2019-05-14T11:45:44-05:00 2018-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-07-01 250965237 ARMSTRONG COUNTY MEMORIAL HOSPITAL % MATTHEW F KOCIOLA ARMS 7245438181 ONE NOLTE DRIVE KITTANNING PA 162018808 JOHN I LEWIS PRESIDENT AND CEO 7245438181 2019-04-01 true Brian D Todd P00422601 4178658701 167.68.126.162 43032920191345000004 2019-05-14 P 66985211F4DB487E7840C8B500D36A82D84993F6 9D69DC47BE7AD8B6E4E58A9FC2CA369D0D853B01 2017 2019-02-21 02:37:17Z ACMH HOSPITAL JOHN I LEWIS ONE NOLTE DRIVE KITTANNING PA 16201 108941835 false X WWW.ACMH.ORG X 1874 PA THE MISSION OF ARMSTRONG MEMORIAL HOSPITAL IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF ARMSTRONG AND NEIGHBORING COUNTIES. 12 9 1114 163 912394 73365 194284 398969 105313788 102732927 308765 459671 1695849 1506445 107512686 105098012 16830 15260 0 0 58797959 56212718 0 0 0 44394613 43265049 103209402 99493027 4303284 5604985 68352522 67023492 29060202 25714741 39292320 41308751 X 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. false false 48560196 61051285 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. 22216579 30530506 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. 5723855 5368471 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. 718398 15260 5782665 77219028 true true false true false false false false false false true true false true true true true true false false false false false false false false true true true false true false false false false false false false false true false false false true true false false false true 76 0 true 1114 true true true false false false false false false false false false X 12 9 true false false false true true true true true false false true true true true true true true true false PA X MATTHEW F KOCIOLA 7245438618 ONE NOLTE DRIVE KITTANNING PA 16201 X MEREDITH CHRISTY CHAIRMAN 1.0 1.0 X X 0 0 0 ELIZABETH WHITE VICE CHAIRMAN 1.0 2.0 X X 0 0 0 VOLKER ZAUN SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 HAROLD ALTMAN MD CHIEF MEDICAL OFFICER 39.0 1.0 X X 299060 0 13678 JOHN I LEWIS PRESIDENT & CEO 39.0 1.0 X X 355815 0 74691 CHASE MCCLISTER DIRECTOR 1.0 3.0 X 0 0 0 SAMUEL FRIEDE DIRECTOR 1.0 1.0 X 0 0 0 DONALD TYLINSKI EDD DIRECTOR 1.0 1.0 X 0 0 0 SANDY BRADIGAN DIRECTOR 1.0 1.0 X 0 0 0 KATIE CHARLTON DIRECTOR 1.0 1.0 X 0 0 0 W STEVEN DAVIS DIRECTOR 1.0 1.0 X 0 0 0 SARUN SUWAN MD PRESIDENT OF MEDICAL STAFF 39.0 1.0 X 326364 0 28685 PATRICK BURNS CFO, VP OF FINANCE 39.0 1.0 X 238564 0 24199 MONA RUPERT VP OF CLINICAL SERVICES 40.0 0.0 X 155457 0 13032 NICOLE GERACI VP OF PATIENT SRVC & OPERATION 40.0 0.0 X 150136 0 10165 JOSEPH CIPPEL PHYSICIAN 40.0 0.0 X 208579 0 30362 CHAD SHAFFER PHYSICIAN 40.0 0.0 X 228604 0 24995 KARLA D MCCANN PHYSICIAN 40.0 0.0 X 203243 0 27150 VICKY LEO PHYSICIAN 40.0 0.0 X 240040 0 11077 MICHAEL ONDICH PHYSICIAN 40.0 0.0 X 159888 0 26078 2565750 0 284112 38 false true false SIGNET HEALTH 235 W HICKORY ST STE 201 DENTON TX 76201 PSYCHIATRY 582692 CHILDRENS COMMUNITY PEDIATRICS 11279 PERRY HIGHWAY STE 450 WEXFORD PA 15090 PEDIATRIC 462990 HARI K VEMULAPALLI MD LLC 145 TANGLEWOOD DR WEXFORD PA 15090 PSYCHIATRY 280000 ADVANCED LITHO CARE LTD 1305 SOUTH MAIN ST MEADVILLE PA 16335 RADIOLOGY 221465 BKD LLP 910 E ST LOUIS ST SUITE 200 SPRINGFIELD MO 65801 AUDIT/TAX/CONSULTING 214412 13 107851 291118 79435 398969 PATIENT SERVICES 621500 96950262 96950262 CAFETERIA 722210 587905 587905 RENT FROM AFFILIATES 623000 359629 359629 OTHER REVENUE 900099 4195409 3923088 272321 UNRELATED LAB SERVICES 621500 639722 639722 102732927 264734 264734 0 0 535330 535330 0 535330 535330 4027260 11500 3841443 2380 185817 9120 194937 194937 0 0 0 0 0 0 0 0 0 GAIN ON EQUITY INVESTEES 900099 971115 351 970764 971115 105098012 101820884 912394 1965765 X 15260 15260 0 0 0 1689846 996577 693269 0 41318552 31253047 10065505 2142047 1553829 588218 7383161 5380565 2002596 3679112 2620549 1058563 0 366149 366149 130100 130100 0 0 21405 21405 12385765 10245241 2140524 0 377676 2520 375156 4849866 3493335 1356531 980417 165188 815229 0 2132557 1679008 453549 88804 54904 