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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>
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      <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 healthly living activities. B Continue to partner with community agencies regarding cardiac rehab/maintenance and other related programs . C Refine the end of life/pallative care program. 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. E Paticipate in annual American Heart Association events. 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. G Participate in the Community Stroke Group.</ExplanationTxt>
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      <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. B Develop better processess to link inpatient or outpatients to providers. C Train social workers in American Society of Addiction Medicine. D Develop a tele-psychiatry program. E Foster stronger relationship with local inpatient psychiatric hospital.</ExplanationTxt>
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      <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 availabiltiy. 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. 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. C Develop communication related to available transportation to alternative care providers.</ExplanationTxt>
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      <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.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Uniontown Hospitals previously conducted Community Health Needs Assessment and Implementation Plan adopted in tax year 2015 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 implemented FY 2017 - 2019 A Work with the local YMCA to develop and maintain a cardiac rehab/maintenance program and consider developing other related programs. Year 3 Progress - The Hospital has developed an outpatient Cardiac Rehab Program and continues to consider developing other related programs. B Develop an end of life/palliative care program to provide the patient/family with the resources needed to help in decision making and communication. Year 3 Progress - Continue to educate all Social Workers and Pastoral Care employees in Palliative Care and end of life training. In addition, a family section has been added to all ICU policies. Further, we are changing the title of Palliative Care to Supportive Care. C Further develop patient/family centered care education model to include families in the patients care. Year 3 Progress - Continued the LAY caregiver program where patients can name another person as their Lay substitute caregiver to receive education on the patients medical needs. The Lay caregiver is included in the discharge planning process. D Develop patient educational materials. Year 3 Progress - The Education department continues to investigate how Krames could be better utilized in the organization, continues to review current curriculum needs and anticipates developing stategies to offer alternative education delivery, ie videos through IPad use, etc. The Education Department has also embraced and revised the process for diabetic patient education in the organization. A formal referrel process was developed to meet the needs of the patient as he/she is discharged to the appropriate post hospital setting.</ExplanationTxt>
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        <ExplanationTxt>E Coordinate an annual health/wellness event for the community. Year 3 Progress - Uniontown Hospital, in participation with the City of Uniontown and the Redevelopment Authority of Fayette County, coordinates the annual Storey Square Summer Concert Series in Uniontown to integrate community health education assistance with entertainment reaching hundreds of area residents through weekly instruction and engagement. The 12-week series provides opportunities for attendees to learn and discuss a variety of health topics and issues, from healthy lifestyle and food choices to understanding how best to maintain a healthy heart to learning about the opportunites for pain management through Interventional Radiology. The series draws annual attendance of approximately 1,800 people. Employees, clinicians and physicians attend these weekly outdoor gatherings to provide literature, answer questions and conduct liminited free testing and screenings. F The Community Engagement team of the Uniontown Hospital will engage in fundraisers to support one charity event per year at a minimum such as, the American Cancer Societys Relay for Life. Year 3 Progress - During fiscal year 2019, the Uniontown Hospital sponsored the annual American Heart Association Fayette County Heart Ball. In addition, support was given to the City Mission, Children and Youth Services and Domestic Violence. G Partner with local health care assistance programs such as Cornerstone Care and health-related charitable organizations like the American Heart Association and the March of Dimes to provide support and assistance in local health care initiatives and educational efforts. Year 3 Progress - The Uniontown Hospital partners with Cornerstone Care to help facilitate outreach efforts within the community to find access to both health care coverage and financial assistance when applicable.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Priority 2 Social and Economic Factors. Goal Continue to decrease the number of uninsured people in the communtiy and those with limited insurance. Strategies implemented FY 2017 - 2019 A Increase financial assistance discussions in the Emergency Department with the development of a discharge discussion desk. Year 3 Progress - While the renovations in the Emergency Department were delayed, focus remains on assisting uninsured patients seek financial assistance/charity care at the time of service. Referrals for Medical Assistance applications in 2019 wereconsistent with 2018 at approximately 2,700 . B Annually evaluate the Uniontown Hospitals Charity Care Program and adjust related policies and procedures. Year 3 Progress - The Hospitals Charity Care Program policies and procedures were reviewed, updated and approved by the Board of Directors in 2019. C Track and improve statistics related to services provided by external resources regarding self-pay accounts and pre-service collection, charity care applications, and all financial assessments. In addition, monitor services provided to assist with Financial Assistance applications. Year 3 Progress - Completed charity-related applications in fiscal 2019 were approximately 4,600. In addition, Uniontown Hospital has a close relationship with a vendor that assists with Medical Assistance applications which remained consistent with 2018 at approximately 3,400 applications.</ExplanationTxt>
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        <ExplanationTxt>Priority 3 Access to Health Services. Goal Increase access to healthcare through availability of physicians and alternative healthcare locations. Strategies to be implemented FY 2017 - 2019 A Significantly expand the availability of primary care physicians. Year 3 Progress - Due to a dissolution of our joint venture with UPMC, we have not been able to further expand the availability of primary care physicians in the community. B Increase the number of physician specialists including a, Neurologist, General Surgeon, Pulmonologist, Orthopedic Surgeon, Urologist, and Neurosurgeon. Year 3 Progress - In the past year we have not been successful in recruiting additional specialists into the Uniontown area. C Open additional outpatient service centers throughout the county starting with Brownsville. Year 3 Progress - This goal was put on hold due to the dissolution of our relationship with UPMC.</ExplanationTxt>
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        <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>
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        <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>
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        <ExplanationTxt>Part V, Section B, Line 16i, There are no groups with limited english proficiency that rise to the threshould 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>
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        <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>
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          <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 CHNA prepared in tax year 2018 breifly describes the primary heath care services provided by the Uniontown Hospital. The CHNA report is posted on the organizations website and a paper copy is available for pubic 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 II</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 6 - Hospital employees provide representation to various community task forces such as County CVC Sexual Assault/Human Trafficking Task Force and Community Opiod Task Force.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 8 - The Hospital General Laboratory department participated in a school-based program on health care careers by giving presentations to local high school seniors on careers within the Laboratory.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense The Hospital has adopted the new 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 year ended June 30, 2019. 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, American Community Survey 2012-16 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 9 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>he 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 Access 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. Convenient office hours, in a convenient location, will be established for patients seeking 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 145 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 healthfairs 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 immunizaiton 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>
      </SupplementalInformationDetail>
      <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 Birthing Center Closed June 30, 2019 Cardiac Care Center Intensive Care Unit Inpatient Acute Care Inpatient Pediatrics Closed June 30, 2019 Orthopedics Infusion Center Clinical Decision Unit Observation Inpatient Rehabilitation Unit Wound Care Center Diagnostic Imaging Surgery Laboratory and Respiratory Care. 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. FRHS also had a 50 interest in Fayette Physician Network FPN, a joint venture formed effective July 1, 2012 between FRHS and UPMC Community Medicine CMI. This joint venture was dissolved and Fayette Regional Health System assumed full ownership as of June 30, 2019. FPN services included primary care surgery pulmonology neurology orthopedics hospitalists emergency physicians pediatric physicians and anesthesia.</ExplanationTxt>
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          <AddressLine1Txt>5 South Mt Vernon Avenue</AddressLine1Txt>
          <CityNm>Uniontown</CityNm>
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        <PurposeOfGrantTxt>UHELP Scholarship Fund</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>City of Uniontown Pennsylvania</BusinessNameLine1Txt>
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          <CityNm>Uniontown</CityNm>
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        <NonCashAssistanceDesc>Street Sweeper</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Support of City Services</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Uniontown Hospital contributed funds to the Uniontown Hospital Employees Learning Program Scholarship held by The Community Foundation of Fayette County. The Community Foundation of Fayette County has exclusive legal control over these contributed assets. The Community Foundation of Fayette County helps define charitable need, connects donors with causes that matter to them, supports nonprofit organizations and invests charitable assets to make the community a better place to live. The Uniontown Hospital donated moveable equipment street sweeper to the City of Uniontown to be used by the City to provide services to the community.</ExplanationTxt>
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        <PersonNm>Steven Handy</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Barbara Weiss</PersonNm>
        <TitleTxt>Treasurer/CFO</TitleTxt>
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        <PersonNm>Linda Burstynowicz MD - Resigned 71</PersonNm>
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        <OtherCompensationRltdOrgsAmt>65982</OtherCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Johnson</PersonNm>
        <TitleTxt>Pharmacy Director</TitleTxt>
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        <OtherCompensationFilingOrgAmt>7261</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8893</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2574</NontaxableBenefitsFilingOrgAmt>
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        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Uniontown Hospital relied on Fayette Regional Health System 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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          <BusinessNameLine1Txt>Fayette County Hospital Authority</BusinessNameLine1Txt>
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        <CUSIPNum>312468BP5</CUSIPNum>
        <BondIssuedDt>2007-09-27</BondIssuedDt>
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        <PurposeDesc>Constructing New Inpatient Tower Refunding previous issue, Series 1996</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>12870000</RetiredAmt>
        <TotalProceedsAmt>50000000</TotalProceedsAmt>
        <RefundingEscrowAmt>11074301</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>450208</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>37500</CreditEnhancementAmt>
        <CapitalExpendituresAmt>38437991</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2010</SubstantialCompletionYr>
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        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
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        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
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        <ExceptionToRebateInd>false</ExceptionToRebateInd>
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        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
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          <BusinessNameLine1Txt>PNC BANK NA</BusinessNameLine1Txt>
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        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
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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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    <IRS990ScheduleO documentId="990O" softwareId="18007340" softwareVersionNum="19.1.1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>During FY 2019, the Uniontown Hospital had 175 licensed beds. On June 30, 2019 Uniontown Hospital closed its inpatient obstetrical unit and the supplemental inpatient pediactic unit for a total reduction of 30 beds. Therefore, on June 30, 2019 Uniontown Hospitals total licensed beds were 145. This decision follows very similar announcements across the State over the past few years as all community hospitals have struggled with the declining birth rate physician recruitment and payment cuts. Uniontown Hospital will maintain a very strong Womens Services Program but without the obstetrical care service.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 1,767,806, Grants and allocations 65,056, Revenue 2,254,831. The Uniontown Hospital received 693,359 pharmacy copays/insurance reimbursements, 688,996 cafeteria sales, 311,099 rent income from Fayette Regional Health System, Inc. an affiliated organization for office space used by various Fayette Regional Health System, Inc. departments, 322,421 VHA/PNC rebates and 238,956 combined total of additional miscellaneous income accounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member has 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 was presented to all voting members of the Finance and Audit Committee of the organizations parent for review at the April 2020 Board Meeting. After review by the Finance and Audit Committee, a full copy of the 990 was made available to the entire Board of the Uniontown Hospital.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 was presented to all voting members of the Finance and Audit Committee of the organizations parent for review at the April 2020 Board Meeting. After review by the Finance and Audit Committee, a full copy of the 990 was made available to the entire Board of the Uniontown Hospital.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</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>
      </SupplementalInformationDetail>
      <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 1,356,097 change in defined benefit actuarial valuation 6,047,286 EASE Fund activity 4,712 and fund transfer out to parent 430,833.</ExplanationTxt>
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          <AddressLine1Txt>500 W Berkeley Street</AddressLine1Txt>
          <CityNm>Uniontown</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15401</ZIPCd>
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      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>