GEISINGER-LEWISTOWN HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: GEISINGER-LEWISTOWN HOSPITAL (EIN 23-1352187)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-10
IRS object ID: 201121309349301522
Schema version: 2009v1.7
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-10T11:33:32-05:00	Timestamp
Tax Period End Date	2010-06-30	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	2009-07-01	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	2011-05-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	5703236023	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	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	92429604	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.lewistownhospital.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1905	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE PERSONAL, HIGH-QUALITY, ECONOMICAL HEALTHCARE FOR OUR COMMUNITIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	1167	TotalNbrEmployees
Total Nbr Volunteers	140	TotalNbrVolunteers
Total Gross UBI	1553498	TotalGrossUBI
Net Unrelated Business Txbl Income	596383	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	234771	ContributionsGrantsPriorYear
Contributions Grants Current Year	1094863	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	86777591	ProgramServiceRevenuePriorYear
Program Service Revenue CY	87817917	ProgramServiceRevenueCY
Investment Income Prior Year	944699	InvestmentIncomePriorYear
Investment Income Current Year	652451	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1927529	OtherRevenuePriorYear
Other Revenue Current Year	1791897	OtherRevenueCurrentYear
Total Revenue Prior Year	89884590	TotalRevenuePriorYear
Total Revenue Current Year	91357128	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	4618728	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3328297	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	46190347	SalariesEtcPriorYear
Salaries Etc Current Year	45693639	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	485819	TotalFundrsngExpCurrentYear
Other Expense Prior Year	39561066	OtherExpensePriorYear
Other Expenses Current Year	40550095	OtherExpensesCurrentYear
Total Expenses Prior Year	90370141	TotalExpensesPriorYear
Total Expenses Current Year	89572031	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-485551	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1785097	RevenuesLessExpensesCY
Total Assets BOY	81075354	TotalAssetsBOY
Total Assets EOY	87901083	TotalAssetsEOY
Total Liabilities BOY	58023747	TotalLiabilitiesBOY
Total Liabilities EOY	64859043	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	23051607	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	23042040	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	85501957	Expense
Grants	3328297	Grants
Revenue	86274336	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 $3,827,000.	Description
Total Program Service Expense	85501957	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
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
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	47	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1167	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
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	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

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	35.60	X	X	282247	0	32433
PAUL D OLBRICH
CHAIR	1.00	X	X	0	0	0
Brian D Schell
VICE CHAIR	1.00	X	X	0	0	0
Dan Patterson
SECRETARY	1.00	X	X	0	0	0
Francis Evanitsky
Treasurer	1.00	X	X	0	0	0
Ricardo T Carter MD
DIRECTOR	1.00	X		0	0	0
Donald Chapman
Director	1.00	X		0	0	0
JANICe L Darrow
DIRECTOR	1.00	X		0	0	0
Charles Everhart Jr MD
DIRECTOR	1.00	X		0	0	0
SHAShpal K Malhotra MD
DIRECTOR	1.00	X		0	0	0
Marsha A Soult PhD
DIRECTOR	1.00	X		0	0	0
Diane Spokus PHD CHES
DireCTOR	1.00	X		0	0	0
Jon Zimmerman
DireCTOR	1.00	X		0	0	0
Nancy Laub
EX-OFFICIO BOARD MEMBER	1.00	X		0	0	0
Daniel Reifsnyder
EX-OFFICIO BOARD MEMBER	1.00	X		0	0	0
Randy Tewksbury
VP FINANCE/CFO	34.00		X	162653	0	28935
kirk E THOMAS
SR. VP OPERATIONS/COO	38.80		X	136134	0	20244
NANCY S REINKE
VP HUMAN RESOURCES	40.00		X	113383	0	26503
RONALD M COWAN
CIO	40.00		X	109127	0	20237
CHRISTINE W MATHEWS
VP NURSING CARE SERVICES	40.00		X	114389	0	17977
NITIN V SHETH MD
PSYCHIATRIST	40.00			648630	0	16183	X
DAVID M NELSON
RADIATION PHYSICIST	40.00			175116	0	30281	X
Richard F Stomackin
PHARMACIST	40.00			146590	0	21625	X
LEWIS ALLSHOUSE III
PHARMACIST	40.00			122595	0	19422	X
Robert A Montgomery
PHARMACIST	40.00			122141	0	27291	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2133005	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	261131	TotalOtherCompensation
Number Individuals GT100 K	14	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
The Quandel Group Inc
4755 Linglestown Road	Harrisburg	PA	17112	Construction Firm	1401773
Cerner Corporation
43 Kensico Drive	Mt Kisco	NY	105491009	Maintenance/remote hosting for clinical	1247471
Alliance Imaging Inc
1900 S State College Blvd Suite 6	Anaheim	CA	92806	Contract Labor/ Imaging Technologists	839856
TEAM HEALTH
EAST 307 SOUTH EVERGREEN AVENUE	WOODBURY	NJ	08096		763030
Quest Diagnostics Nichols Institute
12436 Collections Center Drive	Chicago	IL	606932436	Diagnostic Laboratory Testing Services	706262

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	22	NumberOfContractorsGT100K
Fundraising Events	79333	FundraisingEvents
Related Organizations	359775	RelatedOrganizations
Government Grants	565180	GovernmentGrants
All Other Contributions	90575	AllOtherContributions
Total Contributions	1094863	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE RE	621400	86274336	86274336
LAB SERVICE REV	621500	1543581		1543581

Field	Value	IRS element (for citing)
Total Program Service Revenue	87817917	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	571784	TotalRevenueColumn
Exclusion	$571,784	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	44160	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	18904	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	25256	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	25256	TotalRevenueColumn
Related Or Exempt Function Income	25256	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1000000	Securities
Other	1530	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	920863	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	79137	Securities
Other	1530	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	80667	TotalRevenueColumn
Exclusion	$80,667	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	42178	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	79333	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	58023	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-15845	TotalRevenueColumn
Exclusion	-$15,845	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	3757	GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	3757	TotalRevenueColumn
Exclusion	$3,757	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	121327	GrossSalesOfInventory
Cost Of Goods Sold	74686	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	46641	TotalRevenueColumn
Exclusion	$46,641	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
INTERCOMPANY REVENUE	900099	391249	391249
CAFETERIA REVENUE	722210	384023		$384,023
SCHOOL OF NURSING	611600	352296	352296

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	604520	TotalRevenueColumn
Related Or Exempt Function Income	200004	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	9917	UnrelatedBusinessRevenue
Exclusion	$394,599	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1732088	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	91357128	TotalRevenueColumn
Related Or Exempt Function Income	87243141	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1553498	UnrelatedBusinessRevenue
Exclusion	$1,465,626	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	3321297	Total
Program Services	3321297	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	7000	Total
Program Services	7000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	662645	Total
Management And General	662645	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	33166362	Total
Program Services	31803069	ProgramServices
Management And General	1206245	ManagementAndGeneral
Fundraising	157048	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3381518	Total
Program Services	3186695	ProgramServices
Management And General	178960	ManagementAndGeneral
Fundraising	15863	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6020700	Total
Program Services	5750732	ProgramServices
Management And General	241342	ManagementAndGeneral
Fundraising	28626	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2462414	Total
Program Services	2342008	ProgramServices
Management And General	109339	ManagementAndGeneral
Fundraising	11067	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	120619	Total
Management And General	120619	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	88513	Total
Management And General	88513	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	14139	Total
Management And General	14139	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	7696883	Total
Program Services	7189630	ProgramServices
Management And General	342810	ManagementAndGeneral
Fundraising	164443	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	121824	Total
Program Services	30198	ProgramServices
Management And General	17662	ManagementAndGeneral
Fundraising	73964	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	14087065	Total
Program Services	14044718	ProgramServices
Management And General	35295	ManagementAndGeneral
Fundraising	7052	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	66018	Total
Program Services	59983	ProgramServices
Management And General	5985	ManagementAndGeneral
Fundraising	50	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1688446	Total
Program Services	1561944	ProgramServices
Management And General	114208	ManagementAndGeneral
Fundraising	12294	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	53789	Total
Program Services	43103	ProgramServices
Management And General	9646	ManagementAndGeneral
Fundraising	1040	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	30203	Total
Program Services	24570	ProgramServices
Management And General	5235	ManagementAndGeneral
Fundraising	398	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	1177017	Total
Program Services	1177017	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6101406	Total
Program Services	6101406	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	641884	Total
Program Services	641884	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices	FundraisingFundraising
Federal Income taxes	161627	161627
BAD DEBT EXPENSE	4389210		4389210
Repairs and Maintenance	3541880	12046	3529834
MEMBERSHIP FEES	153655	63276	89288	1091
Publications	127450	8700	105867	12883

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	288467	Total
Program Services	102504	ProgramServices
Management And General	185963	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	89572031	Total
Program Services	85501957	ProgramServices
Management And General	3584255	ManagementAndGeneral
Fundraising	485819	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

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

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6164769	BOY
EOY	11020406	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	8513994	BOY
EOY	8523804	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1361227	BOY
EOY	1051551	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2235928	BOY
EOY	2205958	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1904531	BOY
EOY	2459475	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	101754795	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	68820992	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	31534481	BOY
EOY	32933803	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	28360443	BOY
EOY	28379832	EOY

Investments Other Securities InvestmentsOtherSecurities

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

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	850132	BOY
EOY	1176405	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	81075354	BOY
EOY	87901083	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	32392502	BOY
EOY	34764584	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	22385000	BOY
EOY	21815000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
EOY	2281296	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	3246245	BOY
EOY	5998163	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	58023747	BOY
EOY	64859043	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22276363	BOY
EOY	22260436	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	293036	BOY
EOY	272023	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	482208	BOY
EOY	509581	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	23051607	BOY
EOY	23042040	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	81075354	BOY
EOY	87901083	EOY

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

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	$14,139	OtherActivitiesAmount
Total Lobbying Expenditures IIB	14139	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i:	Identifier
Return Reference	Explanation of Other Lobbying Activities:	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	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 Minus1 Year CurrentYearMinus1Year

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	45384692	OtherCostOrOtherBasis
Depreciation	28630799	Depreciation
Book Value	16753893	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	54264209	OtherCostOrOtherBasis
Depreciation	38966596	Depreciation
Book Value	15297613	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1881240	OtherCostOrOtherBasis
Depreciation	1223597	Depreciation
Book Value	657643	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	32933803	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
OBLIGATIONS UNDER CAPITAL LEASE	$3,725,507
DUE TO AFFILIATES	$97,160
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$1,335,028
BLUE CROSS CURRENT FINANCING ADVANCE	$381,800
ESTIMATED MEDICAL MALPRACTICE CLAIMS	$458,668

Field	Value	IRS element (for citing)
Total Of Amounts	5998163	TotalOfAmounts
Total Revenue	91357128	TotalRevenue
Total Expenses	89572031	TotalExpenses
Excess Or Deficit For Year	1785097	ExcessOrDeficitForYear
Net Unrealized GL On Investments	1198533	NetUnrealizedGLOnInvestments
Other	-$2,993,197	OtherAmount
Total Adjustments	-1794664	TotalAdjustments
Excess Or Deficit Per FS	-9567	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	89354302	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1198533	NetUnrealizedGainsInvestments
Other Revenues	-2993197	OtherRevenues
Revenue Not Rptd F990	-1794664	RevenueNotRptdF990
Revenue Subtotal	91148966	RevenueSubtotal
Other Revenues Not Included	208162	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	208162	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	91357128	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	89363869	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-208162	OtherExpensesIncluded
Expenses Not Rptd F990	-208162	ExpensesNotRptdF990
Expenses Subtotal	89572031	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	89572031	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	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.
Part X:	Description of Uncertain Tax Positions Under FIN 48:	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 2010 and 2009.
Part XI, Line 8 - Other Adjustments:		VALUATION LOSS: 27373. Pension liability adjustment: -3020570.
Part XII, Line 2d - Other Adjustments:		VALUATION GAIN: 27373. Pension liability adjustment: -3020570.
Part XII, Line 4b - Other Adjustments:		Special Event EXPENSES: -58023. COST OF GOODS SOLD: -74686. RENTAL EXPENSES: -18904. TRANSFER TO AFFILIATE NETTED WITH EXPENSES ON FINANCIAL STATEMENTS: 359775.
Part XIII, Line 2d - Other Adjustments:		Special Event Expenses: 58023. COST OF GOODS SOLD: 74686. RENTAL EXPENSES: 18904. TRANSFER TO AFFILIATE NETTED WITH EXPENSES ON FINANCIAL STATEMENTS: -359775.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	MASQUERADE PARTY	NameOfEvent1
Gross Receipts Event1	48490	GrossReceiptsEvent1
Charitable Contributions Event1	31990	CharitableContributionsEvent1
Gross Revenue Event1	16500	GrossRevenueEvent1
Rent Facility Costs Event1	4797	RentFacilityCostsEvent1
Food And Beverage Event1	9138	FoodAndBeverageEvent1
Other Direct Expenses Event1	7554	OtherDirectExpensesEvent1
Name Of Event2	Golf Tournament	NameOfEvent2
Gross Receipts Event2	59201	GrossReceiptsEvent2
Charitable Contributions Event2	39273	CharitableContributionsEvent2
Gross Revenue Event2	19928	GrossRevenueEvent2
Non Cash Prizes Event2	2400	NonCashPrizesEvent2
Rent Facility Costs Event2	6217	RentFacilityCostsEvent2
Food And Beverage Event2	10662	FoodAndBeverageEvent2
Other Direct Expenses Event2	10569	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	13820	GrossReceiptsOtherEvents
Charitable Contrib Other Events	8070	CharitableContribOtherEvents
Gross Revenue Other Events	5750	GrossRevenueOtherEvents
Rent Facility Costs Other Events	1850	RentFacilityCostsOtherEvents
Food And Beverage Other Events	4531	FoodAndBeverageOtherEvents
Other Direct Expenses Other Events	305	OtherDirectExpensesOtherEvents
Gross Receipts Total	121511	GrossReceiptsTotal
Charitable Contributions Total	79333	CharitableContributionsTotal
Gross Revenue Total Events	42178	GrossRevenueTotalEvents
Non Cash Prizes Total Events	2400	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	12864	RentFacilityCostsTotalEvents
Food And Beverage Total Events	24331	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	18428	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	58023	DirectExpenseSummaryEvents
Net Income Summary	-15845	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	1423378	TotalCommunityBenefitExpense
Net Community Benefit Expense	1423378	NetCommunityBenefitExpense
Percent Of Total Expense	0.01670	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5688618	TotalCommunityBenefitExpense
Direct Offsetting Revenue	200004	DirectOffsettingRevenue
Net Community Benefit Expense	5488614	NetCommunityBenefitExpense
Percent Of Total Expense	0.06440	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7111996	TotalCommunityBenefitExpense
Direct Offsetting Revenue	200004	DirectOffsettingRevenue
Net Community Benefit Expense	6911992	NetCommunityBenefitExpense
Percent Of Total Expense	0.08110	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	284888	TotalCommunityBenefitExpense
Net Community Benefit Expense	284888	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12688	TotalCommunityBenefitExpense
Net Community Benefit Expense	12688	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16805	TotalCommunityBenefitExpense
Net Community Benefit Expense	16805	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	314381	TotalCommunityBenefitExpense
Net Community Benefit Expense	314381	NetCommunityBenefitExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7426377	TotalCommunityBenefitExpense
Direct Offsetting Revenue	200004	DirectOffsettingRevenue
Net Community Benefit Expense	7226373	NetCommunityBenefitExpense
Percent Of Total Expense	0.08470	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	4014	TotalCommunityBuildingExpense
Net Community Building Expense	4014	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	59771	TotalCommunityBuildingExpense
Net Community Building Expense	59771	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	6696	TotalCommunityBuildingExpense
Net Community Building Expense	6696	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	649536	TotalCommunityBuildingExpense
Direct Offsetting Revenue	564063	DirectOffsettingRevenue
Net Community Building Expense	85473	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	720017	TotalCommunityBuildingExpense
Direct Offsetting Revenue	564063	DirectOffsettingRevenue
Net Community Building Expense	155954	NetCommunityBuildingExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,802,736	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	24157541	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	24320627	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-163086	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	0	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

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 VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	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.	IncomeBasedCriteria
Percent Of Total Expense Expln	Part I, Line 7f: BAD DEBT EXPENSE OF $4,389,210 WAS INCLUDED ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN PART I LINE 7 COLUMN F.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Part III, Line 4: 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.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: This cost-to-charge is per the file Medicare Cost Report and reflects all reclasses and adjustments required by Medicare.	ShortfallAsCommunityBenefit
Needs Assessment	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 surveysThe 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 analysisDecision 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) dataLewistown 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 StatisticsThe 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 statistics- behavioral risk and injury statistics- communicable diseases- health facilities- school health PA Department of Health Behavioral Risk Factor surveyThe 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 Office:The 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.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 problem- The severity of the problem- A 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 issue- Community resources already focused on the issue- Whether 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.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: Lewistown Hospital produces daily reports for high ticket services that indentify 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 options include oral communication and written materials that outline the availability of charity care in addition to assistance in 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. If the patient is not available or declines communication while still hospitalized this service is also offered post discharge including visits to the patient home. The representative also assists with a charity care eligibility application in addition to the Medical Assistance application. Upon admission all patients receive a written Patient Information Guide that details contact information should they be uninsured or underinsured and have the need the seek charity care. 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.	PatientEducationAssistance
Community Information	Part VI, Line 4: Our service area is comprised of Mifflin County, Juniata County, Huntingdon County,and Fulton County along with some smaller municipalities located in western SnyderCounty and northern Blair County. 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 week's 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%.Mifflin County's 65 and over age group is 18.3 percent (2008), while Juniata County's is 17.2%, 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 23.3% 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 12.5 percent of the population with income below the poverty line and 19.8 percent of children under 18 living in poverty. The general poverty level compares to the state average poverty rate of 11 percent and the national average of 11.3 percent while the under 18 poverty level compares with the state average of 16.5 percent and the national average of 18.9 percent. Juniata County has 9.2% of the population with income below the poverty line, while Huntingdon and Fulton Counties are 12% and 10.3% respectively. Average household income for the four main counties in our service area are as follows: Mifflin $38.5K, Juniata $43K, Huntingdon $41.5K, and Fulton $43.3K. 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 Fulton 13%. During the fiscal year 2010, approximately 14% of our patient population was Medical Assistance, while another 4.5% were Self Pay.There are two other hospitals located within the service area described above, and they are JC Blair Memorial Hospital in Huntingdon, PA and Fulton County Medical Center McConnellsburg, 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; 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, four in Huntingdon County, and one in Fulton 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 - 20Obese - 29Overweight (includes obese) - 66Ever told they had diabetes - 12Currently has asthma - 10Current smoker - 26For Mifflin and Juniata counties, the Health Profile 2010 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.	CommunityInformation
Community Building Activities	Part VI, Line 5: 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 Commission- The 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 member- The 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 (PA SHIP partnership): Kirk Thomas, VP Operations, Board Chair- The 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. 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 Operations- An 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 Member- The 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 Member- The 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. Disaster Preparedness Committee: community planning imitative- The Disaster Preparedness Committee is a multi-disciplinary group that includes first responders, EMS personnel, 911 personnel, and hospital staff. The purpose of the committee is to work collaboratively to respond to any community disaster situation that would require extensive health care services ( i.e., fires, etc.).Internship programs for various departments:- The 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. 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 Nursing:- In response to the shortage of nurses, Lewistown Hospital appealed to the State Board of Nursing to open its current School of Nursing. In May 2005, the Pennsylvania State Board of Nursing granted initial approval to the Lewistown Hospital to admit twenty-five students to each of two classes. The Pennsylvania State Board Education Advisors reviewed the program in October 2007 after the first class graduated, and full approval was granted to the program in December 2007.- The School 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.Free Health education workshops and seminars- Through the Hospital's speaker bureau program, a wide variety of programs are offered to the community free of charge.Free Health Screenings- Various 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 Inspections- The 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. Quick ER Care Program- Quick 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 Program- Lewistown 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.	CommunityBuildingActivities
Other Information	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.	OtherInformation
Affiliated Health Care System	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.85% of community benefit activities are contributed through Lewistown Hospital.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.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.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.The Director of Medic 29 volunteers many hours in service to several different community organizations including:- Juniata County Ambulance Association - 14 hours - Mifflin County Alert & Advisory Council - 12 hours- LEPC - 6 hours- EMS Association - 12 hours- PA Emergency Health Service Council - 10 hoursIn addition, the Director participates in several community health screenings.2% of community benefit activities are contributed through Medic 29.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. Many of our sponsorships and contributions come from HEI. In 2010, at total of $12,800 was made to the following community organizations:- Lewistown Rotary- 4Step- United Way of Mifflin-Juniata- Mifflin Juniata Partnerships RC & D- Mifflin Juniata Arts Council- Juniata County Business & Professional Women- Experience Works of PA- Juniata River Valley Visitors Bureau- PA Association of Healthcare Auxiliaries- Mifflin County Youth Baseball League- Big Brothers Big Sisters- American Red Cross of Susquehanna Valley- American Cancer Society- Lewistown Country Club- Juniata River fest- Juniata Valley Council Boy Scouts Association- VNA - Centre Home Care5% of community benefit activities are contributed through HEI.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.	AffiliatedHealthCareSystem
Reports Filed With States	PA	ReportsFiledWithStates

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	3321297	AmountOfCashGrant
Amount Of Non Cash Assistance	0	AmountOfNonCashAssistance
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
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Educational Scholarships	TypeOfGrant
Number Of Recipients	7	NumberOfRecipients
Amount Of Cash Grant	7000	AmountOfCashGrant
Amount Of Non Cash Assistance	0	AmountOfNonCashAssistance
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.	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 (6 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
268142	0	0	0	14105	0	25235	0	7198	0	314680	0	0	0
Randy Tewksbury
157421	0	0	0	5232	0	17010	0	11925	0	191588	0	0	0
kirk E THOMAS
135898	0	0	0	236	0	14022	0	6222	0	156378	0	0	0
NITIN V SHETH MD
385892	0	262738	0	0	0	0	0	16183	0	664813	0	0	0
DAVID M NELSON
174926	0	0	0	190	0	18263	0	12018	0	205397	0	0	0
Richard F Stomackin
145964	0	0	0	626	0	15099	0	6526	0	168215	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	Part I, Line 1a	ReturnReference
Explanation	THE HOSPITAL PROVIDES KAY HAMILTON WITH A LEASED VEHICLE FOR HER PERSONAL USE, THE VALUE OF WHICH IS DETERMINED USING IRS LEASE TABLES AND INCLUDED IN HER W-2. THE AMOUNT OF THE LEASE IS GROSSED-UP FOR THE EMPLOYEE AND EMPLOYER SHARES OF FICA TAX THAT IS PAID ON THAT VALUE AS WELL. The total amount added to her 2009 W-2 related to the leased vehicle was $12,523.	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

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	21723377	TotalProceeds
Amount In Reserve Fund	1722381	AmountInReserveFund
Amount Defeased	19561939	AmountDefeased
Amount Unspent	4589	AmountUnspent
Issuance Costs From Proceeds	434468	IssuanceCostsFromProceeds
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 (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Gayle Cowan
director/manager of the education department, wife of Ronald Cowan, CIO	79969	wages and benefits paid to Gayle Cowan	0
Charles Everhart Jr MD
BOARD DIRECTOR	204591	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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 4	Article III, Paragraph 3.10 now requires that the Board meet in executive session with only the presence of community members at least two times a year. Previously it was not required.
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.
Form 990, Part VI, Section B, line 12c	THE CONFLICT OF INTEREST POLICY ASSURES THAT ALL MEMBERS OF THE BOARD AND THE MANAGEMENT TEAM DISCLOSE ALL FINANCIAL AND CONFLICTING INTERESTS. ON AN ANNUAL BASIS, A CONFLICT OF INTEREST DISCLOSURE STATEMENT MUST BE SUBMITTED IN WRITING TO THE CEO. THE CEO, BOARD CHAIR AND CORPORATE COMPLIANCE OFFICER REVIEW AND MAINTAIN THE DISCLOSURE STATEMENTS. MEMBERS ARE REQUIRED TO ABSTAIN FROM VOTING ON MATTERS INVOLVING POTENTIAL CONFLICTS. FAILURE TO COMPLY WITH THE POLICY SHALL CONSTITUTE GROUNDS FOR REMOVAL FROM THE BOARD OR TERMINATION OF EMPLOYMENT.
Form 990, Part VI, Section B, line 15	The Senior Executive Staff includes the CEO and other key employees. The Senior Executive Staff has their salaries, responsibilities analyzed by an outside consultant specializing in the executive compensation area. Recommendations based on the analysis are then brought to the Board. The Board determines actual increases based on the recommendations and finances of the Hospital.
Form 990, Part VI, Section C, line 19	An Annual Report is available to the public via the organization's website. This report shows the annual consolidated statement of operations and a consolidated balance sheet. It also shows annual operating statistics and lists the names of board members, senior executive staff, and the members of the Medical Executive Committee. Currently, the governing documents and conflict of interest policy are not made available to the public. This information is considered proprietary and is not legally required to be made available to the general public.

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	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	N/A
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	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	N/A

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 NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	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