ARMSTRONG COUNTY MEMORIAL HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: ARMSTRONG COUNTY MEMORIAL HOSPITAL (EIN 25-0965237)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202521359349305802
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T10:11:32+00:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E St Louis 200 PO Box 1190	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	250965237	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Armstrong County Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ARMS	BusinessNameControlTxt
Phone	7245438618	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE NOLTE DRIVE	AddressLine1Txt
City	KITTANNING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16201	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	NICOLE D GERACI	PersonNm
Person Title	PRESIDENT AND CEO	PersonTitleTxt
Signature	2025-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum
Preparation	2025-05-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NICHOLE D GERACI	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE NOLTE DRIVE	AddressLine1Txt
City	KITTANNING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16201	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$138,223,867	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ACMH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1874	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF ARMSTRONG MEMORIAL HOSPITAL IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF ARMSTRONG AND NEIGHBORING COUNTIES.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1080	TotalEmployeeCnt
Total Volunteers	46	TotalVolunteersCnt
Total Gross UBI	$304,101	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$4,629,763	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,584,049	PYContributionsGrantsAmt
CY Contributions Grants	$2,488,376	CYContributionsGrantsAmt
PY Program Service Revenue	$126,741,457	PYProgramServiceRevenueAmt
CY Program Service Revenue	$133,828,630	CYProgramServiceRevenueAmt
PY Investment Income	$476,520	PYInvestmentIncomeAmt
CY Investment Income	$417,349	CYInvestmentIncomeAmt
PY Other Revenue	$441,203	PYOtherRevenueAmt
CY Other Revenue	$1,405,865	CYOtherRevenueAmt
PY Total Revenue	$135,243,229	PYTotalRevenueAmt
CY Total Revenue	$138,140,220	CYTotalRevenueAmt
PY Grants And Similar Paid	$20,948	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$64,952,413	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$68,424,667	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$70,199,897	PYOtherExpensesAmt
CY Other Expenses	$61,887,724	CYOtherExpensesAmt
PY Total Expenses	$135,173,258	PYTotalExpensesAmt
CY Total Expenses	$130,312,391	CYTotalExpensesAmt
PY Revenues Less Expenses	$69,971	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,827,829	CYRevenuesLessExpensesAmt
Total Assets BOY	$70,445,087	TotalAssetsBOYAmt
Total Assets EOY	$69,523,443	TotalAssetsEOYAmt
Total Liabilities BOY	$37,992,823	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$35,842,720	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$32,452,264	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$33,680,723	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$71,290,589	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$101,396,736	RevenueAmt
Desc	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 174,832.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$13,583,759	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$19,320,206	RevenueAmt
Desc	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 3,459 AND PATIENT DAYS WERE 17,941.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,694,797	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$8,099,720	RevenueAmt
Desc	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 63,683. 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 2,538. SEE SCHEDULE O FOR MORE INFORMATION.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$3,310,034	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$4,707,867	RevenueAmt
