DUBOIS REGIONAL MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: DUBOIS REGIONAL MEDICAL CENTER (EIN 25-1490707)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-16
IRS object ID: 202211369349311341
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-16T14:25:26-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	251490707	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DUBOIS REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JILL SACHS	InCareOfNm
Business Name Control	DUBO	BusinessNameControlTxt
Phone	8143756377	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 447 100 HOSPITAL AVENUE	AddressLine1Txt
City	DUBOIS	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15801	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN S SUTIKA	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	8143754321	PhoneNum
Signature	2022-05-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JOHN S	PersonFirstNm
Person Last	SUTIKA	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	PENN HIGHLANDS DUBOIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JOHN SUTIKA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 447	AddressLine1Txt
City	DUBOIS	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15801	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$439,916,697	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PHHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	DRMC OFFERS RESIDENTS A COMBINATION OF ADVANCED HEALTHCARE IN A FRIENDLY ENVIRONMENT. DRMC FOCUSES ON CLINICAL EXCELLENCE WITH A FOCUS ON PATIENT-CENTERED CARE.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2872	TotalEmployeeCnt
Total Volunteers	59	TotalVolunteersCnt
Total Gross UBI	$2,517,164	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,055,139	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,485,309	PYContributionsGrantsAmt
CY Contributions Grants	$11,249,999	CYContributionsGrantsAmt
PY Program Service Revenue	$369,223,289	PYProgramServiceRevenueAmt
CY Program Service Revenue	$389,568,176	CYProgramServiceRevenueAmt
PY Investment Income	$4,866,835	PYInvestmentIncomeAmt
CY Investment Income	$6,118,147	CYInvestmentIncomeAmt
PY Other Revenue	-$3,343,503	PYOtherRevenueAmt
CY Other Revenue	-$3,399,311	CYOtherRevenueAmt
PY Total Revenue	$378,231,930	PYTotalRevenueAmt
CY Total Revenue	$403,537,011	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$176,334,289	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$170,006,532	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$178,094,358	PYOtherExpensesAmt
CY Other Expenses	$202,200,141	CYOtherExpensesAmt
PY Total Expenses	$354,428,647	PYTotalExpensesAmt
CY Total Expenses	$372,206,673	CYTotalExpensesAmt
PY Revenues Less Expenses	$23,803,283	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$31,330,338	CYRevenuesLessExpensesAmt
Total Assets BOY	$453,154,072	TotalAssetsBOYAmt
Total Assets EOY	$543,409,660	TotalAssetsEOYAmt
Total Liabilities BOY	$204,668,426	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$245,439,740	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$248,485,646	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$297,969,920	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE THE PATIENT WITH EXCEPTIONAL CARE THROUGH OUR COMMUNITY-BASED HEALTH SYSTEM WHILE MAINTAINING A REVERENCE FOR LIFE. IT'S THE VISION OF THE SYSTEM TO BE THE INTEGRATED HEALTH SYSTEM OF CHOICE THROUGH EXCELLENT QUALITY, SERVICE AND OUTCOMES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$341,883,131	ExpenseAmt
Revenue	$389,568,176	RevenueAmt
Desc	DUBOIS REGIONAL MEDICAL CENTER PROVIDES A VARIETY OF COMPREHENSIVE INPATIENT CARE AND OUTPATIENT MEDICAL SERVICES TO THE RESIDENTS OF WESTERN PENNSYLVANIA. THE FACILITY IS LICENSED FOR 216 BEDS. IN FISCAL YEAR 2021, DRMC SERVICED 9,246 INPATIENTS WITH A TOTAL OF 48,253 INPATIENT DAYS AND PROVIDED MORE THAN 624,964 OUTPATIENTS VISITS. IN ADDITION TO DIRECT MEDICAL SERVICES, THE HOSPITAL ALSO PROVIDES OTHER MEDICAL PROGRAMS TO THE COMMUNITY INCLUDING OUTREACH PROGRAMS, CLINICS, SUPPORT GROUPS, EDUCATION PROGRAMS, HEALTH FAIRS AND HEALTH SCREENINGS.	Desc
Total Program Service Expenses	$341,883,131	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	208	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2872	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JILL SACHS	PersonNm
Phone	8143756377	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL AVENUE	AddressLine1Txt
City	DUBOIS	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15801	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
DR STEPHEN IORFIDO
PHYSICIAN	40.0	0.0	Yes (X)	$1,486,319	$0	$20,931
DR GASSAN BEJJANI
PHYSICIAN	40.0	0.0	Yes (X)	$1,465,827	$0	$21,018
STEVE FONTAINE
TRUSTEE, PRESIDENT/CEO PHH	2.0	40.0		$0	$1,193,659	$36,784	Yes (X)	Yes (X)
DR GRACE SCHUSTER
PHYSICIAN	40.0	0.0	Yes (X)	$1,033,530	$0	$0
DR MOHAMED HAASAN
PHYSICIAN	40.0	0.0	Yes (X)	$1,001,722	$0	$20,610
DR HAZEM F EL KASSAS
TRUSTEE	2.0	40.0		$0	$792,381	$16,164	Yes (X)
DR TERRY T BROWN
PHYSICIAN	40.0	0.0	Yes (X)	$726,923	$0	$17,116
MARK NORMAN
TRUSTEE, COO PHH	2.0	40.0		$0	$523,813	$50,827	Yes (X)	Yes (X)
JOHN SUTIKA
PRESIDENT	40.0	0.0		$530,898	$0	$18,091	Yes (X)	Yes (X)
BRIAN KLINE
VP CHIEF FINANCIAL OFFICE	40.0	2.0		$337,274	$0	$7,093	Yes (X)	Yes (X)
M TODD MILLER
CHAIRMAN	5.0	2.0		$0	$0	$0	Yes (X)	Yes (X)
EDWARD V YAHNER
VICE CHAIR	2.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
LISA M ZOCCO
TREASURER	3.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
JOYCE FAIRMAN
SECRETARY	3.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
MIKE ARMANINI
TRUSTEE	2.0	0.0		$0	$0	$0	Yes (X)
JOSH BENTON
TRUSTEE	2.0	0.0		$0	$0	$0	Yes (X)
W JAY CHAMBERLIN
TRUSTEE	2.0	0.0		$0	$0	$0	Yes (X)
JAMES CURTIS
TRUSTEE	2.0	0.0		$0	$0	$0	Yes (X)
RAYMOND E DONATI
TRUSTEE	2.0	0.0		$0	$0	$0	Yes (X)
SISTER LISA MARY MCCARTNEY
TRUSTEE	2.0	0.0		$0	$0	$0	Yes (X)
SALLY MORAN
TRUSTEE	2.0	0.0		$0	$0	$0	Yes (X)
SISTER MARGARET PARK
TRUSTEE	2.0	0.0		$0	$0	$0	Yes (X)
DR RICHARD LATUSKA
TRUSTEE	2.0	0.0		$0	$0	$0	Yes (X)
ANTHONY VIGLIONE
TRUSTEE	2.0	0.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,582,493	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,509,853	TotReportableCompRltdOrgAmt
Total Other Compensation	$208,634	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	377	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVE	SAN DIEGO	CA	92130	LOCUM SERVICES	$4,595,537
APOGEE HEALTHCARE INC
15059 N SCOTTSDALE ROAD	SCOTTSDALE	AZ	85254	LOCUM SERVICES	$5,347,486
ASSOCIATED CLINICAL LABS
1526 PEACH ST	ERIE	PA	16501	LAB TESTING SERVICES	$3,231,062
LUNG INNOVATIONS NETWORK
1402 TREASURE LAKE	DUBOIS	PA	15801	PHYSICIAN SERVICES	$5,746,332
MAXIM HEALTHCARE
7227 LEE DEFOREST	COLUMBIA	MD	21046	LOCUM SERVICES	$3,874,995

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	55	CntrctRcvdGreaterThan100KCnt
Government Grants	$10,062,607	GovernmentGrantsAmt
All Other Contributions	$1,187,392	AllOtherContributionsAmt
