COMMUNITY NURSES HOME SUPPORT SERVICE: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY NURSES HOME SUPPORT SERVICE (EIN 25-1623601)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2025-05-15
- IRS object ID
- 202541359349315234
- Schema version
- 2022v5.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-15T18:40:41-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1735 MARKET STREET | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 191032499 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251623601 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY NURSES HOME SUPPORT SERVICES | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 8008419397 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 757 JOHNSONBURG ROAD SUITE 200 | AddressLine1Txt |
| City | ST MARYS | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15857 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DOUGLAS WINNER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8008419397 | PhoneNum |
| Signature | 2025-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PHILLIP E GROFF | PreparerPersonNm |
| PTIN | P01247783 | PTIN |
| Phone | 2672567000 | PhoneNum |
| Preparation | 2025-05-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PENN HIGHLANDS COMMUNITY NURSES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHERYL MITCHELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 757 JOHNSONBURG ROAD SUITE 200 | AddressLine1Txt |
| City | ST MARYS | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15857 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $141,099 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COMMUNITYNURSES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE ADULT DAY CARE IN A SAFE AND ENRICHING SETTING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 6 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,118 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,622 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $541,219 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $134,458 | CYProgramServiceRevenueAmt |
| PY Investment Income | $153 | PYInvestmentIncomeAmt |
| CY Investment Income | $19 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $550,490 | PYTotalRevenueAmt |
| CY Total Revenue | $141,099 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $98 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $647,267 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $107,176 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $193,379 | PYOtherExpensesAmt |
| CY Other Expenses | $36,086 | CYOtherExpensesAmt |
| PY Total Expenses | $840,646 | PYTotalExpensesAmt |
| CY Total Expenses | $143,360 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$290,156 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,261 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $61,113 | TotalAssetsBOYAmt |
| Total Assets EOY | $407,371 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $64,613 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $413,572 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$3,500 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$6,201 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COMMUNITY NURSES PROVIDES QUALITY CARE AND SERVICES IN THE HOME AND THROUGHOUT THE COMMUNITY. SEE SCHEDULE O FOR MORE INFORMATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $131,929 | ExpenseAmt |
| Grant | $98 | GrantAmt |
| Revenue | $134,458 | RevenueAmt |
| Desc | COMMUNITY NURSES HOME SUPPORT SERVICES IS AN EXPERIENCED, RELIABLE HOME CARE PROVIDER WITH A LONG-STANDING REPUTATION FOR QUALITY CARE. THE ORGANIZATION PROVIDED ADULT DAY CARE SERVICES TO A TOTAL OF 2,294 CLIENTS FOR THE FISCAL YEAR ENDED 6/30/2023. | Desc |
| Total Program Service Expenses | $131,929 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 6 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERYL MITCHELL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008419397 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 757 JOHNSONBURG ROAD SUITE 200 | AddressLine1Txt |
| City | ST MARYS | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15857 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| BRAD CHAPMAN | |||||||
| BOARD MEMBER/CEO PH ELK | 0.50 | 40.00 | Yes (X) | $0 | $344,597 | $41,558 | |
| MARK NORMAN | |||||||
| BOARD MEMBER/COO PHH | 1.00 | 40.00 | Yes (X) | $0 | $575,612 | $39,958 | |
| CHERYL MITCHELL | |||||||
| SERVICE LINE DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $185,875 | $36,174 | Yes (X) |
| MARK JACOB | |||||||
| CHAIRMAN | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JERRY CARIBARDI | |||||||
| BOARD MEMBER | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| ELIZABETH FITCH | |||||||
| SECRETARY/TREASURER | 0.75 | 1.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| GENARRO AIELLO | |||||||
| BOARD MEMBER | 0.75 | 2.25 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL ARMANINI | |||||||
| BOARD MEMBER | 0.75 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| JEFFREY MARZELLA | |||||||
| BOARD MEMBER | 0.75 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| KEVIN OKNEFSKI | |||||||
| BOARD MEMBER | 0.75 | 2.25 | Yes (X) | $0 | $0 | $0 | |
| JUNE SORG | |||||||
| BOARD MEMBER | 0.75 | 2.25 | Yes (X) | $0 | $0 | $0 | |
| DONALD FLEMING | |||||||
| CHAIRMAN (END 5/2/23) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| GEORGIANN HOLLY | |||||||
| BOARD MEMBER (END 1/23/23) | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,106,084 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $117,690 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $6,622 | AllOtherContributionsAmt |
| Total Contributions | $6,622 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADULT DAY CARE SERVICE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $134,458 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $134,458 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $134,458 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19 | TotalRevenueColumnAmt |
| Exclusion | $19 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $141,099 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $134,458 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $19 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98 | TotalAmt |
| Program Services | $98 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,486 | TotalAmt |
| Program Services | $86,007 | ProgramServicesAmt |
| Management And General | $7,479 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,270 | TotalAmt |
| Program Services | $2,088 | ProgramServicesAmt |
| Management And General | $182 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,420 | TotalAmt |
| Program Services | $10,506 | ProgramServicesAmt |
| Management And General | $914 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,344 | TotalAmt |
| Program Services | $2,156 | ProgramServicesAmt |
| Management And General | $188 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167 | TotalAmt |
| Program Services | $154 | ProgramServicesAmt |
| Management And General | $13 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,907 | TotalAmt |
| Program Services | $2,674 | ProgramServicesAmt |
| Management And General | $233 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,292 | TotalAmt |
| Program Services | $16,829 | ProgramServicesAmt |
| Management And General | $1,463 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61 | TotalAmt |
| Program Services | $56 | ProgramServicesAmt |
| Management And General | $5 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162 | TotalAmt |
| Program Services | $149 | ProgramServicesAmt |
| Management And General | $13 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FOOD EXPENSE | $11,229 | $10,331 | $898 |
| OTHER EXPENSE | $524 | $482 | $42 |
| MEDICAL SUPPLIES & DRUG | $386 | $386 | |
| REPAIR AND MAINTENANCE | $14 | $13 | $1 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,360 | TotalAmt |
| Program Services | $131,929 | ProgramServicesAmt |
| Management And General | $11,431 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,234 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,509 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,485 | BOYAmt |
| EOY | $14,136 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,375 | BOYAmt |
| EOY | $1,375 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,253 | BOYAmt |
| EOY | $385,117 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,113 | BOYAmt |
| EOY | $407,371 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,170 | BOYAmt |
| EOY | $9,711 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,811 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,632 | BOYAmt |
| EOY | $403,861 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,613 | BOYAmt |
| EOY | $413,572 | 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 | -$3,500 | BOYAmt |
| EOY | -$6,201 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,500 | BOYAmt |
| EOY | -$6,201 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,113 | BOYAmt |
| EOY | $407,371 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,261 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$440 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,337 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,819 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $48,552 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,118 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,622 | CurrentTaxYearAmt |
| Total | $75,448 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,539,340 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,958,621 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,710,595 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $541,219 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $134,158 | CurrentTaxYearAmt |
| Total | $6,883,933 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,548,677 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,960,440 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,759,147 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $550,337 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $140,780 | CurrentTaxYearAmt |
| Total | $6,959,381 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $6,959,381 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,325 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,972 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $898 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $153 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19 | CurrentTaxYearAmt |
| Total | $8,367 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,325 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,972 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $898 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $153 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19 | CurrentTaxYearAmt |
| Total | $8,367 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,551,002 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,965,412 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,760,045 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $550,490 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $140,799 | CurrentTaxYearAmt |
| Total | $6,967,748 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99880 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99900 | PublicSupportPY509Pct |
| Investment Income CY | 0.00120 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00100 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM AFFILIATES | Desc |
| Book Value | $385,117 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $385,117 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $403,861 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $403,861 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | COMMUNITY NURSES HOME SUPPORT SERVICES, INC. IS INCLUDED IN PENN HIGHLANDS HEALTHCARE'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE FOLLOWING NARRATIVE IS THE FOOTNOTE FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS: THE SYSTEM AND ITS SUBSIDIARIES HAVE GENERALLY BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE SYSTEM CONSOLIDATES CERTAIN ENTITIES, WHICH ARE ORGANIZED AS CORPORATIONS AND SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME. OTHER CONSOLIDATED AFFILIATES HAVE ELECTED TO BE TAXED AS A PARTNERSHIP UNDER PROVISIONS OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTION OF THE STATE INCOME TAX LAW. THEREFORE, TAXABLE INCOME OR LOSS IS REPORTED TO THE INDIVIDUAL MEMBERS FOR INCLUSION IN THEIR RESPECTIVE TAX RETURNS. TO THE EXTENT THAT THE OPERATIONS OF THE PARTNERSHIP ENTITIES ARE RELATED TO THE SYSTEM'S TAX-EXEMPT PURPOSE, ITS INCOME WILL BE EXEMPT FROM INCOME TAXES. THE SYSTEM AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN, OR EXPECTED TO BE TAKEN, IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN, AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THE SYSTEM'S FOR-PROFIT CORPORATIONS RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR THE FUTURE TAX IMPACT OF TEMPORARY DIFFERENCES BETWEEN AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND THEIR RESPECTIVE TAX BASES, AND THE FUTURE BENEFIT OF UTILIZING AVAILABLE NET OPERATING LOSSES. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. INCOME TAXES OF THE SYSTEM'S TAX-EXEMPT, FOR-PROFIT AND PARTNERSHIP ENTITIES ARE RECORDED IN ACCRUED EXPENSES ON THE CONSOLIDATED BALANCE SHEET. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK NORMAN | ||||||||||||||
| BOARD MEMBER/COO PHH | $0 | $468,745 | $0 | $37,782 | $0 | $69,085 | $0 | $11,600 | $0 | $28,358 | $0 | $615,570 | $0 | $0 |
| BRAD CHAPMAN | ||||||||||||||
| BOARD MEMBER/CEO PH ELK | $0 | $293,905 | $0 | $30,566 | $0 | $20,126 | $0 | $11,114 | $0 | $30,444 | $0 | $386,155 | $0 | $0 |
| CHERYL MITCHELL | ||||||||||||||
| SERVICE LINE DIRECTOR | $0 | $174,966 | $0 | $5,435 | $0 | $5,474 | $0 | $7,342 | $0 | $28,832 | $0 | $222,049 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | MARK NORMAN PARTICIPATES IN A 457(F) PLAN CONTAINING EXCESS EMPLOYER CONTRIBUTIONS OVER THE 457(F) LIMIT. DURING CALENDAR YEAR 2022, THERE WERE NO INDIVIDUAL CONTRIBUTIONS TO THE PLAN AND NO DISTRIBUTIONS FROM THE PLAN. THE EMPLOYER CONTRIBUTION AMOUNT INTO THE PLAN WAS $31,637. |
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: | TO PROVIDE ADULT DAY CARE SERVICES FOR CLIENTS IN THE IMMEDIATE AND SURROUNDING COMMUNITES. THIS ADULT DAY CARE PROGRAM PROVIDES A SAFE ENVIRONMENT AND ENRICHING ACTIVITIES FOR ITS CLIENTS AS WELL PROVIDING A SAFE ALTERNATIVE FOR THE DAYTIME CARE OF LOVED ONES OF LOCAL FAMILIES. |
| FORM 990, PART III, LINE 3 | DURING THE TAX YEAR, THE PERSONAL CARE ACTIVITY WHICH FELL UNDER THE UMBRELLA OF COMMUNITY NURSES HOME SUPPORT WAS ABSORBED BY HELPMATES, A RELATED ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | PENN HIGHLANDS HEALTHCARE (PHH), PENN HIGHLANDS ELK (PH- ELK) AND COMMUNITY NURSES, INC (CNI) HOLD CERTAIN RESERVED POWERS, INCLUDING THE APPROVAL OF THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND APPROVAL OF ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE DOCUMENTS. PHH, PH-ELK, AND CNI SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE ELECTION AND REMOVAL OF DIRECTORS: THE BOARD OF THIS CORPORATION SHALL BE COMPRISED OF THE DIRECTORS SERVING ON THE BOARD OF CNI, INCLUDING ANY EX-OFFICIO DIRECTORS. SUCH DIRECTORS SHALL ASSUME OFFICE IN ACCORDANCE WITH THE PROCEDURES OF THE BYLAWS OF CNI. PH-ELK IS RESPONSIBLE FOR OVERSIGHT AND COMPLIANCE WITH THE BOARD ORIENTATION PROGRAM. AN OFFICER'S TERM OF OFFICE SHALL AUTOMATICALLY TERMINATE UPON RESIGNATION OR REMOVAL AS AN OFFICER AT CNI. ANY VACANCIES SHALL BE FILLED BY ANY REPLACEMENT OFFICER ELECTED OR APPOINTED TO THE OFFICE IN ACCORDANCE WITH THE BYLAWS OF CNI. SUBJECT TO THE APPROVAL OF PHH, PH-ELK, AND CNI AS SET FORTH IN THE BYLAWS, THE ARTICLES AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS OR ARTICLES MAY BE ADOPTED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE BOARD. WRITTEN NOTICE OF THE INTENT TO AMEND THE BYLAWS OR THE ARTICLES AND A DRAFT OF THE PROPOSED CHANGE SHALL BE SENT TO ALL DIRECTORS, BY THE SECRETARY, AT LEAST FIVE (5) DAYS PRIOR TO ANY MEETING AT WHICH AMENDMENT OF THE BYLAWS OR THE ARTICLES IS INTENDED. |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE SCHEDULE O LINE 6 EXPLANATION ABOVE. |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE SCHEDULE O LINE 6 EXPLANATION ABOVE. |
| 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. THE DRAFT FORM 990 IS REVIEWED BY THE CFO AND THE CONTROLLER. AFTER ALL SUGGESTED CHANGES FROM THE CFO AND CONTROLLER ARE MADE, THE UPDATED DRAFT FORM 990 IS PROVIDED FOR REVIEW TO THE FULL BOARD. ANY QUESTIONS OR COMMENTS FROM THE BOARD ARE ADDRESSED BEFORE FILING. |
| FORM 990, PART VI, 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 15 | QUESTION 15A AND 15B ARE ANSWERED "NO" IN ACCORDANCE WITH THE FORM INSTRUCTIONS AS THE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE OFFICERS OR KEY EMPLOYEES. COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES OF THE FILING ORGANIZATION IS HANDLED BY THE PARENT ORGANIZATION, PENN HIGHLANDS HEALTHCARE, INC. THE PENN HIGHLANDS HEALTHCARE (PHH) EXECUTIVE COMPENSATION COMMITTEE CONSULTS WITH THE HEALTHCARE CONSULTING FIRM, YAFEE & COMPANY TO OBTAIN COMPARABLE DATA TO MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING EXECUTIVE COMPENSATION. THE PENN HIGHLANDS HEALTHCARE BOARD OF DIRECTORS IS ACUTELY AWARE OF THE HEIGHTENED PUBLIC SCRUTINY OF EXECUTIVE COMPENSATION AND THE NEED TO CONSIDER REGULATORY COMPLIANCE WHEN SETTING EXECUTIVE PAY. COMPENSATION REVIEWS ARE DONE ON A CONTINUOUS BASIS. COMPENSATION DETERMINATIONS OF PHH EMPLOYED OFFICERS ARE MADE BY THE PHH COMPENSATION COMMITTEE. COMPENSATION DETERMINATIONS OF CERTAIN EMPLOYED OFFICERS ARE ALSO REVIEWED AND APROVED BY THE PHH COMPENSATION COMMITTEE AND SHARED WITH THE COMPENSATION COMMITTEE OR BOARD. THE COMPENSATION COMMITTEE OF PHH STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE PHH EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE PHH BOARD ON A CONTINUOUS BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES, AS APPLICABLE, EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARD OF PHH, AS APPLICABLE. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENT AVAILABILITY: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | OTHER CHANGE IN NET ASSETS -440. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ELK REGIONAL HEALTH CENTER | |||||||||||
| 763 JOHNSONBURG ROAD | ST MARYS | PA | 15857 | 250585280 | HEALTH CARE | PA | 501(C)(3) | LINE 3 | PHH | 0 | |
| ELCO HOUSING | |||||||||||
| 759 JOHNSONBURG ROAD | ST MARYS | PA | 15857 | 251639115 | HOUSING | PA | 501(C)(3) | LINE 7 | PHH | Yes (1) | |
| ELK REGIONAL PROFESSIONAL GROUP INC | |||||||||||
| 763 JOHNSONBURG ROAD | ST MARYS | PA | 15857 | 251875183 | HEALTH CARE | PA | 501(C)(3) | LINE 3 | PHH | Yes (1) | |
| COMMUNITY NURSES HOME HEALTH AND HOSPICE | |||||||||||
| 757 JOHNSONBURG ROAD STE 200 | ST MARYS | PA | 15857 | 250996070 | HEALTH CARE | PA | 501(C)(3) | LINE 10 | CNI | 0 | |
| COMMUNITY NURSES INC | |||||||||||
| 757 JOHNSONBURG ROAD STE 200 | ST MARYS | PA | 15857 | 251623598 | HEALTH CARE | PA | 501(C)(3) | LINE 10 | PHH | 0 | |
| PENN HIGHLANDS HEALTHCARE INC | |||||||||||
| PO BOX 447 | DUBOIS | PA | 15801 | 320345810 | HEALTH CARE | PA | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| DUBOIS REGIONAL MEDICAL CENTER | |||||||||||
| 100 HOSPITAL AVE | DUBOIS | PA | 15801 | 251490707 | HOSPITAL | PA | 501(C)(3) | LINE 3 | PHH | Yes (1) | |
| BROOKVILLE HOSPITAL | |||||||||||
| 100 HOSPITAL ROAD | BROOKVILLE | PA | 15825 | 250984595 | HOSPITAL | PA | 501(C)(3) | LINE 3 | PHH | Yes (1) | |
| DRMC EMPLOYEE BENEFITS PLAN TRUST | |||||||||||
| 100 HOSPITAL AVE | DUBOIS | PA | 15801 | 256332829 | DRMC EMPL BEN | PA | 501(C)(9) | PHH | Yes (1) | ||
| CLEARFIELD HOSPITAL | |||||||||||
| 809 TURNPIKE DR | CLEARFIELD | PA | 16830 | 250979346 | HOSPITAL | PA | 501(C)(3) | LINE 3 | PHH | Yes (1) | |
| JEFFCO HEALTH SERVICES | |||||||||||
| 417 ROUTE 28 | BROOKVILLE | PA | 15825 | 251505478 | SNF | PA | 501(C)(3) | LINE 10 | BROOKVILLE | Yes (1) | |
| JC BLAIR MEMORIAL HOSPITAL | |||||||||||
| 1225 WARM SPRINGS | HUNTINGDON | PA | 16652 | 231352159 | HOSPITAL | PA | 501(C)(3) | LINE 3 | PHH | Yes (1) | |
| JC BLAIR MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 935 14TH STREET | HUNTINGDON | PA | 16652 | 251881377 | SUPPORT HOSP | PA | 501(C)(3) | LINE 12A, I | PHH | Yes (1) | |
| TYRONE HOSPITAL | |||||||||||
| 187 HOSPITAL DRIVE | TYRONE | PA | 16686 | 231440116 | HOSPITAL | PA | 501(C)(3) | LINE 3 | PHH | Yes (1) | |
| HELPMATESINC | |||||||||||
| 757 JOHNSONBURG DR | ST MARYS | PA | 15857 | 251555968 | HEALTH CARE | PA | 501(C)(3) | LINE 10 | CNI | 0 | |
| TYRONE REGIONAL HEALTH NETWORK FOUNDATION | |||||||||||
| 187 HOSPITAL DRIVE | TYRONE | PA | 16686 | 814504606 | SUPPORT | PA | 501(C)(3) | LINE 12A, I | PH TYRONE | Yes (1) | |
| HIGHLANDS HOSPITAL | |||||||||||
| 401 E MURPHY AVENUE | CONNELLSVILLE | PA | 15425 | 251494705 | HOSPITAL | PA | 501(C)(3) | LINE 3 | PHH | Yes (1) | |
| HIGHLANDS HOSPITAL FOUNDATION | |||||||||||
| 401 E MURPHY AVENUE | CONNELLSVILLE | PA | 15425 | 843713870 | SUPPORT HOSP | PA | 501(C)(3) | LINE 12A, I | PHH | Yes (1) | |
| WRC HEALTH CARE SUPPORT SERVICES | |||||||||||
| 985 ROUTE 28 | BROOKVILLE | PA | 15825 | 251601734 | HEALTH CARE | PA | 501(C)(3) | LINE 10 | WRC SR SRVCS | Yes (1) | |
| WRC NORTH FORK HEIGHTS | |||||||||||
| 985 ROUTE 28 | BROOKVILLE | PA | 15825 | 251684846 | HEALTH CARE | PA | 501(C)(3) | LINE 10 | WRC SR SRVCS | Yes (1) | |
| WRC PENNSYLVANIA MEMORIAL HOME | |||||||||||
| 985 ROUTE 28 | BROOKVILLE | PA | 15825 | 250718600 | HEALTH CARE | PA | 501(C)(3) | LINE 10 | WRC SR SRVCS | Yes (1) | |
| MONONGAHELA VALLEY HOSPITAL FOUNDATION | |||||||||||
| 1163 COUNTRY CLUB ROAD | MONONGAHELA | PA | 15063 | 825336533 | FUNDRAISING | PA | 501(C)(3) | LINE 12B, II | MVH | Yes (1) | |
| MONONGAHELA VALLEY HOSPITAL INC | |||||||||||
| 1163 COUNTRY CLUB ROAD | MONONGAHELA | PA | 15063 | 237218917 | HOSPITAL | PA | 501(C)(3) | LINE 3 | PHH | Yes (1) | |
| WRC SENIOR SERVICES | |||||||||||
| 985 ROUTE 28 | BROOKVILLE | PA | 15825 | 251552925 | HEALTH CARE | PA | 501(C)(3) | LINE 10 | DRMC | Yes (1) | |
| CLEARFIELD EMS | |||||||||||
| 713 W FRONT ST | CLEARFIELD | PA | 16830 | 251672659 | EMS SERVICES | PA | 501(C)(3) | LINE 10 | PHH | Yes (1) | |
| DRMC WORKERS COMPENSATION TRUST | |||||||||||
| PO BOX 447 | DUBOIS | PA | 15801 | 251741497 | SUPPORT | PA | 501(C)(3) | LINE 12B, II | DRMC | Yes (1) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| BENNETTS VALLEY PHARMACY | |||||||||
| PO BOX 112 | ST MARYS | PA | 15857 | 251601794 | PHARMACY | PA | N/A | S | 0 |
| E NICHOLSON PHARMACY | |||||||||
| 265 ALLEGHENCY BLVD | BROOKVILLE | PA | 15825 | 473117408 | PHARYMACY | PA | N/A | S | 0 |
| DUBOIS MEDICAL SUPPLY | |||||||||
| PO BOX 263 | DUBOIS | PA | 15801 | 241417990 | MED SUPPLY | PA | N/A | S | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
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