2025-05-15T10:11:32+00:00 2024-06-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-07-01 250965237 Armstrong County Memorial Hospital ARMS 7245438618 ONE NOLTE DRIVE KITTANNING PA 16201 NICOLE D GERACI PRESIDENT AND CEO 2025-05-15 true Brian Todd P00422601 4178658701 2025-05-15 2023 2025-03-06 01:10:19Z NICHOLE D GERACI ONE NOLTE DRIVE KITTANNING PA 16201 138223867 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. 11 9 1080 46 304101 4629763 7584049 2488376 126741457 133828630 476520 417349 441203 1405865 135243229 138140220 20948 0 0 64952413 68424667 0 0 70199897 61887724 135173258 130312391 69971 7827829 70445087 69523443 37992823 35842720 32452264 33680723 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 false 71290589 0 101396736 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. 13583759 0 19320206 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. 5694797 0 8099720 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. 3310034 0 4707867 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. 3310034 4707867 93879179 true true false true 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 82 0 true 1080 true true true false false false false false false false false false false false X 11 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 JAMES BACKSTROM CHIEF MEDICAL OFFICER END 02/2024 39.0 1.0 X X 304787 0 30608 MARY KRAULAND SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 NICHOLE GERACI COO END/CEO, PRESIDENT BEG 07/2023 39.0 1.0 X X 298448 0 45526 VOLKER ZAUN VICE CHAIRMAN 3.0 1.0 X X 0 0 0 W STEVEN DAVIS CHAIRMAN 1.0 1.0 X X 0 0 0 CHAD SHAFFER MD DIRECTOR 39.0 1.0 X 295748 0 34436 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 DIRECTOR 1.0 1.0 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 JOHN LEWIS PRESIDENT AND CEO END 07/2023 39.0 1.0 X 334216 0 19433 JON BELASCO PHYSICIAN / ACTING CO-CMO BEG 02/2024 39.0 1.0 X 352195 0 28641 MATTHEW KOCIOLA CFO, VP OF FINANCE 39.0 1.0 X 441793 0 63832 SARUN SUWAN PHYSICIAN / ACTING CO-CMO BEG 02/2024 39.0 1.0 X 320421 0 32561 ANNE REMALEY VP OF HUMAN RESOURCES 39.0 1.0 X 199235 0 31416 ADAM AKERS PHYSICIAN 40.0 0.0 X 416151 0 31701 CRAIG VITI PHYSICIAN 40.0 0.0 X 525658 0 35657 MITCHELL PATTI PHYSICIAN 40.0 0.0 X 527409 0 30141 RICHARD BERNAT PHYSICIAN 40.0 0.0 X 414287 0 34061 SAGNIK ADHIKARI PHYSICIAN 40.0 0.0 X 368280 0 13187 4798628 0 431200 87 false true false ALLEGHENY CLINIC PO BOX 951742 CLEVELAND OH 44193 PROFESSIONAL SERVICE 2197654 BRIDGEPORT CAPITAL FUNDING LLC 4730 SOUTH FORT APACHE RD ST 300 LAS VEGAS NV 89147 STAFFING 2126271 CHILDREN'S COMMUNITY PEDIATRICS 11279 PERRY HIGHWAY ST 450 WEXFORD PA 15090 PEDIATRIC 635474 VANTAGE 1305 SOUTH MAIN ST MEADVILLE PA 16335 PROFESSIONAL SERVICE 383416 FORVIS MAZARS LLP PO BOX 200870 DALLAS TX 753200870 PROFESSIONAL SERVICES 340811 14 2025000 300197 163179 27958 2488376 PATIENT SERVICES 621500 127050942 127050942 OTHER REVENUE 900099 5552188 5461689 90499 CAFETERIA 722210 721018 721018 RENT FROM AFFILIATES 623000 290880 290880 UNRELATED LAB SERVICES 621500 213602 213602 0 0 0 0 133828630 348572 348572 523153 523153 0 523153 523153 152424 83647 0 68777 68777 68777 GAIN ON EQUITY INVESTEES 900099 882712 882712 0 0 0 0 882712 138140220 133524529 304101 1823214 X 2833296 1399397 1433899 48690706 38029517 10661189 1857916 97048 1760868 10627423 1272766 9354657 4415326 3167801 1247525 303931 303931 199395 199395 17922504 14042098 3880406 0 252346 7060 245286 5330623 3584419 1746204 1242173 24893 1217280 2260628 762612 1498016 81412 44698 36714 135585 30707 104878 669933 469005 200928 4752532 3327141 1425391 1382316 1382316 MEDICAL SUPPLIES & DRUGS 23823982 23823982 PROVIDER TAX 2146581 2146581 FOOD EXPENSES 763865 124324 639541 LICENSES, DUES, SUBSCRIPTION 467528 140249 327279 152390 2565 149825 0 130312391 93879179 36433212 0 61305 98152 8806195 9385757 10891977 10425698 0 0 0 0 1836890 1557959 1784437 2082263 158138151 129961924 31696517 28176227 1358572 1461974 8079983 7404553 0 5929211 8930860 70445087 69523443 14836680 12761451 44959 9325 0 0 10949100 10449279 2814910 2314913 9347174 10307752 37992823 35842720 X 32452264 33680723 32452264 33680723 70445087 69523443 X 7827829 -6599370 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7233 7233 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 297281 297281 56959689 42219080 14740609 94277822 84546428 9731394 6603359 3196416 3406943 28176227 2022741 C CHART 4571041 C VANTAGE 810771 C 7404553 OTHER RECEIVABLES 4458932 ACCRUED PENSION ASSET 2153046 ROU ASSETS 1701587 DUE FROM 3RD PARTY 485112 DUE FROM AFFILIATES 130957 ACCRUED INTEREST 1226 8930860 DUE TO 3RD PARTY 5360496 ESTIMATED INSURANCE LIABILITY 3375476 LEASE LIABILITIES 1571780 10307752 136014890 0 0 136014890 2125330 2125330 138140220 130312391 0 0 130312391 0 0 130312391 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 true true X true X true X true true true false false 377019 0 377019 0.0029 15608407 14832439 775968 0.0060 94966 62819 32147 0.0002 0 0 16080392 14895258 1185134 0.0091 53771 0 53771 0.0004 200690 0 200690 0.0015 8081409 3424348 4657061 0.0357 43441 0 43441 0.0003 20145 0 20145 0.0002 0 0 8399456 3424348 4975108 0.0382 0 0 24479848 18319607 6160242 0.0473 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 3160785 376133 12040363 15526543 -3486180 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 23 true false false true X HTTPS://WWW.ACMH.ORG/CHNA X true 23 true HTTPS://WWW.ACMH.ORG/CHNA false true X 100.0 300.0 X X X true true X X X true X HTTP://ACMH.ORG/BILLING-AND-INSURANCE#FINANCIALASSISTANCE X HTTP://ACMH.ORG/BILLING-AND-INSURANCE#FINANCIALASSISTANCE X HTTP://ACMH.ORG/BILLING-AND-INSURANCE#FINANCIALASSISTANCE X X X X X X true X false X X X X true X false false 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. 11 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 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 X X X X X false true false true false true false false false NICHOLE GERACI COO END/CEO, PRESIDENT BEG 07/2023 285428 0 1020 0 12000 0 19962 0 25564 0 343974 0 0 0 JAMES BACKSTROM CHIEF MEDICAL OFFICER END 02/2024 296479 0 0 0 8308 0 1500 0 29108 0 335395 0 0 0 CHAD SHAFFER MD DIRECTOR 206205 0 89543 0 0 0 1875 0 32561 0 330184 0 0 0 MATTHEW KOCIOLA CFO, VP OF FINANCE 256612 0 0 0 185181 0 52699 0 11133 0 505625 0 173181 0 JOHN LEWIS PRESIDENT AND CEO END 07/2023 223712 0 0 0 110504 0 2625 0 16808 0 353649 0 55000 0 SARUN SUWAN PHYSICIAN / ACTING CO-CMO BEG 02/2024 320421 0 0 0 0 0 0 0 32561 0 352982 0 0 0 JON BELASCO PHYSICIAN / ACTING CO-CMO BEG 02/2024 350125 0 2070 0 0 0 0 0 28641 0 380836 0 0 0 ANNE REMALEY VP OF HUMAN RESOURCES 187235 0 0 0 12000 0 2625 0 28791 0 230651 0 0 0 MITCHELL PATTI PHYSICIAN 508659 0 18750 0 0 0 1500 0 28641 0 557550 0 0 0 CRAIG VITI PHYSICIAN 506908 0 18750 0 0 0 1500 0 34157 0 561315 0 0 0 ADAM AKERS PHYSICIAN 325741 0 90410 0 0 0 1500 0 30201 0 447852 0 0 0 SAGNIK ADHIKARI PHYSICIAN 339135 0 29145 0 0 0 1500 0 11687 0 381467 0 0 0 RICHARD BERNAT PHYSICIAN 393425 0 2376 0 18486 0 1500 0 32561 0 448348 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: 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. X 2 27958 Market value 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Drugs and medical supplies - THE NUMBER IN COLUMN B REFLECTS THE NUMBER OF CONTRIBUTORS. 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. 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 false false true true false false false false false true false false true true true true true true false