PUNXSUTAWNEY AREA HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: PUNXSUTAWNEY AREA HOSPITAL INC (EIN 25-0965210)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-07
IRS object ID: 201941279349301919
Schema version: 2017v2.3
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 J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-07T15:48:02-05:00	ReturnTs
Tax Period End	2018-06-30	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	2017-07-01	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 G SISK	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8149381882	PhoneNum
Signature	2019-02-13	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	43032920191275000019	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-07	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	353840E92A19E57AE3D09FB5FB5D869273682438	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C3432A87FBFF9491E59BD7298F2E512B0D9B3700	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$37,781,654	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	452	TotalEmployeeCnt
Total Volunteers	34	TotalVolunteersCnt
Total Gross UBI	$154,441	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$12,794	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$75,867	PYContributionsGrantsAmt
CY Contributions Grants	$66,782	CYContributionsGrantsAmt
PY Program Service Revenue	$35,438,514	PYProgramServiceRevenueAmt
CY Program Service Revenue	$36,859,954	CYProgramServiceRevenueAmt
PY Investment Income	$139,100	PYInvestmentIncomeAmt
CY Investment Income	$148,998	CYInvestmentIncomeAmt
PY Other Revenue	$215,025	PYOtherRevenueAmt
CY Other Revenue	$379,584	CYOtherRevenueAmt
PY Total Revenue	$35,868,506	PYTotalRevenueAmt
CY Total Revenue	$37,455,318	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,814	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,330	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$22,136,078	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$24,452,328	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$12,051,565	PYOtherExpensesAmt
CY Other Expenses	$12,753,805	CYOtherExpensesAmt
PY Total Expenses	$34,190,457	PYTotalExpensesAmt
CY Total Expenses	$37,208,463	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,678,049	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$246,855	CYRevenuesLessExpensesAmt
Total Assets BOY	$25,343,680	TotalAssetsBOYAmt
Total Assets EOY	$25,531,494	TotalAssetsEOYAmt
Total Liabilities BOY	$6,209,711	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,912,781	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$19,133,969	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$19,618,713	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	$27,719,692	ExpenseAmt
Grant	$2,330	GrantAmt
Revenue	$31,342,019	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 1,391 ADMISSIONS TO THE ACUTE CARE SETTING THAT GENERATED 3,908 PATIENT DAYS. THE HOSPITAL ALSO PROVIDED 76,564 OUTPATIENT VISITS TO PATIENTS. ALSO, THE HOSPITAL PROVIDED OVER $719,650 OF CHARITY CARE FOR 2,369 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	$2,826,411	ExpenseAmt
Revenue	$3,195,758	RevenueAmt
Desc	PUNXSUTAWNEY AREA HOSPITAL PROVIDES SKILLED NURSING SERVICES TO PATIENTS IN A THREE COUNTY AREA. FOR THE FISCAL YEAR ENDED THERE WERE 195 ADMISSIONS INTO THE LONG-TERM CARE UNIT WHICH GENERATED 2,537 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

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,053,793	ExpenseAmt
Revenue	$2,322,177	RevenueAmt
Desc	PUNXSUTAWNEY AREA HOSPITAL PROVIDES HOME HEALTH CARE TO PATIENTS IN A THREE COUNTY AREA. FOR THE FISCAL YEAR ENDED THERE WERE 18,380 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

Field	Value	IRS element (for citing)
Total Program Service Expenses	$32,599,896	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	Yes (true)	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	false	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	false	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	60	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	452	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
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)	$375,748	$0	$11,297
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)	$22,500	$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		$272,079	$0	$10,525	Yes (X)
JACK G SISK
CFO	40.0	0.0		$169,976	$0	$6,482	Yes (X)
THOMAS GENTILCORE
PHYSICIAN	40.0	0.0		$537,552	$0	$5,644		Yes (X)
ANAS ALZUHAILI
PHYSICIAN	40.0	0.0		$331,686	$0	$10,884		Yes (X)
MAZEN HASAN
PHYSICIAN	40.0	0.0		$391,911	$0	$11,210		Yes (X)
JAMES SHAFFER
PHYSICIAN	40.0	0.0		$353,425	$0	$9,892		Yes (X)
EYAD KHABBAZ
PHYSICIAN	40.0	0.0		$340,184	$0	$9,642		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,795,061	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$75,576	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	26	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
ASSOCIATED CLINICAL LABORATORIES
1526 PEACH STREET	ERIE	PA	16501	LAB SERVICES	$719,037
CURA HOSPITALITY LLC
2400 ANSYS DRIVE SUITE 404	CANONSBURG	PA	15317	FOOD SERVICE	$190,421
AUDIOLOGICAL AND SPEECH ASSOCIATION
270 PHILADELPHIA STREET	INDIANA	PA	15701	THERAPY SERVICE	$171,175
JOSEPH MEYN MD
841 HOSPITAL RD SUITE 2500	INDIANA	PA	15701	OB/GYN SERVICES	$163,700
PARIS HEALTHCARE LINEN SERVICE
67 HOOVER AVE PO BOX 1043	DUBOIS	PA	15801	CLEANING SERVICE	$125,078

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	7	CntrctRcvdGreaterThan100KCnt
Fundraising	$10,006	FundraisingAmt
Related Organizations	$11,761	RelatedOrganizationsAmt
All Other Contributions	$45,015	AllOtherContributionsAmt
Total Contributions	$66,782	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	$34,582,075	$34,427,634	$154,441
PHYSICIAN SERVICES	621110	$1,772,157	$1,772,157
BILLING	541900	$40,740	$40,740
OTHER	900099	$464,982	$464,982

Field	Value	IRS element (for citing)
Total Program Service Revenue	$36,859,954	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$148,798	TotalRevenueColumnAmt
Exclusion	$148,798	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	$339,389	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$309,883	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$29,506	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,506	TotalRevenueColumnAmt
Exclusion	$29,506	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$200	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$200	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$200	TotalRevenueColumnAmt
Exclusion	$200	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$15,400	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$10,006	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$16,453	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,053	TotalRevenueColumnAmt
Exclusion	-$1,053	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	$351,131	TotalRevenueColumnAmt
Exclusion	$351,131	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$351,131	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,455,318	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,705,513	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$154,441	UnrelatedBusinessRevenueAmt
Exclusion	$528,582	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

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	$2,330	TotalAmt
Program Services	$2,330	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	$868,607	TotalAmt
Program Services	$409,545	ProgramServicesAmt
Management And General	$459,062	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$19,314,823	TotalAmt
Program Services	$17,372,180	ProgramServicesAmt
Management And General	$1,942,643	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	$2,994,961	TotalAmt
Program Services	$2,706,911	ProgramServicesAmt
Management And General	$288,050	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,273,937	TotalAmt
Program Services	$1,097,202	ProgramServicesAmt
Management And General	$176,735	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	$13,484	TotalAmt
Management And General	$13,484	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$94,756	TotalAmt
Management And General	$94,756	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	$4,238,662	TotalAmt
Program Services	$3,849,477	ProgramServicesAmt
Management And General	$389,185	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$96,847	TotalAmt
Program Services	$5,745	ProgramServicesAmt
Management And General	$91,102	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,336,462	TotalAmt
Program Services	$1,107,806	ProgramServicesAmt
Management And General	$228,656	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$350,722	TotalAmt
Management And General	$350,722	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$559,240	TotalAmt
Program Services	$496,057	ProgramServicesAmt
Management And General	$63,183	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$222,397	TotalAmt
Program Services	$155,767	ProgramServicesAmt
Management And General	$66,630	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	$5,312	TotalAmt
Program Services	$5,312	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,459,902	TotalAmt
Program Services	$1,356,742	ProgramServicesAmt
Management And General	$103,160	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$573,350	TotalAmt
Program Services	$309,301	ProgramServicesAmt
Management And General	$264,049	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$2,568,479	$2,568,479
BAD DEBT	$947,720	$947,720
REPAIRS & MAINTENANCE	$216,956	$209,322	$7,634
RECRUITING & RETENTION	$69,516		$69,516

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$37,208,463	TotalAmt
Program Services	$32,599,896	ProgramServicesAmt
Management And General	$4,608,567	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$142,872	BOYAmt
EOY	$982,135	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,294,742	BOYAmt
EOY	$4,687,391	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	$2,863,547	BOYAmt
EOY	$2,914,724	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$23,186	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	$235,160	BOYAmt
EOY	$212,243	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$814,199	BOYAmt
EOY	$779,118	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,029,785	BOYAmt
EOY	$1,294,250	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$36,879,896	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$30,417,548	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$6,498,983	BOYAmt
EOY	$6,462,348	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,050,918	BOYAmt
EOY	$4,975,928	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,306,033	BOYAmt
EOY	$2,012,081	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$649,117	BOYAmt
EOY	$690,724	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	$435,138	BOYAmt
EOY	$520,552	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,343,680	BOYAmt
EOY	$25,531,494	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,528,167	BOYAmt
EOY	$5,770,709	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	$191,368	BOYAmt
EOY	$93,238	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	$490,176	BOYAmt
EOY	$48,834	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,209,711	BOYAmt
EOY	$5,912,781	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,657,816	BOYAmt
EOY	$19,143,600	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$179,484	BOYAmt
EOY	$178,479	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$296,669	BOYAmt
EOY	$296,634	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$19,133,969	BOYAmt
EOY	$19,618,713	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$25,343,680	BOYAmt
EOY	$25,531,494	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$246,855	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$101,607	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$339,496	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

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	$2,354	OtherActivitiesAmt
Total Lobbying Expenditures	$2,354	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, $2,182, AND THE HOSPITAL 340(B) HEALTH, $172.	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	$426,667	BeginningYearBalanceAmt
Investment Earnings Or Losses	$19,956	InvestmentEarningsOrLossesAmt
Other Expenditures	$20,683	OtherExpendituresAmt
End Year Balance	$425,940	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$425,535	BeginningYearBalanceAmt
Investment Earnings Or Losses	$55,084	InvestmentEarningsOrLossesAmt
Other Expenditures	$19,494	OtherExpendituresAmt
End Year Balance	$461,125	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.30360	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.69640	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	$12,029,127	OtherCostOrOtherBasisAmt
Depreciation	$9,104,983	DepreciationAmt
Book Value	$2,924,144	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,632,157	OtherCostOrOtherBasisAmt
Depreciation	$20,333,328	DepreciationAmt
Book Value	$3,298,829	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,178,612	OtherCostOrOtherBasisAmt
Depreciation	$979,237	DepreciationAmt
Book Value	$199,375	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$6,462,348	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN TRI-STATE	$37,241	C
INVESTMENT IN CHART	$1,418,414	C
POTENTIAL CHART CLAIMS	$556,426	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,012,081	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO THIRD PARTY PAYERS	Desc
Amt	$48,834	Amt

Field	Value	IRS element (for citing)
Total Liability	$48,834	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$36,733,332	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$101,607	NetUnrealizedGainsInvstAmt
Other Revenue	-$945,390	OtherRevenueAmt
Revenue Not Reported	-$1,046,997	RevenueNotReportedAmt
Revenue Subtotal	$37,780,329	RevenueSubtotalAmt
Other Revenues Not Included	-$325,011	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$325,011	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$37,455,318	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$36,587,079	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$326,336	OtherExpensesIncludedAmt
Expenses Not Reported	$326,336	ExpensesNotReportedAmt
Expenses Subtotal	$36,260,743	ExpensesSubtotalAmt
Other Expenses Not Included	$947,720	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$947,720	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$37,208,463	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 $296,634 ARE RESTRICTED FROM USE.
SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITION: 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: $ (947,720) BAD DEBT 2,330 NET ASSETS RELEASED ----------- $ (945,390)
SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12C, BUT NOT ON LINE 1: $ (309,883) RENTAL EXPENSES 1,325 TEMPORARILY RESTRICTED CONTRIBUTIONS ( 16,453) FUNDRAISING EXPENSES ----------- $ (325,011)
SCHEDULE D, PART XII, LINE 2D	AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 309,883 RENTAL EXPENSES 16,453 FUNDRAISING EXPENSES ----------- $ 326,336
SCHEDULE D, PART XII, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 947,720 BAD DEBT

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$25,406	GrossReceiptsEvent1Amt
Charitable Contri Event1	$10,006	CharitableContriEvent1Amt
Gross Revenue Event1	$15,400	GrossRevenueEvent1Amt
Cash Prizes Event1	$2,275	CashPrizesEvent1Amt
Non Cash Prizes Event1	$1,899	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$3,520	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$3,956	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$4,803	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$25,406	GrossReceiptsTotalAmt
Charitable Contributions Tot	$10,006	CharitableContributionsTotAmt
Gross Revenue Total Events	$15,400	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$2,275	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$1,899	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$3,520	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$3,956	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$4,803	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$16,453	DirectExpenseSummaryEventsAmt
Net Income Summary	-$1,053	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	2111	PersonsServedCnt
Total Community Benefit Expns	$291,925	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$291,925	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	13849	PersonsServedCnt
Total Community Benefit Expns	$7,125,194	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,123,210	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,001,984	NetCommunityBenefitExpnsAmt
Total Expense	0.08280	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	15960	PersonsServedCnt
Total Community Benefit Expns	$7,417,119	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,123,210	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,293,909	NetCommunityBenefitExpnsAmt
Total Expense	0.09090	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	823	PersonsServedCnt
Total Community Benefit Expns	$4,850	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,850	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	276	PersonsServedCnt
Total Community Benefit Expns	$712,123	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$413,149	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$298,974	NetCommunityBenefitExpnsAmt
Total Expense	0.00820	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	6	PersonsServedCnt
Total Community Benefit Expns	$2,330	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,330	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	1105	PersonsServedCnt
Total Community Benefit Expns	$719,303	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$413,149	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$306,154	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	17065	PersonsServedCnt
Total Community Benefit Expns	$8,136,422	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,536,359	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,600,063	NetCommunityBenefitExpnsAmt
Total Expense	0.09930	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$947,720	BadDebtExpenseAmt
Bad Debt Expense Attributable	$134,576	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$17,063,708	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$16,427,861	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$635,847	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	17	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	17	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 2018 COMMUNITY HEALTH NEEDS ASSESSMENT FOR PUNXSUTAWNEY AREA HOSPITAL AND THE 3 COUNTY AREA WAS BUILT ON INPUT FROM PEOPLE REPRESENTING THE BROAD AND LOCAL COMMUNITY, AS WELL AS LOW INCOME, MINORITY AND OTHER MEDICALLY UNDERSERVED POPULATIONS. THIS INPUT WAS SOLICITED THROUGHOUT 2017/2018 AND WAS GATHERED AND CONSIDERED IN MULTIPLE WAYS. THE HOSPITAL HAD A CHNA PLANNING GROUP WITH A SPECIAL FOCUS ON REVIEWING DATA AND LOOKING AT UNDERSERVED POPULATIONS WITHIN THE HOSPITAL AND COMMUNITY SERVICE AREA. THE COMMITTEE MET IN BOTH 2017 AND 2018 AND CREATED AN ONLINE SURVEY TO DETERMINE, ASSESS AND VALIDATE THE PRIORITY ISSUES. THE COMMITTEES ROLE WAS TO GUIDE THE ASSESSMENT PROCESS AND SELECT THE PRIORITY ISSUES OF THE HOSPITALS DEFINED SERVICE AREA. SPECIFIC COMMITTEE FUNCTIONS INCLUDE: 1. REVIEW OF ALL PRIMARY AND SECONDARY DATA PRIORITIZATION OF KEY ISSUES IDENTIFIED IN THE ASSESSMENT 2. SELECTION OF PRIORITY ISSUES TO BE ADDRESSED BY THE HOSPITAL 3. PARTICIPATION IN THE COMMUNITY STAKEHOLDER SURVEYS 4. DEVELOPMENT OF THE IMPLEMENTATION STRATEGIES TO ADDRESS THE PRIORITY ISSUES IDENTIFIED IN THE ASSESSMENT. PLANNING TEAM MEMBERS: BEN HUGHES. VP PROFESSIONAL AND CORPORATE SERVICES, PUNXSUTAWNEY AREA HOSPITAL LISA WANCHISN. EDUCATION MANAGER, PUNXSUTAWNEY AREA HOSPITAL ROBIN MORAN. PUNXSUTAWNEY EMS BOARD MEMBER LAURIE KLINGENSMITH. PHYSICIAN RELATIONS/PUBLIC RELATIONS, PUNXSUTAWNEY AREA HOSPITAL JACKIE SANSIG. (MASTERS STUDENT, PENN STATE UNIVERSITY- HEALTH PLANNING) DATA FOR THE CHNA CAME FROM NATIONAL, STATE AND LOCAL LEVELS. NATIONALLY, THIS INCLUDED ROBERT WOOD JOHNSON, 2018 COUNTY HEALTH RANKINGS FOR THE 67 RANKED COUNTIES IN PENNSYLVANIA, HEALTHY PEOPLE 2020 AND 2030 AND CMS RURAL HEALTH STRATEGY. STATE DATA INCLUDED USE OF PENNSYLVANIA DEPARTMENT OF HEALTH COUNTY HEALTH PROFILES STATISTICS. LOCALLLY, A COMMUNITY SURVEY WAS COMPLETED. THE MULTI COUNTY ASSESSMENT THAT COVERED JEFFERSON INDIANA AND CLEARFIELD COUNTIES WAS DONE IN COLLABORATION WITH THE PENNSYLVANIA MOUNTAINS CARE NETWORK PARTNERS OF INDIANA REGIONAL MEDICAL CENTER AND CLARION HOSPITALS. EACH HOSPITAL COMPLETED AN INDEPENDENT ASSESSMENT, BUT THE GOALS WERE DISCUSSED AND SHARED AT THE LEADERSHIP LEVEL TO VALIDATE SHARED OBJECTIVES AND CONSIDER FUTURE QUALITY AND OPERATIONAL INITIATIVES FOR PMCN PENNSYLVANIA MOUNTAIN CARE NETWORK IS A COLLABORATIVE AFFILIATION BETWEEN 3 HOSPITALS: PUNXSUTAWNEY AREA HOSPITAL, CLARION HOSPITAL AND INDIANA REGIONAL MEDICAL CENTER. THE 3 HOSPITALS HAVE BEEN WORKING COLLABORATIVELY WITH THE CHNA PROCESS AND WILL BE EMBRACING SOME SHARED GOALS AS PART OF THE OVERALL PROCESS. BUILDING ON PAST SUCCESSES, THE ORGANIZATIONS ARE COMMITTED TO LOOKING BEYOND THE TRADITIONAL HOSPITAL WALLS TO IMPACT COMMUNITY HEALTH. RECOGNIZING THE UNIQUE NEEDS OF RURAL RESIDENTS, THE 3 HOSPITALS TOGETHER CAN ASSESS AND IMPACT A 6 COUNTY COMBINED SERVICE AREA.
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/CONTENT/2015-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/COMMUNITY_EDUCATION/COMMUNITY_HEALTH_NEEDS _ASSESSMENT.ASPX HTTP://WWW.INDIANARMC.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
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/CONTENT/2018-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. WORKING IN CONJUNCTION WITH CLARION HOSPITAL AND INDIANA REGIONAL MEDICAL CENTER, THE HOSPITAL IS COLLABORATING WITH THE PENNSYLVANIA DEPARTMENT OF HEALTH AND THE HEALTHY PEOPLE 2020 GOALS TO ASSURE THERE IS AN EVIDENCE BASED APPROACH TO POPULATION HEALTH INITIATIVES. THE OPIOID CRISIS. PUNXSUTAWNEY AREA HOSPITAL LIKE MOST ORGANIZATIONS HAS BEEN MONITORING, REPORTING AND RESPONDING TO THE OPIOID CRISIS IN PENNSYLVANIA. THE HOSPITAL IS WORKING WITH LAW ENFORCEMENT, AND STATE AND NATIONAL RESOURCES TO ASSURE THE ORGANIZATION IS POSITIONED TO ADDRESS THIS MORE RECENTLY IDENTIFIED POPULATION HEALTH ISSUE. INITIAL RESEARCH AND DATA COLLECTION WILL BE PART OF THE 2018/2019 CHNA. A NEW PLAN FOR 2018/2019. IN THE FALL OF 2017, PUNXSUTAWNEY AREA HOSPITAL IN COLLABORATION WITH INDIANA REGIONAL MEDICAL CENTER AND CLARION HOSPITAL BEGAN TO REVIEW CURRENT PLANS AND ESTABLISH TIMELINES AND RESOURCES FOR THE COMPLETION OF A NEW CHNA FOR 2018. THE HOSPITAL IS EMBRACING TECHNOLOGY TO REACH OUT TO COMMUNITY MEMBERS TO COLLECT DATA AND ESTABLISH PRIORITIES FROM A MYRIAD OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS IN THE REGION. ADDITIONALLY, THE COMMUNITY IS BEING SURVEYED TO ASSURE THEIR VOICE IS BEING HEARD IN THE PROCESS. 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 APRIL 2019 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: NOT INITIATED AT THIS TIME 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 CONTACTED 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: HEALTH PEOPLE 2020 REVIEW COMPLETED BHDK SCHEDULE EDUCATIONAL PROGRAMS FOR MAY 2019 ACTION STEP 3: REVIEW HEALTHY PEOPLE 2020 AND CONNECT OBJECTIVES TO NATIONAL PRIORITIES IMPACT MEASURED BY: REVIEW OF HEALTHY PEOPLE 2020/2030 UPDATE: SCREENINGS IDENTIFIED FOR SPRING 2019 IN CONJUNCTION WITH CHNA AND HP 2020 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 HOSPITAL AND SCHOOL SYSTEM PRIORITIES ACTION STEP 1: CREATE A JOB DESCRIPTION IDENTIFY PRIORITIES IMPACT MEASURED BY: POSITION HIRED UPDATE: COMPLETED GOAL 2 IMPROVE PREVENTATIVE CARE/SCREENINGS AND EDUCATE THE COMMUNITY REGARDING INFECTIOUS AND CHRONIC DISEASE MANAGEMENT OBJECTIVE: FLU SHOT CLINIC IN THE COMMUNITY ACTION STEP: PARTNER WITH A LOCAL INDUSTRY TO PROVIDE FLU SHOTS TO THEIR EMPLOYEES IMPACT MEASURED BY: NUMBER OF EMPLOYEES RECEIVING FLU SHOTS, UPDATE: 90+% FOR EMPLOYEES MEDICAL STAFF VOLUNTEERS OBJECTIVE: CPR TRAINING ACTION STEP: OPEN CLASSES THAT ANYONE CAN PARTICIPATE, PRIVATE INDUSTRIES IN THE AREA, COLLABORATIVE RELATIONSHIP WITH OUR LOCAL EMS TO PROVIDE CPR TRAINING THROUGH REFERRALS IMPACT MEASURED BY: NUMBER OF PEOPLE CERTIFIED EVERY YEAR UPDATE: TRAININGS COMPLETED OBJECTIVE: FIRST AID TRAINING ACTION STEP: OPEN CLASSES THAT ANYONE CAN PARTICIPATE, PRIVATE INDUSTRIES IN THE AREA, COLLABORATIVE RELATIONSHIP WITH OUR LOCAL EMS TO PROVIDE CPR TRAINING THROUGH REFERRALS, LOCAL NURSING PROGRAMS IMPACT MEASURED BY: NUMBER OF PEOPLE CERTIFIED EACH YEAR UPDATE: BUSINESSES/NURSING FACILITIES AND PERSONAL CARE HOMES HAVE PARTICIPATED IN TRAINING THROUGHOUT THE CHNA IMPLEMENTATION PERIOD. OBJECTIVE: LYME DISEASE ACTION STEP: CONTINUE EDUCATIONAL PROGRAM FOR INFORMING THE COMMUNITY REGARDING LYME DISEASE IMPACT MEASURED BY: UPDATED WEB INFORMATION/LINKS, POSTED NOTICES ON SOCIAL MEDIA, POSTED LOCAL STATISTICS CREATE AWARENESS UPDATE: IN PLACE AND NEW WEBPAGE TO BE COMPLETED SUMMER 2019 OBJECTIVE: WOMENS HEALTH SCREENINGS ACTION STEP: OFFER 3-D MAMMOGRAPHY, SELF-BREAST EXAM, PAP SCREENING IMPACT MEASURED BY: NUMBER OF WOMEN RECEIVING 3D MAMMOGRAPHY, NUMBER OF WOMEN RECEIVING SELF-BREAST EXAM, NUMBER OF WOMEN RECEIVING PAP SCREENING UPDATE: SCHEDULE FOR FALL 2019 OBJECTIVE: COLORECTAL SCREENINGS ACTION STEP: CONTINUE TO OFFER COLORECTAL SCREENINGS IMPACT MEASURED BY: NUMBER OF PEOPLE BEING SCREENED, NUMBER OF PEOPLE DIAGNOSED WITH COLON CANCER UPDATE: SCHEDULED FOR FALL 2019 OBJECTIVE: SKIN SCREENINGS ACTION STEP: CONTINUE TO OFFER SKIN SCREENINGS IMPACT MEASURED BY: NUMBER OF PEOPLE RECEIVING SKIN SCREENINGS, NUMBER OF PEOPLE SENT FOR REFERRAL, NUMBER OF PEOPLE WITH SKIN CANCER, NUMBER OF PEOPLE WITH SKIN CANCER BY STAGE UPDATE: SCHEDULE FOR FALL 2019 OBJECTIVE: CONDUCT ANNUAL MULTI-PHASIC BLOOD SCREENING PROGRAM ACTION STEP 1: CONTINUE TO OFFER TESTING PROGRAM ANNUALLY IMPACT MEASURED BY: NUMBER OF PHYSICIANS PARTICIPATING UPDATE: SCHEDULED APRIL/MAY 2019 ACTION STEP 2: IDENTIFY STRATEGY TO TRACK PERCENTAGE OF ATTENDEES WHO FOLLOW UP WITH PUNXSUTAWNEY AREA HOSPITAL PHYSICIANS AND RESULTS OVER TIME IMPACT MEASURED BY: NUMBER OF PEOPLE CONNECTED TO PHYSICIANS UPDATE: EXPLORING HIPPA ISSUES AND WORKING WITH ROTARY TO CONNECT PATIENTS IN THE PROGRAM ACTION STEP 3: CREATE AN OPT BUTTON TO GAIN PERMISSION TO TRACK DATA IN CONJUNCTION WITH REGISTRATION IMPACT MEASURED BY NUMBER OF PEOPLE COMPLETING SCREENING AND NUMBER OF PEOPLE IDENTIFIED WITH HIGH/LOW LEVELS RELATED TO ANEMIA, CORONARY DISEASE, KIDNEY DISEASE, DIABETES, LIVER DISEASE, AND THYROID DISEASE UPDATE: SCHEDULE FOR 2020 SCREENING AND MEETING WITH ROTARY HELD IN FEBRUARY 2019 TO REVIEW PROCESS OBJECTIVE: OFFER PHYSICIAN OUTREACH PROGRAM ACTION STEP: CONTINUE TO OFFER BLOOD PRESSURE SCREENINGS, GLUCOSE SCREENINGS, AND CHOLESTEROL TESTING AS WELL AS OTHER EDUCATIONAL OPPORTUNITIES THROUGHOUT THE WEEK OF THE FAIR IMPACT MEASURED BY: NUMBER OF PEOPLE PARTICIPATING AND NUMBER OF PEOPLE REFERRED FOR FOLLOW UP WITH PHYSICIAN UPDATE: COMPLETE IN 2018 AND SCHEDULED FOR 2019 OBJECTIVE: PARTICIPATE IN THE ANNUAL GROUNDHOG FESTIVAL THROUGH A HEALTH FAIR ACTION STEPS: CONTINUE TO OFFER BLOOD PRESSURE SCREENINGS, GLUCOSE SCREENINGS AND CHOLESTEROL TESTING AS WELL AS OTHER EDUCATIONAL OPPORTUNITIES THROUGHOUT THE WEEK OF THE FAIR. IMPACT MEASURED BY: NUMBER OF PEOPLE PARTICIPATING, NUMBER OF PEOPLE REFERRED FOR FOLLOW UP WITH PHYSICIAN UPDATE: COMPLETED IN 2018 AND SCHEDULED FOR 2019 GOAL 3 INCREASE AWARENESS AND PREVENTION OF CARDIOVASCULAR DISEASE (HEART DISEASE, CHOLESTEROL, ETC.) OBJECTIVE: DECREASE READMISSIONS THROUGH BETTER CHRONIC CARE MANAGEMENT ACTION STEP 1: DISCHARGE PLANNING RISK FACTOR SCORE OF 10 AND ABOVE THE PATIENT IS SCHEDULED FOR AN APPOINTMENT WITHIN 7 DAYS WITH THEIR PRIMARY CARE PROVIDER; THEY GET A DISCHARGE PHONE CALL WITHIN 72 HOURS THEY LOO
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 16 A, 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/CONTENT/FINANCIAL-ASSISTANCE-PROGRAM
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 $947,720
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 14.2%.
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 DECREASED FROM 98% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2017, TO 98% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2018. IN ADDITION, THE HOSPITAL'S WRITE-OFFS INCREASED $107,784 FROM $671,936 FOR THE YEAR ENDED JUNE 30, 2017, TO $779,720 FOR THE YEAR ENDED JUNE 30, 2018.
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 OVER 44,000 IN APPROXIMATELY 650 SQUARE MILES. THE POPULATION AGED 65 AND OLDER IS 20.5%. THE POPULATION WITH INCOME BELOW THE POVERTY LEVEL IS 14.2% AND THE COUNTY'S PER CAPITA PERSONAL INCOME IS $23,895.
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 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	$357,748	$0	$0	$0	$18,000	$0	$0	$0	$11,297	$0	$387,045	$0	$0	$0
DANIEL D BLOUGH JR
CEO	$253,489	$0	$0	$0	$18,590	$0	$0	$0	$10,525	$0	$282,604	$0	$0	$0
JACK G SISK
CFO	$169,976	$0	$0	$0	$0	$0	$0	$0	$6,482	$0	$176,458	$0	$0	$0
THOMAS GENTILCORE
PHYSICIAN	$537,552	$0	$0	$0	$0	$0	$0	$0	$5,644	$0	$543,196	$0	$0	$0
ANAS ALZUHAILI
PHYSICIAN	$331,686	$0	$0	$0	$0	$0	$0	$0	$10,884	$0	$342,570	$0	$0	$0
MAZEN HASAN
PHYSICIAN	$385,960	$0	$0	$0	$5,951	$0	$0	$0	$11,210	$0	$403,121	$0	$0	$0
JAMES SHAFFER
PHYSICIAN	$353,425	$0	$0	$0	$0	$0	$0	$0	$9,892	$0	$363,317	$0	$0	$0
EYAD KHABBAZ
PHYSICIAN	$340,005	$0	$0	$0	$179	$0	$0	$0	$9,642	$0	$349,826	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 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 IS 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, LINES 6 & 7B	GOVERNANCE DECISIONS: AS SET FORTH IN THE NETWORK AFFILIATION AGREEMENT ("NETWORK AGREEMENT") BY 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 OF 80% OF THE WHOLE NUMBER OF THE PMCN DIRECTORS IS REQUIRED FOR APPROVAL (OR DISAPPROVAL FOR (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 CHANGES 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 OR 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 OR 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 NOR 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 2017 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 LEVELS. 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 DOCUMENTS, 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: $ 339,531 TRANSFER TO AFFILIATES (35) CHANGE IN BENEFICIAL INTEREST OF PERPETUAL TRUST ---------- $ 339,496
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:2668914
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN TOTAL FEES:804542
FORM 990 PART IX LINE 11G	DESCRIPTION:MAINTENANCE SERVICES TOTAL FEES:730068
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:35138

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	-$35	ShareOfTotalIncomeAmt
Share Of EOY Assets	$243,134	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	Yes (true)	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	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PUNXSUTAWNEY MEDICAL SERVICES INC
R	$112,032	FMV
PUNXSUTAWNEY MEDICAL SERVICES INC
C	$227,500	FMV