UPMC GREENE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: UPMC GREENE (EIN 47-3884840)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201731359349302158
Schema version: 2015v3.0
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-15T09:10:51-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Ernst & Young US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2100 One PPG Place	AddressLine1Txt
City	Pittsburgh	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15222	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	473884840	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	TGCH	BusinessNameControlTxt
Phone	7242233335	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	350 Bonar Avenue	AddressLine1Txt
City	Waynesburg	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15370	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Alisa R Rucker	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Signature	2017-05-15	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	James L Ziesche	PreparerPersonNm
PTIN	P01264584	PTIN
Phone	4126447800	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Washington Health System Greene	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	350 Bonar Avenue	AddressLine1Txt
City	Waynesburg	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15370	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$30,776,602	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.southwestregionalmedical.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2015	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	WASHINGTON HEALTH SYSTEM GREENE IS A COMMUNITY HOSPITAL DEDICATED TO IMPROVING HEALTH / PROVIDING PATIENT CARE TO ALL PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, DISABILITY OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	344	TotalEmployeeCnt
Total Volunteers	62	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$4,625,514	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$25,721,961	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	-$199,000	CYOtherRevenueAmt
PY Total Revenue	$0	PYTotalRevenueAmt
CY Total Revenue	$30,148,475	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	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$15,550,689	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$0	PYOtherExpensesAmt
CY Other Expenses	$11,740,605	CYOtherExpensesAmt
PY Total Expenses	$0	PYTotalExpensesAmt
CY Total Expenses	$27,291,294	CYTotalExpensesAmt
PY Revenues Less Expenses	$0	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,857,181	CYRevenuesLessExpensesAmt
Total Assets BOY	$0	TotalAssetsBOYAmt
Total Assets EOY	$10,782,344	TotalAssetsEOYAmt
Total Liabilities BOY	$0	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,422,860	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$0	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$9,359,484	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WASHINGTON HEALTH SYSTEM GREENE IS A SECULAR, NOT-FOR-PROFIT COMMUNITY HOSPITAL DEDICATED TO IMPROVING THE HEALTH STATUS OF THE COMMUNITY AND PROVIDING QUALITY PATIENT CARE TO ALL PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, DISABILITY OR ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$14,345,880	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$15,632,426	RevenueAmt
Desc	A WIDE VARIETY OF OUTPATIENT SERVICES WERE PROVIDED TO THE COMMUNITY INCLUDING LAB, RADIOLOGY, SURGICAL, OBSERVATION, EMERGENCY AND THERAPEUTIC SERVICES. APPROXIMATELY 80,000 OUTPATIENT VISITS WERE PERFORMED DURING THE YEAR. SERVICES WERE RENDERED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. ALL QUALITY MEASURES REQUIRED BY MEDICARE AND MAJOR INSURANCE CARRIERS WERE MET. 38% OF THE OUTPATIENT VISITS WERE MEDICARE ; 27% OF THE OUTPATIENT VISITS WERE MEDICAL ASSISTANCE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$4,019,465	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$6,367,512	RevenueAmt
Desc	INPATIENT ACUTE SERVICES WERE PROVIDED TO 1,045 PATIENTS IN THE COMMUNITY. WASHINGTON HEALTH SYSTEM GREENE PROVIDES A WIDE ARRAY OF MEDICAL AND SURGICAL SERVICES. SPECIALTIES INCLUDE UROLOGY, GASTROENTEROLOGY, ORTHOPEDICS AND GENERAL SURGERY. SERVICES WERE RENDERED REGARDLESS OF A PATIENT'S ABILITY TO PAY. ALL QUALITY MEASURES REQUIRED BY MEDICARE AND MAJOR INSURANCE CARRIERS WERE MET. 65% OF THE INPATIENT CASES WERE MEDICARE; 16% OF THE PATIENT CASES WERE MEDICAL ASSISTANCE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,941,892	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$3,668,832	RevenueAmt
Desc	THE HOSPITAL SUPPORTS A 26 BED INPATIENT ADULT BEHAVIORAL HEALTH UNIT. IT IS ONE OF THE LARGEST UNITS OF ITS KIND IN THE HOSPITAL'S EXTENDED SERVICE AREA AND SERVED 698 PATIENTS THIS YEAR. SERVICES ARE RENDERED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE UNIT HAS A VERY HIGH PERCENTAGE OF PATIENTS WITH MEDICAL ASSISTANCE (46%) AND MEDICARE (39%).	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$136,710	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$182,161	RevenueAmt
Desc	OTHER PROGRAM SERVICES INCLUDE ACTIVITIES PERFORMED BY THE HOSPITAL TO DO BUSINESS IN THE COMMUNITY AND PROVIDE VALUABLE COMMUNITY BENEFITS. ACTIVITIES IN THIS CATEGORY INCLUDE RENTAL ACTIVITIES AND OPERATION OF AN EMPLOYEE CAFETERIA.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$136,710	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$182,161	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$21,443,947	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	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	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	Yes (true)	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	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	23	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	344	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	8	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Alisa R Rucker	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7242233004	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 Wilson Avenue	AddressLine1Txt