Total Contributions	$11,249,999	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue	621990	$352,820,649	$352,820,649
Pharmacy	446110	$32,177,290	$29,660,126	$2,517,164
Other Service Revenue	621990	$2,696,356	$2,696,356
Cafeteria	722514	$848,894	$848,894
Rent From Affiliates	900099	$1,024,987	$1,024,987

Field	Value	IRS element (for citing)
Total Program Service Revenue	$389,568,176	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,170,719	TotalRevenueColumnAmt
Exclusion	$5,170,719	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$37,327,114	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$35,717,696	SecuritiesAmt
Other	$661,990	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,609,418	SecuritiesAmt
Other	-$661,990	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$947,428	TotalRevenueColumnAmt
Exclusion	$947,428	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Loss on Equity Investees	Desc
Business	900099	BusinessCd
Total Revenue Column	-$3,399,311	TotalRevenueColumnAmt
Exclusion	-$3,399,311	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$3,399,311	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$403,537,011	TotalRevenueColumnAmt
Related Or Exempt Func Income	$387,051,012	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,517,164	UnrelatedBusinessRevenueAmt
Exclusion	$2,718,836	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$893,356	TotalAmt
Program Services	$548,989	ProgramServicesAmt
Management And General	$344,367	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$605,500	TotalAmt
Program Services	$545,979	ProgramServicesAmt
Management And General	$59,521	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$138,925,430	TotalAmt
Program Services	$125,520,993	ProgramServicesAmt
Management And General	$13,404,437	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,927,562	TotalAmt
Program Services	$3,541,483	ProgramServicesAmt
Management And General	$386,079	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,028,678	TotalAmt
Program Services	$13,555,976	ProgramServicesAmt
Management And General	$1,472,702	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,626,006	TotalAmt
Program Services	$9,581,470	ProgramServicesAmt
Management And General	$1,044,536	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$43,711,303	TotalAmt
Program Services	$39,414,482	ProgramServicesAmt
Management And General	$4,296,821	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$404,155	TotalAmt
Management And General	$404,155	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$144,075	TotalAmt
Management And General	$144,075	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$513,175	TotalAmt
Management And General	$513,175	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,189,153	TotalAmt
Program Services	$28,245,485	ProgramServicesAmt
Management And General	$2,943,668	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,864	TotalAmt
Program Services	$1,681	ProgramServicesAmt
Management And General	$183	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,153,522	TotalAmt
Program Services	$4,656,101	ProgramServicesAmt
Management And General	$497,421	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,345,952	TotalAmt
Program Services	$4,820,445	ProgramServicesAmt
Management And General	$525,507	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$389,873	TotalAmt
Program Services	$351,548	ProgramServicesAmt
Management And General	$38,325	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$480,873	TotalAmt
Program Services	$433,603	ProgramServicesAmt
Management And General	$47,270	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,645,440	TotalAmt
Program Services	$2,385,393	ProgramServicesAmt
Management And General	$260,047	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,871,248	TotalAmt
Program Services	$11,606,004	ProgramServicesAmt
Management And General	$1,265,244	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,414,048	TotalAmt
Program Services	$3,078,447	ProgramServicesAmt
Management And General	$335,601	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$72,126,626	$72,126,626
LICENSES, DUES, SUBSCRIPTIONS	$14,776,592	$13,324,053	$1,452,539
REPAIRS AND MAINTENANCE	$5,022,332	$4,528,637	$493,695
SETTLEMENT EXPENSE	$3,795,603	$3,422,495	$373,108

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$214,307	TotalAmt
Program Services	$193,241	ProgramServicesAmt
Management And General	$21,066	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$372,206,673	TotalAmt
Program Services	$341,883,131	ProgramServicesAmt
Management And General	$30,323,542	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$400,296	BOYAmt
EOY	$5,125,302	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$90,494,308	BOYAmt
EOY	$76,804,326	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$532,479	BOYAmt
EOY	$458,199	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$33,876,694	BOYAmt
EOY	$41,356,047	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,294,651	BOYAmt
EOY	$6,651,794	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,678,212	BOYAmt
EOY	$2,226,216	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$372,883,107	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$211,575,304	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$119,815,553	BOYAmt
EOY	$161,307,803	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$138,632,825	BOYAmt
EOY	$155,347,936	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,794,467	BOYAmt
EOY	$3,715,777	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,162,170	BOYAmt
EOY	$2,491,924	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$52,472,417	BOYAmt
EOY	$87,924,336	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$453,154,072	BOYAmt
EOY	$543,409,660	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$38,594,923	BOYAmt
EOY	$64,076,264	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$9,962,607	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$110,615,471	BOYAmt
EOY	$108,431,487	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$565,826	BOYAmt
EOY	$29,331,213	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,929,599	BOYAmt
EOY	$43,600,776	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$204,668,426	BOYAmt
EOY	$245,439,740	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$245,463,742	BOYAmt
EOY	$294,698,955	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,021,904	BOYAmt
EOY	$3,270,965	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$248,485,646	BOYAmt
EOY	$297,969,920	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$453,154,072	BOYAmt
EOY	$543,409,660	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$31,330,338	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$18,163,319	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$9,383	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,329	OtherActivitiesAmt
Total Lobbying Expenditures	$4,329	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES: THE ORGANIZATION IS A MEMBER OF THE HEALTHCARE COUNCIL. A PORTION OF DUES PAID TO THIS ORGANIZATION ARE ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,734	BeginningYearBalanceAmt
