2014-05-15T11:12:24-07:00 2013-06-30 990 2012-07-01 231352155 ALTOONA REGIONAL HEALTH SYSTEM ALTO 8148894101 620 Howard Avenue Altoona PA 16601 Betsy Kreuz 8148894101 2014-05-15 2012 2015-11-30 17:44:51Z Gerald Murray 620 Howard Avenue Altoona PA 16601 456015732 0 X http://www.altoonaregional.org X 1942 PA The Altoona Regional Health System provides inpatient and outpatient, hospital-based, health care services primarily to the residents of Central Pennsylvania, as well as residents of neighboring areas. 17 9 2738 600 145203 35137 1197251 1131966 354769115 368675517 2968412 5828864 8602730 6527519 367537508 382163866 0 0 0 0 176022471 182594235 0 0 0 182111804 187343225 358134275 369937460 9403233 12226406 289737276 295566895 191359027 206638018 98378249 88928877 The mission of the Altoona Regional Health System is for exceptional people to provide exceptional health care. 0 0 59328173 0 39790413 Inpatient care: Inpatient care was provided to 19,340 patients, including newborns. The System had 87,734 patient days. Inpatient care was provided through 15 nursing units. 45315366 0 62038403 Surgical Services: Inpatient and outpatient surgery including: operating room, surgery center, endoscopy, peri-anesthesiology, anesthesiology, same day surgery, and perfusion services. Total surgical procedures were 20,500 20867425 0 74581031 Imaging Services, also known as radiology services is comprised of general x-ray, mammography, ultrasound, nuclear medicine, CT, MRI, and PET scans. Imaging services performed 212,926 imaging procedures. 18625387 0 23100122 Pharmacy Services 30033106 0 0 Bad Debts 19668205 0 32556199 Emergency and Trauma Services 100611464 0 96849940 All Other 18475795 0 39759409 Cardiology Services 187413957 0 192265670 312924921 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 273 0 1 2738 1 1 1 0 0 0 0 0 0 0 0 1 1 0 X 17 9 1 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Betsy Kreuz 8148893629 620 Howard Avenue Altoona PA 166024899 Charles Haas MD 1 0 X 0 0 0 Robert Halbritter 1 0 X 0 0 0 Robert Montler 1 0 X 0 0 0 Thomas G Peoples 1 0 X 0 0 0 Benjamin Levine 1 0 X 0 0 0 James Drenning 1 0 X 0 0 0 Donald Devorris 1 0 X 0 0 0 Robert E Wertz MD 1 50 X 0 284906 8500 R Samuel Magee MD 1 0 X 1250 0 0 Ann Benzel 1 0 X 0 0 0 Bruce Erb 1 0 X 0 0 0 J Grant Hormell MD 1 0 X 0 0 0 Daniel Lawruk 1 0 X 0 0 0 Karen Pfeffer 1 0 X 0 0 0 Gerald E Murray 50 0 X X 697320 0 352226 Monsignor Michael Servinsky 1 0 X 0 0 0 Bernard Creppage 1 0 X 0 0 0 Charles R Zorger 50 0 X 424245 0 92288 Ronald J McConnell 50 0 X 424220 0 112410 Linnane Batzel MD 50 0 X 383618 0 34414 Clayton Rickens 50 0 X 267439 0 34213 Matthew P Bouchard MD 50 0 X 499570 0 51370 Adam Blescia 50 0 X 363906 0 33778 Rebecca Miller MD 50 0 X 338587 0 15038 Matthew Murphy MD 50 0 X 351341 0 29021 Shaun Sheehan MD 50 0 X 412769 0 7876 4164265 284906 771134 111 0 1 0 Lexington Surgical Associates 620 Howard Avenue Suite 3F Altoona PA 16601 Trauma Services 1464506 Blair County Anesthesia PC 1701 12th Avenue Suite G2 Altoona PA 16601 Anesthesia Services 1006317 Mayo Collaborative Services PO BOX 9146 MINNEAPOLIS MN 55480 Laboratory Services 1697703 Stoltenberg Consulting Inc 5815 Library Road Bethel Park PA 15102 IT Consulting 1420596 Allegheny Healthcare Staffing Inc 501 Howard Avenue Suite C-103 Altoona PA 16601 Healthcare Staffing 2503185 51 0 0 0 0 1131782 184 0 1131966 Acute Inpatient Revenue 622000 39790413 39790413 0 0 Inpatient Ancillary Revenue 622000 113714477 113714477 0 0 Operating Room 622000 28480187 28480187 0 0 Radiology 622000 45049913 45049913 0 0 Outpatient Ancillary Revenue 622000 79717449 79717449 0 0 61923078 61923078 0 0 368675517 185448 0 0 185448 0 0 0 0 0 0 0 0 370903 0 0 0 370903 0 370903 370903 0 0 79495282 0 73851866 0 5643416 0 5643416 0 0 5643416 0 Cafeteria Sales 622000 1109325 1109325 0 0 County Contract Revenue 622000 1489319 1489319 0 0 IT Services Revenue 541511 145203 0 145203 0 3412769 3412769 0 0 6156616 382163866 375057833 145203 5828864 