2026-05-15T22:05:54+00:00 2025-06-30 135565207 KPMG LLP 1735 Market Street 6th Floor Philadelphia PA 19103 990 2024-07-01 251505478 Jeffco Health Services Inc JEFF 8148498026 417 ROUTE 28 BROOKVILLE PA 15825 DOUGLAS WINNER CFO 2026-05-16 true PHILLIP E GROFF P01247783 2672567000 2026-05-15 2024 2025-03-06 01:10:19Z PENN HIGHLANDS JEFFERSON MANOR GREGORY P BAUER 417 ROUTE 28 BROOKVILLE PA 15825 10644070 false X WWW.JEFFERSONMANOR.NET X 1985 PA PH JEFFERSON MANOR OFFERS SKILLED NURSING, PERSONAL CARE, INDEPENDENT LIVING AND THERAPY SERVICES TO HELP RESIDENTS MAINTAIN THEIR HIGHEST LEVEL OF INDEPENDENCE. (SEE SCHEDULE O) 12 9 152 14 0 0 305 10585788 10639834 151997 15 0 3916 10737785 10644070 0 0 0 7096119 6972017 0 0 0 5103097 5936912 12199216 12908929 -1461431 -2264859 23461415 26229434 8715825 13709561 14745590 12519873 PENN HIGHLANDS JEFFERSON MANOR IS COMMITTED TO BEING THE MOST CARING AND PROGRESSIVE PROVIDER OF EXTENDED CARE IN THE AREA BY PROMOTING THE HIGHEST STANDARD OF CARE AND QUALITY OF LIFE FOR OUR RESIDENTS. false false 3340377 3546612 PENN HIGHLANDS JEFFERSON MANOR IS AN INDEPENDENT NOT-FOR-PROFIT ONE HUNDRED SIXTY (160) BED SKILLED NURSING AND REHABILITATION FACILITY, OFFERING DEDICATED DEMENTIA AND REHABILITATION UNITS, RESPITE CARE, HOSPICE AND MOST FORMS OF LONG TERM CARE. AN IN-HOUSE REHABILITATION DEPARTMENT PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES TO RESIDENTS AND COMMUNITY MEMBERS. IN FISCAL YEAR 2025, JEFFERSON MANOR STAFF PROVIDED 44,315 DAYS OF CARE. 3340377 3546611 PENN HIGHLANDS JEFFERSON MANOR PERSONAL CARE IS A FORTY EIGHT (48) BED PERSONAL CARE FACILITY LOCATED ADJACENT TO THE SKILLED NURSING FACILITY, PROVIDING CARE TO THOSE WHO NEED SOME ASSISTANCE WITH DAILY LIVING. RESIDENTS ARE ENCOURAGED TO MAINTAIN INDEPENDENCE, BUT MEALS, LAUNDRY AND HOUSEKEEPING SERVICES ARE PROVIDED. ROOMS DESIGNED FOR THOSE WITH EARLY MEMORY LOSS ARE AVAILABLE IN A SECURE UNIT. 3340377 3546611 PENN HIGHLANDS JEFFERSON MANOR INDEPENDENT LIVING IS A FIVE (5) UNIT FACILITY, DESIGNED FOR INDEPENDENT INDIVIDUALS WHO NO LONGER WANT THE RESPONSIBILITY OF OWNING A HOME. HOUSEKEEPING AND MAINTENANCE SERVICES ARE PROVIDED. IT HAS A PRIVATE ENTRANCE AND PARKING AREA. INDIVIDUALS LIVING HERE ARE WELCOME TO PARTICIPATE IN ACTIVITIES AND OTHER EVENTS WITH THE SKILLED NURSING AND PERSONAL CARE RESIDENTS. COMBINED, WE PROVIDE A COMPLETE CONTINUUM OF CARE AND A SUCH, WE ARE LICENSED TO BE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) EFFECTIVE FEBRUARY 2009. 10021131 true false false false false false false false true false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false true false false false false true 9 0 true 152 true false false false false false false false false false false false false X 12 9 false false false false true true true true true false false false true true true true true true false true false false PA X ROBERT SEKELSKY 8148498026 417 ROUTE 28 BROOKVILLE PA 15825 Cynthia Turnbull Vice Chairman 40.0 1.0 X X 0 0 0 Ed H Richards DMD CHAIRMAN 40.0 1.0 X X 0 0 0 John Mester Treasurer 40.0 1.0 X X 0 0 0 Julianne Peer SECRETARY & PRES PH ELK 1.0 47.0 X X 0 294819 35813 Bruce Pierson Director 1.0 1.0 X 0 0 0 Gregory Bauer DIRECTOR & PHYSICIAN 1.0 42.0 X 0 332620 57019 Heidi Dennison Director 1.0 1.0 X 0 0 0 Jim Dietrich Director 1.0 1.0 X 0 0 0 Mark Norman DIRECTOR & COO PHH 1.0 49.0 X 0 622225 92991 Matthew Ochs DIRECTOR 1.0 45.0 X 0 0 0 Scott Burns Director 1.0 5.0 X 0 0 0 W Jay Chamberlin Director 1.0 44.0 X 0 0 0 Angela T Walter RN 40.0 0 X 117750 0 578 Barbara Blose RN/DON 40.0 0 X 103877 0 3773 221627 1249664 190174 2 false true false MORRISON HEALTHCARE 400 NORTHRIDGE ROAD SANDY SPRINGS GA 30350 NUTRITION SERVICES 989914 DIAMOND PHARMACY 645 KOLTER DRIVE INDIANA PA 15701 PHARMACY DRUGS 292006 COMPASSIONATE CARE NURSING AGENCY 21 OLLIE LN DUBOIS PA 15801 AGENCY STAFF 278996 NATIONAL HEALTHCARE INC 50 MAHONING ST STE 100 DUBOIS PA 15801 AGENCY STAFF 207675 CROTHALL HEALTHCARE INC 1500 LIBERTY RIDGE DRIVE WAYNE PA 19087 HOUSEKEEPING 197781 5 305 305 NET PATIENT REVENUE 623000 10605784 10605784 OTHER REVENUE 900099 34050 34050 0 0 0 0 10639834 15 15 0 0 0 0 VENDING MACHINE 900099 1590 1590 2326 0 0 2326 3916 10644070 10639834 0 3931 X 6079551 5289209 790342 48000 41760 6240 389751 339083 50668 454715 395602 59113 1390386 0 1390386 0 50 43 7 841826 732389 109437 539815 469639 70176 47970 41734 6236 621183 540429 80754 PENN HIGHLANDS ASSESSMENT 1776594 1545637 230957 MEDICAL SUPPLIES & DRUG 522322 454420 67902 LICENSES, DUES, SUBSCRIPTION 158613 137993 20620 RESIDENTIAL SERVICES EXPENSES 38153 33193 4960 0 0 0 0 12908929 10021131 2887798 0 222090 669063 245483 245495 2591022 2687576 0 0 0 0 74713 74713 5821 9838 10125069 3189754 7416014 6935315 9579206 9579209 0 0 3327066 6028225 23461415 26229434 782057 972302 1820 0 0 7933768 12735439 8715825 13709561 X 14745590 12519873 14745590 12519873 23461415 26229434 X -2264859 39142 X false true true false X 1069198 721750 240608 305 2031861 9201204 9274539 8938603 10585788 10639834 48639968 0 0 0 10270402 9996289 9179211 10585788 10640139 50671829 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50671829 424370 983914 34020 38 15 1442357 0 424370 983914 34020 38 15 1442357 0 0 0 2203 0 3916 6119 10694772 10980203 9215434 10585826 10644070 52120305 0.97221 0.9676 0.03 0.0323 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - , COLUMN B - , COLUMN C - 2203.0, COLUMN D - , COLUMN E - 3916.0, COLUMN F - 6119.0; false true 170000 170000 8602332 2591100 6011232 371205 245497 125708 981532 353157 628375 6935315 DUE FROM AFFILIATES 6028225 TENANT SECURITY DEPOSITS EMPLOYEE ADVANCES 6028225 Federal Income Taxes INTERCOMPANY PAYABLES 12735439 12735439 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote JEFFCO HEALTH SERVICES, INC. IS INCLUDED IN PENN HIGHLANDS HEALTHCARE'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE FOLLOWING NARRATIVE IS THE FOOTNOTE FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS: THE SYSTEM AND ITS SUBSIDIARIES HAVE GENERALLY BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE SYSTEM CONSOLIDATES CERTAIN ENTITIES, WHICH ARE ORGANIZED AS CORPORATIONS AND SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME. OTHER CONSOLIDATED AFFILIATES HAVE ELECTED TO BE TAXED AS A PARTNERSHIP UNDER PROVISIONS OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTION OF THE STATE INCOME TAX LAW. THEREFORE, TAXABLE INCOME OR LOSS IS REPORTED TO THE INDIVIDUAL MEMBERS FOR INCLUSION IN THEIR RESPECTIVE TAX RETURNS. TO THE EXTENT THAT THE OPERATIONS OF THE PARTNERSHIP ENTITIES ARE RELATED TO THE SYSTEM'S TAX-EXEMPT PURPOSE, ITS INCOME WILL BE EXEMPT FROM INCOME TAXES. THE SYSTEM AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN, OR EXPECTED TO BE TAKEN, IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN, AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THE SYSTEM'S FOR-PROFIT CORPORATIONS RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR THE FUTURE TAX IMPACT OF TEMPORARY DIFFERENCES BETWEEN AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND THEIR RESPECTIVE TAX BASES, AND THE FUTURE BENEFIT OF UTILIZING AVAILABLE NET OPERATING LOSSES. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. INCOME TAXES OF THE SYSTEM'S TAX-EXEMPT, FOR-PROFIT AND PARTNERSHIP ENTITIES ARE RECORDED IN ACCRUED EXPENSES ON THE CONSOLIDATED BALANCE SHEET. false true false false false false false false false Julianne Peer SECRETARY & PRES PH ELK 0 273760 0 17397 0 3662 0 13260 0 22553 0 330632 0 0 Gregory Bauer DIRECTOR & PHYSICIAN 0 312594 0 15759 0 4267 0 26571 0 30448 0 389639 0 0 Mark Norman DIRECTOR & COO PHH 0 573859 0 46848 0 1518 0 66469 0 26522 0 715216 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan MARK NORMAN PARTICIPATES IN A 457(F) PLAN CONTAINING EXCESS EMPLOYER CONTRIBUTIONS OVER THE 457(F) LIMIT. DURING CALENDAR YEAR 2024, THERE WERE NO INDIVIDUAL CONTRIBUTIONS TO THE PLAN AND NO DISTRIBUTIONS FROM THE PLAN. EMPLOYER CONTRIBUTIONS INTO THE PLAN AMOUNTED TO $28,320. 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. Form 990, Part I, Line 1 ORGANIZATION MISSION PENN HIGHLANDS JEFFERSON MANOR IS COMMITTED TO BEING THE MOST CARING AND PROGRESSIVE PROVIDER OF EXTENDED CARE IN THE AREA. VISION: PENN HIGHLANDS JEFFERSON MANOR WILL PROVIDE STATE OF THE ART ACCOMMODATIONS FOR ITS CUSTOMERS. THROUGH OUR CONTINUOUS INNOVATIVE, COLLABORATIVE EFFORTS, WITH PRIMARY FOCUS UPON RESIDENT CARE AND EDUCATION OF OUR STAKEHOLDERS, WE WILL BECOME THE RECOGNIZED LEADER IN LONG TERM CARE. THE ORGANIZATION IS DEDICATED TO PROVIDING OUR RESIDENT WITH PROGRESSIVE QUALITY HEALTH CARE SERVICES. THE ORGANIZATION IS COMMITTED TO THE MEDICAL, PHYSICAL, SPIRITUAL, PSYCHOLOGICAL AND EMOTIONAL WELL BEING OF EVERY RESIDENT, AND IT IS A GOAL TO CREATE AND MAINTAIN A SAFE, HOMELIKE ENVIRONMENT WHERE EACH RESIDENT IS TREATED WITH DIGNITY AND RESPECT. HIGHLY TRAINED PROFESSIONAL STAFF WORKS TOGETHER WITH THE RESIDENT AND FAMILY TO ASSIST THE RESIDENT TO ATTAIN OR MAINTAIN THEIR HIGHEST LEVEL OF INDEPENDENCE. Form 990, Part I, Line 6 VOLUNTEERS THE ORGANIZATION HAS 14 TOTAL VOLUNTEERS - 9 NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS SERVED THROUGHOUT THE YEAR AND 5 VOLUNTEERS WHO HELP OUT THE VARIOUS ACTIVITIES. Form 990, Part VI, Line 1a GOVERNING BODY PENN HIGHLANDS JEFFERSON MANOR'S GOVERNING BODY DELEGATED BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE. THE PURPOSE OF THE EXECUTIVE COMMITTEE SHALL BE TO ACT FOR THE BOARD IN ALL MATTERS REQUIRING DECISION IN THE PERIOD BETWEEN MEETINGS OF THE BOARD. THE FUNCTIONS DISCHARGED BY THE EXECUTIVE COMMITTEE SHALL INCLUDE: (I) ACTING ON MATTERS REQUIRING IMMEDIATE DECISION WHEN THE BOARD IS NOT IN SESSION; (II) EVALUATING, REVIEWING, AND ESTABLISHING THE COMPENSATION, BENEFIT AND BONUS PACKAGE FOR THE MANAGEMENT TEAM OF THE CORPORATION; AND (III) PERFORMING SUCH OTHER FUNCTIONS DESIGNATED BY THE BOARD NOT INCONSISTENT WITH THESE BYLAWS. Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE PENN HIGHLANDS HEALTHCARE (PHH) 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. COMPENSATION DETERMINATIONS OF PHH EMPLOYED OFFICERS ARE MADE BY THE PHH COMPENSATION COMMITTEE. COMPENSATION DETERMINATIONS OF CERTAIN EMPLOYED OFFICERS ARE ALSO REVIEWED AND APPROVED BY THE PHH COMPENSATION COMMITTEE AND SHARED WITH THE COMPENSATION COMMITTEE OR BOARD. THE COMPENSATION COMMITTEE OF PHH STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE PHH EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE PHH BOARD ON A CONTINUOUS BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES, AS APPLICABLE, EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOTFORPROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARD OF PHH, AS APPLICABLE. Form 990, Part VI, Line 6 Classes of members or stockholders THE CORPORATION SHALL HAVE A SOLE MEMBER ('SOLE MEMBER'), WHOSE RIGHTS, POWERS, AND OBLIGATIONS ARE DEFINED IN THE CORPORATION'S BYLAWS, AS AMENDED FROM TIME TO TIME. THE SOLE MEMBER OF THE CORPORATION IS BROOKVILLE HOSPITAL, A PENNSYLVANIA NONSTOCK, NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body PENN HIGHLANDS HEALTHCARE (PHH), A PENNSYLVANIA NONPROFIT CORPORATION, SHALL HAVE THE SOLE POWER TO ELECTION AND REMOVE DIRECTORS AND OFFICERS OF PENN HIGHLANDS JEFFERSON MANOR, AND MAY SEEK INPUT AND RECOMMENDATIONS FROM DUBOIS REGIONAL MEDICAL CENTER D/B/A PENN HIGHLANDS DUBOIS (PH-DUBOIS), BROOKVILLE HOSPITAL D/B/A PENN HIGHLANDS BROOKVILLE (PH-BROOKVILLE), AND PENN HIGHLANDS JEFFERSON MANOR. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders PHH SHALL HAVE THE SOLE POWER TO MAKE GOVERNANCE DECISIONS, INCLUDING AUTHORITY TO CONDUCT THE AUDIT AND COMPLIANCE FUNCTIONS, AMENDMENTS TO THE BYLAWS OR ARTICLES AND DISTRIBUTION OF ASSETS UPON DISSOLUTION. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 SYSTEM CONTROLLER OF PENN HIGHLANDS HEALTHCARE SYSTEM. AFTER ALL SUGGESTED CHANGES FROM THE CFO AND SYSTEM 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 WITH THE IRS. Form 990, Part VI, Line 12c 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, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue CAFETERIA - Total Revenue: 2326, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2326; Form 990, Part IX, Line 11g Other Fees PROF FEES PHYS - Total Expense: 10446, Program Service Expense: , Management and General Expenses: 10446, Fundraising Expenses: ; CONTRACT LABOR NURSES - Total Expense: 727896, Program Service Expense: , Management and General Expenses: 727896, Fundraising Expenses: ; MAINTENANCE CONTRACTS - Total Expense: 7596, Program Service Expense: , Management and General Expenses: 7596, Fundraising Expenses: ; OUTSIDE SERVICES - Total Expense: 643713, Program Service Expense: , Management and General Expenses: 643713, Fundraising Expenses: ; CASH RECOVERIES - Total Expense: 735, Program Service Expense: , Management and General Expenses: 735, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances other changes in net assets - 39142; Total - 39142; PENN HIGHLANDS HEALTHCARE PO BOX 447 DUBOIS PA 15801 320345810 MGMT SERVICES PA 501(c)(3) 7 NA false DUBOIS REGIONAL MEDICAL CENTER 100 HOSPITAL AVENUE DUBOIS PA 15801 251490707 HOSPITAL PA 501(c)(3) 3 PHH false ELCO HOUSING 759 JOHNSONBURG ROAD ST MARYS PA 15857 251639115 HOUSING PA 501(c)(3) Type I PHH true COMMUNITY NURSES HOME HEALTH & HOSPICE 761 JOHNSONBURG ROAD ST MARYS PA 15857 250996070 HEALTHCARE PA 501(c)(3) 10 CNI true COMMUNITY NURSES INC 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623598 HEALTHCARE PA 501(c)(3) 10 PHH true COMMUNITY NURSES HOME SUPPORT SERVICES 757 JOHNSONBURG ROAD ST MARYS PA 15857 251623601 HEALTHCARE PA 501(c)(3) 10 CNI true DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVENUE DUBOIS PA 15810 256332829 DRMC EMP BENE PA 501(c)(9) DRMC true JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 231352159 HOSPITAL 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) Type I PHH true DRMC WORKERS COMPENSATION TRUST PO BOX 447 DUBOIS PA 15801 251741497 SUPPORT HOSP PA 501(c)(3) Type II DRMC true HELPMATES INC 757 JOHNSONBURG RD ST MARYS PA 15857 251555968 HEALTHCARE PA 501(c)(3) 10 CNI true PENN HIGHLANDS TYRONE 187 HOSPITAL DRIVE TYRONE PA 16686 231440116 HOSPITAL PA 501(c)(3) 3 PHH true TYRONE REGIONAL HEALTH NETWORK FOUNDATIO 187 HOSPITAL DRIVE TYRONE PA 16686 814504606 SUPPORT PA 501(c)(3) Type I PH TYRONE true HIGHLANDS HOSPITAL 401 EAST MURPHY AVENUE CONNELSVILLE PA 15425 251494705 HOSPITAL PA 501(c)(3) 3 PHH true HIGHLANDS HOSPITAL FOUNDATION 401 EAST MURPHY AVENUE CONNELSVILLE PA 15425 843713870 SUPPORT HOSP PA 501(c)(3) Type I PHH true WRC HEALTH CARE SUPPORT SERVICES 985 ROUTE 28 BROOKVILLE PA 15825 251601734 HEALTHCARE PA 501(c)(3) 10 WRC SR SRVCS true WRC SENIOR SERVICES 985 ROUTE 28 BROOKVILLE PA 15825 251552925 HEALTHCARE PA 501(c)(3) 10 DRMC true WRC NORTH FORK HEIGHTS 985 ROUTE 28 BROOKVILLE PA 15825 251684846 HEALTHCARE PA 501(c)(3) 10 WRC SR SRVCS true WRC PENNSYLVANIA MEMORIAL HOME 985 ROUTE 28 BROOKVILLE PA 15825 250718600 HEALTHCARE PA 501(c)(3) 10 WRC SR SRVCS true MONONGAHELA VALLEY HOSPITAL FOUNDATION 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 825336533 FUNDRAISING PA 501(c)(3) Type II PHH true MONONGAHELA VALLEY HOSPITAL INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 237218917 HOSPITAL PA 501(c)(3) 3 PHH true CLEARFIELD EMS 713 W FRONT ST CLEARFIELD PA 16830 251672659 EMS SERVICE PA 501(c)(3) 10 PHH true BROOKVILLE HOSPITAL 100 HOSPITAL RD BROOKVILLE PA 15825 250984595 HOSPITAL PA 501(c)(3) 3 DRMC false ELK REGIONAL HEALTH CENTER 763 JOHNSONBURG ROAD ST MARYS PA 15857 250585280 HEALTHCARE PA 501(c)(3) 3 PHH true ELK REGIONAL PROESSIONAL GROUP INC 763 JOHNSONBURG ROAD ST MARYS PA 15858 251875183 HEALTHCARE PA 501(c)(3) 3 PHH true JC BLAIR MEDICAL SERVICES INC 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 251881378 HEALTH CARE PA NA C Corporation false DUBOIS MEDICAL SUPPLY PO BOX 263 DUBOIS PA 15801 251417990 MEDICAL SUPPLIES PA DRMC C Corporation false PREMIER HEALTH CARE STAFFING INC 100 HOSPITAL AVE DUBOIS PA 15802 874757426 STAFFING SRVCS PA NA C Corporation false PENN HIGHLANDS LIFE'S JOURNEY 100 HOSPITAL AVE DUBOIS PA 15801 824943778 MEDICAL SERVICES PA DRMC C Corporation false DUBOIS REGIONAL MEDICAL GROUP PO BOX 447 DUBOIS PA 15801 251856569 MEDICAL SERVICES PA DRMC C Corporation false false false false false false false false false false false false false false false true true true false false