2015-04-27T03:06:46-00:00 2014-06-30 BKD LLP 901 E St Louis Street Suite 200 Springfield MO 65806 990 2013-07-01 250965588 Uniontown Hospital UNIO 7244305000 500 West Berkeley Street Uniontown PA 15401 Barb Weiss Executive Director FinanceCFO 2015-04-27 true Brian Todd 4178658701 2015-04-27 2013 2016-02-25 16:41:14Z Steve Handy 500 West Berkeley St Uniontown PA 15401 132423403 false X www.uniontownhospital.org X 1902 PA The Uniontown Hospital is a 190 bed community hospital whose activities include, inpatient acute care, outpatient ancillary services and inpatient rehab. services. 15 14 1436 99 0 1622702 903694 126517219 120363820 347529 303504 3350786 5412422 131838236 126983440 0 0 64411609 58054414 0 0 71763917 65717123 136175526 123771537 -4337290 3211903 124960834 125825909 89258201 84972855 35702633 40853054 X The Uniontown Hospitals vision is to make a healthy difference in the lives we touch. We will fulfill our vision by providing excellent customer service, promoting teamwork, maintaining competency, assuring productivity ensuring compliance, all the while, being mindful of our financial regulatory responsibilities. false true 55786570 63880174 Inpatient Services - The Uniontown Hospital is a 179 bed comminity hospital that delivered state-of-the art primary inpatient services to approx. 8,700 inpatients during the FYE 6/30/14. Since 1903, the Hospital has been serving the greater Uniontown and Fayette County area, providing quality healthcare regardless of the persons ability to pay. The Hospital has earned several recognitions from HealthGrades, the nations leading independent healthcare ratings organizaion. The Hospital draws the majority of its patients from Fayette County. Although the population of Fayette County has been decreasing, the demand for the Hospitals services remain due to the downsizing and service cuts at nearby facilities, the growth in the regions uninsured population, and the increase in the regions elderly population. The Uniontown Hospital offers lines of services that are unavailable elsewhere in Fayette County. In addition to being the primary source of orthopedic care, it is the only hospital to offer obstetrics, interventional cardiology and radiation oncology services. 42420556 51030082 Outpatient Services - The Health Systems hospital based services are complemented by a full spectrum of outpatient services. These services include a state-of-the-art Outpatient Diagnostic Facility that opened in 2006. The outpatient center offers convenient services, including x-rays, bone density scans, ultrasounds, and digital mammography. The Hospital is the primary source of emergency care in the County with approximately 51,000 patient visits during the fiscal year ended June 30, 2014. Other traditional outpatient services include Laboratory, Radiology, and Same Day Surgery which accounted for 1,058,200 patient visits. 1667494 5234564 PCC/IRU//BHU - The PCC Progressive Care Center was the Hospitals sub-acute unit and had a 24 bed capacity. The PCC served Medicare patients no longer requiring acute care, but not ready for traditional skilled nursing facilities. There were 181 patients in the PCC that stayed a total of 2,635 days prior to its closure in mid-November 2013. The IRU has an 11 bed capacity. The IRU Inpatient Rehabilitation Unit provides rehabilitation services principally for Medicare patients who have been hospitalized due to reasons such as a stroke or an orthopedic procedure. The number of patients in the IRU was 238 with total patient days of 2,939. The BHU Behavioral Health Unit was an 18 bed secured unit principally for older adult and geriatric patients in and around Fayette County. The goal of treatment is to achieve diversion and re-integration of the patient back into the community or to a lower level of care. The BHU had 172 patients that stayed a total of 1,155 days prior to its closure in mid-November 2013. 182051 219000 100056671 true true false true false false false false false false true false false false true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true 99 0 true 1436 true false false false false false false false false false false X 15 14 false false false false true true true true true false false true true true true true true false false false PA X BARB WEISS DIRECTOR ACCOUNTING SERV 7244305222 500 W BERKELEY ST UNIONTOWN PA 15401 Nancy Decker Chairman 001.00 001.00 X X 0 0 0 Charles Watson Vice Chairman 001.00 001.00 X X 0 0 0 Steven Handy Current CEO/Secretary Prior CFO/Asst Sec/Treas 001.00 040.00 X X 0 1465637 36606 Barbara Weiss CFO/Treasurer beginning 05/14 001.00 040.00 X X 0 99936 25711 Robert Garrett Asst Secretary/Treasurer 001.00 001.00 X X 0 0 0 Jason Cox Director beginning 05/14 001.00 001.00 X 0 0 0 Michael George DDS Director 001.00 001.00 X 0 0 0 John Malone Director 001.00 001.00 X 0 0 0 Suzanne McMonagle Director 001.00 001.00 X 0 0 0 Louise Monaghan Director 001.00 001.00 X 0 0 0 William Smith Director 001.00 001.00 X 0 0 0 Malcolm Stone DDS Director beginning 05/14 001.00 001.00 X 0 0 0 