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        <BusinessNameLine1>ALTOONA REGIONAL HEALTH SYSTEM</BusinessNameLine1>
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      <Phone>8148894101</Phone>
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        <AddressLine1>620 Howard Avenue</AddressLine1>
        <City>Altoona</City>
        <State>PA</State>
        <ZIPCode>16601</ZIPCode>
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      <Name>Charles Zorger</Name>
      <Title>Senior Vice President</Title>
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      <DateSigned>2012-05-11</DateSigned>
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      <TotalReportableCompFromOrg>4190976</TotalReportableCompFromOrg>
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      <NumberIndividualsGT100K>76</NumberIndividualsGT100K>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Aramark</BusinessNameLine1>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>12483 COLLECTIONS CENTER DRIVE</AddressLine1>
            <City>Chicago</City>
            <State>IL</State>
            <ZIPCode>60693</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>Biomedical Services</DescriptionOfServices>
        <Compensation>3240258</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Siemens Medical Solutions</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>51 Valley Stream Parkway</AddressLine1>
            <City>Malvern</City>
            <State>PA</State>
            <ZIPCode>19355</ZIPCode>
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        <DescriptionOfServices>IT Services</DescriptionOfServices>
        <Compensation>11061381</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Mayo Collaborative Services</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 9146</AddressLine1>
            <City>MINNEAPOLIS</City>
            <State>MN</State>
            <ZIPCode>55480</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
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      <ContractorCompensation>
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          <NameBusiness>
            <BusinessNameLine1>Bettwy Electric</BusinessNameLine1>
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          <AddressUS>
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            <City>Newry</City>
            <State>PA</State>
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        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Allegheny Healthcare Staffing Inc</BusinessNameLine1>
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          <AddressUS>
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            <State>PA</State>
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        <DescriptionOfServices>Healthcare Staffing</DescriptionOfServices>
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        <Description>Acute Inpatient Revenue</Description>
        <BusinessCode>622000</BusinessCode>
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      <ProgramServiceRevenue>
        <Description>Inpatient Ancillary Revenue</Description>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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        <BusinessCode>622000</BusinessCode>
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      <ProgramServiceRevenue>
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        <RelatedOrExemptFunctionIncome>71947264</RelatedOrExemptFunctionIncome>
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        <Personal>0</Personal>
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        <Securities>78522600</Securities>
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      <CntrbtnsRprtdFundraisingEvents>0</CntrbtnsRprtdFundraisingEvents>
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        <Description>Cafeteria Sales</Description>
        <BusinessCode>622000</BusinessCode>
        <TotalRevenueColumn>1032822</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1032822</RelatedOrExemptFunctionIncome>
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      <OtherRevenueMisc>
        <Description>Parking Garage Revenue</Description>
        <BusinessCode>622000</BusinessCode>
        <TotalRevenueColumn>185873</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>185873</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
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      <OtherRevenueMisc>
        <Description>County Contract Revenue</Description>
        <BusinessCode>622000</BusinessCode>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
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      <MiscellaneousRevenue>
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        <RelatedOrExemptFunctionIncome>545075</RelatedOrExemptFunctionIncome>
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      <TotalRevenue>
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      <CompCurrentOfficersDirectors>
        <Total>2315447</Total>
        <ManagementAndGeneral>2315447</ManagementAndGeneral>
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        <ProgramServices>95895583</ProgramServices>
        <ManagementAndGeneral>26539962</ManagementAndGeneral>
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        <ProgramServices>5735128</ProgramServices>
        <ManagementAndGeneral>2309839</ManagementAndGeneral>
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        <ProgramServices>16968799</ProgramServices>
        <ManagementAndGeneral>6248871</ManagementAndGeneral>
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        <ProgramServices>6956144</ProgramServices>
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      <FeesForServicesManagement>
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        <ProgramServices>8127852</ProgramServices>
        <ManagementAndGeneral>2942265</ManagementAndGeneral>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>643651</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>188463</ManagementAndGeneral>
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        <ProgramServices>541045</ProgramServices>
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        <ProgramServices>6508</ProgramServices>
        <ManagementAndGeneral>586142</ManagementAndGeneral>
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        <ProgramServices>329651</ProgramServices>
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        <ProgramServices>1812037</ProgramServices>
        <ManagementAndGeneral>7579737</ManagementAndGeneral>
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        <ProgramServices>395204</ProgramServices>
        <ManagementAndGeneral>4679285</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>76170</ProgramServices>
        <ManagementAndGeneral>240463</ManagementAndGeneral>
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      <ConferencesMeetings>
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        <ProgramServices>55342</ProgramServices>
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      <Interest>
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        <ManagementAndGeneral>1104866</ManagementAndGeneral>
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        <ManagementAndGeneral>16441068</ManagementAndGeneral>
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      <Insurance>
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        <ManagementAndGeneral>4737666</ManagementAndGeneral>
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        <Description>Bad Debt Expense</Description>
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        <ProgramServices>20847096</ProgramServices>
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      <OtherExpenses>
        <Description>Contract Labor</Description>
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        <ProgramServices>2139181</ProgramServices>
        <ManagementAndGeneral>138669</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Supplies</Description>
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        <ProgramServices>69756680</ProgramServices>
        <ManagementAndGeneral>1390373</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Purchased Services</Description>
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        <ProgramServices>1734415</ProgramServices>
        <ManagementAndGeneral>8578577</ManagementAndGeneral>
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      <OtherExpenses>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>16515055</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ProgramServices>231376835</ProgramServices>
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      </TaxExemptBondLiabilities>
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      <AuditCommittee>1</AuditCommittee>
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      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
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    </IRS990>
    <IRS990ScheduleA documentId="R000002" softwareId="10000077" softwareVersion="v1.00">
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      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
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      <OtherLandBuildings>
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        <Depreciation>0</Depreciation>
        <BookValue>11168549</BookValue>
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      <OtherAssets>
        <Description>Estimated amounts due from third-party payers</Description>
        <BookValue>1339518</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Intercompany Receivables</Description>
        <BookValue>6009037</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Due from Related Party</Description>
        <BookValue>98</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Beneficial Interest in the Net Assets of the Central PA Medical Foundation</Description>
        <BookValue>18040463</BookValue>
      </OtherAssets>
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      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Accrued Pension Liability</Description>
        <Amount>33244069</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Liabilities</Description>
        <Amount>2490850</Amount>
      </OtherLiabilities>
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      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P05_S00_L04</Identifier>
        <ReturnReference>Schedule D, Part V, Line 4</ReturnReference>
        <Explanation>Approximately, $66,236 of the fund is for Bioterrorism preparedness. The remaining $36,816, is primarily for Medical Staff continuing medical education.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>0</FPGReferenceFreeCare>
      <FPGReferenceDiscountedCare>0</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>2146921</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2146921</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.0063</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>40846735</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>27042445</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13804289</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.0407</PercentOfTotalExpense>
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      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>42993656</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>27042445</DirectOffsettingRevenue>
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        <PercentOfTotalExpense>0.0470</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>2004200</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>102316</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1901884</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.0056</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>4391859</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2892125</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1499734</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.0044</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>32029316</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>20475729</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11553587</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.0341</PercentOfTotalExpense>
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      <Research>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
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        <NetCommunityBenefitExpense>130132</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.0004</PercentOfTotalExpense>
      </CashAndInKindContributions>
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        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>38555507</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>23470170</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>15085337</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.0445</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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        <DirectOffsettingRevenue>50512615</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>31036547</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.0915</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <TotalCommunityBuildingExpense>26700</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>26700</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00008</PercentOfTotalExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0</PercentOfTotalExpense>
      </EconomicDevelopment>
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        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0</PercentOfTotalExpense>
      </CommunitySupport>
      <EnvironmentalImprovements>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0</PercentOfTotalExpense>
      </EnvironmentalImprovements>
      <LeadershipDevelopment>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0</PercentOfTotalExpense>
      </LeadershipDevelopment>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0</PercentOfTotalExpense>
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        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0</PercentOfTotalExpense>
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      <Total>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
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        <NetCommunityBuildingExpense>26700</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00008</PercentOfTotalExpense>
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      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>6627585</BadDebtExpenseAmount>
      <AmountAttributableTo>241344</AmountAttributableTo>
      <AmountReimbursedByMedicare>44508239</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>48650401</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-4142162</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Altoona Regional Health System</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>620 Howard Avenue</AddressLine1>
          <City>Altoona</City>
          <State>PA</State>
          <ZIPCode>16601</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Altoona Regional Health System</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <NeedsAssessmentConducted>08</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>1</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <AllNeedsAddressed>0</AllNeedsAddressed>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>150</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>300</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <CollectionActivities>1</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <OtherActionsTaken>X</OtherActionsTaken>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P01_S00_L03c</Identifier>
        <ReturnReference>Schedule H, Part I, Line 3c</ReturnReference>
        <Explanation>Charity care will be extended to patients who are determined to be financially indigent. The determination will be based on poverty guidelines published by the federal Register. Charity care may reduce the patients bill by 25%, 50%, 75% or 100% based on the financial information received.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P01_S00_L06a</Identifier>
        <ReturnReference>Schedule H, Part I, Line 6a</ReturnReference>
        <Explanation>The Hospital prepares an annual community benefit report, publishes the report and makes it freely available in hard copy to the public. The Report is also available at the hospital's website: www.altoonaregional.org.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P01_S00_L07</Identifier>
        <ReturnReference>Schedule H, Part I, Line 7</ReturnReference>
        <Explanation>Two costing methodologies were used: 1. Actual expenses, and 2. Cost to charge ratio derived from Worksheet2 - ratio of patient care cost to charge also cost from Medicare 2011 cost report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P01_S00_L072f</Identifier>
        <ReturnReference>Schedule H, Part I, Line 7, Column f</ReturnReference>
        <Explanation>Bad debt 20,847,096</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P01_S00_L07g</Identifier>
        <ReturnReference>Schedule H, Part I, Line 7g</ReturnReference>
        <Explanation>ARHS included in the subsidized health services costs attributable to its 2 physician clinics (AFP and Williamsburg) and its women's health center. AFP cost: $4,795,543, Williamsburg Clinic cost: $932,512, Women's Health Center cost: $593,687 (these include all actual expenses).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P02_S00_L00</Identifier>
        <ReturnReference>Schedule H, Part II</ReturnReference>
        <Explanation>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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P03_S0A_L04</Identifier>
        <ReturnReference>Schedule H, Part III, Section A, Line 4</ReturnReference>
        <Explanation>The Health System reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The Health System provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the Health System bills third-party payers directly and bills the patient when the patient's liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P03_S0B_L08</Identifier>
        <ReturnReference>Schedule H, Part III, Section B, Line 8</ReturnReference>
        <Explanation>ARHS considers 100% of the Medicare shortfall to be a community benefit. The costing methodology is the allocated costs from the 2011 Medicare Cost Report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P03_S0C_L09b</Identifier>
        <ReturnReference>Schedule H, Part III, Section C, Line 9b</ReturnReference>
        <Explanation>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 - 12 months. If the account cannot be paid off within 3 - 12 months, a minimum amount 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P05_S0B_L04</Identifier>
        <ReturnReference>Schedule H, Part V, Section B, Line 4</ReturnReference>
        <Explanation>The Needs Assessment was conducted in collaboration between Altoona Regional Health System, Nason Hospital, and Tyrone Hospital, as well as with many other community organization and agencies.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P05_S0B_L07</Identifier>
        <ReturnReference>Schedule H, Part V, Section B, Line 7</ReturnReference>
        <Explanation>: In its final document: Blair County Community Plan: March 2012, the Blair County Needs Assessment Partnership (now called the Healthy Blair County Coalition) identified 15 "top priority" needs/goals that had been part of a larger group of needs identified through the needs assessment process. The Partnership formed 4 workgroups: Alcohol and Other Drugs, Economy, Crime, and Healthcare. The Alcohol and Other Drugs Workgroup developed 3 major goals and 18 strategies to address these 3 major goal areas. The Crime Workgroup identified 5 major goal areas and 17 strategies to meet these identified need areas. The Economy Work Group developed 4 major goals and 18 strategies to meet these identified goal areas. The Healthcare Work Group identified 3 major goal areas and 7 strategies to meet these identified goals areas. The hospital took a leadership role in working with the Healthcare Work Group to develop strategies designed to meet the identified community healthcare needs, as did the other work group relevant to their specific needs. The top three healthcare needs identified by the Healthcare Work Group were Goal 1: Increase access to care for physical, mental and substance abuse services in Blair County. Strategies included: a) Advocate for the recruitment of additional psychiatrists to serve consumers. The hospital implemented this strategy/met this need by successfully recruiting additional psychiatrists to its Behavioral Health Department. Additionally, the hospital partnered with Primary Health Care to increase access to physical, mental, and substance abuse services. Primary Health Network has 32 clinic sites/service locations in Pennsylvania, employs over 130 physicians, dentists, physician assistants, certified nurse practitioners and other healthcare professionals, and a support staff of over 400. In the past year PHN provided services to over 80,000 people, including those served in Blair County. The hospital worked PHN to support the development of: Altoona Community Health Center - which has provided increased access to physical health services; and Altoona Behavioral Health - which has provided increased access to mental health and substance abuse services. Also the hospital provides health care and dental care to the community through its free clinic: Partnership for a Healthy Community. Also for Goal 1: the hospital continues, on a local and state level, to advocate for insurance initiatives to reduce the number of uninsured persons. For Goal 2: increase community awareness of existing physical, mental, and substance abuse and social service agencies in Blair County, the hospital continues to support the development of the 211 information system in Blair County. The hospital educates community residents regard services availability through its Community Education office and provides referrals to community agencies, programs, and services. For Goal 3: enhance coordination of referrals and services among providers in Blair County, the hospital has not yet met this goal, but continues to work with the over 100 community service providers to enhance service coordination and referral. One proposed strategy to accomplish this is to form a workgroup to develop and implement a common application form acceptable to all participating providers to better facilitate client access to services. Although there are important HIPPA considerations regarding a common application form, these concerns may be adequately addressed via appropriate IT safeguards.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P05_S0B_L13</Identifier>
        <ReturnReference>Schedule H, Part V, Section B, Line 13</ReturnReference>
        <Explanation>Other: 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."</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P05_S0B_L17</Identifier>
        <ReturnReference>Schedule H, Part V, Section B, Line 17</ReturnReference>
        <Explanation>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 hospital's free care program if the patient explains that they will have a difficult time paying the bill. In cases where an 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 hospital's Free Care Program.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P05_S0B_L19</Identifier>
        <ReturnReference>Schedule H, Part V, Section B, Line 19</ReturnReference>
        <Explanation>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 our policy.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L02</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 2</ReturnReference>
        <Explanation>Altoona Regional Health System (ARHS) helped form and actively supports and participates in the Blair County Community Needs Assessment Partnership (Partnership). The Partnership is comprised of over 50 community agencies, organizations, and services. The Partnership 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 initial and follow-up survey processes and involve a household survey, focus groups, and survey of local businesses.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L03</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 3</ReturnReference>
        <Explanation>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. The health system also informs and educates patients regarding its 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 a Medical Assistance application; d) the health system has extensive charity care provisions which are made available to all patients and are based on eligibility criteria, e) the health system displays at all patient care service entrances the U.S. Health &amp; Human Services, Public Health Service notice regarding Medical Care for Those Who Cannot Afford to pay Notice; f) Patient Rights and Responsibilities Posters are proximately displayed in all patient care areas and patient rooms which contain patient 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; h) 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."</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L04</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 4</ReturnReference>
        <Explanation>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 7 contiguous counties: Bedford, Cambria, Centre, Clearfield, Fulton, and Huntingdon counties. Approximately 18.0% of the service area population is age 65+, 21.2% of the population are eligible for medical assistance, and 14.6% 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 - 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L05</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 5</ReturnReference>
        <Explanation>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 help people 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; iv. 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 areas. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L06</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 6</ReturnReference>
        <Explanation>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: 2 acute care hospitals that provide routine, primary care services as well as regional/tertiary care services; a home nursing/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.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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      <CompensationCommittee>X</CompensationCommittee>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
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      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
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      <CompBasedNetEarningsFilingOrg>1</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Gerald E Murray</NamePerson>
        <BaseCompensationFilingOrg>502693</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>150250</BonusFilingOrg>
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        <OtherCompensationFilingOrg>1588</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>260416</DeferredCompFilingOrg>
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        <TotalCompensationFilingOrg>935714</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>725125</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Charles R Zorger</NamePerson>
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        <NamePerson>Matthew P Bouchard MD</NamePerson>
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        <NamePerson>Mohammad Arshad MD</NamePerson>
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        <NamePerson>Matthew Murphy MD</NamePerson>
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        <Identifier>SchJ_P01_S00_L04</Identifier>
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        <Explanation>The organization contributed to a SERP for the following key employees: Gary Naugle $21,520, Charles Zorger $65,350, Ron McConnell $54,838, David Cowger $54,550, Gerald Murray $221,916, and Clayton Rickens $4,313.</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L06</Identifier>
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        <Explanation>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, and at least 75% of the senior leader's goals have been achieved, the minimum payout would be 18.75% of base pay and the maximum payout would be 30% (per Board approved capped Mercer compensation program design).</Explanation>
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        <CUSIPNumber>092840HV2</CUSIPNumber>
        <DateIssued>2009-12-03</DateIssued>
        <IssuePrice>66371478</IssuePrice>
        <DescriptionOfPurpose>capital projects and renovations and partial refunding of 1998 bonds</DescriptionOfPurpose>
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        <AmountOfTransaction>110409</AmountOfTransaction>
        <DescriptionOfTransaction>Compensation</DescriptionOfTransaction>
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            <BusinessNameLine1>Lexington Mall Partners LP</BusinessNameLine1>
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        <DescriptionOfTransaction>professional fees</DescriptionOfTransaction>
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        <ReturnReference>Form 990, Part VI, Section A, Line 2</ReturnReference>
        <Explanation>Director Devorris, Director Benzel, Director Wertz, and Director Lawruk, all have business relationships. Director Lutz and Director Morris are employed by the same employer, Bon Secours Health System, Inc., and Director Morris reports to Director Lutz.</Explanation>
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        <Identifier>F990_P06_S0A_L07a</Identifier>
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        <Explanation>The parent corporations Central Pennsylvania Health Services Corporation and Bon Secours Health System, Inc., have input into the nominating process for members of the governing board of the Altoona Regional Health System.</Explanation>
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        <Identifier>F990_P06_S0A_L07b</Identifier>
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        <Explanation>The parent Corporation, Central Pennsylvania Health Services Corporation has some reserved powers to review and approve decisions made by the Altoona Regional Health System Board of Directors.</Explanation>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>The Organization's Form 990 was reviewed prior to its submission, by the Altoona Regional Health System Board of Directors during a meeting held on May 10, 2012.</Explanation>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>The Organization annually distributes to all officers, directors, trustees, 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.</Explanation>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>The compensation of the CEO and other members of the Senior Leadership Team are reviewed by the Executive Compensation &amp; Benefits Committee, a subcommittee of the Board of Directors, with the 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 position on an annual basis.</Explanation>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>The Organization has a public website - www.altoonaregional.org and its Board of Directors names, position, and companies are provided on that website. With regard to financial statements, the organization annually publishes and make available to the public its balance sheets and income statements in its publication - Healthy Living, which it prints and distributes to the public. Additionally, the Organization provides an annual Community Benefit 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 those without insurance.</Explanation>
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      <GeneralExplanation>
        <Identifier>F990_P11_S00_L05</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>Contributions to Restricted and Other Funds: $618,616, Unrealized Gain on Investments: $3,650,756, Minimum Pension Liability Adjustment $13,831,428, Net Cash Infusion to Related Organization: $(232,202), Change in Beneficial Interest in Net Assets of Central PA Medical Foundation: ($6,106,231), Net Assets Released from Restrictions: ($70,888), Change in Accounting Principle for Inventory resulting in a restatement of beginning net assets: $1,793,963, Adoption of ASU 2010-07 resulting in a reclassification of prior year minority interest within net assets: $2,000,465</Explanation>
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          <State>PA</State>
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          <AddressLine1>620 Howard Avenue</AddressLine1>
          <City>Altoona</City>
          <State>PA</State>
          <ZIPCode>16601</ZIPCode>
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        <EIN>251842308</EIN>
        <PrimaryActivities>medical and dental clinics</PrimaryActivities>
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          <City>Altoona</City>
          <State>PA</State>
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