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UNIONTOWN HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNIONTOWN HOSPITAL (EIN 25-0965588)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-07
IRS object ID
201441279349301519
Schema version
2012v2.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-07T02:54:32-00:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1901 E St Louis Street Suite 200AddressLine1
CitySpringfieldCity
StateMOState
ZIP Code65806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN250965588EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Uniontown HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIONameControl
Phone7244305000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 West Berkeley StreetAddressLine1
CityUniontownCity
StatePAState
ZIP Code15401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVEN HANDYName
TitleCHIEF EXECUTIVE OFFICERTitle
Date Signed2014-05-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian ToddName
Phone4178658701Phone
Date Prepared2014-05-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPaul BacharachNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 West Berkeley StAddressLine1
CityUniontownCity
StatePAState
ZIP Code15401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts135898896GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.uniontownhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1902YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionThe Uniontown Hospital is a 251 bed community hospital whose activities include, inpatient acute care, outpatient ancillary services and inpatient rehab. services. Our mission includes creating a caring place where patients want to come, employees want to work and practitioners want to provide care.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1416TotalNbrEmployees
Total Nbr Volunteers113TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year907820ContributionsGrantsPriorYear
Contributions Grants Current Year1622702ContributionsGrantsCurrentYear
Program Service Revenue Prior Year125928226ProgramServiceRevenuePriorYear
Program Service Revenue CY126517219ProgramServiceRevenueCY
Investment Income Prior Year613217InvestmentIncomePriorYear
Investment Income Current Year347529InvestmentIncomeCurrentYear
Other Revenue Prior Year6943055OtherRevenuePriorYear
Other Revenue Current Year3350786OtherRevenueCurrentYear
Total Revenue Prior Year134392318TotalRevenuePriorYear
Total Revenue Current Year131838236TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year62418389SalariesEtcPriorYear
Salaries Etc Current Year64411609SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year68666399OtherExpensePriorYear
Other Expenses Current Year71763917OtherExpensesCurrentYear
Total Expenses Prior Year131084788TotalExpensesPriorYear
Total Expenses Current Year136175526TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3307530RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4337290RevenuesLessExpensesCY
Total Assets BOY128942406TotalAssetsBOY
Total Assets EOY124960834TotalAssetsEOY
Total Liabilities BOY100690154TotalLiabilitiesBOY
Total Liabilities EOY89258201TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY28252252NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY35702633NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe Uniontown Hospitals vision is to make a healthy difference in the lives we touch. We will fulfill our vision by providing excellent customer service, promoting teamwork, maintaining competency, assuring productivity ensuring compliance, all the while, being mindful of our financial regulatory responsibilities.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense58494525Expense
Revenue63197195Revenue
DescriptionInpatient Services - The Uniontown Hospital is a 198 bed comminity hospital that delivered state-of-the art primary inpatient services to approx. 8,900 inpatients during the FYE 6/30/13. Since 1903, the Hospital has been serving the greater Uniontown and Fayette County area, providing quality healthcare regardless of the persons ability to pay. The Hospital has earned several recognitions from HealthGrades, the nations leading independent healthcare ratings organizaion. The Hospital draws the majority of its patients from Fayette County. Although the population of Fayette County has been decreasing, the demand for the Hospitals services remain due to the downsizing and service cuts at nearby facilities, the growth in the regions uninsured population, and the increase in the regions elderly population. The Uniontown Hospital offers lines of services that are unavailable elsewhere in Fayette County. In addition to being the primary source of orthopedic care, it is the only hospital to offer obstetrics, interventional cardiology and radiation oncology services.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense48577348Expense
Revenue55460436Revenue
DescriptionOutpatient Services - The Health Systems hospital based services are complemented by a full spectrum of outpatient services. These services include a state-of-the-art Outpatient Diagnostic Facility that opened in 2006. The outpatient center offers convenient services, including x-rays, bone density scans, ultrasounds, and digital mammography. The Hospital is the primary source of emergency care in the County with almost 55,000 patient visits during the fiscal year ended June 30, 2013. Other traditional outpatient services include Laboratory, Radiology, Physical Therapy and Same Day Surgery which accounted for 1,243,500 patient visits. Services also include the Diabetes Center which provides a comprehensive approach to diabetes management, including prevention, education, treatment and research.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3441722Expense
Revenue7515008Revenue
DescriptionPCC/IRU/BHU - The PCC Progressive Care Center is the Hospitals sub-acute unit and had a 24 bed capacity. The PCC principally serves the needs of Medicare patients that are too sick to be appropriately cared for in a traditional skilled nursing facility, but not sick enough to justify remaining in an acute care setting. There were 507 patients in PCC during the year ended June 30, 2013 that stayed a total of 7,982 days. The IRU had an 11 bed capacity. The IRU Inpatient Rehabilitation Unit provides rehabilitation services principally for Medicare patients who have been hospitalized due to reasons such as a stroke or an orthopedic procedure. The number of patients in the IRU was 180 with total patient days of 2,005. The BHU Behavioral Health Unit is an 18 bed secured unit principally for older adult and geriatric patients in and around Fayette County. The goal of treatment is to achieve diversion and re-integration of the patient back into the community or to a lower level of care. The BHU had 534 patients that stayed a total of 3,295 days.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp301815TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev344580TotalOfOtherProgramServiceRev
Total Program Service Expense110815410TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109679NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1416NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBARB WEISS DIRECTOR ACCOUNTING SERVNamePerson
Telephone Number7244305222TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 W BERKELEY STAddressLine1
CityUNIONTOWNCity
StatePAState
ZIP Code15401ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Louise Monaghan
Chairman001.00001.00XX000
Nancy Decker
Vice Chairman001.00001.00XX000
Charles Watson
Sec./Treas.001.00001.00XX000
Steven Handy
CFO/Asst. Sec./Treas.001.00040.00XX0207047120933
Cataldo Corrado MD
Director001.00001.00X000
Robert Garrett
Director001.00001.50X000
Michael George DDS
Director001.00X000
Paul Hartley MD
Director001.00X000
John Malone
Director001.00X000
Suzanne McMonagle
Director001.00000.50X000
Ari Pressman MD
Director001.00X000
William Smith
Director001.00001.00X000
William Ulmer
Director001.00001.00X000
Josef Vanek MD
Director001.00000.50X000
Paul Bacharach
CEO001.00040.00X0313778187400
Linda Burstynowicz
Medical Director040.00149129024901X
William Johnson
Pharmacy Director040.0013586409855X
Mary Kinder
Pharmacist040.00112915016237X
Patrick Bator
Oper Mgr. Pharmacy040.00110592022172X
Joyce L Kossol
Pharmacist040.00109232011871X
FieldValueIRS element (for citing)
Total Reportable Comp From Org617732TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs520825TotalReportableCompFrmRltdOrgs
Total Other Compensation393369TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Quest Diagnostics
12436 Collections Ctr DrChicagoIL60693Laboratory Services1236830
Phoenix Health Systems Inc
910 Clopper Road Suite 165 SGaithersburgMD20878Information Technology Services863820
Executive Health Resources Inc
15 Campus Boulevard Suite 200Newtown SquarePA19073Medical Record Consulting Services642370
UPMC Emergency Medicine Inc
2 Hot Metal Street - 2nd FloorPittsburghPA15203Contracted Physicians574406
ACUSIS
PO Box 951107ClevelandOH44193Transcription Services503510
FieldValueIRS element (for citing)
Number Of Contractors GT100 K23NumberOfContractorsGT100K
Fundraising Events95855FundraisingEvents
Government Grants455607GovernmentGrants
All Other Contributions1071240AllOtherContributions
Total Contributions1622702TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Inpatient Revenue9000996319719563197195
Outpatient Revenue9000995546043655460436
PCC/IRU/BHU Revenue90009975150087515008
Gross Rent/Misc Affiliated Organization900099344580344580
FieldValueIRS element (for citing)
Total Program Service Revenue126517219TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column405578TotalRevenueColumn
Exclusion$405,578ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real199240Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real160971Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real38269Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column38269TotalRevenueColumn
Exclusion$38,269ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3816598Securities
Other2700Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3798290Securities
Other79057Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities18308Securities
Other-76357Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-58049TotalRevenueColumn
Exclusion-$58,049ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events22342GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events95855CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses22342FundraisingDirectExpenses

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Meaningful Use Initiative900099536854536854
Income from Equity Investment900099725621$725,621
Pharmacy Copays/Ins. Reimbursements90009911285861128586

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column921456TotalRevenueColumn
Related Or Exempt Function Income921456RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3312517TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column131838236TotalRevenueColumn
Related Or Exempt Function Income129104115RelatedOrExemptFunctionIncome
