GEISINGER-LEWISTOWN HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: GEISINGER-LEWISTOWN HOSPITAL (EIN 23-1352187)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-12
IRS object ID: 201401329349300525
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-12T08:15:44-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	232932984	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1650 MARKET STREET SUITE 4500	AddressLine1
City	PHILADELPHIA	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	231352187	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER - LEWISTOWN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	GEIS	NameControl
Phone	7172427650	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 HIGHLAND AVENUE	AddressLine1
City	LEWISTOWN	City
State	PA	State
ZIP Code	17044	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID J FELICIO ESQUIRE	Name
Title	SECRETARY	Title
Phone	7172427650	Phone
Date Signed	2014-05-01	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS C GREEN CPA JD	Name
PTIN	P00350393	PTIN
Phone	2159720701	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KAY HAMILTON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	400 HIGHLAND AVENUE	AddressLine1
City	LEWISTOWN	City
State	PA	State
ZIP Code	17044	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	101697516	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.LEWISTOWNHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1905	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE PERSONAL, HIGH-QUALITY, ECONOMICAL HEALTHCARE FOR OUR COMMUNITIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	1008	TotalNbrEmployees
Total Nbr Volunteers	125	TotalNbrVolunteers
Total Gross UBI	1754349	TotalGrossUBI
Net Unrelated Business Txbl Income	654448	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	236886	ContributionsGrantsPriorYear
Contributions Grants Current Year	236422	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	91947243	ProgramServiceRevenuePriorYear
Program Service Revenue CY	93679205	ProgramServiceRevenueCY
Investment Income Prior Year	1590713	InvestmentIncomePriorYear
Investment Income Current Year	1529552	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3616344	OtherRevenuePriorYear
Other Revenue Current Year	6108526	OtherRevenueCurrentYear
Total Revenue Prior Year	97391186	TotalRevenuePriorYear
Total Revenue Current Year	101553705	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3999633	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	4058008	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	48090262	SalariesEtcPriorYear
Salaries Etc Current Year	51144169	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	551742	TotalFundrsngExpCurrentYear
Other Expense Prior Year	45500819	OtherExpensePriorYear
Other Expenses Current Year	47277246	OtherExpensesCurrentYear
Total Expenses Prior Year	97590714	TotalExpensesPriorYear
Total Expenses Current Year	102479423	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-199528	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-925718	RevenuesLessExpensesCY
Total Assets BOY	85016763	TotalAssetsBOY
Total Assets EOY	82611335	TotalAssetsEOY
Total Liabilities BOY	67816564	TotalLiabilitiesBOY
Total Liabilities EOY	56826533	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	17200199	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	25784802	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE PERSONAL, HIGH-QUALITY, ECONOMICAL HEALTHCARE FOR OUR COMMUNITIES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	96432312	Expense
Grants	4058008	Grants
Revenue	94971104	Revenue
Description	PROVIDED INPATIENT, OUTPATIENT, WELLNESS, AND COMMUNITY SERVICES TO RESIDENTS OF LEWISTOWN, PA AND SURROUNDING COMMUNITIES. PROVIDED CARE, TO PATIENTS WHO MEET CERTAIN CRITERIA, WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. CHARGES FORGONE FOR SERVICES RENDERED AND SUPPLIES FURNISHED WERE APPROXIMATELY $4,472,000.	Description
Total Program Service Expense	96432312	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	88	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1008	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RANDY TEWKSBURY CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7172427650	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 HIGHLAND AVENUE	AddressLine1
City	LEWISTOWN	City
State	PA	State
ZIP Code	17044	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
KAY A HAMILTON
PRESIDENT/CEO	36.00	4.00	X	X	288306	0	48590
WILLIAM F HERKERT
CHAIR	0.80	0.30	X	X	0	0	0
DIANE SPOKUS PHD MCHES
VICE CHAIR	0.80	0.30	X	X	0	0	0
DONALD CHAPMAN SR
SECRETARY	0.80	0.30	X	X	0	0	0
DANA L PATTERSON
TREASURER	0.80	0.30	X	X	0	0	0
JEFFREY W ANDERSON
DIRECTOR	0.80	0.30	X		0	0	0
GURPREET S BHALLA MD
DIRECTOR	0.80	0.30	X		0	0	0
RANDY SHEAFFER
DIRECTOR	0.80	0.30	X		0	0	0
JOHN W GEHMAN MD
DIRECTOR	0.80	0.30	X		0	0	0
SHASHPAL K MALHOTRA MD
DIRECTOR	0.80	0.30	X		0	0	0
JAMES L SHILLING JR
DIRECTOR	0.80	0.30	X		0	0	0
CATHERINE M STOUT
DIRECTOR	0.80	0.30	X		0	0	0
JON ZIMMERMAN
DIRECTOR	0.80	0.30	X		0	0	0
OKSANA DEARMENT
EX-OFFICIO BOARD MEMBER	0.80	0.30	X		0	0	0
KETANKUMAR R SHETH MD
EX-OFFICIO BOARD MEMBER	0.80	0.30	X		0	0	0
RANDY TEWKSBURY
VP FINANCE/CFO	37.00	3.00		X	192971	0	50706
KIRK E THOMAS
SR. VP OPERATIONS/COO	39.00	1.00		X	144869	0	46911
NANCY S REINKE
VP HUMAN RESOURCES	35.00	5.00		X	120903	0	44454
RONALD M COWAN
CIO	39.00	1.00		X	121352	0	34290
CHRISTINE W MATHEWS
VP NURSING CARE SERVICES	40.00			X	142118	0	27965
NALIN G PATEL
PSYCHIATRIST	40.00				407869	0	20478	X
RICHARD F STOMACKIN
PHARMACIST	40.00				153290	0	29756	X
LEWIS D ALLSHOUSE III
PHARMACIST	40.00				127783	0	32987	X
DESHAUN RICHARDS
PHARMACIST	40.00				121144	0	38121	X
KEITH S GRAHAM
PHARMACIST	40.00				115088	0	41796	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1935693	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	416054	TotalOtherCompensation
Number Individuals GT100 K	12	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CERNER CORPORATION
43 KENSICO DRIVE	MT KISCO	NY	105491009	MAINTENANCE/REMOTE HOSTING FOR CLINICAL	1648473
EPA
307 SOUTH EVERGREEN AVE	WOODBURY	NJ	08096	EMERGENCY DEPT. PHYSICIANS	992744
GEISINGER HEALTH SYSTEM
100 NORTH ACADEMY AVENUE	DANVILLE	PA	17822	HOSPITALIST/E-ICU/PEDIATRIC LOCUMS/ENDOS	976183
QUEST DIAGNOSTICS NICHOLS INSTITUTE
12436 COLLECTIONS CENTER DRIVE	CHICAGO	IL	606932436	DIAGNOSTIC LABORATORY TESTING SERVICES	882811
KAUFMAN HALL
5202 OLD ORCHARD ROAD SUITE N700	SKOKIE	IL	60077	CONSULTING SERVICES - POTENTIAL MERGER	630253

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	22	NumberOfContractorsGT100K
Fundraising Events	72763	FundraisingEvents
Government Grants	34445	GovernmentGrants
All Other Contributions	129214	AllOtherContributions
Total Contributions	236422	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REV	Description
Business Code	621400	BusinessCode
Total Revenue Column	93679205	TotalRevenueColumn
Related Or Exempt Function Income	93679205	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	93679205	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1408114	TotalRevenueColumn
Exclusion	$1,408,114	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	107925	Securities
Other	54720	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	41207	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	107925	Securities
Other	13513	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	121438	TotalRevenueColumn
Related Or Exempt Function Income	121438	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	20820	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	72763	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	33738	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-12918	TotalRevenueColumn
Exclusion	-$12,918	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	9882	GrossIncomeGaming
Gaming Direct Expenses	1926	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	7956	TotalRevenueColumn
Exclusion	$7,956	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	117773	GrossSalesOfInventory
Cost Of Goods Sold	66940	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	50833	TotalRevenueColumn
Exclusion	$50,833	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEANINGFUL USE REVENUE	900099	2345768	$2,345,768
LAB SERVICE REVENUE	621500	1728681		1728681
SCHOOL OF NURSING	611600	614730			614730

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1373476	TotalRevenueColumn
Related Or Exempt Function Income	555731	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	25668	UnrelatedBusinessRevenue
Exclusion	$792,077	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6062655	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	101553705	TotalRevenueColumn
Related Or Exempt Function Income	94971104	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1754349	UnrelatedBusinessRevenue
Exclusion	$4,591,830	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	4046008	Total
Program Services	4046008	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	12000	Total
Program Services	12000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1272699	Total
Management And General	1272699	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	35770462	Total
Program Services	34892523	ProgramServices
Management And General	697629	ManagementAndGeneral
Fundraising	180310	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3683066	Total
Program Services	3613029	ProgramServices
Management And General	51366	ManagementAndGeneral
Fundraising	18671	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7666084	Total
Program Services	7342638	ProgramServices
Management And General	285502	ManagementAndGeneral
Fundraising	37944	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2751858	Total
Program Services	2618072	ProgramServices
Management And General	120019	ManagementAndGeneral
Fundraising	13767	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	429216	Total
Management And General	429216	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	84795	Total
Management And General	84795	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	14951	Total
Management And General	14951	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	3718	Total
Management And General	3718	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	9568213	Total
Program Services	7746905	ProgramServices
Management And General	1742679	ManagementAndGeneral
Fundraising	78629	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	173420	Total
Program Services	11566	ProgramServices
Management And General	11272	ManagementAndGeneral
Fundraising	150582	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	461918	Total
Program Services	366526	ProgramServices
Management And General	34662	ManagementAndGeneral
Fundraising	60730	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	153740	Total
Program Services	153390	ProgramServices
Fundraising	350	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1952070	Total
Program Services	1785513	ProgramServices
Management And General	166557	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	78325	Total
Program Services	59802	ProgramServices
Management And General	15449	ManagementAndGeneral
Fundraising	3074	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	96495	Total
Program Services	88514	ProgramServices
Management And General	6974	ManagementAndGeneral
Fundraising	1007	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	1123781	Total
Program Services	1104760	ProgramServices
Management And General	19021	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5497006	Total
Program Services	5467204	ProgramServices
Management And General	29802	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	697664	Total
Program Services	682732	ProgramServices
Management And General	14932	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
FEDERAL INCOME TAXES	219462	219462
MEDICAL SUPPLIES	13530182		13530182
BAD DEBT EXPENSE	5779966		5779966
REPAIRS AND MAINTENANCE	5095887	2074	5093813

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2316437	Total
Program Services	2037169	ProgramServices
Management And General	272590	ManagementAndGeneral
Fundraising	6678	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	102479423	Total
Program Services	96432312	ProgramServices
Management And General	5495369	ManagementAndGeneral
Fundraising	551742	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1870	BOY
EOY	1870	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	7172423	BOY
EOY	6459028	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	9293225	BOY
EOY	9937965	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1428160	BOY
EOY	1390545	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2334342	BOY
EOY	2463555	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2549714	BOY
EOY	2437627	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	108001830	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	82596968	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	29528378	BOY
EOY	25404862	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	29839151	BOY
EOY	30907607	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1347607	BOY
EOY	2137833	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1521893	BOY
EOY	1470443	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	85016763	BOY
EOY	82611335	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	39819482	BOY
EOY	31041583	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	20580000	BOY
EOY	19915000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1411497	BOY
EOY	947467	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	6005585	BOY
EOY	4922483	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	67816564	BOY
EOY	56826533	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16393000	BOY
EOY	25016718	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	265173	BOY
EOY	229158	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	542026	BOY
EOY	538926	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	17200199	BOY
EOY	25784802	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	85016763	BOY
EOY	82611335	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-925718	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1308317	ReconciliationUnrealizedInvest
Reconcilation Other Changes	8202004	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$14,951	OtherActivitiesAmount
Total Lobbying Expenditures IIB	14951	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	A PORTION (26.27%) OF OUR ANNUAL DUES PAID TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) IS ATTRIBUTABLE TO LOBBYING EXPENSES. A PORTION (23.98%) OF OUR ANNUAL DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) IS ATTRIBUTABLE TO LOBBYING EXPENSES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	177960	BeginningOfYearBalance
Contributions	2103	Contributions
Investment Earnings Or Losses	1341	InvestmentEarningsOrLosses
Grants Or Scholarships	1000	GrantsOrScholarships
Administrative Expenses	512	AdministrativeExpenses
End Of Year Balance	179892	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	174187	BeginningOfYearBalance
Contributions	2846	Contributions
Investment Earnings Or Losses	2329	InvestmentEarningsOrLosses
Grants Or Scholarships	1000	GrantsOrScholarships
Administrative Expenses	402	AdministrativeExpenses
End Of Year Balance	177960	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	80371	BeginningOfYearBalance
Contributions	91939	Contributions
Investment Earnings Or Losses	3266	InvestmentEarningsOrLosses
Grants Or Scholarships	1000	GrantsOrScholarships
Administrative Expenses	389	AdministrativeExpenses
End Of Year Balance	174187	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	69171	BeginningOfYearBalance
Contributions	4750	Contributions
Investment Earnings Or Losses	7758	InvestmentEarningsOrLosses
Grants Or Scholarships	1000	GrantsOrScholarships
Administrative Expenses	308	AdministrativeExpenses
End Of Year Balance	80371	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	63766	BeginningOfYearBalance
Contributions	4495	Contributions
Investment Earnings Or Losses	2070	InvestmentEarningsOrLosses
Grants Or Scholarships	1000	GrantsOrScholarships
Administrative Expenses	160	AdministrativeExpenses
End Of Year Balance	69171	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	224653	OtherCostOrOtherBasis
Book Value	224653	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	47131015	OtherCostOrOtherBasis
Depreciation	32734379	Depreciation
Book Value	14396636	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	58826311	OtherCostOrOtherBasis
Depreciation	48442245	Depreciation
Book Value	10384066	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1819851	OtherCostOrOtherBasis
Depreciation	1420344	Depreciation
Book Value	399507	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	25404862	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
OBLIGATIONS UNDER CAPITAL LEASE	$1,458,741
DUE TO AFFILIATES	$113,631
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$1,896,533
BLUE CROSS CURRENT FINANCING ADVANCE	$381,800
ESTIMATED MEDICAL MALPRACTICE CLAIMS	$1,071,778

Field	Value	IRS element (for citing)
Total Of Amounts	4922483	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	105386664	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1308317	NetUnrealizedGainsInvestments
Other Revenues	2422038	OtherRevenues
Revenue Not Rptd F990	3730355	RevenueNotRptdF990
Revenue Subtotal	101656309	RevenueSubtotal
Other Revenues Not Included	-102604	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-102604	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	101553705	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	96802061	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	102604	OtherExpensesIncluded
Expenses Not Rptd F990	102604	ExpensesNotRptdF990
Expenses Subtotal	96699457	ExpensesSubtotal
Other Expenses Not Included	5779966	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	5779966	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	102479423	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE EARNINGS ON THE FRIENDS LEGACY ENDOWMENT FUND WILL BE USED SOLELY FOR THE PURPOSES OF CAPITAL AND BUILDING EXPENDITURES. NO EXPENDITURES CAN BE MADE UNTIL THE FUND REACHES $1,000,000 AND THEN ONLY THE EARNINGS FROM THE INVESTMENT CAN BE USED FOR THOSE PURPOSES. THE EARNINGS ON THE SCHOOL OF NURSING SCHOLARSHIP FUNDS ARE USED FOR SCHOLARSHIPS FOR LEWISTON HOSPITAL SCHOOL OF NURSING STUDENTS SELECTED BY THE SCHOLARSHIP COMMITTEE BASED ON ESTABLISHED CRITERIA.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 AND 2012. THE HOSPITAL'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED PRIOR TO JUNE 30, 2010 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE IRS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		VALUATION GAIN -3,100. PENSION LIABILITY ADJUSTMENT 8,205,104. BAD DEBT EXPENSE NETTED ON FINANCIAL STATEMENTS -5,779,966.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		SPECIAL EVENT EXPENSES -33,738. COST OF GOODS SOLD -66,940. GAMING EXPENSES -1,926.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		SPECIAL EVENT EXPENSES 33,738. COST OF GOODS SOLD 66,940. GAMING EXPENSES 1,926.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		BAD DEBT EXPENSE NETTED ON FINANCIAL STATEMENTS 5,779,966.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	48398	GrossReceiptsEvent1
Charitable Contributions Event1	28052	CharitableContributionsEvent1
Gross Revenue Event1	20346	GrossRevenueEvent1
Non Cash Prizes Event1	9511	NonCashPrizesEvent1
Rent Facility Costs Event1	5072	RentFacilityCostsEvent1
Food And Beverage Event1	11641	FoodAndBeverageEvent1
Other Direct Expenses Event1	456	OtherDirectExpensesEvent1
Name Of Event2	PA PINK ZONE	NameOfEvent2
Gross Receipts Event2	25112	GrossReceiptsEvent2
Charitable Contributions Event2	25112	CharitableContributionsEvent2
Non Cash Prizes Event2	528	NonCashPrizesEvent2
Rent Facility Costs Event2	523	RentFacilityCostsEvent2
Food And Beverage Event2	616	FoodAndBeverageEvent2
Other Direct Expenses Event2	2839	OtherDirectExpensesEvent2
Total Number Of Other Events	10	TotalNumberOfOtherEvents
Gross Receipts Other Events	20073	GrossReceiptsOtherEvents
Charitable Contrib Other Events	19599	CharitableContribOtherEvents
Gross Revenue Other Events	474	GrossRevenueOtherEvents
Non Cash Prizes Other Events	359	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	325	RentFacilityCostsOtherEvents
Entertainment Other Events	545	EntertainmentOtherEvents
Other Direct Expenses Other Events	1323	OtherDirectExpensesOtherEvents
Gross Receipts Total	93583	GrossReceiptsTotal
Charitable Contributions Total	72763	CharitableContributionsTotal
Gross Revenue Total Events	20820	GrossRevenueTotalEvents
Non Cash Prizes Total Events	10398	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	5920	RentFacilityCostsTotalEvents
Food And Beverage Total Events	12257	FoodAndBeverageTotalEvents
Entertainment Total Events	545	EntertainmentTotalEvents
Other Direct Expenses Total Events	4618	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	33738	DirectExpenseSummaryEvents
Net Income Summary	-12918	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	0	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1649039	TotalCommunityBenefitExpense
Net Community Benefit Expense	1649039	NetCommunityBenefitExpense
Percent Of Total Expense	0.01710	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4680594	TotalCommunityBenefitExpense
Direct Offsetting Revenue	164799	DirectOffsettingRevenue
Net Community Benefit Expense	4515795	NetCommunityBenefitExpense
Percent Of Total Expense	0.04670	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6329633	TotalCommunityBenefitExpense
Direct Offsetting Revenue	164799	DirectOffsettingRevenue
Net Community Benefit Expense	6164834	NetCommunityBenefitExpense
Percent Of Total Expense	0.06380	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10289	TotalCommunityBenefitExpense
Net Community Benefit Expense	10289	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	176	TotalCommunityBenefitExpense
Net Community Benefit Expense	176	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	303	TotalCommunityBenefitExpense
Net Community Benefit Expense	303	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10768	TotalCommunityBenefitExpense
Net Community Benefit Expense	10768	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6340401	TotalCommunityBenefitExpense
Direct Offsetting Revenue	164799	DirectOffsettingRevenue
Net Community Benefit Expense	6175602	NetCommunityBenefitExpense
Percent Of Total Expense	0.06390	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1630	TotalCommunityBuildingExpense
Net Community Building Expense	1630	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	51002	TotalCommunityBuildingExpense
Net Community Building Expense	51002	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	4914	TotalCommunityBuildingExpense
Net Community Building Expense	4914	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2585	TotalCommunityBuildingExpense
Net Community Building Expense	2585	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	60131	TotalCommunityBuildingExpense
Net Community Building Expense	60131	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$5,779,966	BadDebtExpenseAmount
Amount Attributable To	2131530	AmountAttributableTo
Amount Reimbursed By Medicare	24481174	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	26622859	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2141685	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

Field	Value	IRS element (for citing)
Address Line1	400 HIGHLAND AVENUE	AddressLine1
City	LEWISTOWN	City
State	PA	State
ZIP Code	17044	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.LEWISTOWNHOSPITAL.ORG	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	0	UsesFPGDiscounted
Explains Basis	0	ExplainsBasis
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: ELIGIBILITY FOR FREE CARE IS BASED ON FEDERAL POVERTY GUIDELINES. DISCOUNTS ARE AVAILABLE FOR PROMPT PAYMENT AND SELF PAY OVER CERTAIN DOLLAR LEVELS, REGARDLESS OF INCOME.
PART I, LINE 7: COST-TO-CHARGE RATIOS WERE USED TO DETERMINE THE COST OF THESE PROGRAMS.
PART I, L7 COL(F): BAD DEBT EXPENSE OF $5,779,966 WAS INCLUDED ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN PART I LINE 7 COLUMN F.
PART II: COMMUNITY BUILDING ACTIVITIES:MIFFLIN COUNTY INDUSTRIAL DEVELOPMENT CORPORATION - KAY HAMILTON, CEO, BOARD MEMBER THE MISSION OF THE MIFFLIN COUNTY INDUSTRIAL DEVELOPMENT CORPORATION IS TO PROMOTE THE GROWTH OF EMPLOYMENT AND INCOME IN MIFFLIN COUNTY BY USING TECHNICAL AND FINANCIAL RESOURCES FROM MCIDC AND FEDERAL, STATE, AND LOCAL AGENCIES AND INDIVIDUALS TO ENCOURAGE AND ASSIST BUSINESS AND INDUSTRIAL FORMATION, RETENTION, AND EXPANSION. MIFFLIN JUNIATA CAREER TECH CENTER ADVISORY COMMITTEE - KAY HAMILTON, CEO, BOARD MEMBERTHE MIFFLIN JUNIATA CAREER AND TECHNOLOGY CENTER OFFERS VOCATIONAL-TECHNICAL EDUCATIONAL PROGRAMS FOR BOTH MIFFLIN AND JUNIATA COUNTY STUDENTS IN GRADES 10 - 12. PROGRAMS INCLUDE: HEALTH PROFESSIONS, ALLIED HEALTH SCIENCE, AGRICULTURE, CONSTRUCTION, CRIMINAL JUSTICE, ETC. MIFFLIN-JUNIATA PARTNERS ADVANCING TOMORROW'S HEALTH (MJ PATH) - KIRK THOMAS, VP OPERATIONS, BOARD MEMBERTHE MISSION OF THE MJ PATH GROUP IS TO PROMOTE THE HEALTH AND WELLNESS OF INDIVIDUALS AND THE COMMUNITIES OF MIFFLIN AND JUNIATA COUNTIES. THIS IS ACCOMPLISHED BY ENGAGING A BROAD SPECTRUM OF LOCAL COMMUNITY INDIVIDUALS AND ORGANIZATIONS WITH INTERESTS AND INFLUENCE ON LOCAL HEALTH STATUS BY WORKING TOGETHER TO PROMOTE EFFECTIVE HEALTH IMPROVEMENT STRATEGIES, INCLUDING PLANNING AND COORDINATION OF LOCAL RESOURCES. MEETINGS ARE HELD BI-MONTHLY. MIFFLIN-JUNIATA HEALTH CENTER - KIRK THOMAS, VP OPERATIONS, BOARD CHAIR THE MISSION OF THE MIFFLIN-JUNIATA HEALTH CENTER IS TO PROVIDE ACCESS TO PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO RESIDENTS OF ALL INCOME LEVELS WITHIN OUR SERVICE AREA, WITH SPECIAL EMPHASIS ON THE INDIGENT, THE UNINSURED, AND THE UNDERSERVED. THE HEALTH CENTER IS COLLABORATING WITH PRIMARY HEALTH NETWORK, A FEDERALLY QUALIFIED HEALTH CENTER, TO ESTABLISH AFFILIATE CLINICS IN MIFFLIN AND JUNIATA COUNTIES. AMISH HEALTH COUNCIL LIAISON - KIRK THOMAS, VP OPERATIONSAN INITIATIVE HAS BEEN IMPLEMENTED TO MEET THE HEALTH CARE NEEDS OF THE AMISH POPULATION IN MIFFLIN AND JUNIATA COUNTIES. TO ENCOURAGE ACCESS TO CARE, A DISCOUNT PAYMENT SCHEDULE HAS BEEN DEVELOPED. MIFFLIN-JUNIATA UNITED WAY - PHYLLIS MITCHELL, VP MARKETING & COMMUNITY AFFAIRS, BOARD MEMBERTHE MISSION OF THE MJ UNITED WAY IS TO IMPROVE PEOPLE'S LIVES BY MOBILIZING THE CARING POWER OF THE COMMUNITY. THE UNITED WAY SUPPORTS VARIOUS AGENCIES THROUGH FUNDING. THE COMMUNITY IMPACT FOCUS AREAS INCLUDE: BASIC NEEDS AND SELF SUFFICIENCY, COMMUNITY LIFE AND HEALTH, EDUCATION, AND SUCCESSFUL CHILDREN AND YOUTH. LEWISTOWN HOSPITAL EMPLOYEES AND MEDICAL-DENTAL STAFF CONTRIBUTE TO THE UNITED WAY FUND EACH YEAR TO SUPPORT THESE LOCAL COMMUNITY ORGANIZATIONS. JUNIATA VALLEY CHAMBER OF COMMERCE - PHYLLIS MITCHELL, BOARD MEMBERTHE JUNIATA VALLEY CHAMBER OF COMMERCE HELPS PROMOTE AND SUPPORT LOCAL BUSINESSES IN MIFFLIN AND JUNIATA COUNTIES. THE CHAMBER IS A RESPECTED SOURCE FOR INFORMATION ABOUT COMMUNITY BUSINESSES AND EVENTS IN THE AREA. MIFFLINTOWN ROTARY - KIRK THOMAS, VP OPERATIONS, MEMBER LEWISTOWN ROTARY - RANDY TEWKSBURY, CFO, IS A BOARD MEMBER; PHYLLIS MITCHELL, VP MARKETING AND COMMUNITY AFFAIRS, IS A MEMBERBELLEVILLE CIVIC CLUB - CHRIS MATHEWS, VP NURSING SERVICES, MEMBER & VICE PRESIDENTTHE ABUSE NETWORK - CHRIS MATHEWS, VP NURSING SERVICES, BOARD MEMBER & PAST PRESIDENTNUVISIONS - PHYLLIS MITCHELL, BOARD MEMBERTHE MISSION OF NUVISIONS IS TO IMPROVE THE LIVES OF PEOPLE WITH VISION, PHYSICAL, OR MENTAL IMPAIRMENTS THROUGH COMMUNITY EDUCATIN, CLIENT SERVICES AND EMPLOYMENT OPPORTUNITIES. NUMEROUS HOSPITAL DEPARTMENTS PROVIDE HEALTH EDUCATION TO NUVISIONS CLIENTS. JUNIATA VALLEY CHAMBER OF COMMERCE - PHYLLIS MITCHELL, BOARD MEMBERTHE JUNIATA VALLEY CHAMBER OF COMMERCE HELPS PROMOTE AND SUPPORT LOCAL BUSINESSES IN MIFFLIN AND JUNIATA COUNTIS. THE CHAMBER IS A RESPECTED SOURCE FOR INFORMATION ABOUT COMMUNITY BUSINESSES AND EVENTS IN THE AREA.EMERGENCY PREPAREDNESS COMMITTEE - COMMUNITY PLANNING INITIATIVETHE EMERGENCY PREPAREDNESS COMMITTEE IS ACTUALLY A SUB-COMMITTEE OF THE RISK MANAGEMENT & SAFETY COMMITTEE. THE PRIMARY FUNCTION WOULD BE TO ASSURE THE HOSPITAL IS PREPARED AS BEST AS POSSIBLE FOR ANY EMERGENCY SITUATION. WE WORK CLOSELY WITH BOTH THE MIFFLIN AND JUNIATA COUNTY EMERGENCY MANAGEMENT AGENCIES (EMA'S), AND EACH OF THEIR RESPECTIVE DIRECTORS SITS ON THE COMMITTEE IN AN EX-OFFICIO CAPACITY. THIS HELPS US IN DEVELOPING OUR PLANS AND DRILLS/EXERCISES SO WE ADDRESS CONCERNS OF EACH COUNTY AS IT RELATES TO THEIR HVA'S (HAZARDS VULNERABILITY ANALYSIS).IN ADDITION, WE COORDINATE AND WORK CLOSELY WITH THE SOUTH CENTRAL MOUNTAINS REGIONAL TASK FORCE (SCMRTF). THE REGION IS COMPRISED OF THE FOLLOWING COUNTIES: MIFFLIN, JUNIATA, SNYDER, HUNTINGDON, BLAIR, BEDFORD, FULTON, AND CENTRE. BY MEETING, PLANNING, AND EXERCISING WITH THE HEALTH CARE PARTNERS, PRIMARILY HOSPITALS IN THIS AREA, WE ARE ABLE TO DEVELOP PLANS AND CONTINGENCIES IN THE EVENT OF LOCAL, REGIONAL, STATE AND/OR NATIONAL INCIDENTS. BY KNOWING WHAT EACH OTHERS CAPABILITIES AND RESOURCES ARE IN ADVANCE, WE HOPE TO BE ABLE TO MAINTAIN OR RESTORE HEALTHCARE SERVICES AS QUICKLY AS POSSIBLE TO OUR AREAS. THIS IS ONE COMPONENT OF OUR COMMUNITY INTERACTION AND PLANNING FOR INCIDENTS WHICH COULD ADVERSELY AFFECT HEALTHCARE FOR OUR RESIDENTS, VISITORS, AND PATIENTS. WE ALSO PLAN AT LEAST 2 EXTERNAL EXERCISES (DRILLS) WITHIN MIFFLIN AND/OR JUNIATA COUNTIES EACH YEAR. THIS INVOLVES NOT ONLY HOSPITAL ASSETS, BUT INCLUDES PERSONNEL AND EQUIPMENT FROM EMS, FIRE, LAW ENFORCEMENT, EMERGENCY MANAGEMENT, AND SEVEN MOUNTAINS EMS REGION TO PRACTICE WHAT COULD OCCUR IN A VARIETY OF DIFFERENT SITUATIONS SUCH AS MAJOR FIRES, BUILDING COLLAPSES, BUS ACCIDENTS, OR TERRORIST TYPES ATTACKS.THE COMMITTEE IS COMPRISED OF: HOSPITAL RISK MANAGER (CHAIR), PCD'S FROM THE ED AND ICCU, VP OF NURSING, VP OF COMMUNITY RELATIONS, MANAGER OF EMPLOYEE HEALTH, STAFF MEMBERS FROM THE ED, SECURITY, AND THE LAB, DIRECTOR OF QUALITY IMPROVEMENT, COMMUNICATIONS SUPERVISOR, SENIOR FINANCIAL ACCOUNTANT, AND OTHERS. WE MEET MONTHLY AND REVIEW ANY & ALL ITEMS RELATED TO EMERGENCY PREPAREDNESS AND CONTINUITY OF OPERATIONS DURING AN EMERGENCY INCIDENT. WE ALSO REVIEW INCIDENTS WHICH MAY HAVE OCCURRED, EVALUATE INTERNAL/EXTERNAL COMMUNICATIONS AS NECESSARY, DISCUSS DISSEMINATION OF PUBLIC INFORMATION DURING INCIDENTS, AND APPROVE EXPENDITURES OF THE ASPR/OPHP (ASSISTANT SECRETARY OF PREPAREDNESS RESPONSE/OFFICE OF PUBLIC HEALTH PREPAREDNESS) ANNUAL GRANTS.INTERNSHIP PROGRAMS FOR VARIOUS DEPARTMENTSTHE HOSPITAL WORKS WITH MANY DIFFERENT ORGANIZATIONS SUCH AS SECONDARY EDUCATION INSTITUTIONS, AND MEDICAL SCHOOLS, TO PROVIDE JOB SHADOWING AND TRAINING INTERNSHIPS FOR PARTICIPANTS. MANY DIFFERENT DEPARTMENTS WORK WITH INTERNS TO PROVIDE A VALUABLE WORK EXPERIENCE. IN FY2013, WE HELD THREE DAYS OF JOB SHADOWING WITH PARTICIPATION FROM APPROXIMATELY 15 DIFFERENT DEPARTMENTS ACROSS THE ORGANIZATION SHADOWING APPROXIMATELY 55 INDIVIDUALS INTERESTED IN CAREERS IN THE HEALTH CARE FIELD. THIS IS A VALUABLE SERVICE TO THE EDUCATIONAL INSTITUTIONS OF THE COMMUNITY AS THE STUDENTS ARE ABLE TO EXPERIENCE FIRSTHAND WHAT THESE TYPES OF CAREERS HAVE TO OFFER, SOMETHING THAT A CLASSROOM SETTING COULD NOT PROVIDE. THIS PROGRAM IS OF NO COST TO THE EDUCATIONAL INSTITUTIONS AND IT IS AN EXCELLENT WAY FOR STUDENTS TO MAKE INFORMED CAREER CHOICES ULTIMATELY RESULTING IN A STRONGER WORKFORCE FOR THE COMMUNITY.EXPERIENCE WORKS PROGRAM SPONSOR.EXPERIENCE WORKS IS A FEDERAL EMPLOYMENT PROGRAM THAT IS FOCUSED ON MEETING THE TRAINING AND EMPLOYMENT NEEDS OF A RAPIDLY GROWING OLDER POPULATION. LEWISTOWN HOSPITAL IS A TRAINING AGENCY FOR EXPERIENCE WORKS INDIVIDUALS. CURRENTLY ONE EXPERIENCED WORKS PARTICIPANT IS WORKING AT THE HOSPITALLEWISTOWN HOSPITAL SCHOOL OF NURSINGMANY RURAL AREAS FACE SEVERE SHORTAGES OF NURSES. NO MEDICAL CENTER CAN WORK PROPERLY WITHOUT ENOUGH GOOD NURSES, AND LEWISTOWN HOSPITAL IS NO EXCEPTION. THE HOSPITAL HAD DIFFICULTY HIRING AND KEEPING RNS FOR YEARS. SO DID OTHER FACILITIES IN THE REGION, SUCH AS NURSING HOMES AND DOCTORS' OFFICES . IN RESPONSE TO THIS SHORTAGE OF NURSES, LEWISTOWN HOSPITAL APPEALED TO THE STATE BOARD OF NURSING TO OPEN ITS CURRENT SCHOOL OF NURSING. IN MAY 2005, THE PENNSYLVANIA STATE BOARD OF NURSING GRANTED INITIAL APPROVAL TO THE LEWISTOWN HOSPITAL TO ADMIT TWENTY-FIVE STUDENTS TO EACH OF TWO CLASSES. THE PENNSYLVANIA STATE BOARD EDUCATION ADVISORS REVIEWED THE PROGRAM IN OCTOBER 2007 AFTER THE FIRST CLASS GRADUATED, AND FULL APPROVAL WAS GRANTED TO THE PROGRAM IN DECEMBER 2007. THE SCHOOL HAS RECEIVED FULL ACCREDITATION FROM THE NATIONAL LEAGUE FOR NURSING ACCREDITING COMMISSION (NLNAC) IN FEBRUARY 2010, EFFECTIVE FALL 2009 THROUGH FALL 2014.
PART III, LINE 4: ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES.THE COST-TO CHARGE RATIO WAS CALCULATED USING TOTAL COSTS AND TOTAL PATIENT CHARGES. THE MEDICARE STEPDOWN METHODOLOGY WAS USED BUT INCLUDED ALL EXPENSES, NET OF RELATED OTHER INCOME. THE TOTAL EXPENSES TIED TO THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8: THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT. OUR SERVICE AREA INCLUDES MANY MEDICARE RECIPIENTS THAT ARE ALSO DUALLY ELIGIBLE FOR MEDICAL ASSISTANCE, WHICH DENOTES SOME TYPE OF FINANCIAL NEED.MEDICARE COST-TO-CHARGE RATIOS FROM THE MEDICARE COST REPORT ARE USED TO DETERMINE THE COST OF THE PROGRAMS.
PART III, LINE 9B: PER OUR CURRENT POLICIES, THE ONLY WAY WE ARE GUARANTEED TO KNOW IF SOMEONE IS INDIGENT IS IF THEY COMPLETE A CHARITY CARE APPLICATION. THERE IS A PROVISION IN THE COMMUNITY CARE POLICY (OUR CHARITY CARE POLICY) - THAT ONCE COMPLETED, A CHARITY CARE APPLICATION IS VALID FOR 6 MONTHS PRIOR TO AND 6 MONTHS FOLLOWING THE DATE OF APPROVAL OF THE CHARITY CARE APPLICATION. THEREFORE IF ANOTHER DEBT IS INCURRED DURING THAT WINDOW, WE KNOW THEY MEET THE REQUIREMENTS AND WE EXTEND THE TERMS OF FINANCIAL ASSISTANCE/CHARITY CARE TO THAT PATIENT. WE WOULD ALSO RETROSPECTIVELY APPLY THE FINANCIAL ASSISTANCE/CHARITY CARE POLICY TO ANY CHARGES 6 MONTHS PRIOR TO THE APPLICATION APPROVAL.
PART V, SECTION B, LINE 3: THE NEEDS ASSESSMENT STEERING COMMITTEE AND SEVERAL COMMUNITY PARTNERS MET TO DISCUSS THE KEY ISSUES IDENTIFIED IN THE NEEDS ASSESSMENT. A TOTAL OF 16 INDIVIDUALS ATTENDED THE STRATEGIC PLANNING SESSION, INCLUDING EXPERTS IN PUBLIC HEALTH, REPRESENTATIVES OF UNDERSERVED POPULATIONS, HEALTH AND SOCIAL SERVICE AGENCIES, AND OTHER COMMUNITY STAKEHOLDERS. * LINDA ALLEN, DIRECTOR, PA DOH - JUNIATA COUNTY STATE HEALTH CENTER * MARIE MULVIHILL, DIRECTOR, UNITED WAY OF MIFFLIN JUNIATA * WALT WHITMER, SR. EXTENSION ASSOCIATE, PENN STATE COOPERATIVE EXTENSION * CRYSTAL PAIGE, DIRECTOR, THE ABUSE NETWORK * MOLLY KINNEY, DIRECTOR, MIFFLIN COUNTY LIBRARY * PAULA LEACH, HEALTH & NUTRITION COORDINATOR, SUM CHILD DEVELOPMENT, * ALETA KAMMERER, EARLY HEAD START COORDINATOR, SUM CHILD DEVELOPMENT, * BOB HENRY, MENTAL HEALTH ADULT PROGRAM SPECIALIST, JUNIATA VALLEY BEHAVIORAL & DEVELOPMENTAL SERVICES * NANCY RECORDS, DIRECTOR, COMMUNITIES THAT CARE * JOHN MCCULLOUGH, DIRECTOR, JUNIATA VALLEY YMCA * BETH ZONG, DIRECTOR, MIFFLIN JUNIATA SPECIAL NEEDS CENTER * GAYLE LANDIS, QUALITY ASSURANCE/RISK MANAGEMENT, MIFFLIN JUNIATA REGIONAL SERVICES * RANDY TEWKSBURY, CFO, LEWISTOWN HOSPITAL * PHYLLIS MITCHELL, VP MARKETING & COMMUNITY AFFAIRS, LEWISTOWN HOSPITAL * KERIA MEALS, COMMUNICATIONS COORDINATOR, LEWISTOWN HOSPITAL * CINDY HOUSER, COMMUNICATIONS COORDINATOR, AMERICORPS - LEWISTOWN HOSPITAL	LEWISTOWN HOSPITAL
PART V, SECTION B, LINE 7: TWO AREAS WHERE WE HAVE A SIGNIFICANT NEED IN THE COMMUNITY WOULD BE DENTAL CARE AND MENTAL HEALTH CARE. THESE WOULD BE AREAS THAT OUR COMMUNITY PARTNERS WOULD ADDRESS AND WE WOULD HELP SUPPORT, SUCH AS THE MIFFLIN JUNIATA DENTAL CLINIC AND MH/MR OF JUNIATA VALLEY.	LEWISTOWN HOSPITAL
PART V, SECTION B, LINE 11: ALL PATIENTS IDENTIFIED AS SELF PAY ARE ELIGIBLE FOR DISCOUNTED CARE.	LEWISTOWN HOSPITAL
PART V, SECTION B, LINE 20D: THE HOSPITAL HAS A SELF-PAY DISCOUNT POLICY WHICH DISCOUNTS "OUT OF POCKET" BALANCES BY AS MUCH AS 50%. THIS DISCOUNT IS GENERALLY MORE GENEROUS THAN ANY NEGOTIATED COMMERCIAL INSURANCE RATE.	LEWISTOWN HOSPITAL
PART V, SECTION B, LINE 22: BY REGULATION WE APPLY THE SAME GROSS CHARGE TO ALL PATIENTS REGARDLESS OF PAYER CODE, HOWEVER, WHEN THE PATIENT IS IDENTIFIED AS SELF PAY THE DISCOUNT IS APPLIED THAT OFFERS A PAYMENT THAT IS LOWER THAN THAT PAID BY NEGOTIATED COMMERCIAL PAYERS OR FREE CARE IS OFFERED BASED ON INCOME GUIDELINES.	LEWISTOWN HOSPITAL
PART VI, LINE 2: WE ASSESS THE NEEDS OF THE COMMUNITIES WE SERVE IN THE FOLLOWING WAYS:QUARTERLY ADVISORY GROUPS:THE PATIENT SATISFACTION ADVISORY GROUP PURPOSE IS TO PROVIDE FEEDBACK REGARDING THE HOSPITAL'S PATIENT SATISFACTION EFFORTS. THE COMMITTEE IS COMPOSED OF FORMER AND CURRENT PATIENTS, AS WELL AS COMMUNITY MEMBERS. MEMBERS GIVE INSIGHT INTO WHAT THE COMMUNITY IS SAYING ABOUT THE HOSPITAL AND SUGGESTIONS FOR CHANGES TO MAKE THE HOSPITAL EXPERIENCE MORE PATIENT-FOCUSED.THE MARKETING ADVISORY COMMITTEE'S PURPOSE IS TO PROVIDE GUIDANCE FOR THE HOSPITAL'S MARKETING AND OUTREACH EFFORTS. MEDICAL STAFF SURVEYS:THE PRIMARY OBJECTIVE OF THE MEDICAL STAFF ASSESSMENT PROCESS WAS TO CREATE A MEDICAL STAFF DEVELOPMENT PLAN FOR LEWISTOWN HOSPITAL THAT PROJECTS THE NEEDS FOR PHYSICIANS OVER THE NEXT SEVERAL YEARS, BY SPECIALTY, IN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS. IN ADDITION, THE SURVEY WAS USED TO CREATE A PHYSICIAN RECRUITMENT STRATEGY FOR THE HOSPITAL AND MEMBERS OF THE MEDICAL STAFF.UTILIZATION STATISTICS AND ANALYSIS:DECISION SUPPORT SOFTWARE WITHIN THE HOSPITAL'S FINANCE DEPARTMENT PROVIDES HISTORICAL AND CURRENT DATA ON THE UTILIZATION OF INPATIENT AND OUTPATIENT SERVICES. STATE HEALTH IMPROVEMENT PLAN PARTNERSHIP (SHIP) DATA:LEWISTOWN HOSPITAL IS A KEY MEMBER OF THE LOCAL SHIP (MIFFLIN -JUNIATA PARTNERS ADVANCING TOMORROW'S HEALTH). THE PURPOSE OF THIS GROUP IS TO SUPPORT THE HEALTH PLANNING INITIATIVES FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH. THIS IS ACCOMPLISHED BY ENGAGING A BROAD SPECTRUM OF LOCAL COMMUNITY INDIVIDUALS AND ORGANIZATIONS WITH INTERESTS AND INFLUENCE ON LOCAL HEALTH STATUS BY WORKING TOGETHER TO PROMOTE EFFECTIVE HEALTH IMPROVEMENT STRATEGIES, INCLUDING PLANNING AND COORDINATION OF LOCAL RESOURCES. MEETINGS ARE HELD BI-MONTHLY. PA DEPARTMENT OF HEALTH STATISTICS:THE PA DEPARTMENT OF HEALTH WEBSITE PROVIDES A WEALTH OF HEALTH STATISTICS AND DATA FOR EACH COUNTY. THIS INCLUDES THE FOLLOWING: * RATES FOR BIRTH, DEATH, CANCER, AND OTHER VITAL STATISTICS * BEHAVIORAL RISK AND INJURY STATISTICS * COMMUNICABLE DISEASES * HEALTH FACILITIES * SCHOOL HEALTH PA DEPARTMENT OF HEALTH BEHAVIORAL RISK FACTOR SURVEY:THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) IS AN ANNUAL TELEPHONE SURVEY IMPLEMENTED NATIONWIDE UNDER A GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION. SINCE 1989, THE PENNSYLVANIA DEPARTMENT OF HEALTH HAS RELEASED ANNUAL REPORTS USING BRFSS DATA ON VARIOUS HEALTH RISK BEHAVIORS, SUCH AS SMOKING, DRINKING, SEAT BELT USAGE AND HEALTH STATUS.HOW IS ALL OF THE ABOVE INFORMATION PULLED TOGETHER AND UTILIZED?VARIOUS HOSPITAL STAFF MEMBERS ASSIST WITH THE DATA COLLECTION. PRIMARY AND SECONDARY DATA IS ORGANIZED INTO COMPUTER FILES TO MAKE THE INFORMATION EASIER TO USE AND ANALYZE. ONCE THE HOSPITAL HAS THE PRIMARY AND SECONDARY DATA COLLECTED AND IN HAND, THE SENIOR TEAM SPENDS TIME ANALYZING THE DATA TO DISCERN PATTERNS AND THEMES. ASSESSMENT DATA FINDINGS ARE SHARED WITH A VARIETY OF GROUPS INTERNALLY AND EXTERNALLY (MANAGEMENT STAFF, MEDICAL-DENTAL STAFF, BOARD OF TRUSTEES, COMMUNITY ORGANIZATIONS).SINCE SUFFICIENT RESOURCES ARE NOT AVAILABLE TO ADDRESS ALL THE HEALTH CONCERNS IDENTIFIED IN THE ASSESSMENTS, CHOICES MUST BE MADE ABOUT WHICH ISSUES ARE DESIGNATED AS PRIORITIES FOR ACTION IN THE SHORT TO INTERMEDIATE TERM (ONE TO THREE YEARS). IN GENERAL, THE HOSPITAL AIMS FOR THREE TO FOUR PRIORITIES.THE HOSPITAL COLLABORATES WITH OTHER COMMUNITY STAKEHOLDERS TO GAIN A GREATER COMMITMENT TO ACTION. A CONSENSUS IS REACHED WITH INPUT FROM HOSPITAL STAFF, MEDICAL STAFF, THE BOARD OF TRUSTEES, AND COMMUNITY MEMBERS. CRITERIA THAT ARE USED TO IDENTIFY THE MOST SIGNIFICANT HEALTH ISSUES INCLUDE: * THE MAGNITUDE OF THE PROBLEM * THE SEVERITY OF THE PROBLEM * A HIGH NEED AMONG VULNERABLE POPULATIONSCRITERIA THAT ARE USED TO EVALUATE WHICH HEALTH ISSUES THE HOSPITAL SHOULD PRIORITIZE INCLUDE: * THE HOSPITAL'S CAPACITY TO ACT ON THE ISSUE, INCLUDING ECONOMIC, SOCIAL, AND CULTURAL CONSIDERATIONS. * THE FEASIBILITY OF HAVING A MEASURABLE IMPACT ON THE ISSUE * COMMUNITY RESOURCES ALREADY FOCUSED ON THE ISSUE * WHETHER THE ISSUE IS A ROOT CAUSE OF OTHER PROBLEMS (THEREBY POSSIBLY AFFECTING MULTIPLE ISSUES)WHEN THE ISSUES HAVE BEEN PRIORITIZED, THE SENIOR TEAM AND BOARD OF TRUSTEES DISCUSS THE PRIORITIZED LIST AND ASK FOR ADDITIONAL INPUT AND VALIDATION. WHEN A FINAL DECISION IS MADE, A PLAN IS PUT INTO PLACE TO ADDRESS THE PRIORITIES AND IMPROVE COMMUNITY HEALTH. SPECIFIC GOALS HELP FOCUS THE SPECIFIC INTERVENTIONS AND PROVIDE A METHOD FOR VALUING EACH OPTION.
PART VI, LINE 3: LEWISTOWN HOSPITAL PRODUCES DAILY REPORTS FOR HIGH TICKET SERVICES THAT IDENTIFY PATIENTS THAT ARE POTENTIALLY UNINSURED. WE CONTRACT WITH A THIRD PARTY THAT EMPLOYS A REPRESENTATIVE ON SITE AT THE HOSPITAL THAT WILL TAKE THE REPORT OF UNINSURED PATIENTS. THE REPRESENTATIVE WILL ATTEMPT TO PERSONALLY VISIT EACH PATIENT WHILE THEY ARE STILL AT THE HOSPITAL TO OUTLINE POSSIBLE OPTIONS. THE PRIMARY OPTION IS USUALLY MAKING AN APPLICATION FOR MEDICAL ASSISTANCE. THE REPRESENTATIVE IS HIGHLY EXPERIENCED IN THE MEDICAL ASSISTANCE APPLICATION PROCESS AND WILL ASSIST THE PATIENT IN COMPLETING THE APPLICATION PROCESS. THIS INCLUDES COMPLETING THE PAPERWORK, COPYING DOCUMENTS, AND EVEN REPRESENTING THE PATIENT AT THE FACE TO FACE INTERVIEW AT THE COUNTY OFFICE IF NECESSARY. POST DISCHARGE, ALL PATIENTS INDICATING THAT THEY ARE UNINSURED WILL RECEIVE A LETTER OFFERING A PROMPT PAY DISCOUNT. THERE ARE CONTACT PHONE NUMBERS ON THE LETTER SHOULD THE PATIENT HAVE ANY QUESTIONS CONCERNING OUR DISCOUNT PROGRAM. TELEPHONE CALLS ARE MADE TO PATIENTS IN AN ATTEMPT TO EXPLAIN OUR DISCOUNT POLICY, THE FACT THAT WE ACCEPT INTEREST FREE TIME PAYMENTS, WE ENCOURAGE PATIENTS TO MAKE APPLICATION FOR MEDICAL ASSISTANCE AND BLUECHIP, AND IF WE DETERMINE THAT THERE TRULY IS AN INDIGENT SITUATION WHERE THERE ARE NO OTHER ALTERNATIVES, WE DO OFFER A CHARITY PROGRAM WHEREBY PATIENTS MAY QUALIFY FOR FREE CARE.IN OUR PATIENT INFORMATION GUIDE, THERE IS WORDING THAT TELLS PATIENTS ABOUT FINANCIAL ASSISTANCE, OUR WEBSITE OFFERS INFORMATION REGARDING FINANCIAL ASSISTANCE, AND WE ALSO MAKE CHARITY CARE APPLICATIONS AVAILABLE AT REGISTRATION POINTS. WE ALSO HAVE TRANSLATORS AVAILABLE IF THE NEED ARISES.THERE ARE SIGNS WITH INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IN THE EMERGENCY DEPARTMENT AND CENTRAL REGISTRATION AREA. BOTH OF THESE AREAS HAVE SIGNS IN ENGLISH AND SPANISH.
PART VI, LINE 4: OUR SERVICE AREA IS COMPRISED OF MIFFLIN COUNTY, JUNIATA COUNTY, AND PARTS OF HUNTINGDON AND SNYDER COUNTIES. THIS RURAL AREA CONTAINS SOME 145,000 PEOPLE SPREAD OVER MORE THAN 2,500 SQUARE MILES OF RUGGED TERRAIN LOCATED IN THE HEART OF THE APPALACHIAN MOUNTAINS IN CENTRAL PENNSYLVANIA. THE AVERAGE POPULATION DENSITY IS APPROXIMATELY 60 PERSONS PER SQUARE MILE. THE JUNIATA RIVER RUNS ALONG THE VERDANT VALLEYS AND SLICES THROUGH NARROW MOUNTAIN PASSES TO CONNECT OUR RESIDENTS TOGETHER, WHICH IS WHY OUR AREA IS CALLED THE JUNIATA VALLEY.TRANSPORTATION BARRIERS PLAY A MAJOR ROLE IN ACCESS TO HEALTH CARE IN OUR REGION. THESE NATURAL BARRIERS INCLUDE NARROW ROADS THAT EITHER MEANDER ALONG STREAMS AND CREEKS OR CROSSOVER THE MOUNTAIN RANGES THAT TRAVERSE OUR APPALACHIAN RIDGE REGION. THESE BARRIERS ARE EVEN MORE DAUNTING GIVEN HAZARDOUS WINTER DRIVING CONDITIONS CAUSED BY SNOW OR ICE COVERED ROADS. LOW-INCOME AND SENIOR CITIZENS ALSO FACE TRANSPORTATION ISSUES, AS THERE IS NO PUBLIC TRANSPORTATION IN OUR SERVICE AREA. SENIOR CITIZENS AND MEDICAID-ELIGIBLE PERSONS CAN USE THE "CARS" VAN SYSTEM FOR TRANSPORTATION TO REGULARLY SCHEDULED APPOINTMENTS WITH A WEEKS' NOTICE BUT NOT FOR URGENT OR EMERGENCY CARE. LOW INCOME CITIZENS HAVE NO ACCESS TO ANY PUBLIC TRANSPORTATION AT ALL IN OUR COMMUNITY. IF A TRIP TO A SPECIALIST IS REQUIRED THE MAJOR SUPPORT HOSPITALS ARE OVER ONE AND HALF HOURS DRIVE AWAY (IN THE SUMMER).THE POPULATION OF OUR TOTAL SERVICE AREA IS JUST ABOUT 145,000 PERSONS BASED ON 2010 US CENSUS DATA. MIFFLIN COUNTY HAS A RELATIVELY FLAT GROWTH RATE WITH A POPULATION CHANGE OF 0.4% FROM 2000 TO 2010. JUNIATA COUNTY, ON THE OTHER HAND, HAS SEEN SIGNIFICANT GROWTH WITH A 10.6% INCREASE IN POPULATION FROM 2000 TO 2010. IT IS BELIEVED THAT THIS GROWTH IS MOSTLY COMING FROM PEOPLE WHO WORK IN THE NEARBY HARRISBURG AREA WHO ARE LOOKING FOR A LOWER COST OF LIVING. WITH THE RECENT COMPLETION OF A NEW FOUR-LANE HIGHWAY NORTH OF HARRISBURG, THE COMMUTE TO HARRISBURG HAS BECOME MORE CONVENIENT RESULTING IN AN INCREASE IN JUNIATA COUNTY'S POPULATION AS PEOPLE MOVE FURTHER AWAY FROM THE URBAN AREAS TO LIVE IN THE COUNTRY. HIGHER GROWTH IN FULTON COUNTY IS EXPLAINED BY MIGRATION FROM MARYLAND AS PEOPLE TRY TO MOVE AWAY FROM HIGHER HOUSING COSTS IN MARYLAND. HUNTINGDON COUNTY'S GROWTH IS MOSTLY OCCURRING IN THE NORTHERN PORTION OF THE COUNTY THAT IS CLOSE ENOUGH TO STATE COLLEGE TO ALLOW RESIDENTS TO COMMUTE TO PENN STATE UNIVERSITY. THESE GROWTH RATES ARE STILL VERY LOW WHEN COMPARED TO A NATIONAL GROWTH RATE OF OVER 13%.OTHER IMPORTANT DEMOGRAPHIC STATISTICS ARE OUTLINED IN THE CHART BELOW.STATISTICS: MIFFLIN COUNTY(MC), JUNIATA COUNTY(JC), PENNSYLVANIA(PA)POPULATION: 46,682(MC), 24,636(JC), 12,702,379(PA)POPULATION LESS THAN 18 YEARS OF AGE: 23.1%(MC), 24%(JC), 22%(PA)AGE 65 AND UP: 18.5%(MC), 16.8%(JC), 15.4%(PA)PERCENTAGE OF POPULATION BELOW THE POVERTY LEVEL (2010): 16.6%(MC), 11.1%(JC), 13.4% (PA)POVERTY RATE FOR CHILDREN UNDER AGE 18 (2010): 28.1%(MC), 18.0%(JC), 18.9%(PA)MEDIAN HOUSEHOLD INCOME: $37,163(MC), $45,810(JC), $49,245(PA)UNINSURED ADULTS (2010): 19.1%(MC), 18.7%(JC), 14.5%(PA)UNEMPLOYMENT RATE (2010): 9.5%(MC), 7.7%(JC), 8.4%(PA)MIFFLIN COUNTY'S 65 AND OVER AGE GROUP IS 18.5 PERCENT (2010), WHILE JUNIATA COUNTY'S IS 16.8%, HUNTINGDON COUNTY'S, 16.2% AND FULTON COUNTY'S 17.1%. THE PENNSYLVANIA AVERAGE FOR THIS STATISTIC IS 15.4%. BOTH MIFFLIN AND JUNIATA COUNTIES HAVE HIGHER PERCENTAGES OF PERSONS LESS THAN 18 YEARS OF AGE, 23.1% AND 24.0% RESPECTIVELY, THAN THE PA AVERAGE OF 22.0%. BOTH OF THESE GROUPS REQUIRE MORE HEALTH CARE RESOURCES THAN OTHER AGE GROUPS IN OUR COMMUNITY. MIFFLIN COUNTY HAS 16.6% OF THE POPULATION WITH INCOME BELOW THE POVERTY LINE AND 28.1% OF CHILDREN UNDER 18 LIVING IN POVERTY. JUNIATA COUNTY HAS 11.1% OF THE POPULATION WITH INCOME BELOW THE POVERTY LINE, WHILE HUNTINGDON AND SNYDER COUNTIES ARE 13% AND 14% RESPECTIVELY. PER CAPITA PERSONAL INCOME (2009) FOR THE FOUR MAIN COUNTIES IN OUR SERVICE AREA ARE AS FOLLOWS: MIFFLIN $28.3K, JUNIATA $30.3K, HUNTINGDON $27.6K, AND SNYDER $30.8K. THE PERCENTAGES OF THE POPULATIONS WHO ARE UNINSURED (IN THE 18-64 AGE RANGE) FOR THOSE COUNTIES ARE AS FOLLOWS: MIFFLIN 19%, JUNIATA 19%, HUNTINGDON 19%, AND SNYDER 16%. DURING THE FISCAL YEAR 2013, APPROXIMATELY 14.1% OF OUR PATIENT POPULATION WAS MEDICAL ASSISTANCE, WHILE ANOTHER 3.8% WERE SELF PAY.THERE IS ONE OTHER HOSPITAL LOCATED WITHIN THE SERVICE AREA DESCRIBED ABOVE, JC BLAIR MEMORIAL HOSPITAL IN HUNTINGDON, PA. THERE ARE ALSO SEVERAL OTHER HOSPITALS LOCATED IN AREAS SURROUNDING OUR SERVICE AREA. THESE INCLUDE MT. NITTANY MEDICAL CENTER IN STATE COLLEGE, PA; GEISINGER MEDICAL CENTER IN DANVILLE, PA; HOLY SPIRIT HOSPITAL IN CAMP HILL, PA; THE PENN STATE MILTON S. HERSHEY MEDICAL CENTER IN HERSHEY, PA; AND SEVERAL CAMPUSES OF PINNACLE HEALTH IN THE HARRISBURG, PA AREA.THERE ARE ALSO SEVERAL FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS WITHIN OUR SERVICE AREA. THERE ARE TWO LOCATED IN MIFFLIN COUNTY, ONE IN JUNIATA COUNTY, AND FOUR IN HUNTINGDON COUNTY.THE ADULT BEHAVIORAL HEALTH RISK FACTORS SURVEY (2008-2010) SHOWS THE FOLLOWING STATISTICS FOR THE POPULATION LIVING IN MIFFLIN AND JUNIATA COUNTIES:RISK FACTORS : PERCENTFAIR OR POOR GENERAL HEALTH: 16%OBESE: 31%OVERWEIGHT (INCLUDES OBESE): 66%EVER TOLD THEY HAD DIABETES: 11%CURRENTLY HAS ASTHMA: 10%CURRENT SMOKER: 19%FOR MIFFLIN AND JUNIATA COUNTIES, THE HEALTH PROFILE 2013 FROM THE PA DEPARTMENT OF HEALTH SHOWS THE MAJOR CAUSES OF DEATH ARE DISEASES OF THE HEART, CANCER, STROKE, AND CHRONIC LOWER RESPIRATORY DISEASES. PROSTATE CANCER RANKS AS NUMBER ONE FOR THE HIGHEST INCIDENCE OF CANCER, FOLLOWED BY FEMALE BREAST CANCER. RANKING THIRD AND FOURTH ON THE LIST ARE LUNG CANCER AND COLON CANCER, RESPECTIVELY.
