THE PALMERTON HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: THE PALMERTON HOSPITAL (EIN 23-5562316)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201431359349304123
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 H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T11:52:06-05:00	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	235562316	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	PALM	NameControl
Phone	6103777003	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	135 LAFAYETTE AVENUE	AddressLine1
City	PALMERTON	City
State	PA	State
ZIP Code	18071	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ANDREA ANDRAE	Name
Title	CFO	Title
Phone	6103777003	Phone
Date Signed	2014-05-14	DateSigned
Authorize Third Party	0	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	ANDREA ANDRAE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	135 LAFAYETTE AVENUE	AddressLine1
City	PALMERTON	City
State	PA	State
ZIP Code	18071	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	33583618	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.BLMTN.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1913	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	OPERATE A 60 BED ACUTE CARE HOSPITAL.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	427	TotalNbrEmployees
Total Nbr Volunteers	269	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1275360	ContributionsGrantsPriorYear
Contributions Grants Current Year	165304	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	31575876	ProgramServiceRevenuePriorYear
Program Service Revenue CY	30913785	ProgramServiceRevenueCY
Investment Income Prior Year	99842	InvestmentIncomePriorYear
Investment Income Current Year	168784	InvestmentIncomeCurrentYear
Other Revenue Prior Year	304649	OtherRevenuePriorYear
Other Revenue Current Year	2026907	OtherRevenueCurrentYear
Total Revenue Prior Year	33255727	TotalRevenuePriorYear
Total Revenue Current Year	33274780	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1754229	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	16929505	SalariesEtcPriorYear
Salaries Etc Current Year	17290642	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	15547791	OtherExpensePriorYear
Other Expenses Current Year	14929019	OtherExpensesCurrentYear
Total Expenses Prior Year	32477296	TotalExpensesPriorYear
Total Expenses Current Year	33973890	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	778431	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-699110	RevenuesLessExpensesCY
Total Assets BOY	18519073	TotalAssetsBOY
Total Assets EOY	18904143	TotalAssetsEOY
Total Liabilities BOY	11982829	TotalLiabilitiesBOY
Total Liabilities EOY	12925378	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	6536244	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	5978765	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	PROMOTE, MAINTAIN AND RESTORE THE GOOD HEALTH OF ALL THE PEOPLE IN THE COMMUNITIES WE SERVE THROUGH PARTNERSHIPS FOR EXCELLENCE IN HEALTHCARE SERVICE DELIVERY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	29422766	Expense
Grants	1754229	Grants
Revenue	30960066	Revenue
Description	PALMERTON HOSPITAL (THE "HOSPITAL") IS A 60-BED, NOT-FOR-PROFIT GENERAL ACUTE CARE HOSPITAL LOCATED IN THE BOROUGH OF PALMERTON IN CARBON COUNTY. IT IS APPROXIMATELY 20 MILES NORTH OF ALLENTOWN-BETHLEHEM AND LESS THAN 10 MILES EAST OF THE WESTERN POCONO REGION OF NORTHEASTERN PENNSYLVANIA. DURING THE PERIOD OF JULY 1, 2012 THROUGH JUNE 30, 2013, THE HOSPITAL HAD A TOTAL OF 1,937 ADMISSIONS AND 9,804 PATIENT DAYS. TOTAL OCCUPANCY FOR THE HOSPITAL WAS APPROXIMATELY 50%.THE HOSPITAL OPERATES A FULL-SERVICE EMERGENCY DEPARTMENT (THE "ED"). DURING THE PERIOD OF JULY 1, 2012 THROUGH JUNE 30, 2013, THE ED EXPERIENCED APPROXIMATELY 11,429 VISITS. IN ADDITION, THE HOSPITAL PROVIDES SERVICES IN MEDICINE, GENERAL AND ORTHOPEDIC SURGERY, AND INTENSIVE CARE.THE HOSPITAL OPERATES A SATELLITE RADIOLOGY AND LABORATORY SITE IN THE VILLAGE OF GILBERT IN MONROE COUNTY, A COMMUNITY ABOUT 10 MILES FROM THE MAIN FACILITY IN PALMERTON. THE HOSPITAL ALSO HAS MULTIPLE OUTPATIENT THERAPY LOCATIONS IN THE SURROUNDING COMMUNITY.	Description
Total Program Service Expense	29422766	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	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	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	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	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	0	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	19	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	427	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
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	0	QuidProQuoContributions
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	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	0	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	ANDREA L ANDRAE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6103777003	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	180 NORTH 12TH STREET	AddressLine1
City	LEHIGHTON	City
State	PA	State
ZIP Code	18235	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
PATRICK REILLY
DIRECTOR	1.00	3.00	X	0	0	0
MICHAEL HARLEMAN
BOARD CHAIRMAN	1.00	3.00	X	0	0	0	X
PATRICK HANLEY DO
BOARD SECRETARY	1.00	39.00	X	0	118208	2442	X
CONRAD BIEGE
DIRECTOR	1.00	3.00	X	0	0	0
ANDREW E HARRIS
PRESIDENT/CEO	15.00	35.00	X	0	488275	22572	X
SHELBA SCHEFNER
DIRECTOR	1.00	3.00	X	0	0	0
BARBARA GREEN
BOARD TREASURER	1.00	3.00	X	0	0	0	X
WILLIAM H FEGLEY JR
DIRECTOR	1.00	3.00	X	0	0	0
JAIME MENDES
DIRECTOR	1.00	3.00	X	0	0	0
WILLIAM MASON
DIRECTOR	1.00	3.00	X	0	0	0
REV ROBERT VONFRISCH
DIRECTOR	1.00	3.00	X	0	0	0
WILLIAM MARKSON MD
DIRECTOR	1.00	3.00	X	0	0	0
RICHARD ROTHFLEISCH MD
DIRECTOR	1.00	3.00	X	0	0	0
LOUIS SPORTELLI DC
BOARD VICE CHAIRMAN	1.00	3.00	X	0	0	0	X
ROBERT GROB
DIRECTOR	1.00	3.00	X	0	0	0
STEVEN SERFASS
DIRECTOR	1.00	3.00	X	0	0	0
WILLIAM KISSNER
DIRECTOR	1.00	3.00	X	0	0	0
ANDREA ANDRAE
CFO	15.00	35.00		168642	0	21174	X
RUTHANN BRENNAN
VP CLINICAL AFFAIRS	25.00	15.00		163531	0	10818		X
DOROTHY PATZEK
VP NURSING	40.00			118021	0	23164		X
STEVEN LAZICKI
MANAGER	40.00			148771	0	24087		X
LORI FREY
DIR. CLINICAL DOCUMENTATION	25.00	15.00		113260	0	9112		X
ALLISON LONG
DIR. MATERIALS MANAGEMENT	20.00	20.00		109515	0	20312		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	821740	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	606483	TotalReportableCompFrmRltdOrgs
Total Other Compensation	133681	TotalOtherCompensation
Number Individuals GT100 K	8	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SIEMENS MEDICAL SOLUTIONS
PO BOX 7777 W3580	PHILADELPHIA	PA	19175	IT SERVICES	1343740
STEVEN LAZICKI
PO BOX 1012	KRESGEVILLE	PA	18333	REHAB SERVICES AT WEST END PT	282818
PINNACLE ANESTHESIA
13601 PRESTON ROAD	DALLAS	TX	75240	ANESTHESIA SERVICES	145015

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	3	NumberOfContractorsGT100K
Related Organizations	16211	RelatedOrganizations
Government Grants	32156	GovernmentGrants
All Other Contributions	116937	AllOtherContributions
Total Contributions	165304	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SVC REV	Description
Business Code	621990	BusinessCode
Total Revenue Column	30913785	TotalRevenueColumn
Related Or Exempt Function Income	30913785	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	30913785	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	30642	TotalRevenueColumn
Exclusion	$30,642	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	147141	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	149324	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-2183	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-2183	TotalRevenueColumn
Exclusion	-$2,183	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	153405	Securities
Other	144251	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	91389	Securities
Other	68125	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	62016	Securities
Other	76126	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	138142	TotalRevenueColumn
Exclusion	$138,142	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
MC & MA MEANINGFUL USE INCOME	900099	1809477	$1,809,477
CAFE MEALS	900099	123915	$123,915
REBATES	900099	45409	$45,409

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	50289	TotalRevenueColumn
Related Or Exempt Function Income	46281	RelatedOrExemptFunctionIncome
Exclusion	$4,008	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2029090	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	33274780	TotalRevenueColumn
Related Or Exempt Function Income	30960066	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$2,149,410	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1754229	Total
Program Services	1754229	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	193895	Total
Management And General	193895	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	13030117	Total
Program Services	11700646	ProgramServices
Management And General	1329471	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	164171	Total
Program Services	159705	ProgramServices
Management And General	4466	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2885345	Total
Program Services	2578313	ProgramServices
Management And General	307032	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1017114	Total
Program Services	902433	ProgramServices
Management And General	114681	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	65652	Total
Management And General	65652	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	5582	Total
Program Services	5582	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2399914	Total
Program Services	1414104	ProgramServices
Management And General	985810	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	197949	Total
Management And General	197949	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1688704	Total
Program Services	1558395	ProgramServices
Management And General	130309	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	810942	Total
Program Services	233150	ProgramServices
Management And General	577792	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	766266	Total
Program Services	765538	ProgramServices
Management And General	728	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	22336	Total
Program Services	10138	ProgramServices
Management And General	12198	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	7290	Total
Program Services	5215	ProgramServices
Management And General	2075	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	153678	Total
Management And General	153678	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1354601	Total
Program Services	1354601	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	533290	Total
Program Services	533290	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT EXPENSE	2874190	2874190
MEDICAL SUPPLIES	2306013	2305931	82
DRUGS	627186	627186
MA ASSESSMENT	298444		298444

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	816982	Total
Program Services	640120	ProgramServices
Management And General	176862	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	33973890	Total
Program Services	29422766	ProgramServices
Management And General	4551124	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1365117	BOY
EOY	165000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	3640257	BOY
EOY	3438694	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	743955	BOY
EOY	710060	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	189902	BOY
EOY	204673	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	36964492	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	28374748	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	8102086	BOY
EOY	8589744	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	2407719	BOY
EOY	2662912	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	578439	BOY
EOY	608488	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	464350	BOY
EOY	464351	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1027248	BOY
EOY	2060221	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	18519073	BOY
EOY	18904143	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2989245	BOY
EOY	3539309	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	3267913	BOY
EOY	2542052	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	935048	BOY
EOY	1405176	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4790623	BOY
EOY	5438841	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	11982829	BOY
EOY	12925378	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5648504	BOY
EOY	5033570	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	887740	BOY
EOY	945195	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6536244	BOY
EOY	5978765	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	18519073	BOY
EOY	18904143	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-699110	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	84176	ReconciliationUnrealizedInvest
Reconcilation Other Changes	57455	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 Separate	X	FinancialStatementSeparate

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	1	GrantsOtherOrganizations
Grants Other Organizations	$5,582	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	5582	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 OF THE DUES PAID TO THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA ($5,582) WAS DETERMINED TO BE FOR LOBBYING PURPOSES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	557620	BeginningOfYearBalance
Investment Earnings Or Losses	30049	InvestmentEarningsOrLosses
End Of Year Balance	587669	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	586222	BeginningOfYearBalance
Investment Earnings Or Losses	-28602	InvestmentEarningsOrLosses
End Of Year Balance	557620	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	260158	BeginningOfYearBalance
Investment Earnings Or Losses	60712	InvestmentEarningsOrLosses
Administrative Expenses	1948	AdministrativeExpenses
End Of Year Balance	318922	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	449193	BeginningOfYearBalance
Contributions	36601	Contributions
Investment Earnings Or Losses	-63377	InvestmentEarningsOrLosses
Other Expenditures	162259	OtherExpenditures
End Of Year Balance	260158	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	541318	BeginningOfYearBalance
Investment Earnings Or Losses	-53148	InvestmentEarningsOrLosses
Other Expenditures	38977	OtherExpenditures
End Of Year Balance	449193	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	126410	OtherCostOrOtherBasis
Book Value	126410	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11173343	OtherCostOrOtherBasis
Depreciation	6714664	Depreciation
Book Value	4458679	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	344891	OtherCostOrOtherBasis
Depreciation	304916	Depreciation
Book Value	39975	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	24370602	OtherCostOrOtherBasis
Depreciation	20879736	Depreciation
Book Value	3490866	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	949246	OtherCostOrOtherBasis
Depreciation	475432	Depreciation
Book Value	473814	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	8589744	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
DEFERRED FINANCING COSTS, NET	61479
INSURANCE RECOVERIES RECEIVABLE	1894808
ESTIMATED THIRD PARTY SETTLEMENTS	103934

Field	Value	IRS element (for citing)
Total Book Value Other Assets	2060221	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
BLUE CROSS WORKING CAPITAL ADVANCE	$171,128
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$2,275,233
DUE TO GNADEN HUETTEN MEMORIAL HOSPITAL	$2,458,984
OBLIGATIONS UNDER CAPITAL LEASES	$364,485
BANK OVERDRAFT	$169,011

Field	Value	IRS element (for citing)
Total Of Amounts	5438841	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	28937316	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	84176	NetUnrealizedGainsInvestments
Other Revenues	-4570964	OtherRevenues
Revenue Not Rptd F990	-4486788	RevenueNotRptdF990
Revenue Subtotal	33424104	RevenueSubtotal
Other Revenues Not Included	-149324	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-149324	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	33274780	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	29494795	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	149324	OtherExpensesIncluded
Expenses Not Rptd F990	149324	ExpensesNotRptdF990
Expenses Subtotal	29345471	ExpensesSubtotal
Other Expenses Not Included	4628419	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	4628419	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	33973890	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	TERM ENDOWMENT FUNDS ARE USED FOR THE PURCHASE OF PLANT AND EQUIPMENT TO FURTHER THE MISSION OF THE ORGANIZATION.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	PALMERTON HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS EXEMPT INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. 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 THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD. THE HOSPITAL'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR 2010, 2011, AND 2012 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		VALUATION LOSS 57,455. BAD DEBT EXPENSE -2,874,190. GLOBAL BUDGET SETTLEMENT -1,754,229.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -149,324.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 149,324.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		BAD DEBT EXPENSE 2,874,190. GLOBAL BUDGET SETTLEMENT 1,754,229.
		FORM 99, SCHEDULE D, PART V, LINE 1A: INCLUDED IN THIS LINE IS A RESTATEMENT OF THE ENDOWMENT IN THE AMOUNT OF $267,300.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	0	AmountsBudgetedForCharityCare
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	98810	TotalCommunityBenefitExpense
Net Community Benefit Expense	98810	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1800219	TotalCommunityBenefitExpense
Direct Offsetting Revenue	949632	DirectOffsettingRevenue
Net Community Benefit Expense	850587	NetCommunityBenefitExpense
Percent Of Total Expense	0.02740	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1899029	TotalCommunityBenefitExpense
Direct Offsetting Revenue	949632	DirectOffsettingRevenue
Net Community Benefit Expense	949397	NetCommunityBenefitExpense
Percent Of Total Expense	0.03060	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	61074	TotalCommunityBenefitExpense
Net Community Benefit Expense	61074	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8800	TotalCommunityBenefitExpense
Net Community Benefit Expense	8800	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	555696	TotalCommunityBenefitExpense
Direct Offsetting Revenue	221768	DirectOffsettingRevenue
Net Community Benefit Expense	333928	NetCommunityBenefitExpense
Percent Of Total Expense	0.01070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	625570	TotalCommunityBenefitExpense
Direct Offsetting Revenue	221768	DirectOffsettingRevenue
Net Community Benefit Expense	403802	NetCommunityBenefitExpense
Percent Of Total Expense	0.01300	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2524599	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1171400	DirectOffsettingRevenue
Net Community Benefit Expense	1353199	NetCommunityBenefitExpense
Percent Of Total Expense	0.04360	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$858,715	BadDebtExpenseAmount
Amount Attributable To	85872	AmountAttributableTo
Amount Reimbursed By Medicare	10009636	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	12742375	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2732739	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	0	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	PALMERTON HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	135 LAFAYETTE AVENUE	AddressLine1
City	PALMERTON	City
State	PA	State
ZIP Code	18071	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	GERIPSYCH UNIT	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	2	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
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	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDED UNDER SCHEDULE H FOR THE PALMERTON HOSPITAL ARE THE ADULT DAY SERVICES PROGRAM AND THE EMERGENCY DEPARTMENT. ADULT DAY SERVICES OF THE BLUE MOUNTAIN HEALTH SYSTEM OFFERS AN ALTERNATIVE TO NURSING CARE WHILE PROVIDING RESPITE FOR THOSE CARING FOR SOMEONE AT HOME. THE PROGRAM OFFERS A WARM, FRIENDLY ATMOSPHERE AND THE OPPORTUNITY FOR SENIORS TO DEVELOP FRIENDSHIPS WHILE PARTICIPATING IN ACTIVITIES THEY ENJOY. OUR EXPERIENCED STAFF INCLUDES REGISTERED NURSES, LICENSED PRACTICAL NURSES, CERTIFIED THERAPEUTIC RECREATION SPECIALISTS AND CERTIFIED NURSE AIDES. THE PALMERTON HOSPITAL PROVIDED SUBSIDIES OF APPROXIMATELY $334,000 TO THE ADULT DAY SERVICES CENTER DURING FY2013.THE EMERGENCY DEPARTMENT LOCATED AT PALMERTON HOSPITAL PROVIDES AROUND-THE-CLOCK EMERGENCY SERVICES TO THE SURROUNDING COMMUNITIES WITHIN CARBON COUNTY. CARE IS PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. DURING FY2013, THE PALMERTON EMERGENCY DEPARTMENT SAW 11,395 PATIENTS WITH A SUBSIDIZED COST TO PROVIDE THESE SERVICES OF $883,000 OF WHICH $168,000 IS INCLUDED IN THE MEDICAID SHORTFALL.WHILE WE ARE AWARE THAT EACH HOSPITAL IS REQUIRED TO STAND ALONE WITH REGARD TO THEIR COMMUNITY BENEFIT REPORTING, THE TWO HOSPITALS OF BLUE MOUNTAIN FUNCTION IN TANDEM TO DRIVE COMMUNITY BENEFIT STRATEGY. SUBSIDIZED HEALTH SERVICES INCLUDED UNDER SCHEDULE H FOR THE GNADEN HUETTEN MEMORIAL HOSPITAL ARE THE FAMILY PLANNING CLINIC AND THE EMERGENCY DEPARTMENT. THE NATIONAL FAMILY PLANNING PROGRAM, ALSO KNOWN AS TITLE X (TEN) OF THE PUBLIC HEALTH SERVICE ACT, WAS ESTABLISHED IN 1970 TO ENSURE THAT NO AMERICAN WOMAN WOULD BE DENIED ACCESS TO FAMILY PLANNING ASSISTANCE BECAUSE OF HER ECONOMIC CONDITION. FOR MORE THAN THREE DECADES, TITLE X HAS BEEN AN INTEGRAL COMPONENT OF OUR NATIONS PUBLIC HEALTH CARE SYSTEM, PROVIDING HIGH QUALITY FAMILY PLANNING SERVICES AND OTHER PREVENTIVE HEALTH CARE TO LOW-INCOME OR UNINSURED INDIVIDUALS WHO MAY OTHERWISE LACK ACCESS TO HEALTH CARE. MATERNAL AND FAMILY HEALTH SERVICES ADMINISTERS THE PROGRAM THROUGH A NETWORK OF DIRECT AND CONTRACT SERVICE PROVIDERS. IN ADDITION TO DIRECT SITES, THE NETWORK SYSTEM INCLUDES HOSPITALS, PLANNED PARENTHOOD AFFILIATES, COMMUNITY HEALTH CENTERS AND PHYSICIAN GROUPS. THE GNADEN HUETTEN MEMORIAL HOSPITAL PROVIDED SUBSIDIES OF APPROXIMATELY $60,000 TO OUR FAMILY PLANNING CLINIC DURING FY2013.THE EMERGENCY DEPARTMENT LOCATED AT GNADEN HUETTEN MEMORIAL HOSPITAL PROVIDES AROUND-THE-CLOCK EMERGENCY SERVICES TO THE SURROUNDING COMMUNITIES WITHIN CARBON COUNTY. CARE IS PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. DURING FY2013, THE GNADEN HUETTEN MEMORIAL HOSPITAL EMERGENCY DEPARTMENT SAW 19,318 PATIENTS WITH A SUBSIDIZED COST TO PROVIDE THESE SERVICES OF $1,901,414 OF WHICH $791,444 IS INCLUDED IN THE MEDICAID SHORTFALL.
PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED OUT FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCH H, PART I, LINE 7, COLUMN (F) IS $2,874,190.
PART II: COMMUNITY OUTREACH PROGRAMS- PROVIDES 2000 INFLUENZA VACCINE TO COMMUNITY RESIDENTS IN PARTNERSHIP WITH THE PA DEPARTMENT OF HEALTH AND THE CARBON COUNTY EMERGENCY MANAGEMENT AGENCY- PARTICIPATES IN MORE THAN 25 COMMUNITY HEALTH FAIRS PROVIDING A VARIETY OF SCREENINGS - EMS, L.B. MORRIS ELEMENTARY SCHOOL, THE VILLAGE AT PALMERTON, CARBON COUNTY FAIR, WEST END FAIR, PALMERTON COMMUNITY FESTIVAL, LEHIGHTON LIONESS AND LIONS CLUB, PALMERTON LIONS CLUB, PALMER ELEMENTARY SCHOOL, LEHIGHTON RECREATION SENIOR FAIR, REP. DOYLE HEFFLEY SENIOR FAIR, WEATHERLY SCHOOL DISTRICT WELLNESS FAIR, PLEASANT VALLEY ACADEMIC HEALTH FAIR, 25TH ANNUAL CHILDREN'S HEALTH FAIR; WEST END PHYSICAL THERAPY OPEN HOUSE AND HEALTH FAIR.- HOSTS 5 HEALTH SUPPORT GROUPS IN THE COMMUNITY: BREAST CANCER, WEIGHT LOSS/BARIATRIC SURGERY, ADULT DAY CAREGIVER, THE SUMMIT CAREGIVER, DIABETES AND OTHER SPECIALTY SUPPORT PROGRAMMING SUCH AS 6-WEEK BEREAVEMENT WORKSHOP.- BLUE MOUNTAIN HEALTH SYSTEM'S FAMILY PLANNING PROGRAM PROVIDES MEN, WOMEN AND TEENS WITH THE INFORMATION AND REPRODUCTIVE HEALTHCARE SERVICES THEY NEED TO STAY HEALTHY, PROVIDES FREE AND LOW-COST CONTRACEPTION, PREGNANCY TESTING, PELVIC EXAMS AND TESTING FOR SEXUALLY TRANSMITTED DISEASES.- OFFER FREE DIAGNOSTIC MAMMOGRAMS AND ULTRASOUNDS TO WOMEN AND MEN WHO ARE UNDER- OR NON-INSURED. - BMHS ADULT DAY CARE PROVIDES AN ALTERNATIVE TO NURSING CARE WHILE PROVIDING RESPITE FOR THOSE CARING FOR SOMEONE IN THEIR HOME. - PROVIDE A PHYSICIAN MEDICAL DIRECTOR FOR THE LOCAL ALS/BLS SERVICES IN THE SURROUNDING COMMUNITIES. - PROVIDES THE HEALTHY SMILES, HAPPY KIDS DENTAL VAN, PROVIDES PREVENTIVE AND RESTORATIVE DENTAL CARE TO UNDER- AND NON-INSURED CHILDREN WITHIN CARBON COUNTY AND THE SURROUNDING AREAS.- HOST "LADIES NIGHT OUT" AND EDUCATIONAL EVENT FOR MORE THAN 200 PARTICIPANTS IN REGARD TO AWARENESS ABOUT FEMALE CANCERS, ESPECIALLY BREAST CANCER. - SUPPORT LOCAL COMMUNITY GROUPS EX. AMERICAN CANCER SOCIETY TELETHON, RELAY FOR LIFE, LIGHT THE NIGHT, AMERICAN LUNG ASSOCIATION, AMERICAN HEART ASSOCIATION, ALZHEIMER'S ASSOCIATION.- VARIOUS STAFF MEMBERS PARTICIPATE IN LOCAL CIVIC ORGANIZATIONS SUCH AS CARBON COUNTY INTERAGENCY COUNCIL, CARBON COUNTY SAFE KIDS COALITION, AMERICAN CANCER SOCIETY, LEHIGHTON ROTARY, JIM THORPE ROTARY, LEHIGHTON LIONESS AND LIONS CLUBS, PALMERTON LIONS AND LIONESS CLUB, CARBON COUNTY CHAMBER OF COMMERCE, PALMERTON CHAMBER OF COMMERCE.
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 BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES. THE TOTAL AMOUNT OF BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 WAS ESTIMATED BASED ON A PERCENTAGE OF TOTAL ADJUSTED PATIENT COST TO TOTAL ADJUSTED PATIENT CHARGES. THE TOTAL ADJUSTED PATIENT COSTS WAS CALCULATED AS FOLLOWS: TOTAL OPERATING EXPENSES AS REPORTED IN THE AUDITED FINANCIAL STATEMENTS LESS BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES, NON PATIENT-CARE ACTIVITIES, AND NET COMMUNITY BENEFIT EXPENSE. TOTAL ADJUSTED OPERATING EXPENSES WERE APPROXIMATELY $28,805,000 FOR FY2013. TOTAL ADJUSTED PATIENT CHARGES WAS CALCULATED AS FOLLOWS: GROSS PATIENT CHARGES LESS GROSS CHARGES FOR COMMUNITY BENEFIT PROGRAMS. TOTAL ADJUSTED PATIENT CHARGES WERE APPROXIMATELY $88,057,000 FOR FY2013. MANAGEMENT DETERMINED APPROXIMATELY 10% OF THE TOTAL BAD DEBT EXPENSE REPORTED ON LINE 2 WAS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. MANAGEMENT CONSIDERED THIS TO BE REASONABLE BASED ON HISTORICAL ANALYSIS OF BAD DEBT EXPENSE.
PART III, LINE 8: NONE OF THE MEDICARE SHORTFALL REPORTED IN LINE 8 WAS TREATED AS A COMMUNITY BENEFIT. AMOUNTS REPORTED ON LINE 6 WERE OBTAINED FROM THE MEDICARE COST REPORT.
PART V, SECTION B, LINE 3: THE CHNA INCLUDED THREE SEPARATE DATA COLLECTION STRATEGIES: AN ANALYSIS OF EXISTING SECONDARY DATA AND EXISTING COMMUNITY HEALTH MEASURES; A FOCUS GROUP CONDUCTED ON NOVEMBER 15, 2012 DURING A REGULARLY SCHEDULED MEETING OF THE CARBON COUNTY INTERAGENCY COUNCIL; AND KEY INFORMANT SURVEYS AND INTERVIEWS. IN-HOUSE AT BMHS, A COMMUNITY BENEFIT PLAN STEERING COMMITTEE WAS FORMED AND PROVIDED INPUT PRIOR TO THE NEEDS ASSESSMENT. THE COMMITTEE WAS COMPOSED OF SENIOR MANAGEMENT AND DEPARTMENT HEADS WITHIN THE HEALTH SYSTEM. THE CARBON COUNTY INTERAGENCY COUNCIL IS COMPOSED OF LEADERSHIP FROM NUMEROUS AGENCIES AND ORGANIZATIONS, REPRESENTING MATERNAL AND CHILD HEALTH, ELDER CARE, BEHAVIORAL HEALTH, COUNTY INFRASTRUCTURE, HEALTHCARE PROVIDERS AND SOCIAL SERVICES. THE FOCUS GROUP WAS CONDUCTED WITH THESE MEMBERS. ADDITIONALLY, A REPORT ON THE FINDINGS WAS GIVEN AT THE MARCH 21, 2013 MEETING. KEY INFORMANTS FROM THE FOLLOWING COMMUNITY WORKPLACES/ PROFESSIONAL FIELDS WERE SURVEYED: FAMILY PRACTICE, COUNTY SCHOOL DISTRICTS, A COMMUNITY COLLEGE, DEPARTMENT OF HEALTH, AND AN INTERMEDIATE UNIT.	THE PALMERTON HOSPITAL
PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED HEALTH PROBLEMS OUR COMMUNITIES FACE AND BARRIERS THAT KEEP RESIDENTS OF OUR COMMUNITIES FROM BEING HEALTHY. THE PRIORITY AREAS OF NEEDS WERE CLEARLY IDENTIFIED THROUGHOUT THE SURVEY TO BE: DRUG, ALCOHOL, AND TOBACCO USE, MENTAL HEALTH, OBESITY, DENTAL NEEDS, AND CHRONIC ILLNESSES. THESE NEEDS ARE CURRENTLY BEING ADDRESSES AS PART OF THE IMPLEMENTATION PLAN. FURTHER IN THE PLAN TO ADDRESS THESE NEEDS, WE ARE ASSISTING WITH LOWERING THE FOLLOWING BARRIERS: LACK OF HEALTH CARE INSURANCE OR UNDERINSURANCE, ACCESS TO COMMUNITY SERVICES, LACK OF PREVENTION SERVICES AND/OR EDUCATION, POOR DIET, AND DENIAL BY PARENTS REGARDING CHILDREN'S ISSUES. THE HOSPITAL CONTINUES TO WORK ACROSS MANY OF THE OTHER IDENTIFIED NEEDS. AS THE NEEDS THAT WERE IDENTIFIED ARE NOT MUTUALLY EXCLUSIVE FROM ONE ANOTHER, IT IS THE HOSPITAL'S HOPE THAT BY ADEQUATELY ADDRESSING THE ABOVE NEEDS AND BARRIERS, THE OTHER NEEDS AND BARRIERS WILL BE INDRECTLY IMPACTED AS WELL. THE NEEDS THAT WERE IDENTIFIED BUT ARE NOT CURRENTLY BEING ADDRESSED ARE: SPECIALTY SERVICES, DOCTORS THAT ACCEPT MA, AND NEEDS NOT MET AT HOME (ELEMENTARY LEVEL-MEDICAL CARE). THE BARRIERS THAT ARE NOT CURRENTLY BEING ADDRESSED ARE: CULTURAL HABITS, ACCESS TO JOBS, POVERTY, AND LACK OF SUPPORT SYSTEMS.	THE PALMERTON HOSPITAL
PART V, SECTION B, LINE 20D: THE AMOUNTS CHARGED WERE IN ACCORDANCE WITH THE HOSPITALS OVERALL FINANCIAL ASSISTANCE POLICY.	THE PALMERTON HOSPITAL
PART VI, LINE 2: THE HOSPITALS OF THE BLUE MOUNTAIN HEALTH SYSTEM CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT, AUGUST 2012 - JANUARY 2013 AND DEVELOPED AN IMPLEMENTATION PLAN WITH STRATEGIES TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. THE PROCESS, CONDUCTED BY EASTCENTRAL PA AREA HEALTH EDUCATION CENTER (ECPA AHEC), USED PRIMARY AND SECONDARY SURVEY DATA, KEY INFORMANT SURVEYS AND INTERVIEWS, AND A FOCUS GROUP TO IDENTIFY AND PRIORITIZE HEALTH PROBLEMS AND RISK FACTORS IN THE CARBON COUNTY SERVICE AREA. AFTER ANALYZING THIS DATA AND MAPPING EXISTING INTERNAL AND COMMUNITY BASED RESOURCES, BMHS DEVELOPED AN IMPLEMENTATION PLAN WITH EVIDENCE BASED STRATEGIES. THE IMPLEMENTATION PLAN WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AT THE ANNUAL STRATEGIC PLANNING RETREAT ON JULY 20, 2013. THE FINAL APPROVED VERSION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN IS AVAILABLE TO THE PUBLIC ON THE HEALTH SYSTEM'S WEBSITE. WITH THE COLLABORATION AFFORDED BY BMHS LEADERSHIP AND KEY COMMUNITY PARTNERS, THE GOALS, OBJECTIVES AND OUTCOME MEASURES DEFINED FOR THE IMPLEMENTATION PLAN WILL REVIEWED ON AN ANNUAL BASIS FOR THE IMPROVEMENT AND POSITIVE IMPACT OF THE IDENTIFIED/PERCEIVED HEALTH NEEDS OF THE COMMUNITY.POST-ASSESSMENT MEETINGS WERE HELD WITH BOTH THE BLUE MOUNTAIN HEALTH SYSTEM'S COMMUNITY BENEFIT PLAN STEERING COMMITTEE AND THE CARBON COUNTY INTERAGENCY COUNCIL TO REPORT THE FINDINGS AND GAIN FURTHER INPUT AND ASSISTANCE WITH THE PRIORITIZATION OF HEALTH NEEDSIDENTIFIED, PRIORITIZED/RANKED COMMUNITY HEALTH NEEDSO DRUG, ALCOHOL AND TOBACCO USE (ACROSS ALL AGES)O MENTAL HEALTHO OBESITY (INCLUDING CHILDREN)O DENTAL NEEDSO CHRONIC ILLNESSES, ESPECIALLY CARDIAC AND PULMONARY DISEASE, DIABETES, HYPERTENSION, CANCER AND STROKE.BARRIERS TO GOOD HEALTH O LACK OF HEALTH INSURANCE OR UNDERINSURANCE.O BARRIERS TO ACCESS TO COMMUNITY SERVICESO LACK OF PREVENTION SERVICES AND/OR EDUCATIONO POOR DIETO DENIAL BY PARENTS REGARDING CHILDREN'S HEALTH ISSUES
PART VI, LINE 3: IN ACCORDANCE WITH PENNSYLVANIA STATE REPORTING REQUIREMENTS, THE BLUE MOUNTAIN HEALTH SYSTEM'S CHARITY CARE EXPENSE IS REPORTED BASED UPON COSTS VERSUS CHARGES. CHARITY CARE INCLUDES THE HEALTH SYSTEM'S TRADITIONAL INPATIENT AND EMERGENCY SERVICES, AS WELL AS THE CARE PROVIDED AS PART OF EXTERNAL EDUCATIONAL PROGRAMS AND SERVICES SUCH AS THROUGH OUR FAMILY PLANNING PROGRAM.MORE PEOPLE WERE SERVED THROUGH THE HOSPITAL'S CHARITABLE CARE AND FINANCIAL ASSISTANCE PROGRAMS IN VIRTUALLY ALL CATEGORIES, AS FOLLOWS:- GNADEN HUETTEN MEMORIAL HOSPITAL CHARITABLE CARE PATIENTS- PALMERTON HOSPITAL CHARITABLE CARE PATIENTS- BLUE MOUNTAIN HEALTH SYSTEM'S "HEALTHY SMILES, HAPPY KIDS" DENTAL VAN SIGNAGE IS VISIBLE IN ALL BLUE MOUNTAIN HEALTH SYSTEM POINTS OF REGISTRATION IN ORDER TO CREATE AWARENESS OF THE FINANCIAL ASSISTANCE PROGRAM. AT A MINIMUM, SIGNAGE IS POSTED IN ALL PATIENT INTAKE AREAS, INCLUDING, BUT NOT LIMITED TO, EMERGENCY DEPARTMENT, AND THE ADMISSION/PATIENT REGISTRATION AREA.IN RECENT YEARS, THE HEALTH SYSTEM HAS EXPANDED THE NUMBER OF FINANCIAL COUNSELORS AVAILABLE TO ASSIST PATIENTS. A KEY GOAL IS TO IDENTIFY COMMUNITY MEMBERS IN NEED SOONER. COUNSELORS PROACTIVELY SEEK OUT PATIENTS PRIOR TO TREATMENT IN AN EFFORT TO CONNECT THEM WITH PUBLIC INSURANCE PROGRAMS AS APPROPRIATE OR TO ENCOURAGE THEM TO COMPLETE AN ASSISTANCE APPLICATION. THE RESULT IS MORE CHARITY CARE AND LESS REPORTED AS BAD DEBT; MOST IMPORTANTLY, COMMUNITY MEMBERS ARE PROVIDED WITH THE SUPPORT TO ACCESS THE MEDICAL CARE THEY NEED.
PART VI, LINE 4: THE MEDIAN INCOME OF HOUSEHOLDS IN CARBON COUNTY WAS $47,283. 74 PERCENT OF THE HOUSEHOLDS RECEIVED EARNINGS AND 25 PERCENT RECEIVED RETIREMENT INCOME OTHER THAN SOCIAL SECURITY. THIRTY-NINE PERCENT OF THE HOUSEHOLDS RECEIVED SOCIAL SECURITY. THE AVERAGE INCOME FROM SOCIAL SECURITY WAS $15,428.ACCORDING TO THE BUREAU OF LABOR STATISTICS, CARBON COUNTY SHOWS A RELATIVELY HIGH RATE OF UNEMPLOYMENT- 10.2 PERCENT- COMPARED TO THE MID-ATLANTIC REGION AND THE NATION AS A WHOLE.THE CARBON COUNTY CHILD & FAMILY COLLABORATIVE'S 2009-10 "STATE OF THE CHILD & FAMILY IN CARBON COUNTY" REPORT STATES THAT THE AREA'S CHILDREN ARE AT MODERATE-HIGH RISK OF SCHOOL FAILURE DUE TO THE FOLLOWING FACTORS: 42.3 PERCENT LIVE IN HOUSEHOLDS EARNING LESS THAN 200 PERCENT OF POVERTY; 10.8 PERCENT LIVE IN FAMILIES WHOSE MOTHER EARNED LESS THAN A HIGH SCHOOL DIPLOMA; AND 11 PERCENT OF CHILDREN UNDER THE AGE OF 5 LIVING BELOW POVERTY LEVEL ARE OF A SINGLE MOTHER HOUSEHOLD. FURTHERMORE, ACCORDING TO A 2010 DRUG AND ALCOHOL SURVEY, 27 OUR OF 3,000 6TH TO 11TH GRADERS IN CARBON COUNTY HAD ALCOHOL WITHIN THE LAST 30 DAYS, WITH 20 PERCENT HAVING BEEN GIVEN TO THEM BY PARENTS OR FAMILY MEMBERS.OVERALL, CARBON COUNTY RANKS 49TH (OF 67 COUNTIES) IN HEALTH OUTCOMES RELATED TO MORTALITY, MORBIDITY, HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS AND PHYSICAL ENVIRONMENT. OF PARTICULAR INTEREST IS THE CATEGORY OF HEALTH BEHAVIORS (TOBACCO USE, OBESITY, PHYSICAL INACTIVITY, EXCESSIVE DRINKING, MOTRO VEHICLE CRASH DEATH RATE, SEXUALLY TRANSMITTED INFECTIONS AND TEEN BIRTH RATE) WHERE THE COUNTY RANKS 63/67. A MEASURE OF ACCESS TO CARE RELATES TO THE PRIMARY CARE PROVIDER RATE, OR THE POPULATION TO PRIMARY PHYSICIAN RATIO. THE NATIONAL BENCHMARK FOR POPULATION TO PRIMARY PHYSICIAN RATIO IS 631:1. IN PENNSYLVANIA, THAT RATIO IS 838:1, AND IN CARBON COUNTY THE RATIOS IS 2121:1, ALMOST THREE TIMES THE RATIO OF THE STATE AS A WHOLE.
PART VI, LINE 5: THE MEDICAL STAFF OF THE BLUE MOUNTAIN HEALTH SYSTEM IS AN OPEN MEDICAL STAFF ALLOWING SUBMISSIONS FOR PRIVILEGES AND CREDENTIALING FROM ANY INTERESTED PHYSICIAN OR SURGEON. THE BOARD OF DIRECTORS IS COMPRISED OF 17 INDIVIDUALS FROM VARIOUS COMMUNITY ORGANIZATIONS SUCH AS FINANCIAL INSTITUTIONS, TELECOMMUNICATION, RECREATION, AND REPRESENTATION FROM THE MEDICAL STAFF. OF THE 17 MEMBERS OF THE BOARD OF DIRECTORS, 13 RESIDE IMMEDIATELY WITHIN THE PRIMARY SERVICE AREA OF THE HEALTH SYSTEM. ALL OF THE BOARD MEMBERS ARE INDEPENDENT, WITH THE EXCEPTION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, WHO IS EMPLOYED DIRECTLY BY THE HEALTH SYSTEM.BLUE MOUNTAIN HEALTH EDUCATION PROGRAMMING-PROVIDES MORE THAN 30 EDUCATIONAL PROGRAMS AND SCREENINGS NATIONAL CHOLESTEROL MONTH DINNER & LECTURE PROGRAM, WEIGHT LOSS SURGERY, AARP DRIVING CLASS, LUNG CANCER EDUCATION, DIABETES EDUCATION, STRESS/STROKE SCREENINGS, CARBON COUNTY DOMESTIC VIOLENCE, FAMILY CAREGIVER TRAINING NIGHT, CARBON COUNTY DRUG & ALCOHOL PROGRAM; LOOK GOOD... FEEL BETTER WITH AMERICAN CANCER SOCIETY; NEW TO MEDICARE CO-SPONSORED WITH CARBON COUNTY AREA AGENCY ON AGING; HEART HEALTH FAIR; AMERICAN HEART MONTH LUNCH 'N LEARN; LET'S TALK ABOUT WOUND CARE AND ADULT DAY SERVICE; CARBON COUNTY SAFE KIDS AND SENATOR YUDICHAK COMMUNITY SAFETY DAY; PANTHER VALLEY CAREER DAY; SAFE KIDS CAR SEAT CHECK; MENTAL HEALTH DEPRESSION OUTREACH ASSESSMENTS.-SERVES AS A MEDICAL TRAINING/CLINICAL EDUCATION SITE FOR AREA COLLEGES AND SCHOOLS SUCH AS CEDAR CREST COLLEGE, WILKES UNIVERSITY, KING'S COLLEGE, KUTZTOWN UNIVERSITY, DESALES UNIVERSITY, MARYWOOD UNIVERSITY, UNIVERSITY OF SCRANTON, LEHIGH CARBON COMMUNITY COLLEGE, LINCOLN TECHNICAL INSTITUTE, NORTHAMPTON AREA COMMUNITY COLLEGE, PENNSYLVANIA STATE UNIVERSITY, JOHNSON SCHOOL OF TECHNOLOGY AND PENNSYLVANIA COLLEGE OF OSTEOPATHIC MEDICINE.-PROVIDE CPR/BLS/ACLS/PALS TRAINING TO COMMUNITY ORGANIZATIONS SUCH AS AMBULANCE/EMS, FIRE, POLICE, TEACHERS.-PROVIDES "BLUE MOUNTAIN VIEWS" A COMMUNITY NEWSLETTER AND "HEALTH IMAGES" A HEALTH SYSTEM HOSTED TELEVISION PROGRAM FEATURING A VARIETY OF HEALTH AND WELLNESS INFORMATION AND EDUCATION.-HOSTS NEW SEASONS, A PROGRAM FOR ADULTS AGE 65 AND OLDER THAT OFFERS EXERCISE AND WELLNESS PROGRAMS SUCH AS YOGA AND LOW-IMPACT AEROBICS, NEW SEASONS HEARING AID BATTERY BANK, AND THE NEW SEASONS ANNUAL HEALTH & INFORMATION FAIR
PART VI, LINE 6: THE HOSPITALS OF THE BLUE MOUNTAIN HEALTH SYSTEM ARE REGIONAL PROVIDERS OF HEALTH CARE SERVICES TO THE PEOPLE LIVING IN CARBON COUNTY AND PARTS OF MONROE, LEHIGH, NORTHAMPTON AND SCHUYLKILL COUNTIES. BLUE MOUNTAIN HEALTH SYSTEM INCLUDES PALMERTON HOSPITAL, A 60-BED COMMUNITY HOSPITAL LOCATED IN PALMERTON; GNADEN HUETTEN MEMORIAL HOSPITAL, A 111-BED COMMUNITY HOSPITAL; THE SUMMIT AT BLUE MOUNTAIN, A 90-BED NURSING AND REHABILITATION CENTER, BOTH LOCATED IN LEHIGHTON AND AN ADULT DAY SERVICE CENTER IN PALMERTON. COMBINED, THESE FACILITIES HAVE BEEN SERVING THE FAMILIES OF OUR AREA FOR MORE THAN 150 YEARS. THE HOSPITALS OF THE BLUE MOUNTAIN HEALTH SYSTEM ARE FULLY ACCREDITED BY THE JOINT COMMISSION. DIAGNOSTIC OUTPATIENT SERVICES, INCLUDING ACUTE REHABILITATION, MAMMOGRAPHY, ULTRASOUND, CARDIAC REHABILITATION AND THE CLINICAL LABORATORY ARE ALSO ACCREDITED BY THEIR RESPECTIVE NATIONAL PROFESSIONAL ORGANIZATIONS.
PA	REPORTS FILED WITH STATES	PART VI, LINE 7
BLUE MOUNTAIN HEALTH SYSTEM HAS ADOPTED THE FOLLOWING IMPLEMENTATION DETAILS TO SUPPORT ITS COMMUNITY HEALTH NEEDS ASSESSMENT. DRUG, ALCOHOL, AND TOBACCO USEGOAL: PRECLUDE OR REDUCE THE NEGATIVE IMPACT OF ALCOHOL, TOBACCO AND OTHER DRUG (ATOD) USE ON THE RESIDENTS OF CARBON COUNTY AND SURROUNDING COMMUNITIES.OBJECTIVE: IMPROVE THE HEALTH SYSTEMS CAPACITY TO EFFECTIVELY ADDRESS ATOD ISSUES STRATEGY 1: CREATE A COMPREHENSIVE ATOD INTERNAL AND EXTERNAL PREVENTION, INTERVENTION AND TREATMENT PLAN FOR THE BLUE MOUNTAIN HEALTH SYSTEM (BMHS) ACTION STEPS AND METRICS:-IDENTIFY KEY PERSONNEL AND CREATE A SYSTEM WIDE ATOD TASK FORCE. EVIDENCED BY THE CREATION OF THE TASK FORCE INVITATION LIST BY SR. MGT. AND HUMAN RESOURCES.-CONVENE TASK FORCE MEETINGS AND BEGIN THE ATOD STRATEGIC PLANNING PROCESS.EVIDENCED BY THE TASK FORCE MEETING MINUTES AND ULTIMATELY THE ATOD PLAN.- DISSEMINATE THE PLAN, SEEK LEADERSHIP APPROVAL AND BEGIN THE IMPLEMENTATION OF THE STRATEGIES CONTAINED THEREIN. EVIDENCED BY THE ADOPTION OF THE ATOD PLAN BY THE BOD AND THE ROLL OUT OF INITIAL PROJECTS/PROGRAMS CONTAINED IN THE PLAN.STRATEGY 2: EDUCATE AND TRAIN BMHS PERSONNEL ON THE LOCAL ATOD PROBLEM AND BUILD ATOD ASSESSMENT, INTERVENTION AND REFERRAL CAPACITIES SYSTEM WIDE ACTION STEPS AND METRICS:-DEVELOP BASIC ATOD 101 CURRICULUM TO TRAIN STAFF. EVIDENCED BY THE PRESENCE AND ROLL OUT OF AN ATOD COMPETENCY FOR BMHS STAFF -PARTNER WITH CMP D&A AND OTHERS TO SECURE TRAINING ON THE PA CLIENT PLACEMENT CRITERIA (PCPC). TRACK THE NUMBER OF PCPC TRAINED STAFF ADDED TO THE STAFF COMPLIMENT OVER THE NEXT THREE YEARS. -PARTNER WITH CMP D&A AND OTHERS TO SECURE SPECIALIZED ATOD TRAINING AND/OR MATERIALS. DOCUMENTATION OF AT LEAST ONE SPECIAL ATOD TRAINING EVENT SPONSORED OR SUPPORTED BY BMHS.OBJECTIVE 2: INCREASE THE NUMBER OF HEALTHCARE PROVIDERS WHO DO BRIEF INTERVENTIONS WITH THEIR PATIENTS WHO USE TOBACCO AND WHO ARE AWARE OF LOCAL CESSATION RESOURCES AND HOW TO REFER TO THOSE SERVICESSTRATEGY: EDUCATE PROVIDERS REGARDING HOW TO DO A BRIEF INTERVENTION WITH PATIENTS WHO USE TOBACCO AND ARRAY OF SERVICES AVAILABLE TO SUPPORT TOBACCO USERS WHO ARE READY TO QUITACTION STEP AND METRICS: WORK WITH TOBACCO FREE NORTHEAST AND EASTCENTRAL AHEC TO SCHEDULE BRIEF INTERVENTION TRAININGS FOR HEALTH CARE PROVIDERS. INCLUDE INFORMATION ON LOCAL CESSATION SERVICES AVAILABLE; QUITLINE AND HOW TO ACCESS; FAX TO QUIT AND HOW IT IS UTILIZED; AND PHARMACOTHERAPY OPTIONS. SCHEDULE A MINIMUM OF THREE TRAININGS EACH YEAR AT VARIOUS TIMES AND LOCATIONS CONVENIENT FOR PROVIDERS TO ATTEND AND EACH HOSPITAL DEPARTMENT AND OUTPATIENT OFFICE WILL BE REQUIRED TO HAVE AT LEAST ONE STAFF MEMBER ATTEND A TRAINING.MENTAL HEALTHGOAL: IMPROVE THE MENTAL HEALTH OF THE RESIDENTS OF CARBON COUNTY AND ITS SURROUNDING COMMUNITIES BY REMOVING OBSTACLES (REAL OR PERCEIVED) THAT PREVENT ACCESS TO PREVENTION, INTERVENTION AND TREATMENT SERVICES.OBJECTIVE 1: EXPAND THE CONTINUUM OF CARE FOR RESIDENTS WHO ARE SEEKING TREATMENT FOR BEHAVIORAL HEALTH CARE SERVICES STRATEGY: ADD AN OUTPATIENT LEVEL OF CARE (LOC) TO THE EXISTING BMHS CONTINUUM OF CARE. ACTION STEP AND METRIC: RECRUIT ONE ADDITIONAL PSYCHIATRIST OVER THE NEXT THREE YEARS. EVIDENCED BY THE HIRING OF THE PHYSICIAN WHO WILL STAFF THE OP LOC.OBJECTIVE 2: PROVIDE COMMUNITY EDUCATION OR SUPPORT PROGRAMS OR SERVICES TO THE COMMUNITY FREE OF CHARGE.STRATEGY: PROVIDE SPACE FOR MEETINGS AND/OR ASSIGN STAFF TO FACILITATE OR CONSULT WITH COMMUNITY GROUPS/ORGANIZATIONS IN AN EFFORT TO PROVIDE EDUCATION AND SUPPORT SERVICES FOR INDIVIDUALS OR FAMILY MEMBERS WHO ARE AFFECTED BY MENTAL ILLNESS. ACTION STEPS AND METRICS:-CONTINUE TO SUPPLY MEETING SPACE AND SUPPORT FOR THE "SURVIVORS OF SUICIDE" SUPPORT GROUPS. EVIDENCED BY "SURVIVORS OF SUICIDE" GROUPS HELD AT GHMH CAMPUS.-CONTINUE TO SUPPLY STAFF AND OTHER RESOURCES TO CONDUCT COMMUNITY BASED "DEPRESSION SCREENINGS" AS SCHEDULED. EVIDENCED BY "DEPRESSION SCREENING" SESSIONS HELD AT VARIOUS LOCATIONS AROUND THE COUNTY. -CONTINUE TO SUPPLY, ON AN AD HOC BASIS, STAFF AND RESOURCES NEEDED TO CONDUCT OTHER TYPES OF INTERVENTION PROGRAMS OR SERVICES AS IDENTIFIED. EVIDENCED BY OTHER EDUCATIONAL OR SUPPORT GROUPS BEING HELD ANNUALLY.OBJECTIVE 3: REMOVE FINANCIAL OBSTACLES WHENEVER POSSIBLE AND EVALUATE ALL CONSUMERS FOR ADMISSIONS TO ALL LEVELS OF SERVICE REGARDLESS OF THEIR ABILITY TO PAYSTRATEGY: OFFER FINANCIAL COUNSELING TO ALL CLIENTS WITH MENTAL HEALTH ISSUES AND WHEN POSSIBLE PROVIDE FULL OR PARTIAL REDUCTIONS IN CHARGES FOR THESE SERVICES. ACTION STEPS AND METRICS:-OFFER FINANCIAL COUNSELING TO ALL NON OR UNDERINSURED PATIENTS TO DETERMINE IF THERE ARE OTHER PAYERS WHO CAN BE ACCESSED OR TO ESTABLISH A PAYMENT PLANS OPTION IF APPROPRIATE. EVIDENCED BY DOCUMENTATION OF REFERRALS TO FINANCIAL COUNSELING BY THE FINANCE OFFICE. -ASSIST PATIENTS IN THE APPLICATION PROCESS FOR BOTH MEDICAID AND FINANCIAL ASSISTANCE. EVIDENCED BY DOCUMENTATION OF MEDICAID APPLICATIONS AND APPLICATION FOR PATIENT FINANCIAL ASSISTANCE.-GRANT FINANCIAL ASSISTANCE TO CERTAIN NON-EMERGENT, UNINSURED PATIENTS IDENTIFIED BY THE CRISIS WORKERS. EVIDENCED BY NON-INSURED REGISTRATIONS INTO OUR ACUTE PARTIAL HOSPITALIZATION PROGRAM.DENTAL HEALTHGOAL: CONTINUE TO PROVIDE DENTAL HEALTH SERVICES FOR UNINSURED AND UNDERINSURED CHILDREN IN CARBON COUNTY AND ITS SURROUNDING COMMUNITIES.OBJECTIVE 1: IMPROVE THE DENTAL HEALTH FOR LOW INCOME CHILDREN BY PROVIDING THEM WITH A MOBILE DENTAL HOME.STRATEGY: DEPLOY THE BMHS HEALTHY SMILES HAPPY KIDS MOBILE DENTAL VAN TO THE FIVE CARBON COUNTY SCHOOL DISTRICTS, THE TAMAQUA AREA SCHOOL DISTRICT AND THE CARBON & SCHUYLKILL COUNTY HEAD START PROGRAMS.ACTION STEPS AND METRICS:-PROVIDE ANNUAL DEPT. OF HEALTH (DOH) MANDATED DENTAL EXAMS TO ALL GRADE LEVEL APPROPRIATE STUDENTS AS REQUESTED BY THE SCHOOL DISTRICT. TRACK AND REPORT THE TOTAL # OF CHILDREN ACCESSING A DOH MANDATED EXAM ON THE HSHK DENTAL VAN.-PROVIDE BI-ANNUAL CHECK-UPS, CLEANINGS, AND WHEN NECESSARY RESTORATION SERVICES. TRACK AND REPORT THE TOTAL NUMBER OF CHILDREN BY SERVICE PROVIDED. -PROVIDE REFERRAL SERVICES TO PEDIATRIC SPECIALIST OR HIGHER LEVEL OF CARE WHEN CLEANING OR RESTORATION CAN NOT BE ACCOMPLISHED ON THE VAN. TRACK AND REPORT THE TOTAL NUMBER OF CHILDREN WHO WERE REFERRED TO A OTHER LEVELS OF CARE. OBJECTIVE 2: ENSURE THE FUTURE SUSTAINABILITY OF THE HSHK DENTAL VAN. STRATEGY: HOLD MEETINGS AND ENGAGE THE CARBON COUNTY CORPORATE COMMUNITY, COMMUNITY GROUPS AND OTHER INDIVIDUALS WITH WEALTH IN ANNUALLY FUNDRAISING EFFORTS.ACTION STEPS AND METRICS: -IDENTIFY KEY PARTNERS TO BE INVITED TO THE TABLE AND HOLD MEETINGS. EVIDENCED BY THE MINUTES OF THESE SPECIAL MEETINGS.-DEVELOP A COMMUNITY DRIVEN FUNDRAISING PLAN TO NET THE VAN AN ADDITIONAL OPERATING REVENUES. EVIDENCED BY THE PRESENCE OF A PLAN AND ADDITIONAL FUNDS RAISED.CHRONIC ILLNESSGOAL 1: TO IMPROVE THE HEALTH OF CARBON COUNTY AND ITS SURROUNDING COMMUNITIES BY CREATING A COMPREHENSIVE MENU OF SERVICES DESIGNED TO PRECLUDE OR REDUCE THE INCIDENCE OF CHRONIC DISEASE OR ILLNESSES.OBJECTIVE 1: PROVIDE EDUCATION, SCREENING AND COMMUNITY SUPPORT SERVICES THAT ADDRESS VARIOUS CHRONIC DISEASES AND ILLNESSES THAT AFFECT THE BMHS SERVICE AREA. STRATEGY 1: EDUCATE THE COMMUNITY BY PROVIDING ACCESS TO THE LATEST MEDICAL INFORMATION ON CHRONIC DISEASES AND ILLNESSES BY PROVIDING THEM WITH ACCESS TO LECTURES AND EDUCATIONAL MATERIALS ON THE PREVENTION, EARLY DETECTION AND TREATMENTS AVAILABLE. ACTION STEPS AND METRICS:-OBESITY-PROMOTE HEALTHY LIFESTYLE FROM CHILDHOOD THROUGH OLD AGE THROUGH EDUCATION OF ASSOCIATED RISK FACTORS, ADOPTION OF HEALTHY EATING HABITS, AND BENEFITS OF EXERCISE. -DIABETES-PROMOTE SELF MANAGEMENT OF DIABETES THROUGH EDUCATION TO PROMOTE HEALTHY EATING AND PHYSICAL ACTIVITY, UNDERSTANDING OF HYPOGLYCEMIC MEDICATIONS, AND KNOWLEDGE OF COMPLICATIONS ASSOCIATED WITH DIABETES.-HEART DISEASE-PROVIDE EDUCATION TO THE COMMUNITY ON THE PREVENTION OF HEART DISEASE, AND PROMOTION OF A HEALTHY LIFESTYLE THROUGH FREE BP AND CHOLESTEROL SCREENINGS AT HEALTH FAIRS, SENIOR CENTERS, SHOPPING MALLS.-METRIC IS TO RECORD THE TYPES OF LECTURES, THE NUMBER OF LECTURES, THE NUMBER OF PERSONS AND BASIC DEMOGRAPHICS OF THOSE WHO ATTEND EDUCATIONAL OFFERINGS.STRATEGY 2: PROVIDE ACCESS TO THE ALL TYPES OF SCREENING AND INTERVENTIONAL SUPPORT SERVICES THAT WILL ASSIST INDIVIDUALS IN DETERMINING THEIR LEVEL OF RISK AND READINESS TO CHANGE AT RISK BEHAVIORS.	IMPLEMENTATION PLAN	PART VI
ACTION STEPS AND METRICS:-PARTICIPATE IN AND/OR SPONSOR EVENTS THAT PROMOTE WELLNESS: ANNUAL GREAT AMERICAN SMOKE OUT, THE BMHS 5K RUNS AND LOCAL CANCER "RELAY FOR LIFE" EVENTS. -PROVIDE BLOOD PRESSURE, GLUCOSE, CHOLESTEROL AND BODY MASS INDEX SCREENINGS AT VARIOUS COMMUNITY HEALTH FAIRS AS WELL AS PROVIDE HOSPITAL BASED DIABETIC EDUCATION AND BARIATRIC SUPPORT GROUPS SERVICES TO THOSE MOST AT RISK.-PROVIDE FREE PHENOMENA AND INFLUENZA INOCULATION CLINICS AT VARIOUS LOCATIONS ACROSS THE COUNTY FOR THE UN AND UNDER INSURED AS WELL AS OLDER ADULTS AND OTHER AT RISK GROUPS.-METRIC IS TO RECORD THE NUMBER OF SCREENING EVENTS, IMMUNIZATION CLINICS OR CHRONIC DISEASE SUPPORT GROUPS HELD, AS WELL AS THE NUMBER OF PERSONS AND BASIC DEMOGRAPHICS OF THOSE WHO PARTICIPATED.OBJECTIVE 2: IMPROVE THE HEALTH OF NON OR UNDER INSURED WOMEN RESIDENTS OF CARBON COUNTY AND ITS SURROUNDING COMMUNITIES BY PROVIDING THEM WITH A COMPREHENSIVE CANCER EDUCATION, PREVENTION, EARLY INTERVENTION, SUPPORT AND ADVOCACY PROGRAMS.STRATEGY 1: PROVIDE WOMEN FROM THE BMHS SERVICE AREA WITH UP-TO-DATE INFORMATION ABOUT WOMENS CANCER PREVENTION, EARLY DETECTION, ADVOCACY, AND SUPPORT SERVICES.ACTION STEPS AND METRICS:-USE THE "PINK PACK PAL" PROJECT TO PROVIDE NO WOMEN WITH CALENDAR STICKERS & OTHER EDUCATIONAL MATERIALS ON SELF BREAST EXAM. EVIDENCED BY 2500 PAL PACKS CREATED AND DISTRIBUTED THROUGHOUT THE BMHS SERVICE AREA.-PROVIDE THROUGHOUT THE YEAR UP-TO-DATE INFORMATION/EDUCATION PROGRAMS ON WOMEN'S CANCER ISSUES IN VARIOUS SM. AND LG. GROUP FORMATS. EVIDENCED BY THE NUMBER OF ED. GROUPS PROVIDED AND TRACKED BY THE BMHS COMMUNITY EDUCATION SPECIALIST.-HOLD ANNUAL LADIES NIGHT OUT CANCER INFORMATION/NETWORKING EVENT. EVIDENCED BY THE DOCUMENTATION OF WOMEN ATTENDING THE LADIES NIGHT OUT PROGRAM.STRATEGY 2: AUTHORIZE SCREENING MAMMOGRAMS AND DIAGNOSTIC ULTRASOUND STUDIES FOR NO LESS THAN 65 NON OR UNDER INSURED WOMEN THROUGH THE EXISTING VOUCHER PROGRAM ADMINISTERED BY THE BMHS IMAGING DEPARTMENT. ACTION STEPS AND METRICS:-SUBMIT GRANT APPLICATIONS TO HELP DEFRAY COST ABSORBED BY BMHS AND FOUNDATION RADIOLOGY. EVIDENCED BY OCTOBER 2013 GRANT SUBMISSION TO VARIOUS FUNDING SOURCES.-DETERMINE THE NUMBER OF FREE MAMMOGRAMS AND ULTRASOUND STUDIES THAT CAN BE PROVIDED ANNUALLY. EVIDENCED BY NUMBER OF WOMEN RECEIVING THE FREE MAMMOGRAM OR ULTRASOUND SERVICE ANNUALLY.GOAL 2: IMPROVE THE HEALTH OF THE NON OR UNDERINSURED RESIDENTS OF CARBON COUNTY AND ITS SURROUNDING COMMUNITIES WHO HAVE CHRONIC ILLNESSES BY INCREASING THEIR ACCESS TO PRIMARY & SPECIALTY CARE PHYSICIANS THAT ACCEPT MEDICARE AND MEDICAID.OBJECTIVE: INCREASE ACCESS TO PRIMARY & SPECIALTY CARE PHYSICIANS IN THE BMHS SERVICE AREA.STRATEGY 1: ACTIVELY RECRUIT AND PLACE PRIMARY AND SPECIALTY CARE PHYSICIANS IN BMHS SERVICE AREA.ACTION STEPS AND METRICS: -IDENTIFY SERVICE AREA LOCATIONS THAT HAVE A SHORTAGE OF PRIMARY CARE PHYSICIANS. COMPLETE MARKET ANALYSIS BASED UPON POPULATION TO IDENTIFY THE LOCATION FOR ADDITIONAL PRIMARY AND SPECIALTY CARE PHYSICIANS.-HIRE RECRUITMENT FIRMS TO ASSIST IN SOURCING CANDIDATES. BMHS WILL HIRE CONTINGENCY AND RETAINED SEARCH FIRMS TO ASSIST IN RECRUITMENT.-INTERVIEW QUALIFIED CANDIDATES AND OFFER EMPLOYMENT TO ACCEPTABLE PHYSICIANS. BMHS WILL DOCUMENT THE NUMBER OF RESUMES RECEIVED, CANDIDATES INTERVIEWED, OFFERS MADE AND NUMBER OF ACCEPTANCES.STRATEGY 2: CONTINUE TO SUPPORT THE EAST CENTRAL AREA HEALTH EDUCATION CENTER AND THEIR MISSION TO PROMOTE PRIMARY AND FAMILY MEDICINE IN RURAL COMMUNITIES AS A VIABLE CAREER CHOOSE FOR MEDICAL STUDENTS IN THEIR CHARGE.ACTION STEPS AND METRICS:-PROVIDE ECAHEC WITH ACCESS TO THE HEALTH SYSTEM'S "PALMERTON HOUSE" TO BE USE FOR MEDICAL STUDENT RENT FREE HOUSING DURING THEIR RURAL MEDICINE ROTATIONS. EVIDENCED BY THE SIGNED FACILITY USE AGREEMENT.-PROVIDE SUPPORT FOR THE ECAHEC MISSION BY ENCOURAGING HEALTH SYSTEM EMPLOYEES TO BECOME ACTIVE MEMBERS OF THEIR BOD. EVIDENCED BY SENIOR MANAGEMENT PARTICIPATION AS BOARD MEMBERS.

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	GNADEN HUETTEN MEMORIAL HOSPITAL INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	211 NORTH 12TH STREET	AddressLine1
City	LEHIGHTON	City
State	PA	State
ZIP Code	182351195	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	240795436	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	1754229	AmountOfCashGrant
Method Of Valuation	N/A	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance
Purpose Of Grant	OTHER OPERATING NEEDS	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

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: ASSISTANCE IS PROVIDED TO RELATED ENTITIES FOR FINANCIAL SUPPORT. MANAGEMENT OF THE HEALTH SYSTEM OVERSSES THE USE OF FUNDS AT THE AFFILIATED ENTITIES.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	0	WrittenPolicyReTAndEExpenses
Substantiation Required	0	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
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	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 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
ANDREW E HARRIS
PRESIDENT/CEO	0	352017	0	122500	0	13758	0	0	0	22572	0	510847	0	0
ANDREA ANDRAE
CFO	142441	0	26201	0	0	0	0	0	21174	0	189816	0	0	0
RUTHANN BRENNAN
VP CLINICAL AFFAIRS	138125	0	25406	0	0	0	0	0	10818	0	174349	0	0	0
STEVEN LAZICKI
MANAGER	148511	0	260	0	0	0	0	0	24087	0	172858	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 1A

THE ORGANIZATION INCLUDED $1,168 OF CLUB DUES IN PRESIDENT/CEO ANDREW HARRIS REPORTABLE INCOME IN HIS 2012 W-2. THIS AMOUNT WAS INCLUDED AS TAXABLE INCOME FOR MR. HARRIS.

PART I, LINE 7

THE BONUS PROGRAM AT THE BLUE MOUNTAIN HEALTH SYSTEM IS BASED ON FIVE DEFINED PILLARS OF SUCCESS. THESE 5 PILLARS INCLUDE FINANCE, QUALITY, SERVICE, PEOPLE AND GROWTH. ALL EMPLOYEES OF THE HEALTH SYSTEM PARTICIPATE IN THE BONUS PROGRAM. THE BONUS PAYMENT IS DETERMINED BASED ON SPECIFIED CRITERIA FOR EACH OF THE 5 PILLARS INDICATED ABOVE ON A FISCAL YEAR BASIS. THE CRITERIA IS PREDETERMINED AND HAS BEEN ESTABLISHED BY SENIOR MANAGEMENT AND APPROVED BY THE BOARD OF DIRECTORS OF THE BLUE MOUNTAIN HEALTH SYSTEM. DURING THE 2013 FISCAL YEAR, ALL EMPLOYEES RECEIVED A BONUS AS THE SYSTEM SUCCESSFULLY MET CERTAIN CRITERIA OF THE 5 PILLARS OF SUCCESS. THE BONUSES ARE REPORTED ON THEIR 2012 W-2S.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CARBON COUNTY HOSPITAL AUTHORITY
A	232280834	140868DX5	2003-10-01	3891707	REFUND 1997 BOND ISSUE & PAY ISSUE COSTS	0	0	0
CARBON COUNTY HOSPITAL AUTHORITY
B	232280834	140868EE6	2012-02-23	2456652	CURRENT REFUNDING OF THE 1999 REVENUE BONDS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	3900000	800751	77837	14000	3799873	2003	1	0	1	1
B	2380000	194692	49133	15809	2387228	2012	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	1	1	0	0.00000	0.00000	0.00000	0	0	0
B	0	0	1	1	0				0	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	0	0	1	1	0	0	0	0
B	0	0	0	1	1	0	0	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	PART III, LINE 9, PART IV, LINE 7 AND PART V	Identifier
Explanation	WHILE THE HOSPITAL DOES NOT HAVE FORMAL WRITTEN PROCEDURES, THEY WORK CONTINOUSLY WITH A BOND CONSULTANT TO ENSURE THEY ARE IN COMPLIANCE. THE HOSPITAL IS CONSIDERING WRITTEN PROCEDURES FOR A FUTURE YEAR.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	MICHAEL HARLEMAN	NamePerson

Field	Value	IRS element (for citing)
Relationship	VP AT FNB OF PALMERTON	Relationship
Amount Of Transaction	249079	AmountOfTransaction
Description Of Transaction	INSTALLMENT PAYMENTS ON OUTSTANDING LOAN & REPAYMENT OF LOAN ON SOLD PROPERTY	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	THE BLUE MOUNTAIN HEALTH SYSTEM (BMHS) STAFF COMMUNICATED TO THE FINANCE COMMITTEE OF THE BOARD THAT THE FORMS 990 WERE PREPARED BY PARENTEBEARD LLC, AS WELL AS COMMUNICATING THE GENERAL TYPES OF INFORMATION CONTAINED IN THE FILING. THE BOARD IS PROVIDED THE DETAILS TO ACCESS THE 990 THROUGH A SECURED BOARD "PORTAL" PRIOR TO ISSUANCE.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT STATEMENT MUST BE SIGNED OFF ON AN ANNUAL BASIS BY ALL GOVERNING BODY MEMBERS, OFFICERS, AND KEY EMPLOYEES. THIS PROCESS IS MONITORED BY THE ADMINISTRATIVE ASSISTANT TO THE PRESIDENT/CEO. A CONFLICT WOULD BE ANY DIRECT OR INDIRECT FINANCIAL INTEREST. ANY CONFLICTS NOTED WOULD BE COMMUNICATED TO THE COMPLIANCE COMMITTEE. THERE WERE NO CONFLICTS DISCLOSED THIS YEAR.
FORM 990, PART VI, SECTION B, LINE 15	SENIOR MANAGEMENT SALARIES ARE DETERMINED BY THE EXECUTIVE COMMITTEE USING MARKET VALUES OBTAINED. HUMAN RESOURCES PARTICIPATE IN VARIOUS SALARY SURVEYS TO DETERMINE THE CORRECT SALARY RANGE. THE APPALACHIAN HOSPITAL HUMAN RESOURCE SOCIETY CONDUCTS AN ANNUAL SALARY SURVEY FOR ALL POSITIONS. IN ADDITION, THE HOSPITAL ASSOCIATION OF PENNSYLVANIA CONDUCTS AN ANNUAL SURVEY WITH YAFFE ASSOCIATES FOR SENIOR MANAGEMENT EMPLOYEES. THE MARKET DATA IS ANALYZED BY HUMAN RESOURCES AND THE GOAL IS TO PAY AT THE 50 PERCENTILE. SALARIES OF OTHER EMPLOYEES ARE RECOMMENDED BY HUMAN RESOURCES AND APPROVED BY THE PRESIDENT AND CEO. THE EXECUTIVE COMMITTEE OF THE BOARD SERVES AS THE COMPENSATION COMMITTEE AND APPROVES RECOMMENDATIONS FOR SALARY INCREASES. THE EXECUTIVE COMMITTEE APPROVES INCREASES FOR THE CEO. REVIEW AND APPROVAL PROCESS IS DOCUMENTED. SENIOR MANAGEMENT HAS RECEIVED THE SAME GENERAL INCREASES AS THE STAFF EMPLOYEES RECEIVED.
FORM 990, PART VI, SECTION C, LINE 19	UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	VALUATION GAIN (LOSS) 57,455.	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	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
BLUE MOUNTAIN HEALTH SYSTEM INC
211 NORTH 12TH STREET	LEHIGHTON	PA	182351195	201311316	MAINTAINS AN INTEGRATED HEALTH CARE SYSTEM	PA	501(C)(3)	11A	N/A	0
CMS MEDICAL CARE CORPORATION
211 NORTH 12TH STREET	LEHIGHTON	PA	182351195	232473899	OWNS AND OPERATES AMBULATORY CARE CENTERS IN VARIOUS COMMUNITIES	PA	501(C)(3)	3		0	GNADEN HUETTEN MEMORIAL HOSPITAL INC
GNADEN HUETTEN MEMORIAL HOSPITAL INC
211 NORTH 12TH STREET	LEHIGHTON	PA	182351195	240795436	OPERATES AN ACUTE CARE HOSP, A NURSING FACILITY & A HOME HEALTH CARE AGENCY	PA	501(C)(3)	3		0	BLUE MOUNTAIN HEALTH SYSTEM INC

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	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	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg