UPMC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: UPMC (EIN 23-1352155)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201441359349304734
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T11:12:24-07:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	231352155	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ALTOONA REGIONAL HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ALTO	NameControl
Phone	8148894101	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	620 Howard Avenue	AddressLine1
City	Altoona	City
State	PA	State
ZIP Code	16601	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Betsy Kreuz	Name
Title	Chief Financial Officer	Title
Phone	8148894101	Phone
Date Signed	2014-05-15	DateSigned

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

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Gerald Murray	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	620 Howard Avenue	AddressLine1
City	Altoona	City
State	PA	State
ZIP Code	16601	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	456015732	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	http://www.altoonaregional.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1942	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	The Altoona Regional Health System provides inpatient and outpatient, hospital-based, health care services primarily to the residents of Central Pennsylvania, as well as residents of neighboring areas.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	2738	TotalNbrEmployees
Total Nbr Volunteers	600	TotalNbrVolunteers
Total Gross UBI	145203	TotalGrossUBI
Net Unrelated Business Txbl Income	35137	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1197251	ContributionsGrantsPriorYear
Contributions Grants Current Year	1131966	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	354769115	ProgramServiceRevenuePriorYear
Program Service Revenue CY	368675517	ProgramServiceRevenueCY
Investment Income Prior Year	2968412	InvestmentIncomePriorYear
Investment Income Current Year	5828864	InvestmentIncomeCurrentYear
Other Revenue Prior Year	8602730	OtherRevenuePriorYear
Other Revenue Current Year	6527519	OtherRevenueCurrentYear
Total Revenue Prior Year	367537508	TotalRevenuePriorYear
Total Revenue Current Year	382163866	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	176022471	SalariesEtcPriorYear
Salaries Etc Current Year	182594235	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	182111804	OtherExpensePriorYear
Other Expenses Current Year	187343225	OtherExpensesCurrentYear
Total Expenses Prior Year	358134275	TotalExpensesPriorYear
Total Expenses Current Year	369937460	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9403233	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	12226406	RevenuesLessExpensesCY
Total Assets BOY	289737276	TotalAssetsBOY
Total Assets EOY	295566895	TotalAssetsEOY
Total Liabilities BOY	191359027	TotalLiabilitiesBOY
Total Liabilities EOY	206638018	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	98378249	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	88928877	NetAssetsOrFundBalancesEOY
Mission Description	The mission of the Altoona Regional Health System is for exceptional people to provide exceptional health care.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	59328173	Expense
Grants	0	Grants
Revenue	39790413	Revenue
Description	Inpatient care: Inpatient care was provided to 19,340 patients, including newborns. The System had 87,734 patient days. Inpatient care was provided through 15 nursing units.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	45315366	Expense
Grants	0	Grants
Revenue	62038403	Revenue
Description	Surgical Services: Inpatient and outpatient surgery including: operating room, surgery center, endoscopy, peri-anesthesiology, anesthesiology, same day surgery, and perfusion services. Total surgical procedures were 20,500	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	20867425	Expense
Grants	0	Grants
Revenue	74581031	Revenue
Description	Imaging Services, also known as radiology services is comprised of general x-ray, mammography, ultrasound, nuclear medicine, CT, MRI, and PET scans. Imaging services performed 212,926 imaging procedures.	Description

Activity Other ActivityOther (5 entries)

ExpenseExpense	RevenueRevenue	DescriptionDescription
18625387	23100122	Pharmacy Services
30033106	0	Bad Debts
19668205	32556199	Emergency and Trauma Services
100611464	96849940	All Other
18475795	39759409	Cardiology Services

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	187413957	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	192265670	TotalOfOtherProgramServiceRev
Total Program Service Expense	312924921	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	1	EscrowAccount
On Behalf Of Issuer	1	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	273	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2738	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form8899 Filed	1	Form8899Filed
Form1098 C Filed	1	Form1098CFiled
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	8148893629	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	620 Howard Avenue	AddressLine1
City	Altoona	City
State	PA	State
ZIP Code	166024899	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Charles Haas MD
Director	1	0	X	0	0	0
Robert Halbritter
Chairperson	1	0	X	0	0	0
Robert Montler
Director	1	0	X	0	0	0
Thomas G Peoples
Director	1	0	X	0	0	0
Benjamin Levine
Vice Chairperson	1	0	X	0	0	0
James Drenning
Director	1	0	X	0	0	0
Donald Devorris
Director	1	0	X	0	0	0
Robert E Wertz MD
Director	1	50	X	0	284906	8500
R Samuel Magee MD
Director	1	0	X	1250	0	0
Ann Benzel
Secretary	1	0	X	0	0	0
Bruce Erb
Director	1	0	X	0	0	0
J Grant Hormell MD
Director	1	0	X	0	0	0
Daniel Lawruk
Director	1	0	X	0	0	0
Karen Pfeffer
Director	1	0	X	0	0	0
Gerald E Murray
President/CEO	50	0	X	697320	0	352226	X
Monsignor Michael Servinsky
Director	1	0	X	0	0	0
Bernard Creppage
Director	1	0	X	0	0	0
Charles R Zorger
Senior Vice Pres	50	0		424245	0	92288	X
Ronald J McConnell
Chief Operating Officer	50	0		424220	0	112410		X
Linnane Batzel MD
Senior Vice President	50	0		383618	0	34414		X
Clayton Rickens
Sr VP of Nursing	50	0		267439	0	34213		X
Matthew P Bouchard MD
ER Physician	50	0		499570	0	51370			X
Adam Blescia
ER Physician	50	0		363906	0	33778			X
Rebecca Miller MD
ER Physician	50	0		338587	0	15038			X
Matthew Murphy MD
ER Physician	50	0		351341	0	29021			X
Shaun Sheehan MD
ER Physician	50	0		412769	0	7876			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4164265	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	284906	TotalReportableCompFrmRltdOrgs
Total Other Compensation	771134	TotalOtherCompensation
Number Individuals GT100 K	111	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	Address Line2AddressOfContractor/AddressUS/AddressLine2	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Lexington Surgical Associates
620 Howard Avenue	Suite 3F	Altoona	PA	16601	Trauma Services	1464506
Blair County Anesthesia PC
1701 12th Avenue	Suite G2	Altoona	PA	16601	Anesthesia Services	1006317
Mayo Collaborative Services
PO BOX 9146		MINNEAPOLIS	MN	55480	Laboratory Services	1697703
Stoltenberg Consulting Inc
5815 Library Road		Bethel Park	PA	15102	IT Consulting	1420596
Allegheny Healthcare Staffing Inc
501 Howard Avenue	Suite C-103	Altoona	PA	16601	Healthcare Staffing	2503185

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	51	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	0	FundraisingEvents
Related Organizations	0	RelatedOrganizations
Government Grants	1131782	GovernmentGrants
All Other Contributions	184	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	1131966	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Acute Inpatient Revenue	622000	39790413	39790413	$0
Inpatient Ancillary Revenue	622000	113714477	113714477	$0
Operating Room	622000	28480187	28480187	$0
Radiology	622000	45049913	45049913	$0
Outpatient Ancillary Revenue	622000	79717449	79717449	$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	61923078	TotalRevenueColumn
Related Or Exempt Function Income	61923078	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	368675517	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	185448	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$185,448	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	370903	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	370903	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	370903	TotalRevenueColumn
Related Or Exempt Function Income	370903	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	79495282	Securities
Other	0	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	73851866	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5643416	Securities
Other	0	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	5643416	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$5,643,416	ExclusionAmount

Field	Value	IRS element (for citing)
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Cafeteria Sales	622000	1109325	1109325	0	$0
County Contract Revenue	622000	1489319	1489319	0	$0
IT Services Revenue	541511	145203	0	145203	$0

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3412769	TotalRevenueColumn
Related Or Exempt Function Income	3412769	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6156616	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	382163866	TotalRevenueColumn
Related Or Exempt Function Income	375057833	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	145203	UnrelatedBusinessRevenue
Exclusion	$5,828,864	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2176842	Total
Program Services	631057	ProgramServices
Management And General	1545785	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	131875423	Total
Program Services	116408769	ProgramServices
Management And General	15466654	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9729277	Total
Program Services	8494534	ProgramServices
Management And General	1234743	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	29328633	Total
Program Services	25372730	ProgramServices
Management And General	3955903	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9484060	Total
Program Services	8280438	ProgramServices
Management And General	1203622	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1037655	Total
Program Services	861254	ProgramServices
Management And General	176401	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	288020	Total
Program Services	0	ProgramServices
Management And General	288020	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	173550	Total
Program Services	0	ProgramServices
Management And General	173550	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	12151240	Total
Program Services	10085529	ProgramServices
Management And General	2065711	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	127814	Total
Program Services	106086	ProgramServices
Management And General	21728	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3536391	Total
Program Services	2935205	ProgramServices
Management And General	601186	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	11054973	Total
Program Services	9175628	ProgramServices
Management And General	1879345	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4991289	Total
Program Services	4142770	ProgramServices
Management And General	848519	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	337160	Total
Program Services	279843	ProgramServices
Management And General	57317	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	251126	Total
Program Services	208435	ProgramServices
Management And General	42691	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4500284	Total
Management And General	4500284	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	17809203	Total
Program Services	14781638	ProgramServices
Management And General	3027565	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4424861	Total
Management And General	4424861	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Bad Debt Expense	30033106	30033106	0	0
Contract Labor	2824224	2344106	480118
Purchases Services	7244690	5729858	1514832
Supplies	68911249	57196337	11714912

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	17646390	Total
Program Services	15857598	ProgramServices
Management And General	1788792	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	369937460	Total
Program Services	312924921	ProgramServices
Management And General	57012539	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	13518530	BOY
EOY	9299236	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	40024159	BOY
EOY	43692449	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4280296	BOY
EOY	4336771	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3340044	BOY
EOY	4005598	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	356948433	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	232484014	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	126825930	BOY
EOY	124464419	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	64237431	BOY
EOY	68146212	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1346566	BOY
EOY	962067	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	4084145	BOY
EOY	5237732	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	32080175	BOY
EOY	35422411	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	289737276	BOY
EOY	295566895	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	38084642	BOY
EOY	46732976	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	84167686	BOY
EOY	81131755	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	377628	BOY
EOY	813202	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	68729071	BOY
EOY	77960085	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	191359027	BOY
EOY	206638018	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	98311320	BOY
EOY	88866759	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	66929	BOY
EOY	62118	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	98378249	BOY
EOY	88928877	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	289737276	BOY
EOY	295566895	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	12226406	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	-1125819	ReconciliationUnrealizedInvest
Reconcilation Donated Services	0	ReconcilationDonatedServices
Reconcilation Invest Expenses	0	ReconcilationInvestExpenses
Reconcilation Prior Adjustment	0	ReconcilationPriorAdjustment
Reconcilation Other Changes	-20549959	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

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

Schedule A IRS990ScheduleA

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	66929	BeginningOfYearBalance
Contributions	40540	Contributions
Investment Earnings Or Losses	155	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	45506	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	62118	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	103052	BeginningOfYearBalance
Contributions	59594	Contributions
Investment Earnings Or Losses	279	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	95996	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	66929	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	74650	BeginningOfYearBalance
Contributions	99290	Contributions
Investment Earnings Or Losses	0	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	70888	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	103052	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	104356	BeginningOfYearBalance
Contributions	90067	Contributions
Investment Earnings Or Losses	502	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	120275	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	74650	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1169242	BeginningOfYearBalance
Contributions	130429	Contributions
Investment Earnings Or Losses	-132651	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	1062664	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	104356	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	1	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	3963077	OtherCostOrOtherBasis
Book Value	3963077	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	174839743	OtherCostOrOtherBasis
Depreciation	99596290	Depreciation
Book Value	75243453	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	5195737	OtherCostOrOtherBasis
Depreciation	3731845	Depreciation
Book Value	1463892	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	165083482	OtherCostOrOtherBasis
Depreciation	129155879	Depreciation
Book Value	35927603	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	7866394	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	7866394	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	124464419	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
Other Receivables	4807547
Estimated Amounts Due from third-party payors	52609
Intercompany Receivables	15032505
Beneficial Interest in the Net Assets of the Central PA Medical Foundation	14486980
Other Long Term Assets	1042770

Field	Value	IRS element (for citing)
Total Book Value Other Assets	35422411	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Accrued Pension Liability	$69,599,601
Other Liabilities	$8,360,484

Field	Value	IRS element (for citing)
Total Of Amounts	77960085	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	SchD_P05_S00_L04	Identifier
Return Reference	Schedule D, Part V, Line 4	ReturnReference
Explanation	Approximately $39,000 of the fund is for Bioterrorism preparedness, approximately $20,000 is for Medical Staff continuing medical education and approximately $3,000 is for the upkeep of the Donna Jean Hospitality House.	Explanation

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2572306	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	2572306	NetCommunityBenefitExpense
Percent Of Total Expense	0.0077	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	47803391	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30606262	DirectOffsettingRevenue
Net Community Benefit Expense	17197129	NetCommunityBenefitExpense
Percent Of Total Expense	0.0512	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	50375697	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30606262	DirectOffsettingRevenue
Net Community Benefit Expense	19769435	NetCommunityBenefitExpense
Percent Of Total Expense	0.0589	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2142673	TotalCommunityBenefitExpense
Direct Offsetting Revenue	109803	DirectOffsettingRevenue
Net Community Benefit Expense	2032870	NetCommunityBenefitExpense
Percent Of Total Expense	0.0061	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5249016	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3254787	DirectOffsettingRevenue
Net Community Benefit Expense	1994229	NetCommunityBenefitExpense
Percent Of Total Expense	0.0059	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	49282895	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39144906	DirectOffsettingRevenue
Net Community Benefit Expense	10137989	NetCommunityBenefitExpense
Percent Of Total Expense	0.0312	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	83872	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	83872	NetCommunityBenefitExpense
Percent Of Total Expense	0.0003	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	56758456	TotalCommunityBenefitExpense
Direct Offsetting Revenue	42509496	DirectOffsettingRevenue
Net Community Benefit Expense	14248960	NetCommunityBenefitExpense
Percent Of Total Expense	0.0435	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	107134153	TotalCommunityBenefitExpense
Direct Offsetting Revenue	73115758	DirectOffsettingRevenue
Net Community Benefit Expense	34018395	NetCommunityBenefitExpense
Percent Of Total Expense	0.1024	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	27551	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	27551	NetCommunityBuildingExpense
Percent Of Total Expense	0.0001	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1067	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1067	NetCommunityBuildingExpense
Percent Of Total Expense	0.00	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	910	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	910	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	29528	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	29528	NetCommunityBuildingExpense
Percent Of Total Expense	0.0001	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$8,666,477	BadDebtExpenseAmount
Amount Attributable To	398676	AmountAttributableTo
Amount Reimbursed By Medicare	141348874	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	162049333	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-20700459	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Altoona Regional Health System	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	620 Howard Avenue	AddressLine1
City	Altoona	City
State	PA	State
ZIP Code	16601	ZIPCode

Field	Value	IRS element (for citing)
Website Address	www.altoonaregional.org	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Altoona Regional Health System	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	150	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L03c	Schedule H, Part I, Line 3c	Charity care will be extended to patients who are determined to be financially indigent. The determination will be based on poverty guidelines published in the Federal Register. Charity care may reduce the patients bill by 25% 50% 75% or 100% based on the financial information received. The amount of free care charity care and financial assistance is based on income and family size.
SchH_P01_S00_L07	Schedule H, Part I, Line 7	Two costing methodologies were used: 1. Actual expenses, and 2. Cost to charge ratio derived from Worksheet 2: ratio of patient care cost to charge and also cost from Medicare cost report
SchH_P01_S00_L072f	Schedule H, Part I, Line 7, Column f	Bad debt - 30,033,106
SchH_P01_S00_L07g	Schedule H, Part I, Line 7g	As part of the Subsidized Health Services, ARHS included in the subsidized health services costs attributable to its 2 physician clinics (AFP and Williamsburg) and its women's health center. AFP Costs $6,307,354, Williamsburg costs $1,025,177 and Women's Health Center cost $671,566
SchH_P02_S00_L00	Schedule H, Part II	ARHS community building activities promote the health of the community we serve in the following ways: physical improvement and housing; participation in community revitalization efforts; and the use of health system owned properties/houses by other non-profit community organizations
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Health System analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Health System analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Health System and its affiliates record a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Health System's allowance for doubtful accounts for self pay patients decreased from 92% of self pay accounts receivable at June 30, 2012 to 86% of self pay accounts receivable at June 30, 2013. In addition, the Health System's write offs were approximately $30,300,000 and $21,900,000, respectively in 2013 and 2012. The increase was the result of negative trends experienced in the collection of amounts from self pay patients in fiscal year 2013. Methodology: Bad debt cost less bad debt expenses minus any bad debt recoveries multiplied by the ratio derived from worksheet 2 less ratio of patient care cost to charges also cost from Medicare 2013 Cost Report
SchH_P03_S0B_L08	Schedule H, Part III, Section B, Line 8	ARHS considers 100% of the Medicare shortfall to be a community benefit. The costing methodology is the allocated costs from the 2013 Medicare Cost Report.
SchH_P03_S0C_L09b	Schedule H, Part III, Section C, Line 9b	If a patient contacts the hospital and indicates an inability to pay in full, a payment arrangement is utilized to help the patient pay off the bill within 3 to 12 months. If the account cannot be paid off within 3 to 12 months, a minimum of $50 per month is required. If the patient is unable to meet this schedule, they need to provide budget information to justify a lower monthly payment.
SchH_P05_S0B_L04	Schedule H, Part V, Section B, Line 4	The Needs Assessment was conducted in collaboration between Altoona Regional Health System, Nason Hospital, and Tyrone Hospital, as well as with many other community organizations and agencies.
SchH_P05_S0B_L05	Schedule H, Part V, Section B, Line 5	The Hospital's needs assessment is also placed on the Healthy Blair County Coalition website (http://healthyblaircountycoalition.org).
SchH_P05_S0B_L07	Schedule H, Part V, Section B, Line 7	The Hospital (ARHS) did not meet all of the needs identified in the Community Health Needs Assessment (CHNA) it conducted in collaboration with the Health Blair County Coalition (HBCC). The CHNA that was conducted between July and October 2012 identified the following 31 community needs, all of which impact an individuals and familys health and in turn the communitys health which are grouped by category. 1.Economics: Unemployment/Underemployment, Poverty, Lack of Jobs 2.Education: children being adequately educated, unsafe school environment, bullying/harassment, use/availability of drugs 3.Environmental: water and air pollution, noise pollution 4.Health: alcohol/drug abuse, smoking and tobacco, adults with mental illness/emotional issues, children with mental health or emotional issues, lack of affordable medical care, HIV/AIDS, diabetes, and obesity 5.Housing: shortage of affordable housing, substandard housing, overcrowded housing 6.Leisure Activities: shortage of recreational facilities, lack of cultural activities 7.Safety: crime, gangs 8.Social: teen pregnancy, racial or ethnic intimidation, family violence, gambling, and lack of affordable daycare for children 9.Transportation: inadequate public transportation, poor roads and traffic conditions. Following a needs prioritization process and evaluation, the HBCC chose to develop the following strategies. Strategy 1: Promote a Healthy Lifestyle Strategy 2: Alcohol and Other Substance Abuse Strategy 3: Mental Health Needs of Children/Adolescents Strategy 4: Smoking/Tobacco. ARHS has chosen, in partnership with the HBCC, to address the following community needs: 1. Promote a health lifestyle: to address obesity, physical inactivity, and diabetes. 2. Mental health needs of children and adolescents. The other 2 community hospitals and the remaining 47 other community partners that are part of the HBCC are addressing some of the other 31 issues identified above. However neither ARHS - as a single community hospital, nor the HBCC with 50 community members, has sufficient financial and human resources to meet all of the 31 identified community needs. Many of these needs, which are common in most communities, are significant and are such that society has been working long term to address. However ARHS has committed resources and efforts, and is work with other community partners, to meet its above identified needs. ARHS, in partnership with the HBCC, has developed strategies to address its identified community health needs. Although the hospital is not able to address all of the needs identified in Blair County, ARHS is addressing the identified needs, which will result in healthier individual and families, which will in turn result in an overall healthier community
SchH_P05_S0B_L13	Schedule H, Part V, Section B, Line 13	The following statement appears on all patient bills: "If you are experiencing financial hardship and are unable to pay this bill, charity/financial aid may be available if you qualify. Please contact us at (814.889.2333) or toll free in PA at 800.443.4050 to obtain information about charity/financial aid and how to apply for it."
SchH_P05_S0B_L14	Schedule H, Part V, Section B, Line 14	The following statement appears on all bills: "if you are experiencing financial hardship and are unable to pay this bill, charity/financial aid may be available, if you qualify. Please contact us at (814.889.2333) to toll free in PA at 800.443.4050 to obtain information about charity/financial aid and how to apply for it."
SchH_P05_S0B_L17	Schedule H, Part V, Section B, Line 17	The following statement appears on all patient bills: "If you are experiencing financial hardship and are unable to pay this bill, charity/financial aid may be available if you qualify. Please contact us at (814.889.2333) or toll free in PA at 800.443.4050 to obtain information about charity/financial aid and how to apply for it." Also an authorized third party (Financial Health Strategies) when contacting the patient for payment will make the patient aware of the health system's free care program if the patient explains that they will have a difficult time paying the bill. In cases where the inpatient bill exceeds $10,000 we turn it over to another third party (Healthcare Receivable Specialists) who will attempt to qualify the patient for Medical Assistance and let them know about the health system's Charity and Free Care Program.
SchH_P05_S0B_L18	Schedule H, Part V, Section B, Line 18	The following statement appears on all patient bills:"if you are experiencing financial hardship and are unable to pay this bill, charity/financial aid may be available, if you qualify. Please contact us at (814.889.2333) to toll free in PA at 800.443.4050 to obtain information about charity/financial aid and how to apply for it." Also an authorized third party,when contacting the patient for payment will make the patient aware of the health system's free care program if the patient explains that they will have a difficult time paying the bill. In cases where the inpatient bill exceeds $10,000 the health system turns it over to another third party who will attempt to qualify the patient for Medical Assistance and let them know about the health system's Charity and Free Care Program.
SchH_P05_S0B_L19	Schedule H, Part V, Section B, Line 19	For any patient that qualifies for free care, the patient's bill will have a 60% allowance applied before a further reduction of 25%, 50%, 75%, or 100% would apply based on their income level as it relates to the free care tables within the Health System policy.
SchH_P05_S0B_L20	Schedule H, Part V, Section B, Line 20	For any patient who qualifies for free care, the patient's bill will have a 60% allowance applied before a further reduction of 25% 50% 75% or 100% would apply based on their income level as it relates to the free care tables with the health system's policy.
SchH_P06_S00_L02	Schedule H, Part VI, Line 2	Needs Assessment:Altoona Regional Health System (ARHS) helped form and actively supports and participates in the Healthy Blair County Coalition (Coalition). The Coalition is comprised of over 50 community agencies, organizations, and services. The Coalition was formed in 2007 to conduct comprehensive community needs assessments, review and analyze data, formulate strategies to meet identified service gaps and needs, implement strategies to meet identified needs, and conduct subsequent post-implementation surveys to determine effectiveness of programs and services implemented. An assessment of the communities healthcare needs are part of the followup survey processes and involve a household survey, focus groups, and survey of local businesses, service providers, healthcare providers with special expertise and knowledge in helping to assess needs within our community.
SchH_P06_S00_L03	Schedule H, Part VI, Line 3	Patient education of eligibility for assistance: the Health System informs and educates patients, their families, and others regarding eligibility and the application process for federal, state, and local governmental financial assistance programs; as well as health system financial assistance programs and charity care available, through the following means: a) printed information is contained in the Patient Guide book given to all hospital inpatients; b) financial counseling services are available to all patients, at no cost, by the staff of the Patient Financial Services Department; c) the health system contracts with a special consultant/company to assist patients to complete and file Medical Assistance applications; d) the health system has extensive charity care provisions which are available to all patients and are based on eligibility criteria; e) the health systems displays at all patient care service entrances the U.S. Department of Health & Human Services, Public Health Service notice regarding: Medical Care for Those who Cannot Afford to Pay Notice; f) Patient Rights and Responsibilities Posters are prominently displayed in all patient care areas and patient rooms which contain patients rights including the right to care without regard to ability to pay; g) an Open Admission policy prominently displayed in patient care areas which states the health system's responsibility to provide care to all patients without regard to their ability to pay.
SchH_P06_S00_L04	Schedule H, Part VI, Line 4	Community Information: Altoona Regional Health System (ARHS) serves approximately 330,000 individuals in central Pennsylvania. This service area encompasses all of Blair County and portions of the following 6 contiguous counties: Bedford, Cambria, Centre, Clearfield, Fulton, and Huntingdon counties. Approximately 16.2% of the service area population is age 65+, 16.5% of the population are eligible for medical assistance and 14.8% of the population has income below the poverty level.The cost of living is low compared to national averages, the public educational system is outstanding, and there is an abundance of local colleges and universities. Within the service area there are Medically Underserved Area(s)/Medically Underserved Populations (MUA/MUP) as well as Health professional Shortage Area(s) (HPSAs). Within the service area there are 2 additional, smaller (25 to 50 bed) community hospital that provide routine, primary care, services to their respective communities. These hospitals refer higher acuity patients to Altoona Regional Health System, as it is a 400-bed, regional health care system which provide regional/tertiary care services.
SchH_P06_S00_L05	Schedule H, Part VI, Line 5	Promotion of community health: Describe how organization promotes the health of the community: ARHS promotes the health of the community in the following ways: a) by providing an open medical staff to enable credentialed physician to provide care to patients in our community; b) the entire health system is governed by a voluntary (non-paid) board of directors comprised of members of the local community; c) providing programs and services to help all people lead safer, healthier, happier lives and to care for them in times of crisis. For example: i. community education classes such as the Safe Sitter child-care courses, many programs by physicians on dealing with various conditions and disease, as well as on achieving and maintaining better health for example: free child safety-seat check ups; ii. Support groups that deal with Alzheimer's disease, stroke, cancer, diabetes, grief, mental health issues and caring for ill loved ones. iii. Self-help programs, such as classes on exercise, nutrition, and quitting smoking; iv. Screenings for osteoporosis, depression, high blood pressure, hepatitis, stroke, heart disease, and colon cancer; v Free health care for people with no insurance or not enough insurance through Partnering for Health Services Medical Clinic. d) By providing educational and training programs to prepare future health care professionals to serve our community. The health system supports the Altoona Family Physician residency program and local universities and colleges in the training of nurses and other health professionals. e) ARHS supports people and groups in the community: in additional to contributing to events and organizations that improve the community's health, ARHS allow them to use our meeting rooms, supplies and parking area. ARHS donates food to local food banks, provide assistance to important community services like the homeless shelter, domestic abuse shelter, CONTACT Altoona (referral service to those in need). Some of the events we sponsor include the Blair Unit of the American Cancer Society's events and we provide free emergency care at local events.
SchH_P06_S00_L06	Schedule H, Part VI, Line 6	Affiliated health care system: Altoona Regional Health System is, as defined in the instructions, an affiliated health care system as it includes affiliates under common control that cooperate in providing health care services to our community. The entire health care systems is comprised of 25 companies, corporations, and affiliates that employ approximately 4,000 individuals and collectively include: an acute care hospital that provide routine, primary care services as well as regional and tertiary care services; a home nursing and home health care agency, physician practices, a free clinic, and a non profit foundation. These entities provide care to thousands of members of our community every year and include: over 20,000 hospital inpatients, over 400,000 hospital outpatient visits, over 400,000 physician office visits, and care to thousands of patients in their homes.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Gerald E Murray
President/CEO	536612	0	159120	0	1587	0	327355	0	24871	0	1049545	0	914346	0
Charles R Zorger
Senior Vice Pres	324995	0	96740	0	2510	0	72890	0	19398	0	516533	0	452413	0
Ronald J McConnell
Chief Operating Officer	326876	0	97344	0	0	0	93997	0	18413	0	536630	0	431941	0
Matthew P Bouchard MD
Emergency Room MD	457214	0	42356	0	0	0	34000	0	17370	0	550940	0	517656	0
Linnane Batzel MD
Senior Vice President	309261	0	74357	0	0	0	16500	0	17914	0	418032	0	371682	0
Clayton Rickens
Sr VP of Nursing	205764	0	61675	0	0	0	157687	0	18445	0	443571	0	0	0
Robert E Wertz MD
Director	0	284906	0	0	0	0	0	0	0	8500	0	293406	0	343328
Adam Blescia
ER Physician	328308	0	35598	0	0	0	16500	0	17278	0	397684	0	401022	0
Shaun Sheehan MD
ER Physician	354155	0	58614	0	0	0	0	0	7876	0	420645	0	0	0
Matthew Murphy MD
ER Physician	315816	0	35525	0	0	0	11700	0	17321	0	380362	0	0	0
Rebecca Miller MD
ER Physician	306344	0	32243	0	0	0	0	0	15038	0	353625	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchJ_P01_S00_L04	Schedule J, Part I, Line 4	The organization contributed to a SERP for the following key employees: Gerald Murray $327,355, Charlie Zorger $72,890 Ronald McConnell $61,117 and Clayton Rickens $10,568.
SchJ_P01_S00_L06	Schedule J, Part I, Line 6	The Incentive Compensation Program requires a 1% or greater financial operating margin that also covers the overall cost of the organizational incentive compensation program. When Incentive compensation is available, an at least 75% of the senior leader's goals have been achieved, the minimum payout would be 18.75% of base pay and maximum payout would be 30%(per Board approved capped Mercer compensation program design).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Blair County Hospital Authority	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	251352705	IssuerEIN
CUSIP Number	092840HV2	CUSIPNumber
Date Issued	2009-12-03	DateIssued
Issue Price	66371478	IssuePrice
Description Of Purpose	capital projects and renovations and partial refunding of 1998 bonds	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	1	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	66450563	TotalProceeds
Amount In Reserve Fund	5605366	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	7230708	RefundingEscrow
Issuance Costs From Proceeds	292082	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	2167071	WorkingCapitalExpenditures
Capital Expenditures	50167666	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2011	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	1	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	1	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	1	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

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

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	1	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Vicki Wertz
Daughter of Board Member	122798	Compensation	0
Lexington Mall Partners LP
Director Devorris is a 16% owner	732444	Rent	0
Lexington Mall Partners LP
Director Lawruk is a partner	732444	Rent	0
Pathology Associates of Blair County
Director Haas is an owner	125000	Professional Services	0
Reilly Creppage & Co Inc
Director Creppage is an owner	205995	Professional Fees	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P04_S00_L20b	Form 990, Part IV, Line 20b	As of May 15, 2014, the Health System's auditors (E&Y) have still not issued the audit report for the fiscal year ending June 30, 2013. As such, a draft audit report has been attached. The Health System will file an amended return when the audit report has been issued.
F990_P06_S0A_L02	Form 990, Part VI, Section A, Line 2	Director Devorris has a business relationship with Directors Wertz and Lawruk. Director Erb has a business relationship with Director Montler. Director Murray is employed by the organization: Altoona Regional Health System. Director Pfeffer is employed by Director Levine's law firm.
F990_P06_S0A_L07a	Form 990, Part VI, Section A, Line 7a	The parent corporation of Altoona Regional Health System is Central Pennsylvania Health Services Corporation (CPHSC) which has input into the nominating process for members of the governing board of Altoona Regional Health System
F990_P06_S0A_L07b	Form 990, Part VI, Section A, Line 7b	The parent corporation: Central Pennsylvania Health Services Corporation has some reserved powers to review and approve decision made by the Altoona Regional Health System Board of Directors
F990_P06_S0B_L11b	Form 990, Part VI, Section B, Line 11b	The organization's Form 990 was reviewed prior to its submission by the Altoona Regional Health System Board of Directors as a meeting held in May 2014.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	The organization annually distributes to all officers, directors, and key employees a conflict of interest Disclosure Statement which must be completed and returned. These Statements are reviewed by legal counsel and the corporate compliance officer to ensure compliance
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	The compensation of the CEO and other members of the Senior Leadership Team are reviewed by the Executive Compensation & Benefits Committee, a sub-committee of the Board of Directors, with recommendations presented to the full Board of Directors for approval. External compensation benchmarks are utilized, including the use of mercer Human Resource Consultants for each leadership position on an annual basis
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	The organization has a public website: www.altoonaregional.org and its Board of Directors names, positions, and companies are provided on that website. With regard to financial statements, the organization publishes and makes available to the public its balance sheets and income statements its publication Healthy Living, which is printed and distributed to the public. Additionally, the organization provides an annual community Benefits Report, which is freely available to the public which provides an accounting of all of the free and discounted care provided to the poor and to those without health insurance
F990_P11_S00_L09	Form 990, Part XI, Line 9	Minimum Pension Liability Adjustment ($11,202,714), Net Cash Infusion to Related Organizations ($3,016,558), Change in Beneficial Interest in Net Assets of the Central PA Medical Foundation ($6,760,658), Net Changes in Restricted Funds ($4,811), and Change in Minority Interest $434,782

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line2NameOfDisregardedEntity/BusinessNameLine2	Address Line2AddressUS/AddressLine2	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Central Pennsylvania Health Services Corporation
620 Howard Avenue	Altoona	PA	16601	251468814	Support the Health System	PA	501c3	11	N/A	0
Altoona Regional Partnership for a Healthy
620 Howard Avenue	Altoona	PA	16601	251842308	medical and dental clinics	PA	501c3	3	N/A	1	Community
Altoona Regional Health System Foundation
620 Howard avenue	Altoona	PA	16601	550787040	Support the health system	PA	501c3	11	N/A	1	For Life
Central Pennsylvania Medical Foundation
620 Howard Avenue	Altoona	PA	16601	251454709	support health system	PA	501c3	11	N/A	1
Home Nursing Agency Affiliates
201 Chestnut Avenue	Altoona	PA	16601	251518698	Home Healthcare	PA	501c3	11	N/A	1		PO Box 352
Home Nursing Agency Community Services
201 Chestnut Avenue	Altoona	PA	16601	251517533	Home Healthcare	PA	501c3	9		0		PO Box 352	Home Nursing Agency Affiliates
Home Nursing Agency Foundation
201 Chestnut Avenue	Altoona	PA	16601	251467014	Support Home Nursing Agency	PA	501c3	11		0		PO Box 352	Home Nursing Agency Affiliates
Home Nursing Agency Visiting Nurse Association
201 Chestnut Avenue	Altoona	PA	16601	251188570	Home healthcare	PA	501c3	9		0		PO Box 352	Home Nursing Agency Affiliates

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Lexington Mall Partners
620 Howard Avenue	Altoona	PA	16601	510459194	Real Estate	PA	Lexington One	Unrelated	0	0	0	0	0
Lexington Mall Holdings LLC
620 Howard Avenue	Altoona	PA	16601	270063014	Real Estate	PA	Lexington One	Unrelated	0	0	0	0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (16 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Altoona Family Inc
2500 Seventh Avenue	Altoona	PA	16602	251444935	Property Rental	PA	N/A	C	0	0	1	0
Lexington Holdings Inc
620 Howard Avenue	Altoona	PA	16601	251794386	Holding Company	PA		C	0	0	0	0	Central Pennsylvania Medical Foundation
Lexington Four Inc
620 Howard Avenue	Altoona	PA	16601	251793736	holding company for physician practices	PA		C	0	0	0	0	Lexington Holdings
Blair Medical Associates Inc
1414 Ninth Avenue	Altoona	PA	16602	251219302	Physician Practices	PA		C	0	0	0	0	Lexington Four Inc
Lexington Anesthesia Associates Inc
620 Howard Avenue	Altoona	PA	16601	251897765	CRNA practice	PA		C	0	0	0	0	Lexington Four Inc
Lexington Orthopedic Associates Inc
620 Howard AVenue	Altoona	PA	16601	550874905	phyisican practice	PA		C	0	0	0	0	Lexington Four Inc
Lexington Surgical Associates Inc
620 Howard Avenue	Altoona	PA	16601	233040538	physician practice	PA		C	0	0	0	0	Lexington Four Inc
Mainline Medical Associates Inc
1400 Ninth Avenue	Altoona	PA	16601	251439055	physician practice	PA		C	0	0	0	0	Lexington Four Inc
Northern Cambria Medical Center Inc
1106 Bingler Avenue	Northern Cambria	PA	15714	251793735	physician practice	PA		C	0	0	0	0	Lexington Four Inc
Patton Family Medical Center Inc
142 E Carroll Street	Carrolltown	PA	15722	251793735	physican practice	PA		C	0	0	0	0	Lexington Four Inc
Lexington Hospitalists Inc
620 Howard Avenue	Altoona	PA	16601	562584130	physician practice	PA		C	0	0	0	0	Lexington Four Inc
Lexington One Inc
620 Howard Avenue	Altoona	PA	16601	251468889	Real Estate	PA		C	0	0	0	0	Lexington Holdings
Lexington Two Inc
620 Howard AVenue	Altoona	PA	16601	251555689	Durable Medical Equipment	PA		C	0	0	0	0	Lexington Holdings Inc
Lexington Radiology Inc
620 Howard Avenue	Altoona	PA	16601	271440673	physician practice	PA		C	0	0	0	0	Lexington Four Inc
Allegheny Healthcare Staffing Inc
620 Howard Avenue	Altoona	PA	16601	271657362	healthcare staffing company	PA		C	0	0	0	0	Lexington Holdings Inc
Lexington Investments LLC
620 Howard Avenue	Altoona	PA	16601	270687832	holding company	PA		C	0	0	0	0	Lexington Anesthesia

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination	Business Name Line2NameOfOtherOrganization/BusinessNameLine2
Central Pennsylvania Medical Foundation
b	2141558	Canceled checks
Altoona Regional Partnership for a Healthy
q	870000	Canceled checks	Community
Altoona Regional Partnership for a Healthy
o	122255	Payroll records	Community
Altoona Regional Health System Foundation
q	360000	Canceled checks	For Life
Home Nursing Agency Community Services
l	103846	Invoices
Home Nursing Agency Visiting Nurse Association
l	588729	Invoices