PART VI, LINE 5: ALL OF THE ORGANIZATION'S BOARD MEMBERS RESIDE WITHIN THE ORGANIZATION'S PRIMARY SERVICE AREA. KAY HAMILTON, THE PRESIDENT, IS THE ONLY EMPLOYEE ON THE BOARD AND NONE OF THE BOARD MEMBERS ARE FAMILY MEMBERS OF EMPLOYEES WITHIN THE ORGANIZATION.THE ORGANIZATION EXTENDS STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE AREA.ANNUALLY DURING THE BUDGET PROCESS, A CASH FORECAST IS PREPARED TO DETERMINE THE AMOUNT OF CASH AVAILABLE FOR CAPITAL PURCHASES. CAPITAL REQUESTS ARE MADE BY MANAGEMENT OF THE ORGANIZATION DURING THE BUDGET PROCESS AS WELL. REQUESTS ARE REVIEWED AND APPROVED BY THE MEDICAL EXECUTIVE COMMITTEE ONCE ALL OF THE REQUESTS ARE COMPLETE. THE AMOUNT DETERMINED TO BE AVAILABLE AND APPROVED IS SET ASIDE INTO A FUNDED DEPRECIATION ACCOUNT IN WEEKLY INSTALLMENTS OVER THE COURSE OF THE FISCAL YEAR. LEWISTOWN HOSPITAL IS WHOLLY DEDICATED TO THE LIVES, HEALTH AND WELL-BEING OF THE INDIVIDUALS IN OUR COMMUNITY. ENSURING THAT ADEQUATE CAPITAL EQUIPMENT IS AVAILABLE TO PROVIDE THE BEST TREATMENT POSSIBLE FOR OUR PATIENTS IS AN EXAMPLE OF THAT DEDICATION.
PART VI, LINE 6: WHILE NOT PART OF A HEALTH SYSTEM PER SE, LEWISTOWN HOSPITAL IS A PART OF THE LEWISTOWN HEALTHCARE FOUNDATION NETWORK OF RELATED ORGANIZATIONS. THE ROLE OF THE HOSPITAL AND ITS AFFILIATED ORGANIZATIONS ARE AS FOLLOWS:LEWISTOWN HOSPITAL:LEWISTOWN HOSPITAL IS A 123-BED ACUTE CARE COMMUNITY HOSPITAL SERVING THE RESIDENTS OF MIFFLIN AND JUNIATA COUNTIES AND MEMBERS OF THE SURROUNDING COUNTIES OF SNYDER, AND HUNTINGDON. ESTABLISHED IN 1905, THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, WELLNESS AND COMMUNITY SERVICES WHILE EMPLOYING OVER 1,000 FULL-TIME AND PART-TIME EMPLOYEES AND PROVIDING A MEDICAL STAFF CONSISTING OF 128 PHYSICIANS AND ALLIED HEALTH PRACTITIONERS REPRESENTING SPECIALTIES RANGING FROM FAMILY MEDICINE, INTERNAL MEDICINE, AND CARDIOLOGY TO INFECTIOUS DISEASE AND GENERAL/CARDIOVASCULAR SURGERY.THE MISSION OF LEWISTOWN HOSPITAL IS TO PROVIDE PERSONAL, HIGH-QUALITY ECONOMICAL HEALTHCARE FOR OUR COMMUNITIES.85% OF COMMUNITY BENEFIT ACTIVITIES ARE CONTRIBUTED THROUGH LEWISTOWN HOSPITAL. FAMILY HEALTH ASSOCIATES OF LEWISTOWN HOSPITAL (FHA):FHA, A PENNSYLVANIA NON-PROFIT CORPORATION, IS A MULTI-SPECIALTY PHYSICIAN/PRACTITIONER GROUP LOCATED IN CENTRAL PENNSYLVANIA. OUR PHYSICIANS ARE BOARD-CERTIFIED OR BOARD ELIGIBLE IN PRIMARY CARE AS WELL AS MANY SPECIALTY AREAS INCLUDING GENERAL SURGERY, PULMONARY MEDICINE, SLEEP MEDICINE, AND WEIGHT LOSS AND NUTRITION. WE ARE DEDICATED TO OUR MISSION OF PROVIDING PERSONAL, HIGH QUALITY, ECONOMICAL HEALTH CARE THAT MEETS THE NEEDS OF OUR COMMUNITIES. FHA STAFF PARTICIPATES IN COMMUNITY HEALTH FAIRS AND SCREENINGS. SEVERAL PHYSICIANS ALSO PARTICIPATE IN MENTORSHIP PROGRAMS FOR INTERNS AND RESIDENTS. 10% OF COMMUNITY BENEFIT ACTIVITIES ARE CONTRIBUTED THROUGH FHA. LEWISTOWN AMBULATORY CARE CORPORATION (LACC):LACC IS A PENNSYLVANIA NON-PROFIT ORGANIZATION THAT IS MAINLY A REAL ESTATE HOLDING COMPANY THAT OWNS AND/OR MANAGES THE NON-HOSPITAL REAL ESTATE ASSETS INCLUDING A MEDICAL OFFICE BUILDING THAT IS ATTACHED TO THE HOSPITAL. HEALTH ENTERPRISES, INC. (HEI):HEI, A PENNSYLVANIA FOR-PROFIT ENTITY, THE ONLY ONE WITHIN THE LEWISTOWN HEALTHCARE FOUNDATION. THE MAIN PURPOSE OF HEI IS THE OPERATION OF OUR FOUR TOTAL LIFE CARE PHARMACIES (TLC PHARMACY). WE HAVE TAKEN THE ROAD LESS TRAVELED, LITERALLY, IN DETERMINING OUR SERVICE SITES. NOTICE THAT THEY ARE LOCATED IN THE MORE RURAL AREAS THROUGHOUT THE JUNIATA VALLEY TO PROVIDE CONVENIENCE AND CLOSE PROXIMITY TO OUR PHYSICIAN PRACTICES IN FAMILY HEALTH ASSOCIATES. 5% OF COMMUNITY BENEFIT ACTIVITIES ARE CONTRIBUTED THROUGH HEI. LEWISTOWN HEALTHCARE FOUNDATION (LHF):LHF, IS A PENNSYLVANIA NON-PROFIT MEMBERSHIP CORPORATION. LEWISTOWN HOSPITAL IMPLEMENTED A CORPORATE REORGANIZATION PLAN IN 1985, ESTABLISHING LHF AS THE PARENT COMPANY OF WHICH LEWISTOWN HOSPITAL IS ONE OF ITS SUBSIDIARIES.