City	Washington	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15301	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 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
Gary B Weinstein
CEO	5.0	45.0	Yes (X)	Yes (X)	$0	$733,262	$20,103
Thomas Northrop
Chairman	1.0	7.0	Yes (X)		$0	$0	$0
Sheila Stewart
Vice Chairman	1.0	0.0	Yes (X)		$0	$0	$0
Brook T Ward
Director	5.0	45.0	Yes (X)		$0	$376,637	$19,551
Daniel C Miller
Director	1.0	5.0	Yes (X)		$0	$0	$0
Charles R Guthrie
Director	1.0	0.0	Yes (X)		$0	$0	$0
Brian Smith
Director	1.0	5.0	Yes (X)		$0	$0	$0
Jeffrey Smith DO
Director	1.0	0.0	Yes (X)		$0	$0	$0
Alisa R Rucker
CFO	5.0	45.0		Yes (X)	$0	$327,019	$17,182
Terry Wiltrout
President & Secretary	20.0	20.0		Yes (X)	$0	$165,539	$2,049

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,602,457	TotReportableCompRltdOrgAmt
Total Other Compensation	$58,885	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Keystone Anesthesia Consultants
2000 Oxford Drive	Bethel Park	PA	15102	Anesthesia	$169,014
Diversified Clinical Services
PO Box 551187	Jacksonville	FL	32255	Wound Care Services	$146,760
New Age Healthcare Emerald
510 E Main St	Carnegie	PA	15106	Home Health Care	$143,215

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$2,890	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$4,622,624	AllOtherContributionsAmt
Noncash Contributions	$4,622,624	NoncashContributionsAmt
Total Contributions	$4,625,514	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Hospital IP and OP Services	900099	$25,721,961	$25,721,961	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$25,721,961	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$300,157	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$628,127	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$327,970	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$327,970	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$327,970	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Cafeteria Sales	900099	$105,630	$105,630	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,340	TotalRevenueColumnAmt
Related Or Exempt Func Income	$23,340	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$128,970	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,148,475	TotalRevenueColumnAmt
Related Or Exempt Func Income	$25,850,931	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$327,970	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
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$13,218,576	TotalAmt
Program Services	$9,993,243	ProgramServicesAmt
Management And General	$3,225,333	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,425,671	TotalAmt
Program Services	$1,077,807	ProgramServicesAmt
Management And General	$347,864	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$906,442	TotalAmt
Program Services	$685,270	ProgramServicesAmt
Management And General	$221,172	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$30,702	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$30,702	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,714	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,714	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,546,225	TotalAmt
Program Services	$4,192,946	ProgramServicesAmt
Management And General	$1,353,279	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$166,811	TotalAmt
Program Services	$126,109	ProgramServicesAmt
Management And General	$40,702	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$807,386	TotalAmt
Program Services	$610,384	ProgramServicesAmt
Management And General	$197,002	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$16,571	TotalAmt
Program Services	$12,528	ProgramServicesAmt
Management And General	$4,043	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$380,273	TotalAmt
Program Services	$287,486	ProgramServicesAmt
Management And General	$92,787	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$39,378	TotalAmt
Program Services	$29,770	ProgramServicesAmt
Management And General	$9,608	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$686,381	TotalAmt
Program Services	$518,904	ProgramServicesAmt
Management And General	$167,477	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$336,094	TotalAmt
Program Services	$294,469	ProgramServicesAmt
Management And General	$41,625	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$2,525,987	$2,525,987	$0	$0
Medicaid Assessment	$735,710	$735,710	$0	$0
Repairs & Maintenance	$170,157	$128,639	$41,518	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$297,216	TotalAmt
Program Services	$224,695	ProgramServicesAmt
Management And General	$72,521	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,291,294	TotalAmt
Program Services	$21,443,947	ProgramServicesAmt
Management And General	$5,847,347	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,109,972	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$0	BOYAmt
EOY	$3,159,190	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$507,637	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$447,675	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$204,642	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,039,610	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$686,382	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$5,353,228	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

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	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$10,782,344	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,234,587	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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$0	BOYAmt
EOY	$188,273	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,422,860	EOYAmt

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$9,359,484	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$9,359,484	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$10,782,344	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,857,181	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$6,502,303	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,714	OtherActivitiesAmt
Total Lobbying Expenditures	$1,714	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING COSTS REPORTED IN PART II-B LINE I CONSIST OF THE PORTION OF MEMBERSHIP DUES ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE HOSPITAL DOES NOT DIRECTLY LOBBY OR PARTICIPATE IN POLITICAL ACTIVITIES.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING COSTS REPORTED IN PART II-B LINE I CONSIST OF THE PORTION OF MEMBERSHIP DUES ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE HOSPITAL DOES NOT DIRECTLY LOBBY OR PARTICIPATE IN POLITICAL ACTIVITIES.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$415,000	OtherCostOrOtherBasisAmt
Book Value	$415,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,054,909	OtherCostOrOtherBasisAmt
Depreciation	$366,031	DepreciationAmt
Book Value	$3,688,878	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,569,701	OtherCostOrOtherBasisAmt
Depreciation	$320,351	DepreciationAmt
Book Value	$1,249,350	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$5,353,228	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Due to Third Party Payers	Desc
Amt	$188,273	Amt

Field	Value	IRS element (for citing)
Total Liability	$188,273	TotalLiabilityAmt

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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,063	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$83,063	NetCommunityBenefitExpnsAmt
Total Expense	0.0030	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,255,394	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,271,452	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,983,942	NetCommunityBenefitExpnsAmt
Total Expense	0.0727	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$7,338,457	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,271,452	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,067,005	NetCommunityBenefitExpnsAmt
Total Expense	0.0757	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,225	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,225	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,756,674	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,100,026	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$656,648	NetCommunityBenefitExpnsAmt
Total Expense	0.0241	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,769,899	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,100,026	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$669,873	NetCommunityBenefitExpnsAmt
Total Expense	0.0245	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$9,108,356	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,371,478	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,736,878	NetCommunityBenefitExpnsAmt
Total Expense	0.1003	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$1,204,364	BadDebtExpenseAmt
Reimbursed By Medicare	$11,596,925	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,830,148	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$233,223	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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	Washington Health System Greene	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	350 Bonar Avenue	AddressLine1Txt
City	Waynesburg	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15370	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://southwestregionalmedical.com	WebsiteAddressTxt
State License	852101	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Washington Health System Greene	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	Yes (true)	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
Information Gaps	Yes (X)	InformationGapsInd
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	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	http://www.washingtonhospital.org/files/WH/Complete-2015-CHNA-6-30-16.pdf	OtherWebsiteURLTxt
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	http://whs.org/files/WH/The%20WHS%20CHNA%20Implementation%20Plan%20revised%202017.pdf	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://southwestregionalmedical.com/about-us/charity-care/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://southwestregionalmedical.com/about-us/charity-care/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	http://southwestregionalmedical.com/about-us/charity-care/	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
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 2	This hospital facility was acquired as of July 1, 2015. Exempt status was applied for and approved retroactively to the acquisition date.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Washington Health System Greene. IN ORDER TO TAKE INTO ACCOUNT INPUT FROM THE COMMUNITY THAT THE HOSPITAL SERVES, THE ASSESSMENT INCLUDED A RANDOM COMMUNITY SURVEY AND INTERVIEWS WITH THE FOLLOWING COMMUNITY REPRESENTATIVES WHO HAVE AN EXPERTISE IN THE PUBLIC HEALTH CLIMATE IN OUR SERVICE AREA: MS. DERICCI HORWATT, PROGRAM DIRECTOR OF GATEWAY VISION DR. MARY JO PODGURSKI, EXECUTIVE DIRECTOR OF ACADEMY OF ADOLESCENT HEALTH JENNIFER JOHNSON, COORDINATOR OF THE WASHINGTON COUNTY DEPARTMENT OF HUMAN SERVICES, HOMELESS SERVICES AND HOUSING ASSISTANCE PROGRAM.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - The Washington Hospital. A hospital located in Washington, PA
Schedule H, Part V, Section B, Line 6a Facility , 2	Facility , 2 - Monongahela Valley Hospital. A hospital located in Monongahela, PA
