2024-05-13T09:38:27-05:00 2023-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-07-01 250965237 ARMSTRONG COUNTY MEMORIAL HOSPITAL % MATTHEW KOCIOLA ARMS 7245438618 ONE NOLTE DRIVE KITTANNING PA 16201 NICOLE D GERACI PRESIDENT AND CEO 7245438181 2024-05-15 true NICHOLE D GERACI 999009999 Brian D Todd P00422601 4178658701 2 2022 2023-04-26 12:10:37Z NICHOLE D GERACI ONE NOLTE DRIVE KITTANNING PA 16201 138258220 false X WWW.ACMH.ORG X 1874 PA THE MISSION OF ARMSTRONG MEMORIAL HOSPITAL IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF ARMSTRONG AND NEIGHBORING COUNTIES. 12 9 1100 37 262056 0 4299544 7584049 121547996 126741457 704814 476520 1934127 441203 128486481 135243229 10950 20948 0 0 65308617 64952413 0 0 0 65506619 70199897 130826186 135173258 -2339705 69971 79007323 70445087 40814741 37992823 38192582 32452264 X ACMH IS COMMITTED TO IMPROVING THE EMOTIONAL AND PHYSICAL HEALTH OF ITS PATIENTS THROUGH SUPERIOR CLINICAL CARE AND THE COMPASSIONATE MANAGEMENT OF ILLNESS AND DISABILITY. false true 69230658 97083956 ACMH HOSPITAL PROVIDES OUTPATIENT SERVICES SUCH AS RADIOLOGY, LABORATORY, EMERGENCY VISITS, AMBULATORY SURGERY, AND OTHER VARIOUS SERVICES. DURING THE FISCAL YEAR, TOTAL OUTPATIENT REGISTRATIONS WERE 179,608. 22045020 16369729 ACMH HOSPITAL PROVIDES INPATIENT SERVICES SUCH AS MEDICAL AND SURGICAL, SKILLED NURSING, OB/GYN, HOSPITALIST, ICU/CCU, PSYCHIATRIC AND NURSERY. ACMH HOSPITAL IS A CERTIFIED PRIMARY STROKE CENTER AND ALSO PERFORMS PERCUTANEOUS CORONARY INTERVENTION TO TREAT NARROWED CORONARY ARTERIES. DURING THE FISCAL YEAR, TOTAL ADMISSIONS WERE 3,517 AND PATIENT DAYS WERE 19,631. 6794495 5978860 ACMH HOSPITAL PROVIDES RURAL HEALTH CLINICS AT SEVERAL SURROUNDING COMMUNITY LOCATIONS INCLUDING LEECHBURG, ELDERTON, RURAL VALLEY, KITTANNING, WEST HILLS AND NEW BETHLEHEM. TOTAL VISITS FOR ALL PHYSICIAN CLINICS TOTALED 62,691. THE PHYSICIAN CLINICS ALSO OFFER CHARITY CARE UNDER THE SAME POLICY AS ACMH HOSPITAL. TOTAL CHARITY CARE RELATING TO THE PHYSICIAN CLINICS FOR THE CURRENT FISCAL YEAR WAS 5,392. SEE SCHEDULE O FOR MORE INFORMATION. 830767 20948 7308912 98900940 true true false false false false false false false false true true false true true false true true false false false false false false false false true true false false true false false false false false false false false true false false false true true false false false true 98 0 true 1100 true true true false false false false false false false false false false false X 12 9 false false false false true true true true true false false true true true true true true true true false PA X MATTHEW KOCIOLA 7245438618 ONE NOLTE DRIVE KITTANNING PA 16201 X DONALD RAVASIO PHYSICIAN 40.0 0.0 X 649348 0 30079 MITCHELL PATTI PHYSICIAN 40.0 0.0 X 562463 0 26665 CRAIG VITI PHYSICIAN 40.0 0.0 X 542349 0 24360 JOHN LEWIS PRESIDENT AND CEO 39.0 1.0 X X 475702 0 60947 JAMES BACKSTROM CHIEF MEDICAL OFFICER 39.0 1.0 X X 371834 0 55514 ADAM AKERS PHYSICIAN 40.0 0.0 X 368899 0 17028 SAGNIK ADHIKARI PHYSICIAN 40.0 0.0 X 349750 0 11872 MATTHEW KOCIOLA CFO, VP OF FINANCE 39.0 1.0 X 265921 0 58717 CHAD SHAFFER MD DIRECTOR 39.0 1.0 X 273355 0 30453 NICHOLE GERACI CHIEF OPERATING OFFICER 40.0 0.0 X 254719 0 43585 ANNE REMALEY VP OF HUMAN RESOURCES 39.0 1.0 X 189420 0 49751 CHRIS DILICK DIRECTOR 1.0 1.0 X 0 0 0 COLLEEN MANTINI DIRECTOR 1.0 1.0 X 0 0 0 DONALD TYLINSKI DIRECTOR 1.0 1.0 X 0 0 0 ELIZABETH WHITE CHAIRMAN END;DIRECTOR BEG 1/23 1.0 1.0 X X 0 0 0 MARY KRAULAND SECRETARY/ TREASURER BEG 01/23 1.0 1.0 X X 0 0 0 SAMUEL FRIEDE DIRECTOR 1.0 1.0 X 0 0 0 SANDY BRADIGAN DIRECTOR 1.0 1.0 X 0 0 0 VOLKER ZAUN VICE CHAIRMAN BEG 01/23 3.0 1.0 X X 0 0 0 W STEVEN DAVIS CHAIRMAN BEG 01/23 1.0 1.0 X X 0 0 0 4303760 0 408971 82 false true false ALLEGHENY CLINIC PO BOX 951742 CLEVELAND OH 44193 PROFESSIONAL SERVICE 2729445 CHILDREN'S COMMUNITY PEDIACTRICS 11279 PERRY HIGHWAY ST 450 WEXFORD PA 15090 PEDIATRIC 638658 BRIDGEPORT CAPITAL FUNDING LLC 4730 SOUTH FORT APACHE RD ST 300 LAS VEGAS NV 89147 STAFFING 632675 COMPHEALTH PO BOX 972651 DALLAS TX 75397 PROFESSIONAL SERVICE 632560 DJ'S CLEANING SERVICE 2517 ELCOR DRIVE NEW KENSINGTON PA 15068 CLEANING 370063 14 6049889 439576 1094584 87430 7584049 PATIENT SERVICES 621500 119432544 119432544 OTHER REVENUE 900099 6083590 6016421 67169 CAFETERIA 722210 666604 666604 RENT FROM AFFILIATES 623000 363832 363832 UNRELATED LAB SERVICES 621500 194887 194887 126741457 366986 366986 0 0 452507 452507 0 452507 452507 2960626 163899 2972321 42670 -11695 121229 109534 109534 0 0 0 0 0 0 0 0 0 GAIN ON EQUITY INVESTEES 900099 657355 657355 LOSS ON PENSION SETTLEMENT 900099 -668659 -668659 -11304 135243229 126479401 262056 917723 X 20948 20948 0 0 0 2129918 1029460 1100458 0 46489508 34930675 11558833 1920881 32575 1888306 10461157 1176012 9285145 3950949 2870119 1080830 0 277257 277257 207248 207248 0 0 5989 5989 25602863 21673392 3929471 256982 6619 250363 5514683 4094645 1420038 1222571 37218 1185353 0 2315984 942532 1373452 75566 41375 34191 0 122741 34148 88593 630729 448443 182286 0 4700459 3341990 1358469 1213486 1213486 MEDICAL SUPPLIES & DRUGS 24481401 24481401 PROVIDER TAX 2175653 2175653 FOOD EXPENSES 710207 121473 588734 LICENSES, DUES, SUBSCRIPTIONS 453354 106378 346976 232724 122398 110326 135173258 98900940 36272318 0 0 61305 16624016 8806195 0 0 11754198 10891977 0 0 0 0 0 0 1895652 1836890 1895282 1784437 157686305 125989788 29857240 31696517 4088793 1358572 8166560 8079983 0 0 0 0 4725582 5929211 79007323 70445087 14002367 14836680 0 0 296177 44959 0 0 0 0 0 0 15444803 10949100 0 2814910 11071394 9347174 40814741 37992823 X 38192582 32452264 0 0 38192582 32452264 79007323 70445087 X 69971 -70728 -5739561 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 297281 297281 56757889 40683028 16074861 93274979 82146585 11128394 7356156 3160175 4195981 31696517 2343442 C CHART 4490386 C VANTAGE 1246155 C 8079983 OTHER RECEIVABLES 3458603 DUE FROM 3RD PARTY 434318 DUE FROM AFFILIATES 159799 ACCRUED INTEREST 1199 ROU ASSETS 1058777 ACCRUED PENSION ASSET 816515 5929211 0 ESTIMATED INSURANCE LIABILITY 3013078 DUE TO 3RD PARTY 5360496 LEASE LIABILITIES 973600 9347174 128011712 -70728 -70728 128082440 7160789 7160789 135243229 135173258 135173258 135173258 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $1,110,900 GRANTS FOR PROPERTY AND EQUIPMENT ACQUISITION 6,049,889 CONTRIBUTIONS FROM AFFILIATE ------------ $7,160,789 true true X true X true X true true true false false 336203 336203 0.00250 18967566 15090843 3876723 0.02870 33161 19403 13758 0.00010 19336930 15110246 4226684 0.03130 32606 32606 0.00020 131331 3255 128076 0.00090 8099421 2928106 5171315 0.03830 56385 56385 0.00040 20948 20948 0.00020 8340691 2931361 5409330 0.04000 27677621 18041607 9636014 0.07130 false 1818636 221874 12485335 16920906 -4435571 X true true 1 1 ARMSTRONG COUNTY MEMORIAL HOSPITAL ONE NOLTE DRIVE KITTANNING PA 16201 WWW.ACMH.ORG 270901 X X X SNU, CARDIAC REHAB, OB, PSYCHIATRIC, NEURO, UROLOGY ARMSTRONG COUNTY MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 20 true false false true X SEE PART V, SECTION C X true 20 true SEE PART V, SECTION C false true X 100 300. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: THE COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT REPRESENTED A CROSS-SECTION OF THE HEALTH AND HUMAN SERVICES AGENCIES IN ARMSTRONG COUNTY. SOME PARTICIPANTS WERE SPECIFICALLY CHOSEN BECAUSE OF THEIR PUBLIC HEALTH KNOWLEDGE AND EXPERIENCE. OTHERS WERE CHOSEN BECAUSE OF THEIR EXPERTISE IN: - CHRONIC HEALTH CONDITIONS IN ARMSTRONG COUNTY - BARRIERS TO HEALTHCARE - KNOWLEDGE OF UNDERSERVED GROUPS OF POPULATION IN ARMSTRONG COUNTY - FORMING ORGANIZATIONAL COLLABORATIONS WITH ACMH HOSPITAL TO MEET HEALTH NEEDS - AN AWARENESS OF THE HEALTH CONCERNS OF THE PEOPLE UTILIZING HEALTHCARE SERVICES - WHERE RESIDENTS OF THE COUNTY ARE GOING FOR HEALTH AND WELLNESS SERVICES - RELIABLE SOURCES OF HEALTH INFORMATION INTERVIEWS WITH THESE STAKEHOLDERS REVEALED CERTAIN BARRIERS TO HEALTH SERVICES AND UNDERSERVED GROUPS OF THE POPULATION IN ARMSTRONG COUNTY WHERE PRIORITY COMMUNITY NEEDS. SCHEDULE H, PART V, SECTION B, LINE 7A CHNA URL: HTTPS://WWW.ACMH.ORG/CHNA SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY URL: HTTPS://WWW.ACMH.ORG/CHNA SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING IDENTIFIED NEEDS: ACMH IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENT CHNA AS FOLLOWS: 1. NEEDS RELATED TO THE HIGH RATE OF OBESITY IN ARMSTRONG COUNTY. ACMH HAS ALREADY BEGUN TO ADDRESS THIS NEED BY CONTRACTING WITH WILLIAM WHITE, PHD, TO ASSIST IN THE DEVELOPMENT OF A "CHOOSE HEALTH" PROGRAM. THE PROGRAM INCLUDES TRAINING "TRAINERS" TO HELP MOTIVATE MEMBERS OF THE COMMUNITY TO LOSE WEIGHT, BECOME STRONGER, AND ACHIEVE THEIR LIFE GOALS REGARDLESS OF THEIR AGE AND CO MORBID CONDITIONS. 2. NEEDS RELATED TO SUBSTANCE ABUSE. ACMH HAS ALREADY BEGUN TO ADDRESS THIS NEED BY A. CO-DEVELOPING THE ARMOT PROGRAM TO IDENTIFY SUBSTANCE ABUSE AND GET PATIENTS INTO TREATMENT QUICKLY. (A COLLABORATION WITH THE ARMSTRONG/INDIANA/CLARION DRUG AND ALCOHOL COUNCIL.) B. THE DEVELOPMENT AND CONTINUING SUPPORT FOR THE ARMSTRONG COUNTY VETERANS' TREATMENT COURT. C. THE OPENING OF A FOUR-BED MEDICAL DETOXIFICATION UNIT. D. ACMH'S CONTINUING SUPPORT OF THE DRUGS KILL DREAMS PROGRAM. E. ACMH'S PARTNERSHIP WITH CHILDREN'S HOSPITAL OF PITTSBURGH FOUNDATION TO PARTICIPATE IN THE SMART CHOICES PROGRAM WHICH ADDRESSES SUBSTANCE ABUSE IN CHILDREN AND TEENS. F. A CONTINUATION OF THE DEVELOPMENT OF A PROGRAM FOR DRUG-ADDICTED PREGNANT WOMEN. (THIS WAS STARTED PRE-PANDEMIC, THEN TABLED.) 3. NEEDS RELATED TO MENTAL HEALTH, ACMH HAS BEGUN PLANS TO PROVIDE OUTPATIENT PROVIDER-BASED MENTAL HEALTH SERVICES. 4. NEEDS RELATED TO CHRONIC DISEASE MANAGEMENT AND PREVENTION - ACMH HAS ALREADY BEGUN TO ADDRESS THESE NEEDS THROUGH ACMH'S PARTICIPATION IN THE PENNSYLVANIA RURAL HEALTH MODEL, AND THE DEVELOPMENT OF COMPREHENSIVE TRANSFORMATION PLANS AS WELL IDENTIFIED ACTIONS INCLUSIVE BUT NOT LIMITED TO: A. COLLABORATIVE EFFORTS WITH LOCAL NURSING FACILITIES, B. THE IMPLEMENTATION OF REMOTE-MONITORING SYSTEMS IN PATIENTS' HOMES, C. THE ACMH PARTNERSHIP - "LIFE ARMSTRONG" D. THE PROVISION OF DIABETIC PATIENTS TEST KITS TO IDENTIFY FOOT ULCERS BEFORE THEY BECOME BAD ENOUGH TO REQUIRE HOSPITALIZATION. 5. NEEDS RELATED TO UNHEALTHY BEHAVIORS. ACMH WILL LOOK TO ADDRESS THESE NEEDS THROUGH THE "CHOOSE HEALTH" PROGRAM. 6. NEEDS RELATED TO PRIMARY CARE PROVIDER SHORTAGES. A. ACMH PLANS TO WORK WITH DUQUESNE UNIVERSITY MEDICAL SCHOOL TO PROVIDE PHYSICIAN ROTATIONS DURING 3RD AND 4TH YEAR MEDICAL SCHOOL AND FUTURE RESIDENCIES IN FAMILY PRACTICE. B. ACMH CONTINUES TO HIRE PHYSICIAN EXTENDERS WHO PROVIDE MANY PRIMARY CARE SERVICES. C. ACMH PLANS TO CONTACT HRSA TO DETERMINE IF ADDITIONAL AREAS IN ARMSTRONG COUNTY ARE NOW ELIGIBLE TO BE CLASSIFIED AS HEALTH PROFESSIONAL SHORTAGE AREAS. 7. NEEDS RELATED TO NURSE AND SOCIAL WORKER SHORTAGES. ACMH IS LOOKING INTO TRAINING "COMMUNITY EXTENDERS" -PEOPLE WHO CAN BE TRAINED TO PROVIDE CERTAIN CARE IN LIEU OF A NURSE OR SOCIAL WORKER. 8. NEEDS RELATED TO TRANSPORTATION TO/FROM HEALTHCARE AND WELLNESS SERVICE. ACMH IS WORKING WITH VANTAGE TO MITIGATE THIS NEED. NEEDS NOT BEING ADDRESSED: THE FOLLOWING NEEDS WERE NOT ADDRESSED, DUE TO A LACK OF ABILITY OF ACMH TO AFFECT CHANGE AND A DETERMINATION BY ACMH THAT OTHER COMMUNITY ORGANIZATIONS ARE WORKING TO ALREADY ADDRESS A NEED. 1. DRIVING DEATHS THAT HAD ALCOHOL INVOLVEMENT. THIS IS BEING ADDRESSED BY THE STATE POLICE AND BY THE COUNTY THROUGH ITS DUI TASK FORCE. 2. LOW POST-SECONDARY EDUCATION RATE. ACMH DOES NOT HAVE THE ABILITY TO AFFECT CHANGE. 3. LOW FLU VACCINATION RATE AMONG MEDICARE FFS ENROLLEES. ACMH BELIEVES THAT THIS IS AN ABERRATION AS MOST MEDICARE ENROLLEES IN ARMSTRONG COUNTY HAVE MANAGED CARE PLANS SO THE FFS POPULATION IS SMALL AND THOUGHT TO BE TEMPORARY, AS PATIENTS WILL LIKELY MOVE TO A MANAGED CARE PLAN. 4. PREVENTION OF DRUG RELATED DEATHS. THIS IS BEING ADDRESSED BY THE ARMSTRONG/INDIANA/CLARION DRUG AND ALCOHOL COUNCIL, ARC MANOR AND OTHER COUNTY GOVERNMENTAL ORGANIZATIONS. 5. UNEMPLOYMENT. ACMH DOES NOT HAVE THE ABILITY TO AFFECT CHANGE. 6. NEEDS RELATED TO LOW RATES OF COLONOSCOPY AND PROSTATE SCREENINGS. ACMH BELIEVES THAT THIS RATE DECLINE WAS CAUSED BY THE FACT THAT THE AREA LOST ITS GASTROENTEROLOGY PROVIDERS AND WAS EXPERIENCING A SHORTAGE OF UROLOGY PROVIDERS, WHICH HAVE BEEN RESOLVED THROUGH RECENTLY ADDED MEDICAL STAFF. SCHEDULE H, PART V, SECTION B, LINES 16A-C FAP, APPLICATION, AND PLS URL: HTTP://ACMH.ORG/BILLING-AND-INSURANCE#FINANCIALASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16J THE FINANCIAL ASSISTANCE POLICY INDICATES: INDIVIDUAL NOTICES INFORMING PATIENTS ABOUT FINANCIAL ASSISTANCE/DISCOUNT WILL BE OFFERED AT THE TIME OF REGISTRATION. SIGNS WILL BE POSTED IN REGISTRATION AREAS OF THE HOSPITAL AND ITS AFFILIATED CLINICS AND PHYSICIAN OFFICES. 11 ARMSTRONG PRIMARY CARE CENTER 116 MAIN ST LEECHBURG PA 15656 PRIMARY CARE, LAB DRAW, RADIOLOGY, PHYSICAL THERAPY ACMH HEALTH PAVILION 205 5TH AVE FORD CITY PA 16226 OUTPATIENT PHYSICAL THERAPY, LAB DRAW ARMSTRONG PRIMARY CARE CENTER ELDERTON 116 MAIN ST ELDERTON PA 15736 PRIMARY CARE, LAB DRAW, RADIOLOGY ARMSTRONG PRIMARY CARE CENTER SOUTH BETH 102 SOUTH ST NEW BETHLEHEM PA 16242 PRIMARY CARE, LAB DRAW ARMSTRONG PRIMARY CARE CENTER RURAL VALL 10261 SR 85 KITTANNING PA 16201 PRIMARY CARE, LAB DRAW ARMSTRONG PRIMARY CARE CENTER KITTANNING 260 S JEFFERSON ST KITTANNING PA 16201 PRIMARY CARE, LAB DRAW ARMSTRONG OUTPATIENT IMAGING CENTER 87 GLADE PARK EAST KITTANNING PA 16201 OUTPATIENT RADIOLOGY CENTER COWANSVILLE HEALTH CENTER 882 EAST BRADY RD COWANSVILLE PA 16218 LAB DRAW ENDOCRINOLOGY ASSOCIATES 600 MEDICAL ARTS BUILDING SUITE 64 KITTANNING PA 16201 ENDOCRINOLOGY CLINIC WEST HILLS PRIMARY CARE CENTER 300 MEDICAL ARTS BUILDING SUITE 300 KITTANNING PA 16201 PRIMARY CARE, LAB DRAW PULMONARY GROUP 600 MEDICAL ARTS BUILDING SUITE 67 KITTANNING PA 16201 PULMONARY CLINIC SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION ON IRS WORKSHEETS 1 AND 3. SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES: ARMSTRONG COUNTY MEMORIAL HOSPITAL REPORTS SIX RHC FACILITIES AS SUBSIDIZED HEALTH SERVICES. WHEN THESE CLINICS WERE ESTABLISHED, THE AREAS IN WHICH THEY ARE LOCATED WERE IN MEDICALLY UNDERSERVED AREAS OR PHYSICIAN SHORTAGE AREAS. ACMH HOSPITAL ALSO REPORTS INPATIENT PSYCH AND SKILLED NURSING UNITS AS SUBSIDIZED HEALTH SERVICES. THE IRS DEFINITION OF A SUBSIDIZED HEALTH SERVICE MEANS CLINICAL SERVICES PROVIDED DESPITE A FINANCIAL LOSS TO THE ORGANIZATION. SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER FORM 990, PART IX, LINE 25. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 014-09 (TOPIC 606). 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, 2023. 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, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: THIS AMOUNT WAS ESTIMATED BY MULTIPLYING THE TOTAL BAD DEBT EXPENSE BY THE POVERTY PERCENTAGE FOR ARMSTRONG COUNTY REPORTED ON WWW.CENSUS.GOV. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE AUDIT FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE REFLECTS THE OUTSTANDING AMOUNT OF CONSIDERATION TO WHICH THE HOSPITAL EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS) AND OTHERS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S RESPONSIBILITY FOR CO-PAYS, COINSURANCE AND DEDUCTIBLES IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. SCHEDULE H, PART III, SECTION B, 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. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 5 AND 6. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: PATIENTS RECEIVE CORRESPONDENCE GIVING THEM THE OPPORTUNITY TO CONTACT THE ORGANIZATION TO QUESTION THEIR STATEMENTS AND/OR ESTABLISH PAYMENT ARRANGEMENTS. IF A PATIENT CONTACTS THE ORGANIZATION, IT IS FIRST DETERMINED WHETHER OR NOT THEY MAY BE ELIGIBLE FOR ASSISTANCE THROUGH MEDICAID OR FINANCIAL ASSISTANCE. IF THE PATIENT IS NOT ELIGIBLE FOR ANY OF THE ASSISTANCE LISTED, THEN THE ORGANIZATION WORKS WITH THE PATIENT TO ESTABLISH A PAYMENT PLAN, USUALLY FOR UP TO 12 MONTHS BUT EXTENSION IS ALLOWED FOR EXTENUATING CIRCUMSTANCES. IF AN ACCOUNT IS DETERMINED TO BE UNCOLLECTIBLE AND NO REQUEST FOR ASSISTANCE OR PAYMENT ARRANGEMENTS IS RECEIVED, THE ACCOUNT IS REFERRED TO AN OUTSIDE COLLECTION AGENCY. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: ACMH REGULARLY USES RELIABLE DATA AVAILABLE ON THE INTERNET TO DETERMINE THE NEEDS OF OUR COMMUNITY. COUNTY HEALTH RANKINGS PULL FROM VARIOUS RELIABLE DATABASES TO PROVIDE INFORMATION ABOUT OUTCOMES, HEALTH FACTORS, ENVIRONMENTAL FACTORS, AND COMMUNITY HEALTH STATUS INDICATORS. WE USE INFORMATION FROM THE DEPARTMENT OF HEALTH REGARDING HEALTH BEHAVIORS. WE ALSO COLLABORATE WITH THE LOCAL SCHOOL DISTRICT AND OTHER COMMUNITY ORGANIZATIONS AND EMPLOYERS TO DETERMINE OUR ROLE IN THE DEVELOPMENT OF HEALTHY FACILITIES, PROGRAMS, AND BEHAVIORS IN ARMSTRONG COUNTY. IN FY2021 ACMH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND PUBLISHED THE FINDINGS ON OUR WEBPAGE. THE NEEDS ASSESSMENT TOOK INTO ACCOUNT INFORMATION FROM PRIMARY DATA AS WELL AS SECONDARY DATA. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: EACH PATIENT IS ASKED THE QUESTION, "WOULD YOU LIKE INFORMATION ON OUR FINANCIAL ASSISTANCE PROGRAM?" AT THE POINT OF REGISTRATION. IF THE PATIENT ANSWERS "YES" THEY ARE HANDED A FINANCIAL ASSISTANCE PACKET. THE PACKET INCLUDES A LETTER OUTLINING THE PROGRAM, THE APPLICATION AND A CHECKLIST IDENTIFYING THE INFORMATION NEEDED TO PROCESS THE APPLICATION. FINANCIAL ASSISTANCE PACKETS ARE ALSO MAILED UPON REQUEST. ONCE THE PATIENT RECEIVES THE APPLICATION AND COMPLETES THE INFORMATION, THE APPLICATION IS REVIEWED FOR ACCURACY AND POTENTIAL APPROVAL. IF THE PATIENT HAS SUPPLIED ALL THE NECESSARY INFORMATION AND A DECISION IS MADE, AN APPROVED OR DENIED LETTER IS SENT TO THE PATIENT. IF THE PATIENT HAS NOT SUPPLIED ENOUGH INFORMATION TO MAKE A PROPER DECISION, A LETTER DETAILING THE MISSING INFORMATION IS SENT TO THE PATIENT ALONG WITH A FOLLOW UP PHONE CALL. THE APPLICATION IS PRINTED ON THE BACK OF EVERY STATEMENT SENT TO PATIENTS CONCERNING THEIR OUT OF POCKET EXPENSE. WE UTILIZE AN EARLY OUT SELF-PAY VENDOR THAT HAS BEEN TRAINED ON OUR FINANCIAL ASSISTANCE POLICY AND WHEN THEY HAVE CONTACT WITH OUR PATIENTS, THEY ADVISE THEM OF THE PROGRAM AND INITIATE THE APPLICATION PROGRAM WHEN THE PATIENT REQUESTS THEIR ASSISTANCE. THIS VENDOR OFFERS THE FINANCIAL ASSISTANCE APPLICATION ON THEIR WEBSITE LISTED UNDER THE OPTIONS FOR RESOLUTION OF THE OUTSTANDING BALANCE(S). THE HOSPITAL HAS FINANCIAL ASSISTANCE POSTERS PLACED IN STRATEGIC LOCATIONS THROUGHOUT THE FACILITY TO INFORM THEM OF THE PROGRAM OFFERED. WE ARE PARTICIPATING IN HEALTH FAIRS THROUGHOUT THE COUNTY BY ATTENDING AND OFFERING ASSISTANCE WITH THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: WE CONSIDER ALL OF ARMSTRONG COUNTY TO BE INCLUDED IN OUR SERVICE AREA AS WE ARE THE ONLY HOSPITAL AND THE ONLY PROVIDER OF EMERGENCY SERVICES. ARMSTRONG COUNTY LIES IN THE RURAL APPALACHIAN REGION AND IS MADE UP OF 45 MINOR CIVIL DIVISIONS. THE MAJORITY OF THESE MUNICIPALITIES ARE DESIGNATED AS EITHER MEDICALLY UNDERSERVED AREAS OR HEALTH PROFESSIONAL SHORTAGE AREAS, OR BOTH, BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THERE IS NO PUBLIC TRANSPORTATION SYSTEM FOR MOST OF THE AREA. SOCIOECONOMIC DATA FOR THE REGION SHOWS THAT THE PER CAPITA INCOME OF ARMSTRONG COUNTY IS LOWER THAN THE AVERAGE OF THE UNITED STATES, THE COMMONWEALTH OF PENNSYLVANIA AND THE OVERALL APPALACHIAN REGION. ARMSTRONG COUNTY RESIDENTS ARE OLDER THAN THE AVERAGE RESIDENT OF PENNSYLVANIA AS A WHOLE. A DISPROPORTIONATELY LARGER PERCENTAGE OF OUR POPULATION RESIDES IN RURAL AREAS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: AS A RURAL HOSPITAL, ACMH IS TAKING RESPONSIBILITY TO IMPROVE THE HEALTH OF THEIR COMMUNITY BY PROVIDING EDUCATION AND PROMOTING HEALTHIER LIFESTYLES. THE RURAL HEALTH INITIATIVE HAS CHALLENGED ACMH TO LOOK AT SOCIAL DETERMINANTS OF HEALTH (SDOH) AND HOW THESE SOCIAL HEALTH BARRIERS INFLUENCE AN INDIVIDUAL'S DAILY LIFE AND HEALTH. SOCIAL DETERMINANTS OF HEALTH (SDOH) ARE THE NON-MEDICAL FACTORS AND CONDITIONS THAT AFFECT ONE'S HEALTH, QUALITY OF LIFE AND RISKS. FOOD INSECURITY IS AN AREA OF GREAT CONCERN IN ARMSTRONG COUNTY. ACMH REALIZED THERE WAS A NEED TO ADDRESS THESE ISSUES AND CREATE ACCESS TO NUTRITIOUS FOODS. ACCESS TO HEALTHIER FOODS CONTRIBUTES TO OVERALL HEALTH AND IN TURN LOWERS RISK FACTORS FOR CHRONIC HEALTH CONDITIONS. IN 2021, THE CARE PACKAGE PROGRAM WAS ESTABLISHED TO PROVIDE PATIENTS WITH A FOOD INSECURITY FROZEN MEALS UPON DISCHARGE FROM THE HOSPITAL. FOOD FROM THE HOSPITAL'S CAFETERIA IS PREPARED INTO FROZEN MEALS FOR PATIENTS TO TAKE HOME. MEALS INCLUDE NUTRITIONAL OPTIONS FOR THE CARDIAC AND DIABETIC PATIENTS. A FARMER'S MARKET WAS SET UP AT ACMH IN 2023 TO ALLOW ACCESS TO FRESH PRODUCE FOR THE EMPLOYEES AND THE COMMUNITY. IN 2023, ACMH ALSO BEGAN TO COLLABORATE WITH THE AMERICAN HEART ASSOCIATION (AHA) AND THE FOOD TRUST TO START A PROGRAM CALLED FOOD BUCKS RX. THE PCP OFFICES WERE ABLE TO IDENTIFY 100 PATIENTS WHO HAD A FOOD INSECURITY OR A DIET RELATED CHRONIC DISEASE AND GAVE THEM FREE VOUCHERS TO PURCHASE FRESH PRODUCE. THE PATIENTS RECEIVE $40-$80 IN VOUCHERS EACH MONTH, DEPENDING ON HOUSEHOLD SIZE AND CAN ONLY PURCHASE FRESH PRODUCE WITH THESE VOUCHERS. THE PATIENTS ARE EXTREMELY GRATEFUL TO HAVE THE ABILITY TO PURCHASE FRESH PRODUCE BECAUSE OTHERWISE THEY COULD NOT AFFORD IT. THEY ARE EATING HEALTHIER FOODS AND TEACHING THEIR CHILDREN THE IMPORTANCE OF A NUTRITIOUS DIET TO HELP PREVENT CHRONIC DISEASES. ACMH IS ALSO EXPANDING EDUCATIONAL OPPORTUNITIES THROUGH OUTREACH TO RELIGIOUS COMMUNITIES AND OTHER ORGANIZATIONS TO PROVIDE WELLNESS SERVICES SUCH AS BLOOD PRESSURE ASSESSMENTS AND A LEARNING SERIES ON "HEALTHY LIVING" PROVIDED BY THE AHA. ANOTHER WAY ACMH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITY IS BY ATTENDING MULTIPLE HEALTH FAIRS, SENIOR EXPOS, HIGH SCHOOLS PROGRAMS AND BUSINESSES TO EDUCATE ON THE MANY TOPICS LISTED BELOW: . HANDS ONLY CPR . ARMSTRONG HIGH SCHOOL MEDICAL EDUCATION DAY . STROKE EDUCATION WITH PATIENTS AND FAMILIES . PRENATAL EDUCATION (BREASTFEEDING, NEWBORN CARE & SAFETY, AND PREPARING FOR BIRTH AND BEYOND) . CHF/COPD MANAGEMENT . FALLS PREVENTION . PULMONARY REHAB/CARDIAC REHAB . DIABETIC EDUCATION . CHRONIC CARE MANAGEMENT AND ALIGNMENT OF CARE WITH PCP OFFICES . THE IMPORTANCE OF NARCAN AND EPIPENS . LINKAGE WITH SUBSTANCE ABUSERS TO COMMUNITY SERVICES AND PROGRAMS (ARMOT) ACMH ENCOURAGES RESIDENTS TO LIVE HEALTHIER LIVES THROUGH EDUCATION AND PREVENTION OF CHRONIC DISEASES BY PROVIDING ACCESS TO HIGH-QUALITY CARE AND MEETING THE SPECIFIC NEEDS OF THE COMMUNITY. ACMH ALSO PARTICIPATES IN HEALTHY ARMSTRONG, A COALITION OF A LARGE NUMBER OF STAKEHOLDERS THAT MEETS MONTHLY TO COMBAT CHILDHOOD OBESITY. HEALTHY ARMSTRONG HAS BEEN AWARDED SEVERAL GRANTS AND HAS ACHIEVED NATIONAL RECOGNITION THROUGH ITS PROGRAM OF USING THE SCHOOL SYSTEM TO PROMOTE INCREASED PHYSICAL ACTIVITY AND NUTRITIONAL EDUCATION. ACMH PARTICIPATES IN ECONOMIC DEVELOPMENT MEETINGS. THE MAJORITY OF BOARD MEMBERS ARE ARMSTRONG COUNTY RESIDENTS AND WERE SELECTED TO REPRESENT THE COMMUNITIES SERVED. ACMH MANAGERS ARE ENCOURAGED TO PARTICIPATE ON THE BOARDS OF OTHER NON-PROFIT HEALTH AND HUMAN SERVICE ORGANIZATIONS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED GROUP, AND THE GROUP'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF ARMSTRONG COUNTY MEMORIAL HOSPITAL, ARMSTRONG HEALTH AND EDUCATION FOUNDATION, ACMH ANESTHESIA SERVICES, ACMH PHYSICIAN SERVICES, GLADE RUN MEDICAL ASSOCIATES INC., AND ARMSTRONG CENTER FOR MEDICINE AND HEALTH, INC. (ACMH, INC.), COLLECTIVELY REFERRED TO AS THE HEALTH SYSTEM. THE HOSPITAL IS A NOT-FOR-PROFIT ENTITY, WHOLLY OWNED BY ACMH, INC. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES IN THE ARMSTRONG COUNTY, PENNSYLVANIA AREA. ACMH, INC. IS A NOT-FOR-PROFIT CORPORATION FORMED TO SUPPORT AND FURTHER THE CHARITABLE ACTIVITIES OF ARMSTRONG COUNTY MEMORIAL HOSPITAL AS WELL AS ANY OTHER SUBSIDIARY ORGANIZATION AND IS THE PARENT ORGANIZATION. THE FOUNDATION IS A NOT-FOR-PROFIT ENTITY WHOSE PURPOSE IS TO RAISE FUNDS FOR THE BENEFIT OF THE HOSPITAL AND WELLNESS OF THE COMMUNITY. THE HEALTH SYSTEM FORMED ACMH ANESTHESIA SERVICES AND ACMH PHYSICIAN SERVICES IN 2006. THESE ENTITIES WERE ESTABLISHED TO PROVIDE ANESTHESIA AND PHYSICIAN SERVICES TO THE HEALTH SYSTEM. THE HEALTH SYSTEM FORMED GLADE RUN MEDICAL ASSOCIATES, INC. (GLADE RUN) IN 2009, AND IT BEGAN OPERATIONS IN 2010. GLADE RUN IS A NOT-FOR-PROFIT ENTITY ESTABLISHED TO PROVIDE PHYSICIAN SERVICES TO THE HEALTH SYSTEM. X X X X X false true false true false true false false CHAD SHAFFER MD DIRECTOR 206174 0 67181 0 0 0 1875 0 28578 0 303808 0 0 0 JAMES BACKSTROM CHIEF MEDICAL OFFICER 371596 0 0 0 238 0 30111 0 25403 0 427348 0 0 0 JOHN LEWIS PRESIDENT AND CEO 412745 0 0 0 62957 0 34125 0 26822 0 536649 0 55000 0 MATTHEW KOCIOLA CFO, VP OF FINANCE 265766 0 0 0 155 0 57183 0 1534 0 324638 0 0 0 ANNE REMALEY VP OF HUMAN RESOURCES 189170 0 250 0 0 0 24543 0 25208 0 239171 0 0 0 NICHOLE GERACI CHIEF OPERATING OFFICER 254686 0 0 0 33 0 21286 0 22299 0 298304 0 0 0 ADAM AKERS PHYSICIAN 327959 0 40940 0 0 0 1500 0 15528 0 385927 0 0 0 CRAIG VITI PHYSICIAN 501216 0 41133 0 0 0 1500 0 22860 0 566709 0 0 0 DONALD RAVASIO PHYSICIAN 583281 0 66067 0 0 0 1500 0 28579 0 679427 0 0 0 MITCHELL PATTI PHYSICIAN 507532 0 54931 0 0 0 1500 0 25165 0 589128 0 0 0 SAGNIK ADHIKARI PHYSICIAN 333880 0 15870 0 0 0 1500 0 10372 0 361622 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING 457(F) CONTRIBUTIONS OR DISTRIBUTIONS: $55,000 JOHN I. LEWIS - DISTRIBUTIONS $29,954 MATTHEW KOCIOLA - CONTRIBUTIONS THE 457(F) PLAN THAT ARMSTRONG COUNTY MEMORIAL HOSPITAL ESTABLISHED FOR A SELECT GROUP OF MANAGEMENT INCLUDES THE FOLLOWING TERMS: A PARTICIPANT SHALL BECOME FULLY VESTED IN HIS DEFERRED COMPENSATION ACCOUNT AND INCOME, GAINS AND LOSSES ATTRIBUTABLE THERETO, IF HE REMAINS IN SERVICE WITH THE EMPLOYER UNTIL THE FIRST OF THE FOLLOWING EVENTS OCCUR: (A) THE DEATH OF THE PARTICIPANT; (B) THE DISABILITY OF THE PARTICIPANT; (C) THE DATE THE PARTICIPANT ATTAINS AGE 65; 0R (D) THE DATE A PARTICIPANT IS TERMINATED FROM EMPLOYMENT WITH THE EMPLOYER DUE TO A CHANGE OF CONTROL EVENT. (E) THE PARTICIPANT WILL BE VESTED AT 5 YEARS, AT WHICH TIME PAYMENTS WILL BEGIN. UPON VESTING, THE DEFERRED COMPENSATION ACCOUNT WILL BE INCLUDIBLE IN THE GROSS INCOME OF THE PARTICIPANT PURSUANT TO CODE SECTION 457(F). SCHEDULE J, PART I, LINES 5A & 6A CONTINGENT COMPENSATION: MANAGEMENT USES MGMA PUBLISHED STANDARDS TO ESTABLISH A BASE SALARY FOR PROVIDERS. IN ADDITION TO THE BASE SALARY, PROVIDERS HAVE THE ABILITY TO EARN INCENTIVES BASED UPON THEIR PRODUCTIVITY AS REFLECTED IN WORK RVU MEASURES. IN ADDITION, THE CEO PRESENTS GOALS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF WHAT THE ORGANIZATION HOPES TO ACHIEVE DURING EACH FISCAL YEAR. THESE GOALS ARE BASED ON REVENUES, NET EARNINGS, AND OTHER MEASURES. DEPENDING ON THE RESULTS, THE EXECUTIVE COMMITTEE OF THE BOARD, WITH INPUT FROM THE CEO, DETERMINES WHAT AMOUNT OF BONUSES (IF ANY) WILL BE PAID. X 5 87430 FMV false false false SCHEDULE M, PART I, COLUMN (B) NUMBER OF CONTRIBUTIONS: THE NUMBER IN COLUMN B REFLECTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION: THE HOSPITAL WILL: FOCUS ON PATIENT AND FAMILY CENTERED SERVICES; CONTINUE TO DEVELOP THOSE SPECIALTY SERVICES THAT MEET THE CHANGING NEEDS OF THE COMMUNITY; DELIVER HIGH QUALITY, COST-EFFECTIVE CARE; AND PROMOTE HEALTH EDUCATION AND WELLNESS. FORM 990, PART III, LINE 3 CHANGES TO PROGRAM SERVICES: ACUTE REHAB AND MEDICAL WITHDRAW INPATIENT SERVICES ARE NO LONGER AVAILABLE. FORM 990, PART III, LINE 4 PROGRAM SERVICES: ARMSTRONG COUNTY MEMORIAL HOSPITAL IS A 130 BED COMMUNITY HOSPITAL WHICH PROVIDES INPATIENT & OUTPATIENT MEDICAL SERVICES TO ALL COUNTY RESIDENTS WITHOUT DISCRIMINATION. THE HOSPITAL HAS CONTRACTS WITH THIRD-PARTY PAYERS TO PROVIDE CARE FOR MEDICARE, MEDICAID, BLUE CROSS AND OTHER COMMERCIAL PAYER PATIENTS. THE HOSPITAL PROVIDES EMERGENCY CARE REGARDLESS OF A PATIENT'S ABILITY TO PAY. PURSUANT TO THE HOSPITAL'S CHARITY CARE POLICY, CHARGES ARE FULLY OR PARTIALLY WRITTEN OFF FOR PATIENTS MEETING THE CRITERIA SPECIFIED IN THE POLICY. CHARGES EXCLUDED UNDER THE HOSPITAL'S CHARITY CARE POLICY WERE APPROXIMATELY $1,164,954 FOR THE FISCAL YEAR. THE AMOUNTS REPORTED AS EXPENSE FOR LINES 4A, 4B AND 4C REPRESENT ONLY THE PORTION OF EXPENSES THAT RELATE TO THE GENERATION OF REVENUE FOR THESE PROGRAMS. ADDITIONALLY, MANAGEMENT AND GENERAL EXPENSE IS ASSOCIATED WITH THESE PROGRAMS AND IS INCLUDED IN PART IX STATEMENT OF FUNCTIONAL EXPENSES COLUMN C. DUE TO FOLLOWING THE IRS INSTRUCTIONS FOR REPORTING EXPENSES UNDER THIS SECTION, THE NET PROFIT (LOSS) OF THESE PROGRAMS IS NOT COMPLETELY DISCLOSED UNDER LINES 4A, 4B AND 4C. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: THESE ARE ITEMS THAT HELP SUPPORT THE MEDICAL SERVICES OUR PATIENTS RECEIVE AT ACMH HOSPITAL. ITEMS INCLUDE CAFETERIA AND VENDING, COMMUNITY BENEFITS, INVESTMENT FEES, PREVENTATIVE HEALTH, XRAY TECHNOLOGY AND THE 340B DRUG PROGRAM. FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B MEMBERS/STOCKHOLDERS: THE ORGANIZATION IS A SUBSIDIARY OF ARMSTRONG CENTER FOR MEDICINE AND HEALTH, INC. (ACMH), ANOTHER TAX EXEMPT ENTITY. ACCORDING TO THE BYLAWS, ARTICLE II, ACMH, A PENNSYLVANIA NONPROFIT CORPORATION, SHALL HAVE CERTAIN RIGHTS WITH RESPECT TO THE GOVERNANCE OF THIS CORPORATION AS MAY BE SPECIFIED IN THESE BYLAWS IN THE CAPACITY OF ANOTHER BODY AS THAT TERM IS DEFINED IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW, SPECIFICALLY 15 PA C.S. SECTION 7103. THE BYLAWS OF ACMH DESCRIBE SEVEN SITUATIONS IN WHICH APPROVAL IS NEEDED BY THE PARENT CORPORATION. 1) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THIS CORPORATION OR OF THESE BYLAWS; 2) THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THIS CORPORATION; 3) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION; 4) DISSOLUTION OF THE CORPORATION AND DISTRIBUTION OF ASSETS PURSUANT THERETO; 5) APPROVAL OF THE ANNUAL BUDGET AND LONG-RANGE PLAN FOR THIS CORPORATION; 6) ANY OTHER MATTER THAT BYLAWS REQUIRE THE APPROVAL OF THE MEMBERS OF THE CORPORATION. ALSO, THE PARENT CORPORATION HAS THE AUTHORITY TO SELECT THE BOARD MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS (ARTICLE 3, SECTION 3(B)). FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990: 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. PRIOR TO FILING, A TENTATIVE DRAFT OF THE 990 IS REVIEWED BY THE DIRECTOR OF FINANCE, THE VICE PRESIDENT OF FINANCE, AND THE PRESIDENT/CEO BEFORE BEING PRESENTED TO THE BOARD OF DIRECTORS. THE 990 IS REVIEWED AND APPROVED AT THE BOARD MEETING AND FINAL REPORTS ARE PLACED ON THE BOARD OF DIRECTORS PORTAL ONCE OFFICIALLY FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REQUESTING ON AN ANNUAL BASIS THAT MEMBERS OF THE BOARD OF DIRECTORS, ALL CORPORATE OFFICERS, AND ALL KEY EMPLOYEES COMPLETE A QUESTIONNAIRE LISTING ALL ORGANIZATIONS WITH WHICH THEY HAVE AN AFFILIATION. THE POLICY OF THE ORGANIZATION DESCRIBES HOW ANY CONFLICTS OF INTEREST ARE TO BE ADDRESSED. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH ALL SUCH DISCLOSURE STATEMENTS IN CASE A CONFLICT ARISES. THE VICE-CHAIRMAN OF THE BOARD SHALL BE FAMILIAR WITH THE STATEMENT FILED BY THE CHAIRMAN. IF A CONFLICT OF INTEREST SHOULD ARISE, THE MEMBERS ABSTAIN FROM THE VOTE RELATING TO THAT MATTER. FORM 990 PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW: THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PAID BY ARMSTRONG COUNTY MEMORIAL HOSPITAL (ACMH HOSPITAL). THE PROCESS ACMH HOSPITAL USES TO DETERMINE IF THE OFFICERS OF THE ORGANIZATION ARE TO RECEIVE A WAGE ADJUSTMENT IS AS FOLLOWS: 1) A SALARY COMPARISON PREPARED BY SURVEY DATA OBTAINED FROM A REVIEW OF REGIONAL 990S AND "THE TOTAL COMPENSATION SURVEY 2) THE INFORMATION IS COMPILED BY THE VP OF HUMAN RESOURCES AND GIVEN TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR CONSIDERATION AND INPUT; 3) CHANGES TO EXECUTIVE COMPENSATION REQUIRE A SIGNED DOCUMENT FROM THE CHAIR OF THE HOSPITAL BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS REVIEWED AS DESCRIBED ABOVE, ON AN AS NEEDED BASIS AND WAS LAST COMPLETED IN MARCH 2021. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION TAKES THE FOLLOWING ACTIONS RELEASING INFORMATION REGARDING ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS: IF A REQUEST IS MADE TO REVIEW THE UNAUDITED FINANCIAL STATEMENTS, IT IS DISCUSSED AND DETERMINED ON A CASE BY CASE BASIS AS TO WHETHER THE INFORMATION WILL BE RELEASED. THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE ORGANIZATIONS THAT REQUEST THEM. A CODE OF CONDUCT FOR THE ORGANIZATION IS AVAILABLE TO THE PUBLIC ON ITS WEBSITE AT WWW.ACMH.ORG. THE CORPORATION'S GOVERNING DOCUMENTS ARE KEPT IN THE ADMINISTRATIVE DEPARTMENT OF THE HOSPITAL. THESE DOCUMENTS CAN BE VIEWED UPON REQUEST, BUT THEY ARE NOT ALLOWED TO BE TAKEN FROM THEIR DESIGNATED AREA OR HAVE COPIES MADE WITHOUT PERMISSION. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE ANY COMPENSATION FOR THEIR DIRECTOR DUTIES. JOHN LEWIS IS COMPENSATED AS PRESIDENT/CEO. JAMES BACKSTROM, MD, IS COMPENSATED AS CHIEF MEDICAL OFFICER. CHAD SHAFFER, MD, IS COMPENSATED AS PHYSICIAN. FORM 990, PART VIII, LINE 6A RENTAL INCOME: ACMH HOSPITAL PROVIDES RENTAL LOCATIONS TO AREA PHYSICIANS AND OTHER HEALTHCARE RELATED ENTITIES IN ORDER TO PROMOTE ACCESSIBLE HEALTHCARE OPTIONS CLOSE TO HOME FOR THE LOCAL COMMUNITY. THE RENTAL INCOME CHARGED TO EACH LOCATION IS BASED ON PREVAILING RENTAL RATES PER SQUARE FOOT, THE AMOUNT OF SPACE, THE CONDITION OF THE OFFICE SPACE AND THE AMOUNT OF TIME THE OFFICE SPACE IS USED EACH MONTH. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 3,336,716 CHANGE IN DEFINED BENEFIT PENSION PLAN (9,076,277) TRANSFER TO AFFILIATES -------------- $(5,739,561) FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:18088049 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE CONTRACTS TOTAL FEES:2712657 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED PHYSICIAN SVCS TOTAL FEES:2397222 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:1694599 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:423430 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL DIRECTOR TOTAL FEES:239334 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:47572 ARMSTRONG OUTPATIENT IMAGING LLC 87 GLADE PARK EAST KITTANNING PA 16201 030492975 RADIOLOGY PA 0 0 ACMH HOSP ACMH PHYSICIAN SERVICES ONE NOLTE DRIVE KITTANNING PA 16201 204648195 PRIMARY CARE PA 501(C)(3) 3 ACMH false ARMSTRONG HEALTH & EDUCATION FOUNDATION ONE NOLTE DRIVE KITTANNING PA 16201 251655867 FOUNDATION PA 501(C)(3) 12A I ACMH false ARMSTRONG CENTER FOR MEDICINE & HEALTH ONE NOLTE DRIVE KITTANNING PA 16201 204648477 PARENT CORP. PA 501(C)(3) 10 NA false GLADE RUN MEDICAL ASSOCIATES INC ONE NOLTE DRIVE KITTANNING PA 16201 264750523 PHYSICIAN PRA PA 501(C)(3) 12A I ACMH false false false true true false false false false false true false false true true true true true true true