2026-05-15T22:12:56+00:00 2025-06-30 135565207 KPMG LLP 1735 Market Street 6th Floor Philadelphia PA 19103 990 2024-07-01 250585280 Elk Regional Health Center ELKR 8147888233 763 JOHNSONBURG ROAD ST MARYS PA 15857 JULIANNE PEER PRESIDENT 2026-05-16 true true PHILLIP E GROFF P01247783 2672567000 2026-05-16 2024 2025-03-06 01:10:19Z PENN HIGHLANDS ELK JULIANNE PEER 763 JOHNSONBURG ROAD ST MARYS PA 15857 71858528 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. 14 8 390 16 0 0 235477 58790 68045449 70390441 275407 432923 748781 715296 69305114 71597450 0 0 0 30625715 28052568 0 0 0 35728557 36505837 66354272 64558405 2950842 7039045 99225739 103282665 58621600 78900338 40604139 24382327 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 57247219 70436349 PH ELK IS A CRITICAL ACCESS 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. PH ELK PROVIDES A 138-BED LONG TERM CARE FACILITY SERVING THE NEEDS OF ELK AND CAMERON COUNTIES AND THE SURROUNDING COMMUNITIES. WE ARE AT A 71% 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. 57247219 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false true true true false false false false true true true true false false true 72 0 true 390 true true true false false false false false false false false false false false X 14 8 false false true false true true true true true false false false true true true true true true false true false false PA X DOUGLAS WINNER 8147888743 763 JOHNSONBURG ROAD ST MARYS PA 15857 Brian W Wingard Treasurer 1.0 2.0 X X 0 0 0 Cheryl Ruffner Secretary 1.0 2.0 X X 0 0 0 Edward V Yahner Chairman 1.0 4.0 X X 0 0 0 Julianne Peer President 20.0 20.0 X X 0 294819 35813 W Jay Chamberlin Vice Chair 1.0 4.0 X X 0 0 0 Daniel Hawkins Director 1.0 2.0 X 0 0 0 Dr James Devlin Physician-Med Director 1.0 42.0 X 0 223910 0 Dr Julia Wonderling Director and Physician 20.0 22.0 X 0 558286 38611 Eric D Miller Director 1.0 2.0 X 0 0 0 Frank Straub Director (end 5/25) 1.0 2.0 X 0 0 0 Jeff Azzato Director (end 5/25) 1.0 2.0 X 0 0 0 John Piccolo Director (end 5/25) 1.0 2.0 X 0 0 0 Josh Benton Director 1.0 2.0 X 0 0 0 Mark Norman Director and PHH COO 1.0 40.0 X 0 622225 92991 Robert M Edwards JR Director 1.0 2.0 X 0 0 0 Steven M Fontaine Director and PHH CEO 1.0 40.0 X 0 1359269 44935 William Young Director 1.0 3.0 X 0 0 0 Christine D Garner CHIEF NURSING OFFICER 40.0 0.0 X 185872 0 15050 Alicia Wurm Phys Assistant 40.0 0.0 X 154873 0 20397 Jana Walters REGISTERED NURSE 40.0 0.0 X 198520 0 33187 Marsha Lehman Nurse Practioner 40.0 0.0 X 173405 0 25350 Morgon Von Schmidt Ophthalmologist 40.0 0.0 X 169453 0 9667 Renea Wolfe RN supervisor 40.0 0.0 X 190680 0 26401 Brad Chapman FORMER PRESIDENT 0.0 0.0 X 0 166151 0 1072803 3224660 342402 51 true true false MORRISION HEALTHCARE 400 NORTHRIDGE ROAD SANDY SPRINGS GA 30350 NUTRITION SVCS 1818861 CORTHALL HEALTHCARE 1500 LIBERTY RIDGE DRIVE WAYNE PA 19087 HOUSEKEEPING SVCS 1481014 AMN HEALTHCARE 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 LOCUM PROVIDERS 1473061 ASSOCIATED CLINICAL LABORATORIES PO BOX 645723 PITTSBURG PA 15264 LAB SVCS 824775 AMERGIS 7223 LEE DEFOREST DR COLUMBIA MD 21046 LOCUM PROVIDERS 604579 12 859 57931 58790 NET PATIENT SERVICE REVENUE 621110 68744576 68744576 OTHER PRGM SVCS REVENUE 621110 1603315 1603315 AUXILIARY INCOME 900099 42550 42550 0 0 0 0 70390441 165192 165192 728355 208557 519798 0 519798 519798 74007 246245 46276 6245 27731 240000 267731 267731 CAFETERIA 722514 117674 117674 MOB