PUNXSUTAWNEY AREA HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: PUNXSUTAWNEY AREA HOSPITAL INC (EIN 25-0965210)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-03
IRS object ID: 202021859349300722
Schema version: 2018v3.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-03T18:25:42-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	250965210	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PUNXSUTAWNEY AREA HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JACK SISK CFO	InCareOfNm
Business Name Control	PUNX	BusinessNameControlTxt
Phone	8149381800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	81 HILLCREST DRIVE	AddressLine1Txt
City	PUNXSUTAWNEY	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15767	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JACK SISK	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8149381882	PhoneNum
Signature	2020-02-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	43032920201855000003	FederalOriginalSubmissionId
Federal Original Submission Id	2020-07-03	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	74C51B083D6172D3D43AC87F1A33B4712A418457	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C3432A87FBFF9491E59BD7298F2E512B0D9B3700	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DANIEL D BLOUGH JR	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	81 HILLCREST DRIVE	AddressLine1Txt
City	PUNXSUTAWNEY	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15767	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$37,948,198	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PAH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1889	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	VALUED AS HIGHEST QUALITY COMMUNITY HOSPITAL IN THE REGION AND YOUR PRIMARY HEALTH CARE PROVIDER, COMMITTED TO CONTINUOUSLY IMPROVING SERVICES WHILE CONTAINING COST.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	445	TotalEmployeeCnt
Total Volunteers	31	TotalVolunteersCnt
Total Gross UBI	$137,543	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$36,089	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$66,782	PYContributionsGrantsAmt
CY Contributions Grants	$56,576	CYContributionsGrantsAmt
PY Program Service Revenue	$36,859,954	PYProgramServiceRevenueAmt
CY Program Service Revenue	$37,047,282	CYProgramServiceRevenueAmt
PY Investment Income	$148,998	PYInvestmentIncomeAmt
CY Investment Income	$194,577	CYInvestmentIncomeAmt
PY Other Revenue	$379,584	PYOtherRevenueAmt
CY Other Revenue	$298,285	CYOtherRevenueAmt
PY Total Revenue	$37,455,318	PYTotalRevenueAmt
CY Total Revenue	$37,596,720	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,330	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,875	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$24,452,328	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$23,358,019	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$12,753,805	PYOtherExpensesAmt
CY Other Expenses	$12,377,819	CYOtherExpensesAmt
PY Total Expenses	$37,208,463	PYTotalExpensesAmt
CY Total Expenses	$35,741,713	CYTotalExpensesAmt
PY Revenues Less Expenses	$246,855	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,855,007	CYRevenuesLessExpensesAmt
Total Assets BOY	$25,531,494	TotalAssetsBOYAmt
Total Assets EOY	$26,923,951	TotalAssetsEOYAmt
Total Liabilities BOY	$5,912,781	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,263,823	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$19,618,713	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$20,660,128	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE HIGH QUALITY, COST EFFECTIVE, PRIMARY HEALTH CARE AND TO COORDINATE CARE FOR PATIENTS REQUIRING SECONDARY AND TERTIARY SERVICES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$24,661,891	ExpenseAmt
Grant	$5,875	GrantAmt
Revenue	$34,494,724	RevenueAmt
Desc	PUNXSUTAWNEY AREA HOSPITAL PROVIDES ACUTE CARE INPATIENT AND OUTPATIENT HEALTH CARE TO PATIENTS IN A THREE COUNTY AREA. FOR THE FISCAL YEAR ENDED; THERE WERE 1,143 ADMISSIONS TO THE ACUTE CARE SETTING THAT GENERATED 3,488 PATIENT DAYS. THE HOSPITAL ALSO PROVIDED 76,505 OUTPATIENT VISITS TO PATIENTS. ALSO, THE HOSPITAL PROVIDED OVER $730,000 OF CHARITY CARE FOR 2,004 CUSTOMER ENCOUNTERS WHERE THE PATIENT DID NOT HAVE THE MEANS TO PAY FOR SERVICES RENDERED. NO PATIENTS WERE TURNED AWAY FOR LACK OF INSURANCE. SERVICES PROVIDED INCLUDE CARDIOPULMONARY, CLINICAL NUTRITION, COUNSELING, EMERGENCY, INTENSIVE CARE, SURGICAL, PHARMACY, RADIOLOGY, REHABILITATION, AND SHORT PROCEDURE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,628,754	ExpenseAmt
Revenue	$1,189,218	RevenueAmt
Desc	PUNXSUTAWNEY AREA HOSPITAL PROVIDES HOME HEALTH CARE TO PATIENTS IN A THREE COUNTY AREA. FOR THE FISCAL YEAR ENDED THERE WERE 18,066 HOME HEALTH VISITS PROVIDED. NO PATIENTS WERE TURNED AWAY FOR LACK OF INSURANCE. THE HOME HEALTH CARE STAFF IS DEDICATED TO PROVIDING THE HIGHEST QUALITY OF PROFESSIONAL HOME HEALTH CARE TO THE PATIENTS THEY SERVE. THE STAFF WORKS WITH EACH PATIENT'S PHYSICIAN TO DEVELOP A DETAILED PLAN OF CARE PERSONALIZED TO THE PATIENT AND FAMILY. PROFESSIONAL NURSES NOT ONLY PROVIDE DIRECT PATIENT CARE, BUT ALSO PROVIDE COUNSELING/EDUCATION IN MEDICATIONS, NUTRITION, AND SPECIFIC DISEASES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$366,536	ExpenseAmt
Revenue	$1,363,340	RevenueAmt
Desc	PUNXSUTAWNEY AREA HOSPITAL PROVIDES SKILLED NURSING SERVICES TO PATIENTS IN A THREE COUNTY AREA. FOR THE FISCAL YEAR ENDED THERE WERE 180 ADMISSIONS INTO THE LONG-TERM CARE UNIT WHICH GENERATED 2,643 PATIENT DAYS. NO PATIENTS WERE TURNED AWAY FOR LACK OF INSURANCE. THE SERVICE PROVIDES SUPERVISED NURSING CARE, MEDICAL, AND OTHER HEALTH SERVICES TO INDIVIDUALS NOT IN NEED OF ACUTE INPATIENT HOSPITALIZATION, BUT WHOSE NEEDS CAN ONLY BE MET IN A SKILLED CARE FACILITY ON AN INPATIENT BASIS BECAUSE OF AGE, ILLNESS, DISEASE, INJURY, CONVALESCENCE, OR PHYSICAL OR MENTAL INFIRMITY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$26,657,181	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	58	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	445	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JACK SISK CFO	PersonNm
Phone	8149381882	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	81 HILLCREST DRIVE	AddressLine1Txt
City	PUNXSUTAWNEY	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15767	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
SAMUEL SMITH
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
MELISSA DUNKEL
SECRETARY	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
TIMOTHY CLARK SIMPSON MD
DIRECTOR	40.0	0.0	Yes (X)	$309,887	$0	$14,549
J THOMAS FRANTZ
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
PHYLLIS BYERLY
TREASURER	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JON JOHNSTON
CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
MARY CLAIRE JOHNSTON
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
KYLE LINGENFELTER
DIRECTOR	1.0	0.0	Yes (X)	$30,000	$0	$0
JOHN PRUSHNOK
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
FRANK ROBERTS
VICE CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
DAVID SPIGLE
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
KATHY YOUNG
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
DANIEL D BLOUGH JR
CEO	40.0	0.0		$289,102	$0	$13,552	Yes (X)
JACK G SISK
CFO	40.0	0.0		$178,923	$0	$13,419	Yes (X)
THOMAS GENTILCORE
PHYSICIAN	40.0	0.0		$555,173	$0	$7,147		Yes (X)
KRISTINA BRUBAKER
PHYSICIAN	40.0	0.0		$317,693	$0	$13,915		Yes (X)
MAZEN HASAN
PHYSICIAN	40.0	0.0		$403,107	$0	$14,465		Yes (X)
GUSTAVO FRANCO
PHYSICIAN	40.0	0.0		$321,981	$0	$13,679		Yes (X)
EYAD KHABBAZ
PHYSICIAN	40.0	0.0		$439,464	$0	$14,517		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,845,330	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$105,243	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	29	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
LABORATORY CORP OF AMERICA HOLDINGS
PO BOX 12140	BURLINGTON	NC	16501	LAB SERVICES	$352,562
JOSEPH MEYN MD
841 HOSPITAL RD SUITE 2500	INDIANA	PA	15701	OB/GYN SERVICES	$332,900
CURA HOSPITALITY LLC
2400 ANSYS DRIVE SUITE 404	CANONSBURG	PA	15317	FOOD SERVICE	$291,344
PENNSYLVANIA MOUNTAIN HEALTHCARE
150 MCCRACKEN RUN ROAD	DUBOIS	PA	15801	REVENUE CYCLE	$242,856
AUDIOLOGICAL AND SPEECH ASSOCIATION
270 PHILADELPHIA STREET	INDIANA	PA	15701	THERAPY SERVICE	$149,766

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Fundraising	$26,353	FundraisingAmt
Related Organizations	$12,221	RelatedOrganizationsAmt
All Other Contributions	$18,002	AllOtherContributionsAmt
Total Contributions	$56,576	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	900099	$34,436,404	$34,298,861	$137,543
PHYSICIAN SERVICES	621110	$2,340,299	$2,340,299
OTHER	900099	$169,179	$169,179
BILLING	541900	$101,400	$101,400

Field	Value	IRS element (for citing)
Total Program Service Revenue	$37,047,282	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$187,386	TotalRevenueColumnAmt
Exclusion	$187,386	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$340,083	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$334,389	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,694	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,694	TotalRevenueColumnAmt
Exclusion	$5,694	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$7,694	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$503	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$7,191	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,191	TotalRevenueColumnAmt
Exclusion	$7,191	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$14,000	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$26,353	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$16,586	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,586	TotalRevenueColumnAmt
Exclusion	-$2,586	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	GAIN ON INVESTMENT IN EQUITY INVESTEE	Desc
Business	900099	BusinessCd
Total Revenue Column	$295,177	TotalRevenueColumnAmt
Exclusion	$295,177	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$295,177	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,596,720	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,909,739	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$137,543	UnrelatedBusinessRevenueAmt
Exclusion	$492,862	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$5,875	TotalAmt
Program Services	$5,875	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$849,432	TotalAmt
Program Services	$354,436	ProgramServicesAmt
Management And General	$494,996	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$42,658	TotalAmt
Program Services	$42,658	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,501,686	TotalAmt
Program Services	$14,880,670	ProgramServicesAmt
Management And General	$3,621,016	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,764,118	TotalAmt
Program Services	$2,218,983	ProgramServicesAmt
Management And General	$545,135	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,200,125	TotalAmt
Program Services	$895,733	ProgramServicesAmt
Management And General	$304,392	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$10,665	TotalAmt
Management And General	$10,665	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$102,659	TotalAmt
Management And General	$102,659	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,470,088	TotalAmt
Program Services	$2,320,932	ProgramServicesAmt
Management And General	$1,149,156	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$88,760	TotalAmt
Program Services	$1,872	ProgramServicesAmt
Management And General	$86,888	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,329,354	TotalAmt
Program Services	$967,783	ProgramServicesAmt
Management And General	$361,571	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$383,009	TotalAmt
Management And General	$383,009	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$560,568	TotalAmt
Program Services	$162,727	ProgramServicesAmt
Management And General	$397,841	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$259,119	TotalAmt
Program Services	$177,957	ProgramServicesAmt
Management And General	$81,162	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,578	TotalAmt
Program Services	$1,578	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,377,309	TotalAmt
Program Services	$994,964	ProgramServicesAmt
Management And General	$382,345	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$749,270	TotalAmt
Program Services	$279,588	ProgramServicesAmt
Management And General	$469,682	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$2,709,199	$2,709,199
BAD DEBT	$570,064	$570,064
RECRUITING & RETENTION	$533,460		$533,460
REPAIRS & MAINTENANCE	$232,717	$72,162	$160,555

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$35,741,713	TotalAmt
Program Services	$26,657,181	ProgramServicesAmt
Management And General	$9,084,532	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$982,135	BOYAmt
EOY	$740,925	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,687,391	BOYAmt
EOY	$4,866,361	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,914,724	BOYAmt
EOY	$2,835,335	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$212,243	BOYAmt
EOY	$187,243	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$779,118	BOYAmt
EOY	$770,106	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,294,250	BOYAmt
EOY	$1,634,966	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$37,283,499	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$31,270,731	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$6,462,348	BOYAmt
EOY	$6,012,768	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$4,975,928	BOYAmt
EOY	$6,073,764	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,012,081	BOYAmt
EOY	$2,343,132	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$690,724	BOYAmt
EOY	$762,323	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$520,552	BOYAmt
EOY	$697,028	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,531,494	BOYAmt
EOY	$26,923,951	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,770,709	BOYAmt
EOY	$6,263,823	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$93,238	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,834	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,912,781	BOYAmt
EOY	$6,263,823	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,143,600	BOYAmt
EOY	$20,197,960	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$178,479	BOYAmt
EOY	$173,634	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$296,634	BOYAmt
EOY	$288,534	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$19,618,713	BOYAmt
EOY	$20,660,128	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$25,531,494	BOYAmt
EOY	$26,923,951	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,855,007	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$175,739	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$989,331	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,887	OtherActivitiesAmt
Total Lobbying Expenditures	$1,887	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1(I)	FormAndLineReferenceDesc
Explanation	OTHER LOBBYING ACTIVITIES: THE HOSPITAL IS NOT INVOLVED IN POLITICAL OR DIRECT LOBBYING ACTIVITIES BUT DOES BELONG TO TWO PROFESSIONAL ASSOCIATIONS THAT PARTAKE IN SOME LOBBYING (A SMALL PORTION OF MEMBERSHIP DUES IS UTILIZED FOR LOBBYING): THE HOSPITAL ASSOCIATION OF PENNSYLVANIA, $1,799, AND THE HOSPITAL 340(B) HEALTH, $88.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$425,940	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,951	InvestmentEarningsOrLossesAmt
Other Expenditures	$20,897	OtherExpendituresAmt
End Year Balance	$409,994	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$426,667	BeginningYearBalanceAmt
Investment Earnings Or Losses	$19,956	InvestmentEarningsOrLossesAmt
Other Expenditures	$20,683	OtherExpendituresAmt
End Year Balance	$425,940	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$413,467	BeginningYearBalanceAmt
Investment Earnings Or Losses	$34,836	InvestmentEarningsOrLossesAmt
Other Expenditures	$21,636	OtherExpendituresAmt
End Year Balance	$426,667	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$442,169	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$12,927	InvestmentEarningsOrLossesAmt
Other Expenditures	$15,775	OtherExpendituresAmt
End Year Balance	$413,467	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$461,125	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,644	InvestmentEarningsOrLossesAmt
Other Expenditures	$17,312	OtherExpendituresAmt
End Year Balance	$442,169	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.29620	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.70380	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,000	OtherCostOrOtherBasisAmt
Book Value	$40,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,112,065	OtherCostOrOtherBasisAmt
Depreciation	$9,457,398	DepreciationAmt
Book Value	$2,654,667	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,820,601	OtherCostOrOtherBasisAmt
Depreciation	$20,787,769	DepreciationAmt
Book Value	$3,032,832	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,310,833	OtherCostOrOtherBasisAmt
Depreciation	$1,025,564	DepreciationAmt
Book Value	$285,269	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$6,012,768	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN TRI-STATE	$44,311	C
INVESTMENT IN CHART	$1,477,794	C
POTENTIAL CHART CLAIMS	$821,027	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,343,132	TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt	$37,558,215	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$175,739	NetUnrealizedGainsInvstAmt
Other Revenue	-$564,154	OtherRevenueAmt
Revenue Not Reported	-$388,415	RevenueNotReportedAmt
Revenue Subtotal	$37,946,630	RevenueSubtotalAmt
Other Revenues Not Included	-$349,910	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$349,910	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$37,596,720	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$35,522,624	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$350,975	OtherExpensesIncludedAmt
Expenses Not Reported	$350,975	ExpensesNotReportedAmt
Expenses Subtotal	$35,171,649	ExpensesSubtotalAmt
Other Expenses Not Included	$570,064	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$570,064	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$35,741,713	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	USES OF ENDOWMENT FUNDS: INCOME FROM THE ENDOWMENT FUND IS USED TO PURCHASE CAPITAL EQUIPMENT. PERMANENT FUNDS OF $288,534 ARE RESTRICTED FROM USE.
SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2D	AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (570,064) PROVISION FOR UNCOLLECTIBLE ACCOUNTS 5,910 NET ASSETS RELEASED ----------- (564,154)
SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FROM 990, PART VIII, LINE 12C, BUT NOT ON LINE 1: $ (334,389) RENTAL EXPENSES ( 16,586) FUNDRAISING EXPENSES 1,065 TEMPORARILY RESTRICTED CONTRIBUTIONS ----------- $ (349,910)
SCHEDULE D, PART XII, LINE 2D	AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 334,389 RENTAL EXPENSES 16,586 FUNDRAISING EXPENSES ----------- $ 350,975
SCHEDULE D, PART XII, LINE 4B	AMOUNTS INCLUDED ON FORM 990, LINE IX, LINE 25, BUT NOT ON LINE 1: $ 570,064 PROVISION FOR UNCOLLECTIBLE ACCOUNTS

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$40,353	GrossReceiptsEvent1Amt
Charitable Contri Event1	$26,353	CharitableContriEvent1Amt
Gross Revenue Event1	$14,000	GrossRevenueEvent1Amt
Cash Prizes Event1	$2,175	CashPrizesEvent1Amt
Non Cash Prizes Event1	$2,376	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$3,120	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$3,380	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$5,535	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$40,353	GrossReceiptsTotalAmt
Charitable Contributions Tot	$26,353	CharitableContributionsTotAmt
Gross Revenue Total Events	$14,000	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$2,175	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$2,376	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$3,120	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$3,380	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$5,535	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$16,586	DirectExpenseSummaryEventsAmt
Net Income Summary	-$2,586	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	1762	PersonsServedCnt
Total Community Benefit Expns	$282,353	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$282,353	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	13147	PersonsServedCnt
Total Community Benefit Expns	$6,835,718	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,300,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,535,531	NetCommunityBenefitExpnsAmt
Total Expense	0.07210	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	14909	PersonsServedCnt
Total Community Benefit Expns	$7,118,071	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,300,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,817,884	NetCommunityBenefitExpnsAmt
Total Expense	0.08010	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	494	PersonsServedCnt
Total Community Benefit Expns	$1,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	148	PersonsServedCnt
Total Community Benefit Expns	$405,123	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$303,805	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$101,318	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	9	PersonsServedCnt
Total Community Benefit Expns	$5,910	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,910	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	651	PersonsServedCnt
Total Community Benefit Expns	$412,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$303,805	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$109,128	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	15560	PersonsServedCnt
Total Community Benefit Expns	$7,531,004	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,603,992	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,927,012	NetCommunityBenefitExpnsAmt
Total Expense	0.08330	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$570,064	BadDebtExpenseAmt
Bad Debt Expense Attributable	$82,089	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$17,559,930	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$16,176,354	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,383,576	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PUNXSUTAWNEY AREA HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	81 HILLCREST DRIVE	AddressLine1Txt
City	PUNXSUTAWNEY	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15767	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.PAH.ORG	WebsiteAddressTxt
State License	163701	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	SKILLED NURSING SERVICES	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	PUNXSUTAWNEY AREA HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: THE HOSPITAL WORKED WITH A CONSULTING FIRM, STRATEGY SOLUTION INTERNALLY. THE PROCESS WAS LED BY THE VP OF PROFESSIONAL AND CORPORATE SERVICES. A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS LED BY PUNXSUTAWNEY AREA HOSPITAL IN THE SPRING OF 2018 FOR APPROXIMATELY 50,000 RESIDENTS IN THE THREE (3) COUNTY SERVICE AREA OF CLEARFIELD, JEFFERSON, AND INDIANA COUNTIES. PUNXSUTAWNEY AREA HOSPITAL COLLABORATED WITH INDIANA REGIONAL MEDICAL CENTER AND CLARION HOSPITAL. PREVIOUS CHNAS WERE DONE WORKING DIRECTLY TOGETHER. THE 2018 PROCESS WAS COMPLETED INDEPENDENTLY, WITH DISCUSSIONS AND PLANNING SESSIONS WITH THE THREE HOSPITALS TO LINK THE INITIATIVES AND STRATEGIES. PUNXSUTAWNEY AREA HOSPITAL IDENTIFIED COMMUNITY HEALTH NEEDS THROUGH A COLLABORATIVE PROCESS WITH PENNSYLVANIA MOUNTAIN HEALTH CARE NETWORK (PMCN) HOSPITALS. BUILDING PAST INITIATIVES, THE 2018 PROCESS INCLUDED A COMPREHENSIVE SURVEY PROCESS, A PAH CHNA TEAM PRIORITIZATION EXERCISE TO DETERMINE PRIORITIES AND ASSESSMENT OF PAST SUCCESSES AND FAILURES. AS THE CHNA LEVERAGED AND UTILIZED THE HOSPITAL'S PLANNING STAFF, A MULTI-PART PROCESS WAS EMPLOYED TO DEVELOP THIS IMPLEMENTATION STRATEGY AND COMMUNITY BENEFIT PLAN, INCLUDING THE FOLLOWING: - QUANTITATIVE DATA REVIEW AND ANALYSIS - LITERATURE REVIEWS TO IDENTITY STATE AND NATIONAL BENCHMARKS, AND EVIDENCE BASED STRATEGIES THAT RELATED TO THE INDICATORS/METRICS MEASURED THROUGH THE QUANTITATIVE DATA SOURCES - QUALITATIVE DATA PROVIDED THROUGH THE SURVEY PROCESS AND DIALOGUES WITH COMMUNITY AND HEALTHCARE LEADERS IN THE REGION. THE CHNAS UTILIZATIONS OF MULTIPLE TYPES OF RESEARCH ALLOWED FOR DATA COLLECTION ACROSS A BOARD RANGE OF INDICATORS RELATED TO OVERALL POPULATION HEALTH, SOCIAL DETERMINANTS OF HEALTH INCLUDED GEOGRAPHIC LOCATION DIFFERENCES IN HEALTH OUTCOMES AND THE NEEDS OF DISADVANTAGED POPULATIONS INCLUDING UNINSURED PERSON, LOW INCOME PERSONS AND MINORITY GROUPS WITHIN THE REGION THE PENNSYLVANIA MOUNTAIN HEALTH CARE NETWORK HOSPITALS ARE COMMITTED TO SERVING PATIENTS IN THE REGION AND ARE USING SOUND AVAILABLE DATA TO GUIDE THE PLANNING PROCESS. IN ADDITION TO DATA COLLECTION AND RESEARCH, THE PAH CHNA TEAM CONDUCTED A COMPREHENSIVE ONLINE SURVEY TO ASSESS THE NEEDS OF THE COMMUNITY AND IDENTIFY HEALTH PRIORITIES AT THE LOCAL LEVEL. IN ADDITION TO THE ASSESSMENT PUNXSUTAWNEY AREA HOSPITALS CHNA ALSO REVIEWED ITS EXISTING COMMUNITY BENEFIT ACTIVITIES- BOTH INTERNALLY AND IN CONJUNCTION WITH ITS PMCN PARTNERS TO ASSESS WHETHER THESE SERVICES WERE PROVIDING VALUE CONSISTENT WITH THE NEEDS OF THE COMMUNITY AND ITS RESIDENTS. SPECIFICALLY, THESE CONSIDERED KEY HEALTH FACTORS AND OUTCOMES RESULTANT FROM ASSOCIATED DEMOGRAPHIC, SOCIAL AND ECONOMIC IMPACTS, THE PHYSICAL ENVIRONMENT, HEALTHCARE ACCESS AND RESOURCE COORDINATION AND BEHAVIORAL TRENDS. BASICALLY CONNECTING THE REGIONS NEEDS TO THAT OF STATE AND NATION. WITH HEALTHY PEOPLE 2020, AND THE CMS STRATEGY CONNECTED TO THE PENNSYLVANIA DEPARTMENT OF HEALTH PRIORITIES, THIS CHNA IS CONNECTED TO EVIDENCE AND DATA BASED PRIORITIES.
