2019-05-07T15:57:03-05:00 2018-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-07-01 251623601 COMMUNITY NURSES HOME SUPPORT SERVICES INC % KIM KRANZ COMM 8147811415 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 KIM KRANZ PRESIDENT/CEO 8147811415 2019-03-01 true Brian D Todd P00422601 4178658701 167.68.126.162 43032920191275000025 2019-05-07 P 6BA24EE1EE52420C92A102596A407E158EEEA553 9ED1AFD43ECA266599EA2022F4AABFE45DA09571 2017 2019-02-21 02:37:17Z PENN HIGHLANDS COMMUNITY NURSES KIM KRANZ 757 JOHNSONBURG ROAD SUITE 200 ST MARYS PA 15857 2856937 false X WWW.COMMUNITYNURSES.ORG X 1990 PA TO PROVIDE PRIVATE DUTY HOME COMPANION, RESPITE, PERSONAL CARE, AND HOMEMAKER SERVICES FOR PATIENTS IN THEIR HOMES AND/OR WITHIN THE ADULT DAY SETTING. 13 11 236 12 0 0 3045 11445 2188338 2845135 1843 357 0 0 2193226 2856937 0 0 0 0 1876729 2557824 0 0 614 427661 793931 2304390 3351755 -111164 -494818 857329 594561 115860 531500 741469 63061 X COMMUNITY NURSES PROVIDES QUALITY CARE AND SERVICES IN THE HOME AND THROUGHOUT THE COMMUNITY. SEE SCHEDULE O FOR MORE INFORMATION. false false 2238614 2845135 COMMUNITY NURSES HOME SUPPORT SERVICES IS AN EXPERIENCED, RELIABLE HOME CARE PROVIDER WITH A LONG-STANDING REPUTATION FOR QUALITY CARE. THE ORGANIZATION PROVIDES A WIDE VARIETY OF SERVICES GEARED TOWARD HELPING PEOPLE WHO ARE SICK OR DISABLED REMAIN IN THE COMFORT AND SECURITY OF THEIR OWN HOMES. EMPLOYING AN AVERAGE OF 165 EMPLOYEES, THE ORGANIZATION PROVIDED 143,625 SERVICE HOURS OF PRIVATE DUTY IN-HOME COMPANION RESPITE, PERSONAL CARE, AND HOMEMAKER SUPPORT SERVICES TO APPROXIMATELY 528 PATIENTS DURING THE YEAR ENDED 6/30/2018. 2238614 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 4 0 true 236 true false false false false false false false false false false X 13 11 true true false false true true true true true false false true true true true true true true true false X KIM KRANZ 8147814714 757 JOHNSONBURG ROAD SUITE 200 ST MARYS PA 15857 DON FLEMING CHAIRMAN 1.0 3.0 X X 0 0 0 MARK JACOB VICE-CHAIRMAN 0.5 1.5 X X 0 0 0 GENNARO AIELLO BOARD MEMBER 0.75 2.25 X 0 0 0 JERRY CARIBARDI BOARD MEMBER 0.5 1.5 X 0 0 0 DUANE DUFFY BOARD MEMBER 0.5 1.5 X 0 0 0 PAULA EDDY SECRETARY 0.5 1.5 X X 0 0 0 GEORGIANN HOLLY BOARD MEMBER 0.5 1.5 X 0 0 0 KEVIN OKNEFSKI BOARD MEMBER 0.75 2.25 X 0 0 0 JIM BYHAM TREASURER 0.75 2.25 X X 0 0 0 JUNE SORG BOARD MEMBER 0.75 2.25 X 0 0 0 BRENDA PORTER PRESIDENT ENDING 12/17 8.0 40.0 X X 0 138718 18384 GERALDINE RADOMSKY BOARD MEMBER 0.5 0.5 X 0 0 0 BRAD CHAPMAN BOARD MEMBER/PHE PRESIDENT 0.5 40.0 X 0 159240 16574 KIM KRANZ CNI SCV LINE DIRECTOR BEG 3/18 5.0 40.0 X X 0 0 0 JENNIFER CATALANO CFO ENDING 2/18 6.0 30.0 X 0 74489 1000 0 372447 35958 0 false true false 0 11445 11445 Net Patient Service Revenue 900099 2845135 2845135 2845135 357 357 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2856937 2845135 357 0 0 0 0 0 0 1995696 1543221 452475 12944 10900 2044 400155 336954 63201 149029 125491 23538 546726 546726 0 0 0 0 0 0 993 883 110 98448 88661 9173 614 0 0 57582 51177 6405 71785 63800 7985 0 3053 2713 340 0 0 1811 1610 201 0 MEDICAL SUPPLIES & DRUGS 10576 10576 LICENSES, DUES, SUBSCRIPTIONS 2071 1841 230 MISCELLANEOUS EXPENSES 886 787 99 3351755 2238614 1112527 614 50 50 251378 74006 0 0 393857 494672 0 0 0 0 0 0 0 0 0 0 37944 12111 27643 25833 0 0 0 0 0 0 0 0 184401 0 857329 594561 115048 123546 0 0 0 0 0 0 0 0 0 0 0 0 0 0 812 407954 115860 531500 X 736969 51438 4500 11623 0 0 741469 63061 857329 594561 X -494818 -183590 X false true X true false X 5402 4940 37214 3045 11445 62046 2239748 2169072 1970656 2188338 2845135 11412949 0 0 0 2245150 2174012 2007870 2191383 2856580 11474995 0 0 0 11474995 1799 2082 2188 1843 357 8269 0 1799 2082 2188 1843 357 8269 0 0 2246949 2176094 2010058 2193226 2856937 11483264 0.99928 0.99919 0.00072 0.00081 X 30062 9595 20467 7882 2516 5366 25833 0 DUE TO AFFILIATE 407954 407954 2849814 2849814 7123 7123 2856937 3351755 3351755 3351755 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 D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 7,123 TRNA CONTRIBUTIONS false false false false false false false false false BRENDA PORTER PRESIDENT ENDING 12/17 0 138316 0 0 0 402 0 0 0 18384 0 157102 0 0 BRAD CHAPMAN BOARD MEMBER/PHE PRESIDENT 0 144198 0 15000 0 42 0 0 0 16574 0 175814 0 0 SCHEDULE J, PART I, LINE 3 CEO COMPENSATION: PENN HIGHLANDS HEALTHCARE, INC. (PHH), A RELATED ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO. PHH USES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION: INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE. FORM 990, PART III, LINE 1 MISSION: COMMUNITY NURSES HOME SUPPORT SERVICES, INC. IS A PRIVATE DUTY AGENCY, DUAL-LICENSED IN HOME HEALTH AND HOME CARE IN NORTHWESTERN PA. THEY PROVIDE FOR LIMITED HOME HEALTH SERVICES, SUCH AS LAB DRAWS AND MEDICATION MANAGEMENT, FOR THOSE INDIVIDUALS FINDING IT DIFFICULT TO TRAVEL. THEY PROVIDE FOR HOME CARE SERVICES SUCH AS PERSONAL CARE/BATHING, MEAL PREPARATION, HOUSEKEEPING, AND MEDICATION REMINDERS TO ALLOW PATIENTS TO REMAIN COMFORTABLY IN THEIR HOMES. FOR THOSE THAT DESIRE SOCIALIZATION, OUR AUDIT DAY SERVICES PROVIDE FOR SUPERVISED CARE AND ACTIVITIES TO ENGAGE THE CLIENTS BOTH MENTALLY AND EMOTIONALLY. COMMUNITY NURSES, INC. AND ITS SUBSIDIARIES BELIEVE IN PROVIDING SERVICES ALONG THE CONTINUUM OF CARE TO ALLOW INDIVIDUALS OF EVERY AGE TO REMAIN IN THE COMFORT OF THEIR HOMES FOR AS LONG AS THEY SO CHOOSE. FORM 990, PART VI, SECTION A, LINE 2 FAMILY OR BUSINESS RELATIONSHIPS: PAULA FRITZ EDDY IS THE SISTER IN LAW OF ROB O'LEARY WHO IS A MEMBER OF THE PHH SYSTEM BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT CONTROL: THE ORGANIZATION'S NON-PROFIT, EXEMPT, PARENT ORGANIZATION, COMMUNITY NURSES, INC., PROVIDES MANAGEMENT SERVICES TO COMMUNITY NURSES HOME HEALTH SUPPORT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: ELK REGIONAL HEALTH CENTER, INC. (ELK), AND PENN HIGHLANDS HEALTHCARE (PHH) HOLD CERTAIN POWERS OVER CNI AND ITS SUBSIDIARIES, INCLUDING THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE DOCUMENTS. PHH AND ELK SHALL HAVE THE FOLLOWING POWERS TO RESPECT TO THE ELECTION AND REMOVAL OF DIRECTORS: PRIOR TO THE END OF PHH'S FISCAL YEAR, THE PHH BOARD WILL MEET TO ELECT THE DIRECTORS, WITH THE EXCEPTION OF EX-OFFICIO DIRECTORS. AT LEAST SIXTY (60) DAYS IN ADVANCE OF THIS MEETING, ELK SHALL PROVIDE TO PHH'S GOVERNANCE/NOMINATING COMMITTEE (THE PHH GOVERNANCE/NOMINATING COMMITTEE) A LIST OF ONE OR MORE CANDIDATES (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION) FOR EACH EXPIRING DIRECTOR POSITION, WITH THE EXCEPTION OF ANY EX-OFFICIO DIRECTORS. THE LIST OF CANDIDATES SHALL HAVE BEEN DEVELOPED BY ELK IN CONSULTATION WITH THE BOARD OF CNI AND ITS SUBSIDIARIES. THE PHH GOVERNANCE/NOMINATING COMMITTEE SHALL REVIEW EACH CANDIDATE IN ACCORDANCE WITH THE CRITERIA SET FORTH IN THE PHH BYLAWS, THE CRITERIA, IF ANY, SET FORTH IN CNHSS'S BYLAWS OR POLICIES FOR WHICH SAID CANDIDATE IS BEING CONSIDERED FOR BOARD SERVICE, AND THE POLICIES AND RULES OF PHH, INCLUDING, WITHOUT LIMITATIONS, THE CONFLICT INTEREST POLICY (ALL OF WHICH SHALL BE REFERRED TO COLLECTIVELY HEREIN AS THE ELIGIBILITY CRITERIA) AND DEVELOP A LIST OF ONE OR MORE CANDIDATES FOR EACH OPEN POSITION (THE NUMBER OF CANDIDATES TO BE DETERMINED IN THE PHH GOVERNANCE/NOMINATING COMMITTEE'S DISCRETION). ONCE THE SLATE OF CANDIDATES IS NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE, THE BOARD OF ELK SHALL SUBMIT TO THE PHH BOARD FOR ELECTION SUCH SLATE OF CANDIDATES FOR THE OPEN BOARD POSITIONS. THE PHH BOARD MAY ELECT BY A VOTE OF THE MAJORITY OR REFUSE TO ELECT EACH CANDIDATE SUBMITTED BY THE BOARD OF ELK AND MAY NOT ELECT ANY CANDIDATE NOT SUBMITTED BY THE BOARD OF ELK AND NOMINATED BY THE PHH GOVERNANCE/NOMINATING COMMITTEE. THE BOARD OF PHH HAS THE POWER TO REMOVE SUCH DIRECTOR AT ANY TIME WITH OR WITHOUT CAUSE. IN THE EVENT THAT CNHSS DESIRES TO FILL A VACANCY OCCURRING ON ITS BOARD, THE PHH GOVERNANCE/NOMINATING COMMITTEE AND THE BOARD OF PHH, AT THE REQUEST OF ELK, SHALL ACT TO FILL SUCH VACANCY. SUBJECT TO THE APPROVAL OF ELK AND PHH AS SET FORTH IN THE BYLAWS, THE ARTICLES AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS OR ARTICLES MY BE ADOPTED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE BOARD. WRITTEN NOTICE OF THE INTENT TO AMEND THE BYLAWS OR THE ARTICLES AND A DRAFT OF THE PROPOSED CHANGE SHALL BE SENT TO ALL DIRECTORS, BY THE SECRETARY, AT LEAST FIVE (5) DAYS PRIOR TO ANY MEETING AT WHICH AMENDMENT OF THE BYLAWS OR THE ARTICLES IS INTENDED. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT OF THE 990 IS THOROUGHLY REVIEWED BY THE CFO AND CEO AND THE FINAL RETURN IS PRESENTED, IN ITS ENTIRETY, TO THE FINANCE COMMITTEE. IT IS THEN PROVIDED TO THE BOARD OF DIRECTORS BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE: EVERY YEAR, A QUESTIONNAIRE REGARDING BUSINESS AND FAMILY RELATIONSHIPS IS GIVEN TO THE BOARD OF DIRECTORS AND OFFICERS. THESE QUESTIONNAIRES ARE THEN REVIEWED AND ANY CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE BOARD. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST MUST ABSTAIN FROM VOTING ON ANY ISSUES RELATED TO THAT CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION DETERMINATION: SALARIES ARE REVIEWED ANNUALLY DURING THE BUDGET PROCESS, COMPARED TO THE HOME CARE SALARY AND BENEFITS REPORT PRODUCED BY THE NATIONAL ASSOCIATION OF HOMECARE FOR REASONABLENESS, AND APPROVED BY THE BOARD OF DIRECTORS. THE CEO'S AND CFO'S COMPENSATION ARE SPECIFICALLY APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: THE ARTICLES OF INCORPORATION ARE AVAILABLE ON THE PENNSYLVANIA DEPARTMENT OF STATE'S WEBSITE. ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ (183,590) TRANSFERS TO AFFILIATE ELK REGIONAL HEALTH CENTER 763 JOHNSONBURG ROAD ST MARYS PA 15857 250585280 HEALTH CARE PA 501(C)(3) 3 PHH false ELCO HOUSING 759 JOHNSONBURG ROAD ST MARYS PA 15857 251639115 HOUSING PA 501(C)(3) 12 A I PHH false 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 ELK REGIONAL PROFESSIONAL GROUP INC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251875183 HEALTH CARE PA 501(C)(3) 3 PHH false DUBOIS REGIONAL MEDICAL CENTER 100 HOSPITAL AVE DUBOIS PA 15801 251490707 HOSPITAL PA 501(C)(3) 3 PHH false BROOKVILLE HOSPITAL 100 HOSPITAL ROAD BROOKVILLE PA 15825 250984595 HOSPITAL PA 501(C)(3) 3 PHH false COMMUNITY NURSES INC 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623598 HEALTH CARE PA 501(C)(3) 10 PHH false PENN HIGHLANDS HEALTHCARE INC PO BOX 447 DUBOIS PA 15801 320345810 HEALTH CARE PA 501(C)(3) 12C III-FI NA false NATHANIEL D YINGLING CANCER CENTER 815 DOCTORS DR CLEARFIELD PA 16830 205114093 RADIATION ONC PA 501(C)(3) 3 PHH false CLEAR-MED CORPORATION PO BOX 1260 CLEARFIELD PA 16830 251657668 OUTPATIENT PA 501(C)(3) 3 PHH false DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVE DUBOIS PA 15801 256332829 DRMC EMPL BEN PA 501(C)(9) PHH false CLEARFIELD HOSPITAL 809 TURNPIKE DR CLEARFIELD PA 16830 250979346 HOSPITAL PA 501(C)(3) 3 PHH false false false false false true false false false false false false false true true true true false true true