2176842 631057 1545785 0 131875423 116408769 15466654 9729277 8494534 1234743 29328633 25372730 3955903 9484060 8280438 1203622 1037655 861254 176401 288020 0 288020 173550 0 173550 12151240 10085529 2065711 127814 106086 21728 3536391 2935205 601186 11054973 9175628 1879345 4991289 4142770 848519 337160 279843 57317 251126 208435 42691 4500284 4500284 17809203 14781638 3027565 0 4424861 4424861 Bad Debt Expense 30033106 30033106 0 0 Contract Labor 2824224 2344106 480118 Purchases Services 7244690 5729858 1514832 Supplies 68911249 57196337 11714912 17646390 15857598 1788792 369937460 312924921 57012539 0 13518530 9299236 40024159 43692449 4280296 4336771 3340044 4005598 356948433 232484014 126825930 124464419 64237431 68146212 1346566 962067 0 4084145 5237732 32080175 35422411 289737276 295566895 38084642 46732976 84167686 81131755 377628 813202 68729071 77960085 191359027 206638018 X 98311320 88866759 66929 62118 0 0 98378249 88928877 289737276 295566895 X 12226406 -1125819 0 0 0 -20549959 X 0 1 X 1 1 1 X 66929 40540 155 0 45506 0 62118 103052 59594 279 0 95996 0 66929 74650 99290 0 0 70888 0 103052 104356 90067 502 0 120275 0 74650 1169242 130429 -132651 0 1062664 0 104356 0 0 1 0 0 0 3963077 3963077 0 174839743 99596290 75243453 0 5195737 3731845 1463892 0 165083482 129155879 35927603 0 7866394 0 7866394 124464419 Other Receivables 4807547 Estimated Amounts Due from third-party payors 52609 Intercompany Receivables 15032505 Beneficial Interest in the Net Assets of the Central PA Medical Foundation 14486980 Other Long Term Assets 1042770 35422411 0 Accrued Pension Liability 69599601 Other Liabilities 8360484 77960085 SchD_P05_S00_L04 Schedule D, Part V, Line 4 Approximately $39,000 of the fund is for Bioterrorism preparedness, approximately $20,000 is for Medical Staff continuing medical education and approximately $3,000 is for the upkeep of the Donna Jean Hospitality House. 1 1 0 0 1 1 0 1 1 2572306 0 2572306 0.0077 47803391 30606262 17197129 0.0512 0 0 0 0 0 0 50375697 30606262 19769435 0.0589 2142673 109803 2032870 0.0061 5249016 3254787 1994229 0.0059 49282895 39144906 10137989 0.0312 0 0 0 0 83872 0 83872 0.0003 0 0 56758456 42509496 14248960 0.0435 0 0 107134153 73115758 34018395 0.1024 27551 0 27551 0.0001 1067 0 1067 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 910 0 910 0 0 0 0 0 0 0 0 0 0 0 29528 0 29528 0.0001 0 8666477 398676 141348874 162049333 -20700459 X 1 1 1 1 Altoona Regional Health System

620 Howard Avenue Altoona PA 16601

www.altoonaregional.org X X X X Altoona Regional Health System 1 1 X X X X X X X X 12 1 1 1 X X X X X X X X X X 0 0 1 1 150 1 300 1 X X 1 1 X X 1 X X 1 X X 1 X 0 0 SchH_P01_S00_L03c Schedule H, Part I, Line 3c Charity care will be extended to patients who are determined to be financially indigent. The determination will be based on poverty guidelines published in the Federal Register. Charity care may reduce the patients bill by 25% 50% 75% or 100% based on the financial information received. The amount of free care charity care and financial assistance is based on income and family size. SchH_P01_S00_L07 Schedule H, Part I, Line 7 Two costing methodologies were used: 1. Actual expenses, and 2. Cost to charge ratio derived from Worksheet 2: ratio of patient care cost to charge and also cost from Medicare cost report SchH_P01_S00_L072f Schedule H, Part I, Line 7, Column f Bad debt - 30,033,106 SchH_P01_S00_L07g Schedule H, Part I, Line 7g As part of the Subsidized Health Services, ARHS included in the subsidized health services costs attributable to its 2 physician clinics (AFP and Williamsburg) and its women's health center. AFP Costs $6,307,354, Williamsburg costs $1,025,177 and Women's Health Center cost $671,566 SchH_P02_S00_L00 Schedule H, Part II ARHS community building activities promote the health of the community we serve in the following ways: physical improvement and housing; participation in community revitalization efforts; and the use of health system owned properties/houses by other non-profit community organizations SchH_P03_S0A_L04 Schedule H, Part III, Section A, Line 4 Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Health System analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Health System analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Health System and its affiliates record a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Health System's allowance for doubtful accounts for self pay patients decreased from 92% of self pay accounts receivable at June 30, 2012 to 86% of self pay accounts receivable at June 30, 2013. In addition, the Health System's write offs were approximately $30,300,000 and $21,900,000, respectively in 2013 and 2012. The increase was the result of negative trends experienced in the collection of amounts from self pay patients in fiscal year 2013. Methodology: Bad debt cost less bad debt expenses minus any bad debt recoveries multiplied by the ratio derived from worksheet 2 less ratio of patient care cost to charges also cost from Medicare 2013 Cost Report SchH_P03_S0B_L08 Schedule H, Part III, Section B, Line 8 ARHS considers 100% of the Medicare shortfall to be a community benefit. The costing methodology is the allocated costs from the 2013 Medicare Cost Report. SchH_P03_S0C_L09b Schedule H, Part III, Section C, Line 9b If a patient contacts the hospital and indicates an inability to pay in full, a payment arrangement is utilized to help the patient pay off the bill within 3 to 12 months. If the account cannot be paid off within 3 to 12 months, a minimum of $50 per month is required. If the patient is unable to meet this schedule, they need to provide budget information to justify a lower monthly payment. SchH_P05_S0B_L04 Schedule H, Part V, Section B, Line 4 The Needs Assessment was conducted in collaboration between Altoona Regional Health System, Nason Hospital, and Tyrone Hospital, as well as with many other community organizations and agencies. SchH_P05_S0B_L05 Schedule H, Part V, Section B, Line 5 The Hospital's needs assessment is also placed on the Healthy Blair County Coalition website (http://healthyblaircountycoalition.org). SchH_P05_S0B_L07 Schedule H, Part V, Section B, Line 7 The Hospital (ARHS) did not meet all of the needs identified in the Community Health Needs Assessment (CHNA) it conducted in collaboration with the Health Blair County Coalition (HBCC). The CHNA that was conducted between July and October 2012 identified the following 31 community needs, all of which impact an individuals and familys health and in turn the communitys health which are grouped by category. 1.Economics: Unemployment/Underemployment, Poverty, Lack of Jobs 2.Education: children being adequately educated, unsafe school environment, bullying/harassment, use/availability of drugs 3.Environmental: water and air pollution, noise pollution 4.Health: alcohol/drug abuse, smoking and tobacco, adults with mental illness/emotional issues, children with mental health or emotional issues, lack of affordable medical care, HIV/AIDS, diabetes, and obesity 5.Housing: shortage of affordable housing, substandard housing, overcrowded housing 6.Leisure Activities: shortage of recreational facilities, lack of cultural activities 7.Safety: crime, gangs 8.Social: teen pregnancy, racial or ethnic intimidation, family violence, gambling, and lack of affordable daycare for children 9.Transportation: inadequate public transportation, poor roads and traffic conditions. Following a needs prioritization process and evaluation, the HBCC chose to develop the following strategies. Strategy 1: Promote a Healthy Lifestyle Strategy 2: Alcohol and Other Substance Abuse Strategy 3: Mental Health Needs of Children/Adolescents Strategy 4: Smoking/Tobacco. ARHS has chosen, in partnership with the HBCC, to address the following community needs: 1. Promote a health lifestyle: to address obesity, physical inactivity, and diabetes. 2. Mental health needs of children and adolescents. The other 2 community hospitals and the remaining 47 other community partners that are part of the HBCC are addressing some of the other 31 issues identified above. However neither ARHS - as a single community hospital, nor the HBCC with 50 community members, has sufficient financial and human resources to meet all of the 31 identified community needs. Many of these needs, which are common in most communities, are significant and are such that society has been working long term to address. However ARHS has committed resources and efforts, and is work with other community partners, to meet its above identified needs. ARHS, in partnership with the HBCC, has developed strategies to address its identified community health needs. Although the hospital is not able to address all of the needs identified in Blair County, ARHS is addressing the identified needs, which will result in healthier individual and families, which will in turn result in an overall healthier community SchH_P05_S0B_L13 Schedule H, Part V, Section B, Line 13 The following statement appears on all patient bills: "If you are experiencing financial hardship and are unable to pay this bill, charity/financial aid may be available if you qualify. Please contact us at (814.889.2333) or toll free in PA at 800.443.4050 to obtain information about charity/financial aid and how to apply for it." SchH_P05_S0B_L14 Schedule H, Part V, Section B, Line 14 The following statement appears on all bills: "if you are experiencing financial hardship and are unable to pay this bill, charity/financial aid may be available, if you qualify. Please contact us at (814.889.2333) to toll free in PA at 800.443.4050 to obtain information about charity/financial aid and how to apply for it." SchH_P05_S0B_L17 Schedule H, Part V, Section B, Line 17 The following statement appears on all patient bills: "If you are experiencing financial hardship and are unable to pay this bill, charity/financial aid may be available if you qualify. Please contact us at (814.889.2333) or toll free in PA at 800.443.4050 to obtain information about charity/financial aid and how to apply for it." Also an authorized third party (Financial Health Strategies) when contacting the patient for payment will make the patient aware of the health system's free care program if the patient explains that they will have a difficult time paying the bill. In cases where the inpatient bill exceeds $10,000 we turn it over to another third party (Healthcare Receivable Specialists) who will attempt to qualify the patient for Medical Assistance and let them know about the health system's Charity and Free Care Program. SchH_P05_S0B_L18 Schedule H, Part V, Section B, Line 18 The following statement appears on all patient bills:"if you are experiencing financial hardship and are unable to pay this bill, charity/financial aid may be available, if you qualify. Please contact us at (814.889.2333) to toll free in PA at 800.443.4050 to obtain information about charity/financial aid and how to apply for it." Also an authorized third party,when contacting the patient for payment will make the patient aware of the health system's free care program if the patient explains that they will have a difficult time paying the bill. In cases where the inpatient bill exceeds $10,000 the health system turns it over to another third party who will attempt to qualify the patient for Medical Assistance and let them know about the health system's Charity and Free Care Program. SchH_P05_S0B_L19 Schedule H, Part V, Section B, Line 19 For any patient that qualifies for free care, the patient's bill will have a 60% allowance applied before a further reduction of 25%, 50%, 75%, or 100% would apply based on their income level as it relates to the free care tables within the Health System policy. SchH_P05_S0B_L20 Schedule H, Part V, Section B, Line 20 For any patient who qualifies for free care, the patient's bill will have a 60% allowance applied before a further reduction of 25% 50% 75% or 100% would apply based on their income level as it relates to the free care tables with the health system's policy. SchH_P06_S00_L02 Schedule H, Part VI, Line 2 Needs Assessment:Altoona Regional Health System (ARHS) helped form and actively supports and participates in the Healthy Blair County Coalition (Coalition). The Coalition is comprised of over 50 community agencies, organizations, and services. The Coalition was formed in 2007 to conduct comprehensive community needs assessments, review and analyze data, formulate strategies to meet identified service gaps and needs, implement strategies to meet identified needs, and conduct subsequent post-implementation surveys to determine effectiveness of programs and services implemented. An assessment of the communities healthcare needs are part of the followup survey processes and involve a household survey, focus groups, and survey of local businesses, service providers, healthcare providers with special expertise and knowledge in helping to assess needs within our community. SchH_P06_S00_L03 Schedule H, Part VI, Line 3 Patient education of eligibility for assistance: the Health System informs and educates patients, their families, and others regarding eligibility and the application process for federal, state, and local governmental financial assistance programs; as well as health system financial assistance programs and charity care available, through the following means: a) printed information is contained in the Patient Guide book given to all hospital inpatients; b) financial counseling services are available to all patients, at no cost, by the staff of the Patient Financial Services Department; c) the health system contracts with a special consultant/company to assist patients to complete and file Medical Assistance applications; d) the health system has extensive charity care provisions which are available to all patients and are based on eligibility criteria; e) the health systems displays at all patient care service entrances the U.S. Department of Health & Human Services, Public Health Service notice regarding: Medical Care for Those who Cannot Afford to Pay Notice; f) Patient Rights and Responsibilities Posters are prominently displayed in all patient care areas and patient rooms which contain patients rights including the right to care without regard to ability to pay; g) an Open Admission policy prominently displayed in patient care areas which states the health system's responsibility to provide care to all patients without regard to their ability to pay. SchH_P06_S00_L04 Schedule H, Part VI, Line 4 Community Information: Altoona Regional Health System (ARHS) serves approximately 330,000 individuals in central Pennsylvania. This service area encompasses all of Blair County and portions of the following 6 contiguous counties: Bedford, Cambria, Centre, Clearfield, Fulton, and Huntingdon counties. Approximately 16.2% of the service area population is age 65+, 16.5% of the population are eligible for medical assistance and 14.8% of the population has income below the poverty level.The cost of living is low compared to national averages, the public educational system is outstanding, and there is an abundance of local colleges and universities. Within the service area there are Medically Underserved Area(s)/Medically Underserved Populations (MUA/MUP) as well as Health professional Shortage Area(s) (HPSAs). Within the service area there are 2 additional, smaller (25 to 50 bed) community hospital that provide routine, primary care, services to their respective communities. These hospitals refer higher acuity patients to Altoona Regional Health System, as it is a 400-bed, regional health care system which provide regional/tertiary care services. SchH_P06_S00_L05 Schedule H, Part VI, Line 5 Promotion of community health: Describe how organization promotes the health of the community: ARHS promotes the health of the community in the following ways: a) by providing an open medical staff to enable credentialed physician to provide care to patients in our community; b) the entire health system is governed by a voluntary (non-paid) board of directors comprised of members of the local community; c) providing programs and services to help all people lead safer, healthier, happier lives and to care for them in times of crisis. For example: i. community education classes such as the Safe Sitter child-care courses, many programs by physicians on dealing with various conditions and disease, as well as on achieving and maintaining better health for example: free child safety-seat check ups; ii. Support groups that deal with Alzheimer's disease, stroke, cancer, diabetes, grief, mental health issues and caring for ill loved ones. iii. Self-help programs, such as classes on exercise, nutrition, and quitting smoking; iv. Screenings for osteoporosis, depression, high blood pressure, hepatitis, stroke, heart disease, and colon cancer; v Free health care for people with no insurance or not enough insurance through Partnering for Health Services Medical Clinic. d) By providing educational and training programs to prepare future health care professionals to serve our community. The health system supports the Altoona Family Physician residency program and local universities and colleges in the training of nurses and other health professionals. e) ARHS supports people and groups in the community: in additional to contributing to events and organizations that improve the community's health, ARHS allow them to use our meeting rooms, supplies and parking area. ARHS donates food to local food banks, provide assistance to important community services like the homeless shelter, domestic abuse shelter, CONTACT Altoona (referral service to those in need). Some of the events we sponsor include the Blair Unit of the American Cancer Society's events and we provide free emergency care at local events. SchH_P06_S00_L06 Schedule H, Part VI, Line 6 Affiliated health care system: Altoona Regional Health System is, as defined in the instructions, an affiliated health care system as it includes affiliates under common control that cooperate in providing health care services to our community. The entire health care systems is comprised of 25 companies, corporations, and affiliates that employ approximately 4,000 individuals and collectively include: an acute care hospital that provide routine, primary care services as well as regional and tertiary care services; a home nursing and home health care agency, physician practices, a free clinic, and a non profit foundation. These entities provide care to thousands of members of our community every year and include: over 20,000 hospital inpatients, over 400,000 hospital outpatient visits, over 400,000 physician office visits, and care to thousands of patients in their homes. X X X 0 1 0 0 0 1 0 0 0 Gerald E Murray 536612 0 159120 0 1587 0 327355 0 24871 0 1049545 0 914346 0 Charles R Zorger 324995 0 96740 0 2510 0 72890 0 19398 0 516533 0 452413 0 Ronald J McConnell 326876 0 97344 0 0 0 93997 0 18413 0 536630 0 431941 0 Matthew P Bouchard MD 457214 0 42356 0 0 0 34000 0 17370 0 550940 0 517656 0 Linnane Batzel MD 309261 0 74357 0 0 0 16500 0 17914 0 418032 0 371682 0 Clayton Rickens 205764 0 61675 0 0 0 157687 0 18445 0 443571 0 0 0 Robert E Wertz MD 0 284906 0 0 0 0 0 0 0 8500 0 293406 0 343328 Adam Blescia 328308 0 35598 0 0 0 16500 0 17278 0 397684 0 401022 0 Shaun Sheehan MD 354155 0 58614 0 0 0 0 0 7876 0 420645 0 0 0 Matthew Murphy MD 315816 0 35525 0 0 0 11700 0 17321 0 380362 0 0 0 Rebecca Miller MD 306344 0 32243 0 0 0 0 0 15038 0 353625 0 0 0 SchJ_P01_S00_L04 Schedule J, Part I, Line 4 The organization contributed to a SERP for the following key employees: Gerald Murray $327,355, Charlie Zorger $72,890 Ronald McConnell $61,117 and Clayton Rickens $10,568. SchJ_P01_S00_L06 Schedule J, Part I, Line 6 The Incentive Compensation Program requires a 1% or greater financial operating margin that also covers the overall cost of