PA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	LEWISTOWN HEALTHCARE FOUNDATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 HIGHLAND AVENUE	AddressLine1
City	LEWISTOWN	City
State	PA	State
ZIP Code	17044	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	232344363	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	4046008	AmountOfCashGrant
Method Of Valuation	CASH	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance
Purpose Of Grant	NET ASSET TRANSFER TO FUND OPERATIONS OF RELATED ENTITIES - FAMILY HEALTH ASSOCIATES OF LEWISTOWN HOSPITAL & LEWISTOWN AMBULATORY CARE CORP.	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	EDUCATIONAL SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	10	NumberOfRecipients
Amount Of Cash Grant	12000	AmountOfCashGrant
Method Of Valuation	CASH	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: FUNDS WERE PROVIDED TO A RELATED ORGANIZATION UNDER COMMON MANAGEMENT TO SUPPORT OPERATIONS. THE PARTNERS IN EDUCATION SCHOLARSHIP IS A SCHOLARSHIP PROGRAM FOR EMPLOYEES OF LEWISTOWN HOSPITAL OR AN AFFILIATE WHO IS PURSUING A DIPLOMA, ASSOCIATES, BACHELORS, OR MASTERS DEGREE IN A HEALTH CARE RELATED FIELD. THE FUNDING FOR THIS IS MADE POSSIBLE THROUGH NET PROCEEDS FROM THE HOSPITAL GIFT SHOP. APPLICANTS MUST MEET CERTAIN CRITERIA AND WRITE A MINIMUM TWO-PAGE ESSAY. THE APPLICATIONS AND ESSAYS ARE REVIEWED BY THE SCHOLARSHIP COMMITTEE WHICH IS COMPRISED OF 3 DIRECTOR LEVEL EMPLOYEES OF THE HOSPITAL. FINALISTS ARE AWARDED $1,000 EACH BY JUNE 1 OF EACH YEAR. THE SOPHIE SNOOK SCHOLARSHIP PROGRAM IS A SCHOLARSHIP PROGRAM IN MEMORY OF SOPHIE SNOOK, THE FIRST GRADUATE OF LEWISTOWN HOSPITAL SCHOOL OF NURSING. APPLICANTS MUST BE EITHER A FULL, PART-TIME, OR RELIEF EMPLOYEE FROM ANY DEPARTMENT OF THE HOSPITAL WHO IS PURSUING A SECONDARY DIPLOMA, CERTIFICATE OR DEGREE RELATING TO PATIENT CARE, OR A STUDENT WHO HAS BEEN ACCEPTED INTO THE LEWISTOWN HOSPITAL SCHOOL OF NURSING. APPLICANTS MUST MEET CERTAIN OTHER CRITERIA AND WRITE A MINIMUM TWO-PAGE ESSAY. THE APPLICATIONS AND ESSAYS ARE REVIEWED BY THE SCHOLARSHIP COMMITTEE WHICH IS COMPRISED OF MEMBERS OF THE FRIENDS OF LEWISTOWN HOSPITAL, FORMERLY THE LEWISTOWN HOSPITAL AUXILIARY. THE RECIPIENTS BY JULY 1 OF EACH YEAR. PROCEEDS TO FUND THE PROGRAM COME FROM THE FUNDRAISING ACTIVITIES OF THE FRIENDS OF LEWISTOWN HOSPITAL.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KAY A HAMILTON
PRESIDENT/CEO	287716	0	0	0	590	0	38250	0	10340	0	336896	0	0	0
RANDY TEWKSBURY
VP FINANCE/CFO	192405	0	0	0	566	0	30199	0	20507	0	243677	0	0	0
KIRK E THOMAS
SR. VP OPERATIONS/COO	144694	0	0	0	175	0	22825	0	24086	0	191780	0	0	0
NANCY S REINKE
VP HUMAN RESOURCES	120430	0	0	0	473	0	19342	0	25112	0	165357	0	0	0
RONALD M COWAN
CIO	121085	0	0	0	267	0	18950	0	15340	0	155642	0	0	0
CHRISTINE W MATHEWS
VP NURSING CARE SERVICES	141434	0	0	0	684	0	21744	0	6221	0	170083	0	0	0
NALIN G PATEL
PSYCHIATRIST	324711	0	0	0	83158	0	0	0	20478	0	428347	0	0	0
RICHARD F STOMACKIN
PHARMACIST	152019	0	0	0	1271	0	23453	0	6303	0	183046	0	0	0
LEWIS D ALLSHOUSE III
PHARMACIST	127120	0	0	0	663	0	20215	0	12772	0	160770	0	0	0
DESHAUN RICHARDS
PHARMACIST	121028	0	0	0	116	0	19056	0	19065	0	159265	0	0	0
KEITH S GRAHAM
PHARMACIST	115009	0	0	0	79	0	18230	0	23566	0	156884	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MIFFLIN COUNTY HOSPITAL AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	231352187	IssuerEIN
CUSIP Number	598520CE2	CUSIPNumber
Date Issued	2007-06-13	DateIssued
Issue Price	21723377	IssuePrice
Description Of Purpose	REFUNDING ON AN ADVANCE BASIS A PORTION ($19,775,000) OF SERIES 2000 BONDS	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	21723377	TotalProceeds
Amount In Reserve Fund	1722381	AmountInReserveFund
Issuance Costs From Proceeds	434648	IssuanceCostsFromProceeds
Other Spent Proceeds	19561939	OtherSpentProceeds
Amount Unspent	4589	AmountUnspent
Current Refunding	0	CurrentRefunding
Advance Refunding	1	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	0	RebateNotDueYet
Exception To Rebate	0	ExceptionToRebate
No Rebate Due	1	NoRebateDue
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	0	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K PART IV, ARBITRAGE, LINE 2C	Identifier
Return Reference	DATE REBATE COMPUTATION PERFORMED	ReturnReference
Explanation	ISSUER NAME: MIFFLIN COUNTY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/13/2013	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
GAYLE COWAN
DIRECTOR/MANAGER OF THE EDUCATION DEPARTMENT, WIFE OF RONALD COWAN, CIO	85483	WAGES AND BENEFITS PAID TO GAYLE COWAN	0
GURPREET S BHALLA MD
BOARD MEMBER/PROPRIETOR OF PENN ANESTHESIA	320000	CONTRACTUAL AGREEMENT WITH LH TO PROVIDE ANESTHESIA SERVICES TO THE HOSPITAL. THE BOARD MEMBERSHIP OF GURPREET S. BHALLA, MD CEASED ON NOVEMBER 1, 2013 WITH THE ACQUISITION OF THE ORGANIZATION BY GEISINGER HEALTH SYSTEM FOUNDATION.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	DIANE SPOKUS, VICE CHAIR OF THE BOARD, EMPLOYED BY PENN STATE UNIVERSITY AS A PROFESSOR OF HPA AND CATHERINE STOUT, BOARD MEMBER, EMPLOYED BY PENN STATE UNIVERSITY AS AN ASSISTANT DONALD CHAPMAN, SR., SECRETARY OF THE BOARD, IS MIFFLIN COUNTY INDUSTRIAL DEVELOPMENT CORPORATION (MCIDC) FIRST PRESIDENT, WHILE KAY HAMILTON, PRESIDENT OF THE BOARD AND JON ZIMMERMAN, BOARD MEMBER, ARE ALSO BOTH BOARD MEMBERS OF MCIDC. JAMES SHILLING, JR., BOARD MEMBER AND OKSANA DEARMENT, EX-OFFICIO BOARD MEMBER, ARE BOTH EMPLOYED BY KISH BANK. JAMES IS AN EXECUTIVE VP WHILE OKSANA IS AN AVP IN THE ADMIN. SERVICES GROUP.
FORM 990, PART VI, SECTION B, LINE 11	A FINAL DRAFT REVIEWED BY THREE LEVELS OF FINANCE STAFF WAS PRESENTED TO THE BOARD FOR REVIEW PRIOR TO BEING FILED. THE BOARD REVIEWED PRIOR TO MEETING AT A REGULARLY SCHEDULED MEETING AND DEVELOPED QUESTIONS TO BE ASKED AT THE MEETING. ANY QUESTIONS SUBMITTED BY THE BOARD WERE RESEARCHED WITH THE PREPARER AND FINAL RESOLUTION WAS COMMUNICATED BACK TO THE BOARD BY THE FINANCE STAFF.
FORM 990, PART VI, SECTION B, LINE 12C	THE CHAIR OF THE LHF BOARD IS RESPONSIBLE FOR BEING FAMILIAR WITH ALL DISCLOSURE STATEMENTS IN ORDER TO GUIDE CONDUCT SHOULD CONFLICT ARISE. ALL MEMBERS AND KEY EMPLOYEES ARE ALSO RESPONSIBLE FOR UNDERSTANDING WHAT POTENTIAL CONFLICTS ARE AND SUBMITTING AN UPDATED DISCLOSURE STATEMENT IF CONFLICTING SITUATIONS ARISE. PER POLICY, PERIODIC REVIEWS ARE CONDUCTED BY LHF BOARD TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE; ACQUISITIONS OR OTHER ARRANGEMENTS WITH PROVIDERS DON'T RESULT IN ANY CONFLICTS; PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ANY ARRANGEMENTS WITH OTHER ORGANIZATIONS CONFORM TO WRITTEN POLICIES; AND ANY AGREEMENTS TO PROVIDE HEALTH CARE ENTERED INTO DO NOT RESULT IN INUREMENT OR IMPREMISSIBLE PRIVATE BENEFIT. ON AN ANNUAL BASIS, A CONFLICT OF INTEREST DISCLOSURE STATEMENT MUST BE SUBMITTED IN WRITING TO THE CEO. THE CEO, BOARD CHAIR AND CORPORATE COMPLIANCE OFFICER REVIEW AND MAINTAIN THE DISCLOSURE STATEMENTS. MEMBERS ARE REQUIRED TO ABSTAIN FROM VOTING ON MATTERS INVOLVING POTENTIAL CONFLICTS. FAILURE TO COMPLY WITH THE POLICY SHALL CONSTITUTE GROUNDS FOR REMOVAL FROM THE BOARD OR TERMINATION OF EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15	THE SENIOR EXECUTIVE STAFF INCLUDES THE CEO AND OTHER KEY EMPLOYEES. THE SENIOR EXECUTIVE STAFF HAS THEIR SALARIES, RESPONSIBILITIES ANALYZED BY AN OUTSIDE CONSULTANT SPECIALIZING IN THE EXECUTIVE COMPENSATION AREA. RECOMMENDATIONS BASED ON THE ANALYSIS ARE THEN BROUGHT TO THE BOARD. THE BOARD DETERMINES ACTUAL INCREASES BASED ON THE RECOMMENDATIONS AND FINANCES OF THE HOSPITAL. THIS ANNUAL REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN THE BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	AN ANNUAL REPORT IS AVAILABLE TO THE PUBLIC VIA THE ORGANIZATION'S WEBSITE. THIS REPORT SHOWS THE ANNUAL CONSOLIDATED STATEMENT OF OPERATIONS AND A CONSOLIDATED BALANCE SHEET. IT ALSO SHOWS ANNUAL OPERATING STATISTICS AND LISTS THE NAMES OF BOARD MEMBERS, SENIOR EXECUTIVE STAFF, AND THE MEMBERS OF THE MEDICAL EXECUTIVE COMMITTEE. CURRENTLY, THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THIS INFORMATION IS CONSIDERED PROPRIETARY AND IS NOT LEGALLY REQUIRED TO BE MADE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART XI, LINE 9:	VALUATION LOSS -3,100. PENSION LIABILITY ADJUSTMENT 8,205,104.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
LEWISTOWN AMBULATORY CARE CORPORATION
400 HIGHLAND AVENUE	LEWISTOWN	PA	17044	232344362	TO DEVELOP AND RENT REAL ESTATE TO ITS AFFILIATES	PA	501(C)(3)	11B	LEWISTOWN HEALTHCARE FOUNDATION	0
LEWISTOWN HEALTHCARE FOUNDATION
400 HIGHLAND AVENUE	LEWISTOWN	PA	17044	232344363	TO CONDUCT FUNDRAISING AND GRANT-MAKING ACTIVITIES TO BENEFIT RELATED ORGS.	PA	501(C)(3)	11B		0	N/A
FAMILY HEALTH ASSOCIATES OF GEISINGER - LEWISTOWN HOSPITAL
400 HIGHLAND AVENUE	LEWISTOWN	PA	17044	251651582	TO EMPLOY PRIMARY CARE PHYSICIANS AND PROVIDE HEALTHCARE SERVICES	PA	501(C)(3)	11B	LEWISTOWN HEALTHCARE FOUNDATION	0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH ENTERPRISES INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 HIGHLAND AVENUE	AddressLine1
City	LEWISTOWN	City
State	PA	State
ZIP Code	17044	ZIPCode

Field	Value	IRS element (for citing)
EIN	232353212	EIN
Primary Activity	HEALTHCARE	PrimaryActivity
Legal Domicile State	PA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg