2026-05-15T22:27:50+00:00 2025-06-30 135565207 KPMG LLP 1735 Market Street 6th Floor Philadelphia PA 19103 990 2024-07-01 250984595 Brookville Hospital BROO 8148491461 100 HOSPITAL ROAD BROOKVILLE PA 15825 DOUGLAS WINNER CFO 2026-05-16 true true PHILLIP E GROFF P01247783 2672567000 2026-05-16 2024 2025-03-06 01:10:19Z PENN HIGHLANDS BROOKVILLE Julianne Peer 100 HOSPITAL ROAD BROOKVILLE PA 15825 34954768 false X WWW.PHHEALTHCARE.ORG X 1915 PA BROOKVILLE HOSPITAL IS A 35 BED CRITICAL ACCESS HOSPITAL THAT PROVIDES QUALITY HEALTHCARE SERVICES. OUTPATIENT SERVICES INCLUDE RADIOLOGY, LAB AND REHABILITATION. 13 8 214 19 0 109221 18617 32364880 34846755 97161 35364 11808 54032 32583070 34954768 0 0 16437776 16868773 0 0 15377719 16054347 31815495 32923120 767575 2031648 37972134 40068969 25623261 25225312 12348873 14843657 TO PROVIDE YOU WITH EXCEPTIONAL CARE THROUGH OUR COMMUNITY-BASED HEALTH SYSTEM WHILE MAINTAINING A REVERENCE FOR LIFE. OUR VISION IS TO BE THE INTEGRATED HEALTH SYSTEM OF CHOICE THROUGH EXCELLENT QUALITY SERVICE AND OUTCOMES. VALUE STATEMENT: - QUALITY & SAFETY: PROVIDE A SAFE ENVIRONMENT WITH HIGH QUALITY OUTCOMES. - TEAMWORK: FOSTER A CULTURE OF TEAMWORK, SUPPORT, TRUST, AND LOYALTY. - INTEGRITY: PRACTICE THE PRINCIPLES OF HONESTY, CONFIDENTIALITY, RESPECT, AND TRANSPARENCY. - PERSON-CENTERED: RECOGNIZE THOSE WE SERVE AS EQUAL PARTNERS. - SERVICE: DEMONSTRATE COMPASSION BY LISTENING, ENGAGING, ANTICIPATING, AND EXCEEDING NEEDS AND EXPECTATIONS. - STEWARDSHIP: COMMIT TO INVESTING IN OUR HUMAN AND MATERIAL RESOURCES WHILE PRACTICING FISCAL RESPONSIBILITY. - PARTNERSHIP: OFFICER SERVICES AND PROGRAMS THROUGH PARTNERSHIPS WITH OUR PHYSICIANS, PROVIDERS, STAKEHOLDERS, AND OTHER ORGANIZATIONS. - EDUCATION: EXPAND OUR EMPHASIS ON EDUCATION AND ENHANCE OUR POSITION AS A LEARNING ORGANIZATIO false false 24346647 29619755 BROOKVILLE HOSPITAL PROVIDES A WIDE VARIETY OF OUTPATIENT SERVICES TO THE COMMUNITY. THE 24-HOUR PHYSICIAN-STAFFED EMERGENCY DEPARTMENT PROVIDED OVER 8,310 VISITS THIS YEAR. THERE ARE 3 FAMILY PRACTICE RURAL HEALTH CLINICS, A GENERAL SURGERY PRACTICE, A FAMILY HEALTH CLINIC AND A Q-CARE WALK IN CLINIC THAT HAD OVER 31,249 VISITS. OTHER SERVICES INCLUDE OUTPATIENT PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, GENERAL RADIOLOGY, CAT SCAN, MRI, PET, ULTRASOUND, NUCLEAR MEDICINE, CARDIOLOGY, LABORATORY SERVICES, PAIN CLINIC, AND OUTPATIENT PSYCH SERVICES. OUR SURGEONS PERFORMED 1,178 SURGERIES. THE HOSPITAL ALSO PROVIDES NUTRITIONAL COUNSELING, REDUCED-FEE MAMMOGRAMS, COMMUNITY EDUCATION CLASSES, AND VARIOUS HEALTH-RELATED PUBLICATIONS. EMPLOYEES ACTIVELY VOLUNTEER IN COMMUNITY SERVICE, AND THE HOSPITAL CONTRIBUTES TO LOCAL ORGANIZATIONS. THE INFECTION CONTROL DEPARTMENT COLLABORATES WITH OTHER HEALTHCARE PROVIDERS AND EDUCATES HIGH SCHOOL STUDENTS ABOUT HEALTHCARE CAREERS. 4296467 5227000 BROOKVILLE HOSPITAL IS A 35-BED HOSPITAL THAT PROVIDED INPATIENT SERVICES TO OVER 748 PATIENTS THIS YEAR. INPATIENT SERVICES INCLUDED TREATMENTS FOR BOTH MEDICAL AND SURGICAL PATIENTS. MANY OF OUR PATIENTS WERE TREATED IN THE GERO-PSYCHIATRIC UNIT OF THE HOSPITAL. THIS UNIT SPECIALIZES IN PSYCHIATRIC DISORDERS FOR PATIENTS OVER THE AGE OF 55. 28643114 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false false false true true true false false true 96 0 true 214 true false false false false false false false false false false false false X 13 8 false false false false true true true true true false false false true true true true true true false false false false PA X KRISTY WILSON 8143756121 100 HOSPITAL AVE DUBOIS PA 15801 Brian W Wingard Treasurer 1.0 2.0 X X 0 0 0 Cheryl Ruffner Vice Chair 1.0 2.0 X X 0 0 0 Edward V Yahner Secretary 1.0 4.0 X X 0 0 0 Julianne Peer President 20.0 28.0 X X 0 294819 35813 W Jay Chamberlin Chairman 1.0 6.0 X X 0 0 0 Daniel Hawkins Director 1.0 2.0 X 0 0 0 Dr James Devlin Physican and Director 1.0 42.0 X 0 223910 0 Dr Julia Wonderling Physician & Director 1.0 40.0 X 0 558286 38611 Eric D Miller Director 1.0 2.0 X 0 0 0 Frank Straub director (end 5/1/25) 1.0 2.0 X 0 0 0 Jeff Azzato DIRECTOR (END 5/1/25) 1.0 2.0 X 0 0 0 John Piccolo Director ( end 5/1/25) 1.0 2.0 X 0 0 0 Josh Benton Director 1.0 2.0 X 0 0 0 Mark Norman PHH COO 1.0 49.0 X 0 622225 92991 Robert M Edwards JR Director 1.0 2.0 X 0 0 0 Robert Sloss DIRECTOR (UNTIL 3/5/25) 1.0 2.0 X 0 0 0 Steven M Fontaine PHH CEO 1.0 43.0 X 0 1359269 44935 Christine D Garner Chief Nursing Officer 20.0 20.0 X 0 185872 15050 Denny Tang Physician 36.0 0.0 X 0 0 0 Geoffrey Pazder Physician 36.0 0 X 342535 0 0 Julie Chittester Cert. Registered Nurse Anesthetist 36.0 0 X 277524 0 0 Tabatha Jeffers Physician 36.0 0 X 649942 0 0 1270001 3244381 227400 13 false true false AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 AGENCY STAFFING 450248 ADVANCED LITHO CARE LTD 1305 S MAIN ST MEADVILLE PA 16335 RADIOLOGY SERVICES 266930 ASSOCIATED CLINICAL LABORATORIES 1526 PEACH STREET ERIE PA 16501 RADIOLOGY SERVICES 244194 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE ROAD SCOTTSDALE AZ 85254 MEDICAL SERVICES 230734 ISS SOLUTIONS INC 2080 CABOT BLVD WEST LANGHORNE PA 19047 BIOMEDICAL SERVICES 205928 5 6637 11980 18617 NET PATIENT SERVICE REVENUE 621110 34277187 34277187 OTHER PROGRAM SERVICE 900099 377918 377918 RENTAL INCOME FROM PH DUBOIS 531120 191650 191650 0 0 0 0 34846755 35364 35364 7215 7215 0 7215 7215 0 0 CAFETERIA 900099 46817 46817 0 0 0 0 46817 34954768 34846755 0 89396 X 15465974 13455397 2010577 245340 213446 31894 316511 275365 41146 840948 731625 109323 3437993 2991054 446939 0 31 27 4 180952 157428 23524 1088371 946883 141488 33003 28713 4290 274119 238484 35635 927127 806600 120527 PENN HIGHLANDS ASSESSMENT 5191697 4516776 674921 MEDICAL SUPPLIES & DRUG 4827935 4200303 627632 OTHER EXPENSES 61598 53590 8008 MEMBERSHIP DUES 31521 27423 4098 0 0 0 0 32923120 28643114 4280006 0 2655591 2478213 359294 21017 5623314 5100142 0 0 742021 623898 26130 86677 43713933 36407718 7453704 7306215 850888 1065474 0 -1072114 -1072114 206250 206250 21127056 24253197 37972134 40068969 3268363 2527682 6444028 6280605 0 15910870 16417025 25623261 25225312 X 12106158 14587346 242715 256311 12348873 14843657 37972134 40068969 X 2031648 463136 X false true true true true X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 205546 205546 9726654 5335767 4390887 31886787 29331555 2555232 1894946 1740396 154550 7306215 INTERCOMPANY RECEIVABLES 21403618 DUE FROM AFFILIATES 2160053 BENEFICIAL INTEREST IN BEACH 256311 ROU ASSET - LEASES 166931 INSURANCE CONTR/PREM/RECEIVABLE 137965 OTHER ASSETS 114023 CPI LAB INVESTMENT 9000 EMPLOYEE ADVANCES 5296 24253197 Federal Income Taxes INTERCOMPANY PAYABLES 14270727 CRA PAY MC FY25 1228031 EQUIPMENT LEASE OBLIGATION 282934 CRA REC/PAY MEDICARE 267314 DUE FROM RESTRICTED FUNDS 195914 ROU LIAB - LEASES (LT) 166931 CAPITAL LEASES - CURRENT 5174 16417025 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote UNCERTAIN TAX POSITIONS: BROOKVILLE HOSPITAL 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. true true X true X true X 256797 0 256797 0.00780 3563021 2844240 718781 0.02183 0 0 0 0.0 0 0 3819818 2844240 975578 0.02963 0 0 0 0.0 28468 0 28468 0.00086 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 28468 0 28468 0.00086 0 0 3848286 2844240 1004046 0.03050 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 2457191 285034 2419458 3744008 -1324550 X true true 1 1 BROOKVILLE HOSPITAL 100 HOSPITAL ROAD BROOKVILLE PA 15825 WWW.PHHEALTHCARE.ORG 28050101 X X X X BROOKVILLE HOSPITAL 1 false false true X X X X X X X X X 23 true true true true X HTTPS://WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT true 24 true HTTPS://WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT false true X 200.0 300.0 X X X X true true X X X true X HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY X https://www.phhealthcare.org/patients-visitors/applying-for-financial-assistance X HTTPS://WWW.PHHEALTHCARE.ORG/DOWNLOAD/?ID=7090 X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - BROOKVILLE HOSPITAL. COMMUNITY HEALTH NEEDS ASSESSMENT THE 2024 CHNA PROCESS BEGAN IN JANUARY 2024, AND THE COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA CONCLUDED IN JUNE 2024. AS PART OF THIS NEEDS ASSESSMENT, A VAST NUMBER OF RESIDENTS, EDUCATORS, GOVERNMENT AND HEALTHCARE PROFESSIONALS, AND HEALTH AND HUMAN SERVICES LEADERS IN THE PENN HIGHLANDS BROOKVILLE SERVICE AREA PARTICIPATED IN THE STUDY. INFORMATION COLLECTED FROM LEADERS PROVIDED A DEEPER UNDERSTANDING OF COMMUNITY MATTERS, HEALTH EQUITY FACTORS, AND COMMUNITY NEEDS. PENN HIGHLANDS BROOKVILLE COLLECTED COMMUNITY AND KEY INFORMANT SURVEYS, COMMUNITY STAKEHOLDER INTERVIEWS, AND FOCUS GROUP DATA TO ENGAGE AND CAPTURE THE COMMUNITY'S PERSPECTIVE. DATA TYPES SUCH AS COUNTY DEMOGRAPHICS AND CHRONIC DISEASE PREVALENCE WERE GATHERED FROM LOCAL, STATE, AND FEDERAL DATABASES TO COMPILE SECONDARY DATA. COMMUNITY SURVEYS, ALONG WITH STAKEHOLDER AND LOW-INCOME RESIDENT INTERVIEWS, WERE INITIATED TO GARNER PARTICIPATION FROM ALL MEMBERS RESIDING OR WORKING IN THE PRIMARY SERVICE AREA. THE DATA COLLECTED IDENTIFIED THE NEEDS, HIGH-RISK BEHAVIORS, BARRIERS, SOCIETAL ISSUES, AND CONCERNS OF THE UNDERSERVED AND VULNERABLE POPULATIONS. INFORMATION FROM FOCUS GROUPS WITH SENIORS AND HEALTHCARE PROFESSIONALS WHO INTERACT WITH RESIDENTS WITH CHRONIC CONDITIONS WAS INCLUDED IN THE COLLECTION PHASE. WHILE MULTIPLE STEPS MADE UP THE CHNA PROCESS, TRIPP UMBACH, A NATIONALLY RENOWNED HEALTHCARE CONSULTING FIRM, WORKED CLOSELY WITH WORKING GROUP MEMBERS TO COLLECT, ANALYZE, AND IDENTIFY THE RESULTS TO COMPLETE THE HOSPITAL'S ASSESSMENT. COMMUNITY LEADER INTERVIEWS: FROM FEBRUARY TO APRIL 2024, PENN HIGHLANDS BROOKVILLE CONDUCTED 36 PHONE INTERVIEWS WITH COMMUNITY LEADERS FROM THE FOLLOWING PROFESSIONAL BACKGROUNDS - GOVERNMENT LEADERS, PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH-RELATED DATA, PUBLIC HEALTH EXPERTS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, AND SOCIAL SERVICE REPRESENTATIVES. PUBLIC COMMENTARY: FROM FEBRUARY TO APRIL 2024, TRIPP UMBACH SOLICITED COMMENTS FROM COMMUNITY STAKEHOLDERS RELATED TO THE FY21 CHNA AND ISP. COMMUNITY HEALTH SURVEY: FROM MARCH TO APRIL 2024, A SURVEY OF 1,254 RESIDENTS WAS CONDUCTED BY PENN HIGHLANDS BROOKVILLE IN COLLABORATION WITH TRIPP UMBACH. FOCUS GROUPS: TWO FOCUS GROUPS WERE HELD REPRESENTING THE NORTHWEST AND SOUTHWEST REGIONS OF PENN HIGHLANDS HEALTHCARE. A GROUP OF NINE SENIORS REPRESENTING THE NORTHWEST REGION AND A GROUP OF SIX PROVIDERS OF RESIDENTS WITH CHRONIC CONDITIONS REPRESENTING THE SOUTHWEST REGION. LOW-INCOME RESIDENT INTERVIEWS: TRIPP UMBACH CONDUCTED 8 PHONE INTERVIEWS WITH LOW-INCOME RESIDENTS WHICH WAS CRITICAL IN UNDERSTANDING AND ADDRESSING THIS DEMOGRAPHIC'S UNIQUE HEALTH CHALLENGES. SECONDARY DATA REPORT: UTILIZING MULTIPLE PUBLICLY AVAILABLE REPORTS AT THE LOCAL, STATE, AND NATIONAL LEVEL, INFORMATION WAS GATHERED REGARDING: DISPARITIES, PUBLIC HEALTH PRIORITIES RELATED TO DISEASE PREVALENCE, SOCIOECONOMIC FACTORS, HEALTH OUTCOMES, AND HEALTH DETERMINANTS. PENN HIGHLANDS BROOKVILLE WILL LEVERAGE ITS STRENGTHS, EXTENSIVE RESOURCES, AND BROAD OUTREACH CAPABILITIES TO COLLABORATE EFFECTIVELY WITH COMMUNITY PARTNERS. TOGETHER, PENN HIGHLANDS BROOKVILLE WILL IDENTIFY AND IMPLEMENT THE MOST IMPACTFUL STRATEGIES TO ADDRESS THE UNIQUE HEALTH NEEDS OF THEIR COMMUNITIES. THIS CONCERTED EFFORT AIMS TO ENHANCE OVERALL HEALTH, ADDRESS URGENT HEALTH NEEDS, AND IMPROVE THE WELL-BEING OF RESIDENTS WITHIN THEIR SERVICE AREAS. THE CAREFUL PRIORITIZATION OF IDENTIFIED NEEDS WILL SHAPE AND DRIVE COMMUNITY HEALTH IMPROVEMENT INITIATIVES, ENSURING THAT THE PENN HIGHLANDS BROOKVILLE EFFORTS BENEFIT THE RESIDENTS THEY SERVE. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - BROOKVILLE HOSPITAL. CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: - PENN HIGHLANDS BROOKVILLE - PENN HIGHLANDS CLEARFIELD - PENN HIGHLANDS DUBOIS - PENN HIGHLANDS ELK - PENN HIGHLANDS HUNTINGDON - PENN HIGHLANDS CONNELLSVILE - PENN HIGHLANDS MON VALLEY - PENN HIGHLANDS STATE COLLEGE - PENN HIGHLANDS TYRONE Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - BROOKVILLE HOSPITAL. SENIOR LEADERS FROM PENN HIGHLANDS BROOKVILLE REVIEWED THE PREVIOUS IMPLEMENTATION STRATEGY PLAN AND REFINED AND REINFORCED KEY STRATEGIES. THEY PRIORITIZED SPECIFIC INITIATIVES AND EXPLORED WAYS TO SUSTAIN AND ENHANCE SERVICES FOR THE BROADER COMMUNITY THROUGH THE UPDATED PLAN. SENIOR LEADERSHIP FROM PENN HIGHLANDS HEALTHCARE AND PENN HIGHLANDS BROOKVILLE CONTRIBUTED TO THE CHNA/ISP WORKING GROUP. MOVING FORWARD, SENIOR LEADERS WILL REGULARLY EVALUATE THE STRATEGY PLAN, MAKING ADJUSTMENTS AS NEEDED TO BETTER ALIGN WITH THE COMMUNITY'S EVOLVING HEALTH NEEDS. THE 2024 CHNA FOR PENN HIGHLANDS BROOKVILLE HIGHLIGHTED THE FOLLOWING COMMUNITY NEEDS: - ACCESS TO CARE - BEHAVIORAL HEALTH; AND - CHRONIC DISEASES/CONDITIONS PENN HIGHLANDS BROOKVILLE SUMMARY OF IMPLEMENTATION STRATEGY: PENN HIGHLANDS BROOKVILLE HAS COMPLETED AN IMPLEMENTATION STRATEGY THAT ADDRESSES THE HOSPITAL'S IMPLEMENTATION STRATEGY TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THIS CHNA. THE FOLLOWING IS A SUMMARY OF THAT SEPARATE, MORE COMPREHENSIVE IMPLEMENTATION STRATEGY REPORT. THE ISP REPORT AIMS TO IDENTIFY THE GOALS, OBJECTIVES, AND STRATEGIES THAT PENN HIGHLANDS BROOKVILLE WILL USE TO ADDRESS THE HEALTH PRIORITIES IDENTIFIED IN THE RECENT CHNA. THE FINDINGS FROM THE CHNA WILL OUTLINE ACTIONABLE STEPS THAT HEALTHCARE ORGANIZATIONS AND THEIR COMMUNITY PARTNERS WILL TAKE TO IMPROVE HEALTH OUTCOMES. THE ISP REPORT DETAILS STRATEGIES, RESOURCES, AND PARTNERSHIPS NECESSARY TO TACKLE THE MOST PRESSING HEALTH ISSUES, ENSURING THE PROPOSED INITIATIVES ARE IMPACTFUL. TO ACCESS A COPY OF THE FULL IMPLEMENTATION STRATEGY PLAN, PLEASE GO TO https://www.phhealthcare.org/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. CHNA SIGNIFICANT HEALTH NEED: ACCESS TO CARE GOAL: IMPROVE ACCESS TO CARE FOR RESIDENTS WITHIN THE PENN HIGHLANDS BROOKVILLE SERVICE AREA. OBJECTIVES: 1. EXPAND AWARENESS OF WALK-IN SERVICES IN THE PENN HIGHLANDS BROOKVILLE SERVICE AREA BY PROMOTING THE PRESENCE OF THE QCARE FACILITIES. 2. EXPAND HOURS FOR PENN HIGHLANDS BROOKVILLE QCARE ACCORDING TO THE DATA USED. 3. INCREASE THE NUMBER OF RESIDENTS WHO RECEIVE CARE AT THE QCARE FACILITIES IN THE PENN HIGHLANDS BROOKVILLE SERVICE AREA. 4. DISTRIBUTE INFORMATIONAL MATERIALS. 5. MONITOR OR TRACK THE NUMBER OF PATIENTS WHO DO NOT HAVE A PCP. 6. IMPROVE THE NUMBER OF JEFFERSON AND CLARION COUNTY RESIDENTS PRESENT WITH A PCP BY 6% OVER THREE YEARS. PENN HIGHLANDS BROOKVILLE'S AVAILABLE RESOURCES INCLUDE, PENN HIGHLANDS HEALTHCARE (PHH) MARKETING TEAM, PENN HIGHLANDS PHYSICIAN NETWORK (PHPN), PHH PRACTICE MANAGEMENT, AND PENN HIGHLANDS BROOKVILLE ED DEPT. PENN HIGHLANDS BROOKVILLE'S COLLABORATIVE PARTNERS INCLUDE, CHAMBER OF COMMERCE, COMMUNITY AGENCIES, PRIMARY CARE PHYSICIANS (PCPS) OFFICES & PROVIDERS, CLARION UNIVERSITY, DUBOIS FREE MEDICAL CLINIC, AND PRIVATE PRACTICE PROVIDERS IN JEFFERSON CO. CHNA SIGNIFICANT HEALTH NEED: ACCESS TO CARE (CANCER) GOAL: EARLY DETECTION AND PREVENTION OBJECTIVES: 1. PROGRESSIVELY EXPAND ADVOCACY GROUPS, INCLUDING COMMUNITY VOLUNTEERS AND PATIENT GROUPS, TO COVER ALL REGIONS. 2. FEATURE MONTHLY AWARENESS CAMPAIGNS FOR THE COMMUNITY REGARDING SPECIFIC CANCER MONTHS. EXAMPLE: MARCH COLON AND OCTOBER BREAST. 3. TRI-COUNTY SUNDAY EDUCATION ARTICLES FOR THE COMMUNITY RADIO EDUCATION SPOTS. 4. DEVELOP RELATIONSHIPS WITH STAKEHOLDERS WITHIN THE CANCER COMMUNITY. 5. INCREASE COMMUNITY AWARENESS AND ENGAGEMENT REGARDING CANCER PREVENTION AND SCREENING. 6. PROACTIVELY SEEK OPPORTUNITIES FOR CONTINUED COMMUNITY OUTREACH EFFORTS, FOCUSING ON PROMOTING PENN HIGHLANDS BROOKVILLE'S SERVICES THROUGH MULTIPLE CHANNELS SUCH AS MAILERS AND WELLNESS FAIRS. COLLABORATE CLOSELY WITH PENN HIGHLANDS BROOKVILLE MARKETING DEPARTMENT, ENSURING CONSISTENT MESSAGING AND MAXIMIZING ENGAGEMENT WITH THE COMMUNITY. 7. INCREASE CANCER AWARENESS AMONG INFLUENTIAL GROUPS AND THE PUBLIC. PENN HIGHLANDS BROOKVILLE'S AVAILABLE RESOURCES INCLUDE, PHYSICIANS, ADVANCED PRACTICE PHYSICIANS (APP), REGISTERED NURSES, HAHNE CANCER CENTER, PENN HIGHLANDS HEALTHCARE (PHH), GASTROENTEROLOGIST LAB PHYSICIAN LEADERS, GASTROENTEROLOGIST LAB ADMINISTRATION LEADERS, PHH PRACTICE MANAGEMENT, AND PHH MARKETING TEAM. PENN HIGHLANDS BROOKVILLE'S COLLABORATIVE PARTNERS INCLUDE, PHARMACEUTICAL COMPANIES AND STAKEHOLDERS IN THE CANCER COMMUNITY. CHNA SIGNIFICANT HEALTH NEED: BEHAVIORAL HEALTH GOAL: COLLABORATE WITH COMMUNITY SUBSTANCE ABUSE PROVIDERS TO REDUCE SUBSTANCE ABUSE. OBJECTIVES: 1. ADDRESS BARRIERS THAT IMPEDE THE ABILITY TO MEET THE ASSESSMENT AND TREATMENT DEMAND. 2. IDENTIFY AVAILABLE TRANSPORTATION TO TREATMENT. 3. DEVELOP A LIST OF HOSPITAL DETOX BEDS AND REHABS IN THE AREA. 4. EDUCATE THE STAFF ON DRUG TRENDS AND TREATMENT. PENN HIGHLANDS BROOKVILLE'S COLLABORATIVE PARTNERS INCLUDE, CEN CLEAR DRUG AND ALCOHOL, CLEARFIELD JEFFERSON DRUG & ALCOHOL COMMISSION, COVE FORGE, ELK COUNTY DRUG AND ALCOHOL, HEALTH AND HUMAN SERVICE AGENCIES, OPIOID TASK FORCE, PYRAMID HEALTHCARE, RURAL HEALTH OUTPATIENT (RHOP), TRI-COUNTY DRUG AND ALCOHOL, CONNECT CENTERS, DRUG AND ALCOHOL TREATMENT PROVIDERS, LOCAL CONSTABLES, SOCIAL SERVICE AGENCIES, UBER, WORK WITH LOCAL VISTA (AMERICORPS FUNDED PROGRAM AT JUNIATA COLLEGE), DRUG ENFORCEMENT AGENCY (DEA) STAFF, AND NET LEARNING ON DRUG TRENDS AND TREATMENT. CHNA SIGNIFICANT HEALTH NEED: CHRONIC DISEASES/CONDITIONS GOAL: EXPAND AWARENESS AND SERVICES TO PROMOTE PREVENTIVE HEALTH AND WELLNESS THROUGHOUT THE COMMUNITY. OBJECTIVES: 1. EXPAND DIABETES AND NUTRITION EDUCATION SERVICES WITHIN THE PENN HIGHLANDS SERVICE AREA, INCLUDING TELEHEALTH (VIDEO AND AUDIO-ONLY OPTIONS AVAILABLE). 2. PROVIDE NUTRITION CARE AND IMPROVE OVERALL PATIENT OUTCOMES THROUGH MONTHLY GROUP EDUCATION SESSIONS ON NUTRITION FOR HEART HEALTH MONTHLY. 3. FOOD INSECURITY a. OUTPATIENT - OUTPATIENT REFERRALS WITH IDENTIFIED FOOD INSECURITY NOTED DURING THE VISIT. b. INPATIENT - THOSE IDENTIFIED WITH A POSITIVE FOOD INSECURITY SCREEN FROM THE PREPARE FORM. c. BOTH POPULATIONS ARE PROVIDED ACCESS TO PA211 AND RECEIVE EDUCATION RESOURCES, INCLUDING HEALTHY EATING ON A BUDGET AND BUDGET-FRIENDLY MEAL PLANS. 4. COLLABORATE WITH COMMUNITY-BASED ORGANIZATIONS ON COMMUNITY SERVICE PROJECTS IN ORDER TO STREAMLINE AND REDUCE DUPLICATED EFFORTS. PENN HIGHLANDS BROOKVILLE'S AVAILABLE RESOURCES INCLUDE, CARDIO-PULMONARY, REHABILITATION, OUTPATIENT/INPATIENT INFORMATICS, PHH CASE MANAGEMENT/SOCIAL SERVICES, PHH MARKETING, PH BROOKVILLE EMPLOYEES, AND FUND DEVELOPMENT. PENN HIGHLANDS BROOKVILLE'S COLLABORATIVE PARTNERS INCLUDE, LOCAL PROVIDERS, AREA AGENCY ON AGING, CHURCHES, LOCAL FOOD BANKS, MANAGERS OF LOW-INCOME HOUSING, PA211, AND FUND DEVELOPMENT. SIGNIFICANT HEALTH NEEDS NOT ADDRESSED: THE ISP IS NOT MEANT TO PROVIDE AN EXHAUSTIVE LIST OF HOW PENN HIGHLANDS BROOKVILLE ADDRESSES THE COMMUNITY'S NEEDS. INSTEAD, IT HIGHLIGHTS SPECIFIC ACTIONS THE HOSPITAL COMMITS TO PURSUING AND TRACKING IN RESPONSE TO THE IDENTIFIED PRIORITIES. WHILE THE ISP LISTS INTERNAL AND EXTERNAL PARTNERS, NUMEROUS CLINICAL DEPARTMENTS WILL COLLABORATE ON THESE EFFORTS. THEIR INVOLVEMENT MAY INCLUDE PARTICIPATION IN CLINICAL PROGRAMS AND PROTOCOLS OR CONTRIBUTING TO EDUCATIONAL OUTREACH BY SHARING KNOWLEDGE INDIVIDUALLY OR AS A TEAM, ALL WITH THE GOAL OF ADDRESSING THE COMMUNITY'S HEALTH NEEDS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - BROOKVILLE HOSPITAL. THE BILLING STATEMENT STATES THAT THERE IS A FAP AVAILABLE AND GIVES INFORMATION ON HOW TO CONTACT SOMEONE FOR THE APPLICATION. 4 MOSHANNON VALLEY COMMUNITY MEDICAL BUILDING 271 RAILROAD ST PHILIPSBURG PA 16866 RURAL HEALTH CLINIC & QCARE CLINIC PHYSICAL THERAPY BUILDING 88 INDUSTRIAL PARK RD BROOKVILLE PA 15825 PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY DAVID L MILLER MEDICAL CENTER BROOKVILLE STREET FAIRMOUNT PA 16224 RADIOLOGY, LAB, AND RURAL HEALTH CLINIC MARIENVILLE FAMILY HEALTH 125 CHESTNUT ST MARIENVILLE PA 16239 RURAL HEALTH CLINIC Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance COSTING METHODOLOGY: THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS OF IRS WORKSHEETS 1 AND 3. PART I, LN 7 COL(F): PERCENT OF TOTAL EXPENSES: THE PERCENT OF TOTAL EXPENSES ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A). Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE METHODOLOGY: THE HOSPITAL HAS ADOPTED THE REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: THE SYSTEM HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES SUCH AS COPAYS AND DEDUCTIBLES. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE SYSTEM EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE FOR FINANCIAL REPORTING. LINE 3 REPORTS THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS FROM THE INTERNAL FINANCIAL STATEMENTS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBE BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENTS ACCOUNTS RECEIVABLE. THAT NOTE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE ORGANIZATION USES INFORMATION FROM THE MEDICARE COST REPORT TO COMPUTE THE MEDICARE ALLOWABLE COSTS OF CARE ON LINE 6. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance COLLECTION POLICY: IF A PATIENT IS DETERMINED TO BE FINANCIALLY INDIGENT, THE CREDIT DEPARTMENT WILL ASSIST THE PATIENT IN APPLYING FOR OTHER FINANCIAL ASSISTANCE SUCH AS STATE AND FEDERAL PROGRAMS, CIVIC ORGANIZATIONS, REHABILITATION PROGRAMS, RELIGIOUS ORGANIZATIONS, RELATIVES OR FRIENDS. IF NO SOURCE OF FINANCIAL ASSISTANCE IS AVAILABLE, THE HOSPITAL WILL REVIEW THE ACCOUNT FOR A CHARITY ALLOWANCE ONLY ON THE CURRENT ACCOUNT. NO BAD DEBT ACCOUNTS WILL BE INCLUDED IN THIS REVIEW. ALL CHARITY ALLOWANCES MUST BE APPROVED BY THE CHIEF FINANCIAL OFFICER OR DELEGATED REPRESENTATIVE. Schedule H, Part V, Section B, Line 16a FAP website - BROOKVILLE HOSPITAL: Line 16a URL: HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY; Schedule H, Part V, Section B, Line 16b FAP Application website - BROOKVILLE HOSPITAL: Line 16b URL: https://www.phhealthcare.org/patients-visitors/applying-for-financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - BROOKVILLE HOSPITAL: Line 16c URL: HTTPS://WWW.PHHEALTHCARE.ORG/DOWNLOAD/?ID=7090; Schedule H, Part VI, Line 2 Needs assessment NEEDS ASSESSMENT: IN ADDITION TO THE CHNA THAT WAS COMPLETED IN JUNE 2024, THE ORGANIZATION RECEIVES INFORMATION FROM COMMUNITY MEMBERS ON THE BOARD AND FROM THE LOCAL AUXILIARY. WE ALSO MEET FROM TIME TO TIME WITH COMMUNITY MEMBERS TO ADDRESS CERTAIN NEEDS AS THEY ARISE. WE ARE ALWAYS OPEN TO LISTENING TO ANY CONCERNS OF COMMUNITY MEMBERS AND/OR ORGANIZATIONS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE CHARITY CARE POLICY, IN ITS ENTIRETY, APPEARS ON THE HOSPITAL WEBSITE. THE ASSOCIATED ELIGIBILITY FORM IS OBTAINABLE HERE AS WELL. THE SELF-PAY COLLECTION PROCESS PROVIDES FOR A CHARITY CARE APPLICATION AND EXPLANATION LETTER TO BE SENT ON EVERY OUTSTANDING PATIENT ACCOUNT FOR WHICH THERE IS NOT A PAYMENT MADE SUBSEQUENT TO THE INITIAL STATEMENT BEING RECEIVED. THERE ARE ALSO SIGNS POSTED IN CERTAIN AREAS OF THE HEALTH CENTER WHICH PROMOTE THE EXISTENCE OF THE CHARITY CARE POLICY AND DIRECT INTERESTED INDIVIDUALS ACCORDINGLY. Schedule H, Part VI, Line 4 Community information COMMUNITY INFORMATION: BROOKVILLE HOSPITAL SERVES BROOKVILLE AND THE SURROUNDING COMMUNITIES. THE SERVICE AREA EXTENDS NORTH TO SIGEL AND SOUTH TO VALIER, AND INCLUDES JEFFERSON COUNTY. THIS SERVICE AREA IS IN A RURAL PART OF WESTERN PENNSYLVANIA, WITH MANY RESIDENTS LIVING BELOW OR WELL BELOW THE NATIONAL AND STATE INCOME AVERAGE. ACCORDING TO THE US CENSUS BUREAU'S MOST RECENT DATA, APPROXIMATELY 13 PERCENT OF INDIVIDUALS LIVING IN THIS AREA WERE CONSIDERED TO LIVE IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS APPROXIMATELY $56,607. UNEMPLOYMENT RATES FOR JEFFERSON COUNTY WERE JUST OVER 6%. THE UNINSURED RATE FOR JEFFERSON COUNTY WAS 7.7%. THE MEDIAN AGE OF THE POPULATION IS ABOUT 45, WITH ABOUT 22% 65 AND OVER. JEFFERSON COUNTY HAS A POPULATION OF 44,326. Schedule H, Part VI, Line 5 Promotion of community health PROMOTION OF COMMUNITY HEALTH: BROOKVILLE HOSPITAL PARTICIPATES IN AND PROVIDES MANY HEALTH FAIR AND COUNSELING OPPORTUNITIES THROUGHOUT THE YEAR, INCLUDING THOSE ASSOCIATED WITH MENTAL HEALTH, DIABETES, NUTRITION AND WEIGHT MANAGEMENT. ALSO, THE ORGANIZATION WORKS TO PROMOTE LEARNING THROUGH THE MEDICAL EXPLORERS PROGRAM AND LOCAL CAREER DAYS. Schedule H, Part VI, Line 6 Affiliated health care system AFFILIATED HEALTH CARE SYSTEM: BROOKVILLE HOSPITAL IS PART OF PENN HIGHLANDS HEALTHCARE (PHH, SYSTEM). PHH IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO COORDINATE AND MANAGE THE INTEGRATION OF THE DELIVERY OF HEALTHCARE SERVICES TO THE NORTH CENTRAL PENNSYLVANIA AREA. THE SYSTEM INCLUDES THE CONSOLIDATED FINANCIAL STATEMENTS OF PENN HIGHLANDS HEALTHCARE, PENN HIGHLANDS DUBOIS, PENN HIGHLANDS ELK, PENN HIGHLANDS CLEARFIELD, PENN HIGHLANDS CONNELLSVILLE, PENN HIGHLANDS HUNTINGDON, PENN HIGHLANDS MON VALLEY, PENN HIGHLANDS TYRONE, AND PENN HIGHLANDS BROOKVILLE. PHH OPERATES 9 HOSPITAL FACILITIES ACROSS PENNSYLVANIA, EACH OF WHICH IS THE LARGEST EMPLOYER IN ITS HOMETOWN. THE SYSTEMM ALSO INCLUDES A VARIETY OF OTHER AFFILIATES THAT SUPPORT ITS EXEMPT MISSION, SUCH AS NURSING HOMES, HOME CARE AGENCIES, MEDICAL EQUIPMENT SUPPLIERS, PHARMACIES, ETC. Schedule H, Part VI, Line 7 State filing of community benefit report PA X X X X X false false false false false false false false false Julianne Peer President 0 273760 0 17397 0 3662 0 13260 0 22553 0 330632 0 0 Steven M Fontaine PHH CEO 0 960373 0 138380 0 260516 0 13800 0 31135 0 1404204 0 0 Mark Norman PHH COO 0 573859 0 46848 0 1518 0 66469 0 26522 0 715216 0 0 Dr Julia Wonderling Physician & Director 0 518588 0 38180 0 1518 0 13800 0 24811 0 596897 0 0 Dr James Devlin Physican and Director 0 223910 0 0 0 0 0 0 0 0 0 223910 0 0 Tabatha Jeffers Physician 649942 0 0 0 0 0 0 0 0 0 649942 0 0 0 Geoffrey Pazder Physician 342535 0 0 0 0 0 0 0 0 0 342535 0 0 0 Julie Chittester Cert. Registered Nurse Anesthetist 277524 0 0 0 0 0 0 0 0 0 277524 0 0 0 Christine D Garner Chief Nursing Officer 0 170768 0 8422 0 6682 0 6847 0 8203 0 200922 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: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE. Form 990, Part VI, Line 6 Classes of members or stockholders MEMBERS: EFFECTIVE JANUARY 1, 2010, PENN HIGHLANDS DUBOIS (PH DUBOIS) EXECUTED AN ACQUISITION WITH BROOKVILLE HOSPITAL AND RELATED ENTITIES. AS PART OF THE AGREEMENT,PENN HIGHLANDS DUBOIS BECAME THE SOLE MEMBER OF BROOKVILLE HOSPITAL AND RELATED ENTITIES. PH DUBOIS AND PENN HIGHLANDS HEALTHCARE (PHH) HOLD CERTAIN POWERS, INCLUDING THE APPROVAL OF THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND APPROVAL OF ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE DOCUMENTS. PHH SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE ELECTION AND REMOVAL OF DIRECTORS: PRIOR TO THE END OF PHH'S FISCAL YEAR, THE PHH BOARD WILL MEET TO ELECT THE DIRECTORS, WITH THE EXCEPTION OF EX-OFFICIO DIRECTORS. AT LEAST SIXTY (60) DAYS IN ADVANCE OF THIS MEETING, PH BROOKVILLE 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 PH BROOKVILLE IN CONSULTATION WITH THIS ORGANIZATION'S BOARD. 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 THIS ORGANIZATION'S BYLAWS OR POLICIES FOR WHICH SAID CANDIDATE IS BEING CONSIDERED FOR BOARD SERVICE, AND THE POLICIES AND RULES OF PHH, INCLUDING, WITHOUT LIMITATION, THE CONFLICT OF 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 PENN HIGHLANDS BROOKVILLE 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 PH BROOKVILLE AND MAY NOT ELECT ANY CANDIDATE NOT SUBMITTED BY THE BOARD OF PH BROOKVILLE 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. SUBJECT TO THE APPROVAL OF PHH AS SET FORTH IN THE BYLAWS, THE ARTICLES AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS OR ARTICLES MAY BE ADOPTED BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE BOARD PRESENT AT A MEETING AT WHICH A QUORUM IS PRESENT. WRITTEN NOTICE OF THE INTENT TOAMEND 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, Line 7a Members or stockholders electing members of governing body SEE SCHEDULE O LINE 6 EXPLANATION ABOVE. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders SEE SCHEDULE O LINE 6 EXPLANATION ABOVE. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 SYSTEM CONTROLLER. AFTER ALL SUGGESTED CHANGES FROM THE CFO AND SYSTEM 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, Line 12c Conflict of interest policy 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, Line 19 Required documents available to the public DOCUMENT DISCLOSURE: THE FINANCIAL SUMMARY AND ANNUAL REPORT CAN ALSO BE REVIEWED IN THE HOSPITAL ADMINISTRATIVE OFFICES. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART VII DIRECTOR COMPENSATION: NO DIRECTORS RECEIVE COMPENSATION FOR THEIR ROLES AS DIRECTORS. STEVEN M. FONTAINE, MARK NORMAN, JULIANNE PEER AND JAMES E. DEVLIN RECEIVE COMPENSATION FROM THE ORGANIZATION AND/OR RELATED ORGANIZATIONS FOR THEIR ROLES AS MANAGEMENT AND/OR PHYSICIANS. Form 990, Part IX, Line 11g Other Fees PROF FEES -PHYS-MED DIR/OTH - Total Expense: 311715, Program Service Expense: 271192, Management and General Expenses: 40523, Fundraising Expenses: ; LAB SERVICES - Total Expense: 421392, Program Service Expense: 366611, Management and General Expenses: 54781, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 691560, Program Service Expense: 601657, Management and General Expenses: 89903, Fundraising Expenses: ; CONTRACT LABOR - NURSES - Total Expense: 331662, Program Service Expense: 288546, Management and General Expenses: 43116, Fundraising Expenses: ; REPAIR AND MAINTENANCE - Total Expense: 311992, Program Service Expense: 271433, Management and General Expenses: 40559, Fundraising Expenses: ; MAINTENANCE CONTRACTS - Total Expense: 392076, Program Service Expense: 341106, Management and General Expenses: 50970, Fundraising Expenses: ; OUTSIDE SERVICES - Total Expense: 735089, Program Service Expense: 639527, Management and General Expenses: 95562, Fundraising Expenses: ; MEDICAL REPAIRS & MAINTENANCE - Total Expense: 13477, Program Service Expense: 11725, Management and General Expenses: 1752, Fundraising Expenses: ; FOOD - Total Expense: 228403, Program Service Expense: 198711, Management and General Expenses: 29692, Fundraising Expenses: ; MAINTENANCE DEPT EXP - Total Expense: 627, Program Service Expense: 546, Management and General Expenses: 81, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances OTHER CHANGES IN NET ASSETS - 463136; Total - 463136; PENN HIGHLANDS HEALTHCARE PO BOX 447 DUBOIS PA 15801 320345810 MGMT SERVICES PA 501(c)(3) 7 NA false DUBOIS REGIONAL MEDICAL CENTER 100 HOSPITAL AVENUE DUBOIS PA 15801 251490707 HOSPITAL PA 501(c)(3) 3 PHH false ELCO HOUSING 759 JOHNSONBURG ROAD ST MARYS PA 15857 251639115 HOUSING PA 501(c)(3) Type I PHH true ELK REGIONAL PROFESSIONAL GROUP INC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251875183 HEALTHCARE PA 501(c)(3) 3 PHH true COMMUNITY NURSES HOME HEALTH & HOSPICE 757 JOHNSONBURG ROAD ST MARYS PA 15857 250996070 HEALTHCARE PA 501(c)(3) 10 CNI true COMMUNITY NURSES INC 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623598 HEALTHCARE PA 501(c)(3) 10 PHH true COMMUNITY NURSES HOME SUPPORT SERVICES 757 JOHNSONBURG ROAD ST MARYS PA 15857 251623601 HEALTHCARE PA 501(c)(3) 10 CNI true DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVENUE DUBOIS PA 15810 256332829 DRMC EMP BENE PA 501(c)(9) DRMC true JEFFCO HEALTH SERVICES INC 417 ROUTE 28 BROOKVILLE PA 15825 251505478 HEALTHCARE PA 501(c)(3) 10 BROOKVILLE true JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 231352159 HOSPITAL PA 501(c)(3) 3 PHH true JC BLAIR MEMORIAL HOSPITAL FOUNDATION 935 14TH STREET HUNTINGDON PA 16652 251881377 SUPPORT HOSP PA 501(c)(3) Type I PHH true DRMC WORKERS COMPENSATION TRUST PO BOX 447 DUBOIS PA 15801 251741497 SUPPORT HOSP PA 501(c)(3) Type II DRMC true HELPMATES INC 757 JOHNSONBURG RD ST MARYS PA 15857 251555968 HEALTHCARE PA 501(c)(3) 10 CNI true PENN HIGHLANDS TYRONE 187 HOSPITAL DRIVE TYRONE PA 16686 231440116 HOSPITAL PA 501(c)(3) 3 PHH true TYRONE REGIONAL HEALTH NETWORK FOUNDATIO 187 HOSPITAL DRIVE TYRONE PA 16686 814504606 SUPPORT PA 501(c)(3) Type I PH TYRONE true HIGHLANDS HOSPITAL 401 EAST MURPHY AVENUE CONNELSVILLE PA 15425 251494705 HOSPITAL PA 501(c)(3) 3 PHH true HIGHLANDS HOSPITAL FOUNDATION 401 EAST MURPHY AVENUE CONNELSVILLE PA 15425 843713870 SUPPORT HOSP PA 501(c)(3) Type I PHH true WRC HEALTH CARE SUPPORT SERVICES 985 ROUTE 28 BROOKVILLE PA 15825 251601734 HEALTHCARE PA 501(c)(3) 10 WRC SR SRVCS true WRC SENIOR SERVICES 985 ROUTE 28 BROOKVILLE PA 15825 251552925 HEALTHCARE PA 501(c)(3) 10 DRMC true WRC NORTH FORK HEIGHTS 985 ROUTE 28 BROOKVILLE PA 15825 251684846 HEALTHCARE PA 501(c)(3) 10 WRC SR SRVCS true WRC PENNSYLVANIA MEMORIAL HOME 985 ROUTE 28 BROOKVILLE PA 15825 250718600 HEALTHCARE PA 501(c)(3) 10 WRC SR SRVCS true MONONGAHELA VALLEY HOSPITAL FOUNDATION 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 825336533 FUNDRAISING PA 501(c)(3) Type II PHH true MONONGAHELA VALLEY HOSPITAL INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 237218917 HOSPITAL PA 501(c)(3) 3 PHH true CLEARFIELD EMS 713 W FRONT ST CLEARFIELD PA 16830 251672659 EMS SERVICE PA 501(c)(3) 10 PHH true ELK REGIONAL HEALTH CENTER 763 JOHNSONBURG ROAD ST MARYS PA 15857 250585280 HEALTHCARE PA 501(c)(3) 3 PHH true BROOKCARE INC 100 HOSPITAL ROAD BROOKVILLE PA 15825 OFFICE SPACE PA BROOKVILLE C Corporation 0 1084778 1 true HC AND JB BEACH MEMORIAL FUND 800 PHILADELPHIA ST INDIANA PA 15701 TRUST PA BROOKVILLE Trust 0 256311 1 true JC BLAIR MEDICAL SERVICES INC 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 HEALTH CARE PA PHH C Corporation 0 0 false DUBOIS MEDICAL SUPPLY PO BOX 263 DUBOIS PA 15801 251417990 MEDICAL SUPPLIES PA DRMC C Corporation false PREMIER HEALTH CARE STAFFING INC 100 HOSPITAL AVE DUBOIS PA 15802 874757426 STAFFING SERVICES PA DRMC C Corporation false PENN HIGHLANDS LIFE'S JOURNEY 100 HOSPITAL AVE DUBOIS PA 15801 824943778 MEDICAL SERVICES PA DRMC C Corporation false DUBOIS REGIONAL MEDICAL GROUP PO BOX 447 DUBOIS PA 15801 251856569 MEDICAL SERVICES PA DRMC C Corporation false false false true false false false false false false true false true false true true true true true true WRC SENIOR SERVICES Q 191009 COST ELK REGIONAL HEALTH CENTER O 122739 COST ELK REGIONAL HEALTH CENTER P 67449 COST