GEISINGER-LEWISTOWN HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: GEISINGER-LEWISTOWN HOSPITAL (EIN 23-1352187)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-10
IRS object ID: 201241319349302744
Schema version: 2010v3.4
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	2012-05-10T17:05:28-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-07-01	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	2012-05-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

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

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	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	96850830	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	12	NbrIndependentVotingMembers
Total Nbr Employees	1108	TotalNbrEmployees
Total Nbr Volunteers	130	TotalNbrVolunteers
Total Gross UBI	1632693	TotalGrossUBI
Net Unrelated Business Txbl Income	641042	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1094863	ContributionsGrantsPriorYear
Contributions Grants Current Year	181471	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	87817917	ProgramServiceRevenuePriorYear
Program Service Revenue CY	91424410	ProgramServiceRevenueCY
Investment Income Prior Year	652451	InvestmentIncomePriorYear
Investment Income Current Year	726818	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1791897	OtherRevenuePriorYear
Other Revenue Current Year	3494052	OtherRevenueCurrentYear
Total Revenue Prior Year	91357128	TotalRevenuePriorYear
Total Revenue Current Year	95826751	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3328297	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3496963	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	45693639	SalariesEtcPriorYear
Salaries Etc Current Year	46778979	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	634566	TotalFundrsngExpCurrentYear
Other Expense Prior Year	40550095	OtherExpensePriorYear
Other Expenses Current Year	43108767	OtherExpensesCurrentYear
Total Expenses Prior Year	89572031	TotalExpensesPriorYear
Total Expenses Current Year	93384709	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1785097	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2442042	RevenuesLessExpensesCY
Total Assets BOY	87901083	TotalAssetsBOY
Total Assets EOY	90391492	TotalAssetsEOY
Total Liabilities BOY	64859043	TotalLiabilitiesBOY
Total Liabilities EOY	55364995	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	23042040	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	35026497	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	88551355	Expense
Grants	3489463	Grants
Revenue	92422167	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 $4,318,000.	Description
Total Program Service Expense	88551355	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	1	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	77	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1108	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	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	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	297474	0	42610
JEFFREY W ANDERSON
DIRECTOR	0.80	X		0	0	0
BRIAN D SCHELL
VICE CHAIR	0.80	X	X	0	0	0
DANA L PATTERSON
TREASURER	0.80	X	X	0	0	0
FRANCIS EVANITSKY
CHAIR	0.80	X	X	0	0	0
GURPREET S BHALLA MD
DIRECTOR	0.80	X		0	0	0
DONALD CHAPMAN
DIRECTOR	0.80	X		0	0	0
WILLIAM F HERKERT
DIRECTOR	0.80	X		0	0	0
CHARLES EVERHART JR MD
DIRECTOR	0.80	X		0	0	0
SHASHPAL K MALHOTRA MD
DIRECTOR	0.80	X		0	0	0
MARSHA A SOULT PHD
SECRETARY	0.80	X	X	0	0	0
DIANE SPOKUS PHD CHES
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
DANIEL REIFSNYDER
EX-OFFICIO BOARD MEMBER	0.80	X		0	0	0
RANDY TEWKSBURY
VP FINANCE/CFO	36.00		X	166536	0	37753
KIRK E THOMAS
SR. VP OPERATIONS/COO	38.00		X	133077	0	19036
NANCY S REINKE
VP HUMAN RESOURCES	34.00		X	111752	0	16453
RONALD M COWAN
CIO	39.00		X	114515	0	16428
CHRISTINE W MATHEWS
VP NURSING CARE SERVICES	40.00		X	121800	0	23635
NITIN V SHETH MD
PSYCHIATRIST	40.00			607922	0	18137	X
DAVID M NELSON
RADIATION PHYSICIST	40.00			203849	0	43102	X
RICHARD F STOMACKIN
PHARMACIST	40.00			145510	0	27315	X
LEWIS ALLSHOUSE III
PHARMACIST	40.00			120999	0	25066	X
ROBERT A MONTGOMERY
PHARMACIST	40.00			120417	0	34311	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2143851	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	303846	TotalOtherCompensation
Number Individuals GT100 K	13	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	1663793
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	723111
OPTIMAL IMX INC
2350 19TH STREET SOUTH STE 350	BIRMINGHAM	AL	35209	DIAGNOSTIC IMAGE READING & RELATED SERVI	528508
MCKESSON
PO BOX 98347	CHICAGO	IL	606932436	FINANCIAL/CLINICAL SOFTWARE SUPPORT	496407

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	23	NumberOfContractorsGT100K
Fundraising Events	51937	FundraisingEvents
Related Organizations	4006	RelatedOrganizations
Government Grants	37296	GovernmentGrants
All Other Contributions	88232	AllOtherContributions
Noncash Contributions	47838	NoncashContributions
Total Contributions	181471	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE RE	Description
