2016-05-12T10:18:42-05:00 2015-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2014-07-01 231548822 PHILHAVEN PHIL 7172702414 283 SOUTH BUTLER ROAD PO BOX 550 MOUNT GRETNA PA 17064 MATTHEW ROGERS CHIEF FINANCIAL OFFICER 7172702414 2016-05-12 1 JULIUS C GREEN CPA JD P00350393 2159720701 2014 2016-08-17 19:52:53Z MATTHEW ROGERS 283 SOUTH BUTLER ROAD PO BOX 550 MOUNT GRETNA PA 17064 71415623 0 X WWW.PHILHAVEN.ORG X 1949 PA PHILHAVEN PROVIDES BEHAVIORAL HEALTH SERVICES TO INDIVIDUALS IN CENTRAL PA. 15 14 1293 110 703711 186869 1205041 519455 59563336 62296472 153512 136382 1091817 963250 62013706 63915559 0 56000 0 0 47073681 47478263 55075 60983 368713 13056086 14154361 60184842 61749607 1828864 2165952 36733577 37680180 11237708 10035243 25495869 27644937 X AS AN EXPRESSION OF CHRIST'S LOVE, PHILHAVEN PROMOTES HOPE, HEALING AND WHOLENESS THROUGH THE PROVISION OF BEHAVIORAL RESOURCES. 0 0 19309137 23664011 PHILHAVEN'S INPATIENT PSYCHIATRIC PROGRAM IS AVAILABLE TO INDIVIDUALS WHO ARE IN MOST SEVERE DISTRESS AND/OR DANGER OF HARMING THEMSELVES OR OTHERS. THE INPATIENT PROGRAM PROVIDES A 24-HOUR A DAY THERAPEUTIC MILIEU AND INTERVENTIONS THAT SERVE TO STABILIZE ACUTE PSYCHIATRIC SYMPTOMS. SERVICES ARE PROVIDED TO CHILDREN AND ADOLESCENTS AGES THREE TO EIGHTEEN AND ADULTS OVER EIGHTEEN YEARS OF AGE. TYPICAL LENGTH OF STAY IS APPROXIMATELY ELEVEN DAYS FOR BOTH ADULTS AND CHILDREN/ADOLESCENTS. ADDITIONALLY, PHILHAVEN OFFERS EXTENDED ACUTE PSYCHIATRIC INPATIENT SERVICES FOR ADULTS THAT REQUIRE LONG-TERM INTENSIVE INTERVENTIONS TO STABILIZE THEIR SYMPTOMS. ONCE BEHAVIORAL STABILIZATION IS ACHIEVED, THE PATIENT IS THEN PREPARED FOR TRANSITION TO THE NEXT APPROPRIATE LEVEL OF CARE. THIS PROGRAM SERVED 2,237 INDIVIDUALS DURING THE JUNE 30, 2015 FISCAL YEAR. 11272319 11154565 PHILHAVEN'S CHILDREN'S/ADOLESCENTS' BEHAVIORAL HEALTH REHABILITATION SERVICE (BHRS) PROGRAM INCLUDES BOTH COMMUNITY BASED AND AFTER SCHOOL SERVICES. THE GOAL OF ALL BHRS SERVICES IS TO ENHANCE THE CHILD'S/ADOLESCENT'S ABILITY TO FUNCTION EMOTIONALLY, SOCIALLY, AND BEHAVIORALLY. INDIVIDUALIZED INTERVENTIONS SERVE TO FACILITATE YOUTH'S BEHAVIORAL STABILIZATION AND EMOTIONAL GROWTH. MENTAL HEALTH SPECIALISTS HELP YOUTH LEARN SKILLS AND COPING STRATEGIES, WHICH ENABLE THE YOUTH TO PREVENT DETERIORATION AND MORE RESTRICTIVE SERVICES. AFTERSCHOOL SERVICES ARE PROVIDED MONDAY - FRIDAY AFTER SCHOOL FOR CHILDREN AGES SIX TO TWELVE YEARS. COMMUNITY BASED SERVICES ARE PROVIDED IN SCHOOLS AND HOMES BY TRAINED THERAPEUTIC SUPPORT STAFF, MOBILE THERAPISTS, AND BEHAVIORAL SPECIALISTS CONSULTANTS. THIS PROGRAM SERVED 1,789 INDIVIDUALS DURING THE JUNE 30, 2015 FISCAL YEAR. 14258777 12836871 PHILHAVEN'S OUTPATIENT PROGRAM PROVIDES THE LEAST RESTRICTIVE TYPE OF MENTAL HEALTH TREATMENT AVAILABLE AT PHILHAVEN. STAFF WHO ARE PROFESSIONALLY TRAINED IN PSYCHIATRY, PSYCHOLOGY, SOCIAL WORK, AND COUNSELING STRIVE TO PROVIDE OUTPATIENT SERVICES TO CLIENTS IN A CONSCIENTIOUS AND CARING MANNER AS THEY WORK TOWARD THEIR THERAPEUTIC GOALS. PHILHAVEN STRIVES TO PROVIDE INDIVIDUALS AND THEIR FAMILIES WITH THE SKILLS AND RESOURCES NECESSARY TO LIVE HEALTHY, FULFILLED LIVES WITHIN THEIR HOMES AND COMMUNITIES. SPECIFIC SERVICES OFFERED INCLUDE EVALUATIONS AND ASSESSMENTS, PSYCHIATRIC MEDICATION MANAGEMENT, PSYCHIATRIC CONSULTATION, INDIVIDUAL THERAPY, FAMILY THERAPY, GROUP THERAPY, AND MARRIAGE COUNSELING. THIS PROGRAM SERVED 16,618 INDIVIDUALS DURING THE JUNE 30, 2015 FISCAL YEAR. 8314034 56000 14641025 OTHER PROGRAM SERVICES PRIMARILY INCLUDES THE DAY AND INTENSIVE OUTPATIENT PROGRAMS, WHICH ARE DESIGNED TO PROVIDE THERAPEUTIC INTERVENTIONS TO INDIVIDUALS WHO DEMONSTRATE SIGNIFICANT IMPAIRMENT IN THEIR DAILY FUNCTIONING DUE TO THEIR HIGH LEVEL OF EMOTIONAL DISTRESS. THESE PROGRAMS SERVE BOTH ADULT AND CHILD/ADOLESCENT POPULATIONS IN SEPARATE SETTINGS. SERVICES INCLUDE GROUP THERAPY TARGETING COPING SKILLS, ANGER MANAGEMENT AND STRESS MANAGEMENT, AS WELL AS INDIVIDUAL AND FAMILY THERAPY SESSIONS. OTHER PROGRAMS INCLUDE RESIDENTIAL PROGRAMS FOR ADOLESCENTS AND ASSERTIVE COMMUNITY TREATMENT FOR ADULTS. THE OTHER PROGRAMS SERVED 3,551 INDIVIDUALS DURING THE JUNE 30, 2015 FISCAL YEAR. 8314034 56000 14641025 53154267 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 122 0 1 1293 1 1 1 0 0 0 0 1 1 0 0 0 0 X 15 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 PA X MATTHEW ROGERS CHIEF FINANCIAL OFFICER 7172702414 283 SOUTH BUTLER ROAD MOUNT GRETNA PA 17064 GEORGE STOLTZFUS PRESIDENT 1.50 X X 0 0 0 JANET STAUFFER VICE PRESIDENT 1.50 X X 0 0 0 KENNETH MOORE TREASURER 1.50 X X 0 0 0 MONIQUA ACOSTA SECRETARY 1.50 X X 0 0 0 JANET BRENEMAN DIRECTOR 1.30 X 0 0 0 DUANE BRITTON DIRECTOR 1.30 X 0 0 0 REBECCA BURKHOLDER DIRECTOR 1.30 X 0 0 0 ROBERT FORTNA DIRECTOR 1.30 X 0 0 0 AARON GROFF JR DIRECTOR 1.30 X 0 0 0 AUDREY GROFF DIRECTOR 1.30 X 0 0 0 JAMES HERR DIRECTOR 1.30 X 0 0 0 ROBERT HOFFMAN DIRECTOR 1.30 X 0 0 0 KYLE HORST DIRECTOR 1.30 X 0 0 0 SAM THOMAS DIRECTOR 1.30 X 0 0 0 DAVID WARREN DIRECTOR 1.30 X 0 0 0 FRANCIS D SPARROW MD MEDICAL DIRECTOR 52.00 X 319304 0 14263 PHILIP D HESS CHIEF EXECUTIVE OFFICER 50.00 X 203269 0 17087 MATTHEW ROGERS CHIEF FINANCIAL OFFICER 50.00 X 115350 0 8463 OLANIYI I OLULEYE PHYSICIAN 40.00 X 262906 0 18799 UMAR KHAYYAM PHYSICIAN 40.00 X 269755 0 15515 JEREMY WALTERS PHYSICIAN 40.00 X 253421 0 18799 THOMAS FENSTERMACHER PHYSICIAN 40.00 X 257025 0 18649 MICHAEL FUEYO PHYSICIAN 40.00 X 248184 0 18769 1929214 0 130344 29 0 1 0 SOMERSET PLANNING & ENGINEERING 22 WEST MAIN STREET SOMERSET PA 15501 ENGINEERING/CONSTRUCTION 450232 ALLCARE FAMILY HEALTH PC PO BOX 1210 LEBANON PA 17042 MEDICAL SERVICES 277452 ZIMMEY'S AUTOMOTIVE OF SCHAEFFERSTOWN POI BOX 322 SCHAEFFERSTOWN PA 17088 VEHICLE REPAIR/RENTAL 231848 COMPHEALTH PO BOX 972651 DALLAS TX 75397 TEMPORARY STAFFING 208150 DAVAL SERVICES LLC 275 CUMBERLAND PARKWAY 245 MECHANICSBURG PA 17055 PHARMACY SERVICES 196696 10 10035 509420 519455 NET PATIENT SERVICE REVENUE 624100 62198223 62198223 OTHER OPERATING REVENUE 624100 98249 98249 62296472 127672 -12307 139979 4200 6051 -1851 -1851 -1851 7482836 12174 7479287 7013 3549 5161 8710 900 7810 6258 10035 7713 -1455 -1455 FARM INCOME 110000 712939 712939 CAFETERIA SALES 722210 199278 199278 MEDICAL RECORD PROCESSING FEES 624100 33957 33957 20382 4030 16352 966556 63915559 62296472 703711 395921 56000 56000 697672 647365 47158 3149 39020814 36207125 2637554 176135 350043 324802 23661 1580 4681131 4094205 551917 35009 2728603 2531851 184436 12316 78337 78337 162291 162291 81035 14210 66825 65673 65673 60983 60983 3072 2609 463 2775465 1999648 762553 13264 36654 2400 34254 3369856 2925197 422334 22325 214850 214850 2520122 1811155 708967 458333 437915 20418 505886 472363 33523 187525 187525 1910935 217430 1693505 FEDERAL INCOME TAX 94990 94990 BAD DEBTS 805495 805495 FARM EXPENSES 286132 286132 DUES & SUBSCRIPTIONS 187450 73718 110447 3285 410260 71320 318691 20249 61749607 53154267 8226627 368713 26403 23033 3597220 5726637 1093480 1194279 8880239 8304917 340000 340000 28735 10535 1000039 1324182 53393771 35606490 17264380 17787281 3031291 1468462 896801 939861 4519 3096 570470 557897 36733577 37680180 6273083 7114575 7818 365 4956807 2920303 11237708 10035243 X 24326433 26482345 561638 567006 607798 595586 25495869 27644937 36733577 37680180 2165952 -22429 5545 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 65673 65673 0 PART II-B, LINE 1: THE HOSPITAL ENGAGED A PROFESSIONAL LOBBYING FIRM TO ASSIST IN SECURING GOVERNMENTAL FUNDING FOR SPECIALIZED PROGRAMS ($60,000). IN ADDITION, A PORTION OF THE DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYVLANIA AND THE AMERICAN HOSPITAL ASSOCIATION INCLUDE LOBBYING ($3,579 AND $2,094). 670163 13055 683218 605882 64281 670163 475713 80560 49609 605882 490269 -14556 475713 429302 60967 490269 0.08000 0.92000 0.00000 0 0 355952 355952 20944860 12446661 8498199 28340723 23128403 5212320 3752236 31426 3720810 17787281 X 63106481 -22429 5545 -805495 -822379 63928860 463 -13764 -13301 63915559 60957413 13764 13764 60943649 463 805495 805958 61749607 PART V, LINE 4: THE PURPOSE OF THESE DONOR RESTRICTED FUNDS IS TO PROVIDE A STABLE SOURCE OF PERPETUAL FINANCIAL SUPPORT FOR THE PHILHAVEN PROGRAMS. PART X, LINE 2: PHILHAVEN IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON THEIR EXEMPT INCOME UNDER SECTION 501(A) AS THE INTERNAL REVENUE CODE. THE FARM'S INCOME IS TAXABLE FOR FEDERAL PURPOSES OF UNRELATED BUSINESS INCOME. PHILHAVEN AND THE FARM PRESCRIBE A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY IN RECORDING TAX LIABILITIES IN THE FINANCIAL STATEMENTS. MEASUREMENT AND RECOGNITION OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD FOR THE YEARS ENDED JUNE 30, 2015 AND 2014. THE ORGANIZATION'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED AFTER JUNE 30, 2011 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT -805,495. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE -7,713. RENTAL EXPENSES -6,051. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 7,713. RENTAL EXPENSES 6,051. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 805,495. X X X X X X X 1 BENEVON 4528 EIGHT AVENUE NE SEATTLE WA 98105 FUNDRAISING PROGRAM CONSULTANT 0 197194 57233 139961 ENDOWMENT HORIZONS PO BOX 196 WATERVILLE OH 43566 CONSULTING ON PLANNED GIVING PROGRAM 0 0 3750 -3750 197194 60983 136211 PA GOLF TOURNAMENT 16293 10035 6258 583 65 7065 16293 10035 6258 583 65 7065 7713 -1455 1 1 X 1 X 1 X 1 0 0 568106 167499 400607 0.00660 35397433 34284255 1113178 0.01830 35965539 34451754 1513785 0.02490 3033522 2638549 394973 0.00650 104592 104592 0.00170 3138114 2638549 499565 0.00820 39103653 37090303 2013350 0.03310 5000 5000 0.00010 51000 51000 0.00080 56000 56000 0.00090 0 730143 3292583 3933217 -640634 X 1 1 1 KE LLC RENTAL PROPERTY 0.50000 0.00000 0.00000 2 ADVANCE MANAGEMENT SERVICES LLC OUTCOMES SOFTWARE DEVELOPMENT FOR THE HEALTHCARE COMMUNITY 0.22380 0.00000 0.00000 1 1 PHILHAVEN 283 SOUTH BUTLER ROAD PO BOX 550 MOUNT GRETNA PA 17064 WWW.PHILHAVEN.ORG 318550 X BEHAVIORAL HEALTH HOSPITAL PHILHAVEN 1 0 0 1 X X X X X X X X 12 1 0 0 1 X WWW.PHILHAVEN.ORG/ABOUTUS/COMMUNITYHEALTHNEEDSASSESSMEN X 1 12 0 1 0 1 X 150.000000000000 300.000000000000 X X X 1 1 X 1 X X X X X 1 X 0 X X X X 0 X X 0 0 PHILHAVEN PART V, SECTION B, LINE 5: TWO COMMUNITY FORUMS WERE CONDUCTED WITH COMMUNITY MEMBERS AND MENTAL HEALTH PROFESSIONALS. THERE WERE 76 PARTICIPANTS, REPRESENTING PUBLIC HEALTH AND MEDICAL SERVICES AND NON-PROFIT AND SOCIAL ORGANIZATIONS. UPON COMPLETION OF THE FORUMS, AN ADVISORY COMMITTEE WAS PUT INTO PLACE TO REVIEW THE RESULTS AND SHARE OBSERVATIONS AND INTERPRETATIONS OF THE DATA. THE ADVISORY COMMITTEE INCLUDED PHILHAVEN STAFF, PHILHAVEN BOARD MEMBERS AND COMMUNITY PARTICIPANTS INCLUDING: THE LEBANON COUNTY MH/ID/EI DEPUTY ADMINISTRATOR, THE DAUPHIN COUNTY MH/ID PROGRAM ADMINISTRATOR, THE MHA OF LEBANON EXECUTIVE DIRECTOR, THE LANCASTER COUNTY BH/DS EXECUTIVE DIRECTOR, AND THE VICE PRESIDENT OF MEDICAL AFFAIRS OF GOOD SAMARITAN HOSPITAL. THROUGH GROUP DIALOGUE, SEVEN KEY STRATEGIC ISSUES WERE IDENTIFIED. USING AN ANONYMOUS WIRELESS KEYPAD VOTING SYSTEM, EACH ATTENDEE WAS ASKED TO RATE EACH STRATEGIC ISSUE WITH REGARD TO HOW STRONGLY THEY FELT THE ISSUE SHOULD BE INCLUDED IN THE FINAL IMPLEMENTATION PLAN. THEY WERE EACH ALSO ASKED TO SELECT THE ONE ISSUE THAT THEY DEEMED MOST IMPORTANT. THIS PRIORITIZATION WAS THEN UTILIZED BY PHILHAVEN LEADERSHIP AND BOARD OF DIRECTORS IN ADOPTING THE THREE PRIORITY AREAS OF THE CHNA. IN ADDITION TO PHILHAVEN STAFF AND A PHILHAVEN BOARD MEMBER, COMMUNITY PARTICIPANTS IN THIS STEP OF THE PROCESS INCLUDED THE LEBANON COUNTY MH/ID/EI DEPUTY ADMINISTRATOR, THE DAUPHIN MH/ID PROGRAM ADMINISTRATOR, THE MHA OF LEBANON EXECUTIVE DIRECTOR, THE LANCASTER COUNTY BH/DS EXECUTIVE DIRECTOR, AND THE VICE PRESIDENT OF MEDICAL AFFAIRS FOR GOOD SAMARITAN HOSPITAL. PHILHAVEN PART V, SECTION B, LINE 11: THE REDUCTION OF THE USE OF EMERGENCY DEPARTMENTS AT HOSPITALS THROUGHOUT PHILHAVEN'S SERVICE AREA WAS ONE OF THE PRIMARY GOALS ADOPTED DURING THE COMMUNITY NEEDS ASSESSMENT PROCESS. DURING THE YEAR ENDING JUNE 30, 2015, PHILHAVEN STAFF AND MANAGEMENT ROUTINELY MET WITH OTHER HEALTHCARE PROVIDERS TO IDENTIFY ALTERNATIVES TO THE EMERGENCY DEPARTMENT AS A SERVICE ACCESS POINT FOR PERSONS WITH MENTAL ILLNESS. THESE MEETINGS INCLUDED WORKGROUPS DESIGNED TO ADDRESS PERSONS IDENTIFIED AS HIGH UTILIZERS OF EMERGENCY DEPARTMENTS IN LANCASTER AND LEBANON COUNTIES. DETAILS ON PHILHAVEN'S PROGRAMS DESIGNED TO REDUCE EMERGENCY DEPARTMENT USAGE ARE BELOW:THE CRISIS INTERVENTION/INFORMATION AND REFERRAL CENTER IS A CONFIDENTIAL 7 DAY/24 HOUR SERVICE, PROVIDED BY PHILHAVEN. CRISIS COUNSELORS PROVIDE PSYCHOSOCIAL ASSESSMENTS OF CRISIS SITUATIONS OVER THE PHONE, IN THE EMERGENCY DEPARTMENT OF THE GOOD SAMARITAN HOSPITAL IN LEBANON, PENNSYLVANIA, AND IN THE COMMUNITY. CRISIS INTERVENTION SERVICES ARE DESIGNED TO PREVENT AN EMERGENCY DEPARTMENT VISIT WHEN MEDICALLY AND CLINICALLY APPROPRIATE. ADDITIONALLY, WITH THE ASSISTANCE OF THE CRISIS INTERVENTION COUNSELORS, EMERGENCY DEPARTMENTS CAN SIGNIFICANTLY REDUCE THE LENGTH OF STAY FOR A PERSON WITH MENTAL ILLNESS. THE LANCASTER DIVERSION PROGRAM IS A COMMUNITY-BASED PROGRAM DESIGNED TO SERVE THE NEEDS OF INDIVIDUALS WHO HAVE A HISTORY OF SERIOUS AND PERSISTENT MENTAL ILLNESS AND LONG-TERM HOSPITALIZATION. IT IS ALSO DESIGNED TO SERVE INDIVIDUALS IDENTIFIED BY LANCASTER COUNTY CASE MANAGEMENT STAFF AS BEING AT RISK FOR INPATIENT OR STATE HOSPITAL SERVICES DUE TO SEVERELY ACUTE PSYCHIATRIC ILLNESS AND BEHAVIOR. PHILHAVEN PROVIDES TWO PROGRAMS DESIGNED TO ASSIST PERSONS