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Washington Health System Greene. THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE REVIEWED AND PRIORITIZED BASED ON MAGNITUDE OF THE NEED, POTENTIAL IMPACT ON THE COMMUNITY HEALTH, COST, ENVIRONMENTAL FACTORS AND PRACTICALITY. AN IMPLEMENTATION PLAN IS BEING DEVELOPED.
Schedule H, Part V, Section B, Line 22 Facility , 1	Facility , 1 - Washington Health System Greene. THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO A FINANCIAL ASSISTANCE POLICY (FAP) ELIGIBLE PATIENT RANGES FROM 40%-60% OF THE GROSS CHARGE, DEPENDING ON THE SERVICE PROVIDED. THE DISCOUNT PROVIDED IS INTENDED TO APPROXIMATE THE NET COLLECTION FOR ALL PAYERS.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Center for Recovery and Wellness	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	130 Greene Plaza	AddressLine1Txt
City	Waynesburg	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15370	ZIPCd

Field	Value	IRS element (for citing)
Facility	Outpatient Behavioral Health	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7 COLUMN F - BAD DEBT	BAD DEBT EXPENSE IS NOT INCLUDED IN THE EXPENSES IN THE LINE 7 PERCENT OF TOTAL EXPENSES CALCULATION.
Schedule H, Part V, Section B, Line 20 INDICATE EFFORTS MADE BEFORE BEFORE ANY ACTIONS	LINE 20 WAS LEFT BLANK BECAUSE NONE OF THE ACTIONS DESCRIBED IN LINE 19 ARE PERMITTED UNDER OUR POLICY
Schedule H, Part I, Line 7g Subsidized Health Services	PROGRAMS REPORTED AS SUBSIDIZED HEALTH SERVICES INCLUDE HOSPITAL BASED PROGRAMS WHOSE PURPOSE IS TO SERVE A MEDICAL NEED TO THE COMMUNITY, THE LARGEST BEING AN HOME HEALTH SERVICES. SERVICES PROVIDED TO MEDICARE RECIPIENTS WHICH ARE NOT REPORTABLE ON THE MEDICARE COST REPORT ARE ALSO INCLUDED IN SUBSIDIZED HEALTH SERVICES. THERE ARE NO PHYSICIAN CLINICS REPORTED AS SUBSIDIZED SERVICES.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE HOSPITAL'S COST-TO-CHARGE RATIOS WERE USED TO CALCULATE ALL AMOUNTS REPORTED ON LINE 7. ALTHOUGH WORKSHEET 2 WAS NOT USED TO CALCULATE THIS RATIO, WE PREPARED A SIMILAR CALCULATION THAT WE FEEL IS MORE DETAILED. SIMILAR TO WORKSHEET 2, WE STARTED WITH OUR OVERALL COST-TO-CHARGE RATIO AND ADJUSTED FOR THE COMMUNITY BENEFITS INCLUDED IN PART I AND THE MEDICAID PROVIDER TAXES WE PAID.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE HOSPITAL FOLLOWS AICPA GUIDANCE IN REPORTING BAD DEBT AS A DEDUCTION FROM NET PATIENT SERVICE REVENUE. ACCOUNTS ARE DEEMED TO BE BAD DEBT AFTER ALL REASONABLE COLLECTION EFFORTS ARE APPLIED. THE HOSPITAL HAS A GENEROUS INTEREST-FREE PAYMENT PLAN POLICY AND DOES NOT CLASSIFY ACCOUNTS ON A PAYMENT PLAN AS BAD DEBT. ANY ACCOUNTS THAT ARE DETERMINED TO BE CHARITY CARE ARE EXCLUDED FROM BAD DEBT TOTALS. ANY DISCOUNT OR SETTLEMENTS PROVIDED TO PATIENTS ARE ALSO EXCLUDED FROM BAD DEBT TOTALS. THE AMOUNT DUE FROM A PATIENT IS WRITTEN OFF TO BAD DEBT ONCE THE ACCOUNT IS DEEMED UNCOLLECTABLE. THE HOSPITAL CONVERTS ALL BAD DEBT ACCOUNTS TO GROSS CHARGES AND APPLIES AN OVERALL COST-TO-CHARGE RATIO TO DETERMINE THE COST OF BAD DEBT REPORTED ON PART III, LINE 2. THE AUDITED FINANCIAL STATEMENTS OF THE HOSPITAL DISCLOSES/DESCRIBES BAD DEBT AS FOLLOWS: BALANCE SHEET: THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CLEARLY DISCLOSED WITH PATIENT ACCOUNTS RECEIVABLE FOR ALL YEARS PRESENTED. STATEMENT OF OPERATIONS: BAD DEBT IS CLEARLY REPORTED AS A SEPARATE DEDUCTION FROM NET PATIENT SERVICE REVENUE FOR ALL YEARS PRESENTED. FOOTNOTES: FOOTNOTE 1, "PATIENT ACCOUNTS RECEIVABLE" IS FOUND ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	ALTHOUGH WE RECOGNIZE THE POSSIBILITY THAT SOME OF THE BAD DEBT COSTS COULD QUALIFY UNDER OUR CHARITY CARE POLICY, WE HAVE NO REASONABLE WAY TO DETERMINE THOSE AMOUNTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE AUDITED FINANCIAL STATEMENTS OF THE HOSPITAL DISCLOSES/DESCRIBES BAD DEBT AS FOLLOWS: BALANCE SHEET: THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CLEARLY DISCLOSED WITH PATIENT ACCOUNTS RECEIVABLE FOR ALL YEARS PRESENTED. STATEMENT OF OPERATIONS: BAD DEBT IS CLEARLY REPORTED AS A SEPARATE DEDUCTION FROM NET PATIENT SERVICE REVENUE FOR ALL YEARS PRESENTED. FOOTNOTES: FOOTNOTE 1, "PATIENT ACCOUNTS RECEIVABLE" IS FOUND ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE HOSPITAL'S SERVICE AREA HAS A VERY HIGH ELDERLY POPULATION. MEDICARE MAKES UP 50% OF THE INPATIENT PATIENT CARE DAYS AND 38% OF THE OUTPATIENT SERVICES PROVIDED BY THE HOSPITAL. AS THE LARGEST HOSPITAL IN THE COUNTY, WE PROVIDE A WIDE ARRAY OF SERVICES TO OUR COMMUNITY. OUR ELDERLY POPULATION DOES NOT HAVE TO TRAVEL TO THE NEAREST LARGE CITY HOSPITAL TO SEEK CARE FOR MOST SERVICES. MEDICARE PATIENTS GENERALLY HAVE MULTIPLE HEALTH CONDITIONS THAT CAN EASILY COMPLICATE THE CARE PROVIDED TO THEM. THE CURRENT INPATIENT PAYMENT SYSTEM PROVIDES PAYMENT FOR THE HEALTH CONDITION THAT PRECIPITATED AN ADMISSION TO THE HOSPITAL - IT DOES NOT NECESSARILY TAKE INTO ACCOUNT ALL OF THE OTHER UNDERLYING ILLNESSES THAT MUST BE TREATED OR ATTENDED TO DURING A PATIENT'S STAY. AS SUCH, TREMENDOUS RESOURCES CAN BE USED TO TREAT A MEDICARE PATIENT WITH MULTIPLE ILLNESSES YET THE HOSPITAL MAY ONLY BE PAID FOR RESOURCES ASSOCIATED WITH THE ADMITTING ILLNESS. THE HOSPITAL STRIVES TO PROVIDE ALL NEEDED CARE TO OUR PATIENTS WITHOUT CONSIDERATION OF PAYMENT SHORTFALLS. AS SUCH, WE FEEL STRONGLY THAT THE MEDICARE SHORTFALLS INCURRED BY THE HOSPITAL ARE A COMMUNITY BENEFIT. THE MEDICARE COSTS ARE CALCULATED USING COST-TO-CHARGE RATIOS THAT HAVE BEEN CALCULATED BASED ON THE DEPARTMENT WHERE THE SERVICES WERE PROVIDED.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE HOSPITAL HAS A WRITTEN BAD DEBT POLICY IT FOLLOWS FOR ALL PATIENTS. IF A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THE ACCOUNT IS EXCLUDED FROM THE NORMAL COLLECTION PROCESS. THOSE ACCOUNTS ARE HANDLED UNDER THE SEPARATE CHARITY CARE POLICY. IF AN ACCOUNT IS SET UP ON A PAYMENT PLAN, ONLY THE CURRENT MONTHLY PAYMENT AMOUNT IS PURSUED UNDER THE COLLECTION POLICY.
Schedule H, Part V, Section B, Line 16a FAP website	- Washington Health System Greene: Line 16a URL: http://southwestregionalmedical.com/about-us/charity-care/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Washington Health System Greene: Line 16b URL: http://southwestregionalmedical.com/about-us/charity-care/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Washington Health System Greene: Line 16c URL: http://southwestregionalmedical.com/about-us/charity-care/;
Schedule H, Part VI, Line 2 Needs assessment	THE PRIMARY METHOD THAT THE HOSPITAL USES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IS THROUGH ASSESSING THE TOTAL NUMBER OF PHYSICIANS PROVIDING MEDICAL SERVICES TO THE AREAS SERVED. THE QUALITATIVE STANDARD DOES NOT FACTOR THE ECONOMIC OR FINANCIAL BENEFITS TO THE HOSPITAL OF ANY RECRUITMENT OF PHYSICIANS IN ADDRESSING THE CONTINUUM OF NEED. THE ASSESSMENT FOCUSES ON COMMUNITY NEED AS A DETERMINING FACTOR IN ASSESSING THE APPROPRIATENESS OF PHYSICIAN RECRUITMENT INITIATIVES. THE APPROACH TO EVALUATING PHYSICIAN NEED IS BASED ON THE FOLLOWING FACTORS: -DEFINING THE DEMOGRAPHIC PROFILE AND PAYOR MIX OF THE HOSPITAL'S SERVICE AREA. -RESEARCHING UNIQUE SERVICE AREA FACTORS THAT MIGHT INFLUENCE THE DEMAND FOR HEALTHCARE SERVICES WITHIN THE AREA. -IDENTIFYING THE TOTAL NUMBER OF PHYSICIANS BY SPECIALTY IN THE DEFINED SERVICE AREA. -DEVELOPING A PROFILE OF THE CURRENT MEDICAL STAFF. -UTILIZING SIX ESTABLISHED PHYSICIAN NEEDS ASSESSMENT MODELS TO IDENTIFY POTENTIAL PHYSICIAN SURPLUSES OR DEFICITS IN EACH MEDICAL SPECIALTY. -EXAMINING RESULTS OF THE MEDICAL STAFF SURVEY AND PHYSICIAN FOCUS INTERVIEWS TO DETERMINE THE PERCEIVED RECRUITMENT NEEDS OF THE HOSPITAL'S EXISTING STAFF PHYSICIANS AND TO IDENTIFY MEDICAL COMMUNITY CONCERNS. -CONDUCT A COMMUNITY SURVEY TO INTEGRATE PERCEIVED SHORTAGES INTO RECOMMENDATIONS. -EVALUATING RESULTS OF THE ABOVE EFFORTS IN THE CONTEXT OF OUR MEDICAL STAFFING AND CONSULTING EXPERIENCE. OTHER WAYS TO ASSESS THE COMMUNITIES' HEALTH NEEDS INCLUDES CONDUCTING VARIOUS HEALTH SCREENINGS, SEMINARS AND EDUCATION SESSIONS HELD FOR THE GENERAL PUBLIC.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE HOSPITAL ATTEMPTS TO INFORM ALL UNINSURED PATIENTS OF AVAILABLE PROGRAMS TO ASSIST THEM IN OBTAINING HEALTH CARE SERVICES. INPATIENT: ANY PATIENT ADMITTED TO THE HOSPITAL WITHOUT INSURANCE IS PROVIDED ASSISTANCE IN APPLYING FOR THE STATE MEDICAL ASSISTANCE PROGRAM. A HOSPITAL REPRESENTATIVE WILL EXPLAIN THE STATE PROGRAMS TO THE PATIENT AND ASSIST IN THE PREPARATION OF THE APPLICATION AND GATHERING OF INFORMATION, IF APPLICABLE. IF THE PATIENT DOES NOT QUALIFY FOR ASSISTANCE, THE REPRESENTATIVE INFORMS HIM/HER OF THE HOSPITAL'S CHARITY CARE PROGRAM. OUTPATIENT: CERTAIN OUTPATIENT AREAS (EMERGENCY ROOM, REGISTRATION) HAVE SIGNS THAT LET PATIENTS KNOW THE HOSPITAL HAS A CHARITY CARE PROGRAM. SOME AREAS ALSO HAVE MEDICAL ASSISTANCE APPLICATIONS ON HAND TO GIVE TO PATIENTS. CONSISTENT WITH THE HOSPITAL MISSION, ALL PATIENTS REQUIRING IMMEDIATE CARE ARE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY. ALLPATIENTS: FOR PATIENTS THAT ARE UNINSURED OR UNDER INSURED, A HOSPITAL REPRESENTATIVE IS AVAILABLE TO DISCUSS OPTIONS FOR PAYMENT WITH THE PATIENT. WHEN APPROPRIATE, PAYMENT FOR ELECTIVE SERVICES IS DISCUSSED UPFRONT AND IF THE PATIENT IS ABLE TO PAY, IS COLLECTED IN ADVANCE OF SERVICE. EFFORTS ARE MADE TO COLLECT PATIENT LIABILITIES IN CERTAIN AREAS SUCH AS OPSU AND ADMISSIONS. INSURANCE COPAYS ARE ATTEMPTED TO BE COLLECTED IN THE EMERGENCY DEPARTMENT IN ACCORDANCE WITH EMTALA REGULATIONS. WHEN THERE IS A BALANCE DUE (SELF-PAY OR BALANCE AFTER INSURANCE) AND NO COLLECTION WAS MADE IN ADVANCE OF OR AT THE TIME OF SERVICE, A STATEMENT WILL BE SENT TO PATIENTS PROVIDING A PHONE NUMBER FOR THEM TO CALL AND DISCUSS PAYMENT OPTIONS. IF THE PATIENT DOES NOT CALL OR MAKE PAYMENT, A HOSPITAL REPRESENTATIVE WILL CALL HIM/HER TO DISCUSS THE AMOUNT DUE AND TO DETERMINE IF THEY ARE ELIGIBLE FOR ANY PROGRAMS OR INSURANCES OR TO MAKE PAYMENT ARRANGEMENTS THAT CAN HELP THE PATIENT. AT ANY POINT IN THE CONVERSATION, IF THE PATIENT SAYS HE/SHE CANNOT AFFORD TO PAY THE BILL, THE PATIENT IS OFFERED A CHARITY CARE APPLICATION. ONCE THE CHARITY CARE APPLICATION IS COMPLETE, IF THE PATIENT DOES NOT QUALIFY BUT CONTINUES TO EXPRESS CONCERNS ABOUT BEING ABLE TO PAY HIS/HER BILL, THE ACCOUNT IS REVIEWED FOR THE POSSIBILITY OF A DISCOUNT OR AN AFFORDABLE PAYMENT PLAN. THE HOSPITAL STRIVES TO ACCOMMODATE EVERY PATIENT'S FINANCIAL SITUATION IF POSSIBLE. THE HOSPITAL'S CHARITY CARE PROGRAM PROVIDES FOR FREE OR DISCOUNTED CARE BASED ON FEDERAL POVERTY GUIDELINES (FPG). DEPENDING ON INCOME LEVEL, INDIVIDUALS WITHOUT INSURANCE CAN QUALIFY FOR DISCOUNTS RANGING BETWEEN 60-100%. INDIVIDUALS WITH INSURANCE CAN QUALIFY FOR DISCOUNTS RANGING BETWEEN 10-100%. ALL BILLS FOR PATIENTS WITHOUT INSURANCE COVERAGE ARE DISCOUNTED TO THE AVERAGE OF OUR TOP COMMERCIAL PAYORS. DISCOUNTS RANGE FROM 30% TO 60% DEPENDING ON THE TYPE OF SERVICE PROVIDED.
Schedule H, Part VI, Line 4 Community information	WASHINGTON HEALTH SYSTEM GREENE (WHSG) IS A 49 BED ACUTE CARE GENERAL HOSPITAL LOCATED IN WAYNESBURG, PENNSYLVANIA. THE HOSPITAL SERVES THE SURROUNDING COMMUNITIES WITH A TOTAL PATIENT DRAW OF OVER 6600 RESIDENTS LIVING IN 18 ZIP CODES. THE SERVICE AREA EXTENDS TO THE WESTERN AND SOUTHERN BORDERS OF PENNSYLVANIA. THERE ARE THREE OTHER GENERAL ACUTE CARE HOSPITALS THAT SERVE PORTIONS OF WHSG'S GEOGRAPHIC AREA. THE GEOGRAPHIC AREA OF SERVICE IS QUITE LARGE AND HAS A SUBSTANTIAL RURAL COMPONENT. AT LEAST 11 AREAS WITHIN WHSG'S SERVICE AREA ARE DESIGNATED AS MEDICALLY UNDESERVED AND/OR AREAS WITH A HEALTH CARE PROFESSIONAL SHORTAGE. APPROXIMATELY 22% OF THE PATIENTS SERVED ARE MEDICAL ASSISTANCE AND OVER 2% ARE UNINSURED. HOUSEHOLD INCOME/ECONOMIC FACTORS CAN HAVE A SIGNIFICANT IMPACT ON THE GENERAL HEALTH OF A SERVICE AREA. LOWER HOUSEHOLD INCOME MAY REFLECT LOWER PRIMARY CARE UTILIZATION AND HIGHER CRITICAL CARE UTILIZATION. VARIOUS STUDIES AND ARTICLES ALSO SUGGEST GREATER RELIANCE ON HOSPITAL EMERGENCY ROOMS FOR NON-EMERGENCY DIAGNOSIS AND TREATMENT IN LOW-INCOME AREAS. THE HOSPITAL'S SERVICE AREA MAY HAVE SOME HOUSEHOLD INCOME RELATED FACTORS THAT WOULD DRIVE AN ADDITIONAL NEED FOR PHYSICIAN SERVICES WITHIN PORTIONS OF THE COMMUNITY. APPROXIMATELY 1781 HOUSEHOLDS (15%) WITHIN THE PRIMARY SERVICE AREA EARN LESS THAN $15,000 PER YEAR. A LACK OF AVAILABLE RESOURCES TO THE INDIGENT MAY INCREASE VOLUMES IN THE EMERGENCY ROOM, AS PATIENTS LACKING PRIMARY CARE ACCESS OFTEN SEEK ROUTINE CARE THROUGH EMERGENCY SERVICES.
Schedule H, Part VI, Line 5 Promotion of community health	WASHINGTON HEALTH SYSTEM GREENE STRIVES TO PROMOTE THE COMMUNITY HEALTH IN MANY AREAS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF. ALL APPLICANTS WHO MEET THE REQUIREMENTS ARE GRANTED MEDICAL STAFF PRIVILEGES. THE HOSPITAL ACTIVELY RECRUITS PHYSICIANS IN AREAS IDENTIFIED AS HAVING A NEED IN THE COMMUNITY. THE HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY LEADERS WHO RESIDE IN THE COMMUNITIES WE SERVE AND WHOSE INSIGHT AND EXPERIENCE IS INVALUABLE IN PROVIDING DIRECTION TO THE HOSPITAL IN PROMOTING THE COMMUNITY HEALTH. THE HOSPITAL PROVIDES MANY SCREENING AND EDUCATIONAL PROGRAMS IN THE COMMUNITY. THE HOSPITAL PARTICIPATES IN REGIONAL EMERGENCY PREPAREDNESS AND IS ACTIVE IN ENSURING WE CAN RESPOND TO A COMMUNITY EMERGENCY.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (4 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
Gary B Weinstein
CEO	$0	$585,579	$0	$115,683	$0	$32,000	$0	$3,998	$0	$16,105	$0	$753,365	$0	$0
Brook T Ward
Director	$0	$296,644	$0	$53,993	$0	$26,000	$0	$2,054	$0	$17,497	$0	$396,188	$0	$0
Alisa R Rucker
CFO	$0	$260,245	$0	$48,774	$0	$18,000	$0	$1,783	$0	$15,399	$0	$344,201	$0	$0
Terry Wiltrout
President & Secretary	$0	$127,946	$0	$20,000	$0	$17,593	$0	$903	$0	$1,146	$0	$167,588	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	FormAndLineReferenceDesc
Explanation	THE CEO'S AND PRESIDENT'S COMPENSATION IS DETERMINED BY THE WASHINGTON HOSPITAL, A RELATED ORGANIZATION. THE PERSONNEL COMMITTEE OF THE WASHINGTON HOSPITAL BOARD OF TRUSTEES IS CHARGED WITH DETERMINING THE COMPENSATION OF THESE OFFICERS. AN INDEPENDENT CONSULTANT'S REVIEW OF EXECUTIVE SALARIES IS THE PRIMARY TOOL USED TO MAKE THEIR DETERMINATION (THE MOST RECENT CONSULTING REVIEW WAS IN MAY 2016). THE RESULTS OF MANAGEMENT'S SURVEY AND COMPARISON DATA WILL ALSO BE TAKEN INTO CONSIDERATION. ALL ACTIVITIES OF THE PERSONNEL COMMITTEE ARE REPORTED TO THE BOARD OF TRUSTEES.	ExplanationTxt

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$4,622,624	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Opinions of experts	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Real estate - Commercial - One contribution received which was in the form of a discount on the purchase of the hospital assets as compared to their appraised value.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 136,710 including grants of $ 0)(Revenue $ 182,161) OTHER PROGRAM SERVICES INCLUDE ACTIVITIES PERFORMED BY THE HOSPITAL TO DO BUSINESS IN THE COMMUNITY AND PROVIDE VALUABLE COMMUNITY BENEFITS. ACTIVITIES IN THIS CATEGORY INCLUDE RENTAL ACTIVITIES AND OPERATION OF AN EMPLOYEE CAFETERIA.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE PARENT CORPORATION OF WASHINGTON HEALTH SYSTEM GREENE IS WASHINGTON HEALTH CARE SERVICES, INC. THE PARENT CORPORATION HAS THE FOLLOWING POWERS OVER THE BOARD OF TRUSTEES OF THE HOSPITAL: 1. THE POWER TO RATIFY THE SELECTION OF MEMBERS OF THE BOARD OF TRUSTEES OF WASHINGTON HEALTH SYSTEM GREENE. 2. THE POWER TO APPROVE ANY AMENDMENT, CHANGE, SUSPENSION OR REPEAL OF THE ARTICLES OF INCORPORATION OF WASHINGTON HEALTH SYSTEM GREENE, OR OF THE BYLAWS. 3. THE POWER TO NULLIFY ANY ACTION OF THE BOARD OF TRUSTEES OF WASHINGTON HEALTH SYSTEM GREENE WHICH THE BOARD OF TRUSTEES OF THE PARENT CORPORATION DETERMINES TO BE AN ULTRA VIRES ACT; THAT IS, ANY ACT OUTSIDE THE SCOPE OF THE LEGITIMATE POWERS OR BEYOND THE PURPOSE OF WASHINGTON HEALTH SYSTEM GREENE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE PARENT CORPORATION OF WASHINGTON HEALTH SYSTEM GREENE IS WASHINGTON HEALTH CARE SERVICES, INC. THE PARENT CORPORATION HAS THE POWER TO RATIFY THE SELECTION OF MEMBERS OF THE BOARD OF TRUSTEES OF WASHINGTON HEALTH SYSTEM GREENE.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE PARENT CORPORATION OF WASHINGTON HEALTH SYSTEM GREENE IS WASHINGTON HEALTH CARE SERVICES, INC. THE PARENT CORPORATION HAS THE FOLLOWING POWERS OVER THE BOARD OF TRUSTEES OF THE HOSPITAL: 1. THE POWER TO RATIFY THE SELECTION OF MEMBERS OF THE BOARD OF TRUSTEES OF WASHINGTON HEALTH SYSTEM GREENE. 2. THE POWER TO APPROVE ANY AMENDMENT, CHANGE, SUSPENSION OR REPEAL OF THE ARTICLES OF INCORPORATION OF WASHINGTON HEALTH SYSTEM GREENE, OR OF THE BYLAWS. 3. THE POWER TO NULLIFY ANY ACTION OF THE BOARD OF TRUSTEES OF WASHINGTON HEALTH SYSTEM GREENE WHICH THE BOARD OF TRUSTEES OF THE PARENT CORPORATION DETERMINES TO BE AN ULTRA VIRES ACT; THAT IS, ANY ACT OUTSIDE THE SCOPE OF THE LEGITIMATE POWERS OR BEYOND THE PURPOSE OF WASHINGTON HEALTH SYSTEM GREENE.
Form 990, Part VI, Line 11b Review of form 990 by governing body	The form 990 is reviewed by the CFO and by an outside accounting firm before being filed.
Form 990, Part VI, Line 12c Conflict of interest policy	THE HOSPITAL'S CONFLICT OF INTEREST POLICY IS MONITORED PRIMARILY BY HOSPITAL MANAGEMENT. EACH YEAR A CONFLICT OF INTEREST STATEMENT MUST BE COMPLETED BY ALL BOARD OF TRUSTEE MEMBERS AS WELL AS CERTAIN KEY MANAGEMENT EMPLOYEES OF THE HOSPITAL. THE QUESTIONNAIRE IS DISTRIBUTED BY HOSPITAL MANAGEMENT AND ALL RESPONSES MUST BE RECEIVED. IF NECESSARY, THE ASSISTANCE OF THE BOARD CHAIRPERSON IS SOUGHT TO OBTAIN ALL RESPONSES. THE RESPONSES ARE INITIALLY REVIEWED BY HOSPITAL MANAGEMENT. ANY EXCEPTIONS OR POTENTIAL CONFLICTS ARE REVIEWED BY THE PRESIDENT AND BOARD CHAIRPERSON. ANY NECESSARY ACTION IS DETERMINED BY THE CHAIRPERSON AND ADDRESSED AT THE BOARD LEVEL. GREAT CARE IS TAKEN BY THE BOARD CHAIRPERSON TO ENSURE THAT AN INDEPENDENT BOARD IS IN PLACE. IN THE EVENT THAT A CONFLICT EXISTS, THAT PERSON IS PROHIBITED FROM PARTICIPATING IN ANY RELATED DECISION MAKING ON THAT ISSUE.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE EXECUTIVE COMPENSATION COMMITTEE DETERMINES THE COMPENSATION OF THE EXECUTIVES. AN INDEPENDENT CONSULTANT'S REVIEW OF EXECUTIVE SALARIES IS THE PRIMARY TOOL USED TO MAKE THEIR DETERMINATION (THE MOST RECENT CONSULTING REVIEW WAS IN MAY 2016). THE RESULTS OF MANAGEMENT'S SURVEY AND COMPARISON DATA WILL ALSO BE TAKEN INTO CONSIDERATION. ALL ACTIVITIES OF THE EXECUTIVE COMPENSATION COMMITTEE ARE REPORTED TO THE BOARD OF TRUSTEES.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE BOARD OF TRUSTEES ELECTS A PERSONNEL COMMITTEE TO HANDLE COMPENSATION, BENEFITS AND EMPLOYEE RELATED ISSUES RELATED TO THE HOSPITAL. THE GENERAL COMPENSATION PROCESS FOR ALL EMPLOYEES STARTS WITH HOSPITAL MANAGEMENT COMPILING SURVEY AND COMPARISON INFORMATION AND MAKING RECOMMENDATIONS FOR SALARY ADJUSTMENTS TO THE PERSONNEL COMMITTEE. THE PERSONNEL COMMITTEE REVIEWS THAT INFORMATION ANNUALLY, HAS DISCUSSIONS WITH HOSPITAL MANAGEMENT AND ULTIMATELY APPROVES OR DENIES THE RECOMMENDATIONS FOR SALARY ADJUSTMENTS.
Form 990, Part VI, Line 19 Required documents available to the public	THE HOSPITAL MAKES FORM 990 AVAILABLE TO THE PUBLIC BY REQUEST. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT ROUTINELY AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other - Total Revenue: 23340, Related or Exempt Function Revenue: 23340, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Physician Services - Total Expense: 1080034, Program Service Expense: 816506, Management and General Expenses: 263528, Fundraising Expenses: ; Agency Employees - Total Expense: 729418, Program Service Expense: 551440, Management and General Expenses: 177978, Fundraising Expenses: ; Information System Fees - Total Expense: 710117, Program Service Expense: 536848, Management and General Expenses: 173269, Fundraising Expenses: ; Home Health Services - Total Expense: 374450, Program Service Expense: 283084, Management and General Expenses: 91366, Fundraising Expenses: ; Equipment Fees & Services - Total Expense: 333759, Program Service Expense: 252322, Management and General Expenses: 81437, Fundraising Expenses: ; Lab Services - Total Expense: 288690, Program Service Expense: 218250, Management and General Expenses: 70440, Fundraising Expenses: ; Wound Care Services - Total Expense: 181731, Program Service Expense: 137389, Management and General Expenses: 44342, Fundraising Expenses: ; Anesthesia Services - Total Expense: 169258, Program Service Expense: 127959, Management and General Expenses: 41299, Fundraising Expenses: ; Linens - Total Expense: 108125, Program Service Expense: 81742, Management and General Expenses: 26383, Fundraising Expenses: ; Cafeteria Fees - Total Expense: 101504, Program Service Expense: 76737, Management and General Expenses: 24767, Fundraising Expenses: ; Security Services - Total Expense: 87084, Program Service Expense: 65836, Management and General Expenses: 21248, Fundraising Expenses: ; Billing & Collection Services - Total Expense: 85403, Program Service Expense: 64565, Management and General Expenses: 20838, Fundraising Expenses: ; Transcription & Coding - Total Expense: 92585, Program Service Expense: 69994, Management and General Expenses: 22591, Fundraising Expenses: ; Other - Total Expense: 1204067, Program Service Expense: 910274, Management and General Expenses: 293793, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Transfers From Affiliates - 6502303;
Form 990, Part VI, Line 2 Family or Business Relationship	THE HOSPITAL'S BOARD OF TRUSTEES IS MADE UP OF HIGHLY RESPECTED LEADERS IN THE COMMUNITY. BOARD MEMBERS ARE SELECTED AND VOTED ON BY THE ENTIRE BOARD. THE HOSPITAL DOES NOT COMPENSATE OR SELECT BOARD MEMBERS. THE HOSPITAL HAS A CONFLICT OF INTEREST POLICY AND QUERIES BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES EACH YEAR ABOUT ANY BUSINESS OR FAMILY RELATIONSHIPS. THERE HAVE BEEN NO FAMILY RELATIONSHIPS REPORTED. ALTHOUGH NOT CLASSIFIED AS BUSINESS RELATIONSHIPS FOR THIS PURPOSE, NORMAL ARMS LENGTH BUSINESS TRANSACTIONS DO EXIST BETWEEN SOME BOARD MEMBERS. THE BUSINESS TRANSACTIONS ARE GENERALLY IRRELEVANT AND IMMATERIAL TO THE OPERATIONS OF THE HOSPITAL. THE HOSPITAL DOES NOT RECEIVE ANY BENEFITS FROM THE RELATIONSHIPS THAT EXIST AMONG BOARD MEMBERS NOR DOES IT INFLUENCE THE RELATIONSHIPS IN ANY WAY.

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
Washington Healthcare Services Inc
155 Wilson Avenue	Washington	PA	15301	251509768	Health System Parent	PA	501(c)(3	Type II	NA	false
The Washington Hospital
155 Wilson Avenue	Washington	PA	15301	250965600	Hospital	PA	501(c)(3	3	WHCS	Yes (true)
The Washington Hospital Foundation
155 Wilson Avenue	Washington	PA	15301	251708215	Support the Health System	PA	501(c)(3	Type II	WHCS	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Washington Physician Services Org
155 Wilson Avenue	Washington	PA	15301	251780139	Physician Offices	PA	NA	C Corporation	false
Phoenix-Washington Inc
800 Manor Drive	Washington	PA	15301	251492898	Substance Treatment	PA	NA	C Corporation	false
Health Futures Inc
155 Wilson Avenue	Washington	PA	15301	251533189	Urgent Care	PA	NA	C Corporation	false

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
The Washington Hospital
C	$6,502,304	Actual Amount
The Washington Hospital
P	$447,121	Actual Amount