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      <Description>Inpatient 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>
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      <GrantsToDomesticOrgs>
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      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
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      </GrantsToDomesticIndividuals>
      <ForeignGrants>
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      </ForeignGrants>
      <BenefitsToMembers>
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      <CompCurrentOfficersDirectors>
        <Total>0</Total>
      </CompCurrentOfficersDirectors>
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      <PensionPlanContributions>
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        <ManagementAndGeneral>732275</ManagementAndGeneral>
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        <ManagementAndGeneral>4996093</ManagementAndGeneral>
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      <FeesForServicesLegal>
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        <ProgramServices>18462</ProgramServices>
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        <ManagementAndGeneral>574262</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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      <Interest>
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        <ProgramServices>1416054</ProgramServices>
        <ManagementAndGeneral>376419</ManagementAndGeneral>
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      </PaymentsToAffiliates>
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        <Total>9058055</Total>
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        <ManagementAndGeneral>1902191</ManagementAndGeneral>
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        <ProgramServices>22251265</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>7176708</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>3925753</ProgramServices>
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      <OtherExpenses>
        <Description>MA MOD ASSESSMENT</Description>
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        <ProgramServices>1764176</ProgramServices>
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        <NetCommunityBuildingExpense>9000</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <TotalCommunityBuildingExpense>9000</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>9000</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>7176708</BadDebtExpenseAmount>
      <AmountAttributableTo>3215165</AmountAttributableTo>
      <AmountReimbursedByMedicare>25509331</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>25437628</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>71703</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Uniontown Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>500 W Berkeley Street</AddressLine1>
          <City>Uniontown</City>
          <State>PA</State>
          <ZIPCode>15401</ZIPCode>
        </Address>
        <WebsiteAddress>uniontownhospital.org</WebsiteAddress>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
        <FacilityReportingGroup>A</FacilityReportingGroup>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>A</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <NeedsAssessmentConducted>13</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>true</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>0000000002.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>0000000003.000000000000</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>true</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>true</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>1</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Uniontown Hospital Outpatient Diagnostic Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>150 Wayland Smith Drive Suite B</AddressLine1>
            <City>Uniontown</City>
            <State>PA</State>
            <ZIPCode>15401</ZIPCode>
          </Address>
          <FacilityType>Outpatient Center</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Part I Line 7</Identifier>
        <Explanation>Uniontown 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I Line 7</Identifier>
        <Explanation>column f - The amount of expenditures used to calculate column f were reduced by bad debt expense of 7,176,708.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III Line 4</Identifier>
        <Explanation>The audited financial statements do not contain a footnote that describes bad debt expense. They do, however, contain a footnote that describes patient accounts receivable. That footnote reads as follows 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III Line 4</Identifier>
        <Explanation>These 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III Line 8</Identifier>
        <Explanation>Serving patients with government health benefits, such as Medicare, is a component of the community benefit standard that tax-exempt hospitals are held to. This implies that serving Medicare patients is a community benefit and that the hospital operates to promote the health of the community. The Medicare cost report was utilized to determine the amount reported on line 6.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III Line 9b</Identifier>
        <Explanation>The 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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III Line 9b</Identifier>
        <Explanation>trust 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>Line 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>Line 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>Line 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>Line 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>Line 1i - The Uniontown Hospital did not encounter any information gaps that limited the hospital facilitys ability to assess the communitys health needs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>The 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 3</Identifier>
        <Explanation>As 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>The 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>The 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 6</Identifier>
        <Explanation>Fayette 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.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="990J" softwareId="12000057" softwareVersion="12.19.1011.1">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Steven Handy</NamePerson>
        <Title>CFO/Asst. Sec./Treas.</Title>
        <CompBasedOnRelatedOrgs>202443</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>4604</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>102758</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>26029</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>335834</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Paul Bacharach</NamePerson>
        <Title>CEO</Title>
        <CompBasedOnRelatedOrgs>305319</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>8459</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>169881</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>28604</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>512263</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Linda Burstynowicz</NamePerson>
        <Title>Medical Director</Title>
        <BaseCompensationFilingOrg>148854</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>275</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>4644</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>20257</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>174030</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>3</ReturnReference>
        <Explanation>Hospital 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4B</ReturnReference>
        <Explanation>Participation 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="990K:1" softwareId="12000057" softwareVersion="12.19.1011.1">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>Fayette County Hospital Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251512681</IssuerEIN>
        <CUSIPNumber>312468BP5</CUSIPNumber>
        <DateIssued>2007-09-27</DateIssued>
        <IssuePrice>50000000</IssuePrice>
        <DescriptionOfPurpose>Constructing New Inpatient Tower Refunding previous issue, Series 1996</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceeds>50000000</TotalProceeds>
        <RefundingEscrow>11074301</RefundingEscrow>
        <IssuanceCostsFromProceeds>450208</IssuanceCostsFromProceeds>
        <CreditEnhancement>37500</CreditEnhancement>
        <CapitalExpenditures>38437991</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>false</RebateNotDueYet>
        <ExceptionToRebate>false</ExceptionToRebate>
        <NoRebateDue>true</NoRebateDue>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>PNC BANK NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>0000000029.700000000000</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>false</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>false</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>IV</Identifier>
        <ReturnReference>2c</ReturnReference>
        <Explanation>The date the rebate computation was performed was 6/25/12.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="990O" softwareId="12000057" softwareVersion="12.19.1011.1">
      <GeneralExplanation>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R" softwareId="12000057" softwareVersion="12.19.1011.1">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Fayette Regional Health System</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 W Berkeley Street</AddressLine1>
          <City>Uniontown</City>
          <State>PA</State>
          <ZIPCode>15401</ZIPCode>
        </AddressUS>
        <EIN>251451183</EIN>
        <PrimaryActivities>Healthcare Management</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Fayette Home Care</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>110 Youngstown Road</AddressLine1>
          <City>Lemont Furnace</City>
          <State>PA</State>
          <ZIPCode>15456</ZIPCode>
        </AddressUS>
        <EIN>251531065</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Fayette Regional Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Uniontown Hospital Auxiliary</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 W Berkeley Street</AddressLine1>
          <City>Uniontown</City>
          <State>PA</State>
          <ZIPCode>15401</ZIPCode>
        </AddressUS>
        <EIN>256040505</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Fayette Health Management</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>211 Easy Street</AddressLine1>
          <City>Uniontown</City>
          <State>PA</State>
          <ZIPCode>15401</ZIPCode>
        </AddressUS>
        <EIN>208383875</EIN>
        <PrimaryActivity>Healthcare</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Fayette Physician Hospital Organization</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>500 W Berkeley Street</AddressLine1>
          <City>Uniontown</City>
          <State>PA</State>
          <ZIPCode>15401</ZIPCode>
        </AddressUS>
        <EIN>251844471</EIN>
        <PrimaryActivity>Healthcare</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>