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        <AverageHoursPerWeekRltdOrgRt>002.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sajid Peracha MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Surabhi Gaur MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>675257</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>701487</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>131705</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>15</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Quest Diagnostics</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>16410 Collections Ctr Dr</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Laboratory Services</ServicesDesc>
        <CompensationAmt>4844336</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Cerner Corporation</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 959156</AddressLine1Txt>
            <CityNm>St Louis</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63195</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Information Technology Services</ServicesDesc>
        <CompensationAmt>4616294</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Sodexo Inc &amp; Affiliates</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 360170</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15251</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting Services</ServicesDesc>
        <CompensationAmt>802071</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Fresenius Management Services Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>16343 Collections Center</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Dialysis Services</ServicesDesc>
        <CompensationAmt>537926</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Diskriter Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 645433</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15264</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Medical Coding Services</ServicesDesc>
        <CompensationAmt>405568</CompensationAmt>
      </ContractorCompensationGrp>
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      <GovernmentGrantsAmt>200000</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>1812</NoncashContributionsAmt>
      <TotalContributionsAmt>270084</TotalContributionsAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>30200028</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30200028</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Outpatient Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>27203111</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27203111</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>IRU Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1990118</RelatedOrExemptFuncIncomeAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>265000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>265000</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>46383</ExclusionAmt>
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      <GrossRentsGrp>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>2700</ExclusionAmt>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-58472</ExclusionAmt>
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        <ExclusionAmt>800000</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <RelatedOrExemptFuncIncomeAmt>399404</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>153729</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>173289</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>790611</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>0</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>18801353</TotalAmt>
        <ProgramServicesAmt>13674224</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5127129</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>345154</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>2543465</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>1120659</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>1923341</ProgramServicesAmt>
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      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>33357</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>11440</TotalAmt>
        <ManagementAndGeneralAmt>11440</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
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      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>8656</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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      <OfficeExpensesGrp>
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        <ManagementAndGeneralAmt>262666</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>2475144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>928051</ManagementAndGeneralAmt>
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      <RoyaltiesGrp>
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      <OccupancyGrp>
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        <ProgramServicesAmt>644</ProgramServicesAmt>
        <ManagementAndGeneralAmt>241</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
        <TotalAmt>10363</TotalAmt>
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        <ManagementAndGeneralAmt>2826</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>736771</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>710862</ProgramServicesAmt>
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        <EOYAmt>130367113</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>555692</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>3014828</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <HospitalInd>X</HospitalInd>
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      <ContributorInformationGrp>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>II-B 1i</FormAndLineReferenceDesc>
        <ExplanationTxt>The Uniontown Hospital is a member of the Hospital Association of PA HAP and the American Hospital Association AHA. Both of these organizations engage in lobbying activities. As a member of these organizations we have been instructed to include certain percentages of yearly dues as lobbying expenses. We reported 14,237 on our 2019 990 Schedule C which represented a of our entire 2020 calendar year dues therefore, we have no additional expense to report on this short year return for the period July 2020 - December 2020.</ExplanationTxt>
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    </IRS990ScheduleC>
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        <BookValueAmt>3541482</BookValueAmt>
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        <DepreciationAmt>55500834</DepreciationAmt>
        <BookValueAmt>51274340</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>1858517</DepreciationAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>57484295</DepreciationAmt>
        <BookValueAmt>11825546</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>5347053</DepreciationAmt>
        <BookValueAmt>5615467</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>Investments - CHART</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      <TotalBookValueProgramRltdAmt>8545108</TotalBookValueProgramRltdAmt>
      <OtherLiabilitiesOrgGrp>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Est. Malpractice Cost</Desc>
        <Amt>2963154</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Long Term Liabilities</Desc>
        <Amt>3721506</Amt>
      </OtherLiabilitiesOrgGrp>
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        <Amt>1869637</Amt>
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        <Desc>Interest Rate Swap Agreement</Desc>
        <Amt>7087827</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to WVU ED Hospitalist Support</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Right to Use Operating Lease LT</Desc>
        <Amt>732947</Amt>
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      <TotalLiabilityAmt>16375071</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization adopted the provisions of Financial Accounting Standards Board FASB Interpretation No. 48 ASC 740, Accounting for Uncertainty in Income Taxes. Because no material uncertain tax positions were identified, a disclosure was not included in the foootnotes to the financial statements.</ExplanationTxt>
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        <FreeCareOtherPct>0000000250.000000000000</FreeCareOtherPct>
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      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent350Ind>X</Percent350Ind>
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      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
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      <BadDebtExpenseAmt>2138010</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>54519</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>10916464</ReimbursedByMedicareAmt>
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      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
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          <AddressLine1Txt>500 W Berkeley Street</AddressLine1Txt>
          <CityNm>Uniontown</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15401</ZIPCd>
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        <WebsiteAddressTxt>uniontownhospital.com</WebsiteAddressTxt>
        <StateLicenseNum>470901</StateLicenseNum>
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        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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      <HospitalFcltyPoliciesPrctcGrp>
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        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
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        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
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        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>uniontownhospital.com//Files/Admin/Fayette-CHNA-Rpt.pdf</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>18</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>uniontownhospital.com//Files/Admin/2019-Implementation-Plan-28129.pdf</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtDscntCarePct>0000000350.000000000000</FPGFamilyIncmLmtDscntCarePct>
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        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
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        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>uniontownhospital.com/financial-care-services</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>uniontownhospital.com/financial-care-services</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>uniontownhospital.com/financial-care-services</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <NoEmergencyCarePolicyInd>X</NoEmergencyCarePolicyInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>BKD, LLP conducted a formal community health needs assessment on behalf of the Uniontown Hospital. Interviews were conducted by BKD personnel between October 2018 and February 2019 with 12 key informants and four project steering committtee members. Interviewees were determined based on a their specialized knowledge or expertise in public health, b their involvement with underserved and minority populations or c their affiliation with local government, schools and industry. The following is a complete list of those consulted Melissa Miner, Children Health Improvement Partnership/Senior Nursing Faculty - Penn State Fayette Vickie Leone, Uniontown Hospital Board Member, Vice President, Fayette Home Care Charles Machesky, Superintendent, Uniontown Area School District James Stark, CEO, Fayette County Community Action Agency Jamie Moore, Supervisor, Southwest PA Area Agency on Aging Gina DAuria, Administrator, Fayette County Children and Youth Charles Watson, Uniontown Hospital Past Chair of the Board Robert Garrett, Uniontown Hospital Chair of the Board Lisa Ferris, Administrator/CEO, Fayette County Behavioral Health Administration Melissa Ferris, Assistant Executive Director, Fayette County Drug Alcohol Commission Surabhi Gaur, MD, Cheif Medical Officer, Uniontown Hospital Richard Pish, MD, Medical Staff Chair, Medical Executive Committee, Uniontown Hospital. The following is a complete list of the Uniontown Hospital Projetct Steering Committee members Steven Handy, CEO Barb Weiss, Executive Director, Finance/CFO Betty Ann Rock, Executive Director, Nursing/CNO Sandy Thorpe, Executive Director, Specialty Care Services Mark Dillon, Executive Director, Clinical Operations/CCO Chirsta Ebbert, Executive Director, Quality Experiences Tricia Herman, Executive Director, Support Operations/CIO.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Uniontown Hospitals most recently conducted Community Health Needs Assessment and Implementation Strategy adopted in tax year 2018 can be found at www.uniontownhospital.com. The health needs identified by the CHNA were reviewed and priority areas were determined by hospital management. Priority 1 Healthy Behaviors. Goal Work to improve the behaviors towards health care and lifestyle choices in the community. Strategies to be implemented FY 2020 - 2022 A Partner with other community agencies and programs which promote healthy living activities. Year two progress - Uniontown Hospital has partnered with agencies including the Fayette Chamber of Commerce, local government, area health organizations and programs, the YMCA, the Fayette Living Well Coalition, the Food Bank, St. Vincent DePaul and others to support healthy living activities. B Continue to partner with community agencies regarding cardiac rehab/maintenance and other related programs. Year two progress - Uniontown Hospital continues to partner with the Uniontown YMCA to maintain a cardiac rehab/maintenance program C Refine the end of life/palliative care program. Year two progress - The Social Workers at Uniontown Hospital will attend End of Life Programs for Advance Care Planning to continue to support our patients who elect end of life care. Social Workers will collaborate with WVU Home Health/Hospice Agency to provide our patients and families options for end of life care . D Through the Uniontown Hospital Special Events Engagement Team and the Community Relations Department participate in community events that promote healthy behaviors including area health fairs targeting seniors, students and veterans. Year two progress - Uniontown Hospital sponsored Storey Summer Concert Series when appropriate given the pandemic, educating local residents about healthy living and promoting better health. The Hospital collaborated with Fayette County and other local leaders to bring mass vaccinations to the county for several months in 2021 to help provide the COVID-19 vaccine to all those in need in our community, providing 29,000 doses to area residents. Hospital staff also participated in various educational efforts, both in person and by electronic means to promote healthy lifestyles, in conjunction with area organizations at health fairs for various target demographics.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>E Participate in annual American Heart Association events. Year two progress - Uniontown Hospital continued to support the work of the American Heart Association and their local efforts, all of which were scaled back due to pandemic considerations. F Sponsor multiple health events spearheaded by community organizations to combat specific disease and educate area residents including work with the American Caner Society, CORE and others. Year two progress - Uniontown Hospital continued to support and engage in community-based events with the American Cancer Society and CORE. G Participate in the Community Stroke Group. Year two progress - Uniontown Hospital continued to be an active participant in the Community Stroke Support Group.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Priority 2 Mental Health. Goal Work to improve health outcomes related to substance abuse and mental health. Strategies to be implemented FY 2020 - 2022 A Participate in the Opioid Use Disorder quality initiative. Year two progress - Our case management department consult with social workers to initiate care coordination for the patients who are identified as having addictions to complete an intake on the patients to connect them to community resources and support centers. B Develop better processes to link inpatient or outpatients to providers. Year two progress - Uniontown Hospital is collaborating with The American Addiction Center to assist in bridging the gap between the acute care setting with inpatient and outpatient services prior to the patient being discharged from the acute care setting. this gives the Addiction Specialist the time to build a rapport with the patient and their loved ones and the opportunity to ask questions related to their journey to recovery. C Train social workers in American Society of Addiction Medicine. Year two progress - Uniontown Hospital is reviewing opportunities for the social workers to attend ASAM online training and has plans to have a social worker become accredited. D Develop a tele-psychiatry program. Year two progress - Uniontown Hospital is planning to have tele-psych embedded within our ED and on the nursing units to assist our physicians with providing wholistic care. E Foster stronger relationship with local inpatient psychiatric hospital. Year two progress - Uniontown Hospital is planning on holding a week long Symposium on site and will be inviting local hospital providers to attend.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Priority 3 Health Education. Goal Improve community knowledge related to health care availability. Strategies to be implemented FY2020 - 2022 A Revamp the Community Physician Referral Line and advertise the Line providing a Hotline for patients to refer to when looking for a new physician. Year two progress - Uniontown Hospital navigated a local shift in health care through a transition of association with one health care system to another by providing multiple phone lines and online options for area patients to maintain their care through said transitions. B Develop communication/marketing tools for patients directing them to alternative care providers related to services that were scaled back at the Uniontown Hospital such as Obstetrics. Year two progress - At the time of the shuttering of some services, we provided flyers both at the hospital and at community provider offices to help educate patients regarding other options for their care. We also messaged these items with staff to speak to with patients and cascaded the options to departments to share as needed. Additional information was also shared via press release and on our social media platforms. C Develop communication related to available transportation to alternative care providers. Year two progress - Uniontown Hospital provided printed materials and verbal assistance to patients in need of transportation help to obtain services at alternative care providers during the transition period and continuing for services that only remain available regionally .</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Priority 4 Preventable Hospital Stays. Goal Improve statistics related to hospital readmissions. Strategies to be implemented FY2020 - 2022 A Develop strategies to help skilled facilities reduce readmissions to the hospital. Year two progress - Uniontown Hospital is creating a report card for Skilled Nursing Facilities with the greatest readmissions rates to utilize in determining issues that led to readmission. The Hospital will then invite these Skilled Nursing Facilities to a symposium where we will discuss how we can assist with mutually identified areas of concern.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Some issues identified through the Community Health Needs Assessment have not been addressed in this plan. In initial discussion and subsequent prioritization, Uniontown Hospital considered the levels to which some needs were already being addressed in the service area.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 13h</FormAndLineReferenceDesc>
        <ExplanationTxt>Eligibility criteria will be based on whether the patient is uninsured or underinsured. For uninsured, liquid assets may be considered for accounts over 5,000. For underinsured, liquid assets may be considered for personal account balances over 5,000.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 16i, There are no groups with limited english proficiency that rise to the threshold required under IRC Section 501R. However, language translations of the financial assistance policy and application are available by request at the financial counseling department of the hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 16j</FormAndLineReferenceDesc>
        <ExplanationTxt>Notice of financial assistance programs are included in the Uniontown Hospital Service Directory and in the Patient Information Books in each inpatient room. There is a paragraph on the second patient statement discussing free or discounted services and directing patients to the proper location to see the FAP. Brochures are available in the emergency waiting room, Patient Financial Services and admissions office which discuss the FAP.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Uniontown Hospital Outpatient Diagnostic Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>150 Wayland Smith Drive Suite B</AddressLine1Txt>
            <CityNm>Uniontown</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15401</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Center</FacilityTxt>
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      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>Eligibility for the Uniontown Hospital Community Charity Care Program will be considered for those individuals who are uninsured, underinsured, ineligible for any government health care benefit program, and who are unable to pay for their care, based upon a determination of financial need. In addition to FPG, consideration of other resources available, such as assets and other financial obligations may be reviewed. For uninsured Liquid assets may be considered for accounts over 5,000. For underinsured Liquid assets may be considered for personal account balances over 5,000. Eligibility exceptions will exist for those patients that are eligible but failed to enroll for subsidized marketplace health plans during open enrollment periods or apply for Medicaid. Other exceptions may exist for certain other situations such as change in patients eligibility level, need of patients who have exhausted their insurance benefits, face extraordinary medical costs, and exceed financial eligibility criteria.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>The last CHNA which briefly describes the primary health care services provided by the Uniontown Hospital was prepared in tax year 2018. That CHNA report is posted on the organizations website and a paper copy is available for public inspection upon request and without charge.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Uniontown Hospital used the best available data to calculate the cost of charity care reported in line 7. For certain categories, the best available data was derived from a cost accounting system. In other categories, specific cost-to-charge ratios from worksheet 2 were calculated and applied to that category.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Column f - The amount of expenditures used to calculate column f ties to the total expenditures shown on the Form 990, Part IX Statement of Functional Expenses, Line 25 A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense During 2019, the Hospital adopted the revenue recognition standard ASU 2014-09. Under ASU 2014-09, the estimated amounts due from patients for which the Health System does not expect to be entitled or collect from the patients are considered implicit price concessions and excluded from the Health Systems estimation of the transaction price or revenue recorded. Bad debt expense was not significant to the audited financial statements for the six months ended December 31, 2020. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 3 was estimated by reviewing data from the US Census Bureau to determine the percentage of the population in the Hospitals service area that falls below federal poverty guidelines. This percentage was then adjusted by subtracting the Hospitals average percentage of individuals eligible under the organizations financial assistance policy. The resulting percentage was applied to line 2 to estimate line 3. Rationale for including bad debt amounts in community benefit It is the Hospitals contention that the cost of bad debt should be stated in Part 1 Line 7 of Schedule H as they represent the costs of provision of services to patients for which the entity has exhausted all recourse for reimbursement. The services provided to patients who present themselves are provided regardless of a patients ability to pay as in line with the organizations charitable mission and service to our community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense 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 note can be found on page 10 of the attached audited financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>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 utilized to determine the amount reported on line 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Uniontown Hospitals Billing and Collection policies were approved by the Board of Directors and state that for patients who qualify for charity or are cooperating in good faith to resolve their hospital bills according to our payment options, Uniontown Hospital will not send unpaid bills to outside collection agencies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Fayette Regional Health System leadership team develops an operating plan every year. This operating plan establishes several priorities for the Uniontown Hospital, all of which are focused on meeting the ever changing healthcare needs of the community. The leadership team develops this operating plan with knowledge gathered from direct contact from patients patient satisfaction surveys outside consultants professional health care groups such as the Hospital Association of Pennsylvania and the Healthcare Financial Management Association and research obtained from various sources including the federal and state government and various other outreach programs and sources.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>As part of the Revenue Cycle policy entitled Service Assess it states under Patient Advocacy that the health care system will actively assist all individuals in seeking resolution to their financial obligations. This includes helping them understand what services are covered by their health insurance, providing assistance in obtaining health insurance and helping seek eligibility for financial assistance. Currently this program is called the Uniontown Hospital Community Charity Care UHC3. UHC3 is available to all residents of Fayette County and patients will be assisted by Financial Care Consultants that are part of the Patient Financial Services department. The Hospital has brochures located in its waiting rooms referencing all financial services and patient obligations. In addition, the Patient Access staff makes the brochures readily available to the population at the time of registration.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The Uniontown Hospital is a 130 bed community hospital which is located 50 miles southeast of Pittsburgh in the City of Uniontown, Fayette County. Since 1904 the Hospital has been serving the greater Uniontown and Fayette County area, providing quality healthcare regardless of a persons ability to pay. The approximate population of Fayette County is 134,000. The current unemployment rate is 8.1. Approximately 19 of the population is over 65 with 18.6 of the population below the poverty level and 25.8 of the population eligible for Medicaid. Source US Census Bureau, American Community Survey. 2012-16.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The general health and well being of the community residents is central to the mission of Uniontown Hospital. The Hospital responds to the healthcare needs of the community with a number of community education and outreach programs. Additionally, numerous specialized educational seminars, classes and health fairs are offered free of charge to the public. The Hospital sponsors Blood Drives with the American Red Cross and outreach activities with organizations such as the American Heart Association and March of Dimes. Also, in June 2004 the Hospital joined forces with health organizations and other community groups to organize the Fayette County Community Health Improvement Partnership CHIP. CHIP has initiated numerous programs to benefit the health of the public such as a student immunization program, a program to reduce teen pregnancy and smoking, and several health issue related task forces. Under the auspice of CHIP is Fayette County STEPS initiative which is a national pilot program funded by the Centers for Disease Control which targets chronic disease prevention. The STEPS program builds partnerships among area school districts, workplaces, doctor offices, and neighborhood coalitions to educate and promote healthier lifestyles.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Fayette Regional Health System FRHS is a registered 501c3 Pennsylvania nonprofit charitable organization that serves as the parent company for Uniontown Hospital. The Hospital is the only full service hospital in Fayette County. The Hospital includes the following services 24/7 Emergency Department Cardiac Care Center Intensive Care Unit Inpatient Acute Care Orthopedics Infusion Center Clinical Decision Unit Observation Inpatient Rehabilitation Unit Wound Care Center Diagnostic Imaging Surgery Laboratory and Respiratory Care. FRHS also served as the parent of Fayette Physician Network FPN. FPN services include primary care surgery cardiology neurology otolaryngology intensivists and anesthesia. In addition, FRHS is affiliated with the following organizations through joint venture agreements. FRHS has a 35 interest in Southwest Regional Endoscopy Center SWEC, a joint venture formed in January 2004 between FRHS and Southwestern Gastrointestinal Specialists, PC SWGI. The purpose of the joint venture is to provide endoscopy services to patients in and around Fayette County. Additionally, FRHS has a 50 interest in Fayette Oncology Associates FOA, a joint venture formed in February 2004 between FRHS and UPMC Cancer Centers. The purpose of the joint venture is to provide outpatient radiation oncology services and PET/CT imaging.</ExplanationTxt>
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        <PersonNm>Barbara Weiss</PersonNm>
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        <PersonNm>William Johnson</PersonNm>
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        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Uniontown Hospital relied on Fayette Regional Health Sysem EIN 25-1451183 a related organization that used the following methods to establish the top management officials compensation a compensation committee, independent consultant, compensation survey, and approval by the board or compensation committee.</ExplanationTxt>
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        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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        <HedgeTerminatedInd>false</HedgeTerminatedInd>
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        <FormAndLineReferenceDesc>Part IV Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The last rebate computation due was 6/1/17 and showed no rebate due. The next rebate computation is due 6/1/22.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 761,252, Grants and allocations 0, Revenue 991,422 The Uniontown Hospital received 399,404 pharmacy copays/insurance reimbursements, 265,000 rent and other income from Fayette Regional Health System, Inc. and Fayette Physician Network, Inc. both affiliated organizations, 153,729 cafeteria sales, 94,409 VHA/PNC rebates, and 78,880 combined total of additional miscellaneous income.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of Uniontown Hospital is the Hospitals parent company, Fayette Regional Health System, a PA non-profit corporation.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member has the power to a elect all of the Directors except ex-officio Directors of the Hospital b remove at any time one or more of the Directors except for ex-officio Directors and/or officers of the Corporation without cause c approve all capital and operating budgets of the Corporation and amendments thereto d approve all fundamental transactions of the Corporation, including without limitation, any amendments to articles of the Corporation and any merger, consolidation, division, transfer of all or substantially all assets, dissolution, or liquidation of the Corporation and e approve any and all amendments of the bylaws of the Corporation. The Sole Member of the Corporation may initiate any such action and/or amendments listed in c - e above, as applicable, provided that any such actions and/or amendments must be approved by the Corporation and Sole Member prior to implementation. The Corporation shall not unreasonably withhold its approval for any action and/or change recommended by the Sole Member.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is presented to all voting members of the Finance and Audit Committee for review. After review by the Finance and Audit Committee, a full copy of the 990 is made available to the entire Board of the Uniontown Hospital.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Business Ethics department of the organization periodically reviews all potential conflicts, transactions and relationships to see if substantive. All potential new conflicts are reviewed by the Business Ethics department and the concept is covered during annual training. The department will report actual or possible conflicts to the FRHS Executive Committee of the Board for evaluation. The Committee shall determine whether a conflict exists. The Committee is empowered to take corrective action as necessary, including refraining from participation in certain Board decisions.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizations governing documents, conflicts of interest policy and financial statements are available by contacting the CEOs office or the Finance department. A copy will be mailed upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets is comprised of change in fair value of interest rate swap 961,603 change in defined benefit actuarial valuation 4,061,331 EASE Fund activity 58,106 and fund transfers to parent 1,950,000.</ExplanationTxt>
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          <AddressLine1Txt>500 W Berkeley Street</AddressLine1Txt>
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