Exclusion$1,111,419ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total46618859Total
Program Services36828899ProgramServices
Management And General9789960ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6917791Total
Program Services5465055ProgramServices
Management And General1452736ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7387935Total
Program Services5836469ProgramServices
Management And General1551466ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3487024Total
Program Services2754749ProgramServices
Management And General732275ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total8326822Total
Program Services3330729ProgramServices
Management And General4996093ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total165388Total
Management And General165388ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total136623Total
Management And General136623ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total38200Total
Management And General38200ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2793637Total
Program Services2206973ProgramServices
Management And General586664ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total23370Total
Program Services18462ProgramServices
Management And General4908ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1413295Total
Program Services1116503ProgramServices
Management And General296792ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5770218Total
Program Services4558472ProgramServices
Management And General1211746ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2734580Total
Program Services2160318ProgramServices
Management And General574262ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total82342Total
Program Services65050ProgramServices
Management And General17292ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total53417Total
Program Services42199ProgramServices
Management And General11218ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1792473Total
Program Services1416054ProgramServices
Management And General376419ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9058055Total
Program Services7155864ProgramServices
Management And General1902191ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1680265Total
Program Services1327409ProgramServices
Management And General352856ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DRUGS MEDICAL/SURGICAL SUPPLIES2225126522251265
BAD DEBT71767087176708
EQUIPMENT RENTAL AND MAINTENANCE496930839257531043555
MA MOD ASSESSMENT17641761764176

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1533775Total
Program Services1414303ProgramServices
Management And General119472ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total136175526Total
Program Services110815410ProgramServices
Management And General25360116ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9933063BOY
EOY8758104EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6182779BOY
EOY7314649EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY319493BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13043818BOY
EOY14586596EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2240914BOY
EOY2230912EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY784146BOY
EOY1153204EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis176401057LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec102405848LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY78553258BOY
EOY73995209EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11788402BOY
EOY10616854EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4016888BOY
EOY4466010EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2079645BOY
EOY1839296EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY128942406BOY
EOY124960834EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY38707180BOY
EOY28672610EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY28504BOY
EOY36210EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY45408333BOY
EOY44343333EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16546137BOY
EOY16206048EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY100690154BOY
EOY89258201EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY27855460BOY
EOY35498800EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY368647BOY
EOY174931EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY28145BOY
EOY28902EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28252252BOY
EOY35702633EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY128942406BOY
EOY124960834EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-4337290ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-366060ReconciliationUnrealizedInvest
Reconcilation Other Changes12153731ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Pertcentage1700.00000PublicSupportPertcentage170
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$19,378OtherActivitiesAmount
Total Lobbying Expenditures IIB19378TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierII-BIdentifier
Return Reference1ReturnReference
ExplanationThe Uniontown Hospital is a member of the Hospital Association of PA, the American Hospital Association, and the Hospital Council of Western PA. All of these organizations engage in lobbying activities. As a member of these organizaions we have been instructed to include certain percentages of yearly dues as lobbying expenses.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1709258OtherCostOrOtherBasis
Book Value1709258BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis88966630OtherCostOrOtherBasis
Depreciation39845931Depreciation
Book Value49120699BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1863517OtherCostOrOtherBasis
Depreciation1191654Depreciation
Book Value671863BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis77200491OtherCostOrOtherBasis
Depreciation58868902Depreciation
Book Value18331589BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6661161OtherCostOrOtherBasis
Depreciation2499361Depreciation
Book Value4161800BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings73995209TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Federal income taxes
Est. Malpractice Cost$2,924,747
Other Long Term Liabilities$5,158,110
Estimated Third Party Settlement$2,080,007
Interest Rate Swap Agreement$6,043,184
FieldValueIRS element (for citing)
Total Of Amounts16206048TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return Reference2ReturnReference
ExplanationThe organization adopted the provisions of Financial Accounting Standards Board FASB Interpretation No. 48 ASC 740, Accounting for Uncertainty in Income Taxes. Because no material uncertain tax positions were identified, a disclosure was not included in the footnotes to the financial statements.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf OutingNameOfEvent1
Gross Receipts Event1118197GrossReceiptsEvent1
Charitable Contributions Event195855CharitableContributionsEvent1
Gross Revenue Event122342GrossRevenueEvent1
Non Cash Prizes Event13466NonCashPrizesEvent1
Food And Beverage Event14570FoodAndBeverageEvent1
Other Direct Expenses Event114306OtherDirectExpensesEvent1
Gross Receipts Total118197GrossReceiptsTotal
Charitable Contributions Total95855CharitableContributionsTotal
Gross Revenue Total Events22342GrossRevenueTotalEvents
Non Cash Prizes Total Events3466NonCashPrizesTotalEvents
Food And Beverage Total Events4570FoodAndBeverageTotalEvents
Other Direct Expenses Total Events14306OtherDirectExpensesTotalEvents
Direct Expense Summary Events22342DirectExpenseSummaryEvents

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1986399TotalCommunityBenefitExpense
Direct Offsetting Revenue144755DirectOffsettingRevenue
Net Community Benefit Expense1841644NetCommunityBenefitExpense
Percent Of Total Expense0.01350PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense26000929TotalCommunityBenefitExpense
Direct Offsetting Revenue18546781DirectOffsettingRevenue
Net Community Benefit Expense7454148NetCommunityBenefitExpense
Percent Of Total Expense0.05470PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense27987328TotalCommunityBenefitExpense
Direct Offsetting Revenue18691536DirectOffsettingRevenue
Net Community Benefit Expense9295792NetCommunityBenefitExpense
Percent Of Total Expense0.06820PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense177773TotalCommunityBenefitExpense
Net Community Benefit Expense177773NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense214777TotalCommunityBenefitExpense
Net Community Benefit Expense214777NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4827512TotalCommunityBenefitExpense
Direct Offsetting Revenue4262115DirectOffsettingRevenue
Net Community Benefit Expense565397NetCommunityBenefitExpense
Percent Of Total Expense0.00420PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5220062TotalCommunityBenefitExpense
Direct Offsetting Revenue4262115DirectOffsettingRevenue
Net Community Benefit Expense957947NetCommunityBenefitExpense
Percent Of Total Expense0.00710PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense33207390TotalCommunityBenefitExpense
Direct Offsetting Revenue22953651DirectOffsettingRevenue
Net Community Benefit Expense10253739NetCommunityBenefitExpense
Percent Of Total Expense0.07530PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense9000TotalCommunityBuildingExpense
Net Community Building Expense9000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense9000TotalCommunityBuildingExpense
Net Community Building Expense9000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$7,176,708BadDebtExpenseAmount
Amount Attributable To3215165AmountAttributableTo
Amount Reimbursed By Medicare25509331AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare25437628CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall71703MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Uniontown HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1500 W Berkeley StreetAddressLine1
CityUniontownCity
StatePAState
ZIP Code15401ZIPCode
FieldValueIRS element (for citing)
Website Addressuniontownhospital.orgWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
Facility Reporting GroupAFacilityReportingGroup

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted13NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent0000000002.000000000000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent0000000003.000000000000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiestrueCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1Uniontown Hospital Outpatient Diagnostic CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1150 Wayland Smith Drive Suite BAddressLine1
CityUniontownCity
StatePAState
ZIP Code15401ZIPCode
FieldValueIRS element (for citing)
Facility TypeOutpatient CenterFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifierExplanationExplanation
Part I Line 7Uniontown Hospital used the best available data to calculate the cost of charity care reported in line 7 for certain categories, the best available data was derived from a cost accounting system in other categories, specific cost-to-charge ratios from worksheet 2 were calculated and applied to that category.
Part I Line 7column f - The amount of expenditures used to calculate column f were reduced by bad debt expense of 7,176,708.
Part III Line 4The audited financial statements do not contain a footnote that describes bad debt expense. They do, however, contain a footnote that describes patient accounts receivable. That footnote reads as follows The Health System, which includes the Uniontown Hospital, reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The Health System provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the Health System bills third-party payers directly and bills the patient when the patients liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account.
Part III Line 4These expenses are incurred regardless of the efficiency of the provision of the related medical care and are deemed to have been medically necessary for the patient.
Part III Line 8Serving patients with government health benefits, such as Medicare, is a component of the community benefit standard that tax-exempt hospitals are held to. This implies that serving Medicare patients is a community benefit and that the hospital operates to promote the health of the community. The Medicare cost report was utilized to determine the amount reported on line 6.
Part III Line 9bThe Uniontown Hospitals Revenue Cycle Principles and Policies include seven policies approved by their Board of Directors. One of the policies is titled Financial Need Discounting and establishes discounts ranging from 0 to 100 based upon the patients income as compared to the federal poverty guidelines after the payment of a Minimum Patient Liability. The Minimum Patient Liability ranges from 10-100 depending on the service. According to the policy titled Patient Payment Expectations, patients are given four monthly billing statements to resolve their financial obligation. Each statement will indicate that the patient needs to resolve their financial obligation to avoid the potential for future service delays. The patient has 120 days from the date of the initial billing statement to resolve their financial obligation. Patients are given multiple options to make payment including major credit/debit cards. The organization actively pursues collection of accounts in default unresolved for greater than 120 days in a way consistent with a relationship built on
Part III Line 9btrust and compassion. Insensitive collection practices are avoided and collection agencies are only used in situations where contact cannot be made with the patient. Patients that have accounts in default may be asked to take financial accountability before scheduling non-emergency services. Collection activities do not include judgments.
Part VLine 3 -Tripp Umbach facilitated and managed a comprehensive community health needs assessment on behalf of the Uniontown Hospital. The process included input from key community stakeholders collected through a series of 21 interviews that were completed between April and May, 2012. The following is a complete list of those consulted Albert Gallatin, Laurel Highlands, Brownsville Area, Uniontown Area, and Connellsville area school districts Pennsylvania State University Fayette/Eberly Campus United Way of Fayette PA Department of Health California University of Social Work Fayette County Children Youth Fayette Chamber of Commerce Fayette County Commissioners Fayette County Office of Human Services Fayette County CHIP Fayette County Drug Alcohol Commission Fayette County Behavior Health Administration Fayette County Community Action Agency Fay-Penn Economic Development Council Southwest Pennsylvania Area Agency on Aging Uniontown Hospital Diabetes Center and Career Link Fayette.
Part VLine 7 - Three needs identified as not being met 1. Lifestyle choices of consumers While hospital leaders are interested in this issue, there is a Healthy Lifestyles Committee that is participating in the planning process from the Fayette County CHIP Program. The Hospital collaborates and works closely with the CHIP program, which has chosen to take responsibility for addressing the choices of residents that impact health. Additionally, the hospital will study and identify methods for addressing substance abuse issues among pregnant women, which is as a component of lifestyle choices and an area the hospital may have a measure of influence. 2. Dental Care The hospital does not have access to the resources needed to provide dental care to residents in Fayette County. The hospital does not offer dental care and has limited leverage to influence dental providers in the community. 3. Socio-economic barriers The hospital does not have access to the resources needed to address the socia-economic issues in Fayette County. The hospital has helped facilitate the formulation of a community development committee, which has chosen to address the socio-economic issues in Fayette County. A seperate community development plan was developed during this planning process and may begin to address some of these issues.
Part VLine 14g - The Financial Assistance Policy FAP is publicized to the community in various ways. There is a link posted on the Hospital website giving instructions on how to get a copy the FAP. There is a paragraph on the patient bill discussing free or discounted services and directing patients to the proper location to see the FAP. Brochures are available in the emergency waiting room, Patient Financial Services and admissions office which discuss the FAP.
Part VLine 20d - Charges are established using cost as the principle basis. A relevant cost basis is established for each service on an annual basis. The charge will be initially established based upon 150 of the cost of the service. Prior to eligibility for financial assistance, a patient will be billed gross charges. Individuals elibible for assistance under the Hospitas financial assistance program will not be charged more than the amount generally billed to individuals having insurance coverage. Charges for emergency and other medically necessary care will not be charged more than amounts generally billed to individuals having insurance coverage. Financial assistance free or discounted adjusted amounts will be applied to gross charges. Based on the poverty income guidelines, free assistance will be provided at 100 for incomes less than 200 of the poverty income guidelines. Discounted assistance will be provided at 66 for incomes greater than 200 but less than 250 and 33 for incomes greater than 250 but less than 300. There will be a minimum patient liability amount required for each service. Payment of the following minimum patient liability amounts will be required for each service 10 Outpatient diagnostic testing 25 Emergency department 50 Same Day Surgery 100 Observation and Inpatient services.
Part VLine 1i - The Uniontown Hospital did not encounter any information gaps that limited the hospital facilitys ability to assess the communitys health needs.
Part VI Line 2The Fayette Regional Health System leadership team develops a strategic plan every three years. This strategic plan establishes several priorities for Uniontown Hospital, all of which are focused on meeting the ever changing healthcare needs of the community. The leadership team develops this strategic plan with knowledge gathered from direct contact from patients patient satisfaction surveys outside consultants professional health care groups such as the Hospital Association of Pennsylvania and the Healthcare Financial Management Association and research obtained from various sources including the federal and state government and various other outreach programs and sources.
Part VI Line 3As part of the Revenue Cycle policy entitled Service Access, it states under Patient Advocacy that the health care system will actively assist all individuals in seeking resolution to their financial obligations. This includes helping them understand what services are covered by their health insurance, providing assistance in obtaining health insurance and helping seek eligibility for financial assistance. Convenient office hours, in a convenient location, will be established for patients seeking assistance. Currently this program is called the Safety Net Access Program SNAP. SNAP is available to all residents of Fayette County and patients will be assisted by Financial Care Consultants that are part of the Patient Financial Services department. The Hospital has brochures located in its waiting rooms referencing all financial services and patient obligations. In addition, the Patient Access staff makes the brochures readily available to the population at the time of registration.
Part VI Line 4The Uniontown Hospital is a 196 bed community hospital which is located 50 miles southeast of Pittsburgh in the City of Uniontown, Fayette County. Since 1903 the Hospital has been serving the greater Uniontown and Fayette County area, providing quality healthcare regardless of a persons ability to pay. The approximate population of Fayette County is 136,000. The current unemployment rate is 9.3. Approximately 18.0 of the population is over 65 with 19.2 of the population below the poverty level and 25.6 of the population eligible for Medical Assistance. Source Pennsylvania Department of Health 2013 Health Profile.
Part VI Line 5The general health and well being of the community residents is central to the mission of Uniontown Hospital. The Hospital responds to the healthcare needs of the community with a number of community education and outreach programs. These outreach services include a Community Outreach department, support groups to help patients and their families cope with debilitating disease and injury and health fairs offering free health information and screenings. Support groups include Cancer Support, Diabetes Support, Breast Feeding Support, Pregnant Moms Club, Patient Support group for Pregnancy Infant Loss and Caregivers Support. Additionally numerous specialized education classes are offered free of care to the public and the Hospital sponsors Blood Drives with the American Red Cross and outreach activities with the American Heart Association. Also, thirteen years ago the Hospital joined forces with health organizations and other community groups to organize the Fayette County Community Health Improvement Partnership CHIP. CHIP has initiated numerous programs to benefit the health of the public such as a student immunization program, a program to reduce teen pregnancy and smoking, and several health issue related task forces. Under the auspice of CHIP is Fayette County STEPS initiative which is a national pilot program funded by the Centers for Disease Control which targets chronic disease prevention. The STEPS program builds partnerships among area school districts, workplaces, doctor offices, and neighborhood coalitions to educate and promote healthier lifestyles.
Part VI Line 6Fayette Regional Health System FRHS is a registered 501c 3 Pennsylvania nonprofit charitable organization that serves as the parent company for Uniontown Hospital Hospital. The hospital is the only full service hospital in Fayette County. The Hospital includes the following services a 24/7 Emergency Department Obstetrics a Cardiac Care Center Orthopedics Surgery Diagnostic Imaging Services a Diabetes Center and a Wound Care Center. Additionally, services are delivered in not only an acute care setting, but also in satellite phlebotomy centers, in a sub-acute skilled nursing center center, in an inpatient rehabilitation unit, and a behavior health unit. In addition, Fayette Home Care, a subsidiary of FRHS during the first 11 months of FY13, provides skilled nursing care physical, occupational, and speech therapies hospice care and many other support services for homebound patients. Fayette Home was merged as of June 1, 2013 with an existing joint venture between UPMC and Jefferson Hospital UPMC/VNA for a 4.5 interest in the new joint venture. FRHS also has a 50 interest in Fayette Physician Network FPN, a joint venture formed effective July, 1 2012 between FRHS and UPMC Community Medicine. FPN is made up of multiple physician offices throughout the county. Services include primary care cardiology obstetrics/gynecology surgery pulmonology psychiatry neurology anesthesia and hospitalists. Previous to the formation of the joint venture FPN the above mentioned offices were operated by Fayette Health Management, which was a subsidiary of FRHS during FY12. FRHS also has a joint venture agreement with Southwestern Gastrointestinal Specialists, PC SWGI. The purpose of the joint venture is to provide endoscopy services to patients in an around Fayette County. Additionally, FRHS has a joint venture agreement with UPMC Cancer Centers. The purpose of the joint venture is to provide outpatient radiation oncology services and PET/CT imaging.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Steven Handy
CFO/Asst. Sec./Treas.202443460410275826029335834
Paul Bacharach
CEO305319845916988128604512263
Linda Burstynowicz
Medical Director148854275464420257174030

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
I3Hospital relied on a Fayette Regional Health System EIN 25-1451183 a related organization that used the following methods to establish the top management officials compensation a Compensation Committee, independent compensation consultant, compensation survey or study and approval by the board or compensation committee.
I4BParticipation in the Fayette Regional Health System 457f Plan the Plan is limited to Paul Bacharach and Steve Handy Participants. During the fiscal year ended June 30, 2013, 148,911 was contributed to the Plan on behalf of Paul Bacharach and 87,642 was contributed to the Plan on behalf of Steve Handy. The Plans accounting year is January 1st through December 31st. The Plan is administered by the Executive Committee of the Fayette Regional Health System FRHS Board of Directors. FRHS, as the employer of the Participants, pays all of the expenses of the administration of the Plan. Each Plan year, FRHS shall decide whether or not to make a contribution to the Plan, and the amount and allocation of the contribution. Contributions shall become vested on the Participants Vesting Date as long as the Participant is employed with FRHS on the Vesting Date. All distributions shall be made in a lump sum payment. The Trustee may invest the funds held in the Account of each Participant in accordance with each Participants direction. Title to and beneficial ownership of any assets which FRHS designated to pay benefits hereunder, shall at all times be subject to the general creditors of FRHS and a Participant and his Beneficiary shall have no property right in those assets.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Fayette County Hospital AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN251512681IssuerEIN
CUSIP Number312468BP5CUSIPNumber
Date Issued2007-09-27DateIssued
Issue Price50000000IssuePrice
Description Of PurposeConstructing New Inpatient Tower Refunding previous issue, Series 1996DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds50000000TotalProceeds
Refunding Escrow11074301RefundingEscrow
Issuance Costs From Proceeds450208IssuanceCostsFromProceeds
Credit Enhancement37500CreditEnhancement
Capital Expenditures38437991CapitalExpenditures
Year Of Subst Completion2010YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuetrueNoRebateDue
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1PNC BANK NABusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge0000000029.700000000000TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierIVIdentifier
Return Reference2cReturnReference
ExplanationThe date the rebate computation was performed was 6/25/12.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

ExplanationExplanation
Form 990, Part III, Line 4d Program Service Expenses 301,815, Grants and allocations 0, Revenue 344,580 The Uniontown Hospital received rent income from Fayette Regional Health System, Inc. an affiliated organization for office space used by various Fayette Regional Health System, Inc. departments. The Hospital also receieved minimal miscellaneous income from affiliated organizations for maintenance, IT, and other fees.
Form 990 Part VI Section A Line 6/7a/7b - The sole member of Uniontown Hospital is the Hospitals parent company, Fayette Regional Health System, a PA non-profit corporation. The sole member has power to aelect all of the Directorsexcept ex-officio Directors of the Hospital bremove at any time one or more of the Directorsexcept for ex-officio Directors and/or officers of the Corporation without cause capprove all capital and operating budgets of the Corporation and amendments thereto dapprove all fundamental transactions of the Corporation, including without limitation, any amendments to articles of the Corporation and any merger, consolidation, division, transfer of all or substantially all assets, dissolution, or liquidation of the Corporation and e approve any and all amendments of the bylaws of the Corporation. The Sole Member of the Corporation may initiate any such action and/or amendments listed in c - e above, as applicable, provided that any such actions and/or amendments must be approved by the Corporation and Sole Member prior to implementation. The Corporation shall not unreasonably withhold its approval for any action and/or change recommended by the Sole Member.
Form 990 Part VI Section B Line 11b The 990 was presented to all voting members of the Finance and Audit Committee of the organizations parent for review at the May 2014 Board Meeting. After review by the Finance and Audit Committee, a full copy of the 990 was made available to the entire Board of the Uniontown Hospital.
Form 990 Part VI Section B Line 12c -The Business Ethics department of the organization periodically reviews all potential conflicts, transactions and relationships to see if substantive. All potential new conflicts are reviewed by the Business Ethics department and the concept is covered at annual training. The department will report actual or possible conflicts to the FRHS Executive Committee of the Board for evaluation. The Committee shall determine whether a conflict exists. The Committee is empowered to take corrective action as necessary, including refraining from participation in certain Board decisions.
Form 990 Part VI Section B Line 15a/15b -An Executive Committee is responsible for overall compensation, the organizations philosophy and establishes the guidelines, rules and procedures necessary for the proper and efficient administration of the Executive Compensation Program which covers the CEO, CFO and Vice Presidents. This committee is independent from management and includes a comparison of pay rates with peer institutions. These Committee meetings are documented in meeting minutes. August 24, 2009 is the last time the Committee reviewed Executive compensation.
Form 990 Part VI Section C Line 19 - The organizations governing documents, conflicts of interest policy, and financial statements are available by contacting the Presidents office or the Accounting Services department. A copy will be mailed upon request.
Form 990 Part XI Line 9 Other changes in net assets is comprised of change in fair value of interest rate swap 3,164,388 change in defined benefit acturial valuation 9,065,564 change in permanently restricted net assets 757 and other miscellaneous change in net assets 76,978.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Fayette Regional Health System
500 W Berkeley StreetUniontownPA15401251451183Healthcare ManagementPA501c311bN/Afalse
Fayette Home Care
110 Youngstown RoadLemont FurnacePA15456251531065HealthcarePA501c39trueFayette Regional Health System
Uniontown Hospital Auxiliary
500 W Berkeley StreetUniontownPA15401256040505FundraisingPA501c311bN/Afalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
Fayette Health Management
211 Easy StreetUniontownPA15401208383875HealthcarePAN/AC Corpfalse
Fayette Physician Hospital Organization
500 W Berkeley StreetUniontownPA15401251844471HealthcarePAN/AC Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg