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        <ExplanationTxt>The Blair County Needs Assessment Steering Committee consists of representatives from Nason Hospital, Altoona Regional Health System UPMC Altoona, Tyrone Hospital, United Way of Blair County, Blair County Human Services Office, Blair County Commissioners Office, Pennsylvania Office of Attorney General, Operation Our Town, Altoona Campus of Pennsylvania State University, Altoona Area School District, Altoona Blair County Development Corporation, Blair County Drug and Alcohol Program, Inc., Blair County Library System, Sheetz, Inc. Members participated in developing and analyzing the results of surveys of individuals, businesses, and service agencies.The community health needs assessment in Blair County focused on the following areas Neighborhood and Community Strengths, Community Challenges and Issues, Household Challenges and Issues, Involvement in Community Initiatives / Projects, Healthcare Challenges and Issues e.g. access, gaps, prevention/education needs, etc..The full report is available at www.nasonhospital.org</ExplanationTxt>
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        <FormAndLineReferenceDesc>Group Nason Hospital Line Part V, Section B, Line 14g</FormAndLineReferenceDesc>
        <ExplanationTxt>The Needs Assessment was conducted with Altoona Regional Health System UPMC Altoona and Tyrone Hospital as well as the other community organization identified in Line 3.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Nason Hospital Line Part V, Section B, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The Needs Assessment was completed and adopted in September 2013. Implementation and execution began in fiscal 2013/2014.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Nason Hospital Line Part V, Section B, Line 14g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contact information is provided on patient statements for charity and financial assistance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Nason Hospital Line Part V, Section B, Line 20d</FormAndLineReferenceDesc>
        <ExplanationTxt>The maximum charge to patients Eligible for Assistance is based on the average payment for all insured patients.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Nason Hospital Line Part V, Section B, Line 21</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital issues Gross Charges to ALL payers on an equal basis. Charges are reduced for uninsured and those eligible for assistance by either the prompt pay discount or by eligibility under the Charity and Assistance Policies.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Nason Hospital Line Part V, Section B, Line 22</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital issues Gross Charges to ALL payers on an equal basis. Charges are reduced for uninsured and those eligible for assistance by either the prompt pay discount or by eligibility under the Charity and Assistance Policies.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Costs to subsidize physician practices Nason OBGYN and Nason Pediatrics is listed here. Without Hospital subsidy the practices could not exist and patients would need to travel to other areas for these services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The cost / charge percentage calculated in worksheet 2 multiplied against the bad debt charge write offs was used to estimate the cost.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>There is no specific footnote to the organizations financial statements that described bad debt expense. The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. An allowance for doubtful accounts is calculated based upon a review of outstanding receivables, historical collection information and existing economic conditions. Patient balances are from primary liability and for insurance deductibles and copayments and are due when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. Cost of bad debt expense is calculated by taking bad debt charges multiplied by the cost /charge ratio.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Nason Hospital considers 100 of the Medicare shortfall to be a community benefit. Costing methodology is based on the Medicare Cost Report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients who have previously qualified for charity or assistance are automatically granted it again within a six month period of the initial qualification. Otherwise, patients must apply to become newly eligible for charity or assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENT Nason Hospital along with its parent Nason Foundation assesses the health care needs of its communities through CEO Meetings with area employers, participation in community volunteer organizations, meetings and discussions with medical staff members regarding services and specialties that are difficult to refer patients to. A Community Health Needs Assessment was completed with other regional providers in September 2013 and is in the implementation and execution stages.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Nason Hospital informs its patients of the availability of Medicaid and other subsidized health insurance programs, and its Charity Care Policy through a brochure available in the Hospital, posting in patient registration and waiting areas, periodic notifications in the local newspaper, through in person and telephone consultations with patients, and communications in patient billing and collection activity.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION Nason Hospital primarily serves the communities in southern Blair and northern Bedford Counties along with the surrounding areas. Patients are of all ages from newborns to the elderly. There are several skilled nursing and personal care homes within the service area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH Nason Hospital is governed by a volunteer Board of Directors who reside in the communities it serves. All income generated is reinvested in the hospital through equipment purchases and upgrades, addition of new services, recruitment of needed providers to the community, subsidization of Obstetrics and Pediatric services to ensure their availability to the community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AFFILIATED HEALTH CARE SYSTEM Nason Hospital was not affiliated with another health care system during this reporting period.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Garrett Hoover</PersonNm>
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        <PersonNm>Steve Um</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Lettieri</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>16047</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>423436</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>16047</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Baker</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>16047</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>314285</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>16047</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Prebihilo</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <BaseCompensationFilingOrgAmt>192314</BaseCompensationFilingOrgAmt>
        <DeferredCompRltdOrgsAmt>10482</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>10709</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>192314</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>21191</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Hetrick Lee</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <BaseCompensationFilingOrgAmt>191365</BaseCompensationFilingOrgAmt>
        <DeferredCompRltdOrgsAmt>10454</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>12300</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191365</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>22754</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>A severance payment of 215,391 was paid to President/CFO Garrett Hoover in June, 2014.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has no stated policy on review procedures</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organizations Board Executive Committee meets to review the CEOs contract and compensation arrangements. Survey data from area hospitals and similar size organizations is used in the determination or reasonableness</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>From 990 is made available upon request as required by law. Audited Financial statements are available upon request. Governing documents of conflict of interest policy are not made available to the general public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Changes in net assets consist of increase in Temporarily restricted 1,885, Increase in permantly restricted 134,945, Transfers to Nason Foundation-347906</ExplanationTxt>
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          <BusinessNameLine1>Nason Physician Services</BusinessNameLine1>
        </DisregardedEntityName>
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          <AddressLine1>105 Nason Drive</AddressLine1>
          <City>Roaring Spring</City>
          <State>PA</State>
          <ZIPCode>16673</ZIPCode>
        </USAddress>
        <EIN>251860035</EIN>
        <PrimaryActivitiesTxt>Physician Services</PrimaryActivitiesTxt>
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          <AddressLine1>105 Nason Drive</AddressLine1>
          <City>Roaring Spring</City>
          <State>PA</State>
          <ZIPCode>16673</ZIPCode>
        </USAddress>
        <EIN>251407194</EIN>
        <PrimaryActivitiesTxt>Community Health Planning and Promotion</PrimaryActivitiesTxt>
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          <BusinessNameLine1>Nason Foundation</BusinessNameLine1>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>Nason Physician Services</BusinessNameLine1>
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