the organizational incentive compensation program. When Incentive compensation is available, an at least 75% of the senior leader's goals have been achieved, the minimum payout would be 18.75% of base pay and maximum payout would be 30%(per Board approved capped Mercer compensation program design). A Blair County Hospital Authority 251352705 092840HV2 2009-12-03 66371478 capital projects and renovations and partial refunding of 1998 bonds 0 1 0 A 0 0 66450563 5605366 0 7230708 292082 0 2167071 50167666 0 0 2011 0 1 0 1 A 0 0 0 0 0 0 0 1 0 1 A 0 0 0 0 0 0 0 0 1 A 1 Vicki Wertz Daughter of Board Member 122798 Compensation 0 Lexington Mall Partners LP Director Devorris is a 16% owner 732444 Rent 0 Lexington Mall Partners LP Director Lawruk is a partner 732444 Rent 0 Pathology Associates of Blair County Director Haas is an owner 125000 Professional Services 0 Reilly Creppage & Co Inc Director Creppage is an owner 205995 Professional Fees 0 F990_P04_S00_L20b Form 990, Part IV, Line 20b As of May 15, 2014, the Health System's auditors (E&Y) have still not issued the audit report for the fiscal year ending June 30, 2013. As such, a draft audit report has been attached. The Health System will file an amended return when the audit report has been issued. F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Director Devorris has a business relationship with Directors Wertz and Lawruk. Director Erb has a business relationship with Director Montler. Director Murray is employed by the organization: Altoona Regional Health System. Director Pfeffer is employed by Director Levine's law firm. F990_P06_S0A_L07a Form 990, Part VI, Section A, Line 7a The parent corporation of Altoona Regional Health System is Central Pennsylvania Health Services Corporation (CPHSC) which has input into the nominating process for members of the governing board of Altoona Regional Health System F990_P06_S0A_L07b Form 990, Part VI, Section A, Line 7b The parent corporation: Central Pennsylvania Health Services Corporation has some reserved powers to review and approve decision made by the Altoona Regional Health System Board of Directors F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The organization's Form 990 was reviewed prior to its submission by the Altoona Regional Health System Board of Directors as a meeting held in May 2014. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c The organization annually distributes to all officers, directors, and key employees a conflict of interest Disclosure Statement which must be completed and returned. These Statements are reviewed by legal counsel and the corporate compliance officer to ensure compliance F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The compensation of the CEO and other members of the Senior Leadership Team are reviewed by the Executive Compensation & Benefits Committee, a sub-committee of the Board of Directors, with recommendations presented to the full Board of Directors for approval. External compensation benchmarks are utilized, including the use of mercer Human Resource Consultants for each leadership position on an annual basis F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The organization has a public website: www.altoonaregional.org and its Board of Directors names, positions, and companies are provided on that website. With regard to financial statements, the organization publishes and makes available to the public its balance sheets and income statements its publication Healthy Living, which is printed and distributed to the public. Additionally, the organization provides an annual community Benefits Report, which is freely available to the public which provides an accounting of all of the free and discounted care provided to the poor and to those without health insurance F990_P11_S00_L09 Form 990, Part XI, Line 9 Minimum Pension Liability Adjustment ($11,202,714), Net Cash Infusion to Related Organizations ($3,016,558), Change in Beneficial Interest in Net Assets of the Central PA Medical Foundation ($6,760,658), Net Changes in Restricted Funds ($4,811), and Change in Minority Interest $434,782 Central Pennsylvania Health Services Corporation 620 Howard Avenue Altoona PA 16601 251468814 Support the Health System PA 501c3 11 N/A 0 Altoona Regional Partnership for a Healthy Community 620 Howard Avenue Altoona PA 16601 251842308 medical and dental clinics PA 501c3 3 N/A 1 Altoona Regional Health System Foundation For Life 620 Howard avenue Altoona PA 16601 550787040 Support the health system PA 501c3 11 N/A 1 Central Pennsylvania Medical Foundation 620 Howard Avenue Altoona PA 16601 251454709 support health system PA 501c3 11 N/A 1 Home Nursing Agency Affiliates 201 Chestnut Avenue PO Box 352 Altoona PA 16601 251518698 Home Healthcare PA 501c3 11 N/A 1 Home Nursing Agency Community Services 201 Chestnut Avenue PO Box 352 Altoona PA 16601 251517533 Home Healthcare PA 501c3 9 Home Nursing Agency Affiliates 0 Home Nursing Agency Foundation 201 Chestnut Avenue PO Box 352 Altoona PA 16601 251467014 Support Home Nursing Agency PA 501c3 11 Home Nursing Agency Affiliates 0 Home Nursing Agency Visiting Nurse Association 201 Chestnut Avenue PO Box 352 Altoona PA 16601 251188570 Home healthcare PA 501c3 9 Home Nursing Agency Affiliates 0 Lexington Mall Partners 620 Howard Avenue Altoona PA 16601 510459194 Real Estate PA Lexington One Unrelated 0 0 0 0 0 Lexington Mall Holdings LLC 620 Howard Avenue Altoona PA 16601 270063014 Real Estate PA Lexington One Unrelated 0 0 0 0 0 Altoona Family Inc 2500 Seventh Avenue Altoona PA 16602 251444935 Property Rental PA N/A C 0 0 1 0 Lexington Holdings Inc 620 Howard Avenue Altoona PA 16601 251794386 Holding Company PA Central Pennsylvania Medical Foundation C 0 0 0 0 Lexington Four Inc 620 Howard Avenue Altoona PA 16601 251793736 holding company for physician practices PA Lexington Holdings C 0 0 0 0 Blair Medical Associates Inc 1414 Ninth Avenue Altoona PA 16602 251219302 Physician Practices PA Lexington Four Inc C 0 0 0 0 Lexington Anesthesia Associates Inc 620 Howard Avenue Altoona PA 16601 251897765 CRNA practice PA Lexington Four Inc C 0 0 0 0 Lexington Orthopedic Associates Inc 620 Howard AVenue Altoona PA 16601 550874905 phyisican practice PA Lexington Four Inc C 0 0 0 0 Lexington Surgical Associates Inc 620 Howard Avenue Altoona PA 16601 233040538 physician practice PA Lexington Four Inc C 0 0 0 0 Mainline Medical Associates Inc 1400 Ninth Avenue Altoona PA 16601 251439055 physician practice PA Lexington Four Inc C 0 0 0 0 Northern Cambria Medical Center Inc 1106 Bingler Avenue Northern Cambria PA 15714 251793735 physician practice PA Lexington Four Inc C 0 0 0 0 Patton Family Medical Center Inc 142 E Carroll Street Carrolltown PA 15722 251793735 physican practice PA Lexington Four Inc C 0 0 0 0 Lexington Hospitalists Inc 620 Howard Avenue Altoona PA 16601 562584130 physician practice PA Lexington Four Inc C 0 0 0 0 Lexington One Inc 620 Howard Avenue Altoona PA 16601 251468889 Real Estate PA Lexington Holdings C 0 0 0 0 Lexington Two Inc 620 Howard AVenue Altoona PA 16601 251555689 Durable Medical Equipment PA Lexington Holdings Inc C 0 0 0 0 Lexington Radiology Inc 620 Howard Avenue Altoona PA 16601 271440673 physician practice PA Lexington Four Inc C 0 0 0 0 Allegheny Healthcare Staffing Inc 620 Howard Avenue Altoona PA 16601 271657362 healthcare staffing company PA Lexington Holdings Inc C 0 0 0 0 Lexington Investments LLC 620 Howard Avenue Altoona PA 16601 270687832 holding company PA Lexington Anesthesia C 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 1 0 0 Central Pennsylvania Medical Foundation b 2141558 Canceled checks Altoona Regional Partnership for a Healthy Community q 870000 Canceled checks Altoona Regional Partnership for a Healthy Community o 122255 Payroll records Altoona Regional Health System Foundation For Life q 360000 Canceled checks Home Nursing Agency Community Services l 103846 Invoices Home Nursing Agency Visiting Nurse Association l 588729 Invoices