Desc	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.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$3,310,034	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$4,707,867	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$93,879,179	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	82	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1080	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MATTHEW KOCIOLA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7245438618	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE NOLTE DRIVE	AddressLine1Txt
City	KITTANNING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16201	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES BACKSTROM
CHIEF MEDICAL OFFICER END 02/2024	39.0	1.0	Yes (X)	Yes (X)	$304,787	$0	$30,608
MARY KRAULAND
SECRETARY/TREASURER	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
NICHOLE GERACI
COO END/CEO, PRESIDENT BEG 07/2023	39.0	1.0	Yes (X)	Yes (X)	$298,448	$0	$45,526
VOLKER ZAUN
VICE CHAIRMAN	3.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
W STEVEN DAVIS
CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
CHAD SHAFFER MD
DIRECTOR	39.0	1.0	Yes (X)		$295,748	$0	$34,436
CHRIS DILICK
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
COLLEEN MANTINI
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
DONALD TYLINSKI
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
ELIZABETH WHITE
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
SAMUEL FRIEDE
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
SANDY BRADIGAN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
JOHN LEWIS
PRESIDENT AND CEO END 07/2023	39.0	1.0		Yes (X)	$334,216	$0	$19,433
JON BELASCO
PHYSICIAN / ACTING CO-CMO BEG 02/2024	39.0	1.0		Yes (X)	$352,195	$0	$28,641
MATTHEW KOCIOLA
CFO, VP OF FINANCE	39.0	1.0		Yes (X)	$441,793	$0	$63,832
SARUN SUWAN
PHYSICIAN / ACTING CO-CMO BEG 02/2024	39.0	1.0		Yes (X)	$320,421	$0	$32,561
ANNE REMALEY
VP OF HUMAN RESOURCES	39.0	1.0			$199,235	$0	$31,416	Yes (X)
ADAM AKERS
PHYSICIAN	40.0	0.0			$416,151	$0	$31,701		Yes (X)
CRAIG VITI
PHYSICIAN	40.0	0.0			$525,658	$0	$35,657		Yes (X)
MITCHELL PATTI
PHYSICIAN	40.0	0.0			$527,409	$0	$30,141		Yes (X)
RICHARD BERNAT
PHYSICIAN	40.0	0.0			$414,287	$0	$34,061		Yes (X)
SAGNIK ADHIKARI
PHYSICIAN	40.0	0.0			$368,280	$0	$13,187		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,798,628	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$431,200	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	87	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ALLEGHENY CLINIC
PO BOX 951742	CLEVELAND	OH	44193	PROFESSIONAL SERVICE	$2,197,654
BRIDGEPORT CAPITAL FUNDING LLC
4730 SOUTH FORT APACHE RD ST 300	LAS VEGAS	NV	89147	STAFFING	$2,126,271
CHILDREN'S COMMUNITY PEDIATRICS
11279 PERRY HIGHWAY ST 450	WEXFORD	PA	15090	PEDIATRIC	$635,474
VANTAGE
1305 SOUTH MAIN ST	MEADVILLE	PA	16335	PROFESSIONAL SERVICE	$383,416
FORVIS MAZARS LLP
PO BOX 200870	DALLAS	TX	753200870	PROFESSIONAL SERVICES	$340,811

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,025,000	RelatedOrganizationsAmt
Government Grants	$300,197	GovernmentGrantsAmt
All Other Contributions	$163,179	AllOtherContributionsAmt
Noncash Contributions	$27,958	NoncashContributionsAmt
Total Contributions	$2,488,376	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	621500	$127,050,942	$127,050,942
OTHER REVENUE	900099	$5,552,188	$5,461,689	$90,499
CAFETERIA	722210	$721,018	$721,018
RENT FROM AFFILIATES	623000	$290,880	$290,880
UNRELATED LAB SERVICES	621500	$213,602		$213,602

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$133,828,630	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$348,572	TotalRevenueColumnAmt
Exclusion	$348,572	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$523,153	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$523,153	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$523,153	TotalRevenueColumnAmt
Exclusion	$523,153	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$152,424	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$83,647	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$68,777	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$68,777	TotalRevenueColumnAmt
Exclusion	$68,777	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	GAIN ON EQUITY INVESTEES	Desc
Business	900099	BusinessCd
Total Revenue Column	$882,712	TotalRevenueColumnAmt
Exclusion	$882,712	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$882,712	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$138,140,220	TotalRevenueColumnAmt
Related Or Exempt Func Income	$133,524,529	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$304,101	UnrelatedBusinessRevenueAmt
Exclusion	$1,823,214	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,833,296	TotalAmt
Program Services	$1,399,397	ProgramServicesAmt
Management And General	$1,433,899	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$48,690,706	TotalAmt
Program Services	$38,029,517	ProgramServicesAmt
Management And General	$10,661,189	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,857,916	TotalAmt
Program Services	$97,048	ProgramServicesAmt
Management And General	$1,760,868	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,627,423	TotalAmt
Program Services	$1,272,766	ProgramServicesAmt
Management And General	$9,354,657	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,415,326	TotalAmt
Program Services	$3,167,801	ProgramServicesAmt
Management And General	$1,247,525	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$303,931	TotalAmt
Management And General	$303,931	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$199,395	TotalAmt
Management And General	$199,395	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$17,922,504	TotalAmt
Program Services	$14,042,098	ProgramServicesAmt
Management And General	$3,880,406	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$252,346	TotalAmt
Program Services	$7,060	ProgramServicesAmt
Management And General	$245,286	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,330,623	TotalAmt
Program Services	$3,584,419	ProgramServicesAmt
Management And General	$1,746,204	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,242,173	TotalAmt
Program Services	$24,893	ProgramServicesAmt
Management And General	$1,217,280	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,260,628	TotalAmt
Program Services	$762,612	ProgramServicesAmt
Management And General	$1,498,016	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$81,412	TotalAmt
Program Services	$44,698	ProgramServicesAmt
Management And General	$36,714	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$135,585	TotalAmt
Program Services	$30,707	ProgramServicesAmt
Management And General	$104,878	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$669,933	TotalAmt
Program Services	$469,005	ProgramServicesAmt
Management And General	$200,928	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,752,532	TotalAmt
Program Services	$3,327,141	ProgramServicesAmt
Management And General	$1,425,391	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,382,316	TotalAmt
Program Services	$1,382,316	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$23,823,982	$23,823,982
PROVIDER TAX	$2,146,581	$2,146,581
FOOD EXPENSES	$763,865	$124,324	$639,541
LICENSES, DUES, SUBSCRIPTION	$467,528	$140,249	$327,279

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$152,390	TotalAmt
Program Services	$2,565	ProgramServicesAmt
Management And General	$149,825	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$130,312,391	TotalAmt
Program Services	$93,879,179	ProgramServicesAmt
Management And General	$36,433,212	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$61,305	BOYAmt
EOY	$98,152	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,806,195	BOYAmt
EOY	$9,385,757	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,891,977	BOYAmt
EOY	$10,425,698	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,836,890	BOYAmt
EOY	$1,557,959	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,784,437	BOYAmt
EOY	$2,082,263	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$158,138,151	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$129,961,924	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$31,696,517	BOYAmt
