2026-05-15T20:48:14-05:00 2024-06-30 135565207 KPMG LLP 1735 MARKET STREET PHILADELPHIA PA 191032499 990 2023-07-01 231440116 TYRONE HOSPITAL TYRO 8146841255 187 HOSPITAL DRIVE TYRONE PA 16686 DOUGLAS WINNER CFO 8146841255 2026-05-15 1 0 PHILLIP E GROFF P01247783 2672567000 2023 2025-03-06 01:10:19Z PENN HIGHLANDS TYRONE RHONDA HALSTEAD 187 HOSPITAL DRIVE TYRONE PA 16686 28944152 0 X WWW.PHHEALTHCARE.ORG X 1954 PA PROVIDING QUALITY HEALTHCARE TO OUR NORTHERN BLAIR COUNTY COMMUNITY MEMBERS AND (SEE SCHEDULE O)PROVIDING QUALITY HEALTHCARE TO OUR NORTHERN BLAIR COUNTY COMMUNITY MEMBERS AND SURROUNDING AREAS THAT ARE CLOSE TO HOME. 10 10 179 14 1145 0 40543 81792 25768305 28379109 32917 33507 282645 318264 26124410 28812672 0 0 0 0 12959214 12681297 0 0 0 15033235 16058047 27992449 28739344 -1868039 73328 22286402 29154093 8887256 14328840 13399146 14825253 X TO PROVIDE EXCEPTIONAL CARE THROUGH OUR COMMUNITY-BASED HEALTH SYSTEM WHILE MAINTAINING A REVERENCE FOR LIFE. SEE SCHEDULE O. 0 0 26249013 28379109 TYRONE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO THE PEOPLE OF NORTHERN BLAIR COUNTY AND SURROUNDING COMMUNITIES. DURING THE FISCAL YEAR ENDED JUNE 30, 2024, TYRONE HOSPITAL SERVED 402 INPATIENTS AND HAD 32,372 OUTPATIENTS VISITS. RHC TYRONE, RHC HOUTZDALE AND PINECROFT, WHICH WAS TRANSFERRED TO PH HUNTINGDON ON 10/1/2023, ARE DEPARTMENTS OF TYRONE HOSPITAL THAT PROVIDE FAMILY PRACTICE PHYSICIANS TO THE COMMUNITY. THESE PHYSICIANS SERVICED APPROXIMATELY 11,536 PATIENTS DURING THE FISCAL YEAR ENDED JUNE 30, 2024. 26249013 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 51 0 1 179 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 PA X RHONDA F HALSTEAD 8146841255 187 HOSPITAL DRIVE TYRONE PA 16686 X MIRANDA K PERUSO CHAIR (END 6/2024) 2.00 2.00 X X 0 0 0 OSCAR JOHNSTON VICE-CHAIR 2.00 2.00 X X 0 0 0 LESLIE ESTEP SECRETARY 2.00 2.00 X X 0 0 0 TODD LEWIS TREASURER 2.00 2.00 X X 0 0 0 CHERYL SHOPE DIRECTOR 1.00 1.00 X 0 0 0 ANTOINETTE GRAY DIRECTOR 1.00 1.00 X 0 0 0 DR MARGARET HALLAHAN DIRECTOR 1.00 1.00 X 0 0 0 DAVID HILEMAN DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM HOOVER DIRECTOR (END 6/2024) 1.00 1.00 X 0 0 0 DR KARA KIMBERLY DIRECTOR (END 1/2024) 1.00 1.00 X 0 573590 2932 IVALOU NOUTLON MLT ASCP DIRECTOR (END 4/2024) 1.00 1.00 X 0 0 0 ROBERT SLOSS DIRECTOR 1.00 1.00 X 0 0 0 PETER HOPSICKER DIRECTOR (END 6/2024) 1.00 1.00 X 0 0 0 FRED PRICE DIRECTOR 1.00 1.00 X 0 0 0 DR MARIA PETTINGER MD DIRECTOR 1.00 1.00 X 0 0 0 RHONDA HALSTEAD REGIONAL MARKET PRESIDENT, CENTRAL REGION 40.00 0.00 X 0 387507 29527 CLEMENT FARABAUGH ANESTHETIST 40.00 0.00 X 234546 0 22739 KENNETH LEE PHYSICIAN 40.00 0.00 X 139969 0 733 SUSAN FLUKE PHARMACY DIRECTOR 40.00 0.00 X 129279 0 20567 503794 961097 76498 3 0 1 0 MAXIM HEALTHCARE 7227 LEE DEFOREST DRIVE COLUMBIA MD 21046 AGENCY NURSING/LOCUM 753409 APOGEE MEDICAL MANAGEMENT 15059 N SCOTSDALE ROAD SUITE 600 SCOTTSDALE AZ 85254 LOCUM PHYSICIANS 664588 ALLEGHENY ANESTHETISTS PO BOX 108 HOLLIDAYSBURG PA 16648 ANESTHETISTS 307717 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 30384 STAFFING SERVICES 278561 AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 STAFFING SERVICES 260303 8 81792 81792 NET PATIENT SERVICE RE 621110 28348979 28348979 OTHER REVENUE 900099 30130 30130 28379109 31521 31521 380384 131480 248904 248904 1145 247759 1986 0 1986 1986 1986 CAFETERIA 900099 66771 66771 VENDING MACHINE 900099 2589 2589 69360 28812672 28379109 1145 350626 X 11773047 10478012 1295035 2903 2584 319 132156 117618 14538 773191 688140 85051 2775 2775 3510237 3124110 386127 1166 1038 128 366944 326580 40364 1105449 983850 121599 26122 23249 2873 15956 14201 1755 796554 708933 87621 MEDICAL SUPPLIES & DRUG 6122429 6122429 PENN HIGHLANDS ASESSMEN 3797619 3379881 417738 REPAIR AND MAINTENANCE 301107 267985 33122 LICENSES, DUES, SUBSCRI 11689 10403 1286 28739344 26249013 2490331 0 187578 16846 4429924 176381 5818082 6692694 435111 402386 116386 106494 29105963 23182549 4321089 5923414 617845 617845 6360387 15218033 22286402 29154093 3446562 3140403 273321 251843 274374 226380 4892999 10710214 8887256 14328840 X 12486613 13817735 912533 1007518 13399146 14825253 22286402 29154093 X 73328 1352779 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 0 PART II-B, LINE 1: OTHER LOBBYING ACTIVITIES: THE ORGANIZATION IS A MEMBER OF THE HOSPITAL COUNCIL OF WESTERN PA AND HOSPITAL ASSOCIATION OF PA. ANNUAL MEMBERSHIP DUES FOR EACH ORGANIZATION ARE PAID BY A RELATED ORGANIZATION, PENN HIGHLANDS HEALTHCARE. A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. 666175 8068 71005 745248 612455 2587 51133 666175 814746 33299 -235590 612455 668167 29587 116992 814746 649671 3607 14889 668167 1.00000 1 0 5846 5846 21949545 18502212 3447333 6127094 4485242 1641852 1023478 195095 828383 5923414 DUE FROM AFFILIATES 9565053 INTERCOMPANY RECEIVABLE 2746250 OTHER ASSETS 1542992 ROU ASSET - LEASES 1323549 SECURITY DEPOSITS 36535 EMPLOYEE ADVANCES 3654 15218033 INTERCOMPANY PAYABLE 7819332 OTHER LIABILITIES 1559779 ROU LIAB- LEASES 1331103 10710214 X PART V, LINE 4: ENDOWMENT FUNDS: THE ENDOWMENT FUNDS ARE HELD TO SUPPORT THE OPERATION AND MAINTENANCE OF TYRONE HOSPITAL. PART X, LINE 2: UNCERTAIN TAX POSITIONS: TYRONE 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 ENTITITES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS 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 EXTEND 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. 1 1 X 1 X 1 X 1 1 0 1 1 91456 91456 0.00320 4597905 6159342 0 0.00000 4689361 6159342 91456 0.00320 2639651 1354759 1284892 0.04470 2639651 1354759 1284892 0.04470 7329012 7514101 1376348 0.04790 0 1456432 243105 3928672 4046523 -117851 X 1 1 1 1 TYRONE HOSPITAL 187 HOSPITAL DRIVE TYRONE PA 16686 WWW.PHHEALTHCARE.ORG 46030101 X X X TYRONE HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X SEE PART V, SECTION C 1 24 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X X 1 X 0 0 TYRONE HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY HEALTH NEEDS ASSESSMENTFOR THE TAX YEAR ENDED JUNE 30, 2024, PENN HIGHLANDS TYRONE CONTINUED TO ADDRESS THE SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN ITS 2021 CHNA AND IN WHICH THE IMPLEMENTATION STRATEGY PLAN (ISP) WAS ADOPTED FOR FISCAL YEARS 2022, 2023 AND 2024.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 TYRONE 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 TYRONE 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 TYRONE 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 TYRONE 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 TYRONE WILL LEVERAGE ITS STRENGTHS, EXTENSIVE RESOURCES, AND BROAD OUTREACH CAPABILITIES TO COLLABORATE EFFECTIVELY WITH COMMUNITY PARTNERS. TOGETHER, PENN HIGHLANDS TYRONE 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 TYRONE EFFORTS BENEFIT THE RESIDENTS THEY SERVE. TYRONE HOSPITAL PART V, SECTION B, LINE 6A: CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES:- PENN HIGHLANDS BROOKVILLE- PENN HIGHLANDS CLEARFIELD- PENN HIGHLANDS CONNELLSVILLE- PENN HIGHLANDS DUBOIS- PENN HIGHLANDS ELK- PENN HIGHLANDS MON VALLEY- PENN HIGHLANDS STATE COLLEGE- PENN HIGHLANDS TYRONESCHEDULE H, PART V, SECTION B, LINE 7AWEBSITE WHERE CHNA IS AVAILABLE:HTTPS://WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCHEDULE H, PART V, SECTION B, LINE 10AWEBSITE WHERE IMPLEMENTATION STRATEGY IS AVAILABLE:HTTPS://WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT TYRONE HOSPITAL PART V, SECTION B, LINE 6B: CHNA CONDUCTED WITH OTHER ORGANIZATIONS:- TRIPP UMBACH, A HEALTHCARE CONSULTING FIRM TYRONE HOSPITAL PART V, SECTION B, LINE 11: FOR THE TAX YEAR ENDED JUNE 30, 2024, PENN HIGHLANDS TYRONE ADDRESSED THE SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN ITS 2021 CHNA AND IN WHICH THE IMPLEMENTATION STRATEGY PLAN WAS ADOPTED FOR FISCAL YEARS 2022, 2023 AND 2024. THE 2024 CHNA WILL BE EFFECTIVE FOR FISCAL YEARS 2025, 2026, AND 2027.SENIOR LEADERS FROM PENN HIGHLANDS TYRONE 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 TYRONE 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 TYRONE HIGHLIGHTED THE FOLLOWING COMMUNITY NEEDS:- ACCESS TO CARE- BEHAVIORAL HEALTH; AND- CHRONIC DISEASES/CONDITIONSPENN HIGHLANDS TYRONE SUMMARY OF IMPLEMENTATION STRATEGY:PENN HIGHLANDS TYRONE 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 TYRONE 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 CAREGOAL: IMPROVE ACCESS TO CARE FOR RESIDENTS WITHIN THE PENN HIGHLANDS TYRONE SERVICE AREA.OBJECTIVES:1. RECRUIT PRIMARY AND SPECIALTY CARE PROVIDERS USING PHH RECRUITMENT PLAN.2. EVALUATE THE NEED TO ENHANCE CURRENT VAN TRANSPORTATION SERVICE.3. STRENGTHEN ALS/BLS TRANSPORTS WITHIN PHH SYSTEM.4. IMPLEMENT INFUSION CENTER FOR CANCER CARE.PENN HIGHLANDS TYRONE'S AVAILABLE RESOURCES INCLUDE, PENN HIGHLANDS HEALTHCARE (PHH), PENN HIGHLANDS PHYSICIAN NETWORK (PHPN), AND INTERNAL EDUCATION WITH CASE MANAGEMENT.PENN HIGHLANDS TYRONE'S COLLABORATIVE PARTNERS INCLUDE, SENIOR CENTER, COMMUNITY ACTION, AND EXTERNAL HEALTHCARE PROVIDERS (DAVITA).CHNA SIGNIFICANT HEALTH NEED: ACCESS TO CARE (CANCER)GOAL: EARLY DETECTION AND PREVENTIONOBJECTIVES:1. INCREASE COMMUNITY AWARENESS AND ENGAGEMENT REGARDING CANCER PREVENTION AND SCREENING.2. SEEK OPPORTUNITIES FOR PUBLIC SPEAKING ENGAGEMENTS.3. PROGRESSIVELY EXPAND ADVOCACY GROUPS, INCLUDING COMMUNITY VOLUNTEERS AND PATIENT GROUPS, TO COVER ALL REGIONS.4. TRI-COUNTY SUNDAY EDUCATION ARTICLES FOR THE COMMUNITY RADIO EDUCATION SPOTS.5. INCREASE CANCER AWARENESS AMONG INFLUENTIAL GROUPS AND THE PUBLIC.6. MONTHLY SOCIAL COMMITTEE MEETINGS.7. ENGAGE AND MOBILIZE KEY STAKEHOLDERS WITHIN THE CANCER COMMUNITY WHO WILL CHAMPION THE DEVELOPMENT AND IMPLEMENTATION OF AN AWARENESS PLAN FOR CANCER PREVENTION.8. DEVELOP RELATIONSHIPS WITH STAKEHOLDERS WITHIN THE CANCER COMMUNITY.PENN HIGHLANDS TYRONE'S AVAILABLE RESOURCES INCLUDE, ADVANCED PRACTICE PHYSICIANS (APP), REGISTERED NURSES, PHYSICIANS, GI LAB PHYSICIAN LEADERS, GI LAB ADMIN LEADERS, PHH MARKETING, AND PHH PRACTICE MANAGEMENT.PENN HIGHLANDS TYRONE'S COLLABORATIVE PARTNERS INCLUDE, AREA AGENCY ON AGING, PHARMACEUTICAL COMPANIES, AND COMMUNITY STAKEHOLDERS.CHNA SIGNIFICANT HEALTH NEED: BEHAVIORAL HEALTHGOAL: COLLABORATE WITH COMMUNITY SUBSTANCE ABUSE PROVIDERS TO REDUCE SUBSTANCE ABUSE.OBJECTIVE: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 TYRONE COLLABORATIVE PARTNERS:- 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 HOSPITAL OPIOID PROGRAM (RHOP)- TRI-COUNTY DRUG AND ALCOHOL- DRUG AND ALCOHOL TREATMENT PROVIDERS- LOCAL CONSTABLES- UBER- SOCIAL SERVICE AGENCIES- WORK WITH LOCAL VISTA (AMERICORPS FUNDED PROGRAM AT JUNIATA COLLEGE)- NET LEARNING ON DRUG TRENDS AND TREATMENTPENN HIGHLANDS TYRONE'S AVAILABLE RESOURCES INCLUDE PHH STAFF.PENN HIGHLANDS TYRONE'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 HOSPITAL OPIOID PROGRAM (RHOP), TRI-COUNTY DRUG AND ALCOHOL, DRUG AND ALCOHOL TREATMENT PROVIDERS, LOCAL CONSTABLES, UBER, SOCIAL SERVICE AGENCIES, WORK WITH LOCAL VISTA (AMERICORPS FUNDED PROGRAM AT JUNIATA COLLEGE), AND NET LEARNING ON DRUG TRENDS AND TREATMENT.CHNA SIGNIFICANT HEALTH NEED: CHRONIC DISEASES/CONDITIONSGOAL: EXPAND AWARENESS AND SERVICES TO PROMOTE PREVENTIVE HEALTH AND WELLNESS THROUGHOUT THE COMMUNITY.OBJECTIVE:1. EXPLORE PERSONNEL RESOURCES TO ENSURE ADEQUATE COVERAGE BY A REGISTERED DIETICIAN.2. EXPAND PROCESS FOR INDIVIDUALIZED EDUCATION (THROUGH THE USE OF A DISCHARGE PACKET) FOR DIABETES PATIENTS INCLUDING TEACHING ON DISEASE PROCESS, MEDICATION MANAGEMENT, SELFCARE ACTIVITIES, DME NEED AND USE, AND SYMPTOM RECOGNITION AS WELL AS COORDINATION OF FOLLOW-UP APPTS.3. INCORPORATE PROCESS OF REVIEW ON HEALTH LITERACY TO INVESTIGATE AND SUPPORT BETTER UNDERSTANDING FOR PATIENT SELF-MANAGEMENT.4. STRENGTHEN CARE COORDINATION THROUGH COMMUNITY PARTNERSHIPS, INCLUDING USE OF REFERRAL SOFTWARE/WEBSITE TO SUPPORT E-REFERRAL PROCESS TO COMMUNITY RESOURCES TO ADDRESS SDOH NEEDS.PENN HIGHLANDS TYRONE COLLABORATIVE PARTNERS:- REGIONAL ORGANIZATIONS- COMMERCIAL PAYERS- COMMUNITY PROGRAMSPENN HIGHLANDS TYRONE'S AVAILABLE RESOURCES INCLUDE PENN HIGHLANDS HEALTHCARE (PHH), INPATIENT UNITS, PHH CASE MANAGEMENT, AND PENN HIGHLANDS PHYSICIAN NETWORK (PHPN).PENN HIGHLANDS TYRONE'S COLLABORATIVE PARTNERS INCLUDE, REGIONAL ORGANIZATIONS, COMMERCIAL PAYERS, AND COMMUNITY PROGRAMS.SIGNIFICANT HEALTH NEEDS NOT ADDRESSED:THE ISP IS NOT MEANT TO PROVIDE AN EXHAUSTIVE LIST OF HOW PENN HIGHLANDS TYRONE 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 VI, SECTION B, LINES 16A, 16B, & 16CFAP, FAP APPLICATION, PLAIN LANGUAGE SUMMARY:HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY TYRONE HOSPITAL PART V, SECTION B, LINE 16J: FAP AVAILABILITY:FINANCIAL COUNSELORS DISCUSS THE AVAILABILITY OF DISCOUNTED AND CHARITY CARE INDIVIDUALLY WITH PATIENTS. TYRONE HOSPITAL PART V, SECTION B, LINE 20E: OTHER REASONABLE EFFORTSTHE BILLING STATEMENT STATES THAT THERE IS A FAP AVAILABLE AND GIVES INFORMATION ON HOW TO CONTACT SOMEONE FOR THE APPLICATION. PART I, LINE 7: COSTING METHODOLOGY:CHARITY CARE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT.PART I, LINE 7: PERCENT OF TOTAL EXPENSE: 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). PART III, LINE 2: 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, 2024. 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. PART III, LINE 3: BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE:THE SYSTEM HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TOUNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES SUCH ASCOPAYS AND DEDUCTIBLES. THE IMPLICIT PRICE CONCESSIONS INCLUDED INESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTSBILLED TO PATIENTS AND THE AMOUNTS THE SYSTEM EXPECTS TO COLLECT BASED ONITS COLLECTION HISTORY WITH THOSE PATIENTS. SUBSEQUENT CHANGES THAT AREDETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITYTO PAY ARE RECORDED AS BAD DEBT EXPENSE FOR FINANCIAL REPORTING. LINE 3REPORTS THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS FROM THE INTERNALFINANCIAL STATEMENTS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMITDEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. PART III, LINE 4: 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 PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: COMMUNITY BENEFIT:SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. PART III, LINE 9B: COLLECTION POLICY:THE HOSPITAL OFFERS FREE AND DISCOUNTED CHARITY CARE TO THOSE PATIENTS WHO QUALIFY. A PATIENT WITH FAMILY INCOME AT OR BELOW 200% OF SCHEDULE A OF THE POVERTY GUIDELINES, OR BELOW THIS LEVEL DUE TO MEDICAL INDIGENCY, IS ELIGIBLE TO RECEIVE FREE MEDICAL SERVICES. DISCOUNTED SERVICES ARE OFFERED TO PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 300% OF SCHEDULE A OF THE POVERTY GUIDELINES. PART VI, LINE 2: 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. PART VI, LINE 3: PATIENT EDUCATION 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. PART VI, LINE 4: COMMUNITY INFORMATION:TYRONE HOSPITAL SERVES RESIDENTS IN BLAIR AND CENTRE COUNTIES IN PENNSYLVANIA. BLAIR COUNTY HAS A POPULATION OF APPROXIMATELY 122,000 AND CENTRE COUNTY HAS A POPULATION OF APPROXIMATELY 158,000. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR BLAIR COUNTY IS $59,386, AND THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR CENTRE COUNTY IS $70,087, WHICH ARE BOTH BELOW THE PENNSYLVANIA AVERAGE OF $73,170. APPROXIMATELY 13% OF BLAIR COUNTY RESIDENTS AND 16% OF CENTRE COUNTY RESIDENTS LIVE IN POVERTY. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:TYRONE HOSPITAL, IN PARTNERSHIP WITH ITS MEDICAL STAFF, ITS EMPLOYEES, ITS BOARD AND OTHER AREA PROVIDERS, WILL BE THE HIGH QUALITY, PRIMARY CARE HOSPITAL OF FIRST CHOICE BY OUR NEIGHBORS. WE WILL BE RECOGNIZED WITHIN OUR COMMUNITY AS THE CENTER OF CUSTOMER ORIENTED CURATIVE, RESTORATIVE, AND PREVENTATIVE, HEALTH CARE SERVICES. WE WILL PARTICIPATE IN COMPREHENSIVE REGIONAL HEALTH CARE SYSTEMS THAT WORK COOPERATIVELY WITH OTHER AREA PROVIDERS, INSURERS, AND BUSINESSES TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITY. WE WILL ENSURE THAT OUR SERVICES CONTINUE TO BE OF VALUE TO OUR NEIGHBORS BY A PROCESS OF CONTINUOUS IMPROVEMENT OF OUR SERVICES AND OUR PHYSICAL ASSETS. THE HEALTH CARE YOU NEED, COMFORTABLY, AND WITHOUT TRAVELING LONG DISTANCES. THE HOSPITAL USES ANY EXCESS IN REVENUES OVER EXPENSES TO FUND IMPROVEMENTS IN PATIENT CARE IN ORDER TO PROVIDE THE COMMUNITY WITH STATE OF THE ART EQUIPMENT AND FACILITIES. THE HOSPITAL RECRUITS THE BEST AND THE BRIGHTEST TO PROVIDE SERVICES TO THE COMMUNITY WHERE THERE IS A NEED AND A SHORTAGE OF PHYSICIANS. THE HOSPITAL EXTENDS MEDICAL PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE GOVERNING BODY IS COMPRISED OF LOCAL RESIDENTS WHO HAVE THE BEST INTEREST OF THE COMMUNITY. A MAJORITY OF THE GOVERNING BODY CONSISTS OF INDIVIDUALS WHO ARE NEITHER EMPLOYEES OF THE ORGANIZATION NOR CONTRACTORS OF THE ORGANIZATION. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:TYRONE 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 AND PENN HIGHLANDS TYRONE. PHH OPERATES 9 HOSPITAL FACILITIES ACROSS PENNSYLVANIA, EACH OF WHICH IS THE LARGEST EMPLOYER IN ITS HOMETOWN. THE SYSTEM ALSO INCLUDES A VARIETY OF OTHER AFFILIATES THAT SUPPORT ITS EXEMPT MISSION, SUCH AS NURSING HOMES, HOME CARE AGENCIES, MEDICAL EQUIPMENT SUPPLIERS, PHARMACIES, ETC.PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT:PA 0 0 0 0 0 0 0 1 0 DR KARA KIMBERLY DIRECTOR (END 1/2024) 0 554371 0 18229 0 990 0 0 0 2932 0 576522 0 0 RHONDA HALSTEAD REGIONAL MARKET PRESIDENT, CENTRAL R 0 336783 0 35194 0 15530 0 0 0 29527 0 417034 0 0 CLEMENT FARABAUGH ANESTHETIST 231512 0 1600 0 1434 0 0 0 22739 0 257285 0 0 0 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. PART I, LINE 7 THE ORGANIZATION PROVIDED DISCRETIONARY BONUSES TO THE REPORTABLE INDIVIDUALS ON PART VII, SECTION A TO THE EXTENT BONUSES WERE PAID BY THE FILING ORGANIZATION. DISCRETIONARY BONUSES ARE APPROVED BY THE BOARD. FORM 990, PART III, LINE 1: ORGANIZATION'S MISSION: PROVIDERS WILL BE THE HIGH QUALITY PRIMARY CARE HOSPITAL OF FIRST CHOICE BY OUR NEIGHBORS. WE WILL BE RECOGNIZED WITHIN OUR COMMUNITY AS THE CENTER OF CUSTOMER ORIENTED CURATIVE, RESTORATIVE, AND PREVENTATIVE HEALTH CARE SERVICES. WE WILL PARTICIPATE IN COMPREHENSIVE REGIONAL HEALTH CARE SYSTEMS THAT WORK COOPERATIVELY WITH OTHER AREA PROVIDERS, INSURERS, AND BUSINESSES TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITY. WE WILL ENSURE THAT OUR SERVICES CONTINUE TO BE OF VALUE TO OUR NEIGHBORS BY A PROCESS OF CONTINUOUS IMPROVEMENT OF OUR SERVICES AND OUR PHYSICAL ASSETS. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: PHH HOLDS CERTAIN POWERS, INCLUDING THE APPROVAL OF THE ELECTION AND REMOVAL OF OFFICERS AND DIRECTORS AND APPROVAL OF ANY AND ALL AMENDMENTS TO THE BYLAWS OR OTHER ORGANIZATIONAL/GOVERNANCE DOCUMENTS. PHH SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE ELECTION AND REMOVAL OF DIRECTORS: PRIOR TO THE END OF PHH'S FISCAL YEAR, THE PHH BOARD WILL MEET TO ELECT THE DIRECTORS, WITH THE EXCEPTION OF EX-OFFICIO DIRECTORS. AT LEAST SIXTY (60) DAYS IN ADVANCE OF THIS MEETING, 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 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 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 THIS ORGANIZATION DESIRES TO FILL A VACANCY OCCURRING ON ITS BOARD, THE PHH GOVERNANCE/NOMINATING COMMITTEE AND THE BOARD OF PHH, AT THE REQUEST OF ELK, SHALL ACT TO FILL SUCH VACANCY. SUBJECT TO THE APPROVAL OF PHH AS SET FORTH IN THE BYLAWS, THE ARTICLES AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS OR ARTICLES MAY BE ADOPTED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE BOARD. WRITTEN NOTICE OF THE INTENT TO AMEND THE BYLAWS OR THE ARTICLES AND A DRAFT OF THE PROPOSED CHANGE SHALL BE SENT TO ALL DIRECTORS, BY THE SECRETARY, AT LEAST FIVE (5) DAYS PRIOR TO ANY MEETING AT WHICH AMENDMENT OF THE BYLAWS OR THE ARTICLES IS INTENDED. FORM 990, PART VI, SECTION A, LINE 7A SEE SCHEDULE O LINE 6 EXPLANATION ABOVE. FORM 990, PART VI, SECTION A, LINE 7B SEE SCHEDULE O LINE 6 EXPLANATION ABOVE. FORM 990, PART VI, SECTION A, LINE 8B THE GOVERNING BODY HAS NOT AUTHORIZED ANY COMMITTEES TO ACT ON ITS BEHALF. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE DRAFT FORM 990 IS REVIEWED BY THE CFO AND THE 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, SECTION B, LINE 12C MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: PENN HIGHLANDS HEALTHCARE, INC. (PHH), MAINTAINS A CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL SUBSIDIARIES. THE CONFLICT OF INTEREST POLICY APPLIES TO BOARD MEMBERS, OFFICERS, EXECUTIVE EMPLOYEES, AND ANY OTHER MANAGER OR SUPERVISOR EXERCISING SUBSTANTIAL INFLUENCE OVER OPERATIONS. EACH COVERED PERSON WILL PROMPTLY AND FULLY DISCLOSE ALL MATERIAL FACTS OF EVERY ACTUAL OR POTENTIAL DUAL INTEREST EXISTING AT THE TIME WHEN HE/SHE BECOMES A COVERED PERSON, AND ANNUALLY THROUGH EACH PHH SYSTEM ENTITY'S DISCLOSURE STATEMENT, WHICH REQUESTS DISCLOSURE OF RELATIONSHIPS, INVESTMENTS, AND TRANSACTIONS THAT MAY LEAD TO AN ACTUAL CONFLICT OF INTEREST. ALL COMPLETED DISCLOSURE STATEMENTS WILL BE PROVIDED TO THE PHH GOVERNANCE/NOMINATING COMMITTEE. THIS COMMITTEE, IN CONSULTATION WITH THE CHAIRPERSON OR VICE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD, SHALL EVALUATE THE COMPLETED DISCLOSURE STATEMENTS AND DETERMINE IF THERE ARE ANY CONFLICTS THAT ARE SO PERVASIVE AS TO RENDER ANY COVERED PERSON INELIGIBLE FOR SERVICE. THE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD WILL DISCLOSE TO THE FULL BOARD OF SAID PHH SYSTEM ENTITY ALL DUAL INTERESTS REPORTED TO HIM OR HER UNDER THE POLICY AND WILL ALSO MAKE THE DISCLOSURE STATEMENTS OF ALL COVERED PERSONS AVAILABLE TO DIRECTORS AT ANY TIME DURING THE YEAR. IF A POTENTIAL DUAL INTEREST ARISES AS A RESULT OF A CONTEMPLATED PHH SYSTEM ENTITY BOARD (OR COMMITTEE) ACTION, THE CHAIRPERSON OF SAID PHH SYSTEM ENTITY'S BOARD OR THE INTERESTED PERSON SHALL, OR ANY OTHER DIRECTOR MAY, RAISE THE QUESTION OF THE INTERESTED PERSON'S DUAL INTEREST. THE DISINTERESTED MEMBERS OF THE PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION, ARRANGEMENT, OR POLICY GIVING RISE TO THE DUAL INTEREST TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION, ARRANGEMENT, OR POLICY. A COVERED PERSON WHO HAS A DUAL INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE A PRESENTATION TO SAID BOARD (OR COMMITTEE), TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. IF A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE DETERMINES THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON SHALL BE SO ADVISED AND THE CHAIRPERSON OF A PHH SYSTEM ENTITY'S BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE OR DIRECT MANAGEMENT TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, IF THIS HAS NOT ALREADY BEEN DONE. ANY INTERESTED PERSON WHO HAS AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING ANY SUCH TRANSACTION OR ARRANGEMENT. IF AN INDIVIDUAL WHOSE COMPANY OR EMPLOYER HAS A BUSINESS RELATIONSHIP WITH A PHH SYSTEM ENTITY, BUT THE INDIVIDUAL DOES NOT HAVE AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THIS BUSINESS RELATIONSHIP, THE INDIVIDUAL MAY NONETHELESS VOLUNTARILY RECUSE HIM/HERSELF FROM VOTING ON ANY MATTERS RELATED TO THE RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION DETERMINATION: THERE WERE NO OFFICERS OR KEY EMPLOYEES COMPENSATED BY THE FILING ORGANIZATION DIRECTLY, THEREFORE, PART VI, LINE 15A AND 15B ARE ANSWERED "NO" IN ACCORDANCE WITH THE IRS INSTRUCTIONS. THE PENN HIGHLANDS HEALTHCARE (PHH) EXECUTIVE COMPENSATION COMMITTEE CONSULTS WITH THE HEALTHCARE CONSULTING FIRM, YAFEE & COMPANY TO OBTAIN COMPARABLE DATA TO MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING EXECUTIVE COMPENSATION. THE PENN HIGHLANDS HEALTHCARE BOARD OF DIRECTORS IS ACUTELY AWARE OF THE HEIGHTENED PUBLIC SCRUTINY OF EXECUTIVE COMPENSATION AND THE NEED TO CONSIDER REGULATORY COMPLIANCE WHEN SETTING EXECUTIVE PAY. COMPENSATION REVIEWS ARE DONE ON A CONTINUOUS BASIS. COMPENSATION DETERMINATIONS OF PHH EMPLOYED OFFICERS ARE MADE BY THE PHH COMPENSATION COMMITTEE. COMPENSATION DETERMINATIONS OF CERTAIN EMPLOYED OFFICERS ARE ALSO REVIEWED AND APROVED BY THE PHH COMPENSATION COMMITTEE AND SHARED WITH THE COMPENSATION COMMITTEE OR BOARD. THE COMPENSATION COMMITTEE OF PHH STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE PHH EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE PHH BOARD ON A CONTINUOUS BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES, AS APPLICABLE, EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOTFORPROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARD OF PHH, AS APPLICABLE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A: BOARD MEMBER COMPENSATION: NO DIRECTORS RECEIVE ANY COMPENSATION FOR THEIR DIRECTOR DUTIES. DR. KARA KIMBERLY WAS COMPENSATED FOR HER DUTIES AS DIRECTOR. FORM 990, PART IX, LINE 11G COLLECTION FEES: PROGRAM SERVICE EXPENSES 46. MANAGEMENT AND GENERAL EXPENSES 6. TOTAL EXPENSES 52. COMMUNITY SERVICE: PROGRAM SERVICE EXPENSES 227. MANAGEMENT AND GENERAL EXPENSES 28. TOTAL EXPENSES 255. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,323,313. MANAGEMENT AND GENERAL EXPENSES 163,556. TOTAL EXPENSES 1,486,869. LAB SERVICES: PROGRAM SERVICE EXPENSES 138,556. MANAGEMENT AND GENERAL EXPENSES 17,125. TOTAL EXPENSES 155,681. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 448,407. MANAGEMENT AND GENERAL EXPENSES 55,421. TOTAL EXPENSES 503,828. MAINTENANCE DEPT EXP: PROGRAM SERVICE EXPENSES 27,764. MANAGEMENT AND GENERAL EXPENSES 3,431. TOTAL EXPENSES 31,195. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 181,751. MANAGEMENT AND GENERAL EXPENSES 22,464. TOTAL EXPENSES 204,215. PROF FEES PHYSICIANS-LOCUMS: PROGRAM SERVICE EXPENSES 639,676. MANAGEMENT AND GENERAL EXPENSES 79,061. TOTAL EXPENSES 718,737. PROF FEES -PHYS-MED DIR/OTH: PROGRAM SERVICE EXPENSES 364,370. MANAGEMENT AND GENERAL EXPENSES 45,035. TOTAL EXPENSES 409,405. FORM 990, PART XI, LINE 9: TRANSFERS TO AFFILIATES AND OTHER CHANGES IN NET ASSETS 1,352,779. TYRONE REGIONAL PHYSICIAN GROUP LLC 187 HOSPITAL DRIVE TYRONE PA 16686 231440116 PHYSICIAN GRP PA -3 4499 TYRONE HOSPITAL PENN HIGHLANDS HEALTHCARE PO BOX 447 DUBOIS PA 15801 320345810 MGMT SERVICES PA 501(C)(3) LINE 7 N/A 0 DUBOIS REGIONAL MEDICAL CENTER 100 HOSPITAL AVENUE DUBOIS PA 15801 251490707 HOSPITAL PA 501(C)(3) 3 PHH 1 ELCO HOUSING 759 JOHNSONBURG ROAD ST MARYS PA 15857 251639115 HOUSING PA 501(C)(3) 12 A I PHH 1 ELK REGIONAL PROFESSIONAL GROUP INC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251875183 HEALTHCARE PA 501(C)(3) 3 PHH 1 COMMUNITY NURSES HOME HEALTH & HOSPICE 757 JOHNSONBURG ROAD ST MARYS PA 15857 250996070 HEALTHCARE PA 501(C)(3) 10 CNI 1 COMMUNITY NURSES INC 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623598 HEALTHCARE PA 501(C)(3) 10 PHH 1 COMMUNITY NURSES HOME SUPPORT SERVICES 757 JOHNSONBURG ROAD ST MARYS PA 15857 251623601 HEALTHCARE PA 501(C)(3) 10 CNI 1 DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVENUE DUBOIS PA 15810 256332829 DRMC EMP BENE PA 501(C)(9) DRMC 1 JEFFCO HEALTH SERVICES INC 417 ROUTE 28 BROOKVILLE PA 15825 251505478 HEALTHCARE PA 501(C)(3) 10 BROOKVILLE 1 JC BLAIR MEMORIAL HOSPITAL FOUNDATION 935 14TH STREET HUNTINGDON PA 16652 251881377 SUPPORT HOSP PA 501(C)(3) 12 A I PHH 1 DRMC WORKERS COMPENSATION TRUST PO BOX 447 DUBOIS PA 15801 251741497 SUPPORT HOSP PA 501(C)(3) 12 B II DRMC 1 HELPMATES INC 757 JOHNSONBURG RD ST MARYS PA 15857 251555968 HEALTHCARE PA 501(C)(3) 10 CNI 1 JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 231352159 HOSPITAL PA 501(C)(3) 3 PHH 1 TYRONE REGIONAL HEALTH NETWORK FOUNDATION 187 HOSPITAL DRIVE TYRONE PA 16686 814504606 HOSPITAL PA 501(C)(3) 12 A I PH TYRONE 1 HIGHLANDS HOSPITAL 401 EAST MURPHY AVENUE CONNELSVILLE PA 15425 251494705 HOSPITAL PA 501(C)(3) 3 PHH 1 HIGHLANDS HOSPITAL FOUNDATION 401 EAST MURPHY AVENUE CONNELSVILLE PA 15425 843713870 SUPPORT HOSP PA 501(C)(3) 12 A I PHH 1 WRC HEALTH CARE SUPPORT SERVICES 985 ROUTE 28 BROOKVILLE PA 15825 251601734 HEALTHCARE PA 501(C)(3) 10 WRC SR SRVCS 1 WRC SENIOR SERVICES 985 ROUTE 28 BROOKVILLE PA 15825 251552925 HEALTHCARE PA 501(C)(3) 10 DRMC 1 WRC NORTH FORK HEIGHTS 985 ROUTE 28 BROOKVILLE PA 15825 251684846 HEALTHCARE PA 501(C)(3) 10 WRC SR SRVCS 1 WRC PENNSYLVANIA MEMORIAL HOME 985 ROUTE 28 BROOKVILLE PA 15825 250718600 HEALTHCARE PA 501(C)(3) 10 WRC SR SRVCS 1 MONONGAHELA VALLEY HOSPITAL FOUNDATION 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 825336533 FUNDRAISING PA 501(C)(3) 12 B II PHH 1 MONONGAHELA VALLEY HOSPITAL INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 237218917 HOSPITAL PA 501(C)(3) 3 PHH 1 CLEARFIELD EMS 713 W FRONT ST CLEARFIELD PA 16830 251672659 EMS SERVICE PA 501(C)(3) 10 PHH 1 BROOKVILLE HOSPITAL 100 HOSPITAL RD BROOKVILLE PA 15825 250984595 HOSPITAL PA 501(C)(3) 3 DRMC 1 ELK REGIONAL HEALTH CENTER 763 JOHNSONBURG RD ST MARYS PA 15857 250585280 HOSPITAL PA 501(C)(3) 3 PHH 1 JC BLAIR MEDICAL SERVICES INC 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 251881378 HEALTH CARE PA PHH C 0 PREMIER HEALTH CARE STAFFING INC 100 HOSPITAL AVE DUBOIS PA 15802 874757426 STAFFING SRVCS PA DRMC C 0 DUBOIS MEDICAL SUPPLY PO BOX 263 DUBOIS PA 15801 251417990 MEDICAL SUPPLIES PA DRMC C 0 PENN HIGHLANDS LIFE'S JOURNEY 100 HOSPITAL AVE DUBOIS PA 15801 824943778 MEDICAL SERVICES PA DRMC C 0 DUBOIS REGIONAL MEDICAL GROUP PO BOX 447 DUBOIS PA 15801 251856569 MEDICAL SERVICES PA DRMC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 DUBOIS REGIONAL MEDICAL CENTER S 5260162 COST JC BLAIR MEMORIAL HOSPITAL S 234939 COST