William Ulmer Director 001.00 001.00 X 0 0 0 Paul Hartley MD Director 001.00 X 0 0 0 Josef Vanek MD Director 001.00 X 0 0 0 Ari Pressman MD Director 001.00 X 0 0 0 Cataldo Corrado MD Director end date 04/14 001.00 001.00 X 0 0 0 Paul Bacharach Prior CEO end date 12/1/13 001.00 040.00 X 0 2574627 44662 William Johnson Pharmacy Director 040.00 X 143471 0 10209 Patrick Bator Oper Mgr. Pharmacy 040.00 X 116382 0 24350 Megan Hanzes Pharmacist 040.00 X 109304 0 8298 Kimberly Zimcosky Pharmacist 040.00 X 109187 0 20428 Cheryl Kramer Director Physical Rehab/Wound Care 040.00 X 107919 0 19054 586263 4140200 189318 10 false true false Quest Diagnostics 12436 Collections Ctr Dr Chicago IL 60693 Laboratory Services 1039880 Phoenix Health Systems Inc 1130 E Arapaho Road Richardson TX 75081 Information Technology Services 807114 Executive Health Resources Inc 15 Campus Boulevard Suite 200 Newtown Square PA 19073 Medical Record Consulting Services 633461 UPMC Emergency Medicine Inc 2 Hot Metal Street - 2nd Floor Pittsburgh PA 15203 Contracted Physicians 631846 UPMC PO Box 223270 Pittsburgh PA 15251 Mgmt Fees/Contracted Services 587952 24 687422 216272 903694 Inpatient Revenue 900099 63880174 63880174 Outpatient Revenue 900099 51030082 51030082 PCC/IRU/BHU Revenue 900099 5234564 5234564 Gross Rent/Misc Affiliated Organization 900099 219000 219000 120363820 334958 334958 193392 151212 42180 42180 42180 5230622 26675 5217933 70818 12689 -44143 -31454 -31454 Meaningful Use Initiative 900099 2777475 2777475 Income from Equity Investment 900099 813326 813326 Pharmacy Copays/Ins. Reimbursements 900099 909554 909554 869887 869887 5370242 126983440 124920736 1159010 0 0 0 0 0 0 44235064 34503350 9731714 2694172 2101454 592718 7596367 5925166 1671201 3528811 2752473 776338 6835677 2734271 4101406 41902 41902 93622 93622 0 43594 43594 2428767 1894438 534329 2395 1868 527 1400067 1092052 308015 5861576 4572029 1289547 0 2565183 2000843 564340 40787 31814 8973 0 81841 63836 18005 1861603 1452050 409553 0 8778256 6847040 1931216 1779586 1388077 391509 DRUGS MEDICAL/SURGICAL SUPPLIES 20924822 20924822 BAD DEBT 4186825 4186825 EQUIPMENT RENTAL AND MAINTENANCE 4921533 3838796 1082737 MA MOD ASSESSMENT 2380818 2380818 1488269 1364649 123620 123771537 100056671 23714866 0 8758104 10653290 7314649 10084371 14586596 12779426 2230912 2172184 1153204 816698 178587579 111111830 73995209 67475749 10616854 16007107 4466010 4932651 1839296 904433 124960834 125825909 28672610 26527268 36210 183382 44343333 43233333 16206048 15028872 89258201 84972855 X 35498800 40589594 174931 233982 28902 29478 35702633 40853054 124960834 125825909 X 3211903 106286 1832221 X false true X true false X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 18338 18338 false II-B 1i The Uniontown Hospital is a member of the Hospital Association of PA HAP, the American Hospital Association AHA, and the Hospital Council of Western PA HCWP. All of these organizations engage in lobbying activities. As a member of these organizations we have been instructed to include certain percentages of yearly dues as lobbying expenses. 1879567 1879567 89611198 42974283 46636915 1863517 1405171 458346 78722481 63897613 14824868 6510816 2834763 3676053 67475749 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Est. Malpractice Cost 2025640 Other Long Term Liabilities 4791760 Estimated Third Party Settlement 2132723 Interest Rate Swap Agreement 6078749 15028872 X 2 The organization adopted the provisions of Financial Accounting Standards Board FASB Interpretation No. 48 ASC 740, Accounting for Uncertainty in Income Taxes. Because no material uncertain tax positions were identified, a disclosure was not included in the footnotes to the financial statements. true true X true X true X true false false 2798248 230546 2567702 0.02150 27118808 20922552 6196256 0.05180 29917056 21153098 8763958 0.07330 235741 235741 0.00200 181486 181486 0.00150 6603429 5031230 1572199 0.01310 7020656 5031230 1989426 0.01660 36937712 26184328 10753384 0.08990 false 4186826 242836 24306937 24065099 241838 X true true 1 1 Uniontown Hospital 500 W Berkeley Street Uniontown PA 15401 uniontownhospital.com 470901 X X X X A A true X X X X X X X X 12 true false true X uniontownhospital.com X X X X X X X false false true true 0000000002.000000000000 true 0000000002.500000000000 true X X true true X X true false X X X true X false false Group Uniontown Hospital Part V, Section B, Line 1i - The Uniontown Hospital did not encounter any information gaps that limited the hospital facilitys ability to assess the communitys health needs. Group Uniontown Hospital Line Part V, Section B, Line 3 Tripp Umbach facilitated and managed a comprehensive community health needs assessment on behalf of the Uniontown Hospital. The process included input from key community stakeholders collected through a series of 21 interviews that were completed between April and May, 2012. The following is a complete list of those consulted Albert Gallatin, Laurel Highlands, Brownsville Area, Uniontown Area, and Connellsville area school districts Pennsylvania State University Fayette/Eberly Campus United Way of Fayette PA Department of Health California University of Social Work Fayette County Children Youth Fayette Chamber of Commerce Fayette County Commissioners Fayette County Office of Human Services Fayette County CHIP Fayette County Drug Alcohol Commission Fayette County Behavior Health Administration Fayette County Community Action Agency Fay-Penn Economic Development Council Southwest Pennsylvania Area Agency on Aging Uniontown Hospital Diabetes Center and Career Link Fayette. Group Uniontown Hospital Line Part V, Section B, Line 7 Three needs identified as not being met 1. Lifestyle choices of consumers While hospital leaders are interested in this issue, there is a Healthy Lifestyles Committee that is participating in the planning process from the Fayette County CHIP Program. The Hospital collaborates and works closely with the CHIP program, which has chosen to take responsibility for addressing the choices of residents that impact health. Additionally, the hospital will study and identify methods for addressing substance abuse issues among pregnant women, which is as a component of lifestyle choices and an area the hospital may have a measure of influence. 2. Dental Care The hospital does not have access to the resources needed to provide dental care to residents in Fayette County. The hospital does not offer dental care and has limited leverage to influence dental providers in the community. 3. Socio-economic barriers The hospital does not have access to the resources needed to address the socia-economic issues in Fayette County. The hospital has helped facilitate the formulation of a community development committee, which has chosen to address the socio-economic issues in Fayette County. A seperate community development plan was developed during this planning process and may begin to address some of these issues. Group Uniontown Hospital Line Part V, Section B, Line 14g The Financial Assistance Policy FAP is publicized to the community in various ways. There is a link posted on the Hospital website giving instructions on how to get a copy the FAP. There is a paragraph on the patient bill discussing free or discounted services and directing patients to the proper location to see the FAP. Brochures are available in the emergency waiting room, Patient Financial Services and admissions office which discuss the FAP. Group Uniontown Hospital Line Part V, Section B, Line 20d Charges are established using cost as the principle basis. A relevant cost basis is established for each service on an annual basis. The charge will be initially established based upon 150 of the cost of the service. Prior to eligibility for financial assistance, a patient will be billed gross charges. Individuals eligible for assistance under the Hospitals financial assistance program will not be charged more than the amount generally billed to individuals having insurance coverage. Charges for emergency and other medically necessary care will not be charged more than amounts generally billed to individuals having insurance coverage. Financial assistance free or discounted adjusted amounts will be applied to gross charges. Based on the poverty income guidelines, free assistance will be provided at 100 for incomes less than 200 of the poverty income guidelines. Discounted assistance will be provided at 66 for incomes greater than 200 but less than 250 and 33 for incomes greater than 250 but less than 300. There will be a minimum patient liability amount required for each service. Payment of the following minimum patient liability amounts will be required for each service 10 Outpatient diagnostic testing 25 Emergency department 50 Same Day Surgery 100 Observation and Inpatient services. Group Uniontown Hospital Line Part V, Section B, Line 6i The Uniontown Hospitals full Community Health Needs Assessment and Implementation Plan can be found at www.uniontownhospital.com. Community Health Needs Assessment Implementation Plan Progress Year 1 FYE 6/30/14. Topic Decrease the percentage of uninsured residents in the community. Measurement There has been a 7 decrease in self-pay patients from FY13 to FY14. There has been a 33 increase in the number of patients we have successfully helped apply for Medical Assistance from FY13 to FY14. The FQHC navigators helped 29 patients successfully apply for healthcare coverage. They spoke with approximately 200 patients. There was a 48 increase in charity care applications from FY13 to FY14. Applicants are required to apply for Medical Assistance. Actions One Financial Care Services Department located on the main floor is our designated Financial Care Resource Center. Financial Care Services Department with the hospital consists of three Financial Care Consultants and four full-time and two part-time Financial Care Associates. Financial Care Consultants are available to all patients to discuss their healthcare financial needs. Financial Access/Registration developed 24/7 Financial Access Associate positions in addition to the staff in the Financial Care Services Department. Staff speak with, direct, and counsel patients that have difficulty meeting their financial obligations for healthcare provided at Uniontown Hospital. All uninsured patients are referred to the Department of Public Welfare in conjunction with the charity care application. All uninsured patients that are inpatient, observation, Emergency Department and surgical patients are referred to outside agencies to encourage and help the patient apply for Medical Assistance. Two contracted agencies help patients with the Medical Assistance application process and follow through if necessary. Scheduled self-pay patients are contacted by a Financial Care Consultant prior to their service to offer help applying for Medical Assistance or any other financial options that may be available to them. Coordinated with the local Department of Public Welfare county office a method to identify, process, and determine hospitals referred applications in a timely and consistent manner. Group Uniontown Hospital Line Part V, Section B, Line 6i Two - partnered with Cornerstone Care and Centerville Clinics to provide resources for self-pay patients to apply for affordable healthcare plans during open enrollment. Both are FQHC clinics. Both provide certified navigators to help the patient understand the website, health plan options, opportunity for discounts, determine eligibility for Medical Assistance, Social Security Disability income, and CHIPS. For the patients ease, navigators will meet with them at the hospital or at the agencies. They offer many scheduling opportunities to accommodate the patients schedule. A mass mailing was sent to all self-pay patients that presented to our facility within the last 12 months notifying them of the services Cornerstone and Centerville Clinic can provide to them. A mass mailing was sent to all self-pay patients announcing a UPMC on-site representative to discuss any questions they have regarding affordable health plans with UPMC. Three - Financial Care Services Center and Financial Access Associates engaged in best practices as identified by organization. Group Uniontown Hospital Line Part V, Section B, Line 6i Topic Increase the appropriate use of available healthcare resources increasing the use of affordable primary care clinics and FQHC whereby reducing the use of the Emergency Departments for non-emergent and/or ongoing primary care purposes. Measurement There were 11 less non emergent ED visits from FY 13 to FY 14. Actions One Partnered with Wesley Healthcare Center to provide free or discounted care for uninsured patients Information for Wesley Healthcare Center provided to all self-pay patients that present to our facility. Two At the end of a visit to the Emergency Department a handout listing healthcare reasons to visit an Emergency Department. The handout also includes multiple sources for non-urgent care outside of the Emergency Department. Partnered with two FQHC clinics to promote better access for consistent healthcare needs, Cornerstone and Centerville. Also, partnered to provide assistance with the Healthcare Market place. Partnered with two Urgent Care Centers to coordinate care needs with the hospital. Three Partnered with Wesley Healthcare Center, Cornerstone and Centerville Clinics, MedExpress and Cherry Tree Urgent Centers to reduce the use of the Emergency Department for non-emergent services and provide educational information to the population on where and when to seek alternative provider setting. Also, have physician offices listed as open to new patients. Four The Fayette Physician Network, the Preferred Primary Care Physicians and the Centerville Clinics are currently working with the UPMC Health Plans and Highmark. In this Medical home model, Nurses and Social Workers are present in the physician offices and work to close gaps in care and provide patients with support and referrals for a vast number of services. Another goal of the Medical Home Model is to have patients seen within 3 days of discharge from acute care hospitals. The Social Work staff is proactively calling these physician practices to secure follow up appointments within this time frame which is mutually beneficial to the patient, the Health Plan and the Physician Practice. Patients who are seen by their physician for post-acute visits are less likely to be readmitted to the hospital and are more likely to become more engaged in the medical home partnership. The Social Work staff is also linking patients to primary care physicians and is providing them with a list of practices and FQHC clinics as mentioned above. Patients who are seen in the ED or the acute hospital and who are identified as not having a primary care physician are educated on the options for care in their community. Group Uniontown Hospital Line Part V, Section B, Line 6i This includes Wesley Health Center, Centerville Clinics and Cornerstone Care as well as other local physicians. The Home Line 724-430-4633 is a dedicated line for callers who are seeking help in locating a Primary Care Physician or specialist. Many patients have successfully been linked to Physicians in their community through this basic service. Topic - To improve the health and birth outcome for women with chemical dependency. Actions - Attended several webinars/seminars regarding Neonatal Abstinence Syndrome neonatal withdrawal regarding prevalence and best evidence based treatment. Networked nationally regarding prevalence and policies. Developed a parent/family education board regarding drug/alcohol use and pregnancy outside the nursery viewing window. Conducted a one month detailed chart review of every birth to determine that approximately 30 of our population of pregnant woman is taking either illicit or rehabilitative drugs/alcohol. Collated data to determine that 50 of the pregnant women are smoking cigarettes throughout the pregnancy. Began members of the Drug/Alcohol Task Force Lea Walls, Nancy Brown, and Mary Jul Phillips along with politicians, education administrators and agencies. Our goal was to influence the politicians for a law to screen 100 of women in labor to determine neonates needing treatment at birth. We currently use a policy with red flags that determine who is tested and potentially leaving a newborn to begin withdrawal at home on day 4-5. Added Subutex testing to our urine drug screening, as this is a widely used rehabilitative medication for drug addicted pregnant women. Initiate a laboratory test called CORDSTAT where a portion of the umbilical cord at birth is tested for 13 drugs and alcohol. The specimen is considered a chain of custody and performed by an outside laboratory. When positive results are received after discharge, the pediatrician office is notified by the laboratory along with Social Work who follows up. Met with the Methadone Clinic administrators and determined that they are an excellent resource to the Medicaid patient but costly otherwise. Methadone is the longest accepted rehabilitative treatment for drug addicted pregnant woment and breastfeeding is permitted. Met with Drug and Alcohol who assured us that a pregnant woman is the highest priority for care. Group Uniontown Hospital Line Part V, Section B, Line 6i Met with Axiom who offered to start treatment with Subutex on our patients within 24 hours. This was communicated to the OB/GYN physicians for immediate referral as needed. Prior to this company we had patients traveling to Greensburg for treatment and not following through. Babies can breastfeed when the mother is treated with Subutex also for rehabilitation. Care of the newborn withdrawing policy was changed to increase mother baby interaction and education. Involvement of the parents better prepares them for a difficult baby once discharged and enhances bonding. Began a CUDDLING OUR BABIES program for neonatal comfort using volunteers. Began July 2014 monitoring babies who are withdrawing and using the Finnegan scoring system for severity. This does not give us the number of babies exposed and not withdrawing or mothers who used marijuana where the baby does not withdraw. Transfer statistics readily available through our risk monitoring system of babies transfer to tertiary care for medication treatment of withdrawal per month. 1 Uniontown Hospital Outpatient Diagnostic Center 150 Wayland Smith Drive Suite B Uniontown PA 15401 Outpatient Center Part I Line 7 Uniontown Hospital used the best available data to calculate the cost of charity care reported in line 7 for certain categories, the best available data was derived from a cost accounting system in other categories, specific cost-to-charge ratios from worksheet 2 were calculated and applied to that category. Part I Line 7 column f - The amount of expenditures used to calculate column f were reduced by bad debt expense of 4,186,826. Part III Line 2 The gross charges of Hospital provided services to individuals whom were determined to be ineligible under the Hospitals financial assistance policy for which payments were not received. These charges have been determined uncollectible by management. Part III Line 3 Line 3 was estimated by reviewing data from the PA Department of Health, Bureau of Health Statistics and Research to determine the percentage of the population in the Hospitals service area that falls below federal poverty guidelines. This percentage was then adjusted by subtracting the Hospitals average percentage of individuals eligible under the organizations financial assistance policy. The resulting percentage was applied to line 2 to estimate line 3. Rationale for including bad debt amounts in community benefit It is the Hospitals contention that the cost of bad debt should be stated in Part I Line 7 of Schedule H as they represent the costs for provision of services to patients for which the entity has exhausted all recourse for reimbursement. The services provided to patients who present themselves are provided regardless of a patients ability to pay as in line with the organizations charitable mission and service to our community. Part III Line 4 The audited financial statements do not contain a footnote that describes bad debt expense. They do, however, contain a footnote that describes patient accounts receivable. That footnote reads as follows The Health System, which includes the Uniontown Hospital, reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The Health System provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the Health System bills third-party payers directly and bills the patient when the patients liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. These expenses are incurred regardless of the efficiency of the provision of the related medical care and are deemed to have been medically necessary for the patient. Part III Line 8 Serving patients with government health benefits, such as Medicare, is a component of the community benefit standard that tax-exempt hospitals are held to. This implies that serving Medicare patients is a community benefit and that the hospital operates to promote the health of the community. The Medicare cost report was utilized to determine the amount reported on line 6. Part III Line 9b The Uniontown Hospitals Revenue Cycle Principles and Policies include seven policies approved by their Board of Directors. One of the policies is titled Financial Need Discounting and establishes discounts ranging from 0 to 100 based upon the patients income as compared to the federal poverty guidelines after the payment of a Minimum Patient Liability. The Minimum Patient Liability ranges from 10-100 depending on the service. According to the policy titled Patient Payment Expectations, patients are given four monthly billing statements to resolve their financial obligation. Each statement will indicate that the patient needs to resolve their financial obligation to avoid the potential for future service delays. The patient has 120 days from the date of the initial billing statement to resolve their financial obligation. Patients are given multiple options to make payment including major credit/debit cards. The organization actively pursues collection of accounts in default unresolved for greater than 120 days in a way consistent with a relationship built on trust and compassion. Insensitive collection practices are avoided and collection agencies are only used in situations where contact cannot be made with the patient. Patients that have accounts in default may be asked to take financial accountability before scheduling non-emergency services. Collection activities do not include judgments. Part VI Line 2 The Fayette Regional Health System leadership team develops a strategic plan every three years. This strategic plan establishes several priorities for Uniontown Hospital, all of which are focused on meeting the ever changing healthcare needs of the community. The leadership team develops this strategic plan with knowledge gathered from direct contact from patients patient satisfaction surveys outside consultants professional health care groups such as the Hospital Association of Pennsylvania and the Healthcare Financial Management Association and research obtained from various sources including the federal and state government and various other outreach programs and sources. Part VI Line 3 As part of the Revenue Cycle policy entitled Service Access, it states under Patient Advocacy that the health care system will actively assist all individuals in seeking resolution to their financial obligations. This includes helping them understand what services are covered by their health insurance, providing assistance in obtaining health insurance and helping seek eligibility for financial assistance. Convenient office hours, in a convenient location, will be established for patients seeking assistance. Currently this program is called the Safety Net Access Program SNAP. SNAP is available to all residents of Fayette County and patients will be assisted by Financial Care Consultants that are part of the Patient Financial Services department. The Hospital has brochures located in its waiting rooms referencing all financial services and patient obligations. In addition, the Patient Access staff makes the brochures readily available to the population at the time of registration. Part VI Line 4 The Uniontown Hospital is a 190 bed community hospital which is located 50 miles southeast of Pittsburgh in the City of Uniontown, Fayette County. Since 1903 the Hospital has been serving the greater Uniontown and Fayette County area, providing quality healthcare regardless of a persons ability to pay. The approximate population of Fayette County is 136,000. The current unemployment rate is 9.3. Approximately 18.0 of the population is over 65 with 19.2 of the population below the poverty level and 25.6 of the population eligible for Medical Assistance. Source Pennsylvania Department of Health 2013 Health Profile. Part VI Line 5 The general health and well being of the community residents is central to the mission of Uniontown Hospital. The Hospital responds to the