Business Code	621400	BusinessCode
Total Revenue Column	91424410	TotalRevenueColumn
Related Or Exempt Function Income	91424410	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	91424410	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	583507	TotalRevenueColumn
Exclusion	$583,507	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1000015	Securities
Other	32840	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	889544	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	110471	Securities
Other	32840	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	143311	TotalRevenueColumn
Exclusion	$143,311	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	44466	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	51937	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	44181	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	285	TotalRevenueColumn
Exclusion	$285	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	6206	GrossIncomeGaming
Gaming Direct Expenses	2506	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	3700	TotalRevenueColumn
Exclusion	$3,700	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	128862	GrossSalesOfInventory
Cost Of Goods Sold	87848	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	41014	TotalRevenueColumn
Exclusion	$41,014	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	1607873	1607873
CAFETERIA REVENUE	722210	449381		$449,381
INTERCOMPANY REVENUE	900099	392540			392540

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	999259	TotalRevenueColumn
Related Or Exempt Function Income	605217	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	24820	UnrelatedBusinessRevenue
Exclusion	$369,222	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3449053	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	95826751	TotalRevenueColumn
Related Or Exempt Function Income	92422167	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1632693	UnrelatedBusinessRevenue
Exclusion	$1,590,420	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	3472963	Total
Program Services	3472963	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	24000	Total
Program Services	24000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1171301	Total
Program Services	326753	ProgramServices
Management And General	844548	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	33679453	Total
Program Services	32392792	ProgramServices
Management And General	1114548	ManagementAndGeneral
Fundraising	172113	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3101712	Total
Program Services	2924269	ProgramServices
Management And General	162032	ManagementAndGeneral
Fundraising	15411	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6304746	Total
Program Services	6081523	ProgramServices
Management And General	190848	ManagementAndGeneral
Fundraising	32375	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2521767	Total
Program Services	2393285	ProgramServices
Management And General	116660	ManagementAndGeneral
Fundraising	11822	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	105334	Total
Management And General	105334	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	87050	Total
Management And General	87050	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	14350	Total
Management And General	14350	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	4258	Total
Management And General	4258	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	7791907	Total
Program Services	6670352	ProgramServices
Management And General	933529	ManagementAndGeneral
Fundraising	188026	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	299636	Total
Program Services	108311	ProgramServices
Management And General	12743	ManagementAndGeneral
Fundraising	178582	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	14710605	Total
Program Services	14643678	ProgramServices
Management And General	37734	ManagementAndGeneral
Fundraising	29193	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	71608	Total
Program Services	66912	ProgramServices
Management And General	4163	ManagementAndGeneral
Fundraising	533	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1824577	Total
Program Services	1657901	ProgramServices
Management And General	165035	ManagementAndGeneral
Fundraising	1641	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	72968	Total
Program Services	45708	ProgramServices
Management And General	25672	ManagementAndGeneral
Fundraising	1588	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	82608	Total
Program Services	69810	ProgramServices
Management And General	11991	ManagementAndGeneral
Fundraising	807	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	1250279	Total
Program Services	1250279	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5906467	Total
Program Services	5906467	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	157405	Total
Program Services	157405	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices	FundraisingFundraising
FEDERAL INCOME TAXES	202770	202770
BAD DEBT EXPENSE	4745793		4745793
REPAIRS AND MAINTENANCE	4448799	2750	4446049
MA ASSESSMENT	891137		891137