EOY	$28,176,227	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,358,572	BOYAmt
EOY	$1,461,974	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$8,079,983	BOYAmt
EOY	$7,404,553	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,929,211	BOYAmt
EOY	$8,930,860	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$70,445,087	BOYAmt
EOY	$69,523,443	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,836,680	BOYAmt
EOY	$12,761,451	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$44,959	BOYAmt
EOY	$9,325	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,949,100	BOYAmt
EOY	$10,449,279	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$2,814,910	BOYAmt
EOY	$2,314,913	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,347,174	BOYAmt
EOY	$10,307,752	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,992,823	BOYAmt
EOY	$35,842,720	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$32,452,264	BOYAmt
EOY	$33,680,723	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$32,452,264	BOYAmt
EOY	$33,680,723	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$70,445,087	BOYAmt
EOY	$69,523,443	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,827,829	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$6,599,370	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$7,233	OtherActivitiesAmt
Total Lobbying Expenditures	$7,233	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PAYS ANNUAL DUES TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP). 28.34% OF THE DUES PAID ARE USED FOR LOBBYING PURPOSES. IN FISCAL YEAR 2024, THE AMOUNT ATTRIBUTABLE TO LOBBYING WAS $7,233.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$297,281	OtherCostOrOtherBasisAmt
Book Value	$297,281	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,959,689	OtherCostOrOtherBasisAmt
Depreciation	$42,219,080	DepreciationAmt
Book Value	$14,740,609	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$94,277,822	OtherCostOrOtherBasisAmt
Depreciation	$84,546,428	DepreciationAmt
Book Value	$9,731,394	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,603,359	OtherCostOrOtherBasisAmt
Depreciation	$3,196,416	DepreciationAmt
Book Value	$3,406,943	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$28,176,227	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$2,022,741	BookValueAmt
Method Valuation	C	MethodValuationCd

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CHART	$4,571,041	C
VANTAGE	$810,771	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$7,404,553	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$4,458,932
ACCRUED PENSION ASSET	$2,153,046
ROU ASSETS	$1,701,587
DUE FROM 3RD PARTY	$485,112
DUE FROM AFFILIATES	$130,957
ACCRUED INTEREST	$1,226

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$8,930,860	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO 3RD PARTY	$5,360,496
ESTIMATED INSURANCE LIABILITY	$3,375,476
LEASE LIABILITIES	$1,571,780

Field	Value	IRS element (for citing)
Total Liability	$10,307,752	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$136,014,890	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$136,014,890	RevenueSubtotalAmt
Other Revenues Not Included	$2,125,330	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,125,330	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$138,140,220	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$130,312,391	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$130,312,391	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$130,312,391	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 4(b) Other revenues in form 990 not in audited financial statements	CONTRIBUTIONS FROM AFFILIATE - 2025000 GRANTS FOR PROPERTY AND EQUIPMENT ACQUISITION - 100330

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$377,019	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$377,019	NetCommunityBenefitExpnsAmt
Total Expense	0.0029	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,608,407	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,832,439	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$775,968	NetCommunityBenefitExpnsAmt