HOUSEKEEPING 561720 45908 45908 GIFT SHOP REVENUE 453220 31916 31916 0 0 0 0 195498 71597450 70436349 0 1102311 X 100628 100628 171654 149339 22315 22655386 19710186 2945200 469556 408514 61042 3101002 2697872 403130 1554342 1352278 202064 1508 1508 8926930 7766429 1160501 0 216 188 28 1630029 1418125 211904 1474054 1282427 191627 44571 38777 5794 1015290 883302 131988 3012354 2620748 391606 PENN HIGHLANDS ASSESSMENT 10086358 8775131 1311227 MEDICAL SUPPLIES & DRUG 9002030 9002030 REPAIR AND MAINTENANCE 1131349 984274 147075 LICENSES, DUES, SUBSCRIPTION 121160 105409 15751 59988 52190 7798 0 64558405 57247219 7311186 0 4260428 1757012 2643792 1598680 13539830 12121620 0 0 0 0 596328 615661 74544 45361 63204003 35648994 29199838 27555009 5490023 4452330 3636936 3636936 91157 91157 2674707 2528001 37018156 48880898 99225739 103282665 7521494 8687736 8100 18900 24906006 24275732 0 0 26186000 45917970 58621600 78900338 X 40455345 24232327 148794 150000 40604139 24382327 99225739 103282665 X 7039045 -222896 -23037961 X false true true false X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4122843 4122843 40391178 21519061 18872117 4021944 975004 3046940 13579225 13154929 424296 1088813 0 1088813 27555009 DUE FROM AFFILIATES 25100979 INTERCOMPANY RECEIVABLE 22634557 INSURANCE CONTR/PREM/RECEIVABLE 984155 LEASE ROU ASSET 136249 WORKERS COMP TRUST FUND 18685 EMPLOYEE ADVANCES 6273 48880898 Federal Income Taxes Intercompany Payables 39949514 Due to Affiliates 2818878 CRA Pay - Clearing Account 2016464 Lease Liabilities 572157 Other Liabilities 285037 CRA Pay MA FY23 275920 45917970 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote ELK REGIONAL HEALTH CENTER 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. true true X true X true X 106516 0 106516 0.00165 10041314 8088670 1952644 0.03025 0 0 0 0.0 0 0 10147830 8088670 2059160 0.03190 23837 17194 6643 0.00010 76617 4169 72448 0.00112 22708363 20599768 2108595 0.03266 0 0 0 0.0 0 0 0 0.0 0 0 22808817 20621131 2187686 0.03389 0 0 32956647 28709801 4246846 0.06578 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 4511749 518851 13290550 13192134 98416 X true true 1 1 ELK REGIONAL HEALTH CENTER 763 JOHNSONBURG ROAD ST MARYS PA 15857 WWW.PHHEALTHCARE.ORG 010901 X X X SKILLED NURSING PHYSICIAN OFFICES ELK REGIONAL HEALTH CENTER 1 false false true X X X X X X X X X 23 true true true true X WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT true 24 true WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT false true X 200.0 300.0 X X X X true true X X X true X HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY X HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY X HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ELK REGIONAL HEALTH CENTER. COMMUNITY HEALTH NEEDS ASSESSMENT THE 2024 CHNA PROCESS BEGAN IN JANUARY 2024, AND THE COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA CONCLUDED IN JUNE 2024. AS PART OF THIS NEEDS ASSESSMENT, A VAST NUMBER OF RESIDENTS, EDUCATORS, GOVERNMENT AND HEALTHCARE PROFESSIONALS, AND HEALTH AND HUMAN SERVICES LEADERS IN THE PENN HIGHLANDS ELK SERVICE AREA PARTICIPATED IN THE STUDY. INFORMATION COLLECTED FROM LEADERS PROVIDED A DEEPER UNDERSTANDING OF COMMUNITY MATTERS, HEALTH EQUITY FACTORS, AND COMMUNITY NEEDS. PENN HIGHLANDS ELK COLLECTED COMMUNITY AND KEY INFORMANT SURVEYS, COMMUNITY STAKEHOLDER INTERVIEWS, AND FOCUS GROUP DATA TO ENGAGE AND CAPTURE THE COMMUNITY'S PERSPECTIVE. DATA TYPES SUCH AS COUNTY DEMOGRAPHICS AND CHRONIC DISEASE PREVALENCE WERE GATHERED FROM LOCAL, STATE, AND FEDERAL DATABASES TO COMPILE SECONDARY DATA. COMMUNITY SURVEYS, ALONG WITH STAKEHOLDER AND LOW-INCOME RESIDENT INTERVIEWS, WERE INITIATED TO GARNER PARTICIPATION FROM ALL MEMBERS RESIDING OR WORKING IN THE PRIMARY SERVICE AREA. THE DATA COLLECTED IDENTIFIED THE NEEDS, HIGH-RISK BEHAVIORS, BARRIERS, SOCIETAL ISSUES, AND CONCERNS OF THE UNDERSERVED AND VULNERABLE POPULATIONS. INFORMATION FROM FOCUS GROUPS WITH SENIORS AND HEALTHCARE PROFESSIONALS WHO INTERACT WITH RESIDENTS WITH CHRONIC CONDITIONS WAS INCLUDED IN THE COLLECTION PHASE. WHILE MULTIPLE STEPS MADE UP THE CHNA PROCESS, TRIPP UMBACH, A NATIONALLY RENOWNED HEALTHCARE CONSULTING FIRM, WORKED CLOSELY WITH WORKING GROUP MEMBERS TO COLLECT, ANALYZE, AND IDENTIFY THE RESULTS TO COMPLETE THE HOSPITAL'S ASSESSMENT. COMMUNITY LEADER INTERVIEWS: FROM FEBRUARY TO APRIL 2024, PENN HIGHLANDS ELK CONDUCTED 36 PHONE INTERVIEWS WITH COMMUNITY LEADERS FROM THE FOLLOWING PROFESSIONAL BACKGROUNDS - GOVERNMENT LEADERS, PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH-RELATED DATA, PUBLIC HEALTH EXPERTS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, AND SOCIAL SERVICE REPRESENTATIVES. PUBLIC COMMENTARY: FROM FEBRUARY TO APRIL 2024, TRIPP UMBACH SOLICITED COMMENTS FROM COMMUNITY STAKEHOLDERS RELATED TO THE FY21 CHNA AND ISP. COMMUNITY HEALTH SURVEY: FROM MARCH TO APRIL 2024, A SURVEY OF 1,254 RESIDENTS WAS CONDUCTED BY PENN HIGHLANDS ELK IN COLLABORATION WITH TRIPP UMBACH. FOCUS GROUPS: TWO FOCUS GROUPS WERE HELD REPRESENTING THE NORTHWEST AND SOUTHWEST REGIONS OF PENN HIGHLANDS HEALTHCARE. A GROUP OF NINE SENIORS REPRESENTING THE NORTHWEST REGION AND A GROUP OF SIX PROVIDERS OF RESIDENTS WITH CHRONIC CONDITIONS REPRESENTING THE SOUTHWEST REGION. LOW-INCOME RESIDENT INTERVIEWS: TRIPP UMBACH CONDUCTED 8 PHONE INTERVIEWS WITH LOW-INCOME RESIDENTS WHICH WAS CRITICAL IN UNDERSTANDING AND ADDRESSING THIS DEMOGRAPHIC'S UNIQUE HEALTH CHALLENGES. SECONDARY DATA REPORT: UTILIZING MULTIPLE PUBLICLY AVAILABLE REPORTS AT THE LOCAL, STATE, AND NATIONAL LEVEL, INFORMATION WAS GATHERED REGARDING: DISPARITIES, PUBLIC HEALTH PRIORITIES RELATED TO DISEASE PREVALENCE, SOCIOECONOMIC FACTORS, HEALTH OUTCOMES, AND HEALTH DETERMINANTS. PENN HIGHLANDS ELK WILL LEVERAGE ITS STRENGTHS, EXTENSIVE RESOURCES, AND BROAD OUTREACH CAPABILITIES TO COLLABORATE EFFECTIVELY WITH COMMUNITY PARTNERS. TOGETHER, PENN HIGHLANDS ELK WILL IDENTIFY AND IMPLEMENT THE MOST IMPACTFUL STRATEGIES TO ADDRESS THE UNIQUE HEALTH NEEDS OF THEIR COMMUNITIES. THIS CONCERTED EFFORT AIMS TO ENHANCE OVERALL HEALTH, ADDRESS URGENT HEALTH NEEDS, AND IMPROVE THE WELL-BEING OF RESIDENTS WITHIN THEIR SERVICE AREAS. THE CAREFUL PRIORITIZATION OF IDENTIFIED NEEDS WILL SHAPE AND DRIVE COMMUNITY HEALTH IMPROVEMENT INITIATIVES, ENSURING THAT THE PENN HIGHLANDS ELK EFFORTS BENEFIT THE RESIDENTS THEY SERVE. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ELK REGIONAL HEALTH CENTER. - PENN HIGHLANDS BROOKVILLE - PENN HIGHLANDS CONNELLSVILLE - PENN HIGHLANDS CLEARFIELD - PENN HIGHLANDS DUBOIS - PENN HIGHLANDS ELK - PENN HIGHLANDS HUNTINGDON - PENN HIGHLANDS MON VALLEY - PENN HIGHLANDS TYRONE - PENN HIGHLANDS STATE COLLEGE Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - ELK REGIONAL HEALTH CENTER. TRIPP UMBACH, A HEALTHCARE CONSULTING FIRM. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ELK REGIONAL HEALTH CENTER. SENIOR LEADERS FROM PENN HIGHLANDS ELK REVIEWED THE PREVIOUS IMPLEMENTATION STRATEGY PLAN AND REFINED AND REINFORCED KEY STRATEGIES. THEY PRIORITIZED SPECIFIC INITIATIVES AND EXPLORED WAYS TO SUSTAIN AND ENHANCE SERVICES FOR THE BROADER COMMUNITY THROUGH THE UPDATED PLAN. SENIOR LEADERSHIP FROM PENN HIGHLANDS HEALTHCARE AND PENN HIGHLANDS ELK CONTRIBUTED TO THE CHNA/ISP WORKING GROUP. MOVING FORWARD, SENIOR LEADERS WILL REGULARLY EVALUATE THE STRATEGY PLAN, MAKING ADJUSTMENTS AS NEEDED TO BETTER ALIGN WITH THE COMMUNITY'S EVOLVING HEALTH NEEDS. THE 2024 CHNA FOR PENN HIGHLANDS ELK HIGHLIGHTED THE FOLLOWING COMMUNITY NEEDS: - ACCESS TO CARE - BEHAVIORAL HEALTH; AND - CHRONIC DISEASES/CONDITIONS PENN HIGHLANDS ELK SUMMARY OF IMPLEMENTATION STRATEGY: PENN HIGHLANDS ELK HAS COMPLETED AN IMPLEMENTATION STRATEGY THAT ADDRESSES THE HOSPITAL'S IMPLEMENTATION STRATEGY TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THIS CHNA. THE FOLLOWING IS A SUMMARY OF THAT SEPARATE, MORE COMPREHENSIVE IMPLEMENTATION STRATEGY REPORT. THE ISP REPORT AIMS TO IDENTIFY THE GOALS, OBJECTIVES, AND STRATEGIES THAT PENN HIGHLANDS ELK WILL USE TO ADDRESS THE HEALTH PRIORITIES IDENTIFIED IN THE RECENT CHNA. THE FINDINGS FROM THE CHNA WILL OUTLINE ACTIONABLE STEPS THAT HEALTHCARE ORGANIZATIONS AND THEIR COMMUNITY PARTNERS WILL TAKE TO IMPROVE HEALTH OUTCOMES. THE ISP REPORT DETAILS STRATEGIES, RESOURCES, AND PARTNERSHIPS NECESSARY TO TACKLE THE MOST PRESSING HEALTH ISSUES, ENSURING THE PROPOSED INITIATIVES ARE IMPACTFUL. TO ACCESS A COPY OF THE FULL IMPLEMENTATION STRATEGY PLAN, PLEASE GO TO https://www.phhealthcare.org/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. CHNA SIGNIFICANT HEALTH NEED: ACCESS TO CARE GOAL: IMPROVE ACCESS TO CARE FOR PENN HIGHLANDS ELK SERVICE AREA RESIDENTS. OBJECTIVES: 1. DISTRIBUTION OF INFORMATION REGARDING TRANSPORTATION PROVIDED. 2. IMPROVE UTILIZATION OF PHH VAN TRANSPORTATION SERVICES BY 3% OVER 3 YEARS. 3. MEET WITH PHH PRACTICE MANAGEMENT TO INFORM PATIENTS OF SERVICES. 4. DISTRIBUTE INFORMATION REGARDING PHH CONNECT. 5. EXPAND NEUROLOGY SERVICE TO ELK COUNTY RESIDENTS BY OFFERING CONSULTATION THROUGH TELEMEDICINE. 6. TELEMEDICINE COMMITMENT TO PENN HIGHLANDS ELK. 7. WORK WITH IT TO IMPLEMENT EXISTING EQUIPMENT. 8. IMPROVE THE NUMBER OF BASELINE LUNG SCREENINGS BY 3% OVER 3 YEARS. 9. IMPROVE THE NUMBER OF BASELINE MAMMOGRAM SCREENINGS BY 3% OVER 3 YEARS. 10. ACUTE STROKE READY CERTIFICATION 11. MEET WITH PHH PRACTICE MANAGEMENT AND PHYSICIAN RECRUITMENT TO SUPPORT THE RECRUITMENT NEEDS OF PHH. PENN HIGHLANDS ELK'S AVAILABLE RESOURCES INCLUDE PRIMARY CARE PHYSICIANS (PCPS), INTERNAL EDUCATION W/ SOCIAL WORKERS FOR DISCHARGE PLANNING, SENIOR LEADERSHIP/ADMINISTRATION, PENN HIGHLANDS HEALTHCARE (PHH), WOMEN'S SERVICES, PH DUBOIS PRIMARY STROKE CENTER, PHH PRACTICE MANAGEMENT, AND PHYSICIAN RECRUITERS PENN HIGHLANDS ELK'S COLLABORATIVE PARTNERS INCLUDE SENIOR AGENCIES, SENIOR CENTERS, COMMUNITY ACTION, AREA AGENCY ON AGING (AAA), HOUSING AUTHORITY, COMMUNITY GROUPS HEALTH FAIRS, WOMEN'S SERVICES, AND UPMC TELESTROKE SERVICES CHNA SIGNIFICANT HEALTH NEED: ACCESS TO CARE (CANCER) GOAL: EARLY DETECTION AND PREVENTION OBJECTIVES: 1. INCREASE COMMUNITY AWARENESS AND ENGAGEMENT REGARDING CANCER PREVENTION AND SCREENING. 2. PROGRESSIVELY EXPAND ADVOCACY GROUPS, INCLUDING COMMUNITY VOLUNTEERS AND PATIENT GROUPS, TO COVER ALL REGIONS. 3. FEATURE MONTHLY AWARENESS CAMPAIGNS FOR THE COMMUNITY REGARDING SPECIFIC CANCER MONTHS. EXAMPLE: MARCH COLON AND OCTOBER BREAST. 4. TRI-COUNTY SUNDAY EDUCATION ARTICLES FOR THE COMMUNITY RADIO EDUCATION SPOTS. 5. ENGAGE AND MOBILIZE KEY STAKEHOLDERS WITHIN THE CANCER COMMUNITY WHO WILL CHAMPION THE DEVELOPMENT AND IMPLEMENTATION OF AN AWARENESS PLAN FOR CANCER PREVENTION. 6. DEVELOP RELATIONSHIPS WITH STAKEHOLDERS WITHIN THE CANCER COMMUNITY. 7. INCREASE CANCER AWARENESS AMONG THE PUBLIC. PENN HIGHLANDS ELK's AVAILABLE RESOURCES INCLUDE PHYSICIANS, ADVANCED PRACTICE PHYSICIANS (APP), REGISTERED NURSES, HAHNE CANCER CENTER, GASTROENTEROLOGIST LAB PHYSICIAN LEADERS, GASTROENTEROLOGIST LAB ADMINISTRATION LEADERS, PHH PRACTICE MANAGEMENT, AND PHH MARKETING TEAM PENN HIGHLANDS ELK'S COLLABORATIVE PARTNER INCLUDE PHARMACEUTICAL COMPANIES, COMMUNITY AGENCIES, AREA AGENCY ON AGING, AND STAKEHOLDERS IN THE CANCER COMMUNITY CHNA SIGNIFICANT HEALTH NEED: BEHAVIORAL HEALTH GOAL: COLLABORATE WITH COMMUNITY SUBSTANCE ABUSE PROVIDERS TO REDUCE SUBSTANCE ABUSE. OBJECTIVES: 1. ADDRESS BARRIERS THAT IMPEDE THE ABILITY TO MEET THE ASSESSMENT AND TREATMENT DEMAND. 2. EDUCATE THE STAFF ON DRUG TRENDS AND TREATMENT. 3. USE INTERNAL SPECIALISTS AT PHH TO IDENTIFY AND REFER PATIENTS TO DETOX BEDS AND REHABS IN THE AREA. PENN HIGHLANDS ELK'S AVAILABLE RESOURCE INCLUDE STAFF. PENN HIGHLANDS ELK'S COLLABORATIVE PARTNERS INCLUDE CEN CLEAR DRUG AND ALCOHOL, CLEARFIELD JEFFERSON DRUG & ALCOHOL COMMISSION, PYRAMID HEALTHCARE, HEALTH AND HUMAN SERVICE AGENCIES, TRI-COUNTY DRUG AND ALCOHO, OPIOID TASK FORCE, COVE FORGE, ELK COUNTY DRUG AND ALCOHOL, RURAL HOSPITAL OPIOID PROGRAM (RHOP), NET LEARNING ON DRUG TRENDS AND TREATMENT, AND WORK WITH LOCAL VISTA (AMERICORPS FUNDED PROGRAM AT JUNIATA COLLEGE) CHNA SIGNIFICANT HEALTH NEED: CHRONIC DISEASES/CONDITIONS GOAL: EXPAND AWARENESS AND SERVICES TO PROMOTE PREVENTIVE HEALTH AND WELLNESS THROUGHOUT THE COMMUNITY. OBJECTIVES: 1. EXPAND DIABETES AND NUTRITION EDUCATION SERVICES WITHIN THE PENN HIGHLANDS SERVICE AREA. UTILIZE TELEHEALTH SERVICES. 2. PROVIDE NUTRITION CARE AND IMPROVE OVERALL PATIENT OUTCOMES THROUGH PROVIDING GROUP EDUCATION SESSIONS ON NUTRITION FOR HEART HEALTH ON A MONTHLY BASIS. 3. TO ALLEVIATE NEED FOR MULTIPLE STOPS TO ENSURE COMPLIANCE AND EASY ACCESS TO RECOMMENDED SUPPLIES. 4. PROVIDE NUTRITIONAL RESOURCES ELECTRONICALLY TO PARTNERS FOR DISTRIBUTION TO THEIR RECIPIENTS. PENN HIGHLANDS ELK'S AVAILABLE RESOURCES INCLUDE CARDIAC REHABILITATION, PHH MARKETING/COMMUNICATION, AND PHHD OUTPATIENT INFORMATICS PENN HIGHLANDS ELK'S COLLABORATIVE PARTNERS INCLUDE LOCAL PROVIDERS, PH COMMUNITY PHARMACIES, DIABETES MANAGEMENT SUPPLY MANUFACTURERS, DOLLAR STORE OWNERS, AREA AGENCY ON AGING, MANAGERS OF LOW- INCOME HOUSING, FOOD BANKS, AND CHURCHES SIGNIFICANT HEALTH NEEDS NOT ADDRESSED: THE ISP IS NOT MEANT TO PROVIDE AN EXHAUSTIVE LIST OF HOW PENN HIGHLANDS ELK ADDRESSES THE COMMUNITY'S NEEDS. INSTEAD, IT HIGHLIGHTS SPECIFIC ACTIONS THE HOSPITAL COMMITS TO PURSUING AND TRACKING IN RESPONSE TO THE IDENTIFIED PRIORITIES. WHILE THE ISP LISTS INTERNAL AND EXTERNAL PARTNERS, NUMEROUS CLINICAL DEPARTMENTS WILL COLLABORATE ON THESE EFFORTS. THEIR INVOLVEMENT MAY INCLUDE PARTICIPATION IN CLINICAL PROGRAMS AND PROTOCOLS OR CONTRIBUTING TO EDUCATIONAL OUTREACH BY SHARING KNOWLEDGE INDIVIDUALLY OR AS A TEAM, ALL WITH THE GOAL OF ADDRESSING THE COMMUNITY'S HEALTH NEEDS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - PART V, SECTION B, LINE 20E: OTHER EFFORTS:. THE BILLING STATEMENT STATES THAT THERE IS A FAP AVAILABLE AND GIVES INFORMATION ON HOW TO CONTACT SOMEONE FOR THE APPLICATION. 1 ERHC RIDGWAY CAMPUS 304 METOXET STREET RIDGWAY PA 15853 Q CARE, PHYSICIAN OFFICE, PHYSICAL THERAPY, LAB RADIOLOGY SERVICES Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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. PART I, LINE 7: PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE METHODOLOGY: THE HOSPITAL HAS ADOPTED THE REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH CENTER'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: THE SYSTEM HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES SUCH AS COPAYS AND DEDUCTIBLES. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE SYSTEM EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE FOR FINANCIAL REPORTING. LINE 3 REPORTS THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS FROM THE INTERNAL 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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBE BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs COMMUNITY BENEFIT: ANY SHORTFALL RELATED TO MEDICARE SCOPE OF BUSINESS SHOULD BE CONSIDERED ANY COMMUNITY BENEFIT DUE TO ELK BEING A CRITICAL ACCESS HOSPITAL WITH MEDICARE BEING ITS LARGEST PAYER SOURCE. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance COLLECTION POLICY: COLLECTION PRACTICES FROM DAY 1 SELF-PAY ARE CONSISTENT ACROSS THE ENTIRE SELF-PAY POPULATION. ONCE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE (IE CHARITY CARE TO SOME DEGREE) THEN THAT PATIENT'S ACCOUNT(S) ARE PROCESSED ACCORDINGLY BALANCE-WISE. Schedule H, Part V, Section B, Line 16a FAP website - ELK REGIONAL HEALTH CENTER: Line 16a URL: HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY; Schedule H, Part V, Section B, Line 16b FAP Application website - ELK REGIONAL HEALTH CENTER: Line 16b URL: HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ELK REGIONAL HEALTH CENTER: Line 16c URL: HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY; Schedule H, Part VI, Line 2 Needs assessment NEEDS ASSESSMENT: IN ADDITION TO THE CHNA THAT WAS COMPLETED IN 2024, THE ORGANIZATION RECEIVES INFORMATION FROM COMMUNITY MEMBERS ON THE BOARD AND FROM THE LOCAL AUXILIARY. WE ALSO MEET FROM TIME TO TIME WITH COMMUNITY MEMBERS TO ADDRESS CERTAIN NEEDS AS THEY ARISE. WE ARE ALWAYS OPEN TO LISTENING TO ANY CONCERNS OF COMMUNITY MEMBERS AND/OR ORGANIZATIONS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENT EDUCATION 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 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 34,000. ADULTS OVER AGE 65 REPRESENT ABOUT 25% OF THE POPULATION IN ELK COUNTY, AND ABOUT 30% OF THE POPULATION IN CAMERON COUNTY. THE AVERAGE HOUSEHOLD INCOME IN ELK COUNTY IS APPROXIMATELY $66,000, AND APPROXIMATELY $47,000 IN CAMERON COUNTY. 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 PROMOTION OF COMMUNITY HEALTH: PH ELK STRIVES TO PROVIDE WELLNESS AND EDUCATIONAL PROGRAMS FOR COMMUNITY MEMBERS TO MAINTAIN A HEALTHY LIFESTYLE. ELK PROVIDES SMOKE DETECTORS TO PARENTS OF NEWBORNS TO TAKE HOME WITH THEM AND INSTALL IN THEIR HOMES. ELK WORKS WITH THE LOCAL LIONS CLUB AND ROTARY CLUB TO PROVIDE SERVICES TO THE COMMUNITY. ELK 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. ELK PROVIDES JOB SHADOWING TO THE LOCAL HIGH SCHOOL STUDENTS AND HAS A SCHOOL TO WORK PROGRAM FOR STUDENTS. ELK 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 AND OUTPATIENT THERAPY OFFICES LOCATED THROUGHOUT THE COMMUNITIES GIVE PATIENTS EASIER ACCESS TO VARIOUS SERVICES. ELK PARTICIPATES IN AND HOLDS HEALTH FAIRS WHERE FREE SCREENINGS AND LOW OR NO COSTS TESTING ARE PROVIDED TO PROMOTE PREVENTATIVE CARE AND HEALTHY LIFESTYLES. ELK HOLDS MANY EDUCATIONAL CLASSES FOR THE PUBLIC SUCH AS DIABETES EDUCATION, WOMEN'S HEALTH ISSUES, SUPPORT GROUPS, ETC. DUBOIS REGIONAL MEDICAL CENTER PROVIDED AN EMPLOYEE TO PROVIDE EDUCATION TO VARIOUS SENIOR CENTERS ON BEHALF OF ELK. ELK ALSO OFFERS VARIOUS EXERCISE CLASSES SUCH AS PILATES, BOOT CAMP, YOGA, ETC., ALONG WITH WELLNESS CLASSES. THE ORGANIZATION PERIODICALLY HAS PRESS RELEASES ON DIFFERENT HEALTH ISSUES. Schedule H, Part VI, Line 6 Affiliated health care system ELK Regional Health Center is part of Penn Highlands Healthcare (PHH, the System). PHH is a not-for-profit corporation organized to coordinate and manage the integration of the delivery of healthcare services to the north central Pennsylvania area. The System includes the consolidated financial statements of Penn Highlands Healthcare, Penn Highlands Dubois, Penn Highlands Elk, Penn Highlands Clearfield, Penn Highlands Connellsville, Penn Highlands Huntingdon, Penn Highlands Mon Valley, Penn Highlands Tyrone, and Penn Highlands Brookville. PHH operates nine hospital facilities across Pennsylvania, each of which is the largest employer in its hometown. The System also includes a variety of other affiliates that support its exempt mission, such as nursing homes, home care agencies, medical equipment suppliers, pharmacies, etc. Schedule H, Part VI, Line 7 State filing of community benefit report PA true false false false false false false true false Julianne Peer President 0 273760 0 17397 0 3662 0 13260 0 22553 0 330632 0 0 Steven M Fontaine Director and PHH CEO 0 960373 0 138380 0 260516 0 13800 0 31135 0 1404204 0 0 Mark Norman Director and PHH COO 0 573859 0 46848 0 1518 0 66469 0 26522 0 715216 0 0 Dr Julia Wonderling Director and Physician 0 518588 0 38180 0 1518 0 13800 0 24811 0 596897 0 0 Dr James Devlin Physician-Med Director 0 223910 0 0 0 0 0 0 0 0 0 223910 0 0 Brad Chapman FORMER PRESIDENT 0 0 0 0 0 166151 0 0 0 0 0 166151 0 0 Christine D Garner CHIEF NURSING OFFICER 170768 0 8422 0 6682 0 6847 0 8203 0 200922 0 0 0 Alicia Wurm Phys Assistant 150130 0 4450 0 293 0 0 0 20397 0 175270 0 0 0 Jana Walters REGISTERED NURSE 167379 0 28198 0 2943 0 3698 0 29489 0 231707 0 0 0 Renea Wolfe RN supervisor 171143 0 19395 0 142 0 26401 0 0 0 217081 0 0 0 Marsha Lehman Nurse Practioner 149363 0 18894 0 5148 0 3509 0 21841 0 198755 0 0 0 Morgon Von Schmidt Ophthalmologist 158966 0 0 0 10487 0 1231 0 8436 0 179120 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's 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 4a Severance or change-of-control payment PENN HIGHLANDS HEALTHCARE, INC. PAID THE FORMER PRESIDENT OF PENN HIGHLANDS ELK, BRAD CHAPMAN, SEVERANCE IN THE AMOUNT OF $166,151. Schedule J, Part I, Line 7 Non-fixed payments THE ORGANIZATION PROVIDED DISCRETIONARY BONUSES TO THE REPORTABLE INDIVIDUALS ON PART VII, SECTION A TO THE EXTENT BONUSES WERE PAID BY THE FILING ORGANIZATION. DISCRETIONARY BONUSES ARE APPROVED BY THE BOARD. Rebecca A Piccolo Wife of John Piccolo, director on the board of directors until May 2025 116377 REBECCA PICCOLO IS EMPLOYED AS AN OCCUPATIONAL THERAPIST AND RECEIVED COMPENSATION OF $116,377. false Leanne M Ruffner daughter in law of Cheryl Ruffner, director on the board of directors 88578 LEANNE RUFFNER IS EMPLOYED AS A REGISTERED NURSE AND RECEIVED COMPENSATION OF $88,578. false Form 990, Part VI, Line 4 Significant changes to organizational documents THE BYLAWS OF THE ORGANIZATION WERE AMENDED ON MAY 22, 2025 TO ADD TWO NEW ARTICLES. THESE NEWLY ADDED ARTICLES CONTAIN PROVISIONS FOR THE AUTHORITY TO AMEND THE BYLAWS, AS WELL AS FOR THE DISTRIBUTION OF ASSETS IN THE EVENT OF THE DISSOLUTION OF THE ORGANIZATION. Form 990, Part VI, Line 6 Classes of members or stockholders 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 OF 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, 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 15b Process to establish compensation of other 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 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 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 VII, Section A BOARD MEMBER COMPENSATION NO DIRECTORS RECEIVE ANY COMPENSATION FOR THEIR DIRECTOR DUTIES. STEVEN FONTAINE, MARK NORMAN, DR. JULIA WONDERLING, JULIANNE PEER, AND DR. JAMES DEVLIN ARE COMPENSATED FOR THEIR DUTIES AS EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION AND/OR RELATED ORGANIZATIONS. Form 990, Part IX, Line 11g Other Fees Outside Services - Total Expense: 3355007, Program Service Expense: 2918856, Management and General Expenses: 436151, Fundraising Expenses: ; Professional Fees - Total Expense: 2645355, Program Service Expense: 2301459, Management and General Expenses: 343896, Fundraising Expenses: ; Contract Labor - Total Expense: 1816677, Program Service Expense: 1580509, Management and General Expenses: 236168, Fundraising Expenses: ; Lab Services - Total Expense: 1085077, Program Service Expense: 944017, Management and General Expenses: 141060, Fundraising Expenses: ; Collection Fees - Total Expense: 24814, Program Service Expense: 21588, Management and General Expenses: 3226, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS TO/FROM AFFILIATES - -22474802; PAYROLL ADJUSTMENTS - -3377; OTHER CHANGES IN NET ASSETS - -559782; Total - -23037961; ELK VENTURES LLC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251924733 MEMBER SVCS PA 0 79682 ERHC 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 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 HOME HEALTH & HOSPICE 757 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 JEFFCO HEALTH SERVICES INC 417 ROUTE 28 BROOKVILLE PA 15825 251505478 HEALTHCARE PA 501(c)(3) 10 BROOKVILLE true JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 231352159 HOSPITAL PA 501(c)(3) Type I PHH true JC BLAIR MEMORIAL HOSPITAL FOUNDATION 935 14TH STREET HUNTINGDON PA 16652 251881377 SUPPORT HOSP PA 501(c)(3) 3 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 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 JC BLAIR MEDICAL SERVICES INC 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 251881378 HEALTH CARE PA PHH 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 DRMC 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 DRMCC C Corporation false false false false false false false false false false true true false false true true true true true true PENN HIGHLANDS MON VALLEY R 4750000 FMV PENN HIGHLANDS DUBOIS S 239862 FMV ELK REGIONAL PROFESSIONAL GROUP O 279464 FMV ELK REGIONAL PROFESSIONAL GROUP Q 262990 FMV PENN HIGHLANDS MON VALLEY Q 198481 FMV PENN HIGHLANDS DUBOIS Q 2051702 FMV PENN HIGHLANDS TYRONE Q 73744 FMV PENN HIGHLANDS BROOKVILLE Q 194303 FMV PENN HIGHLANDS HUNTINGDON Q 102347 FMV PENN HIGHLANDS DUBOIS P 459505 FMV