MEMBERSHIP FEES	160481	70409	88984	1088

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	280735	Total
Program Services	186984	ProgramServices
Management And General	92364	ManagementAndGeneral
Fundraising	1387	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	93384709	Total
Program Services	88551355	ProgramServices
Management And General	4198788	ManagementAndGeneral
Fundraising	634566	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1849	BOY
EOY	1820	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	11020406	BOY
EOY	13883416	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	8523804	BOY
EOY	8918281	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1051551	BOY
EOY	714572	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2205958	BOY
EOY	2118024	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2459475	BOY
EOY	2540938	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	104162006	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	73628783	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	32933803	BOY
EOY	30533223	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	28379832	BOY
EOY	30178953	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	148000	BOY
EOY	690861	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1176405	BOY
EOY	811404	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	87901083	BOY
EOY	90391492	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	34764584	BOY
EOY	26548913	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	21815000	BOY
EOY	21215000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2281296	BOY
EOY	1855672	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	5998163	BOY
EOY	5745410	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	64859043	BOY
EOY	55364995	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22260436	BOY
EOY	34190991	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	272023	BOY
EOY	274698	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	509581	BOY
EOY	560808	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	23042040	BOY
EOY	35026497	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	87901083	BOY
EOY	90391492	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	2442042	ReconcilationRevenueExpenses
Reconcilation Other Changes	9542415	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	$14,350	OtherActivitiesAmount
Total Lobbying Expenditures IIB	14350	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	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	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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	45822466	OtherCostOrOtherBasis
Depreciation	30039519	Depreciation
Book Value	15782947	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	55944113	OtherCostOrOtherBasis
Depreciation	42300433	Depreciation
Book Value	13643680	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2170773	OtherCostOrOtherBasis
Depreciation	1288831	Depreciation
Book Value	881942	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	30533223	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
OBLIGATIONS UNDER CAPITAL LEASE	$2,978,971
DUE TO AFFILIATES	$95,014
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$1,861,252
BLUE CROSS CURRENT FINANCING ADVANCE	$381,800
ESTIMATED MEDICAL MALPRACTICE CLAIMS	$428,373

Field	Value	IRS element (for citing)
Total Of Amounts	5745410	TotalOfAmounts
Total Revenue	95826751	TotalRevenue
Total Expenses	93384709	TotalExpenses
Excess Or Deficit For Year	2442042	ExcessOrDeficitForYear
Net Unrealized GL On Investments	2050602	NetUnrealizedGLOnInvestments
Other	$7,491,813	OtherAmount
Total Adjustments	9542415	TotalAdjustments
Excess Or Deficit Per FS	11984457	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	105499695	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	2050602	NetUnrealizedGainsInvestments
Other Revenues	7491813	OtherRevenues
Revenue Not Rptd F990	9542415	RevenueNotRptdF990
Revenue Subtotal	95957280	RevenueSubtotal
Other Revenues Not Included	-130529	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-130529	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	95826751	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	93515238	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	130529	OtherExpensesIncluded
Expenses Not Rptd F990	130529	ExpensesNotRptdF990
Expenses Subtotal	93384709	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	93384709	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 2011 AND 2010.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		VALUATION LOSS 51,227. PENSION LIABILITY ADJUSTMENT 7,440,586.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		VALUATION GAIN 51,227. PENSION LIABILITY ADJUSTMENT 7,440,586.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		SPECIAL EVENT EXPENSES -44,181. COST OF GOODS SOLD -87,848. GAMING EXPENSES -2,506. TRANSFERS FROM AFFILIATES NETTED ON FINANCIAL STATEMENTS 4,006.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		SPECIAL EVENT EXPENSES 44,181. COST OF GOODS SOLD 87,848. RENTAL EXPENSES TRANSFERS FROM AFFILIATES NETTED ON FINANCIAL STATEMENTS -4,006. GAMING EXPENSES 2,506.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT 2011	NameOfEvent1
Gross Receipts Event1	55908	GrossReceiptsEvent1
Charitable Contributions Event1	31836	CharitableContributionsEvent1
Gross Revenue Event1	24072	GrossRevenueEvent1
Non Cash Prizes Event1	2710	NonCashPrizesEvent1
Rent Facility Costs Event1	6928	RentFacilityCostsEvent1
Food And Beverage Event1	12864	FoodAndBeverageEvent1
Other Direct Expenses Event1	10778	OtherDirectExpensesEvent1
Name Of Event2	LEND-A-HAND EVENT 2011	NameOfEvent2
Gross Receipts Event2	27201	GrossReceiptsEvent2
Charitable Contributions Event2	20101	CharitableContributionsEvent2
Gross Revenue Event2	7100	GrossRevenueEvent2
Rent Facility Costs Event2	1353	RentFacilityCostsEvent2
Food And Beverage Event2	7915	FoodAndBeverageEvent2
Entertainment Event2	600	EntertainmentEvent2
Other Direct Expenses Event2	1033	OtherDirectExpensesEvent2
Gross Receipts Total	83109	GrossReceiptsTotal
Charitable Contributions Total	51937	CharitableContributionsTotal
Gross Revenue Total Events	31172	GrossRevenueTotalEvents
Non Cash Prizes Total Events	2710	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	8281	RentFacilityCostsTotalEvents
Food And Beverage Total Events	20779	FoodAndBeverageTotalEvents
Entertainment Total Events	600	EntertainmentTotalEvents
Other Direct Expenses Total Events	11811	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	44181	DirectExpenseSummaryEvents
Net Income Summary	-13009	NetIncomeSummary

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	1680131	TotalCommunityBenefitExpense
Net Community Benefit Expense	1680131	NetCommunityBenefitExpense
Percent Of Total Expense	0.01800	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4472674	TotalCommunityBenefitExpense
Direct Offsetting Revenue	298210	DirectOffsettingRevenue
Net Community Benefit Expense	4770884	NetCommunityBenefitExpense
Percent Of Total Expense	0.05110	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6152805	TotalCommunityBenefitExpense
Direct Offsetting Revenue	298210	DirectOffsettingRevenue
Net Community Benefit Expense	6451015	NetCommunityBenefitExpense
Percent Of Total Expense	0.06910	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	93052	TotalCommunityBenefitExpense
Net Community Benefit Expense	93052	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39534	TotalCommunityBenefitExpense
Net Community Benefit Expense	39534	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	166	TotalCommunityBenefitExpense
Net Community Benefit Expense	166	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	132752	TotalCommunityBenefitExpense
Net Community Benefit Expense	132752	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6285557	TotalCommunityBenefitExpense
Direct Offsetting Revenue	298210	DirectOffsettingRevenue
Net Community Benefit Expense	6583767	NetCommunityBenefitExpense
Percent Of Total Expense	0.07050	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2387	TotalCommunityBuildingExpense
Net Community Building Expense	2387	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	29980	TotalCommunityBuildingExpense
Net Community Building Expense	29980	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	5845	TotalCommunityBuildingExpense
Net Community Building Expense	5845	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2000	TotalCommunityBuildingExpense
Net Community Building Expense	2000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	40212	TotalCommunityBuildingExpense
Net Community Building Expense	40212	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,894,611	BadDebtExpenseAmount
Amount Reimbursed By Medicare	26209774	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	27235024	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1025250	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	NOT REQUIRED	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 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 $4,745,793 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 COUNTY PLANNING COMMISSION - KAY HAMILTON, CEO, MEMBER OF THE COMMISSIONTHE MISSION OF THE MIFFLIN COUNTY PLANNING COMMISSION IS TO PROVIDE STRATEGIC, COORDINATED, AND OBJECTIVE GUIDANCE AND OVERSIGHT TO THE GROWTH, PLANNING, AND DEVELOPMENT ACTIVITIES OF MIFFLIN COUNTY. IN DOING SO, IT IS THE GOAL OF THE COMMISSION TO ENSURE MIFFLIN COUNTY'S FUTURE IS CHARACTERIZED BY A HEALTHY ENVIRONMENT, ECONOMY, AND SOCIETY ACHIEVED THROUGH PROACTIVE PLANNING, CITIZEN REPRESENTATION, EFFECTIVE COMMUNICATION, AND THE PROVISION OF PROFESSIONAL SERVICES FROM THE MIFFLIN COUNTY PLANNING AND DEVELOPMENT DEPARTMENT.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, VP OPERATIONS, 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 - KIRK THOMAS, VP OPERATIONS, 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, VP OPERATIONSAN 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. 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.
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 THE 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.
CONTINUATION OF DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES (PART II):THE SCHOOL OF NURSING HAS A FULL-TIME PROGRAM, WHICH TAKES TWO YEARS TO COMPLETE AND IS A TOTAL OF 102 CREDIT UNITS. STUDENTS MAY ALSO OPT FOR PART-TIME, AND THEY CAN CHOOSE A THREE- OR FOUR-YEAR OPTION. IN ADDITION, THE PROGRAM OFFERS AN LPN TO RN PROGRAM, AND IT COULD TAKE AS LITTLE AS FOUR SEMESTERS (14 MONTHS) TO COMPLETE. THE MISSION OF THE LEWISTOWN HOSPITAL SCHOOL OF NURSING IS TO PROVIDE QUALITY NURSING EDUCATION TO A DIVERSE GROUP OF STUDENTS IN A MANNER THAT ENABLES THE GRADUATES TO BECOME LEADERS IN PROVIDING COMPETENT AND SAFE CARE IN A VARIETY OF SETTINGS IN ORDER TO MEET THE CONTINUALLY CHANGING HEALTHCARE NEEDS OF THE HOSPITAL'S AND SCHOOL'S COMMUNITY.BESIDES EASING THE NURSING SHORTAGE, THE SCHOOL ALSO BOLSTERS LOCAL EMPLOYMENT AND WORKFORCE TRAINING. OUR AREA HAS SUFFERED BADLY IN THE RECENT RECESSION. A FIRST-CLASS NURSING SCHOOL PROVIDES RETRAINING FOR MANY. STUDENTS CAN MOVE INTO A CAREER THAT OFFERS REAL JOB OPPORTUNITIES. NURSES ALSO FIND THAT THEIR WORK IS WELL PAID, STABLE, AND PERSONALLY REWARDING. THE SCHOOL'S COMMUNITY FOCUS IS SHOWN IN NURSES' CAREER CHOICES. SEVENTY-FIVE PERCENT CHOOSE TO WORK IN THE LEWISTOWN AREA. IT IS NOT JUST LEWISTOWN HOSPITAL FILLING GAPS IN NURSING STAFF. LOCAL NURSING HOMES HAVE HIRED GRADUATES AS WELL. YEAR BY YEAR THE NURSE AVAILABILITY IN THE AREA HAS CONTINUED TO IMPROVE. SURVEYS THAT GO OUT TO EMPLOYERS A YEAR INTO THE NURSES' WORK HAVE SHOWN VERY POSITIVE RESPONSES. THE WHOLE COMMUNITY HAS BENEFITTED FROM THE LEWISTOWN HOSPITAL SCHOOL OF NURSING. FREE HEALTH EDUCATION WORKSHOPS, SUPPORT GROUPS, AND SEMINARSTHROUGH THE HOSPITAL'S SPEAKER BUREAU PROGRAM, A WIDE VARIETY OF PROGRAMS ARE OFFERED TO THE COMMUNITY FREE OF CHARGE AND THEY TARGET SPECIFIC MEDICAL CONDITIONS OR TOPICS SUCH AS CANCER AND DIABETES. FOR CANCER, THERE IS THE CANCER CARE SUPPORT GROUP AND THE PA CANCER EDUCATION NETWORK SESSIONS. FOR DIABETES, THERE IS A DIABETES SUPPORT GROUP AND THERE ARE ALSO EDUCATIONAL CLASSES (WITH ENROLLMENT FEES) OFFERED THROUGHOUT THE YEAR. FREE HEALTH SCREENINGSVARIOUS DEPARTMENTS OFFER HEALTH SCREENINGS AT LOCAL COMMUNITY EVENTS OR DURING A SPONSORED BUSINESS HEALTH FAIR. SCREENINGS INCLUDE: BONE DENSITY, BLOOD PRESSURE, CHOLESTEROL, BLOOD SUGAR, LUNG FUNCTION, DEPRESSION, AND SKIN CANCER. FREE CHILD SAFETY SEAT INSPECTIONSTHE FAMILY PLACE (MATERNITY CENTER) OFFERS QUARTERLY CHILD SAFETY SEAT INSPECTIONS AT THE HOSPITAL. FOR FAMILIES THAT DO NOT HAVE A SAFE CAR RESTRAINT FOR THEIR CHILDREN 0-8 YEARS OF AGE, THE HOSPITAL PROVIDES A NEW AND APPROPRIATE CHILD SAFETY SEAT. FLU SHOTSLEWISTOWN HOSPITAL, IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS, PROVIDES FLU SHOTS AT NO CHARGE TO PEOPLE AT HIGH RISK FOR CONTRACTING THE FLU.DENTAL HEALTH PRESENTATIONSLEWISTOWN HOSPITAL, IN PARTNERSHIP WITH UNITED WAY OF MIFFLIN-JUNIATA, ASSISTED WITH DENTAL PRESENTATIONS TO OVER 80 GROUPS OF CHILDREN WHICH INCLUDED: PRE-SCHOOLS, DAY CARE CENTERS, HEAD START PROGRAMS, AND KINDERGARTEN CLASSES. LEWIE B. HEALTHY PROGRAMLEWISTOWN HOSPITAL DEVELOPED A MASCOT ALONG HEALTH EDUCATIONAL MODULES GEARED FOR CHILDREN BETWEEN THE AGES OF 4 AND 8 YEARS OF AGE. THE PURPOSE OF THE PROGRAM IS TO PROMOTE HEALTHY LIFESTYLE CHOICES FOR YOUNG CHILDREN.QUICK ER CARE PROGRAMQUICK ER CARE, A NEW SERVICE INTRODUCED IN DECEMBER 2008, PROVIDES SEPARATE RESOURCES FOR NON-EMERGENCY CASES IN THE ER. THESE RESOURCES INCLUDE THREE ADDITIONAL PATIENT EXAMINATION ROOMS AND STAFF DEDICATED TO HANDLING THESE CASES. THESE ADDITIONAL RESOURCES PROVIDE ANOTHER PATH FOR PATIENTS TO BE TREATED.PEOPLE WHO NORMALLY HAVE TO WAIT FOR LONG PERIODS OF TIME IN THE ER, ARE USUALLY NOT THE SEVERE CASES. QUICK ER CARE REDUCES THE WAIT TIME FOR PATIENTS WHO COME TO THE ER BECAUSE THEY CAN'T GET AN APPOINTMENT OR DON'T HAVE AN ESTABLISHED PHYSICIAN RELATIONSHIP. QUICK ER CARE IS AVAILABLE AT LEWISTOWN HOSPITAL 7 DAYS A WEEK FROM 10:00AM - 8:00PM. QUICK ER CARE HAS A FULL-TIME PHYSICIAN ASSISTANT AND REGISTERED NURSE WHO PROVIDE MEDICAL SCREENING AND TREATMENT FOR PATIENTS WHO HAVE LESS URGENT CONDITIONS SUCH AS POTENTIAL FRACTURES, SPRAINS, MILD RASHES AND LOW GRADE FEVERS. BEFORE BEING ADMITTED TO QUICK ER CARE, ALL PATIENTS WILL BE TRIAGED AND ASSESSED BY A REGISTERED NURSE TO ENSURE THAT THEY ARE CANDIDATES FOR QUICK CARE. TELESTROKE PROGRAMLEWISTOWN HOSPITAL, COLLABORATING WITH GEISINGER HEALTH SYSTEM, HAS EXPANDED ITS STROKE SERVICES TO PROVIDE ADVANCED CARE FOR PATIENTS IN THE LEWISTOWN AREA. THROUGH A NEW TELEMEDICINE PROGRAM, THE EXPERTISE OF GEISINGER'S STROKE SPECIALISTS IS NOW AVAILABLE TO LEWISTOWN HOSPITAL EMERGENCY DEPARTMENT PHYSICIANS 24 HOURS A DAY, SEVEN DAYS A WEEK. A SECURE VIDEO MONITORING SYSTEM (POLYCOM MACHINE) PROVIDES A REAL-TIME LINK BETWEEN GEISINGER'S STROKE-TRAINED NEUROLOGISTS AND LEWISTOWN'S EMERGENCY DEPARTMENT. STROKE PATIENTS NOW RECEIVE ADVANCED TREATMENT FROM GEISINGER SPECIALISTS IN COLLABORATION WITH LEWISTOWN EMERGENCY PHYSICIANS. STROKE IS THE THIRD LEADING CAUSE OF DEATH IN THE UNITED STATES. AS THE POPULATION CONTINUES TO AGE, STROKES ARE LIKELY TO INCREASE. THE AMERICAN HEART ASSOCIATION AND THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS SAY THAT AGGRESSIVELY TREATING STROKE IN ITS EARLY STAGES SIGNIFICANTLY IMPROVES A PERSON'S CHANCE FOR A FULL RECOVERY.GEISINGER SPECIALISTS EVALUATE THE PATIENT, REVIEW BRAIN SCANS AND WORK WITH LEWISTOWN EMERGENCY DEPARTMENT PHYSICIANS AND STAFF TO PROVIDE THE BEST ACUTE STROKE CARE. TELECONFERENCING EQUIPMENT IS BROUGHT TO THE PATIENT'S BEDSIDE, ALLOWING GEISINGER STAFF TO ASSESS THE PATIENT, AND SPEAK DIRECTLY TO THE LEWISTOWN PHYSICIAN, PATIENT AND PATIENT'S FAMILY. SPONSORSHIPS FOR ORGANIZATIONS/COMMUNITY ACTIVITIES THAT PROMOTE HEALTH - THE HOSPITAL HAS A FOR-PROFIT SISTER ORGANIZATION, HEALTH ENTERPRISES, INC. THAT PROVIDED OVER $14,000 IN SPONSORSHIPS IN FY 2011 TO SUPPORT TO FOLLOWING HEALTH RELATED COMMUNITY ORGANIZATIONS AND ACTIVITIES.
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 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 (2006-2008) SHOWS THE FOLLOWING STATISTICS FOR THE POPULATION LIVING IN MIFFLIN AND JUNIATA COUNTIES:RISK FACTORS : PERCENTFAIR OR POOR GENERAL HEALTH: 20%OBESE: 29%OVERWEIGHT (INCLUDES OBESE): 66%EVER TOLD THEY HAD DIABETES: 12%CURRENTLY HAS ASTHMA: 10%CURRENT SMOKER: 26%FOR MIFFLIN AND JUNIATA COUNTIES, THE HEALTH PROFILE 2011 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 6: 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, BOARD MEMBER OWNS ENDOSCOPY CENTER OF PA, WHICH PROVIDES ENDOSCOPY SERVICES TO LEWISTOWN HOSPITAL; FRANCIS EVANITSKY , TREASURER 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 PHYSISIANS 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 7: 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.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.LAC: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 2011, AT TOTAL OF $17,335 WAS MADE TO THE FOLLOWING COMMUNITY ORGANIZATIONS:LEWISTOWN ROTARY4STEPUNITED WAY OF MIFFLIN-JUNIATAMIFFLIN JUNIATA PARTNERSHIPS RC & DMIFFLIN JUNIATA ARTS COUNCILJUNIATA COUNTY BUSINESS & PROFESSIONAL WOMENEXPERIENCE WORKS OF PAJUNIATA RIVER VALLEY VISITORS BUREAUPA ASSOCIATION OF HEALTHCARE AUXILIARIESMIFFLIN COUNTY YOUTH BASEBALL LEAGUEBIG BROTHERS BIG SISTERSAMERICAN RED CROSS OF SUSQUEHANNA VALLEYAMERICAN CANCER SOCIETYLEWISTOWN COUNTRY CLUBJUNIATA RIVER FESTJUNIATA VALLEY COUNCIL BOY SCOUTS ASSOCIATIONVNA - CENTRE HOME CARE5% 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

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	LEWISTOWN HEALTHCARE FOUNDATION	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 Of Recipient	232344363	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	3472963	AmountOfCashGrant
Method Of Valuation	CASH	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance
Purpose Of Grant	NET ASSET TRANSFER TO FUND OPERATIONS OF RELATED ENTITY - FAMILY HEALTH ASSOCIATES OF LEWISTOWN HOSPITAL	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	EDUCATIONAL SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	21	NumberOfRecipients
Amount Of Cash Grant	24000	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 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. SCHOLARSHIPS WILL BE OFFERED TO ENROLLED STUDENTS AT THE LEWISTOWN HOSPITAL SCHOOL OF NURSING TO OFFER FINANCIAL STUDENT SCHOLARSHIPS. TO BE ELIGIBLE, STUDENTS MUST HAVE A GPA OF 3.0 OR HIGHER, PROVE FINANCIAL NEED, SHOW ACADEMIC PROGRESSION, AND BE TAKING 6 CREDITS OR MORE. THEY MUST COMPLETE AN APPLICATION AND MEET ANY OTHER CRITERIA SPECIFIED BY THE GRANT DONORS. A SCHOLARSHIP COMMITTEE COMPRISED OF AT LEAST ONE MEMBER OF THE SCHOOL OF NURSING, ONE MEMBER OF THE FINACE DEPARTMENT, ONE MEMBER FROM THE LEWISTOWN HOSPITAL HR DEPARTMENT, AND ONE COMMUNITY MEMBER. THE COMMITTEE MEETS ON AT LEAST ANNUAL BASIS TO REVIEW APPLICATIONS. STUDENTS WHO ARE AWARDED MONIES WILL BE NOTIFIED VIA MAIL.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
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 (7 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
269116	0	25000	0	3358	0	34545	0	8065	0	340084	0	0	0
RANDY TEWKSBURY
166020	0	0	0	516	0	23900	0	13853	0	204289	0	0	0
KIRK E THOMAS
132827	0	0	0	250	0	19036	0	0	0	152113	0	0	0
NITIN V SHETH MD
383264	0	224400	0	258	0	0	0	18137	0	626059	0	0	0
DAVID M NELSON
198638	0	5000	0	211	0	29118	0	13984	0	246951	0	0	0
RICHARD F STOMACKIN
144281	0	0	0	1229	0	20546	0	6769	0	172825	0	0	0
ROBERT A MONTGOMERY
120337	0	0	0	80	0	17470	0	16841	0	154728	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 1A	ReturnReference
Explanation	AN AUTOMOBILE WAS LEASED FOR THE PRESIDENT AND CEO, KAY HAMILTON. THE VALUE OF THE LEASE PAYMENTS WERE RECORDED AS INCOME ON HER 2010 FORM W-2. THE AMOUNT WAS GROSSED UP FOR THE EMPLOYER SHARE OF FICA TAXES. THE TOTAL AMOUNT ADDED TO HER 2010 W-2 WAS $1,834.26. THIS ENDED MID-WAY THROUGH TAX YEAR 2010. LEWISTOWN HOSPITAL NO LONGER LEASES A CAR FOR KAY, BUT INSTEAD PROVIDES AN EXTRA ALLOWANCE IN HER SALARY.	Explanation

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)
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 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	80247	WAGES AND BENEFITS PAID TO GAYLE COWAN	0
CHARLES EVERHART JR MD
BOARD DIRECTOR	153564	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	280000	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	MEDICAL EQUIPMENT	Description
Number Of Contributions	19	NumberOfContributions
Noncash Contribs Rptd F990	47838	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 (7 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 4	LEWISTOWN HOSPTIAL BYLAWS SECTION 7.1.3 "A MEDICAL STAFF MEMBER WHOSE APPOINTMENT HAS NOT BEEN RENEWED OR WHOSE CLINICAL PRIVILEGES ARE REDUCED, ALTERED OR SUSPENDED WILL BE ENTITLED TO A HEARING AND APPEAL." PREVIOUSLY A MEDICAL STAFF MEMBER WAS ONLY ENTITLED TO APPEAL. LEWISTOWN HOSPITAL BYLAWS SECTION 7.3: THIS SECTION WAS ALTERED, ACCORDING TO THE JOINT COMMISSION'S MEDICAL STAFF STANDARD 01.01.01, TO NO LONGER ALLOW THE HOSPITAL THE RIGHT TO UNILATERALLY AMEND THE HOSPITAL'S MEDICAL STAFF BYLAWS AS WAS ALLOWED HISTORICALLY.
FORM 990, PART VI, SECTION B, LINE 11	A FINAL DRAFT REVIEWED BY THREE LEVELS OF FINANCE STAFF WILL BE PRESENTED TO THE BOARD FOR REVIEW PRIOR TO BEING FILED. THE BOARD WILL REVIEW PRIOR TO MEETING AT A REGULARLY SCHEDULED MEETING AND DEVELOP QUESTIONS TO BE ASKED AT THE MEETING. ANY QUESTIONS SUBMITTED BY THE BOARD WILL BE RESEARCHED WITH THE PREPARER AND FINAL RESOLUTION WILL BE COMMUNICATED BACK TO THE BOARD BY THE FINANCE STAFF.
	ANNUALLY CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY ALL BOARD MEMBERS AND KEY EMPLOYEES. THESE STATEMENTS ARE REVIEWED BY THE CHAIR OF THE LEWISTOWN HEALTHCARE FOUNDATION (PARENT COMPANY) BOARD. THE CHAIR PERSON'S CONFLICT OF INTEREST STATEMENT IS REVIEWED BY THE VICE CHAIR OF THE FOUNDATION BOARD. ANY LISTED CONFLICTS ARE BROUGHT FORTH TO THE ENTIRE BOARD FOR REVIEW AND RESOLUTION IF NECESSARY.	FORM 990, PART VI, SECTION B, LINE 12C
	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 B, LINE 15
	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 VI, SECTION C, LINE 19
	AVERAGE HOURS PER WEEK FOR LEWISTOWN HOSPITAL AND RELATED ORGANIZATIONS ARE AS FOLLOWS: KAY HAMILTON - 40 HOURS RANDY TEWKSBURY - 40 HOURS KIRK THOMAS - 42 HOURS NANCY REINKE - 40 HOURS RONALD COWAN - 40 HOUR ALL BOARD DIRECTORS - 1 HOUR	FORM 990, PART VII, SECTION A:
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 2,050,602. VALUATION LOSS 51,227. PENSION LIABILITY ADJUSTMENT 7,440,586. TOTAL TO FORM 990, PART XI, LINE 5: 9,542,415.	FORM 990, PART XI, LINE 5:

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