CLARION HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CLARION HOSPITAL (EIN 25-1010039)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-10
IRS object ID: 201811309349303146
Schema version: 2016v3.1
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 J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-10T14:57:43-05:00	ReturnTs
Tax Period End	2017-06-30	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	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	251010039	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% VINCENT LAMORELLA	InCareOfNm
Business Name Control	CLAR	BusinessNameControlTxt
Phone	8142261301	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1Txt
City	CLARION	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16214	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	VINCENT LAMORELLA	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2018-04-04	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

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	VINCENT LAMORELLA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1Txt
City	CLARION	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16214	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$54,169,850	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CLARIONHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1951	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	CLARION HOSPITAL IS THE COMMUNITY'S DYNAMIC RESOURCE FOR QUALITY HEALTHCARE, CONTINUOUS EDUCATION, AND THE PROMOTION OF WELLNESS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	562	TotalEmployeeCnt
Total Volunteers	44	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$23,625	PYContributionsGrantsAmt
CY Contributions Grants	$34,150	CYContributionsGrantsAmt
PY Program Service Revenue	$53,642,315	PYProgramServiceRevenueAmt
CY Program Service Revenue	$50,755,949	CYProgramServiceRevenueAmt
PY Investment Income	$269,697	PYInvestmentIncomeAmt
CY Investment Income	$295,536	CYInvestmentIncomeAmt
PY Other Revenue	$471,707	PYOtherRevenueAmt
CY Other Revenue	$415,099	CYOtherRevenueAmt
PY Total Revenue	$54,407,344	PYTotalRevenueAmt
CY Total Revenue	$51,500,734	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$24,678,000	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$24,499,570	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$29,329,194	PYOtherExpensesAmt
CY Other Expenses	$28,785,450	CYOtherExpensesAmt
PY Total Expenses	$54,007,194	PYTotalExpensesAmt
CY Total Expenses	$53,285,020	CYTotalExpensesAmt
PY Revenues Less Expenses	$400,150	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,784,286	CYRevenuesLessExpensesAmt
Total Assets BOY	$32,991,312	TotalAssetsBOYAmt
Total Assets EOY	$32,598,998	TotalAssetsEOYAmt
Total Liabilities BOY	$11,023,956	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$12,783,432	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$21,967,356	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$19,815,566	NetAssetsOrFundBalancesEOYAmt
Mission	CLARION HOSPITAL IS THE COMMUNITY'S DYNAMIC RESOURCE FOR QUALITY HEALTHCARE, CONTINUOUS EDUCATION, AND THE PROMOTION OF WELLNESS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$33,561,472	ExpenseAmt
Revenue	$38,697,252	RevenueAmt
Desc	CLARION HOSPITAL PROVIDED SERVICES TO 119,320 OUTPATIENTS AS WELL A 16,370 EMERGENCY ROOM VISITS. SERVICES INCLUDE, BUT ARE NOT LIMITED TO, RADIOLOGY SERVICES WHICH INCLUDE MRI, ULTRASOUND, CT, NUCLEAR MEDICINE AND X-RAY SERVICES, LABORATORY SERVICES, EKG AND PHYSICAL THERAPY SERVICES. THE ORGANIZATION ALSO OFFERS SAME-DAY SURGERY, GENETIC COUNSELING, DRUG AND ALCOHOL TESTING, AND OUTPATIENT PHYSICAL THERAPY AND REHABILITATION SERVICES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$8,521,879	ExpenseAmt
Revenue	$9,825,948	RevenueAmt
Desc	CLARION HOSPITAL PROVIDED SERVICES TO 1,577 INPATIENTS FOR MEDICAL AND SURGICAL SERVICES AS WELL AS INTENSIVE CARE SERVICES. CLARION HOSPITAL ALSO PROVIDED OBSTETRIC CARE FOR 111 NEW MOTHERS AND BABIES. THE ORGANIZATION ALSO OFFERS AN INPATIENT REHABILITATION CENTER WHERE PATIENTS WHO HAVE SUFFERED MAJOR INJURIES OR TRAUMA CAN HAVE 24-HOUR NURSING CARE, ALONGSIDE INTENSIVE PHYSICAL, OCCUPATIONAL, AND/OR SPEECH THERAPY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,111,747	ExpenseAmt
Revenue	$2,232,749	RevenueAmt
Desc	CLARION HOSPITAL PROVIDED 91 EDUCATION AND SCREENING OPPORTUNITIES FOR THE COMMUNITY ATTENDED BY 15,649 MEMBERS OF THE COMMUNITY. CLASSES ARE AVAILABLE FOR EXPECTANT MOTHERS, PEOPLE WITH DIABETES, AND WORKERS LOOKING FOR SAFER ENVIRONMENTS AS WELL AS SENIOR SERVICES. THE ORGANIZATION ALSO OFFERS CPR AND EMT TRAINING COURSES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$43,195,098	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	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	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	false	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	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	58	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	562	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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	9	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	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	false	CompensationProcessCEOInd
Compensation Process Other	false	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	VINCENT LAMORELLA	PersonNm
Phone	8142269500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1Txt
City	CLARION	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16214	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (16 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
VICTOR EWY
CHAIRPERSON	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
FRED PORT
VICE CHAIRPERSON	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
ARTHUR DORTORT
TREASURER	2.0	17.0	Yes (X)	Yes (X)	$0	$61,850	$808
DAVID BROOKER
MEDICAL STAFF REP	1.0	0.0	Yes (X)		$0	$0	$0
THOMAS FREENOCK
DIRECTOR	1.0	40.0	Yes (X)		$0	$373,918	$3,028
ERIC FUNK
SECRETARY	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES CARROLL
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JANICE SEMEYN DO
PRESIDENT MEDICAL STAFF	1.0	0.0	Yes (X)		$0	$0	$0
MINDY GATESMAN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
VINCENT LAMORELLA
CFO	40.0	5.0		Yes (X)	$0	$0	$0
BYRON QUINTON
CEO	40.0	2.0		Yes (X)	$0	$0	$0
SHARON DOOLIN
CRNA	40.0	0.0			$173,406	$0	$15,349	Yes (X)
WENDY STIVANSON
CRNA	40.0	0.0			$164,737	$0	$22,140	Yes (X)
SETH MARTIN
CRNA	40.0	0.0			$156,835	$0	$20,641	Yes (X)
THOMAS MORGO
CRNA	40.0	0.0			$163,409	$0	$22,073	Yes (X)
WILLIAM SIMPSON
DIRECTOR OF PHARMACY	40.0	0.0			$138,676	$0	$20,837	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$797,063	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$435,768	TotReportableCompRltdOrgAmt
Total Other Compensation	$104,876	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	10	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
CLARION REHABILITATION SERVICES
118 SUMMER DRIVE	BLUFFTON	SC	16346	PHYSICAL THERAPY	$2,166,718
DJD ANESTHESIA ASSOCIATES
216 SYCAMORE DR	SHIPPENVILLE	PA	16544	PHYSICIAN	$449,815
SENECA PATHOLOGY ASSOCIATION
PO BOX 310	SENECA	PA	16346	PHYSICIAN	$242,068
VANTAGE MOBILE SERVICE
1305 SOUTH MAIN ST	MEADVILLE	PA	16335	MEDICAL COMPANY	$134,215
BKD
PO BOX 1190	SPRINGFIELD	MO	65801	AUDIT/TAX/CONSULTING	$110,645

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Government Grants	$26,307	GovernmentGrantsAmt
All Other Contributions	$7,843	AllOtherContributionsAmt
Total Contributions	$34,150	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	900099	$49,885,952	$49,885,952
AMBULANCE	621910	$185,930	$185,930
EHR INCENTIVE	900099	$45,002	$45,002
CAFETERIA	722210	$431,315	$431,315
DAYCARE	624410	$167,319	$167,319

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,431	TotalRevenueColumnAmt
Related Or Exempt Func Income	$40,431	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$50,755,949	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$191,404	TotalRevenueColumnAmt
Exclusion	$191,404	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	$103,262	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$61,119	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$42,143	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,143	TotalRevenueColumnAmt
Exclusion	$42,143	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,593,620	SecuritiesAmt
Other	$118,509	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,540,202	SecuritiesAmt
Other	$67,795	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$53,418	SecuritiesAmt
Other	$50,714	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$104,132	TotalRevenueColumnAmt
Exclusion	$104,132	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 INVESTEE	Desc
Business	900099	BusinessCd
Total Revenue Column	$372,956	TotalRevenueColumnAmt
Exclusion	$372,956	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$372,956	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$51,500,734	TotalRevenueColumnAmt
Related Or Exempt Func Income	$50,755,949	RelatedOrExemptFuncIncomeAmt
Exclusion	$710,635	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	$0	TotalAmt

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	$0	TotalAmt

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	$18,977,140	TotalAmt
Program Services	$16,332,604	ProgramServicesAmt
Management And General	$2,644,536	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$818,000	TotalAmt
Program Services	$704,009	ProgramServicesAmt
Management And General	$113,991	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,318,380	TotalAmt
Program Services	$2,855,951	ProgramServicesAmt
Management And General	$462,429	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,386,050	TotalAmt
Program Services	$1,192,899	ProgramServicesAmt
Management And General	$193,151	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$895,421	TotalAmt
Management And General	$895,421	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$44,421	TotalAmt
Management And General	$44,421	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$102,045	TotalAmt
Management And General	$102,045	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	$54,688	TotalAmt
Management And General	$54,688	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,905,558	TotalAmt
Program Services	$6,222,066	ProgramServicesAmt
Management And General	$1,683,492	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$266,190	TotalAmt
Program Services	$217	ProgramServicesAmt
Management And General	$265,973	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,535,289	TotalAmt
Program Services	$1,617,297	ProgramServicesAmt
Management And General	$917,992	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$591,267	TotalAmt
Management And General	$591,267	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,519,257	TotalAmt
Program Services	$599,836	ProgramServicesAmt
Management And General	$919,421	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$85,525	TotalAmt
Program Services	$77,306	ProgramServicesAmt
Management And General	$8,219	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	$70,167	TotalAmt
Program Services	$58,575	ProgramServicesAmt
Management And General	$11,592	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$203,812	TotalAmt
Program Services	$163,933	ProgramServicesAmt
Management And General	$39,879	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,010,589	TotalAmt
Program Services	$1,617,182	ProgramServicesAmt
Management And General	$393,407	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$639,109	TotalAmt
Program Services	$467,448	ProgramServicesAmt
Management And General	$171,661	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$9,621,825	$9,621,825
BAD DEBT	$1,432,305	$1,432,305
RECRUITING & RETENTION	$449,667		$449,667
MISCELLANEOUS	$222,978	$168,064	$54,914

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$135,337	TotalAmt
Program Services	$63,581	ProgramServicesAmt
Management And General	$71,756	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$53,285,020	TotalAmt
Program Services	$43,195,098	ProgramServicesAmt
Management And General	$10,089,922	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,838	BOYAmt
EOY	$7,951	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,950,230	BOYAmt
EOY	$1,495,814	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	$4,863,281	BOYAmt
EOY	$4,583,338	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	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,025,927	BOYAmt
EOY	$1,156,995	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$841,879	BOYAmt
EOY	$667,899	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$63,659,981	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$53,750,571	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$11,333,889	BOYAmt
EOY	$9,909,410	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$8,656,336	BOYAmt
EOY	$8,241,796	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,797,284	BOYAmt
EOY	$1,953,216	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,024,736	BOYAmt
EOY	$1,738,546	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$489,912	BOYAmt
EOY	$2,844,033	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$32,991,312	BOYAmt
EOY	$32,598,998	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,107,898	BOYAmt
EOY	$7,995,341	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	$5,038,305	BOYAmt
EOY	$3,995,107	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	$877,753	BOYAmt
EOY	$792,984	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,023,956	BOYAmt
EOY	$12,783,432	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,330,166	BOYAmt
EOY	$19,413,037	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$461,627	BOYAmt
EOY	$216,661	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$175,563	BOYAmt
EOY	$185,868	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$21,967,356	BOYAmt
EOY	$19,815,566	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$32,991,312	BOYAmt
EOY	$32,598,998	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,784,286	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$591,883	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$959,387	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)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	Yes (true)	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,881	OtherActivitiesAmt
Total Lobbying Expenditures	$4,881	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE C, PART II-B, LINE 1 (G)	DIRECT CONTACT: MANAGEMENT OCCASIONALLY HAS DIRECT CONTACT WITH LEGISLATORS AT CHAMBER FUNCTIONS AND OTHER LOCAL EVENTS, AS WELL AS BREAKFAST WITH A CONGRESSMAN'S STAFFER. THE AMOUNT OF TIME SPENT IS INSIGNIFICANT AND ANY DOLLAR AMOUNT ALLOCATED TO THIS ACTIVITY IS NEGLIGIBLE.
SCHEDULE C, PART II-B, LINE 1 (I)	OTHER LOBBYING ACTIVITIES: A PORTION OF DUES PAID IN FISCAL YEAR 2017 TO THE AHA, HAP, AND HCWP WERE ATTRIBUTABLE TO LOBBYING, TOTALING $4,881.

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	$410,420	OtherCostOrOtherBasisAmt
Book Value	$410,420	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,551,054	OtherCostOrOtherBasisAmt
Depreciation	$21,286,230	DepreciationAmt
Book Value	$5,264,824	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$613,663	OtherCostOrOtherBasisAmt
Depreciation	$427,051	DepreciationAmt
Book Value	$186,612	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,989,493	OtherCostOrOtherBasisAmt
Depreciation	$30,047,190	DepreciationAmt
Book Value	$3,942,303	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,095,351	OtherCostOrOtherBasisAmt
Depreciation	$1,990,100	DepreciationAmt
Book Value	$105,251	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$9,909,410	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INVEST INT IN CHART	Desc
Book Value	$1,953,216	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$1,953,216	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	CLOSELY HELD EQUITY INTERESTS	Desc
Book Value	$1,738,546	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$1,738,546	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$2,118,533
INT IN PERPETUAL TRUST	$185,868
DUE FROM AFFILIATES	$539,632

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,844,033	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	EST AMT DUE TO THIRD PRTY	Desc
Amt	$792,984	Amt

Field	Value	IRS element (for citing)
Total Liability	$792,984	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$49,996,705	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$591,883	NetUnrealizedGainsInvstAmt
Other Revenue	-$2,157,031	OtherRevenueAmt
Revenue Not Reported	-$1,565,148	RevenueNotReportedAmt
Revenue Subtotal	$51,561,853	RevenueSubtotalAmt
Other Revenues Not Included	-$61,119	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$61,119	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$51,500,734	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$51,913,834	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$61,119	OtherExpensesIncludedAmt
Expenses Not Reported	$61,119	ExpensesNotReportedAmt
Expenses Subtotal	$51,852,715	ExpensesSubtotalAmt
Other Expenses Not Included	$1,432,305	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,432,305	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$53,285,020	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 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	OTHER REVENUE ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12: $ (895,002) TRANSFER TO AFFILIATES 170,276 CHANGE IN INT IN NET ASSETS OF CLARION HOSPITAL FDN (1,432,305) PROVISION FOR UNCOLLECTIBLE ACCOUNTS ------------- $(2,157,031) TOTAL
SCHEDULE D, PART XI, LINE 4B	OTHER REVENUE ON FORM 990, PART VIII, LINE 12 BUT NOT LINE 1: $ (61,119) RENTAL EXPENSES
SCHEDULE D, PART XII, LINE 2D	OTHER EXPENSES ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 61,119 RENTAL EXPENSES
SCHEDULE D, PART XII, LINE 4B	OTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 1,432,305 PROVISION FOR UNCOLLECTIBLE ACCOUNTS

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
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$125,142	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$125,142	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,249,311	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,731,410	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,517,901	NetCommunityBenefitExpnsAmt
Total Expense	0.06780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,374,453	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,731,410	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,643,043	NetCommunityBenefitExpnsAmt
Total Expense	0.07020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,580	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,580	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,071,823	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$799,047	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$272,776	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,541,532	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,064,195	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,477,337	NetCommunityBenefitExpnsAmt
Total Expense	0.02850	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,637,935	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,863,242	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,774,693	NetCommunityBenefitExpnsAmt
Total Expense	0.03430	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,012,388	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,594,652	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,417,736	NetCommunityBenefitExpnsAmt
Total Expense	0.10450	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,432,305	BadDebtExpenseAmt
Bad Debt Expense Attributable	$217,710	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$16,569,208	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$16,196,892	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$372,316	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	Yes (true)	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	CLARION HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1Txt
City	CLARION	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16214	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CLARIONHOSPITAL.ORG	WebsiteAddressTxt
State License	297801	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CLARION 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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	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	15	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	250.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
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
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
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: TO GUIDE THIS ASSESSMENT, THE HOSPITAL LEADERSHIP TEAM FORMED A STEERING COMMITTEE IN THEIR LOCAL SERVICE AREA THAT CONSISTED OF HOSPITAL AND COMMUNITY LEADERS WHO REPRESENTED THE BROAD INTERESTS OF THEIR LOCAL REGION. THESE INCLUDED REPRESENTATIVES WHO UNDERSTOOD THE NEEDS AND ISSUES RELATED TO VARIOUS UNDERREPRESENTED GROUPS INCLUDING MEDICALLY UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS, INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, AND INTERNAL PROGRAM MANAGERS. THIS OUTSIDE INDIVIDUALS INCLUDED A REPRESENTATIVES FROM THE PA STATE HEALTH DEPARTMENT, CLARION COUNTY BEHAVIORAL HEALTH, YMCA, STATE SENATORS OFFICE, PA 5TH CONGRESSIONAL DISTRICT, A SCHOOL SUPERINTENDENT, AND OTHERS. THE CLARION HOSPITAL STEERING COMMITTEE MET THREE TIMES BETWEEN APRIL 2015 AND MAY 2015 TO PROVIDE GUIDANCE ON THE VARIOUS COMPONENTS OF THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 6A	OTHER HOSPITAL FACILITIES: - INDIANA REGIONAL MEDICAL CENTER - PUNXSUTAWNEY AREA HOSPITAL
SCHEDULE H, PART V, SECTION B, LINE 6B	OTHER ORGANIZATIONS: - CLARION AREA SCHOOL DISTRICT SUPERINTENDENT - CHILDREN AND YOUTH SERVICES/HUMAN SERVICES, CLARION COUNTY - PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE - SERVICE AND ACCESS MANAGEMENT, CLARION COUNTY - CLARION COUNTY PRISON - OFFICE OF VETERANS AFFAIRS, CLARION COUNTY - CLARION MINISTERIUM
SCHEDULE H, PART V, SECTION B, LINES 7A & 10	CHNA AND IMPLEMENTATION STRATEGY WEBSITE: HTTP://WWW.CLARIONHOSPITAL.ORG/COMMUNITY_EDUCATION/COMMUNITY_HEALTH _NEEDS_ASSESSMENT.ASPX
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING SIGNIFICANT NEEDS: INDIVIDUALS WITH EXPERTISE IN THE FOLLOWING DISCIPLINES AND/OR ORGANIZATIONAL AFFILIATIONS: - CLARION AREA SCHOOL DISTRICT SUPERINTENDENT - CHILDREN AND YOUTH SERVICES/HUMAN SERVICES, CLARION COUNTY - PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE - SERVICE AND ACCESS MANAGEMENT, CLARION COUNTY - CLARION COUNTY PRISON - OFFICE OF VETERANS AFFAIRS, CLARION COUNTY - CLARION MINISTERIUM IN MARCH 2015, CLARION HOSPITAL CONDUCTED A 2-YEAR EVALUATION OF ITS CHNA IMPLEMENTATION STRATEGIES FROM THE 2013 ASSESSMENT. CLARION HOSPITAL IS CONDUCTING ITS CHNA A YEAR EARLY, IN ORDER TO WORK COLLABORATIVELY WITH THE OTHER PMCN HOSPITALS AND CONDUCT THEIR ASSESSMENT ON THE SAME SCHEDULE. THE 2013 CLARION CHNA IDENTIFIED 3 GOALS THAT INCLUDED IMPLEMENTING A WORKPLACE WELLNESS PROGRAM, REDUCING CHILDHOOD OBESITY AND IMPACTING THE DIABETES EPIDEMIC. WITHIN THE SHORT TIME FRAME, IT IS IMPOSSIBLE TO DETERMINE IF THE IMPLEMENTATION STRATEGIES IMPACTED ANY OF THE COUNTY-WIDE INDICATORS, AS MOST OF THE OUTCOMES MEASURES FOR THE FIRST TWO YEARS WERE PROCESS MEASURES, ALTHOUGH THE HOSPITAL HAS MADE PROGRESS TOWARD ACCOMPLISHING ITS FIRST TWO GOALS. THE THIRD GOAL, IMPACTING DIABETES, WAS NOT SCHEDULED FOR IMPLEMENTATION UNTIL THIS UPCOMING YEAR AND WILL BE A FOCUS AREA IN THE UPDATED IMPLEMENTATION STRATEGY. THE CHNA IMPLEMENTATION STRATEGY/ACTION PLAN GOT OFF TO A SLOW START AND DID NOT MEET THE INITIAL MILESTONE/DEADLINES OUTLINED IN IMPLEMENTATION STRATEGY. IN THE ORIGINAL ACTION PLAN, A COORDINATOR WAS DESIGNATED TO BE APPOINTED BY SEPTEMBER 2013. BRIDGET THORNTON WAS APPOINTED AS CHNA COORDINATOR IN JUNE 2014. WHILE THIS DELAYED THE ACCOMPLISHMENTS OF THE MILESTONES IN THE PLAN, BRIDGET MADE GREAT PROGRESS SINCE COMING ON BOARD AND BEGAN IMPLEMENTATION OF THE EMPLOYEE WELLNESS PROGRAM IN JANUARY 2015, ONLY FOUR MONTHS BEHIND THE ORIGINAL SCHEDULE. DURING HER SHORT TENURE, BRIDGET BENCHMARKED BEST PRACTICES IN EMPLOYEE WELLNESS PROGRAMS, IDENTIFIED AND OUTREACHED TO INTERNAL RESOURCES AND PROFESSIONALS WHO SHOULD BE INVOLVED IN THE PROGRAM, CONDUCTED AN EMPLOYEE SURVEY THAT ACHIEVED OVER 200 RESPONSES, CONDUCTED SITE VISITS WITH TWO OTHER EMPLOYEE WELLNESS PROGRAMS TO UNDERSTAND HOW THOSE PROGRAMS WORK, AND DEVELOPED A LOGIC MODEL WITH OUTCOMES AND IMPACT MEASUREMENTS FOR THE EMPLOYEE WELLNESS PROGRAM, AS WELL AS THE OVERALL IMPLEMENTATION STRATEGY. THE INITIAL IMPLEMENTATION STRATEGY/ACTION PLAN INCLUDED ONLY PROCESS MEASURES AND LACKED TRUE OUTCOMES AND IMPACT MEASUREMENTS. THE CHNA IMPLEMENTATION STRATEGY WAS REVISED TO INCLUDE ASSISTANCE FROM THE INFORMATION SYSTEMS DEPARTMENT TO DEVELOP METHODS TO TRACK PATIENTS AS WELL AS REPORT THE RESULTS (PRE AND POST WHERE POSSIBLE AND OVER TIME) FOR THOSE WHO PARTICIPATE IN THE EMPLOYEE WELLNESS PROGRAM AS WELL AS IN VARIOUS SCREENING AND INTERVENTION ACTIVITIES. BECAUSE THE HOSPITAL AND PHYSICIAN PRACTICES HAVE EMRS, THIS IS POSSIBLE, BUT WILL TAKE SOME TIME TO DEVELOP THE REPORTING SYSTEMS. REGARDING CLARION'S GOAL OF REDUCING CHILDHOOD OBESITY, THE HOSPITAL HAS MET WITH THE CLARION COUNTY YMCA TO FORM A PARTNERSHIP THAT WOULD EXPAND THEIR CURRENT "FUN N' FIT CLUB" CURRICULUM, ADDRESS THE ISSUE OF TRANSPORTATION TO ENSURE THAT CHILDREN CAN ATTEND THE "FUN 'N FIT CLUB." IN ADDITION, MEETINGS WERE HELD WITH VARIOUS LEADERS IN THE BUSINESS/INDUSTRY SECTOR OF THE COMMUNITY. WORK-SITE WELLNESS PROGRAMS WERE INTRODUCED WITH THE EXPECTATION OF THE HOSPITAL INITIATING THESE IN THE COMMUNITY IN 2017. DURING THE EVALUATION PROCESS, THE TEAM ALSO RECOGNIZED THAT THE HOSPITAL CURRENTLY CONDUCTS A NUMBER OF COMMUNITY BENEFIT EDUCATION AND SCREENING PROGRAMS THAT ARE DESIGNED TO IMPROVE COMMUNITY HEALTH, BUT THAT WERE NOT INCLUDED IN THE ORIGINAL IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY WAS REVISED TO INCLUDE THESE ACTIVITIES AS WELL AS THEIR ACCOMPANYING OUTCOMES AND IMPACTS. SHORT TERM OUTCOMES FROM THE INTERVENTION ACTIVITIES CONDUCTED TO DATE INCLUDE: - TEDDY BEAR CLINIC - SENIOR WELLNESS EXPO
SCHEDULE H, PART V, SECTION B, LINES 16 A, 16B, & 16C	FAP, PLS, AND APPLICATION WEBSITE: HTTP://WWW.CLARIONHOSPITAL.ORG/BILL_PAY/FINANCIAL_ASSISTANCE.ASPX

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $1,432,305.
SCHEDULE H, PART I, LINE 7	COST TO CHARGE RATIO: THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEETS 1 & 3. WORKSHEET 6 USED COST ACCOUNTING DATA.
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE: BAD DEBT EXPENSE ON LINE 2 WAS CALCULATED USING THE AMOUNT OF BAD DEBT REPORTED ON THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. USING 2012-2016 DATA, 15.2 PERCENT OF CLARION COUNTY WAS CONSIDERED TO LIVE IN POVERTY.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT EXPENSE 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: 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 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.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY: THE NEED FOR CHARITY CARE IS ADDRESSED AS SOON AS A PATIENT INDICATES A FINANCIAL HARDSHIP. GENERALLY, THIS OCCURS AT THE TIME OF SERVICE OR UPON THE INITIAL BILLING. A PATIENT WILL HAVE 90 DAYS FROM THE DATE OF FIRST STATEMENT TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY. ACCOUNTS CURRENTLY IN COLLECTION WILL NOT BE APPROVED UNDER THE CHARITY CARE PROGRAM.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: CLARION HOSPITAL IS GOVERNED BY A BOARD OF VOLUNTEER DIRECTORS WHO REPRESENT THE COMMUNITY WE SERVE. THROUGH THEIR INPUT AND OCCASIONAL COMMUNITY SURVEYS, CLARION HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF ITS SERVICE AREA.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: MEDICAID APPLICATIONS ARE GIVEN TO SELF PAY PATIENTS IN EMERGENCY ROOM AND INPATIENT. THE HOSPITAL FINANCIAL POLICY AND BUSINESS OFFICE CONTACT INFORMATION ARE AVAILABLE AT REGISTRATION DESKS. FREE CARE GUIDELINES ARE PRINTED ON REVERSE SIDE OF PATIENT STATEMENTS.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: CLARION HOSPITAL SERVES CLARION COUNTY AND PARTS OF THE SURROUNDING COUNTIES, INCLUDING VENANGO, FOREST, JEFFERSON, AND ARMSTRONG. OUR SERVICE AREA IS IN A RURAL PART OF WESTERN PENNSYLVANIA, WITH MANY LIVING BELOW OR WELL BELOW THE NATIONAL AND STATE INCOME AVERAGE. ACCORDING TO US CENSUS BUREAU DATA, THE MEDIAN HOUSEHOLD INCOME FOR THE AREA IS APPROXIMATELY $41,500. THE ESTIMATED POPULATION OF CLARION COUNTY WAS 39,479. AS OF THE CENSUS OF 2000, THERE WERE 6,185 PEOPLE, 2,000 HOUSEHOLDS, AND 718 FAMILIES RESIDING IN THE BOROUGH ALONE.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: THE AMERICAN DIABETES ASSOCIATION ESTIMATES THAT NEARLY 26 MILLION ADULTS AND CHILDREN HAVE DIABETES. AT LEAST 7 MILLION PEOPLE DON'T KNOW THIS YET. EDUCATION IS THE BEST WAY TO PREVENT PRE-DIABETES, ADVANCEMENT TO DIABETES, AS WELL AS HELPING THOSE DIAGNOSED WITH DIABETES TO MANAGE THEIR DISEASE AND PREVENT COMPLICATIONS. THE DIABETIC EDUCATION PROGRAM AT CLARION HOSPITAL IS DEDICATED TO EDUCATION OF INDIVIDUALS WHO HAVE DIABETES. WE SEE PEOPLE WHO ARE NEWLY DIAGNOSED, OR WHO HAVE BEEN MANAGING THEIR DIABETES FOR SOME TIME. WE SPECIALIZE IN EDUCATION RELATED TO TYPE I (INSULIN-DEPENDENT), TYPE II (THOSE WHO CAN MANAGE WITH MEDICATIONS), AND PRE-DIABETES, WHOSE BLOOD SUGARS ARE HIGH AND WHO ARE AT RISK. OUR PROGRAM TEACHES DIABETICS AND THEIR LOVED ONES ABOUT THE DISEASE PROCESS, GLUCOSE MONITORING, MEDICATION MANAGEMENT, LIFESTYLE CHANGES, EXERCISE, NUTRITIONAL MANAGEMENT, AND SICK DAY GUIDELINES. WE CAN MEET WITH PATIENTS INDIVIDUALLY OR IN A CLASSROOM ENVIRONMENT. CLARION HOSPITAL ALSO PROVIDES CLASSES ON CPR AND AED, WITH OR WITHOUT FIRST AID. THESE COURSES ARE OFFERED SEVERAL TIMES A YEAR AND ARE TAUGHT BY CLARION HOSPITAL PARAMEDICS. ADDITIONALLY, THE CLARION HOSPITAL FOUNDATION AWARDS SCHOLARSHIPS TO CLARION COUNTY STUDENTS PURSUING CAREERS IN HEALTH CARE.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: CLARION HOSPITAL IS AN AFFILIATE OF CLARION HEALTHCARE SYSTEM, INC. CLARION HEALTHCARE SYSTEM, INC. EXISTS TO SUPPORT THE HOSPITAL MISSION AND TO PROVIDE A VITAL LINK BETWEEN THE HOSPITAL SYSTEM AND THE SURROUNDING COMMUNITY. THROUGH THE PROCESSES OF STRATEGIC AND FINANCIAL DEVELOPMENT, THE HEALTH SYSTEM WILL ENHANCE THE PUBLIC'S AWARENESS OF HEALTH CARE AND THE HOSPITAL'S SERVICES; SECURE CHARITABLE GIFTS; INCREASE ITS CURRENT PERMANENTLY RESTRICTED FUNDS TO GENERATE A PERMANENT SOURCE OF INVESTMENT INCOME; AND REGULARLY DISTRIBUTE FINANCIAL ASSISTANCE TO THE SURROUNDING COMMUNITY AND THE HOSPITAL TO ENHANCE HEALTH CARE EDUCATION, TECHNICAL RESOURCES AND QUALITY PATIENT CARE. BY THESE ACTIVITIES, THE SYSTEM WILL SERVE TO LEAD THE WAY FOR THE SURROUNDING COMMUNITY'S HEALTH CARE STABILITY AND GROWTH IN THE TWENTY-FIRST CENTURY.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	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 (6 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
THOMAS FREENOCK
DIRECTOR	$0	$372,242	$0	$236	$0	$1,440	$0	$2,650	$0	$378	$0	$376,946	$0	$0
SHARON DOOLIN
CRNA	$173,406	$0	$0	$0	$0	$0	$8,670	$0	$6,679	$0	$188,755	$0	$0	$0
WENDY STIVANSON
CRNA	$164,737	$0	$0	$0	$0	$0	$8,237	$0	$13,903	$0	$186,877	$0	$0	$0
SETH MARTIN
CRNA	$156,835	$0	$0	$0	$0	$0	$7,842	$0	$12,799	$0	$177,476	$0	$0	$0
THOMAS MORGO
CRNA	$163,409	$0	$0	$0	$0	$0	$8,170	$0	$13,903	$0	$185,482	$0	$0	$0
WILLIAM SIMPSON
DIRECTOR OF PHARMACY	$138,676	$0	$0	$0	$0	$0	$6,934	$0	$13,903	$0	$159,513	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	COMPENSATION OF ORGANIZATION'S CEO: CLARION HOSPITAL CONTRACTED WITH QUORUM HEALTH RESOURCES, AN UNRELATED MANAGEMENT COMPANY, FOR THE SERVICES OF BYRON QUINTON, CEO, AND VINCENT LAMORELLA, CFO. AMOUNTS PAID TO QUORUM HEALTH RESOURCES ARE REPORTED IN FORM 990, PART VII, SECTION B, AND ARE FOR SERVICES PROVIDED BY THE COMPANY. NO COMPENSATION WAS REPORTED FOR EITHER INDIVIDUAL ON FORM 990, PART VII OR SCHEDULE J, PART II. IN ESTABLISHING THE COMPENSATION OF THE CEO, QUORUM HEALTH RESOURCES USED A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	ORGANIZATION'S MISSION: CLARION HOSPITAL, AS THE COMMUNITY'S RESOURCE FOR THE DELIVERY OF QUALITY-BASED HEALTHCARE, IS COMMITTED TO PROVIDE EMERGENT, ACUTE, TRANSITIONAL, AND LONG-TERM MEDICAL SERVICES FOR THE RESIDENTS OF CLARION COUNTY AND ITS SURROUNDING COMMUNITIES. PURPOSE: CLARION HOSPITAL EXISTS TO PROVIDE COMPREHENSIVE, QUALITY HEALTH CARE, APPROPRIATE TO THE NEEDS OF OUR COMMUNITY, IN A COMPASSIONATE AND EMPATHETIC MANNER. THE HOSPITAL ACKNOWLEDGES THE IMPORTANCE OF PREVENTIVE MEDICINE AND FOCUSES ON THE PROMOTION OF A HEALTHY LIFESTYLE FOR ALL. EVERY DEPARTMENT WITHIN CLARION HOSPITAL CONTRIBUTES AN INVALUABLE SERVICE TOWARD THE PROVISION OF QUALITY HEALTH CARE FROM THE ORGANIZATION AS A WHOLE. EACH DEPARTMENT EXISTS FOR A SPECIFIC PURPOSE, YET NO DEPARTMENT EXISTS SOLELY ON ITS OWN. WE ARE ALL INTER-DEPENDENT UPON EACH OTHER. VALUES: WE BELIEVE IN BEING CUSTOMER FOCUSED. WE BELIEVE IN COMPETENCY. WE BELIEVE IN HONESTY. WE BELIEVE IN CARING. WE BELIEVE IN COMMITMENT. WE BELIEVE IN BEING TEAM PLAYERS. WE BELIEVE IN DEMONSTRATING PROFESSIONALISM. WE BELIEVE IN THE PRESERVATION OF DIGNITY FOR THOSE WE SERVE. WE BELIEVE IN MAINTAINING CONFIDENTIALITY. WE BELIEVE IN EDUCATION AND CONTINUAL LEARNING. WE BELIEVE IN CONTINUAL IMPROVEMENT. WE BELIEVE IN DEMONSTRATING MUTUAL RESPECT FOR OUR CO-WORKERS. VISION: CLARION HOSPITAL ENDEAVORS TO EXCEED THE COMMUNITY'S HEALTHCARE EXPECTATIONS THROUGH THE IMPLEMENTATION OF CONTINUOUS QUALITY IMPROVEMENTS, BY REASSESSING THE COMMUNITY'S EVOLVING NEEDS, BY DEVELOPING INNOVATIVE FAMILY-ORIENTED HEALTHCARE SERVICES, AND BY PROVIDING EDUCATIONAL PROGRAMS FOR OUR FUTURE HEALTHCARE PROVIDERS.
FORM 990, PART I, LINE 6	NUMBER OF VOLUNTEERS: VOLUNTEER SERVICES OF CLARION HOSPITAL CONSISTS OF APPROXIMATELY 35 VOLUNTEERS WHO WORK WITHIN 25 VARIOUS DEPARTMENTS ASSISTING EMPLOYEES, PATIENTS, AND STAFF TO DELIVER QUALITY BASED HEALTHCARE. IN ADDITION, THE MEMBERS OF THE BOARD OF DIRECTORS WHO SERVED DURING THE YEAR ARE CONSIDERED VOLUNTEERS, FOR A TOTAL OF 44.
FORM 990, PART VI, SECTION A, LINE 3	MANAGEMENT DUTIES: CLARION HOSPITAL HAS A MANAGEMENT CONTRACT WITH QUORUM HEALTH RESOURCES TO PROVIDE MANAGEMENT SERVICES. IN ADDITION, QUORUM HEALTH RESOURCES PROVIDES COMPENSATION FOR THE HOSPITAL'S CEO AND CFO. THE HOSPITAL REIMBURSES QUORUM HEALTH RESOURCES WITH MONTHLY MANAGEMENT FEES FOR THE COMPENSATION PAID AND OTHER SERVICES PROVIDED.
FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7B	MEMBERS OF THE ORGANIZATION: THE BOARD OF CLARION HOSPITAL SHALL CONSIST OF NINE (9) MEMBERS AND SHALL BE APPOINTED BY THE BOARD OF DIRECTORS OF CLARION HEALTHCARE SYSTEM, INC. IN ACCORDANCE WITH HOSPITAL BYLAWS. THE BOARD MEMBERS SHALL BE THE SAME PERSONS WHO SERVE AS THE EXECUTIVE COMMITTEE OF CLARION HEALTHCARE SYSTEM, INC. WHICH INCLUDE THE CHAIRPERSON, VICE CHAIRPERSON, SECRETARY, TREASURER, FORMER CHAIRPERSON (IF APPLICABLE), PRESIDENT AND CEO (NON-VOTING), CHIEF OF STAFF (WITH VOTING RIGHTS), ONE MEDICAL STAFF REPRESENTATIVE, AND ANY OTHER DIRECTORS SELECTED BY THE CHAIRPERSON. BYLAWS MAY ONLY BE AMENDED OR REPEALED AND NEW BYLAWS ADOPTED BY THE BOARD OF DIRECTORS OF CLARION HEALTHCARE SYSTEM, INC., SUBJECT TO APPROVAL OF PMCN AS SET FORTH IN THE BYLAWS OF CLARION HEALTHCARE SYSTEM, INC. AS A RESULT OF THE SYSTEM'S AFFILIATION AGREEMENT WITH PENNSYLVANIA MOUNTAIN CARE NETWORK (PMCN), PMCN HAS CERTAIN RESERVED POWERS OVER CLARION HEALTHCARE SYSTEM AND ITS SUBSIDIARIES, CLARION HOSPITAL AND HEALTH SERVICES OF CLARION.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS: 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 DRAFT OF THE RETURN IS REVIEWED BY THE CFO IN DETAIL. A FINAL DRAFT IS THEN PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND THE FULL BOARD FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: CLARION HOSPITAL, INC. BOARD MEMBERS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. IF A CONFLICT ARISES, THE BOARD MEMBER WITH A CONFLICT ABSTAINS FROM VOTING ON ANY MATTER RELATED TO THE CONFLICT. POLICY: MEMBERS OF THE GOVERNING BODY SHALL NOT MAINTAIN SUBSTANTIAL PERSONAL OR BUSINESS INTERESTS WHICH CONFLICT WITH THOSE OF THE HOSPITAL. PROCEDURES: ALL GOVERNING BODY MEMBERS SHALL EXECUTE A CONFLICT OF INTEREST STATEMENT. MEMBERS OF THE GOVERNING BODY SHALL NOT ENGAGE IN THE FOLLOWING FORMS OF SELF DEALINGS: A) THE SALE, EXCHANGE, OR LEASING OF PROPERTY OR SERVICES BETWEEN THE HOSPITAL AND A GOVERNING BOARD MEMBER, HIS EMPLOYER, OR AN ORGANIZATION SUBSTANTIALLY CONTROLLED BY HIM ON A BASIS LESS FAVORABLE TO THE HOSPITAL THAN THAT ON WHICH SUCH PROPERTY OR SERVICE IS MADE AVAILABLE TO THE GENERAL PUBLIC. B) FURNISHING OF GOODS, SERVICES, OR FACILITIES BY THE HOSPITAL TO A GOVERNING BOARD MEMBER, UNLESS SUCH FURNISHING IS MADE ON A BASIS NOT MORE FAVORABLE THAN THAT ON WHICH SUCH GOODS, SERVICES, OR FACILITIES ARE MADE AVAILABLE TO THE GENERAL PUBLIC OR EMPLOYEES OF THE HOSPITAL. C) ANY TRANSFER TO OR USE BY OR FOR THE BENEFIT OF A GOVERNING BOARD MEMBER OF THE INCOME OR ASSETS OF THE HOSPITAL EXCEPT BY PURCHASE FOR FAIR MARKET VALUE. ANY DIRECTOR, OFFICER, EMPLOYEE, OR COMMITTEE MEMBER HAVING AN INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF FOR AUTHORIZATION, APPROVAL OR RATIFICATION SHALL GIVE PROMPT, FULL AND FRANK DISCLOSURE OF HIS INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. THE BODY TO WHICH SUCH DISCLOSURE IS MADE SHALL THEREUPON DETERMINE, BY MAJORITY VOTE, WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT IS DEEMED TO EXIST, SUCH PERSON SHALL NOT VOTE ON, NOR USE HIS PERSONAL INFLUENCE ON, NOR PARTICIPATE (OTHER THAN TO PRESENT FACTS) IN THE DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO SUCH CONTRACT OR TRANSACTION. SUCH PERSON MAY NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT ANY MEETING WHERE THE CONTRACT OR TRANSACTION IS UNDER DISCUSSION OR IS BEING VOTED UPON. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE THEREON AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATING, AND WHETHER A QUORUM WAS PRESENT.
FORM 990, PART VI, SECTION B, LINE 15A & 15B	COMPENSATION REVIEW POLICY: CLARION HOSPITAL CONTRACTED WITH QUORUM HEALTH RESOURCES, AN UNRELATED MANAGEMENT COMPANY, FOR THE SERVICES OF BYRON QUINTON, CEO, AND VINCENT LAMORELLA, CFO. AMOUNTS PAID TO QUORUM HEALTH RESOURCES ARE REPORTED IN FORM 990, PART VII, SECTION B, AND ARE FOR SERVICES PROVIDED BY THE INDIVIDUALS AS WELL AS OTHER SERVICES PROVIDED BY THE COMPANY. NO COMPENSATION WAS REPORTED FOR EITHER INDIVIDUAL ON FORM 990, PART VII OR SCHEDULE J, PART II. ALTHOUGH THE ORGANIZATION DID NOT DIRECTLY PAY THE COMPENSATION OF THE CEO OR CFO DURING THE YEAR, THE ORGANIZATION DOES HAVE A COMPENSATION REVIEW POLICY IN PLACE. IT SHALL BE THE POLICY OF THE BOARD OF DIRECTORS TO ESTABLISH AND MAINTAIN AN EXECUTIVE COMPENSATION PROGRAM FOR THE PRESIDENT/CEO AND CHIEF FINANCIAL OFFICER WHICH: (1) ENABLES THE BOARD TO ATTRACT AND RETAIN THE EXECUTIVES NEEDED TO EFFECTIVELY CARRY OUT THE MISSION OF THE ORGANIZATION AND THE POLICIES OF THE BOARD. (2) RESPONDS TO MARKET TRENDS. (3) REFLECTS THE VALUE OF THE FUNCTIONAL DEMANDS OF EXECUTIVE WORK. (4) REWARDS PERFORMANCE RESULTS. (5) IS BASED ON FACTORS THAT PROVIDE FOR JUST AND REASONABLE COMPENSATION. COMPENSATION ACTIONS APPROVED BY THE BOARD OF DIRECTORS MUST BE DOCUMENTED, AND SUCH DOCUMENTATION SHALL INCLUDE THE BASES OF EACH COMMITTEE'S ACTIONS AND THE NAMES OF THE COMMITTEE MEMBERS INVOLVED IN THE ACTIONS. THE DOCUMENTED PROCESS FOR DETERMINING EXECUTIVE COMPENSATION SHALL INCLUDE: (1) TERMS OF THE COMPENSATION ARRANGEMENTS. (2) APPROVAL DATE. (3) NAMES OF BOARD MEMBERS WHO APPROVED THE COMPENSATION DECISIONS. (4) DATA USED IN THE COMPENSATION DECISION. (5) DISCLOSURES OF CONFLICT OF INTEREST, IF ANY. (6) ANNUAL REVIEW OF COMPENSATION RECORDS. THE BOARD OF DIRECTORS AUTHORIZES THE HUMAN RESOURCE COMMITTEE TO REVIEW AND RECOMMEND COMPENSATION DECISIONS FOR THE PRESIDENT/CEO. THE BOARD OF DIRECTORS AUTHORIZES THE FINANCE COMMITTEE TO REVIEW AND RECOMMEND COMPENSATION DECISIONS FOR THE CHIEF FINANCIAL OFFICER. SUCH RECOMMENDATIONS ARE REPORTED TO AND ACTED UPON BY THE FULL BOARD OF DIRECTORS. GUIDELINES FOR DETERMINING PROPOSED COMPENSATION FOR THE PRESIDENT/CEO AND THE CHIEF FINANCIAL OFFICER: (A) A REVIEW AND APPROVAL OF THE OFFICER'S COMPENSATION SHALL OCCUR INITIALLY UPON HIRE OF THE OFFICER AND WHENEVER THE OFFICER'S COMPENSATION IS MODIFIED. (B) ANNUALLY, THE HUMAN RESOURCE COMMITTEE OF THE BOARD OF DIRECTORS SHALL ESTABLISH PERFORMANCE STANDARDS FOR THE PRESIDENT/CEO WHICH SHALL BE USED IN DETERMINING COMPENSATION ACTIONS. THE HUMAN RESOURCE COMMITTEE SHALL HAVE THE AUTHORITY TO REVIEW THE PERFORMANCE OF THE PRESIDENT/CEO AND RECOMMEND A COMPENSATION ADJUSTMENT, IF WARRANTED IN THE JUDGMENT OF THE COMMITTEE. (C) ANNUALLY, THE PRESIDENT/CEO SHALL ESTABLISH PERFORMANCE STANDARDS FOR THE CHIEF FINANCIAL OFFICER WHICH SHALL BE USED IN DETERMINING COMPENSATION ACTIONS. THE PRESIDENT/CEO SHALL HAVE THE AUTHORITY TO REVIEW THE PERFORMANCE OF THE CHIEF FINANCIAL OFFICER AND PROPOSE A COMPENSATION ADJUSTMENT, IF WARRANTED IN THE JUDGMENT OF THE PRESIDENT/CEO, TO THE FINANCE COMMITTEE. (D) INFORMATION GATHERED AND USED IN COMPENSATION ACTIONS SHALL INCLUDE: 1. COMPENSATION PAID BY SIMILAR ORGANIZATIONS. 2. QHR WILL PROVIDE COMPENSATION COMPARABILITY DATA FOR THE POSITION COMPILED BY INDEPENDENT ORGANIZATIONS. THE DATA MAY BE BASED ON INDUSTRY SURVEYS, EXPERT COMPENSATION STUDIES, OR OTHER COMPARABLE DATA. 3. REFERENCE TO FUNCTIONALLY COMPARABLE POSITIONS. 4. THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC SERVICE AREA. COMPENSATION WAS LAST REVIEWED, USING THE ABOVE METHOD, IN FEBRUARY 2011.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT DISCLOSURE: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE BY WRITTEN REQUEST FOR A LEGITIMATE BUSINESS PURPOSE, AS DETERMINED BY TOP MANAGEMENT. REQUESTED DOCUMENTS WILL BE MAILED TO THE REQUESTOR.
FORM 990, PART VII, SECTION A	COMPENSATION OF BOARD MEMBERS: ARTHUR DORTORT, TREASURER, AND THOMAS FREENOCK, DIRECTOR, ARE COMPENSATED BY HEALTH SERVICES OF CLARION, A RELATED ORGANIZATION, FOR SERVICES AS EMPLOYEES OF THAT ORGANIZATION. NEITHER INDIVIDUAL RECEIVED ANY COMPENSATION FOR SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS OF CLARION HOSPITAL.
FORM 990, PART IX, LINE 11G	OTHER FEES FOR SERVICES: $2,851,122 MEDICAL PURCHASED SERVICES 2,227,937 REHAB PURCHASED SERVICES 2,089,491 OTHER PURCHASED SERVICES 526,449 PHYSICIAN FEES 210,559 COLLECTION AGENCY FEES ----------- $7,905,558
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $ (895,002) TRANSFER TO AFFILIATES (74,690) CHANGE IN INT IN NET ASSETS OF CLARION HOSPITAL FDN 10,305 CHANGE IN INT IN TRUST ------------- $ (959,387)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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
HEALTH SERVICES OF CLARION
ONE HOSPITAL DRIVE	CLARION	PA	16214	753126134	PHYSICIAN GRP	PA	501(C)(3)	3	CLARION HS	false
CLARION HEALTHCARE SYSTEM INC
ONE HOSPITAL DRIVE	CLARION	PA	16214	251534023	HOLDING CO	PA	501(C)(3)	12A I	NA	false
CLARION HOSPITAL SELF-INS TRUST FUND
ONE HOSPITAL DRIVE	CLARION	PA	16214	251766602	SELF-INS	PA	501(C)(3)	12A I	HOSPITAL	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CLARION DEVELOPMENT CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	24 DOCTORS LANE	AddressLine1Txt
City	CLARION	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16214	ZIPCd

Field	Value	IRS element (for citing)
EIN	251516298	EIN
Primary Activities	PHARMACY	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	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	Yes (true)	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	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	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	false	TransferFromOtherOrgInd