ARMSTRONG COUNTY MEMORIAL HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ARMSTRONG COUNTY MEMORIAL HOSPITAL (EIN 25-0965237)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201901349349304410
Schema version: 2017v2.3
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 H
Schedule I
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T11:45:44-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	250965237	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARMSTRONG COUNTY MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MATTHEW F KOCIOLA	InCareOfNm
Business Name Control	ARMS	BusinessNameControlTxt
Phone	7245438181	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE NOLTE DRIVE	AddressLine1Txt
City	KITTANNING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	162018808	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN I LEWIS	PersonNm
Person Title	PRESIDENT AND CEO	PersonTitleTxt
Phone	7245438181	PhoneNum
Signature	2019-04-01	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	43032920191345000004	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	66985211F4DB487E7840C8B500D36A82D84993F6	AtSubmissionCreationDeviceId
At Submission Filing Device Id	9D69DC47BE7AD8B6E4E58A9FC2CA369D0D853B01	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ACMH HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JOHN I LEWIS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE NOLTE DRIVE	AddressLine1Txt
City	KITTANNING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16201	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$108,941,835	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ACMH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1874	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF ARMSTRONG MEMORIAL HOSPITAL IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF ARMSTRONG AND NEIGHBORING COUNTIES.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1114	TotalEmployeeCnt
Total Volunteers	163	TotalVolunteersCnt
Total Gross UBI	$912,394	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$73,365	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$194,284	PYContributionsGrantsAmt
CY Contributions Grants	$398,969	CYContributionsGrantsAmt
PY Program Service Revenue	$105,313,788	PYProgramServiceRevenueAmt
CY Program Service Revenue	$102,732,927	CYProgramServiceRevenueAmt
PY Investment Income	$308,765	PYInvestmentIncomeAmt
CY Investment Income	$459,671	CYInvestmentIncomeAmt
PY Other Revenue	$1,695,849	PYOtherRevenueAmt
CY Other Revenue	$1,506,445	CYOtherRevenueAmt
PY Total Revenue	$107,512,686	PYTotalRevenueAmt
CY Total Revenue	$105,098,012	CYTotalRevenueAmt
PY Grants And Similar Paid	$16,830	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$15,260	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$58,797,959	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$56,212,718	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$44,394,613	PYOtherExpensesAmt
CY Other Expenses	$43,265,049	CYOtherExpensesAmt
PY Total Expenses	$103,209,402	PYTotalExpensesAmt
CY Total Expenses	$99,493,027	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,303,284	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,604,985	CYRevenuesLessExpensesAmt
Total Assets BOY	$68,352,522	TotalAssetsBOYAmt
Total Assets EOY	$67,023,492	TotalAssetsEOYAmt
Total Liabilities BOY	$29,060,202	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$25,714,741	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$39,292,320	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$41,308,751	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ACMH IS COMMITTED TO IMPROVING THE EMOTIONAL AND PHYSICAL HEALTH OF ITS PATIENTS THROUGH SUPERIOR CLINICAL CARE AND THE COMPASSIONATE MANAGEMENT OF ILLNESS AND DISABILITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$48,560,196	ExpenseAmt
Revenue	$61,051,285	RevenueAmt
Desc	ACMH HOSPITAL PROVIDES OUTPATIENT SERVICES SUCH AS RADIOLOGY, LABORATORY, EMERGENCY VISITS, AMBULATORY SURGERY, AND OTHER VARIOUS SERVICES. DURING THE FISCAL YEAR, TOTAL OUTPATIENT REGISTRATIONS WERE 193,530.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$22,216,579	ExpenseAmt
Revenue	$30,530,506	RevenueAmt
Desc	ACMH HOSPITAL PROVIDES INPATIENT SERVICES SUCH AS MEDICAL AND SURGICAL, ACUTE REHAB, SKILLED NURSING, OB/GYN, ICU/CCU, PSYCHIATRIC AND NURSERY. PERCUTANEOUS CORONARY INTERVENTION TO TREAT NARROWED CORONARY ARTERIES. DURING THE FISCAL YEAR, TOTAL ADMISSIONS WERE 5,170 AND PATIENT DAYS WERE 23,837.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,723,855	ExpenseAmt
Revenue	$5,368,471	RevenueAmt
Desc	ACMH HOSPITAL PROVIDES RURAL HEALTH CLINICS AT SEVERAL SURROUNDING COMMUNITY LOCATIONS INCLUDING LEECHBURG, ELDERTON, RURAL VALLEY, KITTANNING, AND NEW BETHLEHEM. TOTAL VISITS FOR ALL PHYSICIAN CLINICS TOTALED 62,949. THE PHYSICIAN CLINICS ALSO OFFER CHARITY CARE UNDER THE SAME POLICY AS ACMH HOSPITAL. TOTAL CHARITY CARE RELATING TO THE PHYSICIAN CLINICS FOR THE CURRENT FISCAL YEAR WAS 1,311. SEE SCHEDULE O FOR MORE INFORMATION.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$718,398	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$15,260	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$5,782,665	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$77,219,028	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	76	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1114	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MATTHEW F KOCIOLA	PersonNm
Phone	7245438618	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE NOLTE DRIVE	AddressLine1Txt
City	KITTANNING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16201	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MEREDITH CHRISTY
CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
ELIZABETH WHITE
VICE CHAIRMAN	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
VOLKER ZAUN
SECRETARY/TREASURER	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
HAROLD ALTMAN MD
CHIEF MEDICAL OFFICER	39.0	1.0	Yes (X)	Yes (X)	$299,060	$0	$13,678
JOHN I LEWIS
PRESIDENT & CEO	39.0	1.0	Yes (X)	Yes (X)	$355,815	$0	$74,691
CHASE MCCLISTER
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
SAMUEL FRIEDE
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
DONALD TYLINSKI EDD
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
SANDY BRADIGAN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
KATIE CHARLTON
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
W STEVEN DAVIS
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
SARUN SUWAN MD
PRESIDENT OF MEDICAL STAFF	39.0	1.0	Yes (X)		$326,364	$0	$28,685
PATRICK BURNS
CFO, VP OF FINANCE	39.0	1.0		Yes (X)	$238,564	$0	$24,199
MONA RUPERT
VP OF CLINICAL SERVICES	40.0	0.0			$155,457	$0	$13,032	Yes (X)
NICOLE GERACI
VP OF PATIENT SRVC & OPERATION	40.0	0.0			$150,136	$0	$10,165	Yes (X)
JOSEPH CIPPEL
PHYSICIAN	40.0	0.0			$208,579	$0	$30,362		Yes (X)
CHAD SHAFFER
PHYSICIAN	40.0	0.0			$228,604	$0	$24,995		Yes (X)
KARLA D MCCANN
PHYSICIAN	40.0	0.0			$203,243	$0	$27,150		Yes (X)
VICKY LEO
PHYSICIAN	40.0	0.0			$240,040	$0	$11,077		Yes (X)
MICHAEL ONDICH
PHYSICIAN	40.0	0.0			$159,888	$0	$26,078		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,565,750	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$284,112	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	38	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SIGNET HEALTH
235 W HICKORY ST STE 201	DENTON	TX	76201	PSYCHIATRY	$582,692
CHILDRENS COMMUNITY PEDIATRICS
11279 PERRY HIGHWAY STE 450	WEXFORD	PA	15090	PEDIATRIC	$462,990
HARI K VEMULAPALLI MD LLC
145 TANGLEWOOD DR	WEXFORD	PA	15090	PSYCHIATRY	$280,000
ADVANCED LITHO CARE LTD
1305 SOUTH MAIN ST	MEADVILLE	PA	16335	RADIOLOGY	$221,465
BKD LLP
910 E ST LOUIS ST SUITE 200	SPRINGFIELD	MO	65801	AUDIT/TAX/CONSULTING	$214,412

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Related Organizations	$107,851	RelatedOrganizationsAmt
All Other Contributions	$291,118	AllOtherContributionsAmt
Noncash Contributions	$79,435	NoncashContributionsAmt
Total Contributions	$398,969	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	621500	$96,950,262	$96,950,262
CAFETERIA	722210	$587,905	$587,905
RENT FROM AFFILIATES	623000	$359,629	$359,629
OTHER REVENUE	900099	$4,195,409	$3,923,088	$272,321
UNRELATED LAB SERVICES	621500	$639,722		$639,722

Field	Value	IRS element (for citing)
Total Program Service Revenue	$102,732,927	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$264,734	TotalRevenueColumnAmt
Exclusion	$264,734	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$535,330	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$535,330	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$535,330	TotalRevenueColumnAmt
Exclusion	$535,330	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,027,260	SecuritiesAmt
Other	$11,500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,841,443	SecuritiesAmt
Other	$2,380	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$185,817	SecuritiesAmt
Other	$9,120	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$194,937	TotalRevenueColumnAmt
Exclusion	$194,937	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	GAIN ON EQUITY INVESTEES	Desc
Business	900099	BusinessCd
Total Revenue Column	$971,115	TotalRevenueColumnAmt
Unrelated Business Revenue	$351	UnrelatedBusinessRevenueAmt
Exclusion	$970,764	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$971,115	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$105,098,012	TotalRevenueColumnAmt
Related Or Exempt Func Income	$101,820,884	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$912,394	UnrelatedBusinessRevenueAmt
Exclusion	$1,965,765	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$15,260	TotalAmt
Program Services	$15,260	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,689,846	TotalAmt
Program Services	$996,577	ProgramServicesAmt
Management And General	$693,269	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$41,318,552	TotalAmt
Program Services	$31,253,047	ProgramServicesAmt
Management And General	$10,065,505	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,142,047	TotalAmt
Program Services	$1,553,829	ProgramServicesAmt
Management And General	$588,218	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,383,161	TotalAmt
Program Services	$5,380,565	ProgramServicesAmt
Management And General	$2,002,596	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,679,112	TotalAmt
Program Services	$2,620,549	ProgramServicesAmt
Management And General	$1,058,563	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$366,149	TotalAmt
Management And General	$366,149	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$130,100	TotalAmt
