2026-05-15T22:30:34+00:00 2025-06-30 135565207 KPMG LLP 1735 Market Street 6th Floor Philadelphia PA 19103 990 2024-07-01 250996070 Community Nurses Home Health & Hospice Inc COMM 8008419397 757 JOHNSONBURG ROAD 200 ST MARYS PA 15857 DOUGLAS WINNER CFO 2026-05-16 true true PHILLIP E GROFF P01247783 2672567000 2026-05-16 2024 2025-03-06 01:10:19Z PENN HIGHLANDS HEALTHCARE AT HOME CHERYL MITCHELL 757 JOHNSONBURG ROAD 200 ST MARYS PA 15857 21630267 false X WWW.PHHEALTHCARE.ORG X 1959 PA IN-HOME SKILLED NURSING, PHYSICAL, SPEECH & OCCUPATIONAL THERAPY SERVICES FOR HOME HEALTH AND HOSPICE PATIENTS, SUPPORTED BY NUTRITION, SOCIAL WORK, HOME HEALTH AIDE AND TELEHEALTH. 9 6 113 26 0 8356 10915 20382740 21548841 52755 62890 5731 7621 20449582 21630267 0 0 12639103 12942519 0 0 5655956 5616793 18295059 18559312 2154523 3070955 26518833 26865399 28819196 43251451 -2300363 -16386052 TO PROVIDE HOME HEALTH AND HOSPICE SERVICES, INCLUDING SKILLED NURSING, PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY, AND HOME HEALTH AIDE, NUTRITION, SOCIAL WORK, AND TELEHEALTH WITHIN A COMMUNITY-BASED, TAX-EXEMPT AGENCY. (SEE SCHEDULE O) false false 16259206 21551351 THE ORGANIZATION OFFERS SKILLED HOME HEALTH CARE FOR THE SICK AND INJURED TO HELP PEOPLE RECOVER IN THE COMFORT OF THEIR HOMES. HOME HEALTH SERVICES INCLUDE SKILLED NURSING, THERAPY, HOME HEALTH AIDE MEDICAL SOCIAL SERVICES, DIABETES EDUCATION, NUTRITION COUNSELING AND TELEHEALTH SERVICES. THEY ALSO PROVIDE HOSPICE SERVICES, WHICH FOCUS ON COMFORT AND PAIN MANAGEMENT FOR THE PATIENT AND SUPPORT FOR THE ENTIRE FAMILY. THE ORGANIZATION PROVIDED A TOTAL OF 114,151 VISITS FOR 6,149 HOME HEALTH AND HOSPICE PATIENTS DURING THE YEAR ENDED 6/30/25. ADDITIONAL COMMUNITY OUTREACH PROGRAMS INCLUDE THE ANNUAL FLU INJECTION CLINICS AT THE AREA SENIOR CENTERS AND THE SENIOR OUTREACH PROGRAM TO PROVIDE CONTACT WITH ISOLATED SENIORS AND ALSO COMMON HOUSEHOLD SUPPLIES IF THE CLIENT SO NEEDS. 16259206 true false false false false false false false false 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 true false false false true 5 0 true 113 true false false false false false false false false false false false false X 9 6 false false false false true true true true true false false false true true true true true true false false false false PA X CHERYL MITCHELL 8008419397 757 JOHNSONBURG ROAD SUITE 200 ST MARYS PA 15857 Cheryl Mitchell Service Line Director 40.0 3.0 X X 0 193227 32965 Elizabeth Fitch Secretary/Treasurer 0.8 2.3 X X 0 0 0 Jerry Caribardi vice-chairman 0.5 1.5 X X 0 0 0 Mark Jacob Chairman 0.5 1.5 X X 0 0 0 Gennaro Aiello director 0.8 2.3 X 0 0 0 JEFF M KOTULA Director 0.8 11.3 X 0 0 0 Julianne Peer PRES BROOKVILLE/ ELK (Start 1/23/25) 1.0 47.0 X 0 294819 35813 June Sorg Director 0.8 2.3 X 0 0 0 Mark Norman Director/ COO PHH 1.0 49.0 X 0 622225 92991 0 1110271 161769 8 false true false Enterprise FM Trust PO BOX 800089 KANSAS CITY MO 641800089 Fleet Management 249700 ENCLARA HEALTH LLC PO Box 95000-7255 Philadelphia PA 191957255 Pharmaceuticals 210940 2 10915 10915 NET PATIENT SERVICE REVENUE 621110 21548841 21548841 0 0 0 0 21548841 62890 62890 0 0 0 0 5111 5111 5111 FLU SHOT CLINICS 900099 1299 1299 MISCELLANEOUS REVENUE 900099 1211 1211 0 0 0 0 2510 21630267 21551351 0 68001 X 10748031 9350787 1397244 14785 12863 1922 1496272 1301757 194515 683431 594585 88846 3493232 3039112 454120 0 46560 40507 6053 132580 115345 17235 759271 660566 98705 2458 2138 320 MEDICAL SUPPLIES & DRUG 866184 866184 Transportation Expenses 284552 247560 36992 OTHER EXPENSE 21846 19006 2840 LICENSES, DUES, SUBSCRIPTION 10110 8796 1314 0 0 0 0 18559312 16259206 2300106 0 2291452 122748 2070961 0 3620104 2936913 0 0 16927 28758 384095 382822 1273 1273 0 0 18518116 23775707 26518833 26865399 574748 565836 0 28244448 42685615 28819196 43251451 X -2332653 -16418342 32290 32290 -2300363 -16386052 26518833 26865399 X 3070955 -17156644 X false true true false X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14470 48374 230939 8356 10915 313054 22027097 22271515 21447407 20387388 21551351 107684758 0 0 0 22041567 22319889 21678346 20395744 21562266 107997812 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107997812 4346 2829 53395 52755 62890 176215 0 4346 2829 53395 52755 62890 176215 0 0 0 0 0 0 0 22045913 22322718 21731741 20448499 21625156 108174027 0.99837 0.9988 0 0.0012 X 0 0 0 0 0 0 384095 382822 1273 1273 DUE FROM AFFILIATES 23775707 23775707 Federal Income Taxes DUE TO AFFILIATES 42685615 42685615 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote COMMUNITY NURSES HOME HEALTH & HOSPICE, 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 Cheryl Mitchell Service Line Director 0 181871 0 10261 0 1095 0 7580 0 25385 0 226192 0 0 Julianne Peer PRES BROOKVILLE/ ELK (Start 1/23/25) 0 273760 0 17397 0 3662 0 13260 0 22553 0 330632 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 3 Arrangement used to establish the top management official's compensation CEO COMPENSATION: PENN HIGHLANDS HEALTHCARE, INC. (PHH), A RELATED ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO. PHH USES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE. 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 AMOUNT TO $28,320. Form 990, Part III, Line 1 MISSION: COMMUNITY NURSES HOME HEALTH AND HOSPICE, INC. IS A HOME HEALTH LICENSES, MEDICARE CERTIFIED ORGANIZATION PROVIDING SKILLED NURSING, THERAPY, NUTRITIONIST, SOCIAL WORK, HOME HEALTH AIDE, AND HOSPICE SERVICES TO THOSE IN NEED OF HEALTH SERVICES IN ORDER TO REMAIN IN THE COMFORT OF THEIR HOMES. NURSES SPECIALLY TRAINED IN IV, WOUND, AND HOSPICE, ALONG WITH PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS UTILIZE THE LATEST TECHNOLOGY IN TELEHEALTH, INR, WOUND CARE, AND SONOGRAM TO PROVIDE FOR PATIENTS OF ALL AGES. AFTER DISCHARGE, CONTACT IS MAINTAINED WITH THE PATIENT THROUGH POST-DISCHARGE PHONE CALLS AND OUR SENIOR OUTREACH PROGRAM. OUR HOSPICE STAFF PROVIDES FOR END-OF-LIFE CARE WHETHER THE PATIENT DECIDES TO REMAIN IN THE HOME, HOSPITAL, OR NURSING HOME SETTING. SUPPORT AND BEREAVEMENT SERVICES ARE ALSO PROVIDED FOR THE FAMILY, ALONG WITH GROUP BEREAVEMENT EVENTS, SUCH AS THE BUTTERFLY RELEASE MEMORIAL SERVICE AND CAMP FLUTTERBY, A TWO-DAY GRIEF CAMP FOR CHILDREN. THESE SERVICES ARE PROVIDED BY DEDICATED STAFF TWENTY-FOUR HOURS PER DAY, AND NO ONE IS TURNED AWAY BECAUSE OF INABILITY TO PAY. Form 990, Part VI, Line 15a QUESTION 15A AND 15B ARE ANSWERED "NO" IN ACCORDANCE WITH THE FORM INSTRUCTIONS AS THE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE OFFICERS OR KEY EMPLOYEES. COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES OF THE FILING ORGANIZATION IS HANDLED BY THE PARENT ORGANIZATION, PENN HIGHLANDS HEALTHCARE, INC. 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 APROVED 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 NOT-FOR-PROFIT 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 PENN HIGHLANDS HEALTHCARE (PHH), PENN HIGHLANDS ELK (PH- ELK) AND COMMUNITY NURSES, INC (CNI) HOLD CERTAIN RESERVED 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, PH-ELK, AND CNI SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE ELECTION AND REMOVAL OF DIRECTORS: THE BOARD OF THIS CORPORATION SHALL BE COMPRISED OF THE DIRECTORS SERVING ON THE BOARD OF CNI, INCLUDING ANY EX-OFFICIO DIRECTORS. SUCH DIRECTORS SHALL ASSUME OFFICE IN ACCORDANCE WITH THE PROCEDURES OF THE BYLAWS OF CNI. PH-ELK IS RESPONSIBLE FOR OVERSIGHT AND COMPLIANCE WITH THE BOARD ORIENTATION PROGRAM. AN OFFICER'S TERM OF OFFICE SHALL AUTOMATICALLY TERMINATE UPON RESIGNATION OR REMOVAL AS AN OFFICER AT CNI. ANY VACANCIES SHALL BE FILLED BY ANY REPLACEMENT OFFICER ELECTED OR APPOINTED TO THE OFFICE IN ACCORDANCE WITH THE BYLAWS OF CNI. SUBJECT TO THE APPROVAL OF PHH, PH-ELK, AND CNI 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, Line 7a Members or stockholders electing members of governing body SEE SCHEDULE O LINE 6 EXPLANATION ABOVE. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders SEE SCHEDULE O LINE 6 EXPLANATION ABOVE. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 SYSTEM CONTROLLER. 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. Form 990, Part VI, Line 12c Conflict of interest policy 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, Line 19 Required documents available to the public GOVERNING DOCUMENT AVAILABILITY: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part IX, Line 11g Other Fees PROFESSIONAL FEES - Total Expense: 44313, Program Service Expense: 38552, Management and General Expenses: 5761, Fundraising Expenses: ; CONTRCT LABOR - Total Expense: 3367258, Program Service Expense: 2929515, Management and General Expenses: 437743, Fundraising Expenses: ; OUTSIDE SERVICES - Total Expense: 81661, Program Service Expense: 71045, Management and General Expenses: 10616, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO AFFILIATES - -16906589; PRIOR PERIOD CONTRIBUTION ADJUSTMENT - -250055; Total - -17156644; PENN HIGHLANDS HEALTHCARE INC 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 true ELCO HOUSING 759 JOHNSONBURG ROAD ST MARYS PA 15857 251639115 HOUSING PA 501(c)(3) Type I PHH true ELK REGIONAL PROFESSIONAL GROUP INC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251875183 HEALTHCARE PA 501(c)(3) 3 PHH true COMMUNITY NURSES INC 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623598 HEALTHCARE PA 501(c)(3) Type II PHH false COMMUNITY NURSES HOME SUPPORT SERVICES 757 JOHNSONBURG ROAD ST MARYS PA 15857 251623601 HEALTHCARE PA 501(c)(3) 10 CNI false DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVENUE DUBOIS PA 15810 256332829 DRMC EMP BENE PA 501(c)(9) DRMC true JEFFCO HEALTH SERVICES INC 417 ROUTE 28 BROOKVILLE PA 15825 251505478 HEALTHCARE PA 501(c)(3) 10 BROOKVILLE 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 false PENN HIGHLANDS TYRONE 187 HOSPITAL DRIVE TYRONE PA 16686 231440116 HOSPITAL PA 501(c)(3) 3 PHH true TYRONE REGIONAL HEALTH NETWORK FOUNDATION 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 true ELK REGIONAL HEALTH CENTER 763 JOHNSONBURG RD ST MARYS PA 15857 250585280 HOSPITAL PA 501(c)(3) 3 PHH false JC Blair Memorial Hospital 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 231352159 HOSPITAL PA 501(c)(3) 3 PHH true JC BLAIR MEDICAL SERVICES INC 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 251881378 HEALTH CARE PA PHH C Corporation false PREMIER HEALTH CARE STAFFING INC 100 HOSPITAL AVE DUBOIS PA 15802 874757426 STAFFING SRVCS PA PHH 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 true true false true true true true true true true