healthcare needs of the community with a number of community education and outreach programs. These outreach services include a Community Outreach department, support groups to help patients and their families cope with debilitating disease and injury and health fairs offering free health information and screenings. Support groups include Cancer Support, Diabetes Support, Breast Feeding Support, Pregnant Moms Club, Patient Support group for Pregnancy Infant Loss and Caregivers Support. Additionally numerous specialized education classes are offered free of charge to the public and the Hospital sponsors Blood Drives with the American Red Cross and outreach activities with the American Heart Association. Also, in June 2004 the Hospital joined forces with health organizations and other community groups to organize the Fayette County Community Health Improvement Partnership CHIP. CHIP has initiated numerous programs to benefit the health of the public such as a student immunization program, a program to reduce teen pregnancy and smoking, and several health issue related task forces. Under the auspice of CHIP is Fayette County STEPS initiative which is a national pilot program funded by the Centers for Disease Control which targets chronic disease prevention. The STEPS program builds partnerships among area school districts, workplaces, doctor offices, and neighborhood coalitions to educate and promote healthier lifestyles. Part VI Line 6 Fayette Regional Health System FRHS is a registered 501c 3 Pennsylvania nonprofit charitable organization that serves as the parent company for Uniontown Hospital Hospital. The hospital is the only full service hospital in Fayette County. The Hospital includes the following services a 24/7 Emergency Department Obstetrics a Cardiac Care Center Orthopedics Surgery Diagnostic Imaging Services a Inpatient Rehabilitation Unit and a Wound Care Center. In addition, FRHS is affiliated with the following organizations through joint venture agreeements. FRHS has a 4.5 interest in UPMC/VNA , a joint venture formed effective June 1, 2013 when Fayette Home Care, previously a subsidiary of FRHS, was mereged with an existing joint venture between UPMC and Jefferson Hospital. UPMC/VNA provides skilled nursing care physical, occupational, and speech therapies hospice care and many other support services for homebound patients. FRHS also has a 50 interest in Fayette Physician Network FPN, a joint venture formed effective July, 1 2012 between FRHS and UPMC Community Medicine CMI. FPN services include primary care cardiology obstetrics/gynecology surgery pulmonology psychiatry neurology anesthesia and hospitalists. Previous to the formation of the joint venture FPN the above mentioned offices were operated by Fayette Health Management, which was a subsidiary of FRHS during FY12. FRHS has a 35 interest in Southwest Regional Endoscopy Center SWEC, a joint venture formed in January 2004 between FRHS and Southwestern Gastrointestinal Specialists, PC SWGI. The purpose of the joint venture is to provide endoscopy services to patients in an around Fayette County. Additionally, FRHS has a 50 interest in Fayette Oncology Associates FOA,a joint venture formed in February 2004 between FRHS and UPMC Cancer Centers. The purpose of the joint venture is to provide outpatient radiation oncology services and PET/CT imaging. false true false false false false false false false Steven Handy Current CEO/Secretary Prior CFO/Asst Sec/Treas 251817 1213820 17572 29686 1512895 773527 Paul Bacharach Prior CEO end date 12/1/13 367406 2207221 26516 28449 2629592 1471681 William Johnson Pharmacy Director 142866 605 6561 3648 153680 Part I Line 3 Uniontown Hospital relied on Fayette Regional Health System EIN25-1451183 a related organization that used the following methods to establish the top management officials compensation a Compensation Committee, independent compensation consultant, compensation survey or study and approval by the board or compensation committee. Part 1 Line 4b Participation in the Fayette Regional Health System 457 f Plan the Plan was limited to Paul Bacharach and Steve Handy Participants. During the calendar year 2013, the Plan was terminated and 1,471,681 was distributed to Paul Bacharach and 773,527 was distributed to Steve Handy in a lump sum payment in accordance to planned documents. FRHS held Split Dollar Life Insurance Plans in the name of Paul Bacharach and Steve Handy. During calendar year 2013, the ownership of those plans were transferred to Paul Bacharach and Steve Handy. This made the current value of those plans immediately taxable in the amount of 595,421 to Paul Bacharach and 393,069 to Steve Handy respectively. Accordingly, these amounts were included in Medicare wages for calendar year 2013. Part II Line 1 2 Column F Compensation is reported on the Form 990 in the year that the compensation is earned by or awarded to an individual, even if the compensation is not paid to the individual, is not fully vested, or is subject to substantial risk of forfeiture. If compensation is earned or awarded in one year but paid in a later year, then the compensation is reported a second time on the Form 990 in the year the compensation is vested or paid to the individual. Amounts reported in Column F include these prior contributions which are inclusive of earnings due to the cost basis being undeterminable. A Fayette County Hospital Authority 251512681 312468BP5 2007-09-27 50000000 Constructing New Inpatient Tower Refunding previous issue, Series 1996 false false false A 50000000 11074301 450208 37500 38437991 2010 true false true true A false false false false false false A false false false true true true PNC BANK NA 0000000029.700000000000 false false false false false A false Part IV Line 2a The last rebate computation was performed 6/25/12 and showed no rebate due. The next rebate computation is due June 2017. Form 990, Part III, Line 4d Program Service Expenses 182,051, Grants and allocations 0, Revenue 219,000 The Uniontown Hospital received rent income from Fayette Regional Health System, Inc. an affiliated organization for office space used by various Fayette Regional Health System, Inc. departments. Form 990, Part III, Line 3 The Progressive Care Center PCC and Behavior Health Unit BHU were closed in mid-November 2014 as part of a Repositioning Plan implemented during FY14. Form 990, Part VI, Section A, Line 6 The sole member of Uniontown Hospital is the Hospitals parent company, Fayette Regional Health System, a PA non-profit corporation. Form 990, Part VI, Section A, Line 7a 7b The sole member has power to a elect all of the Directors except ex-officio Directors of the Hospital b remove at any time one or more of the Directorsexcept for ex-officio Directors and/or officers of the Corporation without cause capprove all capital and operating budgets of the Corporation and amendments thereto d approve all fundamental transactions of the Corporation, including without limitation, any amendments to articles of the Corporation and any merger, consolidation, division, transfer of all or substantially all assets, dissolution, or liquidation of the Corporation and e approve any and all amendments of the bylaws of the Corporation. The Sole Member of the Corporation may initiate any such action and/or amendments listed in c - e above, as applicable, provided that any such actions and/or amendments must be approved by the Corporation and Sole Member prior to implementation. The Corporation shall not unreasonably withhold its approval for any action and/or change recommended by the Sole Member. Form 990, Part VI, Section B, Line 11b The 990 was presented to all voting members of the Finance and Audit Committee of the organizations parent for review at the April 2015 Board Meeting. After review by the Finance and Audit Committee, a full copy of the 990 was made available to the entire Board of the Uniontown Hospital. Form 990, Part VI, Section B, Line 12c The Business Ethics department of the organization periodically reviews all potential conflicts, transactions and relationships to see if substantive. All potential new conflicts are reviewed by the Business Ethics department and the concept is covered at annual training. The department will report actual or possible conflicts to the FRHS Executive Committee of the Board for evaluation. The Committee shall determine whether a conflict exists. The Committee is empowered to take corrective action as necessary, including refraining from participation in certain Board decisions. Form 990, Part VI, Section B, Line 15a 15b The FRHS Executive Committee of the Board is responsible for the organizations overall compensation, philosophy and establishes the guidelines, rules and procedures necessary for the proper and efficient administration of the Executive Compensation Program which covers the CEO, and Executive Directors Executive Council. This Executive Committee is independent from management and reviews, deliberates over, and approves Executive compensation. Form 990, Part VI, Section C, Line 19 The organizations governing documents, conflicts of interest policy, and financial statements are available by contacting the CEOs office or the General Accounting department. A copy will be mailed upon request. Form 990, Part XI, Line 9 Other changes in net assets is comprised of change in fair value of interest rate swap 35,565 change in defined benefit acturial valuation 1,818,160 change in permanently restricted net assets 576 change in temporarily restricted net assets 118,781 and transfer in of Uniontown Hospital Auxilary net assets 167,832. Fayette Regional Health System 500 W Berkeley Street Uniontown PA 15401 251451183 Healthcare Management PA 501c3 11b II N/A false Uniontown Hospital Auxiliary 500 W Berkeley Street Uniontown PA 15401 256040505 Fundraising PA 501c3 11b II N/A false Fayette Physician Hospital Organization 500 W Berkeley Street Uniontown PA 15401 251844471 Healthcare PA N/A C Corp false false false false false false false false false false true false false true false false true true false true