WITH MENTAL ILLNESS IN MAINTAINING STABLE HOUSING, THEREBY REDUCING THE LIKELIHOOD OF THE NEED FOR INPATIENT PSYCHIATRIC CARE OR AN EMERGENCY DEPARTMENT VISIT, SUPPORTED HOUSING AND PARTNERS FOR PROGRESS. SUPPORTED HOUSING IS AN INNOVATIVE PROGRAM DESIGNED TO BENEFIT PERSONS WHO SUFFER FROM CHRONIC MENTAL ILLNESS BY ASSISTING THEM WITH BASIC HOUSING NEEDS. CLIENTS ARE ABLE TO LIVE INDEPENDENTLY IN THE COMMUNITY WHILE RECEIVING THE SUPPORTIVE ASSISTANCE THEY NEED THROUGH REGULAR IN-HOME VISITS. THE PROGRAM IS ADMINISTERED BY A MASTER'S LEVEL CLINICIAN AND IS A VOLUNTARY PROGRAM FUNDED BY LEBANON COUNTY MH/ID/EI. THE STAFF ALSO ASSISTS WITH ASSESSMENT OF HOUSING NEEDS, PROCUREMENT OF HOUSING AND HOUSEHOLD GOODS, HOME MAINTENANCE SKILLS, LANDLORD/TENANT NEGOTIATIONS AND OTHER ISSUES RELATED TO MAINTAINING INDEPENDENT LIVING. PARTNERS FOR PROGRESS IS A SERVICE DEVELOPED IN CONJUNCTION WITH THE LEBANON HOUSING AUTHORITY AND LEBANON COUNTY MH/ID/EI TO PROVIDE HOMES AND SUPPORT SERVICES TO TEN INDIVIDUALS WHO ARE HOMELESS AND WHO HAVE A HISTORY OF EXPERIENCING PERSISTENT MENTAL ILLNESS. IN AN EFFORT TO ADDRESS THE IDENTIFIED COMMUNITY NEED OF INTEGRATION BETWEEN PHYSICAL AND BEHAVIORAL HEALTHCARE SERVICES, PHILHAVEN PROVIDES A VARIETY OF BEHAVIORAL HEALTHCARE SERVICES IN PHYSICAL HEALTHCARE SETTINGS. THESE SERVICES INCLUDE UNCOMPENSATED ACTIVITIES SUCH AS CARE COORDINATION BETWEEN PHILHAVEN AND THE OTHER HEALTHCARE PROVIDERS. BELOW ARE SPECIFIC EXAMPLES OF PHILHAVEN'S INTEGRATED HEALTHCARE SERVICES:DURING THE YEAR ENDING JUNE 30, 2015, PHILHAVEN PARTICIPATED IN AN INTEGRATION PROJECT WITH THE HAMILTON HEALTH CENTER LOCATED IN HARRISBURG. THIS PROJECT WILL INTEGRATE PSYCHIATRIC SERVICES INTO THE FEDERALLY QUALIFIED HEALTH CENTER SETTING. SERVICES PROVIDED INCLUDE PSYCHOTHERAPY, PSYCHIATRIC CONSULTATION, PAIN MANAGEMENT GROUP COUNSELING AND CLINICAL SUPERVISION OF STAFF.PHILHAVEN PROVIDES PSYCHIATRIC CONSULTATIONS IN THE EMERGENCY ROOM AND INPATIENT FACILITIES AT GOOD SAMARITAN HOSPITAL IN LEBANON.IN ADDITION, PHILHAVEN OFFERS A WIDE RANGE OF BEHAVIORAL HEALTH SERVICES TO NURSING HOMES AND LONG TERM CARE COMMUNITIES. SERVICES INCLUDE PSYCHIATRIC DIAGNOSTIC EVALUATIONS, MEDICATION MANAGEMENT, BEHAVIORAL INTERVENTIONS, AND PSYCHOTHERAPY TO ASSIST SENIOR ADULTS IN NAVIGATING MANY OF LIFE'S CHALLENGES AND TO STRENGTHEN THEIR ABILITY TO LIVE LIFE TO ITS FULLEST. IN ADDITION, PHILHAVEN STAFF PROVIDES EDUCATION FOR NURSING HOME STAFF TO BE ABLE TO UNDERSTAND AND MANAGE THEIR RESIDENTS' BEHAVIORAL CHALLENGES.THE THIRD PRIMARY GOAL PHILHAVEN CHOSE TO ADDRESS FROM ITS COMMUNITY NEEDS ASSESSMENT WAS THE IMPROVEMENT OF THE COMMUNITY'S QUALITY OF LIFE THROUGH PREVENTION. THE STRATEGIES USED TO ACHIEVE THIS GOAL LARGELY FOCUSED ON EDUCATION. THESE EFFORTS ARE DESIGNED TO INCREASE THE GENERAL PUBLIC'S AWARENESS OF MENTAL ILLNESS AND THE SIGNS OF MENTAL ILLNESS AS WELL AS INCREASING THE COMMUNITY'S KNOWLEDGE OF HOW TO RECEIVE SERVICES EARLY IN THE ONSET OF MENTAL ILLNESS, REDUCING ACUITY. MANY PHILHAVEN MANAGERS AND STAFF VOLUNTEERED TIME TO LOCAL AGENCIES TO PROVIDE EXPERTISE ON MENTAL ILLNESS AND PREVENTION STRATEGIES. ADDITIONALLY, PHILHAVEN CONTRIBUTED TO LOCAL NOT-FOR-PROFIT AGENCIES, SUCH AS LOCAL CHAPTERS OF MENTAL HEALTH AMERICA, TO PROVIDE FUNDING FOR EDUCATION, AWARENESS AND PREVENTION ACTIVITIES. RATIONALE FOR NEEDS NOT ADDRESSEDIT IS UNDERSTOOD THAT IN ORDER TO BE THE MOST EFFECTIVE AND MAKE THE GREATEST IMPACT, THAT NOT ALL COMMUNITY NEEDS CAN BE ADDRESSED AT ONCE IN AN IMPLEMENTATION PLAN. IT IS IMPORTANT TO EMPHASIZE THAT A CRITERIA-DRIVEN APPROACH WENT INTO THE SELECTION OF PRIORITY ISSUES. THESE CRITERIA INCLUDED THE SCOPE AND SERIOUSNESS OF THE IDENTIFIED NEED, PHILHAVEN'S EXPERTISE AND RESOURCES TO ADDRESS THE NEEDS, AND A DISCUSSION OF WHAT NEEDS MAY BE ADDRESSED BY OTHERS. IT IS ALSO IMPORTANT TO NOTE THAT WHILE THREE ISSUES WERE PRIORITIZED AND ADOPTED BY PHILHAVEN FOR ITS IMPLEMENTATION PLAN, PHILHAVEN CONTINUES WORK ACROSS MANY OF THESE COMMUNITY NEEDS. ADDITIONALLY, THE NEEDS THAT WERE IDENTIFIED AND ARE NOT MUTUALLY EXCLUSIVE FROM ONE ANOTHER. IT IS PHILHAVEN'S HOPE THAT BY ADEQUATELY ADDRESSING THE THREE PRIORITIZED NEEDS, THAT THE OTHER NEEDS WILL BE INDIRECTLY IMPACTED AS WELL. 1. A LACK OF "HUMAN RESOURCES"PHILHAVEN WILL CONTINUE TO ADVOCATE FOR INCREASED FUNDING AND HIGHER LEVELS OF STAFFING IN THE MENTAL HEALTH PROFESSION. THROUGH ITS ROLE AS A NON-PROFIT ORGANIZATION IN SOUTH CENTRAL PENNSYLVANIA, PHILHAVEN WILL REPRESENT THE FIELD OF MENTAL AND BEHAVIORAL HEALTH AS ONE THAT IS FULFILLING, ATTRACTIVE AND WORTHWHILE TO PURSUE. WHILE PHILHAVEN WILL CONTINUE ITS EFFORTS WITH RECRUITMENT AND RETENTION IN THE FIELD, OTHERS ARE DOING THE SAME AND NEED TO DO THE SAME FOR THIS TO IMPROVE. PHILHAVEN ALONE AND EVEN IN PARTNERSHIP WITH OTHERS LOCALLY CANNOT IMPACT FUNDING CHANGES AND TRAINING OF MENTAL HEALTH PROFESSIONALS. THE BEST WORK IS DONE THROUGH STATE AND NATIONAL ASSOCIATIONS. FOR THIS REASON, IT WAS FELT THAT PHILHAVEN'S ABILITY TO DIRECTLY IMPACT THIS AT THE LOCAL LEVEL MAY BE LIMITED. 2. STIGMADESPITE THIS PARTICULAR COMMUNITY NEED NOT RISING TO THE TOP OF THE PRIORITIZED NEEDS, PHILHAVEN REMAINS COMMITTED TO REDUCING THE STIGMA OF MENTAL ILLNESS. PHILHAVEN HAS HAD A NUMBER OF OUTREACH INITIATIVES TO EDUCATE THE PUBLIC ON MENTAL HEALTH AND MENTAL WELLNESS AND WILL CONTINUE TO DO SO. 3. LACK OF A FORUM FOR COLLECTIVE ADVOCACYTHE ROLE OF A PROVIDER ORGANIZATION IS TO PARTICIPATE IN ADVOCACY ISSUES WITH ELECTED OFFICIALS, HOWEVER, IT WAS DETERMINED THAT PHILHAVEN'S HIGHEST CALLING FROM A COMMUNITY-HEALTH PERSPECTIVE, IS NOT TO TAKE THE LEAD WITH PENNSYLVANIA'S ADVOCACY EFFORTS. HAVING THE EXPERTISE OF RUNNING A NOT-FOR-PROFIT IS A VERY DIFFERENT SKILL SET THAN PULLING TOGETHER A STATEWIDE ADVOCACY INITIATIVE. THAT BEING SAID, PHILHAVEN WILL CONTINUE TO BE A VOICE FOR INCREASED FUNDING AND OTHER HIGH PRIORITY ISSUES IN THE MENTAL HEALTH FIELD. 4. INCREASED NEED FOR CULTURAL COMPETENCYPHILHAVEN CURRENTLY HAS SEVERAL INITIATIVES TO PROVIDE SPECIFIC COMMUNITY-BASED MENTAL HEALTH SERVICES TO CERTAIN SUB-POPULATIONS. FOR EXAMPLE, PHILHAVEN PROVIDES CULTURALLY-COMPETENT SERVICES TO THE PLAIN COMMUNITY THAT ARE DEVELOPED AROUND THE UNIQUE BELIEFS AND NEEDS OF THAT POPULATION. THESE INITIATIVES WILL CONTINUE, MANY IN PARTNERSHIP WITH OTHER ORGANIZATIONS IN THE AREA. HOWEVER, PHILHAVEN AND THE CHNA ADVISORY COMMITTEE FELT THAT THE SCOPE AND SEVERITY OF THIS PARTICULAR ISSUE WAS NOT AS GREAT AS THE OTHER THREE THAT MADE THE FINAL PRIORITIZED LIST. PHILHAVEN PART V, SECTION B, LINE 15E: THE POLICY DOCUMENTS THE HOSPITAL STAFF RESPONSIBLE FOR ASSISTING THE PATIENT WITH THE APPLICATION AND REQUIRES A NOTICE OF AVAILABILITY TO BE POSTED IN EACH LOCATION. PHILHAVEN PART V, SECTION B, LINE 22D: AS DETAILED IN ITS CHARITY CARE POLICY, PHILHAVEN USES A SLIDING SCALE BASED ON HOUSEHOLD INCOME AND THE FEDERAL POVERTY GUIDELINES AS THE BASIS FOR CHARGES TO INDIVIDUALS QUALIFYING FOR FINANCIAL ASSISTANCE. THIS INCLUDES DISCOUNTS FROM 25% TO 100% OF THE USUAL AND CUSTOMARY CHARGES. PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS ITEMS. COST ACCOUNTING WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE OTHER BENEFITS SECTION. BAD DEBT AND OTHER WRITE-OFFS ARE EXCLUDED IN THE DENOMINATOR. THE AMOUNT OF BAD DEBT NOT INCLUDED IN THE CALCULATION WAS $805,495. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) OF $805,495 IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART II, COMMUNITY BUILDING ACTIVITIES: IN ADDITION TO THE PROGRAMS DESCRIBED IN PART V, SECTION B, LINE 11, PHILHAVEN PARTICIPATES IN THE FOLLOWING PROGRAMS IN THE COMMUNITY:IN THE YEAR ENDING JUNE 30, 2014 PHILHAVEN COLLABORATED WITH LEBANON COUNTY TO CREATE A SUICIDE AWARENESS CAMPAIGN. THIS CAMPAIGN CONTINUED IN THE YEAR ENDING JUNE 30, 2015. THIS CAMPAIGN INCLUDED INFORMATION ON HOW TO IDENTIFY SIGNS OF SUICIDAL IDEATION AND RESOURCES AVAILABLE IN THE COMMUNITY FOR PERSONS AT RISK. THESE RESOURCES WERE NOT SPECIFIC TO SERVICES PROVIDED BY PHILHAVEN. AS PART OF THIS CAMPAIGN, PHILHAVEN PROVIDED A LEADERSHIP ROLE IN DEVELOPING AND COMMUNICATING INFORMATION THROUGH PRINT, LOCAL TELEVISION AND LOCAL RADIO. PHILHAVEN ALSO CONTRIBUTED FUNDING FOR ADVERTISING COSTS IN LOCAL MEDIA. MENTAL HEALTH FIRST AID IS A NATIONWIDE PROGRAM DESIGNED TO EDUCATE COMMUNITIES ON THE SIGNS OF MENTAL ILLNESS AND HOW TO INTERACT WITH PERSONS WHO HAVE MENTAL ILLNESS. PHILHAVEN HAS DEVELOPED A STRATEGY TO PROVIDE THESE TRAININGS IN THE LOCAL COMMUNITY TO ORGANIZATIONS SUCH AS OTHER HEALTHCARE PROVIDERS, SCHOOLS, RELIGIOUS ORGANIZATIONS, NOT-FOR-PROFITS, CHILDREN'S SERVICE PROVIDERS, AND ANY ORGANIZATION THAT SERVES THE GENERAL PUBLIC AT NO OR REDUCED COST. DURING THE YEAR ENDING JUNE 30, 2015, PHILHAVEN INCURRED THE COST OF GETTING TWO OF ITS EMPLOYEES TRAINED AND CERTIFIED ON THIS PROGRAM, BRINGING THE TOTAL NUMBER OF CERTIFIED PRESENTERS TO FOUR. DURING FISCAL YEAR 2015, PHILHAVEN PROVIDED 7 MENTAL HEALTH FIRST AID SESSIONS, TRAINING A TOTAL OF 152 INDIVIDUALS. ADDITIONALLY, PHILHAVEN INCURRED THE COSTS OF MATERIALS AND SUPPLIES TO PROMOTE AND PROVIDE THE MENTAL HEALTH FIRST AID PROGRAMS. "FINDING A BETTER WAY FOR MOMS AND DADS" IS A FREE FOUR-SESSION PROGRAM THAT IS OFFERED TO PARENTS WHO ARE DEALING WITH DIFFICULT SITUATIONS WITH THEIR CHILDREN. THE PROGRAM FACILITATORS ARE CERTIFIED INSTRUCTORS IN THERAPEUTIC CRISIS INTERVENTION. THE PROGRAM, WHICH IS HELD AT DIFFERENT TIMES AND LOCATIONS, IS DESIGNED TO TEACH PARENTS SKILLS TO OPEN UP THE PATHWAY TO EFFECTIVE COMMUNICATION WITH THEIR CHILDREN, GAIN UNDERSTANDING INTO THEIR CHILDREN'S FEELINGS AND NEEDS, AND PROMOTE COOPERATION AND MANAGE UNCOOPERATIVE BEHAVIORS. PARENTS LEARN TO IDENTIFY TRIGGERS AND EARLY WARNING SIGNS OF CHALLENGING BEHAVIORS, THE BEHAVIOR SUPPORT STRATEGIES TO PREVENT AND MANAGE CHALLENGING BEHAVIORS AND CRISIS SITUATIONS, AND HOW TO RESTORE THEIR RELATIONSHIP WITH THEIR CHILDREN AFTER A CRISIS AND TRANSFORM IT INTO A LEARNING EXPERIENCE. THE AUTISM SERVICE EDUCATION RESOURCES AND TRAINING (ASERT) COLLABORATIVE IS A PARTNERSHIP OF MEDICAL CENTERS, CENTERS OF AUTISM RESEARCH AND SERVICES, UNIVERSITIES AND OTHER PROVIDERS OF SERVICES INVOLVED IN THE TREATMENT AND CARE OF INDIVIDUALS OF ALL AGES WITH AUTISM AND THEIR FAMILIES. THE ASERT COLLABORATIVE HAS BEEN DESIGNED TO BRING TOGETHER RESOURCES LOCALLY, REGIONALLY, AND STATEWIDE. THERE ARE THREE ASERT REGIONS (WESTERN, CENTRAL, AND EASTERN) WORKING TOGETHER TO STREAMLINE RESOURCES AND SHARE EXPERTISE ACROSS THE COMMONWEALTH. EACH ASERT REGION IS CHARGED WITH UNDERSTANDING THE NEEDS OF THEIR RESPECTIVE REGION, INCLUDING THE NEEDS OF THE MOST RURAL REGIONS OF THE STATE AND THE MOST UNDERSERVED POPULATIONS.PHILHAVEN'S COMMUNITY BUILDING ACTIVITIES INCLUDED CONTRIBUTIONS TO VARIOUS FIRST RESPONDER AGENCIES INCLUDING THE MT. GRETNA FIRE COMPANY, LEBANON COUNTY SEARCH AND RESCUE TEAM AND THE CORNWALL POLICE DEPARTMENT. THESE CONTRIBUTIONS ALLOWED THE ORGANIZATIONS TO IMPROVE THE FACILITIES AND EQUIPMENT THEY USE TO MAINTAIN A SAFE COMMUNITY. ADDITIONALLY, REPORTED AS COMMUNITY BUILDING ACTIVITIES ARE CONTRIBUTIONS TO THE LEBANON COUNTY COMMUNITY HEALTH COUNCIL. THE LEBANON COUNTY COMMUNITY HEALTH COUNCIL IS AN ADVOCACY GROUP STRIVING TO ENCOURAGE AND SUPPORT A SAFE, HEALTHY, AND SUBSTANCE ABUSE FREE COMMUNITY. PART III, LINE 2: BAD DEBT IS RECORDED BASED ON THE NET BALANCE OF THE AGED RECEIVABLES ACCOUNT. ALL DISCOUNTS AND PAYMENTS ARE RECORDED PRIOR TO THE ADJUSTMENT TO THE BAD DEBT ACCOUNTS. PART III, LINE 3: A COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT REPORTED AS BAD DEBTS. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, PHILHAVEN ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, PHILHAVEN ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, PHILHAVEN RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.PHILHAVEN RECOGNIZES THE PROVISION FOR BAD DEBTS AND THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORICAL EXPERIENCE. A COST CHARGE RATIO WAS USED TO DETERMINE THE AMOUNTS REPORTED AS BAD DEBT. BAD DEBT IS RECORDED BASED ON THE NET BALANCE OF THE AGED RECEIVABLES ACCOUNT. ALL DISCOUNTS AND PAYMENTS ARE RECORDED PRIOR TO THE ADJUSTMENT OF THE BAD DEBT ACCOUNT. A SAMPLE OF CHARITY CARE APPLICATIONS WAS REVIEWED TO DETERMINE A RATIO OF REQUESTED CHARITY CARE TO GRANTED CHARITY CARE. THIS PERCENTAGE WAS APPLIED TO THE BAD DEBT BALANCE. PART III, LINE 8: PHILHAVEN DOES NOT TREAT THE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. PHILHAVEN USES A COST TO CHARGE RATIO FOR APPLICABLE LEVELS OF CARE REIMBURSED BY MEDICARE. THESE INCLUDE INPATIENT, OUTPATIENT AND DAY/IOP PROGRAMS. 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 IN THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. PART III, LINE 9B: THE ORGANIZATION DOES NOT PURSUE COLLECTIONS AGAINST PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. IT IS THE PRACTICE OF THE FINANCIAL COUNSELOR STAFF TO PRESENT THE OPTION OF COMPLETING A FINANCIAL ASSISTANCE APPLICATION PRIOR TO SENDING A PATIENT'S OUTSTANDING BALANCE TO A COLLECTION AGENCY. IF THE FINANCIAL ASSISTANCE APPLICATION IS APPROVED, THE PATIENT'S ACCOUNT IS IDENTIFIED AS A HAVING FINANCIAL ASSISTANCE. ONCE IDENTIFIED WITH FINANCIAL ASSISTANCE THE BILLING SYSTEM WILL PREVENT THE OUTSTANDING BALANCE FROM BEING SENT TO A COLLECTION AGENCY. PART VI, LINE 2: PHILHAVEN SENIOR MANAGEMENT REGULARLY MEETS WITH LEADERSHIP OF THE COUNTY GOVERNMENTS AND LEADERSHIP OF LOCAL COMMUNITY HOSPITALS, HEALTH SYSTEMS AND OTHER PHYSICAL HEALTHCARE PROVIDERS TO IDENTIFY HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES RELATED TO MENTAL HEALTH AND PSYCHIATRY. ADDITIONALLY PHILHAVEN REGULARLY SURVEYS ITS OWN PATIENTS TO GAIN A BETTER UNDERSTANDING OF THEIR NEEDS AND SATISFACTION WITH SERVICES PROVIDED. PART VI, LINE 3: THE "CHARITY CARE" POLICY IS POSTED IN ALL ADMISSIONS / WAITING AREAS. UPON ADMISSION THE PATIENT IS INFORMED, IN WRITING, OF THEIR LIABILITY. SHOULD A PATIENT BE IDENTIFIED UPON ADMISSION OR DURING THE COURSE OF TREATMENT AS HAVING NO INSURANCE COVERAGE A CHARITY CARE COORDINATOR WILL MEET WITH THEM OR THEIR RESPONSIBLE PARTY TO REVIEW THE "CHARITY CARE" POLICY AND ASSIST IN APPLICATION FOR FINANCIAL ASSISTANCE THROUGH THE CHARITY CARE POLICY AND/OR THROUGH AN APPLICATION TO MEDICAL ASSISTANCE. PART VI, LINE 4: PHILHAVEN PRIMARILY SERVES FOUR COUNTIES IN CENTRAL PENNSYLVANIA (LEBANON, LANCASTER, YORK AND DAUPHIN). THESE COUNTIES INCLUDE THE CITIES OF HARRISBURG, LANCASTER, LEBANON AND YORK ALONG WITH RURAL AREAS. FIFTY-TWO PERCENT OF THE PATIENTS WE SERVE ARE FEMALE AND FORTY-EIGHT PERCENT ARE MALE. ADDITIONALLY SEVENTY-ONE PERCENT OF THE PATIENTS WE SERVE ARE CAUCASIAN, TEN PERCENT ARE HISPANIC, FOUR PERCENT ARE AFRICAN-AMERICAN, AND FIFTEEN PERCENT IDENTIFY THEMSELVES AS ANOTHER RACE OR MIXED RACE. PART VI, LINE 5: PHILHAVEN MAKES MEMBERS OF ITS MEDICAL AND CLINICAL STAFF AVAILABLE TO VARIOUS COMMUNITY ORGANIZATIONS. INCLUDED IN THIS ARE PSYCHIATRIC: PHILHAVEN PROVIDES CONSULTATIONS FROM ITS MEDICAL STAFF MEMBERS TO LOCAL COMMUNITY AND ACUTE CARE HOSPITALS. ADDITIONALLY PHILHAVEN PROVIDES MEDICAL STAFF AND CLINICAL STAFF TO A LOCAL SCHOOL DISTRICT FOR PSYCHIATRIC AND THERAPEUTIC CONSULTATION OR DIRECT SERVICES AT NO CHARGE. PHILHAVEN ENCOURAGES ITS SENIOR MANAGEMENT AND EMPLOYEES TO VOLUNTEER THEIR TIME FOR LOCAL NON-PROFIT ORGANIZATIONS. THESE STAFF PROVIDE MENTAL HEALTH EXPERTISE TO NON-PROFIT AGENCIES PROVIDING SERVICES TO HOMELESS PERSONS, PERSONS WITH DEVELOPMENTAL DISABILITIES, AND PERSONS WITH MENTAL ILLNESS. ADDITIONALLY, PHILHAVEN ALLOWS SOME LOCAL NON-PROFIT ORGANIZATIONS USE OF ITS TRAINING FACILITIES AT NO CHARGE INCLUDING OTHER HEALTH CARE ORGANIZATIONS. TRAININGS SPONSORED BY PHILHAVEN ARE ALSO MADE AVAILABLE TO OTHER MENTAL HEALTH AND PHYSICAL HEALTHCARE PROVIDERS ON A VARIETY OF MENTAL HEALTH TOPICS IMPROVING THE OTHER HEALTHCARE PROVIDERS' ABILITY TO SERVE PATIENTS WITH MENTAL ILLNESS. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES PA 1 COMMUNITY HEALTH COUNCIL OF LEBANON COUNTY 615 CUMBERLAND STREET LEBANON PA 17042 251840951 501(C)(3) 5000 TO ASSIST SEVERAL PHYSICAL AND BEHAVIORAL HEALTHCARE PROVIDERS IN LEBANON COUNTY. MT GRETNA COMMUNITY FIRE COMPANY PO BOX 177 MT GRETNA PA 17064 232274350 501(C)(3) 10000 TO IMPROVE THE FACILITIES AND EQUIPMENT THEY USE TO MAINTAIN A SAFE COMMUNITY. WEST CORNWALL TOWNSHIP 73 S ZINNS MILL ROAD LEBANON PA 17042 236005071 37500 TO IMPROVE THE FACILITIES AND EQUIPMENT THEY USE TO MAINTAIN A SAFE COMMUNITY. 2 1 X X X X X 0 0 0 0 0 0 0 0 0 FRANCIS D SPARROW MD MEDICAL DIRECTOR 319304 0 0 0 0 0 3281 0 10982 0 333567 0 0 0 PHILIP D HESS CHIEF EXECUTIVE OFFICER 203269 0 0 0 0 0 2188 0 14899 0 220356 0 0 0 OLANIYI I OLULEYE PHYSICIAN 262906 0 0 0 0 0 3900 0 14899 0 281705 0 0 0 UMAR KHAYYAM PHYSICIAN 269755 0 0 0 0 0 1640 0 13875 0 285270 0 0 0 JEREMY WALTERS PHYSICIAN 253421 0 0 0 0 0 3900 0 14899 0 272220 0 0 0 THOMAS FENSTERMACHER PHYSICIAN 257025 0 0 0 0 0 3750 0 14899 0 275674 0 0 0 MICHAEL FUEYO PHYSICIAN 248184 0 0 0 0 0 3870 0 14899 0 266953 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPRISED OF THE FOUR ELECTED OFFICERS OF THE BOARD, I.E., PRESIDENT, VICE PRESIDENT, TREASURER AND SECRETARY, AND A "FIFTH MEMBER" ELECTED BY THE BOARD. THE CHIEF EXECUTIVE OFFICER AND THE MEDICAL DIRECTOR ARE NON-VOTING MEMBERS OF THE EXECUTIVE COMMITTEE. ALL VOTING MEMBERS OF THE EXECUTIVE COMMITTEE ARE ON THE BOARD. THE NON-VOTING MEMBERS ARE NOT ON THE BOARD. THE SCOPE OF EXECUTIVE COMMITTEE AUTHORITY INCLUDES: (1) TO ACT ON BEHALF OF THE BOARD WHILE THAT BODY IS ADJOURNED BETWEEN MEETINGS, SUBJECT TO REVIEW BY THE BOARD AT ITS NEXT MEETING; (2) TO DEVELOP A SYSTEM OF CORPORATE OBJECTIVES AND LONG-RANGE GOALS; (3) TO RECOMMEND TO THE BOARD THE APPOINTMENT AND REAPPOINTMENT OF MEDICAL STAFF MEMBERS AND THE GRANTING OF CLINICAL PRIVILEGES TO EACH MEMBER OF THE MEDICAL STAFF; (4) TO ENSURE APPROPRIATE BOARD REPRESENTATION AT ORGANIZATIONAL STRATEGIC PLANNING MEETINGS. FORM 990, PART VI, SECTION A, LINE 6 PHILHAVEN IS CONTROLLED BY THE LANCASTER CONFERENCE OF THE MENNONITE CHURCH. UNDER THE BYLAWS OF PHILHAVEN, CONTROL IS EXERCISED VIA CERTAIN RESERVE POWERS INCLUDING THE APPROVAL AND APPOINTMENT OF MEMBERS OF THE GOVERNING BODY, APPROVAL OF THE APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER AND APPROVAL OF AMENDMENTS TO THE BYLAWS AND ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE LANCASTER MENNONITE CONFERENCE APPOINTS THREE MEMBERS OF THE BOARD OF DIRECTORS. ADDITIONALLY, THE LANCASTER MENNONITE CONFERENCE WILL APPROVE THE SELECTION OF ALL AT-LARGE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE LANCASTER MENNONITE CONFERENCE MUST APPROVE ANY CHANGE TO THE EXISTING BY-LAWS. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PERFORMS AN INITIAL REVIEW OF THE 990. UPON THE FINANCE COMMITTEE'S APPROVAL, THE 990 GETS DISTRIBUTED TO ALL BOARD MEMBERS ELECTRONICALLY. EACH BOARD MEMBER WILL THEN HAVE THE OPPORTUNITY TO REVIEW THE 990 BEFORE THE RETURN'S SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS, EMPLOYEES WHO ARE DIRECTORS OR ABOVE, LICENSED PROFESSIONALS AND INDEPENDENT LICENSED PRACTITIONERS ARE SUBJECT TO PHILHAVEN'S CONFLICT OF INTEREST POLICIES. PHILHAVEN REQUIRES EACH MEMBER OF THE BOARD OF DIRECTORS TO DISCLOSE CONFLICTS OF INTERESTS, OR POTENTIAL CONFLICTS OF INTEREST, TO THE PRESIDENT OF THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE PRESIDENT MUST DISCLOSE CONFLICTS OF INTERESTS, OR POTENTIAL CONFLICTS OF INTEREST, TO THE FULL BOARD OF DIRECTORS ON AN ANNUAL BASIS. IF A CONFLICT OF INTEREST IS IDENTIFIED THAT HAS NOT BEEN DECLARED THE BOARD MAY DECLARE BY RESOLUTION CARRIED BY TWO-THIRDS OF ITS MEMBERS PRESENT AT THE MEETING, THAT A CONFLICT OF INTEREST EXISTS AND THE MEMBER OF THE BOARD THUS FOUND TO BE IN CONFLICT SHALL WITHDRAW FROM THE MEETING OR REFRAIN FROM DISCUSSION OR VOTING IN RELATION TO THE MATTER. UPON HIRE AND ANNUALLY THEREAFTER ANY EMPLOYEE OR INDEPENDENT PRACTITIONER SUBJECT TO THE POLICIES ARE REQUIRED TO COMPLETE A DISCLOSURE STATEMENT. ADDITIONALLY PHILHAVEN'S COMPLIANCE OFFICER OR CHIEF FINANCIAL OFFICER IS REQUIRED TO REVIEW ALL CONTRACTS OR AGREEMENTS WITH OTHER CARE PROVIDERS OR FOR OTHER SERVICES TO IDENTIFY ANY CONFLICTS OF INTEREST. SHOULD A CONFLICT OF INTEREST WITH AN EMPLOYEE OR WITH AN AGREEMENT OR CONTRACT WITH A THIRD PARTY BE IDENTIFIED, THE COMPLIANCE OFFICER AND CHIEF FINANCIAL OFFICER SHALL REVIEW THE CIRCUMSTANCES TO MAKE A DECISION ON THE APPROPRIATE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS SHALL DETERMINE AND APPROVE IN ADVANCE THE COMPENSATION ARRANGEMENTS FOR IDENTIFIED EXECUTIVE EMPLOYEES WHO ARE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER PHILHAVEN'S AFFAIRS. EXECUTIVE EMPLOYEES SUBJECT TO THIS POLICY INCLUDE THE CHIEF EXECUTIVE OFFICER AND MEDICAL DIRECTOR. IN MAKING ITS DETERMINATION, THE EXECUTIVE COMMITTEE SHALL RELY UPON APPROPRIATE DATA AND INFORMATION AS TO THE COMPARABILITY OF COMPENSATION ARRANGEMENTS. RELEVANT FACTORS THAT MAY BE CONSIDERED INCLUDE, BUT ARE NOT LIMITED TO: 1. COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; 2. CURRENT COMPENSATION SURVEYS CONDUCTED BY INDEPENDENT FIRMS(SUCH AS NATIONAL ASSOCIATION OF ADDICTION TREATMENT (NAATP/NATIONAL COUNCIL FOR COMMUNITY BEHAVIORAL HEALTHCARE AND MENNONITE HEALTH SERVICES (MHS) ALLIANCE; 3. EXECUTIVE EMPLOYEE'S SALARY HISTORY WITH OTHER ORGANIZATIONS; 4. ACTUAL WRITTEN OFFERS FROM SIMILAR ORGANIZATIONS COMPETING FOR THE SERVICES OF THE EXECUTIVE; AND 5. AVAILABILITY OF SIMILARLY QUALIFIED EXECUTIVES IN THE GEOGRAPHIC AREA. THE EXECUTIVE COMMITTEE'S DECISION MUST BE CONTEMPORANEOUSLY DOCUMENTED IN WRITING. THE CEO DETERMINES THE COMPENSATION FOR THE CHIEF FINANCIAL OFFICER. FORM 990, PART VI, SECTION C, LINE 19 ANY OF THESE DOCUMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 16B: THERE IS NO WRITTEN POLICY FOR EVALUATING JOINT VENTURES. IN PRACTICE, A POTENTIAL JOINT VENTURE IS BROUGHT TO THE BOARD FOR APPROVAL. CURRENTLY, PHILHAVEN IS INVOLVED IN TWO JOINT VENTURES, ONE WITH KE LLC (KE) AND ONE WITH ADVANCED MANAGEMENT SERVICES LLC (AMS). PHILHAVEN'S CEO, PHILIP D. HESS, IS ON THE BOARD OF AMS. KE DOES NOT HAVE A BOARD, BUT THE CEO ACTS ON PHILHAVEN'S BEHALF WHEN DEALING WITH KE. KE LLC 283 S BUTLER ROAD PO BOX 550 MT GRETNA PA 17064 232647658 REAL ESTATE RENTAL PA N/A UNRELATED 53818 801378 0 1 0.50000 ADVANCED MANAGEMENT SERVICES 320 HIGHLAND DRIVE MOUNTVILLE PA 17554 611676937 SOFTWARE COMPANY PA N/A UNRELATED -21725 2625 0 1 0.23380 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 KE LLC K 184436 COST KE LLC S 50000 CASH ADVANCED MANAGEMENT SERVICES R 50000 CASH