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        <DepreciationAmt>1858517</DepreciationAmt>
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        <DepreciationAmt>55104423</DepreciationAmt>
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        <DepreciationAmt>4185732</DepreciationAmt>
        <BookValueAmt>7992439</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>87576541</TotalBookValueLandBuildingsAmt>
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        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>Investments - CHART</Desc>
        <BookValueAmt>7540381</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
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        <Desc>Est. Malpractice Cost</Desc>
        <Amt>1827709</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Other Long Term Liabilities</Desc>
        <Amt>5012996</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Third Party Settlement</Desc>
        <Amt>1711307</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Interest Rate Swap Agreement</Desc>
        <Amt>4585870</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization adopted the provisions of Financial Accounting Standards Board FASB Interpretation No. 48 ASC 740, Accounting for Uncertainty in Income Taxes. Because no material uncertain tax positions were identified, a disclosure was not included in the footnotes to the financial statements.</ExplanationTxt>
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      <Percent350Ind>X</Percent350Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
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      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
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        <TotalCommunityBenefitExpnsAmt>37781684</TotalCommunityBenefitExpnsAmt>
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        <TotalCommunityBenefitExpnsAmt>49830133</TotalCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>14853642</NetCommunityBenefitExpnsAmt>
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      <CoalitionBuildingGrp>
        <TotalCommunityBenefitExpnsAmt>1897</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1897</NetCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>43</NetCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>1940</NetCommunityBenefitExpnsAmt>
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      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>3820792</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>347689</BadDebtExpenseAttributableAmt>
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      <CostOfCareReimbursedByMedcrAmt>26181782</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-696083</MedicareSurplusOrShortfallAmt>
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        <CostToChargeRatioInd>X</CostToChargeRatioInd>
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      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
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        <BusinessName>
          <BusinessNameLine1Txt>Uniontown Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>500 W Berkeley Street</AddressLine1Txt>
          <CityNm>Uniontown</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15401</ZIPCd>
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        <WebsiteAddressTxt>uniontownhospital.com</WebsiteAddressTxt>
        <StateLicenseNum>470901</StateLicenseNum>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
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        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
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        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>15</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>uniontownhospital.com//Files/Admin/pdf/Final-2017-2019-CHNA.pdf</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>15</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>uniontownhospital.com//Files/Admin/pdfs/Final-2017-2019-CHNa-Implementation-Plan.pdf</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>0000000250.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>0000000350.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>uniontownhospital.com/financial-care-servies</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>uniontownhospital.com/financial-care-services</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>uniontownhospital.com/financial-care-services</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <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 performed by BKD personnel between October 2015 and February 2016 with 15 key stakeholders. Stakeholders 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 Darlene Centofanti, Past /Director, Fayette County Department of Public Welfare Gina DAuria, Administrator, Fayette County Children and Youth Nancy Decker, President/CEO, Laurel Business Technology Lisa Ferris, CEO, Fayette County Behavioral Health Administration Melissa Ferris, Assistant Executive Director, Fayette County Drug Alcohol Commission Dr. Jeffrey Frye, Medical Director, Uniontown Hospital Dr. Larry Glad, Medical Director, UPMC Jana Kyle, Executive Director, Fayette County Drug Alcohol Commission Melissa Minor, Board Member, Children Health Improvement Partnership Dr. Richard Pish, President, Medical Executive Committee Gwendolyn Ridgley, Supervisor, Southwestern Area Agency on Aging Jim Stark, Executive Director, Fayette County Community Action Agency Dana Valente, Manager, Fayette County Department of Public Welfare Jesse T. Wallace, III, Superintendent, Laurel Highlands School District Chuck Watson, Managing Partner, Watson, Mundoff, Brooks Sepic, LLP.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Uniontown Hospitals most recently conducted Community Health Needs Assessment and Implementation 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 to be 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 2 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 2 Progress - Continue to educate all Social Workers in Palliative Care and end of life training. Added educating Pastoral Care employees during fiscal year 2018. C Further develop patient/family centered care education model to include families in the patients care. Year 2 Progress - Initiated 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 ploicy. D Develop patient educational materials. Year 2 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>E Coordinate an annual health/wellness event for the community. Year 2 Progress - Uniontown Hospital 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. 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 2 Progress - During fiscal year 2018, the Uniontown Hospital supported three large fundraisers the March of Dimes, The American Heart Association and the American Cancer Societys Relay for Life. 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 2 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>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <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 to be implemented FY 2017 - 2019 A Increase financial assistance discussions in the Emergency Department with the development of a discharge discussion desk. Year 2 Progress - While construction on our Emergency Department was delayed, we are reviewing processes in the Emergency Department and looking at ways before construction can be started for a discharge desk to increase our financial discussions. These conversations can only be made at the time of discharge and we are looking at ways to do this and not increase the length of stay. B Annually evaluate the Uniontown Hospitals Charity Care Program and adjust related policies and procedures. Year 2 Progress - The policies were reviewed and updated during the fiscal year and were approved by the Board members. 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 2 Progress - Completed charity-related applications increased from 3,679 in fiscal 2017 to 4,509 in fiscal 2018 for an increase of 830 applications. In addition, Uniontown has a close relationship with a vendor that assists with Medical Assistance applications and meet quarterly to review the service and outcomes.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <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 2 Progress - Fayette Physician Network has added three Primary Care Physicians and five Advanced Practive Providers to the community since 2017. B Increase the number of physician specialists including a, Neurologist, General Surgeon, Pulmonologist, Orthopedic Surgeon, Urologist, and Neurosurgeon. Year 2 Progress - Since 2017, we have recruited two new general surgeons, a new urologist and two new orthopedic surgeons. C Open additional outpatient service centers throughout the county starting with Brownsville. Year 2 Progress - While this was explored, a viable location could not be identified.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Some issues identified through the Community Health Needs Assessment have not been addressed in this plan. In initial discussion and subsequent prioritization, Uniontown Hospital considered the levels to which some needs were already being addressed in the service area. Additionally, some community needs fall out of the scope of expertise and resources of Uniontown Hospital. The following outlines how some of the needs identified in the assessment are addressed by others or in different ways A Substance Abuse - Mental health and substance abuse is not an expertise of the Uniontown Hospital. There is a small hospital on the border of the county which is dedicated to mental health and substance abuse issues and may focus on these issues. B Poor Nutrition/Access to Healthy Food Options - The Hospital is an active supporter of The Be Local Network program that is operated by a group of local media companies and community organizations who are dedicated to improving the climate of the local economy and to build a community of buyers that understands the importance of investing in local businesses and corporations. Part of this program focuses on healthy eating and consumption of healthy foods from the local farmers.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 13h</FormAndLineReferenceDesc>
        <ExplanationTxt>Eligibility criteria will be based on whether the patient is uninsured or underinsured. For uninsured, liquid assets may be considered for accounts over 5,000. For underinsured, liquid assets may be considered for personal account balances over 5,000.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 16i, There are no groups with limited english proficiency that rise to the threshold required under IRC Section 501R. However, language translations of the financial assistance policy and application are available by request at the financial counseling department of the hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 16j</FormAndLineReferenceDesc>
        <ExplanationTxt>Notice of financial assistance programs are included in the Uniontown Hospital Service Directory and in the Patient Information Books in each inpatient room. There is a paragraph on the second patient statement discussing free or discounted services and directing patients to the proper location to see the FAP. Brochures are available in the emergency waiting room, Patient Financial Services and admissions office which discuss the FAP.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Uniontown Hospital Outpatient Diagnostic Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>150 Wayland Smith Drive Suite B</AddressLine1Txt>
            <CityNm>Uniontown</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15401</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Center</FacilityTxt>
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      <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 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 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 were reduced by bad debt expense of 3,820,761.</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 a presentation to local high school seniors on careers within the Laboratory.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>This amount represents the gross charges of Hospital provided services to individuals whom were determined to be ineligible under the Hospitals financial assistance policy for which payments were not received. These charges have been determined uncollectible by management.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 3 was estimated by reviewing data from the PA Department of Health, Bureau of Health Statistics and Research 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>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 uncollectible accounts. In evaluating the collectability of accounts receivable, the Health System analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the approriate allowance for uncollectible 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 uncollectible accounts. 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 uncollectible accounts. See page 9 of the attached financial statements for the patient accounts receivable footnote in its entirety.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Serving patients with government health benefits, such as Medicare, is a component of the community benefit standard that tax-exempt hospitals are held to. This implies that serving Medicare patients is a community benefit and that the hospital operates to promote the health of the community. The Medicare cost report was utilized to determine the amount reported on line 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Uniontown Hospitals Billing and Collection policies were approved by the Board of Directors and state that for patients who qualify for charity or are cooperating in good faith to resolve their hospital bills according to our payment options, Uniontown Hospital will not send unpaid bills to outside collection agencies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Fayette Regional Health System leadership team develops an operating plan every year. This operating plan establishes several priorities for the Uniontown Hospital, all of which are focused on meeting the ever changing healthcare needs of the community. The leadership team develops this operating plan with knowledge gathered from direct contact from patients patient satisfaction surveys outside consultants professional health care groups such as the Hospital Association of Pennsylvania and the Healthcare Financial Management Association and research obtained from various sources including the federal and state government and various other outreach programs and sources.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>As part of the Revenue Cycle policy entitled Service 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 160 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 7.9. Approximately 19 of the population is over 65 with 19 of the population below the poverty level and 26.1 of the population eligible for Medical Assistance. Source Pennsylvania Department of Health 2016 Fayette County Health Profile.</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. These programs include support groups such as the Stroke Survivor Support Group. 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 Cardiac Care Center Intensive Care Unit Inpatient Acute Care Inpatient Pediatrics 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 has a 50 interest in Fayette Physician Network FPN, a joint venture formed effective July 1, 2012 between FRHS and UPMC Community Medicine CMI. FPN services include primary care surgery pulmonology neurology orthopedics hospitalists emergency physicians pediatric physicians and anesthesia. FRHS has a 4.022 interest in UPMC/VNA, a joint venture between FRHS and UPMC Community Provider Services. UPMC/VNA provides skilled nursing care physical, occupational and speech therapies hospice care and many other support services for homebound patients.</ExplanationTxt>
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          <BusinessNameLine1Txt>Community Foundation of Fayette County</BusinessNameLine1Txt>
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          <AddressLine1Txt>5 South Mt Vernon Avenue</AddressLine1Txt>
          <CityNm>Uniontown</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15401</ZIPCd>
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        <RecipientEIN>251851158</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>19218</CashGrantAmt>
        <PurposeOfGrantTxt>UHELP Scholarship Fund</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.</ExplanationTxt>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Steven Handy</PersonNm>
        <TitleTxt>Secretary/CEO</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>559267</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Barbara Weiss</PersonNm>
        <TitleTxt>Treasurer/CFO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Linda Burstynowicz MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Johnson</PersonNm>
        <TitleTxt>Pharmacy Director</TitleTxt>
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        <OtherCompensationFilingOrgAmt>2239</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8635</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3093</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>164164</TotalCompensationFilingOrgAmt>
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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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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Fayette County Hospital Authority</BusinessNameLine1Txt>
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        <BondIssuerEIN>251512681</BondIssuerEIN>
        <CUSIPNum>312468BP5</CUSIPNum>
        <BondIssuedDt>2007-09-27</BondIssuedDt>
        <IssuePriceAmt>50000000</IssuePriceAmt>
        <PurposeDesc>Constructing New Inpatient Tower Refunding previous issue, Series 1996</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>11500000</RetiredAmt>
        <TotalProceedsAmt>50000000</TotalProceedsAmt>
        <RefundingEscrowAmt>11074301</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>450208</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>37500</CreditEnhancementAmt>
        <CapitalExpendituresAmt>38437991</CapitalExpendituresAmt>
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        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <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>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <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="17005317" softwareVersionNum="18.2.0.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 1,753,576, Grants and allocations 19,418, Revenue 2,293,275 The Uniontown Hospital received 728,789 pharmacy copays/insurance reimbursements, 676,524 cafeteria sales, 268,000 rent income from Fayette Regional Health System, Inc. an affiliated organization for office space used by various Fayette Regional Health System, Inc. departments, 239,040 VHA/PNC rebates and 380,922 combined total of additional miscellaneouse 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 2019 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 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 VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizations governing documents, conflicts of interest policy and financial statements are available by contacting the CEOs office or the Finance department. A copy will be mailed upon request.</ExplanationTxt>
      </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 1,640,932 change in defined benefit actuarial valuation 2,265,359 EASE Fund activity 16,501 and return of FCMS donation 42,826.</ExplanationTxt>
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          <AddressLine1Txt>500 W Berkeley Street</AddressLine1Txt>
          <CityNm>Uniontown</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15401</ZIPCd>
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