Investment Earnings Or Losses	$27	InvestmentEarningsOrLossesAmt
End Year Balance	$50,761	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,469	BeginningYearBalanceAmt
Contributions	$230	ContributionsAmt
Investment Earnings Or Losses	$35	InvestmentEarningsOrLossesAmt
End Year Balance	$50,734	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,014	BeginningYearBalanceAmt
Contributions	$420	ContributionsAmt
Investment Earnings Or Losses	$35	InvestmentEarningsOrLossesAmt
End Year Balance	$50,469	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,179	BeginningYearBalanceAmt
Contributions	$801	ContributionsAmt
Investment Earnings Or Losses	$34	InvestmentEarningsOrLossesAmt
End Year Balance	$50,014	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$48,818	BeginningYearBalanceAmt
Contributions	$327	ContributionsAmt
Investment Earnings Or Losses	$34	InvestmentEarningsOrLossesAmt
End Year Balance	$49,179	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,317,049	OtherCostOrOtherBasisAmt
Book Value	$13,317,049	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$87,839,367	OtherCostOrOtherBasisAmt
Depreciation	$36,087,213	DepreciationAmt
Book Value	$51,752,154	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$90,998,316	OtherCostOrOtherBasisAmt
Depreciation	$66,305,873	DepreciationAmt
Book Value	$24,692,443	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$125,840,511	OtherCostOrOtherBasisAmt
Depreciation	$104,194,264	DepreciationAmt
Book Value	$21,646,247	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,887,864	OtherCostOrOtherBasisAmt
Depreciation	$4,987,954	DepreciationAmt
Book Value	$49,899,910	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$161,307,803	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDesc	Book ValueBookValueAmt
Due from Affiliates	$72,069,454
Other Receivable	$3,712,328
Other Assets	$17,427
PHYSICIAN & EMPLOYEE ADVANCES	$681,591
Assets held in Def Comp Plan	$1,682,610
Due from Third Party Payer	$2,533,535
Benef int in perp trust	$525,375
Insurance Receivable	$5,648,434
Accrued Interest	$109,814
ROU Asset	$943,768

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$87,924,336	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Due to Third Party Payers	$5,279,194
Due to Affiliates	$3,078,797
Deferred Compensation	$1,682,610
ROU Liability	$612,435
Contract Liabilities	$32,947,740

Field	Value	IRS element (for citing)
Total Liability	$43,600,776	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	ENDOWMENT FUNDS: ENDOWMENT FUNDS WILL BE USED FOR THE PURCHASE OF CAPITAL ITEMS USED IN PATIENT CARE.
SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$14,323,515	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$14,323,515	SubtotalSpentAmt
Total Spent	$14,323,515	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,632,875	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,632,875	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,358,182	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,167,396	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,190,786	NetCommunityBenefitExpnsAmt
Total Expense	0.01400	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,991,057	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,167,396	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,823,661	NetCommunityBenefitExpnsAmt
Total Expense	0.01840	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$249,781	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$249,781	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$572,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$572,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$154,323	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$154,323	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$976,104	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$976,104	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,967,161	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,167,396	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,799,765	NetCommunityBenefitExpnsAmt
Total Expense	0.02100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,899,824	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,458,290	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$83,648,623	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$85,342,971	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,694,348	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DUBOIS REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL AVENUE	AddressLine1Txt
City	DUBOIS	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15801	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.PHHEALTHCARE.ORG	WebsiteAddressTxt
State License	135501	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	DUBOIS REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	20	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: PENN HIGHLANDS HEALTHCARE HIRED THE FIRM OF TRIPP UMBACH TO FACILITATE THE PREPARATION OF THE CHNA AND COLLABORATED WITH HOSPITALS AND OUTSIDE ORGANIZATION IN THE SURROUNDING REGION DURING THE CHNA PROCESS INCLUDING ALCOHOL AND DRUG ABUSE SERVICES, ALCOHOLICS ANONYMOUS, FREE CLINIC OF DUBOIS, POLICE DEPARTMENTS, CHAMBER OF COMMERCE, EMS SERVICES JUST TO NAME A FEW. THE PROCESS INCLUDED PUBLIC COMMENTARY, SECONDARY DATA COLLECTION AND ANALYSIS, STAKEHOLDER INTERVIEWS, HAND-DISTRIBUTED SURVEYS, AND A COMMUNITY HEALTH FORUM/RETREAT. THE HOSPITAL WORKED WITH LEADERS WITHIN THE HEALTHCARE SYSTEMS AS WELL AS WITH SEVERAL MEMBERS OUTSIDE OF THE SYSTEM FROM VARIOUS ORGANIZATION AND BACKGROUNDS. THIS LIST IS INCLUDED IN THE CHNA REPORTS.
SCHEDULE H, PART V, SECTION B, LINE 6A	CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: THE CHNA WAS CONDUCTED WITH PENN HIGHLANDS ELK, PENN HIGHLANDS BROOKVILLE, PENN HIGHLANDS HUNTINGDON, PENN HIGHLANDS TYRONE AND PENN HIGHLANDS CLEARFIELD WHICH ARE HOSPITALS IN THE PENN HIGHLANDS HEALTHCARE SYSTEM.
SCHEDULE H, PART V, SECTION B, LINE 7A	WEBSITE WHERE CHNA IS AVAILABLE: WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 10A	WEBSITE WHERE IMPLEMENTATION STRATEGY IS AVAILABLE: HTTPS://WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESS MENT
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING IDENTIFIED NEEDS: THE HOSPITAL'S CHNA GIVES A VERY DETAILED OVERVIEW OF THE METHODS AND ACTIVITIES THAT WENT INTO DEVELOPING A STRATEGIC PLAN FOR ACCESSING THE NEEDS OF THE COMMUNITY AND CHOOSING WHAT THE MOST IMPORTANT AND ATTAINABLE GOALS WOULD BE. THESE NEEDS ARE PRESENTED IN THE CHNA WITH A DETAILED EXPLANATION OF THE ISSUES, HOW THIS INFORMATION WAS GATHERED, INCLUDING PRIMARY AND SECONDARY DATA, WHAT THE GOALS ARE TO DEAL WITH THIS ISSUE AND THE NEXT STEPS TO ATTAIN THESE GOALS. THE REPORT ADDRESSES THE TOP FIVE HEALTH NEEDS OF THE COMMUNITY AND FOCUSES ON THOSE ISSUES. THE IMPLEMENTATION PLAN ONLINE SHOWS THE ANNUAL ACTIVITY AND PROGRESS.
SCHEDULE D, PART V, SECTION B, LINES 16A & 16B, 16C	FINANCIAL ASSISTANCE POLICY: HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY
SCHEDULE H, 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.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990 WAS USED AS THE DENOMINATOR.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY: THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEETS 1 AND 3. WORKSHEET 6 USED ACTUAL COST DATA.
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE METHODOLOGY: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'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, 2021. 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, SECTION A, LINE 3	BAD DEBT ATTRIBUTABLE TO CHARITY CARE: BAD DEBT IS ESTIMATED BASED ON APPLYING PRE-ESTABLISHED PERCENTAGES TO EACH PAYOR BALANCE IN THE ORGANIZATION'S ACCOUNTS RECEIVABLE. SELF-PAY BALANCE PERCENTAGES ARE BASED ON HISTORICAL BAD DEBT INFORMATION AND ASSISTANCE FROM THE ORGANIZATION'S FINANCIAL AUDITORS.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT NOTE CAN BE FOUND ON PAGE 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8	COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. MEDICARE TOTAL REVENUE RECEIVED AND ALLOWABLE COSTS ARE CALCULATED USING VARIOUS LINES FROM THE MEDICARE COST REPORT. FOR THE PROFESSIONAL COMPONENT REVENUE, INTERNAL REPORTS ARE USED. THE PROFESSIONAL COST IS CALCULATED USING THE NON-ALLOWABLE PHYSICIAN COSTS FROM THE COST REPORT MULTIPLIED BY THE PERCENTAGE OF MEDICARE PCS TO TOTAL PCS.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY: THE ACTIONS THAT PHH/PHPN MAY TAKE WITH REGARD TO THE NON-PAYMENT BY AN INDIVIDUAL WHO IS ABLE TO PAY FOR SERVICES, INCLUDING COLLECTION ACTIONS AND POSSIBLE REPORTING TO CREDIT AGENCIES ARE CONTAINED IN PHH/PHPN'S BILLING AND COLLECTION POLICY. FOR INDIVIDUALS WHO QUALIFY FOR FAP AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED MEDICAL BILLS, PHH/PHPN WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTIONS AGENCIES. PHH/PHPN WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS (ECA) SUCH AS LAWSUITS, LIENS ON RESIDENCES OR OTHER SIMILAR LEGAL ACTIONS FOR ANY INDIVIDUAL WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FAP. REASONABLE EFFORTS SHALL INCLUDE: A) NOTIFYING THE INDIVIDUAL OF THE FAP UPON ADMISSION, IN WRITTEN AND ORAL COMMUNICATIONS WITH THE INDIVIDUAL REGARDING THEIR BILL AND INCLUDING INFORMATION ON THE FAP ON STATEMENTS; B) WRITTEN DOCUMENTATION THAT PHH/PHPN HAS ATTEMPTED TO OFFER THE INDIVIDUAL THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE PURSUANT TO HIS POLICY AND THAT THE INDIVIDUAL HAS NOT COMPLIED WITH THE APPLICATION REQUIREMENTS; C) VALIDATING THAT THE INDIVIDUAL OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENTS HAVE BEEN IDENTIFIED AND BILLED BY PHH/PHPN; D) DOCUMENTATION THAT THE INDIVIDUAL HAS BEEN OFFERED A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: THE HOSPITAL COLLECTS DATA ON AN ONGOING BASIS REGARDING PATIENTS WHO TRAVEL TO OUTLYING AREAS FOR SERVICES NOT OFFERED BY DRMC. BASED ON THIS DATA, SERVICES ARE ADDED AND IMPROVED UPON IN ORDER TO SERVE THE NEEDS OF THE COMMUNITY AS EFFECTIVELY AND EFFICIENTLY AS POSSIBLE. DRMC ROUTINELY SENDS PATIENT SATISFACTION SURVEYS TO THOSE RECEIVING MEDICAL SERVICES. THESE SURVEYS ALLOW PATIENTS TO OFFER SUGGESTIONS REGARDING HOW THE HOSPITAL COULD BETTER SERVE THEM AS PATIENTS AND THE COMMUNITY AS A WHOLE. DRMC OFFERS A VARIETY OF EDUCATION PROGRAMS THAT ALLOW EMPLOYEES TO INTERACT ON A ONE-ON-ONE BASIS WITH THE RESIDENTS OF THE COMMUNITY AS A WHOLE. IN ADDITION, THE MEDICAL STAFF OF THE HOSPITAL CONSISTENTLY PARTICIPATES IN RESEARCH AND CONTINUING MEDICAL EDUCATION. THIS KNOWLEDGE ALLOWS THE HOSPITAL TO REMAIN UPDATED ON THE LATEST MEDICAL NEWS AND TECHNIQUES IN ORDER TO OFFER PATIENTS THE HIGHEST AND MOST INNOVATIVE LEVELS OF CARE. DRMC HIRED AN OUTSIDE FIRM TO ASSIST WITH THE CREATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CONTRACTOR GATHERED SECONDARY DATA IN CLEARFIELD AND SURROUNDING COUNTIES, CONDUCTED VARIOUS FOCUS GROUPS WITH KEY AUDIENCES AND USERS OF HEALTHCARE AND SOCIAL SERVICES TO IDENTIFY AREAS FOR PERSPECTIVE IMPROVEMENT WITHIN THE COMMUNITY. THE CONTRACTOR HAS DEVELOPED A MASTER PLAN OF INITIATIVES FOR DRMC WHICH HAS BEEN POSTED ON THE HOSPITAL'S WEBSITE.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: DRMC POSTS A NOTICE OF CHARITY CARE AT ALL POINTS OF REGISTRATION, INCLUDING ALL EMPLOYED PHYSICIAN PRACTICES. THE NOTICE INCLUDES A STATEMENT AS TO THE AVAILABILITY OF CHARITY CARE AND HOW TO APPLY. DRMC EMPLOYS A FINANCIAL COUNSELOR WHO MEETS INDIVIDUALLY WITH ALL INPATIENTS ADMITTED TO THE FACILITY WHO INDICATE NO HEALTH CARE COVERAGE. THE FINANCIAL COUNSELOR INTERVIEWS THE PATIENT, AND, IF APPROPRIATE, DISCUSSES AND EDUCATES THE PATIENT RELATIVE TO MEDICAL ASSISTANCE, BLUE CHIP AND THE HOSPITAL'S CHARITY PROGRAM. THE FINANCIAL COUNSELOR COMPETES AND ASSISTS THE PATIENTS WITH THE NECESSARY APPLICATIONS AND FOLLOW-THRU WITH THE PHYSICIAN AND THE ASSIGNED COUNTY BOARD OF ASSISTANCE CASEWORK. THE FINANCIAL COUNSELOR ALSO CONTACT OTHER PATIENTS WITH LARGE DOLLAR ACCOUNT BALANCES TO DISCUSS AND EDUCATE THE PATIENT'S NEED FOR FINANCIAL ASSISTANCE. ADDITIONALLY, DRMC EMPLOYS A CREDIT COLLECTIONS STAFF WHO ALSO CONTACTS, EDUCATES AND OFFERS ASSISTANCE TO OTHER PATIENTS WITH FINANCIAL NEED TO HELP WITH HEALTH CARE COSTS.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: DRMC'S 216 LICENSED BEDS ARE HOUSED IN TWO FACILITIES IN DUBOIS, A SMALL TOWN IN CENTRAL PENNSYLVANIA. THE COMBINED TRADITION OF PROVIDING HIGH QUALITY, COMPASSIONATE CARE BEGAN WITH ITS PREDECESSORS, DUBOIS HOSPITAL AND MAPLE AVENUE HOSPITAL IN 1897. IN 1985, THE TWO ORGANIZATIONS JOINED TO CREATE DUBOIS REGIONAL MEDICAL CENTER, AND, SINCE THEN, THE MEDICAL CENTER HAS GROWN FOR THE BENEFIT OF THE ENTIRE COMMUNITY. DRMC WEST HOUSES ACUTE INPATIENT CARE AND A FULL RANGE OF ANCILLARY SERVICES. DRMC EAST IS THE SIGHT OF THE BEHAVIORAL HEALTH UNIT. IN ADDITION, DRMC OFFERS ACCESS TO PRIMARY AND SPECIALTY CARE HEALTH CENTERS IN SEVERAL COMMUNITIES AS ONE OF THE LARGEST PRIVATE EMPLOYERS IN THE AREA.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: DUBOIS REGIONAL MEDICAL CENTER OFFERS RESIDENTS OF WEST CENTRAL PENNSYLVANIA THE COMBINATION OF ADVANCED HEALTHCARE IN A WARM, FRIENDLY ENVIRONMENT. WIDELY RECOGNIZED AS ONE OF THE LEADING HEALTH CENTERS OF ITS KIND IN THE COMMONWEALTH, DRMC IS AN OASIS OF CLINICAL AND TECHNICAL EXCELLENCE, WITH A FOCUS ON PATIENT-CENTERED CARE. OUR COMBINED VISION IS TO BE POSITIONED AS THE PREMIER PROVIDER OF COMPREHENSIVE, QUALITY SERVICES TO OUR BROAD REGION. PROVIDING INPATIENT AND OUTPATIENT HOSPITAL CARE REPRESENTS THE LARGEST PORTION OF THESE SERVICES. DRMC'S MISSION IN MAINTAINING THESE SERVICES IS ACCOMPLISHED BY PROVIDING ACCESS TO HEALTHCARE SERVICES FOR ALL, INCLUDING INDIVIDUALS WHO ARE UNABLE TO PAY FOR SUCH SERVICES. DRMC HAS A TRADITION OF SERVING THE POOR AND UNDER-PRIVILEGED OF THE AREA BY PROVIDING CARE PROGRAMS AND SERVICES TO ENHANCE THEIR QUALITY OF LIFE. BEYOND THE INPATIENT AND OUTPATIENT HOSPITAL CARE, THERE ARE MANY OTHER WAYS IN WHICH DRMC AND OUR EMPLOYEES SERVE OUR COMMUNITY EVERY DAY. IN ADDITION TO GIVING TO ORGANIZATIONS, THEY PROVIDE INFORMATION ON HEALTH AND SAFETY TO THE COMMUNITY. THEY PROVIDE DIRECT PATIENT CARE ON A VOLUNTEER BASIS AT THE LOCAL DUBOIS FREE CLINIC. THE CLINIC WAS ESTABLISHED FOR LOW-INCOME PEOPLE WHO COULD NOT AFFORD HEALTH INSURANCE. THE SUCCESS AND REPUTATION OF DRMC IS A DIRECT RESULT OF THE DEDICATED EFFORTS OF OUR BOARD OF DIRECTORS, ADMINISTRATION, PHYSICIANS AND STAFF WITH THE CONTINUED SUPPORT OF THE DRMC FAMILY AND THE COMMUNITIES WE SERVE, DRMC WILL REMAIN A VALUABLE RESOURCE TO OUR AREA.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: DUBOIS REGIONAL MEDICAL CENTER IS PART OF PENN HIGHLANDS HEALTHCARE (PHH, 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 HUNTINGDON AND TYRONE HOSPITAL. THE PENN HIGHLANDS DUBOIS PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -DUBOIS REGIONAL MEDICAL CENTER (DRMC) PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS IN DUBOIS, PENNSYLVANIA, AND SURROUNDING AREAS. -BROOKVILLE HOSPITAL (BROOKVILLE), A CRITICAL ACCESS HOSPITAL IN BROOKVILLE, PENNSYLVANIA. BROOKVILLE EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES. -BROOKVILLE INCLUDES BROOKCARE, A CORPORATION WHOSE PRIMARY BUSINESS IS TO RENT OFFICE SPACE TO PHYSICIANS AND VARIOUS DEPARTMENTS OF BROOKVILLE HOSPITAL. - JEFFCO HEALTH SERVICES, A POST-ACUTE SERVICE PROVIDER. -DUBOIS MEDICAL RISK RETENTION GROUP (DMRRG), PROVIDES LIABILITY INSURANCE TO DUBOIS COMPANIES AS WELL AS EMPLOYEE HEALTH INSURANCE FOR THE SYSTEM. DUBOIS IS THE SOLE MEMBER OF THE CLASS A VOTING AND PARTICIPATING CERTIFICATES OF DMRRG. -DUBOIS REGIONAL MEDICAL GROUP (DRMG), PROVIDES PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES. THE PENN HIGHLANDS ELK (ELK) PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -ELK REGIONAL HEALTH CENTER (ELK) PROVIDES