2022-05-13T14:05:07-05:00 2021-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2020-07-01 251623601 COMMUNITY NURSES HOME SUPPORT SERVICES INC % CHERYLL MITCHELL COMM 8147814715 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 LAURIE MACDONALD CFO 8147811415 2022-05-16 true LAURIE MACDONALD 999009999 Brian D Todd P00422601 4178658701 2 2020 2022-09-23 18:48:47Z PENN HIGHLANDS COMMUNITY NURSES INC CHERYL MITCHELL 757 JOHNSONBURG ROAD SUITE 200 ST MARYS PA 15857 1760045 false X WWW.COMMUNITYNURSES.ORG X 1990 PA TO PROVIDE PRIVATE DUTY HOME COMPANION, RESPITE, PERSONAL CARE, AND HOMEMAKER SERVICES FOR PATIENTS IN THEIR HOMES AND/OR WITHIN THE ADULT DAY SETTING. 13 10 153 13 0 0 1819 48552 1958961 1710595 4972 898 0 0 1965752 1760045 0 0 0 0 1806071 1667114 0 0 0 508174 509849 2314245 2176963 -348493 -416918 548693 460338 952986 -32439 -404293 492777 X COMMUNITY NURSES PROVIDES QUALITY CARE AND SERVICES IN THE HOME AND THROUGHOUT THE COMMUNITY. SEE SCHEDULE O FOR MORE INFORMATION. false false 1439500 1710595 COMMUNITY NURSES HOME SUPPORT SERVICES IS AN EXPERIENCED, RELIABLE HOME CARE PROVIDER WITH A LONG-STANDING REPUTATION FOR QUALITY CARE. THE ORGANIZATION PROVIDES A WIDE VARIETY OF SERVICES GEARED TOWARD HELPING PEOPLE WHO ARE SICK OR DISABLED REMAIN IN THE COMFORT AND SECURITY OF THEIR OWN HOMES. THE ORGANIZATION PROVIDED 83,218 SERVICE HOURS OF PRIVATE DUTY IN-HOME COMPANION RESPITE, PERSONAL CARE, AND HOMEMAKER SUPPORT SERVICES TO APPROXIMATELY 467 PATIENTS DURING THE YEAR ENDED 6/30/2021. 1439500 true true false false false false false false false false true false false false false false 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 true false false false true 3 0 true 153 true false false false false false false false false false false false false X 13 10 false true false false true true true true true false false true true true true true true true true false PA X CHERYLL MITCHELL 8147814715 757 JOHNSONBURG ROAD SUITE 200 ST MARYS PA 15857 MARK NORMAN COO 1.0 40.0 X X 0 550022 36017 BRAD CHAPMAN BOARD MEMBER/PHE PRESIDENT 0.5 40.0 X 0 296067 37271 CHERYL MITCHELL SERVICE LINE DIRECTOR 1.0 40.0 X X 0 179002 29938 DONALD W FLEMING CHAIRMAN 1.0 3.0 X X 0 0 0 MARK S JACOB VICE CHAIRMAN 0.5 1.5 X X 0 0 0 GENNARO AIELLO BOARD MEMBER 0.75 2.25 X 0 0 0 JERRY CARIBARDI BOARD MEMBER 0.5 1.5 X 0 0 0 GEORGIANN HOLLY BOARD MEMBER 0.5 1.5 X 0 0 0 KEVIN OKNEFSKI SECRETARY/TREASURER 0.75 2.25 X X 0 0 0 JUNE SORG BOARD MEMBER 0.75 2.25 X 0 0 0 MICHAEL ARMANINI BOARD MEMBER BEG 08/20 0.75 1.5 X 0 0 0 ELIZABETH FITCH BOARD MEMBER BEG 08/20 0.75 1.5 X 0 0 0 JEFFERY MARZELLA BOARD MEMBER BEG 08/20 0.75 1.5 X 0 0 0 0 1025091 103226 0 false true false 0 47577 975 48552 Net Patient Service Revenue 900099 1710595 1710595 1710595 898 898 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1760045 1710595 898 0 0 0 0 0 0 1373520 1090906 282614 2429 1929 500 244797 194428 50369 46368 36827 9541 381707 381707 0 0 0 0 0 0 174 155 19 35659 32596 3063 0 0 26503 23555 2948 53064 47161 5903 0 80 71 9 0 0 0 606 539 67 0 MEDICAL SUPPLIES & DRUGS 5554 5554 LICENSES, DUES, SUBSCRIPTIONS 399 355 44 MISCELLANEOUS 6103 5424 679 2176963 1439500 737463 0 50 50 299605 316224 0 0 217969 113601 0 0 0 0 0 0 0 0 0 0 44393 13930 31069 30463 0 0 0 0 0 0 0 0 0 0 548693 460338 -2548 -32439 0 0 0 0 0 0 0 0 0 0 0 0 0 0 955534 0 952986 -32439 X -409448 488062 5155 4715 -404293 492777 548693 460338 X -416918 1313988 X false true X true false X 3045 11445 9337 1819 48552 74198 2188338 1845135 2539340 1958961 1710595 10242369 0 0 0 2191383 1856580 2548677 1960780 1759147 10316567 0 0 0 10316567 1843 357 2325 4972 898 10395 0 1843 357 2325 4972 898 10395 0 0 2193226 1856937 2551002 1965752 1760045 10326962 0.99899 0.99900 0.00101 0.00100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30062 10856 19206 14331 3074 11257 30463 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false false false false false false false false false MARK NORMAN COO 0 427074 0 103282 0 19666 0 14380 0 21637 0 586039 0 0 BRAD CHAPMAN BOARD MEMBER/PHE PRESIDENT 0 237310 0 46102 0 12655 0 8288 0 28983 0 333338 0 0 CHERYL MITCHELL SERVICE LINE DIRECTOR 0 165685 0 12960 0 357 0 1362 0 28576 0 208940 0 0 SCHEDULE J, PART I, LINE 3 CEO COMPENSATION: PENN HIGHLANDS HEALTHCARE, INC. (PHH), A RELATED ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO. PHH USES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION: INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE. FORM 990, PART III, LINE 1 MISSION: COMMUNITY NURSES HOME SUPPORT SERVICES, INC. IS A PRIVATE DUTY AGENCY, DUAL-LICENSED IN HOME HEALTH AND HOME CARE IN NORTHWESTERN PA. THEY PROVIDE FOR LIMITED HOME HEALTH SERVICES, SUCH AS L&D MEDICATION MANAGEMENT, FOR THOSE INDIVIDUALS FINDING IT DIFFICULT TO TRAVEL. THEY PROVIDE FOR HOME CARE SERVICES SUCH AS PERSONAL CARE/BATHING, MEAL PREPARATION, HOUSEKEEPING, AND MEDICATION REMINDERS TO ALLOW PATIENTS TO REMAIN COMFORTABLY IN THEIR HOMES. FOR THOSE THAT DESIRE SOCIALIZATION, OUR AUDIT DAY SERVICES PROVIDE FOR SUPERVISED CARE AND ACTIVITIES TO ENGAGE THE CLIENTS BOTH MENTALLY AND EMOTIONALLY. COMMUNITY NURSES, INC. AND ITS SUBSIDIARIES BELIEVE IN PROVIDING SERVICES ALONG THE CONTINUUM OF CARE TO ALLOW INDIVIDUALS OF EVERY AGE TO REMAIN IN THE COMFORT OF THEIR HOMES FOR AS LONG AS THEY SO CHOOSE. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT CONTROL: THE ORGANIZATION'S NON-PROFIT, EXEMPT, PARENT ORGANIZATION, COMMUNITY NURSES, INC., PROVIDES MANAGEMENT SERVICES TO COMMUNITY NURSES HOME HEALTH SUPPORT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: ELK REGIONAL HEALTH CENTER, INC. (ELK), AND PENN HIGHLANDS HEALTHCARE (PHH) HOLD CERTAIN POWERS OVER CNI AND ITS SUBSIDIARIES, INCLUDING THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE DOCUMENTS. PHH AND ELK SHALL HAVE THE FOLLOWING POWERS TO 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 THE BOARD OF CNI AND ITS SUBSIDIARIES. 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 CNHSS'S BYLAWS OR POLICIES FOR WHICH SAID CANDIDATE IS BEING CONSIDERED FOR BOARD SERVICE, AND THE POLICIES AND RULES OF PHH, INCLUDING, WITHOUT LIMITATIONS, THE CONFLICT INTEREST POLICY (ALL OF WHICH SHALL BE REFERRED TO COLLECTIVELY HEREIN AS THE ELIGIBILITY CRITERIA) AND DEVELOP A LIST OF ONE OR MORE CANDIDATES FOR EACH OPEN POSITION (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION). ONCE THE SLATE OF CANDIDATES IS NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE, THE BOARD OF ELK SHALL SUBMIT TO THE PHH BOARD FOR ELECTION SUCH SLATE OF CANDIDATES FOR THE OPEN BOARD POSITIONS. THE PHH BOARD MAY ELECT BY A VOTE OF THE MAJORITY OR REFUSE TO ELECT EACH CANDIDATE SUBMITTED BY THE BOARD OF ELK AND MAY NOT ELECT ANY CANDIDATE NOT SUBMITTED BY THE BOARD OF ELK AND NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE. THE BOARD OF PHH HAS THE POWER TO REMOVE SUCH DIRECTOR AT ANY TIME WITH OR WITHOUT CAUSE. IN THE EVENT THAT CNHSS 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 ELK AND PHH AS SET FORTH IN THE BYLAWS, THE ARTICLES AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS OR ARTICLES MY BE ADOPTED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE BOARD. WRITTEN NOTICE OF THE INTENT TO AMEND THE BYLAWS OR THE ARTICLES AND A DRAFT OF THE PROPOSED CHANGE SHALL BE SENT TO ALL DIRECTORS, BY THE SECRETARY, AT LEAST FIVE (5) DAYS PRIOR TO ANY MEETING AT WHICH AMENDMENT OF THE BYLAWS OR THE ARTICLES IS INTENDED. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT OF THE 990 IS THOROUGHLY REVIEWED BY THE CFO AND CEO AND THE FINAL RETURN IS PRESENTED, IN ITS ENTIRETY, TO THE FINANCE COMMITTEE. IT IS THEN PROVIDED TO THE BOARD OF DIRECTORS BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE: EVERY YEAR, A QUESTIONNAIRE REGARDING BUSINESS AND FAMILY RELATIONSHIPS IS GIVEN TO THE BOARD OF DIRECTORS AND OFFICERS. THESE QUESTIONNAIRES ARE THEN REVIEWED AND ANY CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE BOARD. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST MUST ABSTAIN FROM VOTING ON ANY ISSUES RELATED TO THAT CONFLICT. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION DETERMINATION: SALARIES ARE REVIEWED ANNUALLY DURING THE BUDGET PROCESS, COMPARED TO THE HOME CARE SALARY AND BENEFITS REPORT PRODUCED BY THE NATIONAL ASSOCIATION OF HOMECARE FOR REASONABLENESS, AND APPROVED BY THE BOARD OF DIRECTORS. THE CEO'S AND CFO'S COMPENSATION ARE SPECIFICALLY APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: THE ARTICLES OF INCORPORATION ARE AVAILABLE ON THE PENNSYLVANIA DEPARTMENT OF STATE'S WEBSITE. ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $1,314,428 TRANSFER FROM AFFILIATE (440) CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS ----------- $1,313,988 ELK REGIONAL HEALTH CENTER 763 JOHNSONBURG ROAD ST MARYS PA 15857 250585280 HEALTH CARE PA 501(C)(3) 3 PHH false ELCO HOUSING 759 JOHNSONBURG ROAD ST MARYS PA 15857 251639115 HOUSING PA 501(C)(3) 12 A I PHH false ELK REGIONAL PROFESSIONAL GROUP INC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251875183 HEALTH CARE PA 501(C)(3) 3 PHH false COMMUNITY NURSES HOME HEALTH AND HOSPICE 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 250996070 HEALTH CARE PA 501(C)(3) 10 CNI false COMMUNITY NURSES INC 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623598 HEALTH CARE PA 501(C)(3) 10 PHH false PENN HIGHLANDS HEALTHCARE INC PO BOX 447 DUBOIS PA 15801 320345810 HEALTH CARE PA 501(C)(3) 12C III-FI NA false DUBOIS REGIONAL MEDICAL CENTER 100 HOSPITAL AVE DUBOIS PA 15801 251490707 HOSPITAL PA 501(C)(3) 3 PHH false BROOKVILLE HOSPITAL 100 HOSPITAL ROAD BROOKVILLE PA 15825 250984595 HOSPITAL PA 501(C)(3) 3 DRMC false NATHANIEL D YINGLING CANCER CENTER 815 DOCTORS DR CLEARFIELD PA 16830 205114093 RADIATION ONC PA 501(C)(3) 3 PHH false CLEAR -MED PROVIDER CORPORATION PO BOX 1260 CLEARFIELD PA 16830 251657668 OUTPATIENT PA 501(C)(3) 3 PHH false DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVE DUBOIS PA 15801 256332829 DRMC EMPL BEN PA 501(C)(9) PHH false CLEARFIELD HOSPITAL 809 TURNPIKE DR CLEARFIELD PA 16830 250979346 HOSPITAL PA 501(C)(3) 3 PHH false JEFFCO HEALTH SERVICES 417 ROUTE 28 BROOKVILLE PA 15825 251505478 SNF PA 501(C)(3) 10 BROOKVILLE false JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRINGS HUNTINGDON PA 16652 231352159 HOSPITAL PA 501(C)(3) 3 PHH false JC BLAIR MEMORIAL HOSPITAL FOUNDATION 935 14TH STREET HUNTINGDON PA 16652 251881377 SUPPORT HOSP PA 501(C)(3) 12A I PHH false PENN HIGHLANDS TYRONE 187 HOSPITAL DRIVE TYRONE PA 16686 231440116 HOSPITAL PA 501(C)(3) 3 PHH false HELPMATES INC 250 WEST MAIN STREET RIDGWAY PA 15853 251555968 HEALTH CARE PA 501(C)(3) 10 CNI false TYRONE REGIONAL HEALTH NETWORK FOUNDATIO 187 HOSPITAL DRIVE TYRONE PA 16686 814504606 SUPPORT PA 501(C)(3) 12 A I PH TYRONE false false false false false false false false false false false false false false true true true true false true