GEISINGER-LEWISTOWN HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: GEISINGER-LEWISTOWN HOSPITAL (EIN 23-1352187)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-02-12
IRS object ID: 201310439349301021
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-02-12T13:00:03-06:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	232932984	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	400 MARKET STREET	AddressLine1
City	WILLIAMSPORT	City
State	PA	State
ZIP Code	17701	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	231352187	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	RANDY TEWKSBURY	Name
Title	VP OF FINANCE, CFO	Title
Phone	7172427650	Phone
Date Signed	2013-02-07	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS C GREEN CPA JD	Name
PTIN	P00350393	PTIN
Phone	5703236023	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	104140637	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.LEWISTOWNHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1905	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE PERSONAL, HIGH-QUALITY, ECONOMICAL HEALTHCARE FOR OUR COMMUNITIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	985	TotalNbrEmployees
Total Nbr Volunteers	130	TotalNbrVolunteers
Total Gross UBI	1653263	TotalGrossUBI
Net Unrelated Business Txbl Income	640732	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	181471	ContributionsGrantsPriorYear
Contributions Grants Current Year	236886	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	91424410	ProgramServiceRevenuePriorYear
Program Service Revenue CY	91947243	ProgramServiceRevenueCY
Investment Income Prior Year	726818	InvestmentIncomePriorYear
Investment Income Current Year	1590713	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3494052	OtherRevenuePriorYear
Other Revenue Current Year	3616344	OtherRevenueCurrentYear
Total Revenue Prior Year	95826751	TotalRevenuePriorYear
Total Revenue Current Year	97391186	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3496963	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3999633	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	46778979	SalariesEtcPriorYear
Salaries Etc Current Year	48090262	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	704883	TotalFundrsngExpCurrentYear
Other Expense Prior Year	43108767	OtherExpensePriorYear
Other Expenses Current Year	45500819	OtherExpensesCurrentYear
Total Expenses Prior Year	93384709	TotalExpensesPriorYear
Total Expenses Current Year	97590714	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2442042	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-199528	RevenuesLessExpensesCY
Total Assets BOY	90391492	TotalAssetsBOY
Total Assets EOY	85016763	TotalAssetsEOY
Total Liabilities BOY	55364995	TotalLiabilitiesBOY
Total Liabilities EOY	67816564	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	35026497	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	17200199	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE PERSONAL, HIGH-QUALITY, ECONOMICAL HEALTHCARE FOR OUR COMMUNITIES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	92268768	Expense
Grants	3999633	Grants
Revenue	91947243	Revenue
Description	PROVIDED INPATIENT, OUTPATIENT, WELLNESS, AND COMMUNITY SERVICES TO RESIDENTS OF LEWISTOWN, PA AND SURROUNDING COMMUNITIES. PROVIDED CARE, TO PATIENTS WHO MEET CERTAIN CRITERIA, WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. CHARGES FORGONE FOR SERVICES RENDERED AND SUPPLIES FURNISHED WERE APPROXIMATELY $4,484,000.	Description
Total Program Service Expense	92268768	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	75	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	985	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
KAY HAMILTON
PRESIDENT/CEO	36.00	X	X	310072	0	43029
FRANCIS EVANITSKY
CHAIR	0.80	X	X	0	0	0
DIANE SPOKUS PHD CHES
VICE CHAIR	0.80	X	X	0	0	0
WILLIAM F HERKERT
SECRETARY	0.80	X	X	0	0	0
DANA L PATTERSON
TREASURER	0.80	X	X	0	0	0
JEFFREY W ANDERSON
DIRECTOR	0.80	X		0	0	0
GURPREET S BHALLA MD
DIRECTOR	0.80	X		0	0	0
DONALD CHAPMAN SR
DIRECTOR	0.80	X		0	0	0
JOHN W GEHMAN MD
DIRECTOR	0.80	X		0	0	0
SHASHPAL K MALHOTRA MD
DIRECTOR	0.80	X		0	0	0
JAMES L SHILLING JR
DIRECTOR	0.80	X		0	0	0
CATHERINE M STOUT
DIRECTOR	0.80	X		0	0	0
JON ZIMMERMAN
DIRECTOR	0.80	X		0	0	0
OKSANA DEARMENT
EX-OFFICIO BOARD MEMBER	0.80	X		0	0	0
KETANKUMAR R SHETH MD
EX-OFFICIO BOARD MEMBER	0.80	X		0	0	0
RANDY TEWKSBURY
VP FINANCE/CFO	36.00		X	195497	0	42657
KIRK E THOMAS
SR. VP OPERATIONS/COO	39.00		X	149707	0	39599
NANCY S REINKE
VP HUMAN RESOURCES	35.00		X	130539	0	36740
RONALD M COWAN
CIO	39.00		X	129342	0	30043
CHRISTINE W MATHEWS
VP NURSING CARE SERVICES	40.00		X	144612	0	26483
NITIN V SHETH MD
PSYCHIATRIST	40.00			141438	0	4518	X
DAVID M NELSON
RADIATION PHYSICIST	40.00			188693	0	35990	X
RICHARD F STOMACKIN
PHARMACIST	40.00			150363	0	27509	X
NALIN G PATEL
PSYCHIATRIST	40.00			175313	0	6738	X
LEWIS D ALLSHOUSE
PHARMACIST	40.00			123744	0	25381	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1839320	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	318687	TotalOtherCompensation
Number Individuals GT100 K	14	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CERNER CORPORATION
43 KENSICO DRIVE	MT KISCO	NY	105491009	MAINTENANCE/REMOTE HOSTING FOR CLINICAL	1682506
EPA
307 SOUTH EVERGREEN AVE	WOODBURY	NJ	08096	EMERGENCY DEPT. PHYSICIANS	840014
QUEST DIAGNOSTICS NICHOLS INSTITUTE
12436 COLLECTIONS CENTER DRIVE	CHICAGO	IL	606932436	DIAGNOSTIC LABORATORY TESTING SERVICES	783043
MCKESSON
PO BOX 98347	CHICAGO	IL	606932436	FINANCIAL/CLINICAL SOFTWARE SUPPORT	581487
OPTIMAL IMX INC
2350 19TH STREET SOUTH STE 350	BIRMINGHAM	AL	35209	DIAGNOSTIC IMAGE READING & RELATED SERVI	577667

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	24	NumberOfContractorsGT100K
Fundraising Events	63712	FundraisingEvents
Government Grants	101697	GovernmentGrants
All Other Contributions	71477	AllOtherContributions
Noncash Contributions	17215	NoncashContributions
Total Contributions	236886	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE RE	Description
Business Code	621400	BusinessCode
Total Revenue Column	91947243	TotalRevenueColumn
Related Or Exempt Function Income	91947243	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	91947243	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1212706	TotalRevenueColumn
Exclusion	$1,212,706	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	6977744	Securities
Other	42486	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	6609016	Securities
Other	33207	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	368728	Securities
Other	9279	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	378007	TotalRevenueColumn
Exclusion	$378,007	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	22908	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	63712	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	37624	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-14716	TotalRevenueColumn
Exclusion	-$14,716	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	15578	GrossIncomeGaming
Gaming Direct Expenses	4373	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	11205	TotalRevenueColumn
Exclusion	$11,205	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	121865	GrossSalesOfInventory
Cost Of Goods Sold	65231	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	56634	TotalRevenueColumn
Exclusion	$56,634	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LAB SERVICE REVENUE	621500	1625025	1625025
CAFETERIA REVENUE	722210	481151		$481,151
SCHOOL OF NURSING	611600	477028			477028

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	980017	TotalRevenueColumn
Related Or Exempt Function Income	568836	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	28238	UnrelatedBusinessRevenue
Exclusion	$382,943	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3563221	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	97391186	TotalRevenueColumn
Related Or Exempt Function Income	92993107	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1653263	UnrelatedBusinessRevenue
Exclusion	$2,507,930	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	3985633	Total
Program Services	3985633	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	14000	Total
Program Services	14000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1363223	Total
Management And General	1363223	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	34898948	Total
Program Services	33977791	ProgramServices
Management And General	738302	ManagementAndGeneral
Fundraising	182855	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2075035	Total
Program Services	2063928	ProgramServices
Fundraising	11107	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7098866	Total
Program Services	6802337	ProgramServices
Management And General	259921	ManagementAndGeneral
Fundraising	36608	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2654190	Total
Program Services	2518242	ProgramServices
Management And General	121987	ManagementAndGeneral
Fundraising	13961	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	131169	Total
Program Services	6383	ProgramServices
Management And General	124786	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	68736	Total
Management And General	68736	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	14565	Total
Management And General	14565	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	4025	Total
Management And General	4025	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	8567305	Total
Program Services	7174834	ProgramServices
Management And General	1240164	ManagementAndGeneral
Fundraising	152307	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	313118	Total
Program Services	30235	ProgramServices
Management And General	14981	ManagementAndGeneral
Fundraising	267902	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	14855225	Total
Program Services	14785638	ProgramServices
Management And General	34948	ManagementAndGeneral
Fundraising	34639	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	127171	Total
Program Services	123603	ProgramServices
Management And General	3198	ManagementAndGeneral
Fundraising	370	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1997248	Total
Program Services	1831689	ProgramServices
Management And General	165559	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	82385	Total
Program Services	47939	ProgramServices
Management And General	31590	ManagementAndGeneral
Fundraising	2856	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	87867	Total
Program Services	70150	ProgramServices
Management And General	17702	ManagementAndGeneral
Fundraising	15	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	1175746	Total
Program Services	1175746	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5555538	Total
Program Services	5555538	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	707685	Total
Program Services	707685	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices	FundraisingFundraising
FEDERAL INCOME TAXES	223014	223014
BAD DEBT EXPENSE	5247691		5247691
REPAIRS AND MAINTENANCE	4885701	2434	4883264	3
MA ASSESSMENT	972697		972697

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	483933	Total
Program Services	293745	ProgramServices
Management And General	187928	ManagementAndGeneral
Fundraising	2260	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	97590714	Total
Program Services	92268768	ProgramServices
Management And General	4617063	ManagementAndGeneral
Fundraising	704883	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1820	BOY
EOY	1870	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	13883416	BOY
EOY	7172423	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	8918281	BOY
EOY	9293225	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	714572	BOY
EOY	1428160	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2118024	BOY
EOY	2334342	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2540938	BOY
EOY	2549714	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	108009356	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	78480978	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	30533223	BOY
EOY	29528378	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	30178953	BOY
EOY	29839151	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	690861	BOY
EOY	1347607	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	811404	BOY
EOY	1521893	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	90391492	BOY
EOY	85016763	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	26548913	BOY
EOY	39819482	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	21215000	BOY
EOY	20580000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1855672	BOY
EOY	1411497	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	5745410	BOY
EOY	6005585	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	55364995	BOY
EOY	67816564	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	34190991	BOY
EOY	16393000	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	274698	BOY
EOY	265173	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	560808	BOY
EOY	542026	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	35026497	BOY
EOY	17200199	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	90391492	BOY
EOY	85016763	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-199528	ReconcilationRevenueExpenses
Reconcilation Other Changes	-17626770	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$14,565	OtherActivitiesAmount
Total Lobbying Expenditures IIB	14565	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	A PORTION (25.82%) OF OUR ANNUAL DUES PAID TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) IS ATTRIBUTABLE TO LOBBYING EXPENSES. A PORTION (23.76%) OF OUR ANNUAL DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) IS ATTRIBUTABLE TO LOBBYING EXPENSES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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

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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	224654	OtherCostOrOtherBasis
Book Value	224654	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	46941880	OtherCostOrOtherBasis
Depreciation	31410051	Depreciation
Book Value	15531829	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	58578163	OtherCostOrOtherBasis
Depreciation	45718702	Depreciation
Book Value	12859461	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2264659	OtherCostOrOtherBasis
Depreciation	1352225	Depreciation
Book Value	912434	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	29528378	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
OBLIGATIONS UNDER CAPITAL LEASE	$2,209,190
DUE TO AFFILIATES	$125,841
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$2,229,667
BLUE CROSS CURRENT FINANCING ADVANCE	$381,800
ESTIMATED MEDICAL MALPRACTICE CLAIMS	$1,059,087

Field	Value	IRS element (for citing)
Total Of Amounts	6005585	TotalOfAmounts
Total Revenue	97391186	TotalRevenue
Total Expenses	97590714	TotalExpenses
Excess Or Deficit For Year	-199528	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-820478	NetUnrealizedGLOnInvestments
Other	-$16,806,292	OtherAmount
Total Adjustments	-17626770	TotalAdjustments
Excess Or Deficit Per FS	-17826298	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	79871644	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-820478	NetUnrealizedGainsInvestments
Other Revenues	-16806292	OtherRevenues
Revenue Not Rptd F990	-17626770	RevenueNotRptdF990
Revenue Subtotal	97498414	RevenueSubtotal
Other Revenues Not Included	-107228	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-107228	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	97391186	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	97697942	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	107228	OtherExpensesIncluded
Expenses Not Rptd F990	107228	ExpensesNotRptdF990
Expenses Subtotal	97590714	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	97590714	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE EARNINGS ON THE FRIENDS LEGACY ENDOWMENT FUND WILL BE USED SOLELY FOR THE PURPOSES OF CAPITAL AND BUILDING EXPENDITURES. NO EXPENDITURES CAN BE MADE UNTIL THE FUND REACHES $1,000,000 AND THEN ONLY THE EARNINGS FROM THE INVESTMENT CAN BE USED FOR THOSE PURPOSES. THE EARNINGS ON THE SCHOOL OF NURSING SCHOLARSHIP FUNDS ARE USED FOR SCHOLARSHIPS FOR LEWISTON HOSPITAL SCHOOL OF NURSING STUDENTS SELECTED BY THE SCHOLARSHIP COMMITTEE BASED ON ESTABLISHED CRITERIA.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 AND 2011. THE HOSPITAL'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS AND CORPORATION INCOME TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2012, 2011, AND 2010 REMAIN SUBJECT TO EXAMINATION BY THE IRS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		VALUATION LOSS -18,782. PENSION LIABILITY ADJUSTMENT -16,787,510. TOTAL TO SCHEDULE D, PART XI, LINE 8: -16,806,292.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		VALUATION GAIN -18,782. PENSION LIABILITY ADJUSTMENT -16,787,510.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		SPECIAL EVENT EXPENSES -37,624. COST OF GOODS SOLD -65,231. GAMING EXPENSES -4,373. TRANSFERS FROM AFFILIATES NETTED ON FINANCIAL STATEMENTS
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		SPECIAL EVENT EXPENSES 37,624. COST OF GOODS SOLD 65,231. RENTAL EXPENSES TRANSFERS FROM AFFILIATES NETTED ON FINANCIAL STATEMENTS GAMING EXPENSES 4,373.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT 2012	NameOfEvent1
Gross Receipts Event1	63425	GrossReceiptsEvent1
Charitable Contributions Event1	44491	CharitableContributionsEvent1
Gross Revenue Event1	18934	GrossRevenueEvent1
Non Cash Prizes Event1	6171	NonCashPrizesEvent1
Rent Facility Costs Event1	6271	RentFacilityCostsEvent1
Food And Beverage Event1	12088	FoodAndBeverageEvent1
Other Direct Expenses Event1	9119	OtherDirectExpensesEvent1
Name Of Event2	PA PINK ZONE	NameOfEvent2
Gross Receipts Event2	14241	GrossReceiptsEvent2
Charitable Contributions Event2	10463	CharitableContributionsEvent2
Gross Revenue Event2	3778	GrossRevenueEvent2
Other Direct Expenses Event2	3778	OtherDirectExpensesEvent2
Gross Receipts Other Events	8954	GrossReceiptsOtherEvents
Charitable Contrib Other Events	8758	CharitableContribOtherEvents
Gross Revenue Other Events	196	GrossRevenueOtherEvents
Food And Beverage Other Events	196	FoodAndBeverageOtherEvents
Gross Receipts Total	86620	GrossReceiptsTotal
Charitable Contributions Total	63712	CharitableContributionsTotal
Gross Revenue Total Events	22908	GrossRevenueTotalEvents
Non Cash Prizes Total Events	6171	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	6271	RentFacilityCostsTotalEvents
Food And Beverage Total Events	12284	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	12897	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	37623	DirectExpenseSummaryEvents
Net Income Summary	-14715	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Bingo	5841	GrossRevenueBingo
Non Cash Prizes Bingo	1111	NonCashPrizesBingo
Rent Facility Costs Bingo	125	RentFacilityCostsBingo
Other Direct Expenses Bingo	512	OtherDirectExpensesBingo
Volunteer Labor Bingo	1	VolunteerLaborBingo
Volunteer Labor Percentage Bingo	1.00000	VolunteerLaborPercentageBingo
Gross Revenue Other Gaming	9737	GrossRevenueOtherGaming
Other Direct Expenses Other Gaming	2625	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	1.00000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	15578	GrossRevenueTotalGaming
Non Cash Prizes Total Gaming	1111	NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming	125	RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming	3137	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	4373	DirectExpenseSummaryGaming
Net Gaming Income Summary	11205	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	PA	StatesWhereGamingConducted
Licensed	1	Licensed
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	0	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Own Facility	0.65000	PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility	0.35000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	PHYLLIS MITCHELL	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

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

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Charitable Distrib Required	0	CharitableDistribRequired

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	0	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
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	1723388	TotalCommunityBenefitExpense
Net Community Benefit Expense	1723388	NetCommunityBenefitExpense
Percent Of Total Expense	0.01870	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5160318	TotalCommunityBenefitExpense
Direct Offsetting Revenue	181110	DirectOffsettingRevenue
Net Community Benefit Expense	4979208	NetCommunityBenefitExpense
Percent Of Total Expense	0.05390	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6883706	TotalCommunityBenefitExpense
Direct Offsetting Revenue	181110	DirectOffsettingRevenue
Net Community Benefit Expense	6702596	NetCommunityBenefitExpense
Percent Of Total Expense	0.07260	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	49649	TotalCommunityBenefitExpense
Net Community Benefit Expense	49649	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

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

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	501	TotalCommunityBenefitExpense
Net Community Benefit Expense	501	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	535	TotalCommunityBenefitExpense
Net Community Benefit Expense	535	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	50861	TotalCommunityBenefitExpense
Net Community Benefit Expense	50861	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6934567	TotalCommunityBenefitExpense
Direct Offsetting Revenue	181110	DirectOffsettingRevenue
Net Community Benefit Expense	6753457	NetCommunityBenefitExpense
Percent Of Total Expense	0.07310	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1628	TotalCommunityBuildingExpense
Net Community Building Expense	1628	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	47632	TotalCommunityBuildingExpense
Net Community Building Expense	47632	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	6108	TotalCommunityBuildingExpense
Net Community Building Expense	6108	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2176	TotalCommunityBuildingExpense
Net Community Building Expense	2176	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	57544	TotalCommunityBuildingExpense
Net Community Building Expense	57544	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$2,034,734	BadDebtExpenseAmount
Amount Reimbursed By Medicare	23711306	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	25520882	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1809576	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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

Name Name

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

Address Address

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

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	0	UsesFPGDiscounted
Explains Basis	0	ExplainsBasis
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: ELIGIBILITY FOR FREE CARE IS BASED ON FEDERAL POVERTY GUIDELINES. DISCOUNTS ARE AVAILABLE FOR PROMPT PAYMENT AND SELF PAY OVER CERTAIN DOLLAR LEVELS, REGARDLESS OF INCOME.
PART I, L7 COL(F): BAD DEBT EXPENSE OF $5,247,691 WAS INCLUDED ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN PART I LINE 7 COLUMN F.
PART II: ECONOMIC DEVELOPMENT AND COMMUNITY BUILDING ACTIVITIES:MIFFLIN COUNTY INDUSTRIAL DEVELOPMENT CORPORATION - KAY HAMILTON, CEO, BOARD MEMBER THE MISSION OF THE MIFFLIN COUNTY INDUSTRIAL DEVELOPMENT CORPORATION IS TO PROMOTE THE GROWTH OF EMPLOYMENT AND INCOME IN MIFFLIN COUNTY BY USING TECHNICAL AND FINANCIAL RESOURCES FROM MCIDC AND FEDERAL, STATE, AND LOCAL AGENCIES AND INDIVIDUALS TO ENCOURAGE AND ASSIST BUSINESS AND INDUSTRIAL FORMATION, RETENTION, AND EXPANSION. MIFFLIN JUNIATA CAREER TECH CENTER ADVISORY COMMITTEE - KAY HAMILTON, CEO, BOARD MEMBERTHE MIFFLIN JUNIATA CAREER AND TECHNOLOGY CENTER OFFERS VOCATIONAL-TECHNICAL EDUCATIONAL PROGRAMS FOR BOTH MIFFLIN AND JUNIATA COUNTY STUDENTS IN GRADES 10 - 12. PROGRAMS INCLUDE: HEALTH PROFESSIONS, ALLIED HEALTH SCIENCE, AGRICULTURE, CONSTRUCTION, CRIMINAL JUSTICE, ETC. MIFFLIN-JUNIATA PARTNERS ADVANCING TOMORROW'S HEALTH (MJ PATH) - KIRK THOMAS, COO, BOARD CHAIRTHE MISSION OF THE MJ PATH GROUP IS TO PROMOTE THE HEALTH AND WELLNESS OF INDIVIDUALS AND THE COMMUNITIES OF MIFFLIN AND JUNIATA COUNTIES. THIS IS ACCOMPLISHED BY ENGAGING A BROAD SPECTRUM OF LOCAL COMMUNITY INDIVIDUALS AND ORGANIZATIONS WITH INTERESTS AND INFLUENCE ON LOCAL HEALTH STATUS BY WORKING TOGETHER TO PROMOTE EFFECTIVE HEALTH IMPROVEMENT STRATEGIES, INCLUDING PLANNING AND COORDINATION OF LOCAL RESOURCES. MEETINGS ARE HELD BI-MONTHLY. MIFFLIN-JUNIATA HEALTH CENTER - KAY HAMILTON, CEO, BOARD MEMBER THE MISSION OF THE MIFFLIN-JUNIATA HEALTH CENTER IS TO PROVIDE ACCESS TO PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO RESIDENTS OF ALL INCOME LEVELS WITHIN OUR SERVICE AREA, WITH SPECIAL EMPHASIS ON THE INDIGENT, THE UNINSURED, AND THE UNDERSERVED. THE HEALTH CENTER IS COLLABORATING WITH BROAD TOP MEDICAL CENTER, A FEDERALLY-QUALIFIED HEALTH CENTER, TO ESTABLISH AFFILIATE CLINICS IN MIFFLIN AND JUNIATA COUNTIES. MIFFLIN-JUNIATA HEALTH CENTER - KIRK THOMAS, COO, BOARD CHAIR THE MISSION OF THE MIFFLIN-JUNIATA HEALTH CENTER IS TO PROVIDE ACCESS TO PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO RESIDENTS OF ALL INCOME LEVELS WITHIN OUR SERVICE AREA, WITH SPECIAL EMPHASIS ON THE INDIGENT, THE UNINSURED, AND THE UNDERSERVED. THE HEALTH CENTER IS COLLABORATING WITH BROAD TOP MEDICAL CENTER, A FEDERALLY-QUALIFIED HEALTH CENTER, TO ESTABLISH AFFILIATE CLINICS IN MIFFLIN AND JUNIATA COUNTIES. AMISH HEALTH COUNCIL LIAISON - KIRK THOMAS, COOAN INITIATIVE HAS BEEN IMPLEMENTED TO MEET THE HEALTH CARE NEEDS OF THE AMISH POPULATION IN MIFFLIN AND JUNIATA COUNTIES. TO ENCOURAGE ACCESS TO CARE, A DISCOUNT PAYMENT SCHEDULE HAS BEEN DEVELOPED. MIFFLIN-JUNIATA UNITED WAY - PHYLLIS MITCHELL, VP MARKETING & COMMUNITY AFFAIRS, BOARD MEMBERTHE MISSION OF THE MJ UNITED WAY IS TO IMPROVE PEOPLE'S LIVES BY MOBILIZING THE CARING POWER OF THE COMMUNITY. THE UNITED WAY SUPPORTS VARIOUS AGENCIES THROUGH FUNDING. THE COMMUNITY IMPACT FOCUS AREAS INCLUDE: BASIC NEEDS AND SELF SUFFICIENCY, COMMUNITY LIFE AND HEALTH, EDUCATION, AND SUCCESSFUL CHILDREN AND YOUTH. LEWISTOWN HOSPITAL EMPLOYEES AND MEDICAL-DENTAL STAFF CONTRIBUTE TO THE UNITED WAY FUND EACH YEAR TO SUPPORT THESE LOCAL COMMUNITY ORGANIZATIONS. JUNIATA VALLEY CHAMBER OF COMMERCE - PHYLLIS MITCHELL, BOARD MEMBERTHE JUNIATA VALLEY CHAMBER OF COMMERCE HELPS PROMOTE AND SUPPORT LOCAL BUSINESSES IN MIFFLIN AND JUNIATA COUNTIES. THE CHAMBER IS A RESPECTED SOURCE FOR INFORMATION ABOUT COMMUNITY BUSINESSES AND EVENTS IN THE AREA. MIFFLINTOWN ROTARY - KIRK THOMAS, COO, LH REPRESENTATIVE THE MIFFLINTOWN ROTARY PLANS AND COORDINATES LOCAL RESOURCES TO PROMOTE HEALTH AND WELLNES.EMERGENCY PREPAREDNESS COMMITTEE - COMMUNITY PLANNING IMITATIVETHE EMERGENCY PREPAREDNESS COMMITTEE IS ACTUALLY A SUB-COMMITTEE OF THE RISK MANAGEMENT & SAFETY COMMITTEE. THE PRIMARY FUNCTION WOULD BE TO ASSURE THE HOSPITAL IS PREPARED AS BEST AS POSSIBLE FOR ANY EMERGENCY SITUATION. WE WORK CLOSELY WITH BOTH THE MIFFLIN AND JUNIATA COUNTY EMERGENCY MANAGEMENT AGENCIES (EMA'S), AND EACH OF THEIR RESPECTIVE DIRECTORS SITS ON THE COMMITTEE IN AN EX-OFFICIO CAPACITY. THIS HELPS US IN DEVELOPING OUR PLANS AND DRILLS/EXERCISES SO WE ADDRESS CONCERNS OF EACH COUNTY AS IT RELATES TO THEIR HVA'S (HAZARDS VULNERABILITY ANALYSIS).IN ADDITION, WE COORDINATE AND WORK CLOSELY WITH THE SOUTH CENTRAL MOUNTAINS REGIONAL TASK FORCE (SCMRTF). THE REGION IS COMPRISED OF THE FOLLOWING COUNTIES: MIFFLIN, JUNIATA, SNYDER, HUNTINGDON, BLAIR, BEDFORD, FULTON, AND CENTRE. BY MEETING, PLANNING AND EXERCISING WITH THE HEALTH CARE PARTNERS, PRIMARILY HOSPITALS, IN THIS AREA, WE ARE ABLE TO DEVELOP PLANS AND CONTINGENCIES IN THE EVENT OF LOCAL, REGIONAL, STATE AND/OR NATIONAL INCIDENTS. BY KNOWING WHAT EACH OTHERS CAPABILITIES AND RESOURCES ARE IN ADVANCE, WE HOPE TO BE ABLE TO MAINTAIN OR RESTORE HEALTHCARE SERVICES AS QUICKLY AS POSSIBLE TO OUR AREAS. THIS IS ONE COMPONENT OF OUR COMMUNITY INTERACTION AND PLANNING FOR INCIDENTS WHICH COULD ADVERSELY AFFECT HEALTHCARE FOR OUR RESIDENTS, VISITORS AND PATIENTS. WE ALSO PLAN AT LEAST 2 EXTERNAL EXERCISES (DRILLS) WITHIN MIFFLIN AND/OR JUNIATA COUNTIES EACH YEAR. THIS INVOLVES NOT ONLY HOSPITAL ASSETS, BUT INCLUDES PERSONNEL AND EQUIPMENT FROM EMS, FIRE, LAW ENFORCEMENT, EMERGENCY MANAGEMENT, AND SEVEN MOUNTAINS EMS REGION, TO PRACTICE WHAT COULD OCCUR IN A VARIETY OF DIFFERENT SITUATIONS SUCH AS MAJOR FIRES, BUILDING COLLAPSES, BUS ACCIDENTS, OR TERRORIST TYPES OF ATTACKS.THE COMMITTEE IS COMPRISED OF: HOSPITAL RISK MANAGER (CHAIR), PCD'S FROM THE ED AND ICCU, VP OF NURSING, VP OF COMMUNITY RELATIONS, MANAGER OF EMPLOYEE HEALTH, STAFF MEMBERS FROM THE ED, SECURITY, AND THE LAB, DIRECTOR OF QUALITY IMPROVEMENT, COMMUNICATIONS SUPERVISOR, SENIOR FINANCIAL ACCOUNTANT, AND OTHERS. WE MEET MONTHLY AND REVIEW ANY & ALL ITEMS RELATED TO EMERGENCY PREPAREDNESS AND CONTINUITY OF OPERATIONS DURING AN EMERGENCY INCIDENT. WE ALSO REVIEW INCIDENTS WHICH MAY HAVE OCCURRED, EVALUATE INTERNAL/EXTERNAL COMMUNICATIONS AS NECESSARY, DISCUSS DISSEMINATION OF PUBLIC INFORMATION DURING INCIDENTS, AND APPROVE EXPENDITURES OF THE ASPR/OPHP (ASSISTANT SECRETARY OF PREPAREDNESS RESPONSE/OFFICE OF PUBLIC HEALTH PREPAREDNESS) ANNUAL GRANTS.INTERNSHIP PROGRAMS FOR VARIOUS DEPARTMENTSTHE HOSPITAL WORKS WITH MANY DIFFERENT ORGANIZATIONS SUCH AS SECONDARY EDUCATION INSTITUTIONS, AND MEDICAL SCHOOLS, TO PROVIDE JOB SHADOWING AND TRAINING INTERNSHIPS FOR PARTICIPANTS. MANY DIFFERENT DEPARTMENTS WORK WITH INTERNS TO PROVIDE A VALUABLE WORK EXPERIENCE. IN FY2011, WE HELD TWO DAYS OF JOB SHADOWING WITH PARTICIPATION FROM APPROXIMATELY 15 DIFFERENT DEPARTMENTS ACROSS THE ORGANIZATION SHADOWING APPROXIMATELY 45 INDIVIDUALS INTERESTED IN CAREERS IN THE HEALTH CARE FIELD. THIS IS A VALUABLE SERVICE TO THE EDUCATIONAL INSTITUTIONS OF THE COMMUNITY AS THE STUDENTS ARE ABLE TO EXPERIENCE FIRSTHAND WHAT THESE TYPES OF CAREERS HAVE TO OFFER, SOMETHING THAT A CLASSROOM SETTING COULD NOT PROVIDE. THIS PROGRAM IS OF NO COST TO THE EDUCATIONAL INSTITUTIONS AND IT IS AN EXCELLENT WAY FOR STUDENTS TO MAKE INFORMED CAREER CHOICES ULTIMATELY RESULTING IN A STRONGER WORKFORCE FOR THE COMMUNITY.EXPERIENCE WORKS PROGRAM SPONSOR.EXPERIENCE WORKS (FORMERLY GREEN THUMB) IS A FEDERAL EMPLOYMENT PROGRAM THAT IS FOCUSED ON MEETING THE TRAINING AND EMPLOYMENT NEEDS OF A RAPIDLY GROWING OLDER POPULATION. LEWISTOWN HOSPITAL IS A TRAINING AGENCY FOR EXPERIENCE WORKS INDIVIDUALS. CURRENTLY TWO EXPERIENCED WORKS PARTICIPANTS ARE WORKING AT THE HOSPITALLEWISTOWN HOSPITAL SCHOOL OF NURSINGMANY RURAL AREAS FACE SEVERE SHORTAGES OF NURSES. NO MEDICAL CENTER CAN WORK PROPERLY WITHOUT ENOUGH GOOD NURSES, AND LEWISTOWN HOSPITAL IS NO EXCEPTION. THE HOSPITAL HAD DIFFICULTY HIRING AND KEEPING RNS FOR YEARS. SO DID OTHER FACILITIES IN THE REGION, SUCH AS NURSING HOMES AND DOCTORS' OFFICES . IN RESPONSE TO THIS SHORTAGE OF NURSES, LEWISTOWN HOSPITAL APPEALED TO THE STATE BOARD OF NURSING TO OPEN ITS CURRENT SCHOOL OF NURSING. IN MAY 2005, THE PENNSYLVANIA STATE BOARD OF NURSING GRANTED INITIAL APPROVAL TO THE LEWISTOWN HOSPITAL TO ADMIT TWENTY-FIVE STUDENTS TO EACH OF TWO CLASSES. THE PENNSYLVANIA STATE BOARD EDUCATION ADVISORS REVIEWED THE PROGRAM IN OCTOBER 2007 AFTER THE FIRST CLASS GRADUATED, AND FULL APPROVAL WAS GRANTED TO THE PROGRAM IN DECEMBER 2007. THE SCHOOL HAS RECEIVED FULL ACCREDITATION FROM THE NATIONAL LEAGUE FOR NURSING ACCREDITING COMMISSION (NLNAC) IN FEBRUARY 2010, EFFECTIVE FALL 2009 THROUGH FALL 2014.
PART III, LINE 4: ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES.THE COST-TO CHARGE RATIO WAS CALCULATED USING TOTAL COSTS AND TOTAL PATIENT CHARGES. THE MEDICARE STEPDOWN METHODOLOGY WAS USED BUT INCLUDED ALL EXPENSES, NET OF RELATED OTHER INCOME. THE TOTAL EXPENSES TIED TO THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8: THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY OR PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT. OUR SERVICE AREA INCLUDES MANY MEDICARE RECIPIENTS THAT ARE ALSO DUALLY ELIGIBLE FOR MEDICAL ASSISTANCE, WHICH DENOTES SOME TYPE OF FINANCIAL NEED.MEDICARE COST-TO-CHARGE RATIOS FROM THE MEDICARE COST REPORT ARE USED TO DETERMINE THE COST OF THE PROGRAMS.
PART III, LINE 9B: PER OUR CURRENT POLICIES, THE ONLY WAY WE ARE GUARANTEED TO KNOW IF SOMEONE IS INDIGENT IS IF THEY COMPLETE A CHARITY CARE APPLICATION. THERE IS A PROVISION IN THE COMMUNITY CARE POLICY (OUR CHARITY CARE POLICY) - THAT ONCE COMPLETED, A CHARITY CARE APPLICATION IS VALID FOR 6 MONTHS. THEREFORE IF ANOTHER DEBT IS INCURRED DURING THAT WINDOW, WE KNOW THEY MEET THE REQUIREMENTS AND WE EXTEND THE TERMS OF FINANCIAL ASSISTANCE/CHARITY CARE TO THAT PATIENT.
PART V, SECTION B, LINE 10: ALL PATIENTS IDENTIFIED AS SELF PAY ARE ELIGIBLE FOR DISCOUNTED CARE.	LEWISTOWN HOSPITAL
PART V, SECTION B, LINE 19D: THE HOSPITAL HAS A SELF-PAY DISCOUNT POLICY WHICH DISCOUNTS "OUT OF POCKET" BALANCES BY AS MUCH AS 50%. THIS DISCOUNT IS GENERALLY MORE GENEROUS THAN ANY NEGOTIATED COMMERCIAL INSURANCE RATE.	LEWISTOWN HOSPITAL
PART V, SECTION B, LINE 21: BY REGULATION WE APPLY THE SAME GROSS CHARGE TO ALL PATIENTS REGARDLESS OF PAYER COURSE, HOWEVER, WHEN THE PATIENT IS IDENTIFIED AS SELF PAY THE DISCOUNT IS APPLIED THAT OFFERS A PAYMENT THAT IS LOWER THAN THAT PAID BY NEGOTIATED COMMERCIAL PAYERS OR FREE CARE IS OFFERED BASED ON INCOME GUIDELINES.	LEWISTOWN HOSPITAL
PART VI, LINE 2: QUARTERLY ADVISORY GROUPS:THE PATIENT SATISFACTION ADVISORY GROUP PURPOSE IS TO PROVIDE FEEDBACK REGARDING THE HOSPITAL'S PATIENT SATISFACTION EFFORTS. THE COMMITTEE IS COMPOSED OF FORMER AND CURRENT PATIENTS, AS WELL AS COMMUNITY MEMBERS. MEMBERS GIVE INSIGHT INTO WHAT THE COMMUNITY IS SAYING ABOUT THE HOSPITAL AND SUGGESTIONS FOR CHANGES TO MAKE THE HOSPITAL EXPERIENCE MORE PATIENT-FOCUSED.THE MARKETING ADVISORY COMMITTEE'S PURPOSE IS TO PROVIDE GUIDANCE FOR THE HOSPITAL'S MARKETING AND OUTREACH EFFORTS. FOCUS GROUP INTERVIEWS:THE HOSPITAL ENGAGED THE MELIOR GROUP TO CONDUCT INTERNAL AND EXTERNAL FOCUS GROUPS. THE OBJECTIVES OF THE RESEARCH WERE TO LEARN HOW LEWISTOWN HOSPITAL IS PERCEIVED; WHAT MAKES IT A HOSPITAL OF CHOICE OR NOT; WHAT ARE EXPERIENCES LIKE WITH THE HOSPITAL; AND WHAT SERVICES AND SPECIALTIES IT SHOULD FOCUS ON IN THE FUTURE. MEDICAL STAFF SURVEYS:THE PRIMARY OBJECTIVE OF THE MEDICAL STAFF ASSESSMENT PROCESS WAS TO CREATE A MEDICAL STAFF DEVELOPMENT PLAN FOR LEWISTOWN HOSPITAL THAT PROJECTS THE NEEDS FOR PHYSICIANS OVER THE NEXT SEVERAL YEARS, BY SPECIALTY, IN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS. IN ADDITION, THE SURVEY WAS USED TO CREATE A PHYSICIAN RECRUITMENT STRATEGY FOR THE HOSPITAL AND MEMBERS OF THE MEDICAL STAFF.UTILIZATION STATISTICS AND ANALYSIS:DECISION SUPPORT SOFTWARE WITHIN THE HOSPITAL'S FINANCE DEPARTMENT PROVIDES HISTORICAL AND CURRENT DATA ON THE UTILIZATION OF INPATIENT AND OUTPATIENT SERVICES. STATE HEALTH IMPROVEMENT PLAN PARTNERSHIP (SHIP) DATA:LEWISTOWN HOSPITAL IS A KEY MEMBER OF THE LOCAL SHIP (MIFFLIN -JUNIATA PARTNERS ADVANCING TOMORROW'S HEALTH). THE PURPOSE OF THIS GROUP IS TO SUPPORT THE HEALTH PLANNING INITIATIVES FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH. THIS IS ACCOMPLISHED BY ENGAGING A BROAD SPECTRUM OF LOCAL COMMUNITY INDIVIDUALS AND ORGANIZATIONS WITH INTERESTS AND INFLUENCE ON LOCAL HEALTH STATUS BY WORKING TOGETHER TO PROMOTE EFFECTIVE HEALTH IMPROVEMENT STRATEGIES, INCLUDING PLANNING AND COORDINATION OF LOCAL RESOURCES. MEETINGS ARE HELD BI-MONTHLY. PA DEPARTMENT OF HEALTH STATISTICS:THE PA DEPARTMENT OF HEALTH WEBSITE PROVIDES A WEALTH OF HEALTH STATISTICS AND DATA FOR EACH COUNTY. THIS INCLUDES THE FOLLOWING:RATES FOR BIRTH, DEATH, CANCER, AND OTHER VITAL STATISTICSBEHAVIORAL RISK AND INJURY STATISTICSCOMMUNICABLE DISEASESHEALTH FACILITIESSCHOOL HEALTH PA DEPARTMENT OF HEALTH BEHAVIORAL RISK FACTOR SURVEY:THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) IS AN ANNUAL TELEPHONE SURVEY IMPLEMENTED NATIONWIDE UNDER A GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION. SINCE 1989, THE PENNSYLVANIA DEPARTMENT OF HEALTH HAS RELEASED ANNUAL REPORTS USING BRFSS DATA ON VARIOUS HEALTH RISK BEHAVIORS, SUCH AS SMOKING, DRINKING, SEAT BELT USAGE AND HEALTH STATUS.MIFFLIN-JUNIATA HUMAN SERVICES NEEDS ASSESSMENT - FROM MIFFLIN COUNTY COMMISSIONERS OFFICETHE MIFFLIN-JUNIATA COUNTY HUMAN NEEDS ASSESSMENT PROJECT BEGAN IN 2004 TO IDENTIFY CRITICAL AREAS WHERE THE ASSISTANCE OF THE HUMAN SERVICES DEPARTMENT WOULD BE MOST BENEFICIAL FOR INDIVIDUALS, FAMILIES AND THE COMMUNITY. THE HUMAN SERVICES DEPARTMENT COLLABORATED WITH PENN STATE UNIVERSITY TO CONDUCT A NEEDS ASSESSMENT IN BOTH JUNIATA AND MIFFLIN COUNTIES. THE ASSESSMENT WAS HELPFUL IN DETERMINING WHAT THE HIGHEST HUMAN SERVICE NEEDS WERE FOR THE TWO COUNTIES.IN LATE 2011, LEWISTOWN HOSPITAL BEGAN WORKING WITH MIFFLIN-JUNIATA HUMAN SERVICES DEPARTMENT, UNITED WAY OF MIFFLIN-JUNIATA AND PENN STATE EXTENSION SERVICE TO DEVELOP AND CONDUCT AN UPDATED COMMUNITY HUMAN SERVICES NEEDS ASSESSMENT. FOR LEWISTOWN HOSPITAL, THIS ASSESSMENT WILL BE ONE TOOL USED TO DETERMINE WHAT PRIORITY SHOULD BE GIVEN TO SPECIFIC HEALTH CARE NEEDS WITHIN OUR COMMUNITY AND TO IMPLEMENT A STRATEGY TO ADDRESS THOSE IDENTIFIED HEALTH CARE NEEDS. THE ASSESSMENT PROCESS WILL CONTINUE THROUGH 2012. HOW IS ALL OF THE ABOVE INFORMATION PULLED TOGETHER AND UTILIZED?VARIOUS HOSPITAL STAFF MEMBERS ASSIST WITH THE DATA COLLECTION. PRIMARY AND SECONDARY DATA IS ORGANIZED INTO COMPUTER FILES TO MAKE THE INFORMATION EASIER TO USE AND ANALYZE. ONCE THE HOSPITAL HAS THE PRIMARY AND SECONDARY DATA COLLECTED AND IN HAND, THE SENIOR TEAM SPENDS TIME ANALYZING THE DATA TO DISCERN PATTERNS AND THEMES. ASSESSMENT DATA FINDINGS ARE SHARED WITH A VARIETY OF GROUPS INTERNALLY AND EXTERNALLY (MANAGEMENT STAFF, MEDICAL-DENTAL STAFF, BOARD OF TRUSTEES, COMMUNITY ORGANIZATIONS).SINCE SUFFICIENT RESOURCES ARE NOT AVAILABLE TO ADDRESS ALL THE HEALTH CONCERNS IDENTIFIED IN THE ASSESSMENTS, CHOICES MUST BE MADE ABOUT WHICH ISSUES ARE DESIGNATED AS PRIORITIES FOR ACTION IN THE SHORT TO INTERMEDIATE TERM (ONE TO THREE YEARS). IN GENERAL, THE HOSPITAL AIMS FOR TWO TO THREE PRIORITIES.THE HOSPITAL COLLABORATES WITH OTHER COMMUNITY STAKEHOLDERS TO GAIN A GREATER COMMITMENT TO ACTION. A CONSENSUS IS REACHED WITH INPUT FROM HOSPITAL STAFF, MEDICAL STAFF, THE BOARD OF TRUSTEES, AND COMMUNITY MEMBERS. CRITERIA THAT ARE USED TO IDENTIFY THE MOST SIGNIFICANT HEALTH ISSUES INCLUDE:THE MAGNITUDE OF THE PROBLEMTHE SEVERITY OF THE PROBLEMA HIGH NEED AMONG VULNERABLE POPULATIONSCRITERIA THAT ARE USED TO EVALUATE WHICH HEALTH ISSUES THE HOSPITAL SHOULD PRIORITIZE INCLUDE:THE HOSPITAL'S CAPACITY TO ACT ON THE ISSUE, INCLUDING ECONOMIC, SOCIAL, AND CULTURAL CONSIDERATIONS.THE FEASIBILITY OF HAVING A MEASURABLE IMPACT ON THE ISSUECOMMUNITY RESOURCES ALREADY FOCUSED ON THE ISSUEWHETHER THE ISSUE IS A ROOT CAUSE OF OTHER PROBLEMS (THEREBY POSSIBLY AFFECTING MULTIPLE ISSUES)WHEN THE ISSUES HAVE BEEN PRIORITIZED, THE SENIOR TEAM AND BOARD OF TRUSTEES DISCUSS THE PRIORITIZED LIST AND ASK FOR ADDITIONAL INPUT AND VALIDATION. WHEN A FINAL DECISION IS MADE, A PLAN IS PUT INTO PLACE TO ADDRESS THE PRIORITIES AND IMPROVE COMMUNITY HEALTH. SPECIFIC GOALS HELP FOCUS THE SPECIFIC INTERVENTIONS AND PROVIDE A METHOD FOR VALUING EACH OPTION.
PART VI, LINE 3: LEWISTOWN HOSPITAL PRODUCES DAILY REPORTS FOR HIGH TICKET SERVICES THAT IDENTIFY PATIENTS THAT ARE POTENTIALLY UNINSURED. WE CONTRACT WITH A THIRD PARTY THAT EMPLOYS A REPRESENTATIVE ON SITE AT THE HOSPITAL THAT WILL TAKE THE REPORT OF UNINSURED PATIENTS. THE REPRESENTATIVE WILL ATTEMPT TO PERSONALLY VISIT EACH PATIENT WHILE THEY ARE STILL AT THE HOSPITAL TO OUTLINE POSSIBLE OPTIONS. THE PRIMARY OPTION IS USUALLY MAKING AN APPLICATION FOR MEDICAL ASSISTANCE. THE REPRESENTATIVE IS HIGHLY EXPERIENCED IN THE MEDICAL ASSISTANCE APPLICATION PROCESS AND WILL ASSIST THE PATIENT IN COMPLETING THE APPLICATION PROCESS. THIS INCLUDES COMPLETING THE PAPERWORK, COPYING DOCUMENTS AND EVEN WILL REPRESENT THE PATIENT AT THE FACE TO FACE INTERVIEW AT THE COUNTY OFFICE IF NECESSARY. POST DISCHARGE ALL PATIENTS INDICATING THAT THEY ARE UNINSURED WILL RECEIVE A LETTER OFFERING A PROMPT PAY DISCOUNT. THERE ARE CONTACT PHONE NUMBERS ON THE LETTER SHOULD THE PATIENT HAVE ANY QUESTIONS CONCERNING OUR DISCOUNT PROGRAM. TELEPHONE CALLS ARE MADE TO PATIENTS IN AN ATTEMPT TO EXPLAIN OUR DISCOUNT POLICY, THE FACT THAT WE ACCEPT INTEREST FREE TIME PAYMENTS, WE ENCOURAGE PATIENTS TO MAKE APPLICATION FOR MEDICAL ASSISTANCE AND BLUECHIP AND IF WE DETERMINE THAT THERE TRULY IS AN INDIGENT SITUATION WHERE THERE ARE NO OTHER ALTERNATIVES WE DO OFFER A CHARITY PROGRAM WHEREBY PATIENTS MAY QUALIFY FOR FREE CARE.IN OUR PATIENT INFORMATION GUIDE, THERE IS WORDING THAT TELLS PATIENTS ABOUT FINANCIAL ASSISTANCE, OUR WEBSITE OFFERS INFORMATION REGARDING FINANCIAL ASSISTANCE, AND WE ALSO MAKE CHARITY CARE APPLICATIONS AVAILABLE AT REGISTRATION POINTS. WE ALSO HAVE TRANSLATORS AVAILABLE IF THE NEED ARISES.
PART VI, LINE 4: OUR SERVICE AREA IS COMPRISED OF MIFFLIN COUNTY, JUNIATA COUNTY, AND PARTS OF HUNTINGDON AND SNYDER COUNTIES. THIS RURAL AREA CONTAINS SOME 145,000 PEOPLE SPREAD OVER MORE THAN 2,500 SQUARE MILES OF RUGGED TERRAIN LOCATED IN THE HEART OF THE APPALACHIAN MOUNTAINS IN CENTRAL PENNSYLVANIA. THE AVERAGE POPULATION DENSITY IS APPROXIMATELY 60 PERSONS PER SQUARE MILE. THE JUNIATA RIVER RUNS ALONG THE VERDANT VALLEYS AND SLICES THROUGH NARROW MOUNTAIN PASSES TO CONNECT OUR RESIDENTS TOGETHER, WHICH IS WHY OUR AREA IS CALLED THE JUNIATA VALLEY.TRANSPORTATION BARRIERS PLAY A MAJOR ROLE IN ACCESS TO HEALTH CARE IN OUR REGION. THESE NATURAL BARRIERS INCLUDE NARROW ROADS THAT EITHER MEANDER ALONG STREAMS AND CREEKS OR CROSSOVER THE MOUNTAIN RANGES THAT TRAVERSE OUR APPALACHIAN RIDGE REGION. THESE BARRIERS ARE EVEN MORE DAUNTING GIVEN HAZARDOUS WINTER DRIVING CONDITIONS CAUSED BY SNOW OR ICE COVERED ROADS. LOW-INCOME AND SENIOR CITIZENS ALSO FACE TRANSPORTATION ISSUES, AS THERE IS NO PUBLIC TRANSPORTATION IN OUR SERVICE AREA. SENIOR CITIZENS AND MEDICAID-ELIGIBLE PERSONS CAN USE THE "CARS" VAN SYSTEM FOR TRANSPORTATION TO REGULARLY SCHEDULED APPOINTMENTS WITH A WEEKS' NOTICE BUT NOT FOR URGENT OR EMERGENCY CARE. LOW INCOME CITIZENS HAVE NO ACCESS TO ANY PUBLIC TRANSPORTATION AT ALL IN OUR COMMUNITY. IF A TRIP TO A SPECIALIST IS REQUIRED THE MAJOR SUPPORT HOSPITALS ARE OVER ONE AND HALF HOURS DRIVE AWAY (IN THE SUMMER).THE POPULATION OF OUR TOTAL SERVICE AREA IS JUST ABOUT 145,000 PERSONS BASED ON 2000 US CENSUS DATA. MIFFLIN COUNTY HAS A RELATIVELY FLAT GROWTH RATE AND HAS NOT GROWN SIGNIFICANTLY IN POPULATION SINCE THE 1950 CENSUS WHEN OVERALL POPULATION WAS ABOUT 46,000 PEOPLE. JUNIATA COUNTY, ON THE OTHER HAND, HAS SEEN SIGNIFICANT GROWTH WITH A 10.6% INCREASE IN POPULATION FROM 1990 TO 2000. IT IS BELIEVED THAT THIS GROWTH IS MOSTLY COMING FROM PEOPLE WHO WORK IN THE NEARBY HARRISBURG AREA WHO ARE LOOKING FOR A LOWER COST OF LIVING. WITH THE RECENT COMPLETION OF A NEW FOUR-LANE HIGHWAY NORTH OF HARRISBURG, THE COMMUTE TO HARRISBURG HAS BECOME MORE CONVENIENT RESULTING IN AN INCREASE IN JUNIATA COUNTY'S POPULATION AS PEOPLE MOVE FURTHER AWAY FROM THE URBAN AREAS TO LIVE IN THE COUNTRY. HIGHER GROWTH IN FULTON COUNTY IS EXPLAINED BY MIGRATION FROM MARYLAND AS PEOPLE TRY TO MOVE AWAY FROM HIGHER HOUSING COSTS IN MARYLAND. HUNTINGDON COUNTY'S GROWTH IS MOSTLY OCCURRING IN THE NORTHERN PORTION OF THE COUNTY THAT IS CLOSE ENOUGH TO STATE COLLEGE TO ALLOW RESIDENTS TO COMMUTE TO PENN STATE UNIVERSITY. THESE GROWTH RATES ARE STILL VERY LOW WHEN COMPARED TO A NATIONAL GROWTH RATE OF OVER 13%.OTHER IMPORTANT DEMOGRAPHIC STATISTICS ARE OUTLINED IN THE CHART BELOW.STATISTICS: MIFFLIN COUNTY(MC), JUNIATA COUNTY(JC), PENNSYLVANIA(PA)POPULATION: 46,682(MC), 24,636(JC), 12,702,379(PA)POPULATION LESS THAN 18 YEARS OF AGE: 23.1%(MC), 24%(JC), 22%(PA)AGE 65 AND UP: 8.5%(MC), 16.8%(JC), 15.4%(PA)PERCENTAGE OF POPULATION BELOW THE POVERTY LEVEL (2009): 15.1%(JC), 10.4%(MC), 12.5% (PA)POVERTY RATE FOR CHILDREN UNDER AGE 18 (2009): 24.9%(JC), 17.1%(MC), 17.1%(PA)MEDIAN HOUSEHOLD INCOME: $38,310(JC), $43,604(MC), $49,501(PA)UNINSURED ADULTS (2009): 13.9%(JC), 16.6%(MC), 12.8%(PA)MIFFLIN COUNTY'S 65 AND OVER AGE GROUP IS 18.5 PERCENT (2009), WHILE JUNIATA COUNTY'S IS 16.8%, HUNTINGDON COUNTY'S, 16% AND FULTON COUNTY'S 16.7%. THE PENNSYLVANIA AVERAGE FOR THIS STATISTIC IS ON 15.4%. BOTH MIFFLIN AND JUNIATA COUNTIES HAVE HIGHER PERCENTAGES OF PERSONS LESS THAN 18 YEARS OF AGE, 23.1% AND 24% RESPECTIVELY, THAN THE PA AVERAGE OF 22%. BOTH OF THESE GROUPS REQUIRE MORE HEALTH CARE RESOURCES THAN OTHER AGE GROUPS IN OUR COMMUNITY. MIFFLIN COUNTY HAS 15.1% OF THE POPULATION WITH INCOME BELOW THE POVERTY LINE AND 24.9% OF CHILDREN UNDER 18 LIVING IN POVERTY. JUNIATA COUNTY HAS 10.4% OF THE POPULATION WITH INCOME BELOW THE POVERTY LINE, WHILE HUNTINGDON AND SNYDER COUNTIES ARE 13% AND 14% RESPECTIVELY. PER CAPITA PERSONAL INCOME (2009) FOR THE FOUR MAIN COUNTIES IN OUR SERVICE AREA ARE AS FOLLOWS: MIFFLIN $28.3K, JUNIATA $30.3K, HUNTINGDON $27.6K, AND SNYDER $30.8K. THE PERCENTAGES OF THE POPULATIONS WHO ARE UNINSURED (IN THE 18-64 AGE RANGE) FOR THOSE COUNTIES ARE AS FOLLOWS: MIFFLIN 19%, JUNIATA 19%, HUNTINGDON 19%, AND SNYDER 16%. DURING THE FISCAL YEAR 2011, APPROXIMATELY 14% OF OUR PATIENT POPULATION WAS MEDICAL ASSISTANCE, WHILE ANOTHER 3.5% WERE SELF PAY.THERE IS ONE OTHER HOSPITAL LOCATED WITHIN THE SERVICE AREA DESCRIBED ABOVE, JC BLAIR MEMORIAL HOSPITAL IN HUNTINGDON, PA. THERE ARE ALSO SEVERAL OTHER HOSPITALS LOCATED IN AREAS SURROUNDING OUR SERVICE AREA. THESE INCLUDE MT. NITTANY MEDICAL CENTER IN STATE COLLEGE, PA; GEISINGER MEDICAL CENTER IN DANVILLE, PA; HOLY SPIRIT HOSPITAL IN CAMP HILL, PA; THE PENN STATE MILTON S. HERSHEY MEDICAL CENTER IN HERSHEY, PA; AND SEVERAL CAMPUSES OF PINNACLE HEALTH IN THE HARRISBURG, PA AREA.THERE ARE ALSO SEVERAL FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS WITHIN OUR SERVICE AREA. THERE ARE TWO LOCATED IN MIFFLIN COUNTY, ONE IN JUNIATA COUNTY, AND FOUR IN HUNTINGDON COUNTY.THE ADULT BEHAVIORAL HEALTH RISK FACTORS SURVEY (2008-2010) SHOWS THE FOLLOWING STATISTICS FOR THE POPULATION LIVING IN MIFFLIN AND JUNIATA COUNTIES:RISK FACTORS : PERCENTFAIR OR POOR GENERAL HEALTH: 16%OBESE: 31%OVERWEIGHT (INCLUDES OBESE): 66%EVER TOLD THEY HAD DIABETES: 11%CURRENTLY HAS ASTHMA: 10%CURRENT SMOKER: 19%FOR MIFFLIN AND JUNIATA COUNTIES, THE HEALTH PROFILE 2012 FROM THE PA DEPARTMENT OF HEALTH SHOW THE MAJOR CAUSES OF DEATH ARE DISEASES OF THE HEART, CANCER, STROKE, AND CHRONIC LOWER RESPIRATORY DISEASES. PROSTATE CANCER RANKS AS NUMBER ONE FOR THE HIGHEST INCIDENCE OF CANCER, FOLLOWED BY FEMALE BREAST CANCER. RANKING THIRD AND FOURTH ON THE LIST ARE LUNG CANCER AND COLON CANCER.
PART VI, LINE 5: ALL OF THE ORGANIZATION'S BOARD MEMBERS RESIDE WITHIN THE ORGANIZATION'S PRIMARY SERVICE AREA. KAY HAMILTON, THE PRESIDENT, IS THE ONLY EMPLOYEE ON THE BOARD AND NONE OF THE BOARD MEMBERS ARE FAMILY MEMBERS OF EMPLOYEES WITHIN THE ORGANIZATION. DR. CHARLES EVERHART, JR, MD, FORMER BOARD MEMBER, OWNS ENDOSCOPY CENTER OF PA, WHICH PROVIDES ENDOSCOPY SERVICES TO LEWISTOWN HOSPITAL; FRANCIS EVANITSKY , CHAIR OF THE BOARD IS FORMER PRESIDENT OF JUNIATA VALLEY BANK WHICH DOES PROVIDE BANKING SERVICES FOR LH. THE ORGANIZATION EXTENDS STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE AREA.ANNUALLY DURING THE BUDGET PROCESS, A CASH FORECAST IS PREPARED TO DETERMINE THE AMOUNT OF CASH AVAILABLE FOR CAPITAL PURCHASES. CAPITAL REQUESTS ARE MADE BY MANAGEMENT OF THE ORGANIZATION DURING THE BUDGET PROCESS AS WELL. REQUESTS ARE REVIEWED AND APPROVED BY THE MEDICAL EXECUTIVE COMMITTEE ONCE ALL OF THE REQUESTS ARE COMPLETE. THE AMOUNT DETERMINED TO BE AVAILABLE AND APPROVED IS SET ASIDE INTO A FUNDED DEPRECIATION ACCOUNT IN WEEKLY INSTALLMENTS OVER THE COURSE OF THE FISCAL YEAR. LEWISTOWN HOSPITAL IS WHOLLY DEDICATED TO THE LIVES, HEALTH AND WELL-BEING OF THE INDIVIDUALS IN OUR COMMUNITY. ENSURING THAT ADEQUATE CAPITAL EQUIPMENT IS AVAILABLE TO PROVIDE THE BEST TREATMENT POSSIBLE FOR OUR PATIENTS IS AN EXAMPLE OF THAT DEDICATION.
PART VI, LINE 6: WHILE NOT PART OF A HEALTH SYSTEM PER SE, LEWISTOWN HOSPITAL IS A PART OF THE LEWISTOWN HEALTHCARE FOUNDATION NETWORK OF RELATED ORGANIZATIONS. THE ROLE OF THE HOSPITAL AND ITS AFFILIATED ORGANIZATIONS ARE AS FOLLOWS:LEWISTOWN HOSPITAL:LEWISTOWN HOSPITAL IS A 123-BED ACUTE CARE COMMUNITY HOSPITAL SERVING THE RESIDENTS OF MIFFLIN AND JUNIATA COUNTIES AND MEMBERS OF THE SURROUNDING COUNTIES OF SNYDER, AND HUNTINGDON. ESTABLISHED IN 1905, THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, WELLNESS AND COMMUNITY SERVICES WHILE EMPLOYING OVER 1,000 FULL-TIME AND PART-TIME EMPLOYEES AND PROVIDING A MEDICAL STAFF CONSISTING OF 128 PHYSICIANS AND ALLIED HEALTH PRACTITIONERS REPRESENTING SPECIALTIES RANGING FROM FAMILY MEDICINE, INTERNAL MEDICINE, AND CARDIOLOGY TO INFECTIOUS DISEASE AND GENERAL/CARDIOVASCULAR SURGERY.THE MISSION OF LEWISTOWN HOSPITAL IS TO PROVIDE PERSONAL, HIGH-QUALITY ECONOMICAL HEALTHCARE FOR OUR COMMUNITIES.FAMILY HEALTH ASSOCIATES OF LEWISTOWN HOSPITAL (FHA):FHA, A PENNSYLVANIA NON-PROFIT CORPORATION, IS A MULTI-SPECIALTY PHYSICIAN/PRACTITIONER GROUP LOCATED IN CENTRAL PENNSYLVANIA. OUR PHYSICIANS ARE BOARD-CERTIFIED OR BOARD ELIGIBLE IN PRIMARY CARE AS WELL AS MANY SPECIALTY AREAS INCLUDING GENERAL SURGERY, PULMONARY MEDICINE, SLEEP MEDICINE, AND WEIGHT LOSS AND NUTRITION. WE ARE DEDICATED TO OUR MISSION OF PROVIDING PERSONAL, HIGH QUALITY, ECONOMICAL HEALTH CARE THAT MEETS THE NEEDS OF OUR COMMUNITIES.LEWISTOWN AMBULATORY CARE CORPORATION (LACC):LACC IS A PENNSYLVANIA NON-PROFIT ORGANIZATION THAT IS MAINLY A REAL ESTATE HOLDING COMPANY THAT OWNS AND/OR MANAGES THE NON-HOSPITAL REAL ESTATE ASSETS INCLUDING A MEDICAL OFFICE BUILDING THAT IS ATTACHED TO THE HOSPITAL. LACC ALSO MANAGES THE MEDIC 29 ADVANCED LIFE SUPPORT SERVICES (ALS). THE MEDIC 29 ALS SQUADS PROVIDE ALS SERVICE TO THE PEOPLE IN MIFFLIN AND JUNIATA COUNTIES, AS WELL AS TO PEOPLE IN PARTS OF HUNTINGDON, SNYDER, AND OCCASIONALLY PERRY COUNTIES. EMERGENCY MEDICAL TECHNICIANS - PARAMEDICS, OR PARAMEDICS FOR SHORT, STAFF THESE ALS SQUADS TWENTY-FOUR HOURS A DAY, SEVEN DAYS A WEEK. ALS SQUADS AUGMENT THE STAFF OF THE EXISTING BASIC LIFE SUPPORT (BLS) AMBULANCE TEAMS THAT OPERATE IN OUR AREAS. DURING AN EMERGENCY CALL, THE ALS SQUAD IS DISPATCHED, ALONG WITH THE BLS AMBULANCE, AND MEETS THE BLS AMBULANCE ON SCENE OR EN ROUTE TO THE HOSPITAL. THE PARAMEDIC TAKES HIS/HER EQUIPMENT AND JOINS THE BLS CREW IN THEIR AMBULANCE AND PROVIDES ALS CARE TO THE PATIENT WHILE EN ROUTE TO THE HOSPITAL. THIS ENSURES THAT YOU RECEIVE THE BEST POSSIBLE CARE AS SOON AS POSSIBLE. MEDIC 29 PRIMARILY TRANSPORTS PATIENTS TO LEWISTOWN HOSPITAL, BUT WILL ALSO TRANSPORT TO OTHER HOSPITALS BASED ON THE PATIENT'S NEEDS AND PREFERENCES. MEDIC 29 WAS ORIGINALLY PLACED IN SERVICE IN 1989 AS THE FIRST ALS PROVIDER IN THE AREA AND WAS RESPONSIBLE FOR PROVIDING ALS SERVICE TO MIFFLIN AND JUNIATA COUNTIES AND PARTS OF HUNTINGDON AND SNYDER COUNTIES. OVER THE YEARS, THE NEEDS OF THE COMMUNITY HAVE INCREASED AND MEDIC 29 HAS GROWN TO MEET THESE NEEDS BY PROVIDING FASTER ACCESS TO ALS CARE. IN 1992, MEDIC 29 INCREASED STAFF TO PROVIDE A SECOND ALS SQUAD BASED IN JUNIATA COUNTY. THE JUNIATA COUNTY PARAMEDIC SQUAD BROUGHT MUCH NEEDED ALS CARE FIFTEEN MINUTES CLOSER TO RESIDENTS IN JUNIATA COUNTY. MEDIC 29 CEASED OPERATIONS AT THE END OF DECEMBER 2011.HEALTH ENTERPRISES, INC. (HEI):HEI, A PENNSYLVANIA FOR-PROFIT ENTITY, THE ONLY ONE WITHIN THE LEWISTOWN HEALTHCARE FOUNDATION. THE MAIN PURPOSE OF HEI IS THE OPERATION OF OUR FOUR TOTAL LIFE CARE PHARMACIES (TLC PHARMACY). WE HAVE TAKEN THE ROAD LESS TRAVELED, LITERALLY, IN DETERMINING OUR SERVICE SITES. NOTICE THAT THEY ARE LOCATED IN THE MORE RURAL AREAS THROUGHOUT THE JUNIATA VALLEY TO PROVIDE CONVENIENCE AND CLOSE PROXIMITY TO OUR PHYSICIAN PRACTICES IN FAMILY HEALTH ASSOCIATES. LEWISTOWN HEALTHCARE FOUNDATION (LHF):LHF, IS A PENNSYLVANIA NON-PROFIT MEMBERSHIP CORPORATION. LEWISTOWN HOSPITAL IMPLEMENTED A CORPORATE REORGANIZATION PLAN IN 1985, ESTABLISHING LHF AS THE PARENT COMPANY OF WHICH LEWISTOWN HOSPITAL IS ONE OF ITS SUBSIDIARIES. LEWISTOWN HOSPITAL:85% OF COMMUNITY BENEFIT ACTIVITIES ARE CONTRIBUTED THROUGH LEWISTOWN HOSPITAL.FHA:FHA STAFF PARTICIPATES IN COMMUNITY HEALTH FAIRS AND SCREENINGS. SEVERAL PHYSICIANS ALSO PARTICIPATE IN MENTORSHIP PROGRAMS FOR INTERNS AND RESIDENTS. 8% OF COMMUNITY BENEFIT ACTIVITIES ARE CONTRIBUTED THROUGH FHA.LACC:THE DIRECTOR OF MEDIC 29 VOLUNTEERS MANY HOURS IN SERVICE TO SEVERAL DIFFERENT COMMUNITY ORGANIZATIONS INCLUDING:JUNIATA COUNTY AMBULANCE ASSOCIATION - 7 HOURS MIFFLIN COUNTY ALERT & ADVISORY COUNCIL - 6 HOURSLEPC - 3 HOURSEMS ASSOCIATION - 6 HOURSPA EMERGENCY HEALTH SERVICE COUNCIL - 5 HOURSIN ADDITION, THE DIRECTOR PARTICIPATES IN SEVERAL COMMUNITY HEALTH SCREENINGS. 2% OF COMMUNITY BENEFIT ACTIVITIES ARE CONTRIBUTED THROUGH MEDIC 29.HEI:MANY OF OUR SPONSORSHIPS AND CONTRIBUTIONS COME FROM HEI. IN 2012, A TOTAL OF $20,735 WAS CONTRIBUTED TO THE FOLLOWING COMMUNITY ORGANIZATIONS:LEWISTOWN ROTARY4STEPUNITED WAY OF MIFFLIN-JUNIATAMIFFLIN JUNIATA ARTS COUNCILJUNIATA COUNTY BUSINESS & PROFESSIONAL WOMENJUNIATA RIVER VALLEY VISITORS BUREAUPA ASSOCIATION OF HEALTHCARE AUXILIARIESMIFFLIN COUNTY YOUTH BASEBALL LEAGUEBIG BROTHERS BIG SISTERSAMERICAN CANCER SOCIETYLEWISTOWN COUNTRY CLUBJUNIATA RIVER FESTVNA - CENTRE HOME CAREALZHEIMERS ASSOCIATIONCEDAR SPRINGS COMMUNITY CENTERFESTIVAL OF ICEMIFFLIN COUNTY MELTDOWNMIFFLIN COUNTY PLANNING COMMISSIONMIFFLIN COUNTY SCHOOL DISTRICTMIFFLIN JUNIATA AREA AGENCY ON AGINGSALTILLO LIONS CLUBVALLEY VIEW HAVEN NURSING HOME5% OF COMMUNITY BENEFIT ACTIVITIES ARE CONTRIBUTED THROUGH HEI.
PA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
LEWISTOWN HEALTHCARE FOUNDATION
400 HIGHLAND AVENUE	LEWISTOWN	PA	17044	232344363	501(C)(3)	3945355	CASH	N/A	NET ASSET TRANSFER TO FUND OPERATIONS OF RELATED ENTITIES - FAMILY HEALTH ASSOCIATES OF LEWISTOWN HOSPITAL & LEWISTOWN AMBULATORY CARE CORP.
LEWISTOWN AMBULATORY CARE CORP
400 HIGHLAND AVENUE	LEWISTOWN	PA	17044	232344362	501(C)(3)	40278	CASH	N/A	TRANSFER TO LEWISTOWN AMBULATORY CARE CORP FOR GRANT FUNDS THAT WERE SENT TO LH BUT UTILIZED BY LAC

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	EDUCATIONAL SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	14	NumberOfRecipients
Amount Of Cash Grant	14000	AmountOfCashGrant
Method Of Valuation	CASH	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KAY HAMILTON
279681	0	27919	0	2472	0	34545	0	8484	0	353101	0	0	0
RANDY TEWKSBURY
177416	0	17565	0	516	0	27565	0	15092	0	238154	0	0	0
KIRK E THOMAS
135762	0	13792	0	153	0	21109	0	18490	0	189306	0	0	0
NANCY S REINKE
118438	0	11917	0	184	0	18406	0	18334	0	167279	0	0	0
RONALD M COWAN
117285	0	11876	0	181	0	18237	0	11806	0	159385	0	0	0
CHRISTINE W MATHEWS
131209	0	12878	0	525	0	20390	0	6093	0	171095	0	0	0
DAVID M NELSON
178513	0	10000	0	180	0	26606	0	9384	0	224683	0	0	0
RICHARD F STOMACKIN
149127	0	0	0	1236	0	21201	0	6308	0	177872	0	0	0
NALIN G PATEL
160219	0	15000	0	94	0	0	0	6738	0	182051	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

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

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

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	850000	AmountRetired
Total Proceeds	21723377	TotalProceeds
Amount In Reserve Fund	1722381	AmountInReserveFund
Refunding Escrow	19561939	RefundingEscrow
Issuance Costs From Proceeds	434468	IssuanceCostsFromProceeds
Amount Unspent	4589	AmountUnspent
Current Refunding	0	CurrentRefunding
Advance Refunding	1	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
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
Exception To Rebate	0	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
GAYLE COWAN
DIRECTOR/MANAGER OF THE EDUCATION DEPARTMENT, WIFE OF RONALD COWAN, CIO	81910	WAGES AND BENEFITS PAID TO GAYLE COWAN	0
CHARLES EVERHART JR MD
FORMER BOARD DIRECTOR	96747	MONTHLY ENDOSCOPY SERVICES PROVIDED TO LH BY THE ENDOSCOPY CENTER OF PA. CHARLES EVERHART JR. HAS AN 80% OWNERSHIP INTEREST IN THE ENDOSCOPY CENTER.	0
GURPREET S BHALLA MD
BOARD MEMBER/PROPRIETOR OF PENN ANESTHESIA	286667	CONTRACTUAL AGREEMENT WITH LH TO PROVIDE ANESTHESIA SERVICES TO THE HOSPITAL	0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	3 19" LCD TOUCHSCREEN DISPLAY MONITORS	Description
Number Of Contributions	4	NumberOfContributions
Noncash Contribs Rptd F990	17215	NoncashContribsRptdF990
Method Of Determining Revenues	FMV OF INVOICE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	A FINAL DRAFT REVIEWED BY THREE LEVELS OF FINANCE STAFF WAS PRESENTED TO THE BOARD FOR REVIEW PRIOR TO BEING FILED. THE BOARD REVIEWED PRIOR TO MEETING AT A REGULARLY SCHEDULED MEETING AND DEVELOPED QUESTIONS TO BE ASKED AT THE MEETING. ANY QUESTIONS SUBMITTED BY THE BOARD WERE RESEARCHED WITH THE PREPARER AND FINAL RESOLUTION WAS COMMUNICATED BACK TO THE BOARD BY THE FINANCE STAFF.
FORM 990, PART VI, SECTION B, LINE 12C	THE CHAIR OF THE LHF BOARD IS RESPONSIBLE FOR BEING FAMILIAR WITH ALL DISCLOSURE STATEMENTS IN ORDER TO GUIDE CONDUCT SHOULD CONFLICT ARISE. ALL MEMBERS AND KEY EMPLOYEES ARE ALSO RESPONSIBLE FOR UNDERSTANDING WHAT POTENTIAL CONFLICTS ARE AND SUBMITTING AN UPDATED DISCLOSURE STATEMENT IF CONFLICTING SITUATIONS ARISE. PER POLICY, PERIODIC REVIEWS ARE CONDUCTED BY LHF BOARD TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE RESONABLE; ACQUISITIONS OR OTHER ARRANGEMENTS WITH PROVIDERS DON'T RESULT IN ANY CONFLICTS; PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ANY ARRANGEMENTS WITH OTHER ORGANIZATIONS CONFORM TO WRITTEN POLICIES; AND ANY AGREEMENTS TO PROVIDE HEALTH CARE ENTERED INTO DO NOT RESULT IN INUREMENT OR IMPREMISSIBLE PRIVATE BENEFIT. IF A BOARD MEMBER WOULD HAVE A CONFLICT, BUT WAS NOT REMOVED FROM HIS/HER ROLE AS A BOARD MEMBER, HE/SHE WOULD BE PROHIBITED FROM VOTING ON MATTERS INVOLVING SUCH CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	THE SENIOR EXECUTIVE STAFF INCLUDES THE CEO AND OTHER KEY EMPLOYEES. THE SENIOR EXECUTIVE STAFF HAS THEIR SALARIES, RESPONSIBILITIES ANALYZED BY AN OUTSIDE CONSULTANT SPECIALIZING IN THE EXECUTIVE COMPENSATION AREA. RECOMMENDATIONS BASED ON THE ANALYSIS ARE THEN BROUGHT TO THE BOARD. THE BOARD DETERMINES ACTUAL INCREASES BASED ON THE RECOMMENDATIONS AND FINANCES OF THE HOSPITAL. THIS ANNUAL REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN THE BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	AN ANNUAL REPORT IS AVAILABLE TO THE PUBLIC VIA THE ORGANIZATION'S WEBSITE. THIS REPORT SHOWS THE ANNUAL CONSOLIDATED STATEMENT OF OPERATIONS AND A CONSOLIDATED BALANCE SHEET. IT ALSO SHOWS ANNUAL OPERATING STATISTICS AND LISTS THE NAMES OF BOARD MEMBERS, SENIOR EXECUTIVE STAFF, AND THE MEMBERS OF THE MEDICAL EXECUTIVE COMMITTEE. CURRENTLY, THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THIS INFORMATION IS CONSIDERED PROPRIETARY AND IS NOT LEGALLY REQUIRED TO BE MADE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART VII:	ALL OFFICERS REPORTED ON PART VII WORKED AN AVERAGE OF 40 HOURS PER WEEK FOR THE ENTITY AND ALL RELATED ORGANIZATIONS.
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -820,478. VALUATION LOSS -18,782. PENSION LIABILITY ADJUSTMENT -16,787,510. TOTAL TO FORM 990, PART XI, LINE 5: -17,626,770.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	232353212	EIN
Primary Activity	HEALTHCARE	PrimaryActivity
Legal Domicile State	PA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity

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