PRIMARY ACUTE CARE MEDICAL SERVICES AT TWO CAMPUSES, THE ST. MARYS HEALTH CENTER IN ST. MARYS, PENNSYLVANIA, AND THE RIDGWAY HEALTH CENTER IN RIDGWAY, PENNSYLVANIA. -COMMUNITY NURSES, INC. AND SUBSIDIARIES (COMMUNITY NURSES), IS COMPRISED OF COMMUNITY NURSES HOME HEALTH AND HOSPICE, INC., WHICH PROVIDES SKILLED NURSING, PROFESSIONAL HOME HEALTH AND HOSPICE SERVICES, HOME HEALTH AIDE, PHYSICAL THERAPY, SPEECH THERAPY AND OCCUPATIONAL THERAPY; COMMUNITY NURSES HOME HEALTH SUPPORT SERVICES, INC., WHICH PROVIDES VARIOUS NONPROFESSIONAL HOME HEALTH RELATED SUPPORTIVE SERVICES; AND HELPMATES, WHICH PROVIDES HOME CARE SERVICES. -ELK REGIONAL PROFESSIONAL GROUP, INC., IS COMPRISED OF VARIOUS PHYSICIAN PRACTICES. -ELCO HOUSING, INC., WAS FORMED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND TO CARRY OUT THE PURPOSES OF ELK BY SERVING AS A GENERAL PARTNER IN ELCO GLEN LIMITED PARTNERSHIP, THE PURPOSE OF WHICH IS TO ACQUIRE, CONSTRUCT, PROVIDE AND OPERATE RENTAL HOUSING AND RELATED FACILITIES SUITED TO THE NEEDS AND LIVING REQUIREMENTS OF ELIGIBLE OCCUPANTS AS DETERMINED BY THE FARMERS HOME ADMINISTRATION (FMHA). -ELK VENTURES, LLC (ELK VENTURES), A SINGLE MEMBER LLC OF ELK REGIONAL HEALTH CENTER, WAS FORMED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND TO CARRY OUT THE PURPOSES OF ELK. THE PENN HIGHLANDS CLEARFIELD (CLEARFIELD) PORTION OF THE PHH SYSTEM INCLUDES THE FOLLOWING ENTITIES AND OPERATIONS: -CLEARFIELD HOSPITAL PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN CLEARFIELD COUNTY AND THE SURROUNDING AREAS. -CLEARFIELD MEDICAL ASSOCIATES (CMA), OWNS AND OPERATES THE MEDICAL ARTS BUILDING LOCATED ON CLEARFIELD HOSPITAL'S CAMPUS.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: PA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN SUTIKA
PRESIDENT	$447,806	$0	$83,092	$0	$0	$0	$0	$0	$18,091	$0	$548,989	$0	$0	$0
STEVE FONTAINE
TRUSTEE, PRESIDENT/CEO PHH	$0	$800,923	$0	$392,107	$0	$629	$0	$16,650	$0	$20,134	$0	$1,230,443	$0	$0
BRIAN KLINE
VP CHIEF FINANCIAL OFFICE	$297,402	$0	$39,872	$0	$0	$0	$0	$0	$7,093	$0	$344,367	$0	$0	$0
MARK NORMAN
TRUSTEE, COO PHH	$0	$419,903	$0	$103,281	$0	$629	$0	$33,880	$0	$16,947	$0	$574,640	$0	$0
DR HAZEM F EL KASSAS
TRUSTEE	$0	$686,546	$0	$105,835	$0	$0	$0	$0	$0	$16,164	$0	$808,545	$0	$0
DR GRACE SCHUSTER
PHYSICIAN	$618,616	$0	$414,914	$0	$0	$0	$0	$0	$0	$0	$1,033,530	$0	$0	$0
DR STEPHEN IORFIDO
PHYSICIAN	$1,246,992	$0	$239,327	$0	$0	$0	$0	$0	$20,931	$0	$1,507,250	$0	$0	$0
DR GASSAN BEJJANI
PHYSICIAN	$1,291,477	$0	$174,350	$0	$0	$0	$0	$0	$21,018	$0	$1,486,845	$0	$0	$0
DR TERRY T BROWN
PHYSICIAN	$294,791	$0	$432,132	$0	$0	$0	$0	$0	$17,116	$0	$744,039	$0	$0	$0
DR MOHAMED HAASAN
PHYSICIAN	$535,391	$0	$466,331	$0	$0	$0	$0	$0	$20,610	$0	$1,022,332	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 6A	FormAndLineReferenceDesc
Explanation	COMPENSATION CONTINGENT ON NET EARNINGS: MEMBERS OF THE MANAGEMENT TEAM ARE ELIGIBLE FOR AN INCENTIVE BONUS EACH YEAR BASED ON PREDETERMINED CRITERIA. SUCH CRITERIA INCLUDES MULTIPLE FACTORS SUCH AS MEETING STRATEGIC AND OTHER PERFORMANCE METRICS INCLUDING GROWTH OF SERVICES, CUSTOMER SATISFACTION, FINANCIAL PERFORMANCE, QUALITY IMPROVEMENTS, AMONG OTHER GOALS.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MICHELLE SUTIKA BENNETT
RELATIVE OF OFFICER	$158,220	COMPENSATION	false
TRICIA BRIGGER
RELATIVE OF TRUSTEE	$92,370	COMPENSATION	false
MEGAN DEVLIN BUSSARD
RELATIVE OF TRUSTEE	$141,490	COMPENSATION	false
DOUGLAS DALE
RELATIVE OF OFFICER	$39,658	COMPENSATION	false
LAUREN DALE HOSPODAR
RELATIVE OF OFFICER	$71,722	COMPENSATION	false
MARISSO ZOCCO
RELATIVE OF TRUSTEE	$102,040	COMPENSATION	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, COLUMN B	FormAndLineReferenceDesc
Explanation	RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: (1) MICHELLE SUTIKA BENNETT IS A RELATIVE OF JOHN SUTIKA, OFFICER (2) TRICIA BRIGGER IS A RELATIVE OF ANTHONY VIGILONE, TRUSTEE (3) MEGAN DEVLIN BUSSARD IS A RELATIVE OF JAMES DEVLIN, FORMER TRUSTEE (4) AND (5) DOUGLAS DALE AND LAUREN DALE HOSPODAR ARE RELATIVES OF JOHN SUTIKA, OFFICER (6) MARISSO ZOCCO IS A RELATIVE OF LISA ZOCCO, TRUSTEE	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIPS: COMPENSATED TRUSTEES AND OFFICERS SHARE A BUSINESS RELATIONSHIP THROUGH THEIR EMPLOYMENT WITH A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B	MEMBERS: PENN HIGHLANDS HEALTHCARE (PHH) HOLDS CERTAIN POWERS, INCLUDING THE APPROVAL OF THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND APPROVAL OF ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE DOCUMENTS. PHH SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE ELECTION AND REMOVAL OF DIRECTORS: PRIOR TO THE END OF PHH'S FISCAL YEAR, THE PHH BOARD WILL MEET TO ELECT THE DIRECTORS, WITH THE EXCEPTION OF EX-OFFICIO DIRECTORS. AT LEAST SIXTY (60) DAYS IN ADVANCE OF THIS MEETING, ALL INDIVIDUALS BEING CONSIDERED FOR APPOINTMENT AS A DIRECTOR (WHETHER ELECTED OR EX-OFFICIO) SHALL BE REFERRED TO THE BOARD OF THIS CORPORATION AND/OR THIS CORPORATION'S GOVERNANCE/NOMINATING COMMITTEE, IF APPLICABLE. THE BOARD AND/OR GOVERNANCE/NOMINATING COMMITTEE SHALL REVIEW THE QUALIFICATIONS THEREOF AND SUBMIT ITS RECOMMENDATIONS TO THE PHH GOVERNANCE/NOMINATING COMMITTEE. IN ACCORDANCE WITH THE COVENANT AGREEMENT, THE SISTERS OF MERCY SHALL HAVE THE PREROGATIVE TO NOMINATE UP TO 3 OF ITS MEMBERS TO THE BOARD. TO THE EXTENT POSSIBLE, THE SISTERS OF MERCY SHALL NOMINATE THESE INDIVIDUALS IN A FASHION SO THAT THE TERMS OF THE INDIVIDUALS ARE STAGGERED. THE INDIVIDUALS SELECTED BY THE SISTERS OF MERCY TO SERVE ON THE BOARD SHALL FIRST BE SUBMITTED TO THE BOARD FOR REVIEW AND RECOMMENDATION PRIOR TO BEING NOMINATED AND ELECTED. THE BOARD OF PHH HAS THE POWER TO REMOVE SUCH DIRECTOR AT ANY TIME WITH OR WITHOUT CAUSE. ONCE THE SLATE OF CANDIDATES IS NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE, THE BOARD OF DRMC 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 DRMC AND MAY NOT ELECT ANY CANDIDATE NOT SUBMITTED BY THE BOARD OF DRMC AND NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE. 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 DRMC, SHALL ACT TO FILL SUCH VACANCY. SUBJECT TO THE APPROVAL OF PHH AS SET FORTH IN THE BYLAWS, THE ARTICLES AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS OR ARTICLES MAY BE ADOPTED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE BOARD. WRITTEN NOTICE OF THE INTENT TO AMEND THE BYLAWS OR THE ARTICLES AND A DRAFT OF THE PROPOSED CHANGE SHALL BE SENT TO ALL DIRECTORS, BY THE SECRETARY, AT LEAST FIVE (5) DAYS PRIOR TO ANY MEETING AT WHICH AMENDMENT OF THE BYLAWS OR THE ARTICLES IS INTENDED.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ORGANIZATION. THE COMPLETE FORM 990 WILL BE PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS. AT THAT TIME, THE COMMITTEE WILL REVIEW THE FORM 990 AND HAVE THE OPPORTUNITY TO DISCUSS ANY INFORMATION CONTAINED WITHIN THE DOCUMENT.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: PENN HIGHLANDS HEALTHCARE, INC. (PHH), MAINTAINS A CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL SUBSIDIARIES. THE CONFLICT OF INTEREST POLICY APPLIES TO BOARD MEMBERS, OFFICERS, EXECUTIVE EMPLOYEES, AND ANY OTHER MANAGER OR SUPERVISOR EXERCISING SUBSTANTIAL INFLUENCE OVER OPERATIONS. EACH COVERED PERSON WILL PROMPTLY AND FULLY DISCLOSE ALL MATERIAL FACTS OF EVERY ACTUAL OR POTENTIAL DUAL INTEREST EXISTING AT THE TIME WHEN HE/SHE BECOMES A COVERED PERSON, AND ANNUALLY THROUGH EACH PHH SYSTEM ENTITY'S DISCLOSURE STATEMENT, WHICH REQUESTS DISCLOSURE OF RELATIONSHIPS, INVESTMENTS, AND TRANSACTIONS THAT MAY LEAD TO AN ACTUAL CONFLICT OF INTEREST. ALL COMPLETED DISCLOSURE STATEMENTS WILL BE PROVIDED TO THE PHH GOVERNANCE/NOMINATING COMMITTEE. THIS COMMITTEE, IN CONSULTATION WITH THE CHAIRPERSON OR VICE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD, SHALL EVALUATE THE COMPLETED DISCLOSURE STATEMENTS AND DETERMINE IF THERE ARE ANY CONFLICTS THAT ARE SO PERVASIVE AS TO RENDER ANY COVERED PERSON INELIGIBLE FOR SERVICE. THE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD WILL DISCLOSE TO THE FULL BOARD OF SAID PHH SYSTEM ENTITY ALL DUAL INTERESTS REPORTED TO HIM OR HER UNDER THE POLICY AND WILL ALSO MAKE THE DISCLOSURE STATEMENTS OF ALL COVERED PERSONS AVAILABLE TO DIRECTORS AT ANY TIME DURING THE YEAR. IF A POTENTIAL DUAL INTEREST ARISES AS A RESULT OF A CONTEMPLATED PHH SYSTEM ENTITY BOARD (OR COMMITTEE) ACTION, THE CHAIRPERSON OF SAID PHH SYSTEM ENTITY'S BOARD OR THE INTERESTED PERSON SHALL, OR ANY OTHER DIRECTOR MAY, RAISE THE QUESTION OF THE INTERESTED PERSON'S DUAL INTEREST. THE DISINTERESTED MEMBERS OF THE PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION, ARRANGEMENT, OR POLICY GIVING RISE TO THE DUAL INTEREST TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION, ARRANGEMENT, OR POLICY. A COVERED PERSON WHO HAS A DUAL INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE A PRESENTATION TO SAID BOARD (OR COMMITTEE), TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. IF A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE DETERMINES THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON SHALL BE SO ADVISED AND THE CHAIRPERSON OF A PHH SYSTEM ENTITY'S BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE OR DIRECT MANAGEMENT TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, IF THIS HAS NOT ALREADY BEEN DONE. ANY INTERESTED PERSON WHO HAS AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING ANY SUCH TRANSACTION OR ARRANGEMENT. IF AN INDIVIDUAL WHOSE COMPANY OR EMPLOYER HAS A BUSINESS RELATIONSHIP WITH A PHH SYSTEM ENTITY, BUT THE INDIVIDUAL DOES NOT HAVE AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THIS BUSINESS RELATIONSHIP, THE INDIVIDUAL MAY NONETHELESS VOLUNTARILY RECUSE HIM/HERSELF FROM VOTING ON ANY MATTERS RELATED TO THE RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 15A & 15B	COMPENSATION DETERMINATION: AN INDEPENDENT FIRM IS HIRED TO COMPARE, REVIEW, AND RECOMMEND ALL SENIOR OFFICERS COMPENSATION. THE BOARD OF DIRECTORS PROVIDES THE FINAL APPROVAL. IN ADDITION, THE PENN HIGHLANDS HEALTHCARE EXECUTIVE COMPENSATION COMMITTEE CONSULTS WITH THE HEALTHCARE CONSULTING FIRM, YAFEE AND 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.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENT AVAILABILITY: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE LOCATED IN THE ADMINISTRATION OFFICES OF DUBOIS REGIONAL MEDICAL CENTER. THEY ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VII, SECTION A	BOARD MEMBER COMPENSATION: NO TRUSTEES RECEIVE ANY COMPENSATION FOR THEIR TRUSTEE DUTIES. STEVE FONTAINE IS COMPENSATED AS CEO OF THE PENN HIGHLANDS HEALTHCARE SYSTEM. MARK NORMAN IS COMPENSATED AS CHIEF OPERATING OFFICER OF THE PENN HIGHLANDS HEALTHCARE SYSTEM. JOHN SUTIKA IS COMPENSATED AS PRESIDENT OF DUBOIS REGIONAL MEDICAL CENTER.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $ (9,383) CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BROOKVILLE HOSPITAL
100 HOSPITAL ROAD	BROOKVILLE	PA	15825	250984595	HOSPITAL	PA	501(C)(3)	3	DRMC	Yes (true)
CLEARFIELD HOSPITAL
809 TURNPIKE AVENUE	CLEARFIELD	PA	16830	250979346	HOSPITAL	PA	501(C)(3)	3	PHH	false
PENN HIGHLANDS HEALTHCARE
PO BOX 447	DUBOIS	PA	15801	320345810	MGMT SERVICES	PA	501(C)(3)	12 C III-FI	NA	false
ELK REGIONAL HEALTH CENTER
763 JOHNSONBURG ROAD	ST MARYS	PA	15857	250585280	HOSPITAL	PA	501(C)(3)	3	PHH	false
ELCO HOUSING
759 JOHNSONBURG ROAD	ST MARYS	PA	15857	251639115	HOUSING	PA	501(C)(3)	12 A 1	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 HOME SUPPORT SERVICES
757 JOHNSONBURG ROAD STE 200	ST MARYS	PA	15857	251623601	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)	7	PHH	false
DRMC EMPLOYEE BENEFITS PLAN TRUST
100 HOSPITAL AVE	DUBOIS	PA	15801	256332829	DRMC EMP BENE	PA	501(C)(9)		DRMC	Yes (true)
DRMC WORKERS COMPENSATION TRUST
PO BOX 447	DUBOIS	PA	15801	251741497	SUPPORT	PA	501(C)(3)	12 B II	DRMC	Yes (true)
CLEAR-MED PROVIDER CORPORATION
PO BOX 1260	CLEARFIELD	PA	16830	251657668	OUTPAT. PHYS.	PA	501(C)(3)	3	PHH	false
JEFFCO HEALTH SERVICES
417 ROUTE 28	BROOKVILLE	PA	15825	251505478	HEALTH CARE	PA	501(C)(3)	10	BROOKVILLE	false
JC BLAIR MEMORIAL HOSPITAL
1225 WARM SPRINGS AVE	HUNTINGDON	PA	16652	231352159	HEALTH CARE	PA	501(C)(3)	3	PHH	false
JC BLAIR MEMORIAL HOSPITAL FOUNDATION
935 14TH STREET	HUNTINGDON	PA	16652	251881377	SUPPORT	PA	501(C)(3)	12 A I	PHH	false
HELPMATES INC
250 WEST MAIN STREET	RIDGWAY	PA	15853	251555968	HEALTH CARE	PA	501(C)(3)	10	CNI	false
PENN HIGHLANDS TYRONE
187 HOSPITAL DRIVE	TYRONE	PA	16686	231440116	HOSPITAL	PA	501(C)(3)	3	PHH	false
TYRONE REGIONAL HEALTH NETWORK FOUNDATIO
187 HOSPITAL DRIVE	TYRONE	PA	16686	811504606	SUPPORT	PA	501(C)(3)	12 A I	PH TYRONE	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
DUBOIS REGIONAL MEDICAL GROUP
PO BOX 447	DUBOIS	PA	15801	251856569	MEDICAL SERVICES	PA	DRMC	C CORP	$7,028,883	$1,471,771	1.00000	Yes (true)
DUBOIS MEDICAL RISK RETENTION GROUP
PO BOX 447	DUBOIS	PA	15801	200324622	INSURANCE SERVICE	PA	DRMC	C CORP	$1,345,113	$14,438,392	1.00000	Yes (true)
PERPETUAL TRUST
					TRUST	PA	DRMC	TRUST	$157,879	$1,249	1.00000	Yes (true)
PENN HIGHLAND LIFE'S JOURNEY
100 HOSPITAL AVE	DUBOIS	PA	15801	824943778	MEDICAL SERVICES	PA	DRMC	C CORP	$6,762,539	$1,226,718	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BROOKVILLE HOSPITAL
J	$153,211	COST
BROOKVILLE HOSPITAL
K	$184,805	COST
BROOKVILLE HOSPITAL
L	$150,240	COST
DUBOIS MEDICAL RISK RETENTION
M	$874,206	COST
BROOKVILLE HOSPITAL
O	$3,463,034	COST
DUBOIS REGIONAL MEDICAL GROUP
O	$7,449,367	COST
BROOKVILLE HOSPITAL
Q	$3,776,411	COST