SCHEDULE H, PART V, SECTION B, LINE 6A	THE COMMUNITY NEEDS ASSESSMENT SERVED PUNXSUTAWNEY AREA HOSPITAL, CLARION HOSPITAL, AND INDIANA REGIONAL MEDICAL CENTER.
SCHEDULE H, PART V, SECTION B, LINE 7A	THE CHNA REPORT HAS BEEN MADE WIDELY AVAILABLE ON THE PAH WEBSITE: HTTPS://WWW.PAH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 7B	THE CHNA REPORT WAS MADE AVAILABLE ON THE FOLLOWING OTHER WEBSITES: HTTPS://WWW.CLARIONHOSPITAL.ORG/ABOUT-CLARION-HOSPITAL/COMMUNITY-HEALTH-NE EDS-ASSESSMENT/ HTTPS://WWW/INDIANARMC.ORG/MEDIA/1972/CHNA_INDIANA-REGIONAL-MEDICAL-CENTER -66-EMAIL.PDF
SCHEDULE H, PART V, SECTION B, LINE 10A	THE HOSPITAL'S MOST RECENT IMPLEMENTATION STRATEGY HAS BEEN POSTED ON THE FOLLOWING WEBSITE: HTTPS://WWW.PAH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING IDENTIFIED NEEDS: POPULATION HEALTH HAS BEEN DEFINED AS "THE HEALTH OUTCOMES OF A GROUP OF INDIVIDUALS". IT IS AN APPROACH TO HEALTH THAT AIMS TO IMPROVE THE HEALTH OF AN ENTIRE HUMAN POPULATION- FOR PURPOSES OF PUNXSUTAWNEY AREA HOSPITALS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), IMPROVE THE HEALTH OF THE ENTIRE POPULATION OF THE PUNXSUTAWNEY AREA HOSPITAL SERVICE AREA. IN 2019, PUNXSUTAWNEY AREA HOSPITAL CREATED A TRANSFORMATION PLAN IN CONJUNCTION WITH THE PENNSYLVANIA DEPARTMENT OF HEALTHS RURAL HEALTH MODEL. PARTICIPATION IN THE RURAL HEALTH MODEL HAS ALLOWED THE HOSPITAL TO CONNECT THE COMMUNITY HEALTH NEEDS ASSESSMENT STRATEGIES TO THE RHM TRANSFORMATION PLAN. THE HOSPITAL IS WORKING WITH THE PUNXSUTAWNEY ROTARY CLUB TO ENHANCE THE ANNUAL BLOOD SCREENING PROGRAM WHICH SCREENS 10-15% OF ADULTS IN THE SERVICE AREA ANNUALLY. NEW TRACKING SYSTEMS AND PROGRAM DEVELOPMENT INITIATIVES ARE IN PLACE. THE 2020 BLOOD SCREENING HAS BEEN POSTPONED BECAUSE OF THE CORONAVIRUS, BUT THE EVENT AND SUBSEQUENT WRAP AROUND EVENTS WHICH DIRECTLY IMPACT POPULATION HEALTH ARE FORTHCOMING. THE HOSPITAL'S TRANSFORMATION PLAN IS ALSO LOOKING AT 'HIGH RISK' PATIENTS MAKING SURE THERE IS A CONTINUUM OF HOSPITAL AND OTHER HEALTHCARE SERVICES TARGETING ISSUES INCLUDING COPD, HEART DISEASE AND DIABETES. THE OPIOID CRISIS: PUNXSUTAWNEY AREA HOSPITAL LIKE MOST ORGANIZATIONS HAS BEEN MONITORING, REPORTING AND RESPONDING TO THE OPIOID CRISIS IN PENNSYLVANIA. THE HOSPITAL IS EXPLORING OPIOID GRANT FUNDING IN CONJUNCTION WITH BOTH COLLABORATIVE PARTNERSHIPS AND RHM PARTNER HOSPITALS. IN ADDITION, THE HOSPITAL IS LOOKING TO EXPAND SERVICES FOR PATIENTS SUFFERING FROM ADDICTION. PLANNED START DATE SUMMER 2020. UPDATE ON IDENTIFIED OBJECTIVES: IN THE SPRING OF 2018 A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LED BY PUNXSUTAWNEY AREA HOSPITAL WAS CONDUCTED FOR THE APPROXIMATELY 50,000 RESIDENTS IN THE 3 COUNTY SERVICE AREA OF CLEARFIELD, JEFFERSON AND INDIANA COUNTIES. THERE ARE SEVERAL AREA HOSPITALS IN THE REGION AND PUNXSUTAWNEY AREA HOSPITAL COLLABORATED WITH INDIANA REGIONAL MEDICAL CENTER AND CLARION HOSPITAL AS PART OF THE OVERALL PROCESS. PREVIOUS CHNAS WERE COMPLETED WORKING DIRECTLY WITH A SHARED PROCESS AND STRUCTURE. THIS 2018 PROCESS WAS COMPLETED INDEPENDENTLY; DISCUSSIONS AND PLANNING SESSIONS WERE HELD WITH THE 3 HOSPITALS TO LINK THE INITIATIVES AND STRATEGIES. THIS IMPLEMENTATION STRATEGY AND COMMUNITY BENEFIT PLAN REPORT SUMMARIZES HOW PUNXSUTAWNEY AREA HOSPITAL WILL DEVELOP, CONDUCT AND SUSTAIN COMMUNITY BENEFIT PROGRAMS THAT 1. ADDRESS PRIORITIZED HEALTH NEEDS FROM PREVIOUSLY CONDUCTED PLANNING INITIATIVES 2. RESPOND TO OTHER IDENTIFIED COMMUNITY HEALTH NEEDS. THIS IS THE IMPLEMENTATION PLAN FOR FY 2018-2019. EXECUTION WILL OCCUR IN FY 2018/19-FY 2020. TARGET AREAS AND POPULATIONS: GIVEN THE MULTI-FACETED HEALTH NEEDS OF OUR COMMUNITIES WE HAVE SELECTED A 3 COUNTY TARGET AREA FOR OUR IMPLEMENTATION STRATEGY; THE PREVALENCE OF POOR HEALTH FACTORS AND POOR HEALTH OUTCOMES COMPOUNDED BY CHALLENGING SOCIAL DETERMINANTS OF HEALTH IMPACTING COMMUNITY RESIDENTS ARE LESS THAN IDEAL THROUGHOUT THE COUNTIES TOTAL GEOGRAPHIC AREA. HOW THE IMPLEMENTATION STRATEGY AND COMMUNITY BENEFIT PLAN WERE DEVELOPED - INCLUDING HOW PRIORITIES WERE ESTABLISHED: PUNXSUTAWNEY AREA HOSPITAL IDENTIFIED COMMUNITY HEALTH NEEDS THROUGH A COLLABORATIVE PROCESS WITH PMCN (PENNSYLVANIA MOUNTAIN HEALTH CARE NETWORK) HOSPITALS. BUILDING ON PAST INITIATIVES, THE 2018 PROCESS INCLUDED A COMPREHENSIVE SURVEY, A TEAM PRIORITIZATION EXERCISE TO DETERMINE PRIORITIES AND ASSESSMENT OF PAST SUCCESSES AND FAILURES. AS THE CHNA LEVERAGED AND UTILIZED THE HOSPITALS PLANNING STAFF - A MULTI-PART PROCESS WAS EMPLOYED TO DEVELOP THIS IMPLEMENTATION STRATEGY AND COMMUNITY BENEFIT PLAN, INCLUDING QUANTITATIVE DATA REVIEW AND ANALYSIS, LITERATURE REVIEWS COMPLETED TO IDENTIFY STATE AND NATIONAL BENCHMARKS AND EVIDENCE BASED STRATEGIES THAT RELATE TO THE INDICATORS/METRICS. THE CHNA TEAMS UTILIZATION OF MULTIPLE TYPES OF RESEARCH ALLOWED FOR DATA COLLECTION ACROSS A BROAD RANGE OF INDICATORS RELATING TO OVERALL POPULATION HEALTH, SOCIAL DETERMINANTS OF HEALTH INCLUDING GEOGRAPHIC LOCATION DIFFERENCES IN HEALTH OUTCOMES AND THE NEEDS OF DISADVANTAGED POPULATIONS INCLUDING UNINSURED PERSONS, LOW INCOME PERSONS AND MINORITY GROUPS (INCLUDING AMISH RESIDENTS) WITHIN THE REGION. IN ADDITION TO THE ASSESSMENT PUNXSUTAWNEY AREA HOSPITALS CHNA TEAM ALSO REVIEWED ITS EXISTING COMMUNITY BENEFIT ACTIVITIES- BOTH INTERNALLY AND IN CONJUNCTION WITH ITS PMCN PARTNERS TO ASSESS WHETHER THESE SERVICES WERE PROVIDING VALUE CONSISTENT WITH THE NEEDS OF THE COMMUNITY AND ITS RESIDENTS. SPECIFICALLY, THESE ACTIVITIES CONSIDERED KEY HEALTH FACTORS AND OUTCOMES RESULTANT FROM ASSOCIATED DEMOGRAPHIC, SOCIAL AND ECONOMIC IMPACTS, THE PHYSICAL ENVIRONMENT, HEALTHCARE ACCESS AND RESOURCE COORDINATION AND BEHAVIORAL TRENDS. BASICALLY, CONNECTING THE REGIONS NEEDS TO THAT OF THE STATE AND NATION. WITH HEALTHY PEOPLE 2020 AND THE CMS STRATEGY CONNECTED TO THE PENNSYLVANIA DEPARTMENT OF HEALTH PRIORITIES, THIS CHNA IS CONNECTED TO EVIDENCE AND DATA BASED PRIORITIES. MAJOR HEALTH NEEDS: CRITERIA INCLUDED THE NUMBER OF PERSONS AFFECTED BY THE VARIOUS FACTORS ANALYZED, THE SERIOUSNESS OF THE ISSUES (AS DETERMINED BY SURVEYS AND DATA AVAILABLE) WHETHER THE HEALTH NEEDS PARTICULARLY AFFECTED PERSONS LIVING IN POVERTY OR REFLECTED OTHER DISPARITIES, AND AVAILABILITY OF COMMUNITY RESOURCES TO ADDRESS THE NEEDS. THIS PROCESS IDENTIFIED THE FOLLOWING PRIORITIES FOR THE COMMUNITY: UPDATE ON IDENTIFIED OBJECTIVES GOAL 1 - REDUCE OBESITY IN THE COMMUNITY THROUGH AN INCREASE IN PHYSICAL ACTIVITY AND OTHER WELLNESS/PREVENTION STRATEGIES. OBJECTIVE: CREATE AND LAY THE GROUNDWORK FOR A PUNXSUTAWNEY AREA HOSPITAL WORKPLACE WELLNESS PROGRAM ACTION STEP 1: OUTLINE WHAT THE WELLNESS PROGRAM WILL ENTAIL AND WHICH STAFF MEMBERS WILL BE RESPONSIBLE FOR WHICH PIECES AND PARTS IMPACT MEASURED BY: PLANNING MEETING HELD IN CONJUNCTION WITH THE 2019 BUDGET PREP. UPDATE: SCHEDULE OPENING FOR THE HOSPITALS RAPID CARE WHICH WILL PROVIDE WELLNESS OPPORTUNITIES OF LOCAL BUSINESS. ACTION STEP 2: EXPAND ON OFFERINGS TO LOCAL BUSINESSES BASED ON THEIR INDIVIDUALIZED NEEDS. IMPACT MEASURED BY: IDENTIFICATION OF BUSINESSES, INITIATION OF SERVICE PROVISION/TRAINING/TESTING. UPDATE: PHYSICIAN OFFICES IDENTIFIED AS NEXT STEP ACTION STEP 3: EXPAND THE HOSPITALS' WEIGHT LOSS PROGRAM TO CONNECT WITH NATIONAL BENCHMARKING IMPACT MEASURED BY: CREATING A LISTING OF EVIDENCE BASED OBESITY STRATEGIES AND EXPAND CURRENT PROGRAM TO TRACKING UPDATE: TRACKING IN PLACE FOR CURRENT PARTICIPANTS HP 2020 GUIDELINES IDENTIFIED OBJECTIVE: CONNECT WITH THE PUNXSUTAWNEY SCHOOL DISTRICT TO ASSESS AND ESTABLISH COLLABORATIVE GOALS WITH HEALTHCARE/EDUCATION. ACTION STEP 1: ASSESS THE SCHOOLS PLANS TO ADDRESS CHILDHOOD OBESITY IN CONJUNCTION WITH ATHLETIC TRAINING DEVELOPMENT. IMPACT MEASURED BY: DOCUMENTS ACQUIRED UPDATE: PAH IS WORKING WITH THE SCHOOL ATHLETIC TRAINER AND ALIGNING OBJECTIVES FOR STUDENT ATHLETES PAH IS WORKING TO PROVIDE SCHOOL PHYSICIANS AND LAB TESTING RELATIONSHIPS ARE BEING REVIEWED OBJECTIVE: EXPAND EMPLOYEE WELLNESS PROGRAM TO OTHER COUNTY EMPLOYEES ACTION STEP 1: MEET WITH OCCUPATIONAL HEALTH TO DETERMINE LIST OF POTENTIAL EMPLOYERS IMPACT MEASURED BY: NUMBER OF EMPLOYERS AND EMPLOYEES PARTICIPATING UPDATE: NOT INITIATED AT THIS TIME ACTION STEP 2: DETERMINE HOW THE HOSPITAL PROGRAM WOULD BE BEST IMPLEMENTED WITH OTHER EMPLOYERS IMPACT MEASURED BY: TBD UPDATE: NOTE INITIATED AT THIS TIME ACTION STEP 3: MEET WITH LOCAL EMPLOYERS TO DETERMINE INTEREST IN THE PROGRAM IMPACT MEASURED BY: NUMBER OF EMPLOYERS CONTRACTED UPDATE: NOT INITIATED AT THIS TIME ACTION STEP 4: IMPLEMENT PROGRAM IN OTHER SITES IMPACT MEASURED BY: NUMBER OF EMPLOYERS PARTICIPATING IN PROGRAM UPDATE: NOT INITIATED AT THIS TIME OBJECTIVE: CONNECT SCREENINGS TO HEALTHY PEOPLE 2020 INITIATIVES ACTION STEP 1: CONTINUE TO OFFER PROGRAM IN OCTOBER OF EACH YEAR IMPACT MEASURED BY: NUMBER OF PEOPLE ATTENDING UPDATE: NOT INITIATED AT THIS TIME ACTION STEP 2: OFFER EDUCATIONAL PROGRAMS AT EVENT TO OUTREACH TO TARGETED TO COMMUNITY MEMBERS IMPACT: INCREASE IN KNOWLEDGE OF PROGRAM TOPIC UPDATE: NEW EMPLOYEE KD HIRED AND IS ESTABLISHING SCREENINGS TO ALIGN RHM TRANSFORMATION PLAN AND CHNA PLANNING INITIATIVES. ENHANCED TRACKING IS IN PLACE AND BUDGETS HAVE BEEN ESTABLISHED FOR CONNECTION OF ACTIVITIES TO HOSPITAL APPROVED BUDGET. ACTION STEP 3: REVIEW HEALTHY PEOPLE 2020 AND CONNECT OBJECTIVES TO NATIONAL PRIORITIES IMPACT MEASURED BY: REVIEW OF HEALTH PEOPLE 2020/2030 UPDATE: HEALTHY PEOPLE 2030 REVIEWED AND FOLDED IN THE HOSPITALS RHM TRANSFORMATION PLAN. ACTION STEP 4: ATTEND CONFERENCE TO BE POSITIONED FOR HEALTHY PEOPLE 2030 IMPACT MEASURED BY: ATTENDANCE BY PLANNING STAFF UPDATE: NOT INITIATED AT THIS TIME OBJECTIVE: HIRE ATHLETIC TRAINER TO WORK IN CONJUNCTION WITH THE SCHOOL - TO LINK
SCHEDULE H, PART V, SECTION B, LINE 13H	OTHER CRITERIA EXPLAINED IN THE FAP: THERE IS A PRESUMPTIVE CHARITY SCORE PROCESS USING ACCOUNTS WITH MEDICARE OR DUAL ELIGIBILITY.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C	FAP, PLS, AND APPLICATION WEBSITE: FINANCIAL ASSISTANCE POLICY, APPLICATION FORM AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.PAH.ORG/ABOUT/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, LINE 16I	LEP TRANSLATIONS: THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER IRC SECTION 501(R). HOWEVER, LANGUAGE TRANSLATIONS OF THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE AVAILABLE BY REQUEST AT THE FINANCIAL COUNSELING DEPARTMENT OF THE HOSPITAL.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HHCS OF PUNXSUTAWNEY AREA HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	602 EAST MAHONING STREET	AddressLine1Txt
City	PUNXSUTAWNEY	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15767	ZIPCd

Field	Value	IRS element (for citing)
Facility	MEDICARE CERTIFIED HOME HEALTH AGENCY	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $570,064.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEET 6 WAS COMPUTED FROM THE ORGANIZATION'S COST ACCOUNTING SOFTWARE, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST ACCOUNTING.
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE: THE AMOUNT REPORTED FOR BAD DEBT IS THE TOTAL ACTUAL ACCOUNT BALANCES TRANSFERRED TO A COLLECTION AGENCY OFFSET BY MONIES COLLECTED FROM THE AGENCY. ALSO AN ESTIMATE BASED ON HISTORICAL COLLECTION PERCENTAGES OF SELF PAY FOR THE ACTIVE ACCOUNTS RECEIVABLE BALANCE IS CALCULATED MONTHLY AND THIS DIFFERENCE IS ADDED TO OR SUBTRACTED FROM BAD DEBT EXPENSE.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: THIS FIGURE WAS CALCULATED USING THE ESTIMATED PERSONS UNDER POVERTY FOR JEFFERSON COUNTY OF 14.4%.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT FINANCIAL STATEMENT FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PAYMENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 95% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2018, TO 96% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2019. IN ADDITION, THE HOSPITAL'S WRITE-OFFS DECREASED $13,656 FROM $779,720 FOR THE YEAR ENDED JUNE 30, 2018, TO $766,064 FOR THE YEAR ENDED JUNE 30, 2019.
SCHEDULE H, PART III, SECTION C, LINE 8	COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY: PATIENTS WHO QUALIFY FOR CHARITY CARE ARE FLAGGED IN ORDER TO PROCESS THEM SEPARATELY FROM OTHER SELF PAY ACCOUNTS.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: THE HOSPITAL DETERMINES COMMUNITY NEEDS BASED ON MULTIPLE SURVEYS AND MEETINGS WITH MEMBERS OF THE BUSINESS COMMUNITY, MEDICAL STAFF PHYSICIANS AND RANDOM COMMUNITY MEMBERS FROM THE SERVICE AREA.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: AT REGISTRATION, PATIENTS WITHOUT INSURANCE ARE PHYSICALLY PROVIDED INFORMATION ABOUT MEDICAID AND OUR CHARITY CARE POLICY AND ENCOURAGED TO ENROLL (WE ARE AVAILABLE TO ASSIST THE CUSTOMER WITH ENROLLMENT). SIGNAGE IS ALSO POSTED THROUGHOUT THE FACILITY OUTLINING OUR CHARITY CARE PROGRAM. ALSO, ALL PATIENT STATEMENTS REFLECT INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO THE PATIENTS. CHARITY CARE INFORMATION IS ALSO REFERENCED ON THE HOSPITAL'S WEB SITE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: STATISTICS AVAILABLE FROM THE UNITED STATES CENSUS BUREAU REVEAL THAT JEFFERSON COUNTY HAS A POPULATION OF JUST UNDER 44,000 IN APPROXIMATELY 650 SQUARE MILES. THE POPULATION AGED 65 AND OLDER IS 21.1%. THE POPULATION WITH INCOME BELOW THE POVERTY LEVEL IS 14.4% AND THE COUNTY'S PER CAPITA PERSONAL INCOME IS $24,974.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL CONDUCTS SEVERAL FREE HEALTH SCREENINGS EACH YEAR THAT ARE OFFERED TO MEMBERS OF THE COMMUNITY WITHOUT HEALTH INSURANCE. ALSO, MULTIPLE FREE MEDICAL EDUCATION PROGRAMS ARE OFFERED TO PROVIDE AWARENESS OF TOPICAL AND TIMELY HEALTH ISSUES.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: PUNXSUTAWNEY AREA HOSPITAL AND ITS WHOLLY OWNED SUBSIDIARY, PUNXSUTAWNEY MEDICAL SERVICES, INC., PRIMARILY EARN REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN THE PUNXSUTAWNEY, PENNSYLVANIA, AREA AND ALSO OPERATES A HOME HEALTH AGENCY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SUPPORT FOR CANCER PATIENTS	GrantTypeTxt
Recipient	4	RecipientCnt
Cash Grant	$5,875	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE I, PART I, LINE 2	GRANT MONITORING PROCEDURES: ONCOLOGY PHYSICIANS RECOMMEND PATIENTS FOR FINANCIAL ASSISTANCE BASED ON PERSONAL NEED AND HEALTH OF THE PATIENT. RECOMMENDATIONS ARE GIVEN TO THE CFO. THE CFO IN TURN PROVIDES A CHECK TO EITHER THE PATIENT OR IN SOME INSTANCES DIRECTLY TO VENDORS TO COVER PRODUCTS OR SERVICE NEEDED BY THE CANCER PATIENTS.
SCHEDULE I, PART III, COLUMN B	NUMBER OF RECIPIENTS: WHILE $1,575 WAS USED DIRECTLY TO ASSIST 4 SPECIFIC PATIENTS, THE REMAINING $4,300 WAS USED TO PURCHASE LUNCHES AND GIFT CERTIFICATES FOR PATIENTS AS WELL AS A BLANKET WARMER FOR THE OFFICE. THESE ITEMS BENEFITED NUMEROUS PATIENTS OF THE OFFICE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TIMOTHY CLARK SIMPSON MD
DIRECTOR	$291,387	$0	$0	$0	$18,500	$0	$0	$0	$14,549	$0	$324,436	$0	$0	$0
DANIEL D BLOUGH JR
CEO	$267,209	$0	$0	$0	$21,893	$0	$0	$0	$13,552	$0	$302,654	$0	$0	$0
JACK G SISK
CFO	$178,923	$0	$0	$0	$0	$0	$0	$0	$13,419	$0	$192,342	$0	$0	$0
THOMAS GENTILCORE
PHYSICIAN	$555,173	$0	$0	$0	$0	$0	$0	$0	$7,147	$0	$562,320	$0	$0	$0
KRISTINA BRUBAKER
PHYSICIAN	$317,693	$0	$0	$0	$0	$0	$0	$0	$13,915	$0	$331,608	$0	$0	$0
MAZEN HASAN
PHYSICIAN	$396,775	$0	$0	$0	$6,332	$0	$0	$0	$14,465	$0	$417,572	$0	$0	$0
GUSTAVO FRANCO
PHYSICIAN	$321,291	$0	$0	$0	$690	$0	$0	$0	$13,679	$0	$335,660	$0	$0	$0
EYAD KHABBAZ
PHYSICIAN	$438,787	$0	$0	$0	$677	$0	$0	$0	$14,517	$0	$453,981	$0	$0	$0

Schedule L IRS990ScheduleL

Field	Value	IRS element (for citing)
Total Balance Due	$0	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SHANNON BYERLY	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	DAUGHTER OF P. BYERLY	RelationshipDescriptionTxt
Transaction	$42,658	TransactionAmt
Transaction	WAGES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6	TOTAL NUMBER OF VOLUNTEERS: TOTAL NUMBER OF VOLUNTEERS INCLUDED NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS AND MEMBERS OF THE ORGANIZATION AUXILIARY.
FORM 990, PART III, LINE 4B	PROGRAM ACHIEVEMENTS: THE CARE IF THE PROVISION OF SKILLED SERVICES NEEDED BY THE PATIENT ON A DAILY BASIS, ORDERED BY A PHYSICIAN, REQUIRING CARE FURNISHED DIRECTLY BY OR UNDER SUPERVISION OF TECHNICAL OR PROFESSIONAL PERSONNEL, NOT LIMITED TO REGISTERED NURSES, LICENSED PRACTICAL NURSES, SPEECH PATHOLOGISTS, PHYSICAL THERAPISTS, AND OCCUPATIONAL THERAPISTS. THE CARE INCLUDES SKILLED NURSING, SKILLED REHABILITATION, OR RESTORATIVE CARE THAT BECAUSE OF SPECIAL MEDICAL CONDITIONS REQUIRED THAT THE CARE BE MONITORED BY OR UNDER THE DIRECT OBSERVATION AND ASSESSMENT OF SKILLED NURSING OR REHABILITATION PERSONNEL.
FORM 990, PART III, LINE 4C	PROGRAM ACHIEVEMENTS: SPECIALTY NURSING PROGRAMS INCLUDE: MATERNAL/CHILD CARE, IV THERAPY AND ENTEROSTOMAL CARE. IN ADDITION TO PROFESSIONAL NURSING SERVICES, THE AGENCY PROVIDES REHABILITATIVE SERVICES INCLUDING PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPIES.
FORM 990, PART VI, SECTION A, LINE 6 & 7B	GOVERNANCE DECISION: AS SET FORTH IN THE NETWORK AFFILIATION AGREEMENT ("NETWORK AGREEMENT") BY AND AMOUNT THE CORPORATION, CLARION HEALTHCARE SYSTEM, INC. AND INDIANA HEALTHCARE CORPORATION, PENNSYLVANIA MOUNTAIN CARE NETWORK ("PMNC"), A PENNSYLVANIA NONPROFIT CORPORATION, SHALL BE AND ACT AS THE "OTHER BODY" WITH RESPECT TO THE CORPORATION AND ITS SUBSIDIARIES, IF ANY, AS THAT TERM IS DEFINED IN SECTION 5103 OF THE PENNSYLVANIA NONPROFIT CORPORATION LAW. IN THE CAPACITY, PMNC SHALL EXERCISE THE FOLLOWING RESERVED POWERS WITH RESPECT TO THE CORPORATION AND ITS SUBSIDIARIES. ANY OF THE FOLLOWING ACTIONS TAKEN BY THE CORPORATION OR ANY OF ITS SUBSIDIARIES SHALL REQUIRE THE APPROVAL OF THE BOARD OF PMCN PRIOR TO BECOMING EFFECTIVE, PROVIDED, IF THE PMCN BOARD HAS NOT ACTED UPON SUCH ACTION WITHIN 60 DAYS OF THE ORIGINAL RECOMMENDATION, THE ACTION TAKEN SHALL BE DEEMED TO HAVE BEEN APPROVED. A VOTE 0F 80% OF THE WHOLE NUMBER OF THE PMCN DIRECTORS IS REQUIRED FOR APPROVAL (OR DISAPPROVAL OF (10) AND (11) BELOW: (1) AMENDMENT OF ARTICLES OF INCORPORATION AND CORPORATE BYLAWS; (2) MERGER, CONSOLIDATION, DISSOLUTION OR SALE OF ALL OR SUBSTANTIALLY ALL ASSETS; (3) STRATEGIC PLANS NOT OTHERWISE ADDRESSED IN AN APPROVED CAPITAL BUDGET; (4) FUNDAMENTAL CHANGES IN MISSION, CONVERSION TO A FOR-PROFIT ENTITY OR ANY OF FUNDAMENTAL CHANGE DESCRIBED IN THE SUBCHAPTERS TO CHAPTER 59 OF THE PENNSYLVANIA NONPROFIT CORPORATION LAW; (5) INITIATING NEW CLINICAL PROGRAMS; (6) TERMINATING EXISTING CLINICAL PROGRAMS; (7) ENTERING INTO A MANAGEMENT CONTRACT WITH ANY THIRD PARTY (OTHER THAN EXISTING MANAGEMENT CONTRACTS); (8) A PROPOSED ENTRY INTO A SIGNIFICANT JOINT VENTURE OR AFFILIATION OF MANAGEMENT AGREEMENT WITH ANY OTHER NON-PMCN ENTITY THAT HAS SIGNIFICANT IMPLICATIONS FOR THE ENTITY INVOLVED AND/OR FOR PMCN AND/OR THE OTHER PMCN ENTITIES, AND FOR WHICH THE ENTITY'S CEO DOES NOT HAVE SUFFICIENT AUTHORITY TO APPROVE HIMSELF AND WOULD HAVE TO BRING TO HIS BOARD. EXAMPLES OF SIGNIFICANT INCLUDE A NEW RELATIONSHIP THAT WOULD REQUIRE CAPITAL INVESTMENT BY THE ENTITY, A CLINICAL AFFILIATION IN WHICH THE ENTITY CEDES MANAGEMENT CONTROL TO THE NON-PMCN ENTITY, OR A JOINT SERVICE LINE OR ANY OTHER JOINT VENTURE, AFFILIATION OR AGREEMENT WITH A NON-PMCN ENTITY IN WHICH IT WOULD BE EXPECTED THAT PMCN OR ANY PMCN ENTITY WOULD BE INTERESTED; (9) INCURRENCE OR GUARANTEE OR NEW DEBT THAT MEETS THE FINANCIAL TERMS DESCRIBED WITHIN THE NETWORK AGREEMENT; (10) DISAPPROVAL OF ANY RECOMMENDED, NEW PRESIDENT AND CHIEF EXECUTIVE OFFICER (THE CEO) AS DECIDED BY PMCN IN ACCORDANCE WITH THE FOLLOWING: (A) ANY DECISION TO DISAPPROVE A CEO RECOMMENDATION MUST BE BASED ON THE MOST EXTRAORDINARY CIRCUMSTANCES AND MUST OTHERWISE BE A REASONABLE EXERCISE OF THE PMCN'S DISCRETION; (B) ANY DECISION BY PMCN TO DISAPPROVE THE CEO RECOMMENDED BY THE CORPORATION OR THE HOSPITAL MUST BE APPROVED BY A VOTE OF AT LEAST 80% OF THE WHOLE NUMBER OF PMCN DIRECTORS; (C) THE SPECIFIC REASONS FOR DISAPPROVAL MUST BE ARTICULATED BY PMCN TO THE CORPORATION OR THE HOSPITAL, IN WRITING; AND (D) THE WRITING MUST BE RECEIVED BY THE CORPORATION OR THE HOSPITAL WITHIN 30 DAYS AFTER THE DATE OF THE CORPORATION'S OR THE HOSPITAL'S CEO RECOMMENDATION TO PMCN. IF THE CORPORATION OR THE HOSPITAL DOES NOT RECEIVE WRITTEN NOTICE OF DISAPPROVAL WITHIN SUCH TIME, THE CEO RECOMMENDED BY THE CORPORATION OF THE HOSPITAL SHALL BE DEEMED TO BE APPROVED BY PMCN. (11) DISAPPROVAL OF ANY PAYOR CONTRACT. IF THE CORPORATION DOES NOT RECEIVE PMCN'S WRITTEN NOTICE OF DISAPPROVAL WITHIN 30 DAYS, THE PAYOR CONTRACT SHALL BE DEEMED TO BE APPROVED BY PMCN; AND (12) ANY OTHER ACTION THAT MAY NOT OR HEREAFTER BE DESCRIBED IN THE NETWORK AGREEMENT AS AMENDED IN ACCORDANCE WITH ITS TERMS. THE CORPORATION SHALL ALSO CAUSE ITS SUBSIDIARIES, IF ANY, TO BE SUBJECT TO THESE RESERVED POWERS OF PMCN AND SHALL TAKE NO ACTION WITH RESPECT TO ITS SUBSIDIARIES EXCEPT IN ACCORDANCE WITH THESE RESERVED POWERS AND THE TERMS OF THE NETWORK AGREEMENT.
FORM 990, PART VI, SECTION B, LINE 11B	990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT OF THE 990 WILL BE REVIEWED BY TOP MANAGEMENT AND WILL BE DISCUSSED AT A MEETING OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. A FINAL DRAFT WILL BE MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY REVIEW: ANNUALLY THE OFFICERS AND DIRECTORS COMPLETE CONFLICT OF INTEREST DISCLOSURES. THESE DISCLOSURES ARE THEN SHARED WITH THE FULL BOARD. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST ABSTAINS FROM VOTING ON ANY MATTER RELATED TO THAT CONFLICT. CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY DISCLOSURE POTENTIAL CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15A	COMPENSATION REVIEW POLICY: THE CHAIRMAN OF THE BOARD ANNUALLY RECEIVES A SALARY SURVEY FROM THE HOSPITAL ASSOCIATION OF PENNSYLVANIA THAT INDEXES THE CEO'S SALARY BY UTILIZING THE SMALL AND RURAL CLASSIFICATIONS OF THE SURVEY AS PER THE CEO'S CONTRACT. ALL BOARD DELIBERATIONS ARE DOCUMENTED. THE SURVEY WAS RECEIVED IN SPRING OF 2018 AND PROVIDED TO THE EXECUTIVE COMMITTEE OF THE BOARD. THE CEO ANNUALLY RECEIVES A SALARY SURVEY FROM THE HOSPITAL ASSOCIATION OF PENNSYLVANIA. HE USES THIS SURVEY TO SET THE OTHER OFFICERSKEY EMPLOYEES' SALARY LEVEL. THE CEO SUBSEQUENTLY SHARES THE FINDINGS WITH THE BOARD EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT DISCLOSURE: SOME FINANCIAL DATA IS AVAILABLE THROUGH THE PENNSYLVANIA HEALTH CARE COST CONTAINMENT COUNCIL. OTHER ORGANIZATION DOCUMENT, INCLUDING GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, ARE MADE AVAILABLE BY WRITTEN REQUEST FOR LEGITIMATE PURPOSE (AS DETERMINED BY THE FINANCE OFFICE).
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $ (981,231) TRANSFERS TO AFFILIATES ( 8,100) CHANGE IN BENEFICIAL INTEREST OF PERPETUAL TRUST ----------- $ (989,331)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PUNXSUTAWNEY MEDICAL SERVICES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	81 HILLCREST DRIVE	AddressLine1Txt
City	PUNXSUTAWNEY	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15767	ZIPCd

Field	Value	IRS element (for citing)
EIN	251773035	EIN
Primary Activities	PHY SPECIALIS	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	3	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PUNXSY HOSP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PERPETUAL TRUST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	TRUST	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PUNXSY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	TRUST	EntityTypeTxt
Share Of Total Income	-$8,100	ShareOfTotalIncomeAmt
Share Of EOY Assets	$235,034	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PUNXSUTAWNEY MEDICAL SERVICES INC
O	$1,301,853	FMV
PUNXSUTAWNEY MEDICAL SERVICES INC
S	$320,622	FMV