UNIONTOWN HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNIONTOWN HOSPITAL (EIN 25-0965588)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-04-24
IRS object ID
201311149349300531
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-04-24T16:22:29-00:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E St Louis St Suite 200AddressLine1
CitySpringfieldCity
StateMOState
ZIP Code65806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN250965588EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Uniontown HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIONameControl
Phone7244305000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 West Berkeley StreetAddressLine1
CityUniontownCity
StatePAState
ZIP Code15401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVEN HANDYName
TitleSR VICE PRESIDENTTitle
Date Signed2013-04-24DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian ToddName
Phone4178658701Phone
Date Prepared2013-04-24DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPaul BacharachNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 West Berkeley StAddressLine1
CityUniontownCity
StatePAState
ZIP Code15401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts139810079GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.uniontownhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1902YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionIt is the mission of Fayette Regional Health System, which includes the Uniontown Hospital, to continually improve in order to provide the best care to our community. The Uniontown Hospital is a 224-bed community hospital whose activities include, inpatient acute care, outpatient ancillary services and inpatient rehabilitation services.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1437TotalNbrEmployees
Total Nbr Volunteers107TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2049480ContributionsGrantsPriorYear
Contributions Grants Current Year907820ContributionsGrantsCurrentYear
Program Service Revenue Prior Year124073810ProgramServiceRevenuePriorYear
Program Service Revenue CY125928226ProgramServiceRevenueCY
Investment Income Prior Year2285645InvestmentIncomePriorYear
Investment Income Current Year613217InvestmentIncomeCurrentYear
Other Revenue Prior Year1742578OtherRevenuePriorYear
Other Revenue Current Year6943055OtherRevenueCurrentYear
Total Revenue Prior Year130151513TotalRevenuePriorYear
Total Revenue Current Year134392318TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year66009969SalariesEtcPriorYear
Salaries Etc Current Year62418389SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year66155459OtherExpensePriorYear
Other Expenses Current Year68666399OtherExpensesCurrentYear
Total Expenses Prior Year132165428TotalExpensesPriorYear
Total Expenses Current Year131084788TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2013915RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3307530RevenuesLessExpensesCY
Total Assets BOY130488052TotalAssetsBOY
Total Assets EOY128942406TotalAssetsEOY
Total Liabilities BOY84768332TotalLiabilitiesBOY
Total Liabilities EOY100690154TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY45719720NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY28252252NetAssetsOrFundBalancesEOY
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense56426113Expense
Revenue62301331Revenue
DescriptionInpatient Service - The Uniontown Hospital is a 196-bed community hospital that delivered state-of-the-art primary inpatient services to approx. 9,500 inpatients during the fiscal year ended June 30, 2012. 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 Uniontown Hospital has earned several recognitions from HealthGrades, the nations leading independent healthcare ratings organization. These include a Five-Star Rating for joint replacement surgery, the Award of Excellence for gastrointestinal care and surgery, and the Distinguished Hospital Award for patient safety. The Hospital draws the majority of its patients from Fayette County. Its primary and secondary service areas only slightly extend into the neighboring counties of Westmoreland, Somerset and Washington Counties. Although the population of Fayette County has been decreasing since the 1990s, the demand for the Hospitals services remain due to the downsizing and service cuts at nearby healthcare facilities, the growth in the regions uninsured population, and the increase in the regions elderly population. The Uniontown Hospital offers lines of service 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense47421607Expense
Revenue55342382Revenue
DescriptionOutpatient 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 almost 55,000 patient visits during the fiscal year ended June 30, 2012. Other traditional outpatient services include Laboratory, Radiology, Physical Therapy and Same Day Surgery which accounted for 1,313,000 patient visits. Services also include the Diabetes Center which provides a comprehensive approach to diabetes management, including prevention, education, treatment and research.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4057264Expense
Revenue8284513Revenue
DescriptionPCC/IRU - The Uniontown Hospital offers the Progressive Care Center PCC and the Inpatient Rehabilitation Unit IRU. The PCC is the Hospitals sub-acute unit and had a 38-bed capacity during the fiscal year ended June 30, 2012. The PCC principally serves the needs of Medicare patients that are too sick to be appropriately cared for in a traditional skilled nursing facility, but not sick enough to justify remaining in an acute care setting. There were 676 patients in PCC during the year ended June 30, 2012 that stayed a total of 10,357 days. The IRU had an 11 bed capacity during the fiscal year. The IRU 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 177 with total patient days of 1,963 during the fiscal year. The Behavioral Health Unit BHU began operations July 1, 2010 and is 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. During the fiscal year ended June 30, 2012, the BHU had 396 patients that stayed a total of 3,058 days.Description
FieldValueIRS element (for citing)
Total Program Service Expense107904984TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109669NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1437NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBARB WEISS DIRECTOR ACCOUNTING SERVNamePerson
Telephone Number7244305222TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 W BERKELEY STAddressLine1
CityUNIONTOWNCity
StatePAState
ZIP Code15401ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Louise Monaghan
Chairman001.00XX000
Nancy Decker
Vice Chairman001.00XX000
Charles Watson
Sec./Treas.001.00XX000
Steven Handy
CFO/Asst. Sec./Treas.001.00XX0198515126296
Paul Bacharach
CEO001.00X0295176184084
Paula Congelio
Director001.00X000
Cataldo Corrado MD
Director001.00X000
Robert Garrett
Director001.00X000
Paul Hartley MD
Director001.00X000
Suzanne McMonagle
Director001.00X000
David Murello MD
Director001.00X000
William Ulmer
Director001.00X000
Josef Vanek MD
Director001.00X000
Ben Wright Jr
Director001.00X000
Sally Spegar
Ex Officio Director, Non Voting Member001.00X000
William Johnson
Pharmacy Director040.00126584022605X
Patrick Bator
Oper. Mgr. Pharmacy040.00107962027619X
Mary Kinder
Pharmacist040.00105190032260X
Marcie Bender
Pharmacist040.00102650016628X
Vicki Joshua
Pharmacist040.00101694019027X
FieldValueIRS element (for citing)
Total Reportable Comp From Org544080TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs493691TotalReportableCompFrmRltdOrgs
Total Other Compensation428519TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Quest Diagnostics
12436 Collections Ctr DrChicagoIL60693Laboratory Services1206589
Phoenix Health Systems Inc
910 Clopper Road Suite 165 SGaithersburgMD20878Information Technology Services830054
Executive Health Resources Inc
15 Campus Boulevard Suite 200Newtown SquarePA19073Medical Record Consulting Services409369
Fresenius Management Services Inc
16343 Collection Center DrChicagoIL60693Medical Services Provider400039
BECA Electrical Contractors Associates Inc
201 Bardine RoadCrabtreePA15624Electrical Contracting Services306588
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Fundraising Events238236FundraisingEvents
Government Grants481080GovernmentGrants
All Other Contributions188504AllOtherContributions
Total Contributions907820TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Inpatient Revenue9000996230133162301331
Outpatient Revenue9000995534238255342382
PCC/IRU/BHU Revenue90009982845138284513
FieldValueIRS element (for citing)
Total Program Service Revenue125928226TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column599833TotalRevenueColumn
Exclusion$599,833ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real766634Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real161799Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real604835Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column604835TotalRevenueColumn
Exclusion$604,835ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5227279Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5152849Securities
Other61046Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities74430Securities
Other-61046Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column13384TotalRevenueColumn
Exclusion$13,384ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events42067GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events238236CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses42067FundraisingDirectExpenses

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Meaningful Use Initiative90009933169413316941
Income from Equity Investment9000991276333$1,276,333
Pharmacy Copays/Ins. Reimbursements900099644429644429

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1100517TotalRevenueColumn
Related Or Exempt Function Income1100517RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6338220TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column134392318TotalRevenueColumn
Related Or Exempt Function Income130990113RelatedOrExemptFunctionIncome
Exclusion$2,494,385ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total46118353Total
Program Services36894683ProgramServices
Management And General9223670ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3316355Total
Program Services2653084ProgramServices
Management And General663271ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9464231Total
Program Services7571385ProgramServices
Management And General1892846ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3519450Total
Program Services2815560ProgramServices
Management And General703890ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6582863Total
Program Services2633145ProgramServices
Management And General3949718ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total158038Total
Management And General158038ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total121976Total
Management And General121976ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4087185Total
Program Services3269748ProgramServices
Management And General817437ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total35965Total
Program Services28772ProgramServices
Management And General7193ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1294430Total
Program Services1035544ProgramServices
Management And General258886ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5592865Total
Program Services4474292ProgramServices
Management And General1118573ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2570688Total
Program Services2056550ProgramServices
Management And General514138ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total58585Total
Program Services51555ProgramServices
Management And General7030ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total52411Total
Program Services41929ProgramServices
Management And General10482ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1480431Total
Program Services1184344ProgramServices
Management And General296087ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9818874Total
Program Services7855099ProgramServices
Management And General1963775ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1691884Total
Program Services1353507ProgramServices
Management And General338377ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DRUGS MEDICAL/SURGICAL SUPPLIES2217485022174850
BAD DEBT63608736360873
EQUIPMENT RENTAL AND MAINTENANCE512418940993511024838
FOOD - DIETARY SUPPLIES912397912397

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total547895Total
Program Services438316ProgramServices
Management And General109579ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total131084788Total
Program Services107904984ProgramServices
Management And General23179804ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4163472BOY
EOY9933063EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5332107BOY
EOY6182779EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY674891BOY
EOY319493EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15693704BOY
EOY13043818EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2141569BOY
EOY2240914EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY424652BOY
EOY784146EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis174836990LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec96283732LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY83597460BOY
EOY78553258EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14260750BOY
EOY11788402EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4007328BOY
EOY4016888EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY192119BOY
EOY2079645EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY130488052BOY
EOY128942406EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26205397BOY
EOY38707180EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY540729BOY
EOY28504EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY46433333BOY
EOY45408333EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11588873BOY
EOY16546137EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY84768332BOY
EOY100690154EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY44935886BOY
EOY27855460EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY756872BOY
EOY368647EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY26962BOY
EOY28145EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY45719720BOY
EOY28252252EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY130488052BOY
EOY128942406EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3307530ReconcilationRevenueExpenses
Reconcilation Other Changes-20774998ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Pertcentage1700.00000PublicSupportPertcentage170
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$18,952OtherActivitiesAmount
Total Lobbying Expenditures IIB18952TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierII-BIdentifier
Return Reference1ReturnReference
ExplanationThe Uniontown Hospital is a member of the Hospital Association of PA, the American Hospital Association, and the Hospital Council of Western PA. 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.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1708315OtherCostOrOtherBasis
Book Value1708315BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis88368865OtherCostOrOtherBasis
Depreciation36776490Depreciation
Book Value51592375BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1863517OtherCostOrOtherBasis
Depreciation978122Depreciation
Book Value885395BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis76421906OtherCostOrOtherBasis
Depreciation56334808Depreciation
Book Value20087098BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6474387OtherCostOrOtherBasis
Depreciation2194312Depreciation
Book Value4280075BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings78553258TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Est. Malpractice Cost$3,109,964
Other Long Term Liabilities$1,506,000
Estimated Third Party Settlement$2,722,601
Interest Rate Swap Agreement$9,207,572
FieldValueIRS element (for citing)
Total Of Amounts16546137TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierXIdentifier
Return Reference2ReturnReference
ExplanationThe 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.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf OutingNameOfEvent1
Gross Receipts Event1280303GrossReceiptsEvent1
Charitable Contributions Event1238236CharitableContributionsEvent1
Gross Revenue Event142067GrossRevenueEvent1
Non Cash Prizes Event16068NonCashPrizesEvent1
Food And Beverage Event113572FoodAndBeverageEvent1
Other Direct Expenses Event122427OtherDirectExpensesEvent1
Gross Receipts Total280303GrossReceiptsTotal
Charitable Contributions Total238236CharitableContributionsTotal
Gross Revenue Total Events42067GrossRevenueTotalEvents
Non Cash Prizes Total Events6068NonCashPrizesTotalEvents
Food And Beverage Total Events13572FoodAndBeverageTotalEvents
Other Direct Expenses Total Events22427OtherDirectExpensesTotalEvents
Direct Expense Summary Events42067DirectExpenseSummaryEvents

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1994702TotalCommunityBenefitExpense
Direct Offsetting Revenue131315DirectOffsettingRevenue
Net Community Benefit Expense1863387NetCommunityBenefitExpense
Percent Of Total Expense0.01490PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense24637246TotalCommunityBenefitExpense
Direct Offsetting Revenue16826413DirectOffsettingRevenue
Net Community Benefit Expense7810833NetCommunityBenefitExpense
Percent Of Total Expense0.06260PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense26631948TotalCommunityBenefitExpense
Direct Offsetting Revenue16957728DirectOffsettingRevenue
Net Community Benefit Expense9674220NetCommunityBenefitExpense
Percent Of Total Expense0.07750PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense182363TotalCommunityBenefitExpense
Net Community Benefit Expense182363NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense312495TotalCommunityBenefitExpense
Net Community Benefit Expense312495NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6418038TotalCommunityBenefitExpense
Direct Offsetting Revenue5615916DirectOffsettingRevenue
Net Community Benefit Expense802122NetCommunityBenefitExpense
Percent Of Total Expense0.00640PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6912896TotalCommunityBenefitExpense
Direct Offsetting Revenue5615916DirectOffsettingRevenue
Net Community Benefit Expense1296980NetCommunityBenefitExpense
Percent Of Total Expense0.01040PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense33544844TotalCommunityBenefitExpense
Direct Offsetting Revenue22573644DirectOffsettingRevenue
Net Community Benefit Expense10971200NetCommunityBenefitExpense
Percent Of Total Expense0.08790PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense107276TotalCommunityBuildingExpense
Net Community Building Expense107276NetCommunityBuildingExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense107276TotalCommunityBuildingExpense
Net Community Building Expense107276NetCommunityBuildingExpense
Percent Of Total Expense0.00080PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$6,360,873BadDebtExpenseAmount
Amount Attributable To2862393AmountAttributableTo
Amount Reimbursed By Medicare27345889AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare26898330CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall447559MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Uniontown HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1500 W Berkeley StreetAddressLine1
CityUniontownCity
StatePAState
ZIP Code15401ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
Uniontown Hospital Outpatient Diagnostic Center
1
Fayette Oncology Associates
2

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Uniontown Hospital Outpatient Diagnostic Center
150 Wayland Smith Drive Suite BUniontownPA154010
Fayette Oncology Associates
410 McClellandtown RoadUniontownPA15401Outpatient Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

IdentifierIdentifierExplanationExplanation
Part I line 7Uniontown 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 7column f - The amount of expenditures used to calculate column f were reduced by bad debt expense of 6,360,873.
Part III line 4The 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.
Part III line 4Line 2 is the gross charges of Hospital provided services to individuals for which payments were not received. These charges have been determined uncollectible by management. Line 3 was estimated by reviewing data from the US Census Bureau to determine the percentage of the population in the hospitals service area that falls below federal poverty guidelines. The resulting percentage was applied to line 2 to estimate line 3.
Part III line 4Rationale 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 4These 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 8Serving 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 report on line 6.
Part III line 9bThe 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
Part III line 9btrust 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 VQuestion 13g - 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.
Part VQuestion 19d - The maximum amount that can be charged to FAP-eligible individuals is the Minimum Patient Liability 0 - 100 plus the discounted charge of the service. The discount charge is determined by the individuals income as compared to Federal Poverty guidelines. The gross charge of the service is 150 of the cost of the service.
Part VI Line 2The 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. In addition, the leadership team develops a Long Range Financial Plan that projects out five fiscal years and is updated annually along with the annual Financial Plan. The Hospital is currently working on its Community Health Needs Assessment to meet the new IRS requirements.
Part VI Line 3As 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 4The Uniontown Hospital is a 196 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 137,000. 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 25.5 of the population eligible for Medical Assistance. Source Pennsylvania Department of Health 2012 Health Profile.
Part VI Line 5The 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 care to the public and the Hospital sponsors Blood Drives with the American Red Cross and outreach activities with the American Heart Association. Also, thirteen years ago 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
Part VI Line 5Continued 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 6Fayette Regional Health System Health System 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 medical staff of the Hospital includes physicians practicing in 31 specialties. The Hospital includes the following services a 24/7 Emergency Department Obstetrics a Cardiac Care Center Orthopedics Surgery Diagnostic Imaging Services a Diabetes Center and a Wound Care Center. Additionally, services are delivered in not only an acute care setting, but also in satellite phlebotomy centers, in a sub-acute skilled nursing center center, in an inpatient rehabilitation unit, and a behavior health unit. In addition, Fayette Home Care, another subsidiary of the Health System, provides skilled nursing care physical, occupational, and speech therapies hospice care and many other support services for homebound patients.
Part VI Line 6Continued Fayette Health Management, a subsidiary of the Health System, is the parent of multiple physician offices throughout the county. Services include primary care Cardiology, Obstetrics/Gynecology, Otolaryngology, Surgery, Pulmonology, Psychiatry, and Neurology. The Hospital also has a joint venture agreement with the University of Pittsburgh Cancer Centers to provide radiation therapy and PET/CT imaging in an outpatient center owned by the Hospital.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Steven Handy
194855366010363330452332600
Paul Bacharach
286946823017017935753501108

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
I3- Hospital relied on a Fayette Regional Health System EIN 25-1451183 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.
I4B-Participation in the Fayette Regional Health System 457f Plan the Plan is limited to Paul Bacharach and Steve Handy Participants. During the fiscal year ended June 30, 2012, 148,533 was contributed to the Plan on behalf of Paul Bacharach and 87,454 was contributed to the Plan on behalf of Steve Handy. The Plans accounting year is January 1st through December 31st. The Plan is administered by the Executive Committee of the Fayette Regional Health System FRHS Board of Directors. FRHS, as the employer of the Participants, pays all of the expenses of the administration of the Plan. Each Plan year, FRHS shall decide whether or not to make a contribution to the Plan, and the amount and allocation of the contribution. Contributions shall become vested on the Participants Vesting Date as long as the Participant is employed with FRHS on the Vesting Date. All distributions shall be made in a lump sum payment. The Trustee may invest the funds held in the Account of each Participant in accordance with each Participants direction. Title to and beneficial ownership of any assets which FRHS designated to pay benefits hereunder, shall at all times be subject to the general creditors of FRHS and a Participant and his Beneficiary shall have no property right in those assets.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Fayette County Hospital AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN251512681IssuerEIN
CUSIP Number312468BP5CUSIPNumber
Date Issued2007-09-27DateIssued
Issue Price50000000IssuePrice
Description Of PurposeConstructing New Inpatient Tower Refunding previous issue, Series 1996DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds50000000TotalProceeds
Refunding Escrow11074301RefundingEscrow
Issuance Costs From Proceeds450208IssuanceCostsFromProceeds
Credit Enhancement37500CreditEnhancement
Capital Expenditures38437991CapitalExpenditures
Year Of Subst Completion2010YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1PNC BANK NABusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge0000000029.700000000000TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part VI6/7a/7b- The sole member of Uniontown Hospital is the Hospitals parent company, Fayette Regional Health System, a PA non-profit corporation. The sole member has power to aelect all of the Directorsexcept ex-officio Directors of the Hospital bremove 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 dapprove 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 VI11b-The 990 was presented to all voting members of the Finance and Audit Committee of the organizations parent for review at the April 2013 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 VI12c-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 VI15a/15b-An Executive Committee is responsible for overall compensation, the organizations philosophy and establishes the guidelines, rules and procedures necessary for the proper and efficient administration of the Executive Compensation Program which covers the CEO, CFO and Vice Presidents. This committee is independent from management and includes a comparison of pay rates with peer institutions. These Committee meetings are documented in meeting minutes. August 24, 2009 is the last time the Committee reviewed Executive compensation.
Form 990 Part VI19- The organizations governing documents, conflicts of interest policy, and financial statements are available by contacting the Presidents office or the Accounting Services department. A copy will be mailed upon request.
Form 990 Part VII1a-Steve Handy and Paul Bacharach serve 1 hour per week for the Uniontown Hospital board. Additionally, they serve 1 hour per week on the following related organizations boards Fayette Regional Health System and Fayette Home Care. Robert Garrett serves 1 hour per week for the Uniontown Hospital board. Additionally, he serves 1 hour and .5 hour per week on the Fayette Regional Health System and Fayette Home Care boards, respectively, both of which are related organizations. William Ulmer, Louise Monaghan, Nancy Decker, Cataldo Corrado, Ben Wright Jr. and Charles Watson serve 1 hour per week for the Uniontown Hospital board. Additionally, they serve 1 hour per week on the Fayette Regional Health System board which is a related organization. Suzanne McMonagle, Josef Vanek and Sally Spegar serve 1 hour per week for the Uniontown Hospital board. Additionally, they serve .5 hour per week on the Fayette Home Care board which is a related organization. Sally Spegar also serves on the Uniontown Hospital Auxiliary board, another related organization,3 hours per week.
Form 990 Part XI5Other changes in net assets is comprised of change in fair value of interest rate swap 4,457,882 change in defined benefit acturial valuation 13,990,437 change in permanently restricted net assets 1,183 transfer to affiliates 2,094,071 change in unrealized gains losses on investments 189,143 and other miscellaneous change in net assets 44,648.
Form 990 Part VI Section A Line 6/7a/7b - The sole member of Uniontown Hospital is the Hospitals parent company, Fayette Regional Health System, a PA non-profit corporation. The sole member has power to aelect all of the Directorsexcept ex-officio Directors of the Hospital bremove 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 dapprove 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 2013 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 -An Executive Committee is responsible for overall compensation, the organizations philosophy and establishes the guidelines, rules and procedures necessary for the proper and efficient administration of the Executive Compensation Program which covers the CEO, CFO and Vice Presidents. This committee is independent from management and includes a comparison of pay rates with peer institutions. These Committee meetings are documented in meeting minutes. August 24, 2009 is the last time the Committee reviewed 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 Presidents office or the Accounting Services department. A copy will be mailed upon request. Form 990 Part VII Section A Line 1a -Steve Handy and Paul Bacharach serve 1 hour per week for the Uniontown Hospital board. Additionally, they serve 1 hour per week on the following related organizations boards Fayette Regional Health System and Fayette Home Care. Robert Garrett serves 1 hour per week for the Uniontown Hospital board. Additionally, he serves 1 hour and .5 hour per week on the Fayette Regional Health System and Fayette Home Care boards, respectively, both of which are related organizations. William Ulmer, Louise Monaghan, Nancy Decker, Cataldo Corrado, Ben Wright Jr. and Charles Watson serve 1 hour per week for the Uniontown Hospital board. Additionally, they serve 1 hour per week on the Fayette Regional Health System board which is a related organization. Suzanne McMonagle, Josef Vanek and Sally Spegar serve 1 hour per week for the Uniontown Hospital board. Additionally, they serve .5 hour per week on the Fayette Home Care board which is a related organization. Sally Spegar also serves on the Uniontown Hospital Auxiliary board, another related organization,3 hours per week. Form 990 Part XI Line 5 Other changes in net assets is comprised of change in fair value of interest rate swap 4,457,882 change in defined benefit acturial valuation 13,990,437 change in permanently restricted net assets 1,183 transfer to affiliates 2,094,071 change in unrealized gains losses on investments 189,143 and other miscellaneous change in net assets 44,648.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Fayette Regional Health System
500 W Berkeley StreetUniontownPA15401251451183Healthcare ManagementPA501c311bN/Afalse
Fayette Home Care
110 Youngstown RoadLemont FurnacePA15456251531065HealthcarePA501c39trueFayette Regional Health System
Uniontown Hospital Auxiliary
500 W Berkeley StreetUniontownPA15401256040505FundraisingPA501c311bN/Afalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Fayette Health Management
211 Easy StreetUniontownPA15401208383875HealthcarePAN/AC Corp
Fayette Medical Associates Inc
211 Easy StreetUniontownPA15401251770366HealthcarePAN/AC Corp
Fayette Speciality Associates Inc
211 Easy StreetUniontownPA15401030465736HealthcarePAN/AC Corp
Hospital Care Associates
211 Easy StreetUniontownPA15401208705746HealthcarePAN/AC Corp
Fayette Anesthesia Providers
211 Easy StreetUniontownPA15401208384016HealthcarePAN/AC Corp
Fayette Physician Hospital Organization
500 W Berkeley StreetUniontownPA15401251844471HealthcarePAN/AC Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.