33900 0 68691 37364 31327 61332 43782 17550 0 4074613 2908656 1165957 714179 98297 615882 MEDICAL SUPPLIES & DRUGS 12321711 12321711 BAD DEBT 2369493 2369493 PROVIDER TAXES 1242533 1242533 FOOD EXPENSES 699044 596348 102696 380714 140821 239893 99493027 77219028 22273999 0 223510 229236 12736163 11927409 0 0 8409651 7812414 0 0 0 0 2469 0 1085641 1136691 1411774 1416988 133931124 110115488 24412987 23815636 7135513 7434506 4410505 5143631 0 0 6667 46250 8517642 8060731 68352522 67023492 10518193 10829677 0 0 0 0 0 0 0 0 0 0 4541458 4329169 0 0 14000551 10555895 29060202 25714741 X 39292320 41308751 0 0 0 0 39292320 41308751 68352522 67023492 X 5604985 -25764 -3562790 X false true X true false X false false false false false false false false true 9518 9518 false SCHEDULE C, PART II-B, LINE 1(I) 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. 297281 297281 48170205 34297797 13872408 82253367 72880904 9372463 3210271 2936787 273484 23815636 244306 C CHART 3986362 C VANTAGE 912963 C 5143631 OTHER RECEIVABLES 7048785 DUE FROM 3RD PARTY PAYERS 273489 ACCRUED INTEREST 16415 DUE FROM AFFILIATES 722042 8060731 0 ACCRUED PENSION LIABILITY 6482857 ESTIMATED INSURANCE LIABILITY 2991936 DUE TO 3RD PARTY PAYERS 1081102 10555895 102310469 -25764 -2369493 -2395257 104705726 392286 392286 105098012 97123534 97123534 2369493 2369493 99493027 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 true true X true X true X true true false false 460192 460192 0.00470 15886922 11794095 4092827 0.04210 16347114 11794095 4553019 0.04680 94156 94156 0.00100 309251 70140 239111 0.00250 4439464 3379021 1060443 0.01100 15260 15260 0.00020 4858131 3449161 1408970 0.01470 21205245 15243256 5961989 0.06150 2818 2818 2818 2818 false 2369493 305665 13567773 14211992 -644219 X true false 1 1 ARMSTRONG COUNTY MEMORIAL HOSPITAL ONE NOLTE DRIVE KITTANNING PA 16201 WWW.ACMH.ORG 270901 X X X SNU, REHAB & PSYCHIATRIC UNITS ARMSTRONG COUNTY MEMORIAL HOSPITAL 1 false false true X X X X X X X X 17 true false false true X SEE PART V, SECTION C X true 17 true SEE PART V, SECTION C false true X 100 300. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false 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. 10 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 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. true HOUSTON FOOD BANK 535 PORTWALL ST HOUSTON TX 77029 742181456 501(C)(3) 9220 DONOR SRVCS 1 SCHEDULE I, PART I, LINE 2 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. X X X X X false true false true false true false false false HAROLD ALTMAN MD CHIEF MEDICAL OFFICER 281267 0 0 0 17793 0 2625 0 11053 0 312738 0 0 0 JOHN I LEWIS PRESIDENT & CEO 335482 0 0 0 20333 0 52486 0 22205 0 430506 0 0 0 SARUN SUWAN MD PRESIDENT OF MEDICAL STAFF 321381 0 4983 0 0 0 1875 0 26810 0 355049 0 0 0 PATRICK BURNS CFO, VP OF FINANCE 224955 0 300 0 13309 0 2625 0 21574 0 262763 0 0 0 JOSEPH CIPPEL PHYSICIAN 173506 0 35073 0 0 0 1875 0 28487 0 238941 0 0 0 CHAD SHAFFER PHYSICIAN 211848 0 16756 0 0 0 1875 0 23120 0 253599 0 0 0 KARLA D MCCANN PHYSICIAN 170055 0 33188 0 0 0 1875 0 25275 0 230393 0 0 0 VICKY LEO PHYSICIAN 190250 0 49790 0 0 0 2625 0 8452 0 251117 0 0 0 MICHAEL ONDICH PHYSICIAN 146528 0 13360 0 0 0 1872 0 24206 0 185966 0 0 0 MONA RUPERT VP OF CLINICAL SERVICES 145668 0 150 0 9639 0 2399 0 10633 0 168489 0 0 0 NICOLE GERACI VP OF PATIENT SRVC & OPERATION 145566 0 150 0 4420 0 1632 0 8533 0 160301 0 0 0 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. X 9 79435 FMV false false false SCHEDULE M, PART I, COLUMN (B) NUMBER OF CONTRIBUTIONS: THE NUMBER IN COLUMN B REFLECTS THE NUMBER OF CONTRIBUTIONS. 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 ARMSTRONG OUTPATIENT IMAGING LLC 87 GLADE PARK EAST KITTANNING PA 16201 030492975 RADIOLOGY PA 0 0 ACMH HOSP 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 ARMSCAREINC ONE NOLTE DRIVE KITTANNING PA 16201 251495691 DURABLE MED EQUIP PA ACMH C CORP false false false true false false false false false false true false false true true true true true true true