Total Expense	0.0060	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,966	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,819	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,147	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$16,080,392	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,895,258	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,185,134	NetCommunityBenefitExpnsAmt
Total Expense	0.0091	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,771	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$200,690	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$200,690	NetCommunityBenefitExpnsAmt
Total Expense	0.0015	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,081,409	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,424,348	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,657,061	NetCommunityBenefitExpnsAmt
Total Expense	0.0357	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,441	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,441	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,145	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,145	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$8,399,456	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,424,348	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,975,108	NetCommunityBenefitExpnsAmt
Total Expense	0.0382	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$24,479,848	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,319,607	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,160,242	NetCommunityBenefitExpnsAmt
Total Expense	0.0473	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$3,160,785	BadDebtExpenseAmt
Bad Debt Expense Attributable	$376,133	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$12,040,363	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$15,526,543	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,486,180	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARMSTRONG COUNTY MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE NOLTE DRIVE	AddressLine1Txt
City	KITTANNING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16201	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ACMH.ORG	WebsiteAddressTxt
State License	270901	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	SNU, CARDIAC REHAB, OB, PSYCHIATRIC, NEURO, UROLOGY	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ARMSTRONG COUNTY MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.ACMH.ORG/CHNA	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.ACMH.ORG/CHNA	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://ACMH.ORG/BILLING-AND-INSURANCE#FINANCIALASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://ACMH.ORG/BILLING-AND-INSURANCE#FINANCIALASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://ACMH.ORG/BILLING-AND-INSURANCE#FINANCIALASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	ACMH IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENT CHNA AS FOLLOWS: NEEDS FOR WHICH PLANS WILL BE MADE: 1. SOCIAL DETERMINANTS OF HEALTH: - HOUSING - FOOD INSECURITY - TRANSPORTATION (INCLUDING EMS SERVICES) 2. SUBSTANCE ABUSE 3. MENTAL HEALTH 4. HEALTH BEHAVIORS: - PREVENTION AND MANAGEMENT OF CHRONIC - DISEASE - TOBACCO USE - DIET AND EXERCISE 5. PROVIDER ENGAGEMENT: - HEALTHCARE EDUCATION - PROVIDER TRAINING - ADDRESSING PROVIDER SHORTAGES
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ARMSTRONG COUNTY MEMORIAL HOSPITAL. 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 11 Facility , 1	Facility , 1 - ARMSTRONG COUNTY MEMORIAL HOSPITAL. ACMH HAS BEEN ACTIVELY ADDRESSING KEY HEALTH CONCERNS IN ARMSTRONG COUNTY THROUGH VARIOUS INITIATIVES. DESPITE CHALLENGES LIKE STAFFING SHORTAGES AND THE COVID-19 PANDEMIC, THE HOSPITAL AND ITS PARTNERS HAVE MADE SIGNIFICANT PROGRESS ACROSS MULTIPLE AREAS OF NEED. BELOW IS A COMPREHENSIVE SUMMARY OF ONGOING EFFORTS. 1. ADDRESSING SOCIAL DETERMINANTS OF HEALTH SOCIAL DETERMINANTS OF HEALTH (SDOH) ASSESSMENTS: LAUNCHED IN JULY 2023, THESE SCREENINGS IDENTIFY PATIENT NEEDS IN HOUSING, FOOD, TRANSPORTATION AND SAFETY. DATA IS SHARED WITH LOCAL AGENCIES TO DRIVE SYSTEMIC CHANGE. FOOD CARE PACKAGE PROGRAM: PROVIDES DISCHARGE PATIENTS WITH A THREE-DAY SUPPLY OF NUTRITIOUS MEALS TO EASE THEIR TRANSITION HOME. EMERGENCY FOOD PANTRY AT ACMH: OPENED IN APRIL 2024 IN PARTNERSHIP WITH THE GREATER PITTSBURGH AREA FOOD BANK, OFFERING FRESH AND SHELF-STABLE FOOD TO THOSE IN NEED. FOOD BUCKS RX PROGRAM: PROVIDES PATIENTS WITH VOUCHERS ($40-$80 PER MONTH) TO PURCHASE FRESH PRODUCE, SUPPORTING THOSE WITH DIET-RELATED CHRONIC CONDITIONS. ACMH FARMER'S MARKET: HOSTED AT THE HOSPITAL TO IMPROVE ACCESS TO FRESH, LOCAL PRODUCE. INSURANCE BENEFITS FOR MEDICAL TRANSPORTATION: NEW PATIENT EDUCATION INITIATIVE TO HELP RESIDENTS UNDERSTAND THEIR ELIGIBILITY FOR MEDICAL RIDE SERVICES. RURAL EMS AND COMMUNITY HEALTH PARTNERSHIP: ACMH COLLABORATES WITH THE RURAL HEALTH REDESIGN CENTER TO IMPROVE EMS SERVICES, REDUCE ER VISITS AND STRENGTHEN RURAL HEALTHCARE ACCESS. 2. SUBSTANCE ABUSE PREVENTION AND TREATMENT ADDICTION RECOVERY MOBILE OUTREACH TEAM (ARMOT) PROVIDES CASE MANAGEMENT AND RECOVERY SUPPORT, WITH FOCUS ON FAMILY INVOLVEMENT. OVER 3,000 REFERRALS HAVE BEEN MADE SINCE ITS INCEPTION. VETERANS TREATMENT COURT: SUPPORTS VETERANS STRUGGLING WITH SUBSTANCE USE DISORDERS THROUGH STRUCTURED REHABILITATION PROGRAMS. NARCAN DISTRIBUTION AND ANTI-VAPING CAMPAIGNS: PROVIDES FREE NALOXONE AND EDUCATES THE PUBLIC ON VAPING RISKS. SMART CHOICES PROGRAM: EDUCATES ADOLESCENTS ON SUBSTANCE USE, OFFERS NICOTINE CESSATION SUPPORT AND HOSTS A PARENT SUPPORT GROUP. DRUG KILL DREAMS PROGRAM: CONTINUES ITS LONG-STANDING ADVOCACY FOR YOUTH SUBSTANCE ABUSE PREVENTION. 3. CHRONIC DISEASE PREVENTION & MANAGEMENT PARTICIPATION IN THE PENNSYLVANIA RURAL HEALTH MODEL: ACMH IS WORKING TO REDUCE RURAL HEALTH DISPARITIES BY IMPROVING CHRONIC DISEASE MANAGEMENT. THE RED PROJECT (RE-ENGINEERED DISCHARGE PROJECT): EDUCATES DISCHARGED PATIENTS ON SELF-CARE TO REDUCE ER VISITS AND RE-ADMISSIONS. DISCHARGE NURSE NAVIGATOR(DNN): A NEW ROLE ASSISTING PATIENTS WITH CHRONIC DISEASES LIKE COPD, CHF, AND SEPSIS, ENSURING PROPER MEDICATION MANAGEMENT AND POST-DISCHARGE CARE. DIABETES FOOT ULCER PREVENTION PROGRAM: PROVIDES FREE MONOFILAMENT TESTING KITS TO AT-RISK DIABETIC PATIENTS. REMOTE PATIENT MONITORING: DEPLOYED IN SELECT AREAS IN PARTNERSHIP WITH LUTHERAN SENIORLIFE VNA, OFFERING BLOOD PRESSURE CUFFS AND SCALES TO HOMEBOUND PATIENTS. LIFE ARMSTRONG COUNTY PROGRAM: SUPPORTS SENIORS WITH COMPLEX MEDICAL AND SOCIAL NEEDS THROUGH ADULT DAY SERVICES AND HOME-BASED CARE. FALLS PREVENTION PROGRAM: OFFERS EDUCATION AND COMMUNITY EVENTS TO REDUCE FALL-RELATED INJURIES AMONG SENIORS. 4. MENTAL HEALTH AND BEHAVIORAL HEALTH TELEHEALTH PSYCHIATRY EXPANSION: WHILE OUTPATIENT MENTAL HEALTH SERVICES HAVE NOT BEEN FULLY IMPLEMENTED, ACMH IS INCREASING TELEHEALTH OPTIONS. RECRUITMENT OF MENTAL HEALTH PROVIDERS: ACMH CONTINUES TO SEEK PSYCHIATRISTS AND BEHAVIORAL HEALTH PROFESSIONALS TO ADDRESS COMMUNITY SHORTAGES. PATIENT AND FAMILY ADVISORY COUNCIL (PFAC): LAUNCHED IN JANUARY 2024 TO INVOLVE PATIENTS AND FAMILIES IN HEALTHCARE DECISION-MAKING AND COMMUNITY EDUCATION. 5. TOBACCO USE AND VAPING PREVENTION GREAT AMERICAN SMOKE OUT EVENT: HOSTING AWARENESS CAMPAIGNS AND INFORMATION TABLES TO ENCOURAGE SMOKING CESSATION. REVIVAL OF "SMOKELESS SATURDAY" FOR YOUTH: EVALUATING THE NEED FOR A PRE-COVID SCHOOL BASED NICOTINE PREVENTION PROGRAM. ANTI-VAPING CAMPAIGN RELAUNCH: EXPANDING EFFORTS TO EDUCATE THE PUBLIC ABOUT VAPING RISKS, ESPECIALLY AMONG TEENS. 6. HEALTHCARE WORKFORCE DEVELOPMENT & ACCESS TO CARE PRIMARY CARE EXPANSION: RECRUITING HEALTHCARE PROFESSIONALS AND WORKING WITH DUQUESNE UNIVERSITY AND INDIANA UNIVERSITY OF PENNSYLVANIA TO ESTABLISH MEDICAL TRAINING PROGRAMS. GRAND ROUNDS AND UP-TO-DATE ACCESS: EXPANDING CONTINUING MEDICAL EDUCATION THROUGH EXPERT-LED DISCUSSIONS AND ONLINE RESOURCES. PMCN PHYSICIAN RECRUITER: THE PENNSYLVANIA MOUNTAINS CARE NETWORK HIRED A DEDICATED RECRUITER TO ATTRACT HEALTHCARE PROFESSIONALS TO THE REGION. UPCOMING RESIDENCY PROGRAMS: ACMH WILL HOST MEDICAL RESIDENTS FROM DUQUESNE UNIVERSITY IN 2026 AND INDIANA UNIVERSITY OF PENNSYLVANIA IN 2028. ICU TELEHEALTH PARTNERSHIP: PARTNERED WITH HICUITY HEALTH TO PROVIDE 24/7 INTENSIVIST SUPPORT FOR CRITICALLY ILL PATIENTS. 7. COMMUNITY OUTREACH AND HEALTH EDUCATION PUBLIC HEALTH AWARENESS CAMPAIGNS: INCLUDES "DON'T DELAY, CALL 911" FOR EMERGENCY RESPONSE AND "HANDS-ONLY CPR" TRAINING FOR CARDIAC EMERGENCIES. PRENATAL EDUCATION & CANCER SCREENINGS: EXPANDING SERVICES FOR EXPECTING MOTHERS AND EARLY CANCER DETECTION. COMMUNITY HEALTH FAIRS AND SENIOR EXPOS: INCREASING PUBLIC ACCESS TO WELLNESS RESOURCES AND SCREENINGS. 8. OTHER INFRASTRUCTURE AND SERVICE ENHANCEMENTS EXPANSION OF ACMH CANCER CENTER: ADDED NEW INFUSION BAYS AND EXAM ROOMS TO ACCOMMODATE GROWING PATIENT DEMAND. WALK-IN SERVICES AT ACMH PRIMARY CARE CENTERS: INTRODUCED SAME-DAY APPOINTMENTS FOR ACUTE MEDICAL NEEDS. CONCLUSION: ACMH CONTINUES TO MAKE STRIDES IN ADDRESSING THE HEALTHCARE NEEDS OF ARMSTRONG COUNTY. BY EXPANDING PARTNERSHIPS, LAUNCHING NEW PROGRAMS, AND ADAPTING TO CHALLENGES, THE HOSPITAL IS WORKING TO IMPROVE ACCESS TO CARE, CHRONIC DISEASE MANAGEMENT, MENTAL HEALTH SERVICES AND COMMUNITY HEALTH EDUCATION. THE ONGOING INITIATIVES REFLECT A COMMITMENT TO BUILDING A HEALTHIER, MORE RESILIENT COMMUNITY. NEEDS NOT BEING ADDRESSED: THE STEERING COMMITTEE IDENTIFIED SEVERAL COMMUNITY NEEDS BUT DECIDED NOT TO ADDRESS THEM DUE TO LIMITATIONS IN THEIR ABILITY TO IMPACT OUTCOMES. THE NEEDS THEY WILL NOT BE MAKING PLANS FOR INCLUDE: 1. LOW-INCOME LEVELS - THE ORGANIZATION LACKS THE ABILITY TO ADDRESS BROADER ECONOMIC ISSUES. 2. HEALTHCARE COSTS - ACMH HAS LITTLE CONTROL OVER RISING DRUG AND SUPPLY COSTS BUT DOES PROVIDE FINANCIAL ASSISTANCE FOR QUALIFYING PATIENTS. 3. BROADBAND INTERNET ACCESS - THIS ISSUE IS ALREADY BEING HANDLED BY ARMSTRONG COUNTY GOVERNMENT OFFICIALS, WHO ARE WORKING ON EXPANDING BROADBAND AVAILABILITY. THESE AREAS WERE CONSIDERED IMPORTANT BUT BEYOND ACMH'S SCOPE OF INFLUENCE, LEADING TO THEIR EXCLUSION FROM THE PRIORITIZED HEALTH IMPROVEMENT PLANS.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - ARMSTRONG COUNTY MEMORIAL HOSPITAL. 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.

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ACMH RHEUMATOLOGY
500 Medical Arts Building Suite 510	Kittanning	PA	16201	Rheumatology Clinic
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
COWANSVILLE HEALTH CENTER
882 EAST BRADY RD	COWANSVILLE	PA	16218	LAB DRAW
ENDOCRINOLOGY ASSOCIATES
600 MEDICAL ARTS BUILDING SUITE 640	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 670	KITTANNING	PA	16201	PULMONARY CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 7f 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, Line 2 Bad debt expense - methodology used to estimate amount	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, 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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	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, Line 4 Bad debt expense - financial statement 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, Line 8 Community benefit & methodology for determining medicare costs	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, Line 9b Collection practices for patients eligible for financial assistance	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 V, Section B, Line 16a FAP website	- ARMSTRONG COUNTY MEMORIAL HOSPITAL: Line 16a URL: HTTP://ACMH.ORG/BILLING-AND-INSURANCE#FINANCIALASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ARMSTRONG COUNTY MEMORIAL HOSPITAL: Line 16b URL: HTTP://ACMH.ORG/BILLING-AND-INSURANCE#FINANCIALASSISTANCE;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ARMSTRONG COUNTY MEMORIAL HOSPITAL: Line 16c URL: HTTP://ACMH.ORG/BILLING-AND-INSURANCE#FINANCIALASSISTANCE;
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 FY2024 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	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.
Schedule H, Part VI, Line 7 State filing of community benefit report	PA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NICHOLE GERACI
COO END/CEO, PRESIDENT BEG 07/2023	$285,428	$0	$1,020	$0	$12,000	$0	$19,962	$0	$25,564	$0	$343,974	$0	$0	$0
JAMES BACKSTROM
CHIEF MEDICAL OFFICER END 02/2024	$296,479	$0	$0	$0	$8,308	$0	$1,500	$0	$29,108	$0	$335,395	$0	$0	$0
CHAD SHAFFER MD
DIRECTOR	$206,205	$0	$89,543	$0	$0	$0	$1,875	$0	$32,561	$0	$330,184	$0	$0	$0
MATTHEW KOCIOLA
CFO, VP OF FINANCE	$256,612	$0	$0	$0	$185,181	$0	$52,699	$0	$11,133	$0	$505,625	$0	$173,181	$0
JOHN LEWIS
PRESIDENT AND CEO END 07/2023	$223,712	$0	$0	$0	$110,504	$0	$2,625	$0	$16,808	$0	$353,649	$0	$55,000	$0
SARUN SUWAN
PHYSICIAN / ACTING CO-CMO BEG 02/2024	$320,421	$0	$0	$0	$0	$0	$0	$0	$32,561	$0	$352,982	$0	$0	$0
JON BELASCO
PHYSICIAN / ACTING CO-CMO BEG 02/2024	$350,125	$0	$2,070	$0	$0	$0	$0	$0	$28,641	$0	$380,836	$0	$0	$0
ANNE REMALEY
VP OF HUMAN RESOURCES	$187,235	$0	$0	$0	$12,000	$0	$2,625	$0	$28,791	$0	$230,651	$0	$0	$0
MITCHELL PATTI
PHYSICIAN	$508,659	$0	$18,750	$0	$0	$0	$1,500	$0	$28,641	$0	$557,550	$0	$0	$0
CRAIG VITI
PHYSICIAN	$506,908	$0	$18,750	$0	$0	$0	$1,500	$0	$34,157	$0	$561,315	$0	$0	$0
ADAM AKERS
PHYSICIAN	$325,741	$0	$90,410	$0	$0	$0	$1,500	$0	$30,201	$0	$447,852	$0	$0	$0
SAGNIK ADHIKARI
PHYSICIAN	$339,135	$0	$29,145	$0	$0	$0	$1,500	$0	$11,687	$0	$381,467	$0	$0	$0
RICHARD BERNAT
PHYSICIAN	$393,425	$0	$2,376	$0	$18,486	$0	$1,500	$0	$32,561	$0	$448,348	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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: DISTRIBUTIONS: - $55,000 JOHN I. LEWIS - $173,181 MATTHEW KOCIOLA CONTRIBUTIONS: - $51,199 MATTHEW KOCIOLA - $18,087 NICHOLE GERACI 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, Line 5a & 6A - COMPENSATION CONTINGENT ON REVENUES OF THE ORGANIZATION

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.

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$27,958	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Drugs and medical supplies - THE NUMBER IN COLUMN B REFLECTS THE NUMBER OF CONTRIBUTORS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 3,310,034 including grants of $ 0)(Revenue $ 4,707,867) 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, Line 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, Line 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 MAY 2024.
Form 990, Part VI, Line 11b Review of form 990 by governing body	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, 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, Line 19 Required documents available to the public	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 IX, Line 11g Other Fees	OUTSIDE SERVICES - Total Expense: 11311433, Program Service Expense: 8275191, Management and General Expenses: 3036242, Fundraising Expenses: ; MAINTENANCE CONTRACTS - Total Expense: 2560625, Program Service Expense: 2358512, Management and General Expenses: 202113, Fundraising Expenses: ; PURCHASED PHYSICIAN SVCS - Total Expense: 1775254, Program Service Expense: 1719213, Management and General Expenses: 56041, Fundraising Expenses: ; LAB SERVICES - Total Expense: 1549716, Program Service Expense: 1549716, Management and General Expenses: , Fundraising Expenses: ; COLLECTION FEES - Total Expense: 515285, Program Service Expense: , Management and General Expenses: 515285, Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 139466, Program Service Expense: 139466, Management and General Expenses: , Fundraising Expenses: ; CONSULTING - Total Expense: 70725, Program Service Expense: , Management and General Expenses: 70725, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN DEFINED BENEFIT PENSION PLAN - 1721448; TRANSFER TO AFFILIATES - -8320818;
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 4 PROGRAM SERVICES	ARMSTRONG COUNTY MEMORIAL HOSPITAL IS A 112 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 $1,154,370 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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)	Type I	ACMH	false
ARMSTRONG CENTER FOR MEDICINE & HEALTH
ONE NOLTE DRIVE	KITTANNING	PA	16201	204648477	PARENT CORPORATION	PA	501(c)(3)	10	NA	false
GLADE RUN MEDICAL ASSOCIATES INC
ONE NOLTE DRIVE	KITTANNING	PA	16201	264750523	PHYSICIAN PRACTICE	PA	501(c)(3)	Type I	ACMH	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd