 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 29968212 2125 53965388 PHH ELK IS A SOLE COMMUNITY 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. OTHER PROGRAM SERVICES INCLUDE MEALS ON WHEELS, COMMUNITY NURSING, HEALTHY BEGINNINGS, AND SPORTS MEDICINE AND OTHER HEALTHCARE RELATED ACTIVITIES. ADDITIONALLY, THE HEALTH CENTER RECEIVED EHR INCENTIVE PAYMENTS THROUGH THE MEANINGFUL USE PROGRAM. 26710798 11221818 PHH ELK PROVIDES A 138-BED LONG TERM CARE FACILITY SERVING THE NEEDS OF ELK & CAMERON COUNTIES AND THE SURROUNDING COMMUNITIES. WE ARE AT A 93% OCCUPANCY RATE. WE PROVIDE SOCIAL SERVICES AND RESIDENT ACTIVITIES. OUR TEAM OF QUALIFIED PROFESSIONALS PROVIDES 24-HOUR NURSING CARE AND REHABILITATIVE THERAPY WITH PERSONALIZED ATTENTION TO EACH RESIDENT. OTHER SERVICES OFFERED AT THE FACILITY INCLUDE HOSPICE SERVICES, TRANSPORTATION TO OUTSIDE HEALTH APPOINTMENTS, DIETICIANS, AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. 8469277 8324715 PHH ELK PROVIDES FAMILY, INTERNAL & GENERAL MEDICINE, OB/GYN, AND ORTHOPEDIC PHYSICIAN OFFICES TO SERVE THE COMMUNITY. MANY OF THE OFFICES ARE LOCATED ON THE ERHC CAMPUS WITH A FEW OTHER LOCATIONS TO BETTER SERVE THE COMMUNITY. 65148287 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 false true true false false false false true true false false false true 52 0 true 953 true true true false false false false false false false false false X 18 16 false false true false true true true true true false false true true true true true true false false true true X LAURIE MACDONALD 8147888743 763 JOHNSONBURG ROAD ST MARYS PA 15857 X FRANK SCUTELLA CHAIRMAN 1.0 1.0 X X MARY AGNES MARSHALL TREASURER 1.0 2.5 X X DON FLEMING DIRECTOR 1.0 3.0 X JOHN ROGERS DIRECTOR 1.0 1.0 X FATHER ERIC VOGT DIRECTOR 1.0 0.0 X FRANK STRAUB DIRECTOR 1.0 0.0 X STEVE QUINN DIRECTOR 1.0 0.0 X BILL CONRAD DIRECTOR 1.0 1.0 X TONY KING DIRECTOR 1.0 1.0 X JUNE SORG DIRECTOR 1.0 2.25 X BOB ORDIWAY SECRETARY 1.0 1.0 X X DR DAVID JOHE DIR/MED STAFF PRES ENDING 1/14 1.0 40.0 X 0 260931 5466 ANITA WENDEL DIRECTOR/AUXILIARY PRESIDENT 1.0 1.0 X JOANNE RYAN DIRECTOR 1.0 1.0 X JOHN PICCOLO DIRECTOR 1.0 0.0 X DAVE NEDZINSKI DIRECTOR 1.0 1.0 X JIM RYAN DIRECTOR 1.0 0.0 X MIKE RENAUD DIRECTOR 1.0 0.0 X ROSE CAMPBELL CEO/PRESIDENT 40.0 5.0 X X 0 78384 2438 LAURIE MACDONALD CFO/VP OF FINANCE 40.0 2.0 X 154224 0 24459 MARK HOFFMAN DIRECTOR OF PHYSICAL THERAPY 40.0 0.0 X 105946 0 3425 DAVID WOLFE PCM ADMINISTRATOR 40.0 0.0 X 107880 0 18550 CURT OBERHOLTZER PHYSICIAN 40.0 0.0 X 149055 0 22999 RONNIE SKARKA PHYSICIAN 40.0 0.0 X 171341 0 19533 WILLIAM WITTMAN CRNP 40.0 0.0 X 153707 0 22287 GREG BAUER FORMER CEO/PRES ENDING 6/13 0.0 40.0 X 286912 0 28076 1129065 339315 147233 11 true true false JACKSON COKER PHYSICIAN RECRUITING 280201 HEALTHCARE SERVICES GROUP HOUSEKEEPING SERVICE 1455261 SODEXO NUTRITION SERVICES 137344 ASSOCIATED CLINICAL LABORATORIES LAB SERVICES 629896 SMP HOME MEDICAL PHARMACY SERVICES 324388 17 1073788 224649 231960 1530397 NET PATIENT SERVICE REVENUE 621990 71852435 71852435 CAFETERIA INCOME 722514 408170 408170 EHR INCENTIVE REVENUE 621990 585430 585430 OTHER SERVICE REVENUE 621990 665886 665886 73511921 127458 127458 0 0 545326 432365 112961 0 112961 112961 1071074 46322 1060652 10422 46322 56744 56744 0 0 0 MOB HOUSEKEEPING 812900 49661 49661 PHYSICIAN BILLING 519100 79443 79443 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 452304 452304 -66333 -66333 515075 75854556 73511921 129104 683134 X 2125 2125 0 0 0 188325 0 188325 0 30553 0 30553 0 33580380 29339156 4241224 0 588945 524887 64058 0 4497519 3965935 531584 0 2446037 2143593 302444 0 0 171645 0 171645 0 128137 0 128137 0 0 0 33765 0 33765 0 7651826 5836379 1815447 0 224826 0 224826 0 7923239 7523347 398444 1448 340192 0 340192 0 0 1339374 1201899 137475 0 63947 52312 11635 0 0 160933 98041 62892 0 897777 799464 98313 0 0 3858283 3435772 422511 0 742653 398251 344402 0 BAD DEBT 5020555 5020555 MEDICAL SUPPLIES & DRUGS 4646571 4646571 RECRUITING & RETENTION 292883 123859 169024 LICENSES, DUES, SUBSCRIPTIONS 124841 36141 88700 304 304 74955635 65148287 9805900 1448 5666 35917 3634419 5959952 771161 417770 8175441 7644242 0 0 0 0 0 0 534401 667166 456084 1096990 44745109 3982497 34144983 40762612 4938641 5452302 5482459 2572663 0 0 0 1500000 6386487 5900473 64529742 72010087 10817926 13642366 0 0 0 0 6721719 27445537 0 0 0 0 20465709 1752344 0 0 10239002 9711319 48244356 52551566 X 15516334 19042389 769052 416132 0 0 16285386 19458521 64529742 72010087 X 898921 71490 2202724 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1500 1500 false SCHEDULE C, PART II-B, LINE 1I THE ORGANIZATION IS A MEMBER OF THE HOSPITAL COUNCIL OF WESTERN PENNSYLVANIA, OF WHICH 15% OF ITS $10,000 DUES ARE ATTRIBUTABLE TO LOBBYING, OR $1,500. 215000 4127843 4342843 1249534 30808811 1891413 30166932 7113709 2008889 5104820 10882 1219330 82195 1148017 40762612 DUE FROM AFFILIATES 47167 OTHER RECEIVABLE 4649415 ACCRUED INTEREST 11733 SPA MALPRACTICE RESERVE 1192158 5900473 0 ACCRUED PENSION LIABILITY 8894503 DUE TO THIRD PARTY PAYERS 816816 9711319 70856000 71490 -5020555 -4949065 75805065 49491 49491 75854556 70148377 213297 213297 69935080 5020555 5020555 74955635 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 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12: $(5,020,555) BAD DEBT EXPENSE SCHEDULE D, PART XI, LINE 4B OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT LINE 1: $ (213,297) ERHC RENTAL EXPENSES 40,372 REM NET RENTAL INCOME 222,416 TEMPORARILY RESTRICTED CONTRIBUTIONS ---------- $ 49,491 SCHEDULE D, PART XII, LINE 2D OTHER EXPENSES INCLUDED ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 213,297 ERHC RENTAL EXPENSES SCHEDULE D, PART XII, LINE 4B OTHER EXPENSES INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 5,020,555 BAD DEBT EXPENSE true true X true X true X true false false 125641 125641 0.00180 10480944 8100868 2380076 0.03400 10606585 8100868 2505717 0.03580 122011 39303 82708 0.00120 9610846 7988999 1621847 0.02320 2368 2368 9735225 8028302 1706923 0.02440 20341810 16129170 4212640 0.06020 2195 2195 120825 39390 81435 0.00120 123020 39390 83630 0.00120 true 5020555 486994 15388120 16221669 -833549 X true false 1 1 ELK REGIONAL HEALTH CENTER 963 JOHNSONBURGH ROAD ST MARYS PA 15857 WWW.PHHEALTHCARE.ORG 010901 X X SKILLED NURSING PHYSICIAN OFFICES ELK REGIONAL HEALTH CENTER 1 true X X X X X X X X 12 true false true X WWW.PHHEALTHCARE.ORG X X X X X true false true true 100 true 400. true X X X X X true true X X X true false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3 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 6 IMPLEMENTATION STRATEGY: IN RESPONSE TO THE RESULTS OF ELK REGIONAL HEALTH CENTER'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION CAN BE FOUND AT THE FOLLOWING URL: https://www.phhealthcare.org/penn-highlands-elk/patients-visitors/communit y-needs-assessment/page.aspx?id=1390 PENN HIGHLANDS ELK LISTENS TO COMMUNITY CONCERNS, ANALYZES HEALTHCARE UTILIZATION AND COSTS, EXPLORES ACCESS ISSUES, COLLABORATES WITH AND DEVELOPS EFFECTIVE PROGRAMS TO IMPROVE THE HEALTH OF THOSE IN THE NORTHERN TIER OF WEST CENTRAL PENNSYLVANIA. BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS AND THE PRIORITIZED NEEDS, TWO COMMUNITY NEEDS WILL BE ADDRESSED AND FURTHER EXPLORED. OF THE IDENTIFIED CHNA AND PRIORITIZED HEALTH NEEDS, PENN HIGHLANDS ELK FOCUSED ON TWO OF THE COMMUNITY REQUIREMENTS: -PROVIDER WORKFORCE -DENTAL CARE PROVIDER WORKFORCE: IT'S IMPORTANT TO NOTE THAT WHILE "PROVIDER WORKFORCE" WAS NOT A COMMUNITY NEED THAT WAS A DIRECT RESULT FROM THE CHNA FINDINGS, PENN HIGHLANDS ELK TOOK ON THIS ISSUE IN ORDER TO INCREASE THE MANPOWER ISSUE AND ADDRESS THE WORKFORCE ISSUES THAT DIRECTLY AFFECT COMMUNITY RESIDENTS. TACKLING THE LACK OF AVAILABLE PHYSICIANS AND ALLIED HEALTH PROFESSIONALS IN THE AREA WAS ALSO DONE TO HELP AND IMPROVE COMMUNITY RESIDENTS' ABILITY TO ACCESS AFFORDABLE HEALTHCARE SERVICES AND INFORMATION. ACCESS TO AFFORDABLE HEALTHCARE AND PREVENTIVE HEALTHCARE AND WELLNESS WERE IDENTIFIED AS DIRECT NEEDS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. DURING THE FISCAL YEAR, THE PHYSICIAN RECRUITER USED THE FOLLOWING TOOLS TO ENGAGE POTENTIAL CANDIDATES: CONTINGENCY FIRMS; ADVERTISING JOB BOARDS (PRACTICE LINK, CAREER MD, JOURNAL OF FAMILY PRACTICE, HEALTHECAREERS); CAREER FAIRS (PITTSBURGH, GREENSBURG, PHILADELPHIA); COMMUNICATION WITH RESIDENCY PROGRAM DIRECTORS IN SURROUNDING STATES; AND COMMUNICATION WITH COLLEAGUES TO POOL CANDIDATES. THE RECRUITER ALSO UTILIZED LOCUM TENENS FIRMS FOR STAFFING NEEDS IN THE HOSPITAL AND FAMILY MEDICINE PROGRAMS. PENN HIGHLANDS ELK ALSO ENGAGED AN EMERGENCY MEDICINE PHYSICIAN STAFFING GROUP TO PROVIDE PHYSICIANS FOR ITS EMERGENCY DEPARTMENT. NUMEROUS INTERVIEWS WERE CONDUCTED DURING THE TIME PERIOD AND ACTIVITIES RESULTED IN THE HIRING OF A SIGNIFICANT NUMBER OF PROVIDERS INCLUDING: -2 - PEDIATRICIANS -2 - FAMILY PRACTICE -2 - INTERNAL MEDICINE -5 - ADVANCED PRACTICE PROVIDER -1 - OB/GYN THE RECRUITMENT OF PHYSICIANS AND ALLIED HEALTH PROFESSIONALS IS A TOP PRIORITY OF PENN HIGHLANDS ELK, AND NEW STRATEGIES WILL CONTINUE TO BE IMPLEMENTED TO IMPROVE ACCESS TO CARE. RECRUITING PRIMARY CARE PHYSICIANS IS OF UTMOST IMPORTANCE. IN ADDITION TO PLACING QUALIFIED PROVIDERS IN PRACTICES AROUND OUR SERVICE AREA, PENN HIGHLANDS ELK EXPANDED ITS QCARE PROGRAM, WHICH FOCUSES ON ACCESS AND AFFORDABILITY FOR THOSE SEEKING CARE FOR URGENT NEEDS THAT ARE NOT EMERGENCIES. QCARE IS LOCATED IN THREE TOWNS IN THE REGION AND FEATURE BOTH PHYSICIANS AND ADVANCED PRACTICE PROVIDERS WHO GIVE FAST, CONVENIENT CARE FOR PATIENTS WHO DON'T NEED THE HIGH LEVEL SERVICES PROVIDED IN AN EMERGENCY DEPARTMENT/HOSPITAL SETTING. IN 2015, QCARE WILL BE EXPANDING HOURS TO INCLUDE WEEKEND HOURS FOR EVEN GREATER ACCESS TO THE URGENT CARE SERVICES. IN 2016, PENN HIGHLANDS ELK WILL BE WORKING WITH LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE TO PROVIDE CLINICAL SETTINGS FOR MEDICAL STUDENTS TO GET HANDS-ON OPPORTUNITIES TO EXPAND THEIR MEDICAL EDUCATION. A GENERAL MEDICAL EDUCATION PROGRAM WILL BE PART OF A SYSTEM-WIDE INITIATIVE THAT WILL BRING MEDICAL RESIDENTS IN THE FIELDS OF FAMILY MEDICINE, INTERNAL MEDICINE AND EMERGENCY MEDICINE TO PENN HIGHLANDS ELK IN 2017. ADDITIONAL PARTNERSHIPS WILL ALSO INCLUDE A PHYSICIAN ASSISTANT TRAINING PROGRAM WITH LOCK HAVEN UNIVERSITY AND AN EDUCATIONAL/TRAINING PROGRAM FOR MID-LEVEL PROVIDERS WITH THE UNIVERSITY OF PITTSBURGH MEDICAL CENTER. DENTAL CARE: MANY AVENUES FOR EXPANDING ACCESS TO DENTAL CARE IN OUR COMMUNITIES WERE EXPLORED WITH PARTNERS THROUGHOUT OUR HEALTH SYSTEM. DISCUSSIONS WITH CURRENT PROVIDERS ABOUT PLANS FOR ADDITIONAL STAFFING, THE REVIEW OF A MOBILE DENTAL UNIT FOR THE REGION AND DISCUSSIONS WITH OTHER STAKE-HOLDERS TO GENERATE NEW OPTIONS FOR DENTAL CARE WERE ALL INCLUDED IN THE PROCESS. THIS PRIORITY PROVED VERY CHALLENGING. NO NEW PROVIDERS OR PARTNERS COULD BE IDENTIFIED FOR OUR REGION FOR ANY INITIATIVES THAT WERE REVIEWED. MUCH TIME WAS DEVOTED TO STUDYING HOW MOBILE DENTAL UNITS WORK IN RURAL COMMUNITIES AND DEMONSTRATIONS OF MOBILE UNITS WERE CONDUCTED. FOLLOWING EXTENSIVE REVIEW AND DISCUSSION, OFFICIALS DETERMINED THAT PURCHASING A MOBILE UNIT WAS NOT FEASIBLE FOR OUR SYSTEM. THE TWO MAJOR FACTORS INCLUDED COST AND THE LACK OF A QUALIFIED PROVIDER TO RUN THE UNIT. 1 PINECREST MANOR 763 JOHNSONBURG ROAD ST MARYS PA 15857 NURSING HOME (SKILLED NURSING) SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $5,020,555. 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 II COMMUNITY BUILDING ACTIVITIES: SEE THE NARRATIVE FOR PROMOTION OF COMMUNITY HEALTH ON SCHEDULE H, PART VI, LINE 5 FOR DETAIL FOT HE COMMUNITY BUILDING ACTIVITIES LISTED IN SCHEDULE H, PART II. SCHEDULE H, PART III, SECTION A, LINES 2, 3, & 4 BAD DEBT EXPENSE METHODOLOGY: THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, WHICH IS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. LINE 2 REPORTS THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS FROM THE AUDITED 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. PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS INCLUDES A FOOTNOTE REGARDING BAD DEBT EXPENSE. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: THOSE INDIVIDUALS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, SUBSEQUENT TO THEIR ACCOUNT BALANCE BEING ADJUSTED ACCORDINGLY, ACTUALLY ARE TREATED IN THE SAME MANNER AS ALL OTHER INDIVIDUALS WITH SELF-PAY BALANCES. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: THE ORGANIZATION COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN TAX YEAR 2012. SEE PART V, SECTION B, FOR ADDITIONAL INFORMATION. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF 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 37,000. ADULTS OVER AGE 65 REPRESENT ABOUT 20% OF THE POPULATION. PERSONS BELOW POVERTY LEVEL ACCOUNT FOR ABOUT 11% OF THE POPULATION. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $43,000, AND THE MEDIAN VALUE OF OWNER-OCCUPIED HOUSING UNITS IS APPROXIMATELY $89,000. 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 & INSTALL IN THEIR HOMES. ERHC WORKS WITH THE LOCAL LIONS CLUB & 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 & OUTPATIENT THERAPY OFFICES LOCATED THROUGHOUT THE COMMUNITIES GIVE PATIENTS EASIER ACCESS TO VARIOUS SERVICES. ERHC PARTICIPATES IN AND HOLDS HEALTH FAIRS WHERE FREE SCREENINGS & 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. 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 AND THE STRENGTH OF A CLINICAL RELATIONSHIP WITH UPMC HAMOT IN ERIE, PA. 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 PROVIDE EDUCATIONAL CLASSES AND SCHOLARSHIPS. THERE ARE MANY SCREENINGS & HEALTH CLINICS HELD THROUGHOUT THE YEAR TO PROMOTE HEALTHY LIVING & PREVENTATIVE CARE. ERHC ALSO OFFERS EXERCISE, NUTRITION, AND RELAXATION CLASSES. THE HEALTH SYSTEM FOUNDATION OFFERS 2 SCHOLARSHIPS EACH YEAR TO STUDENTS PURSUING HEALTH CARE FIELDS. THE AFFILIATED HEALTH CARE SYSTEM INCLUDES THE COMMUNITY NURSES, INC. AND SUBSIDIARIES, ELK REGIONAL PROFESSIONAL GROUP, INC., ELK REGIONAL HEALTH CENTER AUXILIARY, INC., ELCO HOUSING, INC., AND ELK REGIONAL HEALTH CENTER FOUNDATION. 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. true true false false false false false false false GREG BAUER FORMER CEO/PRES ENDING 6/13 269586 0 0 0 17326 0 12150 0 15926 0 314988 0 0 0 LAURIE MACDONALD CFO/VP OF FINANCE 143777 0 0 0 10447 0 4475 0 19984 0 178683 0 0 0 DR DAVID JOHE DIR/MED STAFF PRES ENDING 1/14 0 259065 0 414 0 1452 0 0 0 5466 0 266397 0 0 CURT OBERHOLTZER PHYSICIAN 147862 0 0 0 1193 0 4355 0 18644 0 172054 0 0 0 RONNIE SKARKA PHYSICIAN 138327 0 0 0 33014 0 0 0 19533 0 190874 0 0 0 WILLIAM WITTMAN CRNP 153435 0 0 0 272 0 4673 0 17614 0 175994 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: INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART 1, LINE 4A SEVERANCE PAYMENT: SEVERANCE PAYMENT RONNIE SKARKA $32,048 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: 457(F) PLAN EMPLOYEE CONTRIBUTIONS GREG BAUER $4,500 NICKLAS INSURANCE AGENCY SEE PART V. 212796 SEE PART V. false KAREN GASPARI SEE PART V. 30553 SEE PART V. false ST MARYS PHARMACYHOME MEDICAL SEE PART V. 325306 SEE PART V. false SCHEDULE L, PART IV BUSINESS TRANSACTIONS: (1) FRANK SCUTELLA IS AN OWNER OF NICKLAS INSURANCE AGENCY. THE ORGANIZATION RECEIVES PROPERTY, BOILER, AND BUSINESS AUTO INSURANCE FROM THE AGENCY, WITH TOTAL PAYMENTS EQUAL TO $212,796 FOR THE YEAR. (2) KAREN GASPARI IS THE SISTER OF LAURIE MACDONALD, ERHC CFO/VP OF FINANCE. SHE IS EMPLOYED BY ERHC AND RECEIVED TOTAL COMPENSATION AND BENEFITS OF $30,553. (3) 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 $325,306 FOR FYE 6/30/2014. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO THE BYLAWS: AS A RESULT OF THE AFFILIATION WITH PENN HIGHLANDS HEALTHCARE (PHH), ELK REGIONAL HEALTH CENTER AMENDED ITS BYLAWS. SIGNIFICANT CHANGES INCLUDE THE FOLLOWING: -THE NUMBER OF DIRECTORS NOW WILL BE COMPRISED OF NOT LESS THAN THIRTEEN AND NOT MORE THAN SEVENTEEN DIRECTORS, WHO ARE NOMINATED AND ELECTED ACCORDING TO THE PROCESS SET FORTH IN THE NARRATIVE FOR FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B. ADDITIONALLY, THERE ARE THREE EX-OFFICIO DIRECTORS IDENTIFIED AS THE PRESIDENT OF THIS ORGANIZATION AND THE PRESIDENT OF ELK. THESE EX-OFFICIO DIRECTORS HAVE THE SAME RIGHTS AS THE ELECTED DIRECTORS. -QUORUM WILL CONSTITUTE 2/3 OF THE FULL BOARD. -IN THE EVENT OF DISSOLUTION, ALL ASSETS WILL BE DISTRIBUTED TO ONE OR MORE ORGANIZATIONS QUALIFYING FOR A 501(C)(3) EXEMPTION, AND IF POSSIBLE OR PRACTICAL, TO ELK OR OTHER AFFILIATED ORGANIZATIONS. -PHH NOW HOLDS CERTAIN POWERS OVER THE DIRECTORS AND SYSTEM-WIDE ISSUES, INCLUDING THE APPROVAL OF THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND THE APPROVAL OF ANY AND ALL AMENDMENTS TO THE BYLAWS. SEE THE NARRATIVE FOR FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B FOR ADDITIONAL INFORMATION REGARDING THE ROLE OF THE MEMBER AND PHH. -THE ORGANIZATION IS NOW SUBJECT TO A SYSTEM-WIDE CONFLICT OF INTEREST POLICY. SEE THE NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 12C FOR ADDITIONAL INFORMATION REGARDING THE CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION A, LINES 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 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 & 15B COMPENSATION DETERMINATION: PENN HIGHLANDS HEALTHCARE, INC. (PHH) PERFORMS THE COMPENSATION REVIEW FOR THE PHH EXECUTIVES, INCLUDING THE CEO OF PHH ELK. AN INDEPENDENT COMPENSATION CONSULTANT, YAFFE & COMPANY, IS CONTRACTED TO COMPLETE AN ANNUAL COMPENSATION REVIEW. INCLUDED IN THIS REVIEW IS COMPARATIVE DATA. THE PHH BOARD REVIEWS AND APPROVES THE COMPENSATION. THE CEO ALSO HAS AN ANNUAL EVALUATION COMPLETED BY THE PHH ELK BOARD THAT IS SHARED WITH THE PHH BOARD DURING AN EXECUTIVE SESSION AT EACH OF THE BOARDS. THESE PROCESSES ARE DOCUMENTED IN THE BOARD MINUTES. 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. DR. DAVID JOHE IS COMPENSATED FOR HIS SERVICES AS A PHYSICIAN FROM ERPG. ROSE CAMPBELL IS COMPENSATED FOR HER DUTIES AS CEO OF PHH AND PHH ELK. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: $ 6,916,371 PROFESSIONAL SERVICE FEES 658,431 PHYSICIAN FEES 77,024 BILLING FEES --------- $ 7,651,826 TOTAL OTHER FEES FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 5,432,494 FAIR VALUE ADJUSTMENT * (1,066,554) HEALTH SYSTEM TRANSFER (220,489) REM FAIR VALUE ADJUSTMENT * 38,000 ELK VENTURES TRANSFER (507,867) PURCHASE OF RASC INTEREST (403,223) CHANGE IN ACCRUED PENSION LIABILITY (946,932) TRANSFERS TO AFFILIATES (122,705) REM TRANSFERS TO AFFILIATES ----------- $ 2,202,724 * IN OCTOBER 2012, ELK REGIONAL HEALTH CENTER (HEALTH CENTER) D/B/A PENN HIGHLANDS ELK 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 THE HEALTH CENTER. THE AFFILIATION AGREEMENT REQUIRED ASSETS AND LIABILITIES BE RECORDED AT FAIR VALUE AS OF JULY 1, 2013, ON THE PENN HIGHLANDS HEALTHCARE FINANCIAL STATEMENTS. THE HEALTH CENTER ELECTED TO PUSH DOWN ANY FAIR VALUE ADJUSTMENTS TO THE STANDALONE HEALTH CENTER FINANCIAL STATEMENTS. AS A RESULT, A CONSOLIDATED $5,084,233 ADJUSTMENT WAS MADE PRIMARILY TO ADJUST THE CARRYING VALUE OF PROPERTY AND EQUIPMENT TO FAIR VALUE. EACH ENTITY WAS ALLOCATED THEIR SHARE OF THE ADJUSTMENT, AND THE FAIR VALUE ADJUSTMENT IS REPORTED IN THE RECONCILIATION AMOUNT ABOVE. THE AMOUNTS REPORTED ON SCHEDULE D, PART VI, INCLUDE THIS ADJUSTMENT TO FAIR VALUE. FORM 990, PART XII, LINE 2C CHANGE IN OVERSIGHT OR SELECTION PROCESS: AS A RESULT OF THE AMENDMENT OF THE BYLAWS RELATED TO THE MERGER WITH PENN HIGHLANDS HEALTHCARE (PHH), PHH NOW HOLDS THE SOLE POWER OVER THE SELECTION OF THE INDEPENDENT ACCOUNTANT. 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PHYS. PA 501(C)(3) 3 PHH false DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVE DUBOIS PA 15801 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) 11 C III-FI NA false false false true true false false false false false true true false false true true false false true false