Management And General	$130,100	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$21,405	TotalAmt
Management And General	$21,405	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,385,765	TotalAmt
Program Services	$10,245,241	ProgramServicesAmt
Management And General	$2,140,524	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$377,676	TotalAmt
Program Services	$2,520	ProgramServicesAmt
Management And General	$375,156	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,849,866	TotalAmt
Program Services	$3,493,335	ProgramServicesAmt
Management And General	$1,356,531	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$980,417	TotalAmt
Program Services	$165,188	ProgramServicesAmt
Management And General	$815,229	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,132,557	TotalAmt
Program Services	$1,679,008	ProgramServicesAmt
Management And General	$453,549	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$88,804	TotalAmt
Program Services	$54,904	ProgramServicesAmt
Management And General	$33,900	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$68,691	TotalAmt
Program Services	$37,364	ProgramServicesAmt
Management And General	$31,327	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$61,332	TotalAmt
Program Services	$43,782	ProgramServicesAmt
Management And General	$17,550	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,074,613	TotalAmt
Program Services	$2,908,656	ProgramServicesAmt
Management And General	$1,165,957	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$714,179	TotalAmt
Program Services	$98,297	ProgramServicesAmt
Management And General	$615,882	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$12,321,711	$12,321,711
BAD DEBT	$2,369,493	$2,369,493
PROVIDER TAXES	$1,242,533	$1,242,533
FOOD EXPENSES	$699,044	$596,348	$102,696

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$380,714	TotalAmt
Program Services	$140,821	ProgramServicesAmt
Management And General	$239,893	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$99,493,027	TotalAmt
Program Services	$77,219,028	ProgramServicesAmt
Management And General	$22,273,999	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$223,510	BOYAmt
EOY	$229,236	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,736,163	BOYAmt
EOY	$11,927,409	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,409,651	BOYAmt
EOY	$7,812,414	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,469	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,085,641	BOYAmt
EOY	$1,136,691	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,411,774	BOYAmt
EOY	$1,416,988	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$133,931,124	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$110,115,488	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$24,412,987	BOYAmt
EOY	$23,815,636	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$7,135,513	BOYAmt
EOY	$7,434,506	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,410,505	BOYAmt
EOY	$5,143,631	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,667	BOYAmt
EOY	$46,250	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,517,642	BOYAmt
EOY	$8,060,731	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$68,352,522	BOYAmt
EOY	$67,023,492	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,518,193	BOYAmt
EOY	$10,829,677	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,541,458	BOYAmt
EOY	$4,329,169	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,000,551	BOYAmt
EOY	$10,555,895	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,060,202	BOYAmt
EOY	$25,714,741	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$39,292,320	BOYAmt
EOY	$41,308,751	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$39,292,320	BOYAmt
EOY	$41,308,751	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$68,352,522	BOYAmt
EOY	$67,023,492	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,604,985	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$25,764	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,562,790	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$9,518	OtherActivitiesAmt
Total Lobbying Expenditures	$9,518	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1(I)	FormAndLineReferenceDesc
Explanation	OTHER LOBBYING ACTIVITIES: THE HOSPITAL HOLDS MEMBERSHIP IN THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) AND THE HEALTHCARE COUNCIL OF WESTERN PENNSYLVANIA (HCWP) WHICH ENGAGE IN LOBBYING AS PART OF THEIR MISSION TO REPRESENT THE INTEREST OF HOSPITALS AT BOTH THE FEDERAL AND STATE LEVELS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$297,281	OtherCostOrOtherBasisAmt
Book Value	$297,281	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,170,205	OtherCostOrOtherBasisAmt
Depreciation	$34,297,797	DepreciationAmt
Book Value	$13,872,408	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,253,367	OtherCostOrOtherBasisAmt
Depreciation	$72,880,904	DepreciationAmt
Book Value	$9,372,463	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,210,271	OtherCostOrOtherBasisAmt
Depreciation	$2,936,787	DepreciationAmt
Book Value	$273,484	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$23,815,636	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$244,306	BookValueAmt
Method Valuation	C	MethodValuationCd

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CHART	$3,986,362	C
VANTAGE	$912,963	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$5,143,631	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$7,048,785
DUE FROM 3RD PARTY PAYERS	$273,489
ACCRUED INTEREST	$16,415
DUE FROM AFFILIATES	$722,042

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$8,060,731	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ACCRUED PENSION LIABILITY	$6,482,857
ESTIMATED INSURANCE LIABILITY	$2,991,936
DUE TO 3RD PARTY PAYERS	$1,081,102

Field	Value	IRS element (for citing)
Total Liability	$10,555,895	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$102,310,469	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$25,764	NetUnrealizedGainsInvstAmt
Other Revenue	-$2,369,493	OtherRevenueAmt
Revenue Not Reported	-$2,395,257	RevenueNotReportedAmt
Revenue Subtotal	$104,705,726	RevenueSubtotalAmt
Other Revenues Not Included	$392,286	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$392,286	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$105,098,012	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$97,123,534	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$97,123,534	ExpensesSubtotalAmt
Other Expenses Not Included	$2,369,493	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,369,493	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$99,493,027	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2D	AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ (2,369,493) BAD DEBT EXPENSE
SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 392,286 GRANTS FOR PROPERTY AND EQUIPMENT ACQUISITION
SCHEDULE D, PART XII, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 2,369,493 BAD DEBT EXPENSE

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$460,192	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$460,192	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,886,922	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,794,095	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,092,827	NetCommunityBenefitExpnsAmt
Total Expense	0.04210	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,347,114	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,794,095	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,553,019	NetCommunityBenefitExpnsAmt
Total Expense	0.04680	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,156	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$94,156	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$309,251	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,140	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$239,111	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,439,464	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,379,021	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,060,443	NetCommunityBenefitExpnsAmt
Total Expense	0.01100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,260	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,260	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,858,131	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,449,161	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,408,970	NetCommunityBenefitExpnsAmt
Total Expense	0.01470	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,205,245	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,243,256	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,961,989	NetCommunityBenefitExpnsAmt
Total Expense	0.06150	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,818	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,818	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,818	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,818	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$2,369,493	BadDebtExpenseAmt
Bad Debt Expense Attributable	$305,665	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,567,773	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,211,992	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$644,219	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	false	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARMSTRONG COUNTY MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE NOLTE DRIVE	AddressLine1Txt
City	KITTANNING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16201	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ACMH.ORG	WebsiteAddressTxt
State License	270901	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	SNU, REHAB & PSYCHIATRIC UNITS	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ARMSTRONG COUNTY MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: THE COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT REPRESENTED A CROSS-SECTION OF THE HEALTH AND HUMAN SERVICES AGENCIES IN ARMSTRONG COUNTY. SOME PARTICIPANTS WERE SPECIFICALLY CHOSEN BECAUSE OF THEIR PUBLIC HEALTH KNOWLEDGE AND EXPERIENCE. OTHERS WERE CHOSEN BECAUSE OF THEIR EXPERTISE IN: - CHRONIC HEALTH CONDITIONS IN ARMSTRONG COUNTY - BARRIERS TO HEALTHCARE - KNOWLEDGE OF UNDERSERVED GROUPS OF POPULATION IN ARMSTRONG COUNTY - FORMING ORGANIZATIONAL COLLABORATIONS WITH ACMH HOSPITAL TO MEET HEALTH NEEDS - AN AWARENESS OF THE HEALTH CONCERNS OF THE PEOPLE UTILIZING HEALTHCARE SERVICES - WHERE RESIDENTS OF THE COUNTY ARE GOING FOR HEALTH AND WELLNESS SERVICES -RELIABLE SOURCES OF HEALTH INFORMATION INTERVIEWS WITH THESE STAKEHOLDERS REVEALED CERTAIN BARRIERS TO HEALTH SERVICES AND UNDERSERVED GROUPS OF THE POPULATION IN ARMSTRONG COUNTY WHERE PRIORITY COMMUNITY NEEDS.
SCHEDULE H, PART V, SECTION B, LINE 7A	CHNA URL: HTTPS://WWW.ACMH.ORG/CHNA
SCHEDULE H, PART V, SECTION B, LINE 10A	IMPLEMENTATION STRATEGY URL: HTTPS://WWW.ACMH.ORG/CHNA
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING IDENTIFIED NEEDS: ACMH IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIES IN OUR MOST RECENT CHNA AS FOLLOWS: 1. EDUCATION OF COMMUNITY MEMBERS REGARDING THEIR HEALTHCARE NEEDS AND PREVENTIVE CARE SERVICES THEY SHOULD BE EMPLOYING. ACMH PURCHASED A NEW DEXA, BONE DENSITY SCANNER TO DIAGNOSIS OSTEOPOROSIS. OSTEOPOROSIS IS A GROWING HEALTHCARE CRISIS AFFECTING MILLIONS OF MEN AND WOMEN. OSTEOPOROSIS IS DETECTABLE AND TREATABLE. THIS SYSTEM WILL HELP IDENTIFY PATIENTS AT RISK FOR OSTEOPOROSIS AND FRACTURES. THIS PARTICULAR SCANNER ALSO HAS THE ABILITY TO MEASURE BODY COMPOSITION. REGULARLY SCHEDULED BODY COMPOSITION SCANS DURING THE COURSE OF A PATIENT'S WEIGHT MANAGEMENT PROGRAM WILL SHOW IF THE WEIGHT LOSS IS FROM FAT STORES OR FROM MUSCLE. WHEN USED IN CONJUNCTION WITH WEIGHT MANAGEMENT PROGRAMS IT CAN BE USED TO HELP PATIENTS LOSE BODY FAT, NOT MUSCLE MASS, FOR A MORE SUCCESSFUL AND HEALTHIER LONG TERM WEIGHT LOSS. ACMH OPENED A CONCUSSION CARE CLINIC IN DECEMBER 2015 IN THE SNYDER INSTITUTE. ACMH USES THE C3 LOGIX APPLICATION THAT WAS DEVELOPED AT CLEVELAND CLINIC AND ACQUIRED BY ALLEGHENY HEALTH NETWORK FOR THEIR SPORTS MEDICINE PROGRAM. WITH THE RECENT FOCUS ON CHRONIC TRAUMATIC ENCEPHALOPATHY (CTE) AND CONCUSSIONS, AHN SHARED THEIR KNOWLEDGE WITH ACMH. THE FOCUS OF THE PROGRAM CONTINUES TO BE MANAGING PEOPLE SUFFERING FROM ACUTE CONCUSSIONS OR ACUTE POST-CONCUSSION SYMPTOMS. CONCUSSION CARE IS SEEING APPROXIMATELY 35 PATIENTS EACH MONTH WITH MOST OF THE VOLUME BEING ATTRIBUTED TO ATHLETES. 2. EDUCATION OF COMMUNITY MEMBERS, HEALTH CARE ORGANIZATIONS AND HEALTH AND HUMAN SERVICE ORGANIZATIONS AS TO WHAT SERVICES ARE AVAILABLE WITHIN THE COUNTY. THE PLANNING COMMITTEE BELIEVES THAT THE DEVELOPMENT AND PUBLICATION OF A CATALOG OF ORGANIZATIONS WITHIN THE COMMUNITY WITH EXPLANATORY INFORMATION ABOUT THE SERVICES EACH OFFERS ALONG WITH RELEVANT CONTACTS WOULD BE A HELPFUL AND WORKABLE SOLUTION. A STAT MEDEVAC REPRESENTATIVE PROVIDES EDUCATION TO EMTS AND PARAMEDICS USING A QA COMMITTEE TO DETERMINE WHICH CLASSES TO PROVIDE. EDUCATION THAT HAS BEEN PROVIDED INCLUDES: NARCAM, DON'T DELAY- CALL 911, USE OF SIMULATED PATIENTS TO PROVIDE TRAINING AND WHAT NURSES IN THE ED DO. HE HAS ALSO ARRANGED FOR FOLLOW-UP INFORMATION TO BE PROVIDED BACK TO THE PARAMEDICS AFTER THE PATIENT HAS BEEN SEEN IN THE ED. 3. OBESITY ACMH CONTINUES TO WORK THROUGH THE HEALTHY ARMSTRONG PROGRAM TO ADDRESS OBESITY WITHIN THE COMMUNITY. ACMH IS INVESTIGATING THE FEASIBILITY OF DEVELOPING A MEDICAL WEIGHT LOSS CLINIC THAT WOULD INCLUDE A CLINICIAN (A CERTIFIED AS A FELLOW IN WEIGHT LOSS), DIETITIANS, A PROGRAM OF PHYSICAL EXERCISE, A PSYCHOLOGIST OR PSYCHIATRIST, AND A SURGEON WHO WOULD PERFORM GASTRIC SLEEVE SURGERY. 4. DIABETES THE PLANNING COMMITTEE BELIEVES THAT ENHANCED EDUCATION FOR NEWLY DIAGNOSED PATIENTS WILL HAVE THE GREATEST IMPACT IN NEGATING FUTURE PROBLEMS FOR THOSE PATIENTS. ACMH IS IN THE MIDDLE OF THE 2ND RECERTIFICATION BY THE AMERICAN DIABETES ASSOCIATION FOR DIABETES EDUCATION. THE CERTIFICATION PROVIDES A FORMAL STRUCTURE TO TEACH THE USE OF A SELF-MANAGEMENT SURVEY. OUR DIABETES NURSE NAVIGATOR GOES TO ACMH PHYSICIAN-OWNED PRACTICES IN LEECHBURG, RURAL VALLEY AND DOWNTOWN KITTANNING. PROVIDERS IN THOSE PRACTICES REFER PATIENTS BELIEVED TO BE AT HIGH RISK. MEETINGS WITH PATIENTS LAST FROM 1.5 TO 2 HOURS. ABOUT 60% OF REFERRED PATIENTS PARTICIPATE. EDUCATIONAL CLASSES ARE ALSO BEING CONDUCTED AT THE ENDOCRINOLOGY OFFICE TOGETHER WITH THE CRNP THERE. THESE CLASSES PROVIDE EDUCATION ON NEW TECHNOLOGY FOR DIABETES MANAGEMENT, CONTINUOUS GLUCOSE TESTING AND TYPE 1 EQUIPMENT THAT CAN BE OBTAINED THROUGH LOCAL PHARMACIES. THE NURSE NAVIGATOR IS ALSO WORKING ON A PRE-DIABETES PROGRAM FOR INDIVIDUALS AT RISK AND WITH THE LOCAL YMCA IN THEIR PROGRAMS TO ADDRESS PRE-DIABETES. THE YMCA PROGRAM CONSISTS OF NUTRITION COUNSELOR WEIGHT LOSS COUNSELOR, AND PERSONAL EXERCISE PROGRAM. SHE ALSO SPEAKS TO DIFFERENT GROUPS IN THE COMMUNITY. 5. CANCER RATES AND SCREENINGS THE HIGH CANCER RATES IN ARMSTRONG COUNTY ARE MAINLY COLORECTAL, ESOPHAGEAL, LUNG AND BREAST. A SUBCOMMITTEE WILL ATTEMPT TO CORRELATE SCREENING NEEDS, EDUCATION PROGRAMS AND APPROPRIATE CLINICAL INTERVENTIONS NEEDS RELATIVE TO CANCER RATES. A MITIGATION BEING CONSIDERED IS TO ENGAGE SPECIALISTS IN ESOPHAGEAL DISORDERS FOR ENHANCED SCREENINGS AND INTERVENTIONS. SUBSEQUENT PLANS OF ACTION FOR OTHER HIGH RATE CANCERS WILL ALSO BE DEVELOPED. ACMH HAS ACQUIRED MEDICAL STAFF TO ADDRESS ESOPHAGEAL DISEASE, TREATING GERO FOR INDIVIDUALS WHO PRESENT WITH A BMI OF 35 OR LESS. ACMH BEGAN OFFERING LOW DOSE CT (LDCT) FOR LUNG CANCER SCREENING IN 2013. AT THAT TIME IT WAS NOT PAID FOR BY MOST INSURANCES. IN FEBRUARY 2015, MEDICARE ISSUED A FINAL DECISION TO PAY FOR THE LOW DOSE CT BECAUSE OF THE SIGNIFICANT NUMBER OF PREMATURE DEATHS THAT COULD BE PREVENTED. LDCT IS THE ONLY SCREENING TEST SHOWN TO LOWER THE CHANCE OF DYING FROM LUNG CANCER. POSITIVE PATIENT CASES ARE REVIEWED AND FOLLOWED BY A MULTIDISCIPLINARY TEAM THAT IS TRAINED AND EXPERIENCED IN PROVIDING THE CONTINUUM OF CARE FOR LUNG CANCER SCREENING, INCLUDING IMAGE INTERPRETATION, DIAGNOSTIC PROCEDURES, PATHOLOGY SPECIMEN, TREATMENT, AND FOLLOW-UP BASED UPON BEST PRACTICES ESTABLISHED IN THE NATIONAL LUNG SCREENING TRIAL. ACMH BEGAN OFFERING DIGITAL BREAST TOMOGRAPHY (DBT) IN SEPTEMBER OF 2016. AS WITH ANY DIAGNOSTIC SCREENING, EARLY DETECTION SAVES LIVES. ANOTHER ADVANTAGE OF DBT IS THAT IT DETECTS ONE TO TWO ADDITIONAL CANCERS PER THOUSAND WOMEN SCREENED AND REDUCES THE NEED FOR RECALL FOR ADDITIONAL IMAGING FOR FINDINGS THAT ARE NOT CANCER. 6. TRANSPORTATION ACMH IS CONSIDERING AN OUTSIDE REVIEW OR USING OUTSIDE SUPPORT TO ANALYZE TRANSPORTATION NEEDS AND TO IDENTIFY ALL ALTERNATIVE TRANSPORTATION SYSTEMS AVAILABLE WITHIN ARMSTRONG COUNTY. TRANSPORTATION CONTINUES TO BE A PROBLEM WITHIN ARMSTRONG COUNTY. TRANSPORTATION IS PROVIDED FOR PATIENTS OF LIFE ARMSTRONG. HOSE COMPANY #6 PROVIDES MUCH TRANSPORTATION FOR PATIENTS WHO USE WHEELCHAIRS. ACMH COVERS THE COST OF TAXI FARES FOR DISCHARGED PATIENTS WHO DO NOT HAVE TRANSPORTATION HOME. 7. SUBSTANCE ABUSE AND ADDICTION ACMH WILL CONTINUE TO SUPPORT "DRUGS KILL DREAMSITS "JAIL EXPERIENCE" PROGRAM. ACMH WILL CONTINUE THE EDUCATIONAL PROGRAM IT BEGAN IN 2014 ADDRESSING YOUTH ACCESS TO FAMILY MEMBERS' PRESCRIPTION MEDICATIONS. ACMH WILL WORK WITH ARC MANOR (ADDICTION RECOVERY CENTER) TO ADDRESS DUAL DIAGNOSIS ISSUES AND IS IMPLEMENTING A HOSPITAL-BASED DETOXIFICATION UNIT. THE COMMONWEALTH OFFICE OF MENTAL HEALTH PROVIDED $250,000 REINVESTMENT MONIES TO OPEN A 4 BED HOSPITAL-BASED DETOX PROGRAM. THE PROGRAM WILL BE CLASSIFIED AS A LEVEL 4A MEANING PATIENT MUST HAVE SUBSTANCE USE DISORDER AND BE IN ACUTE WITHDRAWAL. ADMISSION IS VOLUNTARY FOR THE PATIENT AND THE AVERAGE LENGTH OF STAY WILL BE 3-5 DAYS. STAFFING WILL CONSIST OF ONE RN, A NURSE'S AIDE AND A THERAPIST AND MAY WORK IN CONJUNCTION WITH THE BEHAVIORAL HEALTH ASSESSMENT TEAM. PHYSICIAN AND MID-LEVELS WILL BE ON SITE AND ON CALL. REFERRALS WILL ORIGINATE PRIMARILY FROM THE ED. THE PROGRAM IS TENTATIVELY SCHEDULED TO OPEN IN APRIL 2018. NARCAM EDUCATION IS BEING PROVIDED TO AREA EMTS AND PARAMEDICS. 8. RESOURCES AVAILABLE FOR UNDER- AND UN-INSURED INDIVIDUALS A COMMITTEE WAS FORMED IN FISCAL YEAR 2016 TO ADDRESS THIS NEED. THE PLANNING COMMITTEE BELIEVES THAT A FEASIBLE SOLUTION WOULD BE THE DEVELOPMENT OF A CONCIERGE/NAVIGATOR SERVICE, WHICH WOULD INDIVIDUALLY GUIDE PATIENTS THROUGH THE HEALTHCARE SYSTEM AND DETERMINE/ACCESS AVAILABLE RESOURCES. NEARLY 100 PATIENTS PER MONTH SEEK FINANCIAL COUNSELING FOR HELP PAYING FOR THEIR HEALTH CARE SERVICES AT ACMH HOSPITAL AND AT PROVIDER OFFICES. 9. PROVIDER SHORTAGES ACMH HAS RECENTLY HIRED A PSYCHIATRIST, WHICH SOMEWHAT REDUCES THE MENTAL HEALTH CARE PROVIDER SHORTAGE IN ARMSTRONG COUNTY. ACMH IS TAKING STEPS TO RECRUIT UROLOGISTS AND NEUROLOGISTS INTO ARMSTRONG COUNTY. A NEUROLOGIST HAS BEEN HIRED AND WILL BE SUPPORTED BY A NEUROLOGIST FROM PUNXSUTAWNEY WHO WILL PROVIDE TELENEUROLOGY SERVICES DURING DAYLIGHT HOURS. UPMC IS PROVIDING TELENEUROLOGY SERVICES DURING NIGHTS AND ON WEEKENDS. ACMH CONTINUES TO PURSUE UROLOGISTS, PSYCHIATRISTS AND GENERAL SURGEONS.
SCHEDULE H, PART V, SECTION B, LINES 16A-C	FAP, APPLICATION, AND PLS URL: HTTP://ACMH.ORG/BILLING-AND-INSURANCE#FINANCIALASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16J	THE FINANCIAL ASSISTANCE POLICY INDICATES: INDIVIDUAL NOTICES INFORMING PATIENTS ABOUT FINANCIAL ASSISTANCE/DISCOUNT WILL BE OFFERED AT THE TIME OF REGISTRATION. SIGNS WILL BE POSTED IN REGISTRATION AREAS OF THE HOSPITAL AND ITS AFFILIATED CLINICS AND PHYSICIAN OFFICES.

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ARMSTRONG PRIMARY CARE CENTER LEECHBURG
116 MAIN ST	LEECHBURG	PA	15656	PRIMARY CARE, LAB DRAW, RADIOLOGY, PHYSICAL THERAPY
ACMH HEALTH PAVILION
202 5TH AVENUE	FORD CITY	PA	16226	OUTPATIENT PHYSICAL THERAPY, LAB DRAW
ARMSTRONG PRIMARY CARE CENTEER ELDERTON
116 MAIN ST	ELDERTON	PA	15736	PRIMARY CARE, LAB DRAW, RADIOLOGY
ARMSTRONG PRIMARY CARE CTR S BETHLEHEM
102 SOUTH ST	NEW BETHLEHEM	PA	16242	PRIMARY CARE, LAB DRAW
ARMSTRONG PRIMARY CARE CTR RURAL VALLEY
10261 ST RT 85	KITTANNING	PA	16201	PRIMARY CARE, LAB DRAW
ARMSTRONG PRIMARY CARE CENTER KITTANNING
260 SOUTH JEFFERSON ST	KITTANNING	PA	16201	PRIMARY CARE, LAB DRAW
ARMSTRONG OUTPATIENT IMAGING CENTER
87 GLADE DRIVE	KITTANNING	PA	16201	OUTPATIENT RADIOLOGY CENTER
COWANSVILLE HEALTH CENTER
882 EAST BRADY ROAD	COWANSVILLE	PA	16218	LAB DRAW
WORTHINGTON FAMILY PRACTICE
1482 BUTLER RD	WORTHINGTON	PA	16262	LAB DRAW
ENDOCRINOLOGY ASSOCIATES
600 MEDICAL ARTS BUILDING SUITE 64	KITTANNING	PA	16201	ENDOCRINOLOGY CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7:	COSTING METHODOLOGY: THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION ON IRS WORKSHEETS 1 AND 3.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED HEALTH SERVICES: ARMSTRONG COUNTY MEMORIAL HOSPITAL REPORTS FIVE RHC FACILITIES AS SUBSIDIZED HEALTH SERVICES. WHEN THESE CLINICS WERE ESTABLISHED, THE AREAS IN WHICH THEY ARE LOCATED WERE IN MEDICALLY UNDERSERVED AREAS OR PHYSICIAN SHORTAGE AREAS. ACMH HOSPITAL ALSO REPORTS INPATIENT PSYCH AND SKILLED NURSING UNITS AS SUBSIDIZED HEALTH SERVICES. THE IRS DEFINITION OF A SUBSIDIZED HEALTH SERVICE MEANS CLINICAL SERVICES PROVIDED DESPITE A FINANCIAL LOSS TO THE ORGANIZATION.
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER FORM 990, PART IX, LINE 25, WAS REDUCED BY BAD DEBT EXPENSE OF $2,369,493.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: THE PRIMARY COMMUNITY BUILDING ACTIVITIES ARE STAFF INVOLVEMENT WITH HEALTHY ARMSTRONG WHICH IS A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF FAMILIES AND HELP CHILDREN MAINTAIN A HEALTHY WEIGHT THROUGH IMPROVED NUTRITION AND INCREASED PHYSICAL ACTIVITY. HOSPITAL REPRESENTATIVES ALSO ATTEND CAREER DAYS AT LOCAL SCHOOLS AND PROVIDE TOURS OF THE FACILITY TO EDUCATE STUDENTS ABOUT CAREERS IN HEALTH CARE.
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE: THIS IS THE AMOUNT REPORTED AS BAD DEBT ON THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: THIS AMOUNT WAS ESTIMATED BY MULTIPLYING THE TOTAL BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS BY THE POVERTY PERCENTAGE FOR ARMSTRONG COUNTY REPORTED ON WWW.CENSUS.GOV.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT EXPENSE AUDIT FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
SCHEDULE H, PART III, SECTION B, LINE 8	COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 5 AND 6.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY: PATIENTS RECEIVE CORRESPONDENCE GIVING THEM THE OPPORTUNITY TO CONTACT THE ORGANIZATION TO QUESTION THEIR STATEMENTS AND/OR ESTABLISH PAYMENT ARRANGEMENTS. IF A PATIENT CONTACTS THE ORGANIZATION, IT IS FIRST DETERMINED WHETHER OR NOT THEY MAY BE ELIGIBLE FOR ASSISTANCE THROUGH MEDICAID OR FINANCIAL ASSISTANCE. IF THE PATIENT IS NOT ELIGIBLE FOR ANY OF THE ASSISTANCE LISTED, THEN THE ORGANIZATION WORKS WITH THE PATIENT TO ESTABLISH A PAYMENT PLAN, USUALLY FOR UP TO 12 MONTHS BUT EXTENSION IS ALLOWED FOR EXTENUATING CIRCUMSTANCES. IF AN ACCOUNT IS DETERMINED TO BE UNCOLLECTIBLE AND NO REQUEST FOR ASSISTANCE OR PAYMENT ARRANGEMENTS IS RECEIVED, THE ACCOUNT IS REFERRED TO AN OUTSIDE COLLECTION AGENCY.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: ACMH REGULARLY USES RELIABLE DATA AVAILABLE ON THE INTERNET TO DETERMINE THE NEEDS OF OUR COMMUNITY. COUNTY HEALTH RANKINGS PULL FROM VARIOUS RELIABLE DATABASES TO PROVIDE INFORMATION ABOUT OUTCOMES, HEALTH FACTORS, ENVIRONMENTAL FACTORS, AND COMMUNITY HEALTH STATUS INDICATORS. WE USE INFORMATION FROM THE DEPARTMENT OF HEALTH REGARDING HEALTH BEHAVIORS. WE ALSO COLLABORATE WITH THE LOCAL SCHOOL DISTRICT AND OTHER COMMUNITY ORGANIZATIONS AND EMPLOYERS TO DETERMINE OUR ROLE IN THE DEVELOPMENT OF HEALTHY FACILITIES, PROGRAMS, AND BEHAVIORS IN ARMSTRONG COUNTY. IN FY2018 ACMH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND PUBLISHED THE FINDINGS ON OUR WEBPAGE. THE NEEDS ASSESSMENT TOOK INTO ACCOUNT INFORMATION FROM PRIMARY DATA AS WELL AS SECONDARY DATA.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: EACH PATIENT IS ASKED THE QUESTION, "DO YOU NEED HELP WITH YOUR MEDICAL BILLS?" AT THE POINT OF REGISTRATION. FOR EVERY PATIENT THAT ANSWERS YES, WE SEND THE PATIENT A COVER LETTER EXPLAINING OUR FINANCIAL ASSISTANCE PROGRAM, AN APPLICATION, AND BASIC GUIDELINES IDENTIFYING INFORMATION NEEDED TO PROCESS THE APPLICATION. ONCE THE PATIENT RECEIVES THE APPLICATION AND COMPLETES THE INFORMATION, THE APPLICATION IS REVIEWED FOR ACCURACY AND POTENTIAL APPROVAL. IF THE PATIENT HAS SUPPLIED ALL THE NECESSARY INFORMATION AND A DECISION IS MADE, AN APPROVED OR DENIED LETTER IS SENT TO THE PATIENT. IF THE PATIENT HAS NOT SUPPLIED ENOUGH INFORMATION TO MAKE A PROPER DECISION, A LETTER DETAILING THE MISSING INFORMATION IS SENT TO THE PATIENT ALONG WITH A FOLLOW UP PHONE CALL. THE APPLICATION IS PRINTED ON THE BACK OF EVERY STATEMENT SENT TO PATIENTS CONCERNING THEIR OUT OF POCKET EXPENSE. WE UTILIZE AN EARLY OUT SELF-PAY VENDOR THAT HAS BEEN TRAINED ON OUR FINANCIAL ASSISTANCE POLICY AND WHEN THEY HAVE CONTACT WITH OUR PATIENTS, THEY ADVISE THEM OF THE PROGRAM AND INITIATE THE APPLICATION PROGRAM WHEN THE PATIENT REQUESTS THEIR ASSISTANCE. THIS VENDOR OFFERS THE FINANCIAL ASSISTANCE APPLICATION ON THEIR WEBSITE LISTED UNDER THE OPTIONS FOR RESOLUTION OF THE OUTSTANDING BALANCE(S). THE HOSPITAL HAS FINANCIAL ASSISTANCE POSTERS PLACED IN STRATEGIC LOCATIONS THROUGHOUT THE FACILITY TO INFORM THEM OF THE PROGRAM OFFERED. WE ARE PARTICIPATING IN HEALTH FAIRS THROUGHOUT THE COUNTY BY ATTENDING AND OFFERING ASSISTANCE WITH THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: WE CONSIDER ALL OF ARMSTRONG COUNTY TO BE INCLUDED IN OUR SERVICE AREA AS WE ARE THE ONLY HOSPITAL AND THE ONLY PROVIDER OF EMERGENCY SERVICES. ARMSTRONG COUNTY LIES IN THE RURAL APPALACHIAN REGION AND IS MADE UP OF 45 MINOR CIVIL DIVISIONS. THE MAJORITY OF THESE MUNICIPALITIES ARE DESIGNATED AS EITHER MEDICALLY UNDERSERVED AREAS OR HEALTH PROFESSIONAL SHORTAGE AREAS, OR BOTH, BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THERE IS NO PUBLIC TRANSPORTATION SYSTEM FOR MOST OF THE AREA. SOCIOECONOMIC DATA FOR THE REGION SHOWS THAT THE PER CAPITA INCOME OF ARMSTRONG COUNTY IS LOWER THAN THE AVERAGE OF THE UNITED STATES, THE COMMONWEALTH OF PENNSYLVANIA AND THE OVERALL APPALACHIAN REGION. ARMSTRONG COUNTY RESIDENTS ARE OLDER THAN THE AVERAGE RESIDENT OF PENNSYLVANIA AS A WHOLE. A DISPROPORTIONATELY LARGER PERCENTAGE OF OUR POPULATION RESIDES IN RURAL AREAS.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: ACMH IS A FOUNDING MEMBER OF THE ARMSTRONG COUNTY COALITION FOR HEALTH AND WELLNESS WHICH EXISTS TO PROMOTE PHYSICAL ACTIVITY AND HEALTHIER FAMILIES THROUGH COMMUNITY DESIGN AND SUPPORT. COALITION MEMBERS CURRENTLY INCLUDE, ELECTED ARMSTRONG COUNTY OFFICIALS, ACMH HOSPITAL PERSONNEL, AND OTHER COMMUNITY LEADERS. THE GOAL OF THE COALITION IS TO REVERSE THREATS TO THE HEALTH AND WELL-BEING OF ARMSTRONG COUNTY CITIZENS WHICH INCLUDE POOR NUTRITION, SEDENTARY LIFESTYLES, AND LIMITED PHYSICAL ACTIVITY BY PROVIDING LEADERSHIP, FUNDING AND TECHNICAL ASSISTANCE IN ORDER TO PROMOTE THE USE OF EXISTING TRAILS AND PARKS, TO OPTIMIZE COMMUNITY DESIGN, TO INCREASE ACCESS TO RECREATIONAL RESOURCES, TO ENHANCE EXISTING FITNESS FACILITIES AND TO PROMOTE EDUCATIONAL PROGRAMS THAT FOCUS ON HEALTHIER LIFESTYLES. ACMH ALSO PARTICIPATES IN HEALTHY ARMSTRONG, A COALITION OF A LARGE NUMBER OF STAKEHOLDERS THAT MEETS MONTHLY TO COMBAT CHILDHOOD OBESITY. HEALTHY ARMSTRONG HAS BEEN AWARDED SEVERAL GRANTS AND HAS ACHIEVED NATIONAL RECOGNITION THROUGH ITS PROGRAM OF USING THE SCHOOL SYSTEM TO PROMOTE INCREASED PHYSICAL ACTIVITY AND NUTRITIONAL EDUCATION. ACMH PARTICIPATES IN ECONOMIC DEVELOPMENT MEETINGS. THE MAJORITY OF BOARD MEMBERS ARE ARMSTRONG COUNTY RESIDENTS AND WERE SELECTED TO REPRESENT THE COMMUNITIES SERVED. ACMH MANAGERS ARE ENCOURAGED TO PARTICIPATE ON THE BOARDS OF OTHER NON-PROFIT HEALTH AND HUMAN SERVICES ORGANIZATIONS. ACMH PROVIDES STRATEGIC PLANNING LEADERSHIP AND FACILITATION TO SMALLER ORGANIZATIONS IN THE COMMUNITY. ACMH WIDELY ADVERTISES ITS FINANCIAL ASSISTANCE/FREE CARE PROGRAMS WHICH ARE INCOME BASED. SINCE ACMH OWNS SEVERAL RURAL HEALTH CLINICS LOCATED IN MEDICALLY UNDERSERVED AREAS IT OFFERS FINANCIAL ASSISTANCE TO LOW INCOME INDIVIDUALS AND FAMILIES FOR ALL TYPES OF HEALTHCARE SERVICES.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED GROUP, AND THE GROUP'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF ARMSTRONG COUNTY MEMORIAL HOSPITAL, ARMSCARE, INC., ARMSTRONG HEALTH AND EDUCATION FOUNDATION, ACMH ANESTHESIA SERVICES, ACMH PHYSICIAN SERVICES, GLADE RUN MEDICAL ASSOCIATES INC., AND ARMSTRONG CENTER FOR MEDICINE AND HEALTH, INC. (ACMH, INC.), COLLECTIVELY REFERRED TO AS THE HEALTH SYSTEM. THE HOSPITAL IS A NOT-FOR-PROFIT ENTITY, WHOLLY OWNED BY ACMH, INC. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES IN THE ARMSTRONG COUNTY, PENNSYLVANIA AREA. ACMH, INC. IS A NOT-FOR-PROFIT CORPORATION FORMED TO SUPPORT AND FURTHER THE CHARITABLE ACTIVITIES OF ARMSTRONG COUNTY MEMORIAL HOSPITAL AS WELL AS ANY OTHER SUBSIDIARY ORGANIZATION AND IS THE PARENT ORGANIZATION. ARMSCARE, INC. IS A 95%-OWNED, FOR-PROFIT ENTITY ENGAGED PRINCIPALLY IN THE RENTAL AND SALE OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES. THE FOUNDATION IS A NOT-FOR-PROFIT ENTITY WHOSE PURPOSE IS TO RAISE FUNDS FOR THE BENEFIT OF THE HOSPITAL AND WELLNESS OF THE COMMUNITY. THE HEALTH SYSTEM FORMED ACMH ANESTHESIA SERVICES AND ACMH PHYSICIAN SERVICES IN 2006. THESE ENTITIES WERE ESTABLISHED TO PROVIDE ANESTHESIA AND PHYSICIAN SERVICES TO THE HEALTH SYSTEM. THE HEALTH SYSTEM FORMED GLADE RUN MEDICAL ASSOCIATES, INC. (GLADE RUN) IN 2009, AND IT BEGAN OPERATIONS IN 2010. GLADE RUN IS A NOT-FOR-PROFIT ENTITY ESTABLISHED TO PROVIDE PHYSICIAN SERVICES TO THE HEALTH SYSTEM.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOUSTON FOOD BANK	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	535 PORTWALL ST	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77029	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	742181456	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$9,220	CashGrantAmt
Purpose Of Grant	DONOR SRVCS	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	MONITORING GRANT FUNDS: BEFORE PROVIDING GRANT FUNDS TO OTHER ORGANIZATIONS, ARMSTRONG COUNTY MEMORIAL HOSPITAL LOOKS AT THE HISTORY OF THE ORGANIZATION THEY ARE CONSIDERING DONATING TO AND ASKS THE ORGANIZATION TO PROVIDE THEM WITH DETAIL REGARDING WHAT THE MONEY WILL BE SPENT ON.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HAROLD ALTMAN MD
CHIEF MEDICAL OFFICER	$281,267	$0	$0	$0	$17,793	$0	$2,625	$0	$11,053	$0	$312,738	$0	$0	$0
JOHN I LEWIS
PRESIDENT & CEO	$335,482	$0	$0	$0	$20,333	$0	$52,486	$0	$22,205	$0	$430,506	$0	$0	$0
SARUN SUWAN MD
PRESIDENT OF MEDICAL STAFF	$321,381	$0	$4,983	$0	$0	$0	$1,875	$0	$26,810	$0	$355,049	$0	$0	$0
PATRICK BURNS
CFO, VP OF FINANCE	$224,955	$0	$300	$0	$13,309	$0	$2,625	$0	$21,574	$0	$262,763	$0	$0	$0
JOSEPH CIPPEL
PHYSICIAN	$173,506	$0	$35,073	$0	$0	$0	$1,875	$0	$28,487	$0	$238,941	$0	$0	$0
CHAD SHAFFER
PHYSICIAN	$211,848	$0	$16,756	$0	$0	$0	$1,875	$0	$23,120	$0	$253,599	$0	$0	$0
KARLA D MCCANN
PHYSICIAN	$170,055	$0	$33,188	$0	$0	$0	$1,875	$0	$25,275	$0	$230,393	$0	$0	$0
VICKY LEO
PHYSICIAN	$190,250	$0	$49,790	$0	$0	$0	$2,625	$0	$8,452	$0	$251,117	$0	$0	$0
MICHAEL ONDICH
PHYSICIAN	$146,528	$0	$13,360	$0	$0	$0	$1,872	$0	$24,206	$0	$185,966	$0	$0	$0
MONA RUPERT
VP OF CLINICAL SERVICES	$145,668	$0	$150	$0	$9,639	$0	$2,399	$0	$10,633	$0	$168,489	$0	$0	$0
NICOLE GERACI
VP OF PATIENT SRVC & OPERATION	$145,566	$0	$150	$0	$4,420	$0	$1,632	$0	$8,533	$0	$160,301	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4B

SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATE IN A 457(F) NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING 457(F) PAYMENTS: $49,861 JOHN I. LEWIS (CONTRIBUTION) THE 457(F) PLAN THAT ARMSTRONG COUNTY MEMORIAL HOSPITAL ESTABLISHED FOR A SELECT GROUP OF MANAGEMENT INCLUDES THE FOLLOWING TERMS: A PARTICIPANT SHALL BECOME FULLY VESTED IN HIS DEFERRED COMPENSATION ACCOUNT, AND INCOME, GAINS AND LOSSES ATTRIBUTABLE THERETO, IF HE REMAINS IN SERVICE WITH THE EMPLOYER UNTIL THE FIRST OF THE FOLLOWING EVENTS OCCUR: (A) THE DEATH OF THE PARTICIPANT; (B) THE DISABILITY OF THE PARTICIPANT; (C) THE DATE THE PARTICIPANT ATTAINS AGE 65; 0R (D) THE DATE A PARTICIPANT IS TERMINATED FROM EMPLOYMENT WITH THE EMPLOYER DUE TO A CHANGE OF CONTROL EVENT. UPON VESTING, THE DEFERRED COMPENSATION ACCOUNT WILL BE INCLUDIBLE IN THE GROSS INCOME OF THE PARTICIPANT PURSUANT TO CODE SECTION 457(F).

SCHEDULE J, PART I, LINES 5A & 6A

CONTINGENT COMPENSATION: MANAGEMENT USES MGMA PUBLISHED STANDARDS TO ESTABLISH A BASE SALARY FOR PROVIDERS. IN ADDITION TO THE BASE SALARY, PROVIDERS HAVE THE ABILITY TO EARN INCENTIVES BASED UPON THEIR PRODUCTIVITY AS REFLECTED IN WORK RVU MEASURES. IN ADDITION, THE CEO PRESENTS GOALS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF WHAT THE ORGANIZATION HOPES TO ACHIEVE DURING EACH FISCAL YEAR. THESE GOALS ARE BASED ON REVENUES, NET EARNINGS, AND OTHER MEASURES. DEPENDING ON THE RESULTS, THE EXECUTIVE COMMITTEE OF THE BOARD, WITH INPUT FROM THE CEO, DETERMINES WHAT AMOUNT OF BONUSES (IF ANY) WILL BE PAID.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	9	ContributionCnt
Noncash Contributions Rpt F990	$79,435	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	NUMBER OF CONTRIBUTIONS: THE NUMBER IN COLUMN B REFLECTS THE NUMBER OF CONTRIBUTIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	ORGANIZATION'S MISSION: THE HOSPITAL WILL: FOCUS ON PATIENT AND FAMILY CENTERED SERVICES; CONTINUE TO DEVELOP THOSE SPECIALTY SERVICES THAT MEET THE CHANGING NEEDS OF THE COMMUNITY; DELIVER HIGH QUALITY, COST-EFFECTIVE CARE; AND PROMOTE HEALTH EDUCATION AND WELLNESS.
FORM 990, PART III, LINE 4	PROGRAM SERVICES: ARMSTRONG COUNTY MEMORIAL HOSPITAL IS A 168 BED COMMUNITY HOSPITAL WHICH PROVIDES INPATIENT & OUTPATIENT MEDICAL SERVICES TO ALL COUNTY RESIDENTS WITHOUT DISCRIMINATION. THE HOSPITAL HAS CONTRACTS WITH THIRD-PARTY PAYERS TO PROVIDE CARE FOR MEDICARE, MEDICAID, BLUE CROSS AND OTHER COMMERCIAL PAYER PATIENTS. THE HOSPITAL PROVIDES EMERGENCY CARE REGARDLESS OF A PATIENTS ABILITY TO PAY. PURSUANT TO THE HOSPITAL'S CHARITY CARE POLICY, CHARGES ARE FULLY OR PARTIALLY WRITTEN OFF FOR PATIENTS MEETING THE CRITERIA SPECIFIED IN THE POLICY. CHARGES EXCLUDED UNDER THE HOSPITAL'S CHARITY CARE POLICY WERE APPROXIMATELY $1,485,000 FOR THE FISCAL YEAR. THE AMOUNTS REPORTED AS EXPENSE FOR LINES 4A, 4B AND 4C REPRESENT ONLY THE PORTION OF EXPENSES THAT RELATE TO THE GENERATION OF REVENUE FOR THESE PROGRAMS. ADDITIONALLY, MANAGEMENT AND GENERAL EXPENSE IS ASSOCIATED WITH THESE PROGRAMS AND IS INCLUDED IN PART IX STATEMENT OF FUNCTIONAL EXPENSES COLUMN C. DUE TO FOLLOWING THE IRS INSTRUCTIONS FOR REPORTING EXPENSES UNDER THIS SECTION, THE NET PROFIT (LOSS) OF THESE PROGRAMS IS NOT COMPLETELY DISCLOSED UNDER LINES 4A, 4B AND 4C. FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES: THESE ARE ITEMS THAT HELP SUPPORT THE MEDICAL SERVICES OUR PATIENTS RECEIVE AT ACMH HOSPITAL. ITEMS INCLUDE CAFETERIA AND VENDING, COMMUNITY BENEFITS, INVESTMENT FEES, PREVENTATIVE HEALTH, XRAY TECHNOLOGY AND THE 340B DRUG PROGRAM.
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIP: JOHN LEWIS AND PATRICK BURNS ARE BOARD MEMBERS OF ARMSCARE, INC. A RELATED TAXABLE CORPORATION. SEE SCHEDULE R, PART IV.
FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B	MEMBERS/STOCKHOLDERS: THE ORGANIZATION IS A SUBSIDIARY OF ARMSTRONG CENTER FOR MEDICINE & HEALTH, INC. (ACMH), ANOTHER TAX EXEMPT ENTITY. ACCORDING TO THE BYLAWS, ARTICLE II, ACMH, A PENNSYLVANIA NONPROFIT CORPORATION, SHALL HAVE CERTAIN RIGHTS WITH RESPECT TO THE GOVERNANCE OF THIS CORPORATION AS MAY BE SPECIFIED IN THESE BYLAWS IN THE CAPACITY OF ANOTHER BODY AS THAT TERM IS DEFINED IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW, SPECIFICALLY 15 PA C.S. SECTION 7103. THE BYLAWS OF ACMH DESCRIBE SEVEN SITUATIONS IN WHICH APPROVAL IS NEEDED BY THE PARENT CORPORATION. 1) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THIS CORPORATION OR OF THESE BYLAWS; 2) THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THIS CORPORATION; 3) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION; 4) DISSOLUTION OF THE CORPORATION AND DISTRIBUTION OF ASSETS PURSUANT THERETO; 5) APPROVAL OF THE ANNUAL BUDGET AND LONG-RANGE PLAN FOR THIS CORPORATION; 7) ANY OTHER MATTER THAT BYLAWS REQUIRE THE APPROVAL OF THE MEMBERS OF THE CORPORATION. ALSO, THE PARENT CORPORATION HAS THE AUTHORITY TO SELECT THE BOARD MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS (ARTICLE 3, SECTION 3 (B)).
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A TENTATIVE DRAFT OF THE 990 IS REVIEWED BY THE DIRECTOR OF FINANCE, THE VICE PRESIDENT OF FINANCE, AND THE PRESIDENT/CEO BEFORE BEING PRESENTED TO THE BOARD OF DIRECTORS. THE 990 IS REVIEWED AND APPROVED AT THE BOARD MEETING AND FINAL REPORTS ARE PLACED ON THE BOARD OF DIRECTORS PORTAL ONCE OFFICIALLY FILED.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REQUESTING ON AN ANNUAL BASIS THAT MEMBERS OF THE BOARD OF DIRECTORS, ALL CORPORATE OFFICERS, AND ALL KEY EMPLOYEES COMPLETE A QUESTIONNAIRE LISTING ALL ORGANIZATIONS WITH WHICH THEY HAVE AN AFFILIATION. THE POLICY OF THE ORGANIZATION DESCRIBES HOW ANY CONFLICTS OF INTEREST ARE TO BE ADDRESSED. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH ALL SUCH DISCLOSURE STATEMENTS IN CASE A CONFLICT ARISES. THE VICE-CHAIRMAN OF THE BOARD SHALL BE FAMILIAR WITH THE STATEMENT FILED BY THE CHAIRMAN. IF A CONFLICT OF INTEREST SHOULD ARISE, THE MEMBERS ABSTAIN FROM THE VOTE RELATING TO THAT MATTER.
FORM 990 PART VI, SECTION B, LINES 15A & 15B	COMPENSATION REVIEW: THE PROCESS ACMH HOSPITAL USES TO DETERMINE IF THE OFFICERS OF THE ORGANIZATION ARE TO RECEIVE A WAGE ADJUSTMENT IS AS FOLLOWS: 1) A SALARY COMPARISON PREPARED BY SURVEY DATA OBTAINED FROM YAFFE, WATSON WYATT AND SULLIVAN COTTON; 2) THE INFORMATION IS COMPILED BY THE VP OF HUMAN RESOURCES AND GIVEN TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR CONSIDERATION AND INPUT; 3) CHANGES TO EXECUTIVE COMPENSATION REQUIRE A SIGNED DOCUMENT FROM THE CHAIR OF THE HOSPITAL BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS REVIEWED AS DESCRIBED ABOVE, ON AN AS NEEDED BASIS AND WAS LAST COMPLETED IN FEBRUARY 2018.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT DISCLOSURE: THE ORGANIZATION TAKES THE FOLLOWING ACTIONS RELEASING INFORMATION REGARDING ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS: IF A REQUEST IS MADE TO REVIEW THE UNAUDITED FINANCIAL STATEMENTS, IT IS DISCUSSED AND DETERMINED ON A CASE BY CASE BASIS AS TO WHETHER THE INFORMATION WILL BE RELEASED. THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE ORGANIZATIONS THAT REQUEST THEM. A CODE OF CONDUCT FOR THE ORGANIZATION IS AVAILABLE TO THE PUBLIC ON ITS WEBSITE AT WWW.ACMH.ORG. THE CORPORATION'S GOVERNING DOCUMENTS ARE KEPT IN THE ADMINISTRATIVE DEPARTMENT OF THE HOSPITAL. THESE DOCUMENTS CAN BE VIEWED UPON REQUEST, BUT THEY ARE NOT ALLOWED TO BE TAKEN FROM THEIR DESIGNATED AREA OR HAVE COPIES MADE WITHOUT PERMISSION.
FORM 990, PART VII, SECTION A	BOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE ANY COMPENSATION FOR THEIR DIRECTOR DUTIES. JOHN I. LEWIS IS COMPENSATED AS PRESIDENT/CEO. HAROLD ALTMAN, MD, IS COMPENSATED AS CHIEF MEDICAL OFFICER. SARUN SUWAN, MD, IS COMPENSATED AS MEDICAL STAFF PRESIDENT.
FORM 990, PART VIII, LINE 6A	RENTAL INCOME: ACMH HOSPITAL PROVIDES RENTAL LOCATIONS TO AREA PHYSICIANS AND OTHER HEALTHCARE RELATED ENTITIES IN ORDER TO PROMOTE ACCESSIBLE HEALTHCARE OPTIONS CLOSE TO HOME FOR THE LOCAL COMMUNITY. THE RENTAL INCOME CHARGED TO EACH LOCATION IS BASED ON PREVAILING RENTAL RATES PER SQUARE FOOT, THE AMOUNT OF SPACE, THE CONDITION OF THE OFFICE SPACE AND THE AMOUNT OF TIME THE OFFICE SPACE IS USED EACH MONTH.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $ 1,260,574 CHANGE IN DEFINED BENEFIT PENSION PLAN (4,823,364) TRANSFER TO AFFILIATES ------------ $(3,562,790)
FORM 990 PART IX LINE 11G	DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:6835511
FORM 990 PART IX LINE 11G	DESCRIPTION:MAINTENANCE & SRVC CONTRACTS TOTAL FEES:2275038
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED PHYSICIAN SERVICES TOTAL FEES:2150102
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION SERVICES TOTAL FEES:439354
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL DIRECTOR FEES TOTAL FEES:434233
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:251527

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ARMSTRONG OUTPATIENT IMAGING LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	87 GLADE PARK EAST	AddressLine1Txt
City	KITTANNING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16201	ZIPCd

Field	Value	IRS element (for citing)
EIN	030492975	EIN
Primary Activities	RADIOLOGY	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ACMH HOSP	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ACMH PHYSICIAN SERVICES
ONE NOLTE DRIVE	KITTANNING	PA	16201	204648195	PRIMARY CARE	PA	501(C)(3)	3	ACMH	false
ARMSTRONG HEALTH & EDUCATION FOUNDATION
ONE NOLTE DRIVE	KITTANNING	PA	16201	251655867	FOUNDATION	PA	501(C)(3)	12A I	ACMH	false
ARMSTRONG CENTER FOR MEDICINE & HEALTH
ONE NOLTE DRIVE	KITTANNING	PA	16201	204648477	PARENT CORP	PA	501(C)(3)	10	NA	false
GLADE RUN MEDICAL ASSOCIATES INC
ONE NOLTE DRIVE	KITTANNING	PA	16201	264750523	PHYSICIAN PRA	PA	501(C)(3)	12A I	ACMH	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ARMSCAREINC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE NOLTE DRIVE	AddressLine1Txt
City	KITTANNING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16201	ZIPCd

Field	Value	IRS element (for citing)
EIN	251495691	EIN
Primary Activities	DURABLE MED EQUIP	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ACMH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd