2013-05-13T14:02:05-07:00 2012-06-30 990 2011-07-01 231352155 ALTOONA REGIONAL HEALTH SYSTEM ALTO 8148894101 620 Howard Avenue Altoona PA 16601 Charles Zorger 8148894101 2013-05-13 2011 2016-02-24 21:20:13Z Gerald Murray 620 Howard Avenue Altoona PA 16601 450277612 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 10 2807 600 0 22281 818359 1197251 330426637 354769115 8816846 2968412 3746005 8602730 343807847 367537508 0 0 0 0 165049097 176022471 0 0 0 173975106 182111804 339024203 358134275 4783644 9403233 284587708 289737276 152557199 191359027 132030509 98378249 The mission of the Altoona Regional Health System is for exceptional people to provide exceptional health care. 0 0 58505938 0 42910930 Inpatient care: Inpatient care was provided to 19,326 patients, including newborns. The System had 85,527 patient days. Inpatient care was provided through 15 nursing units. 47934000 0 68764404 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 26,076. 20755965 0 53838826 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 177,770 imaging procedures. 18130023 0 45827496 Pharmacy Services 24740520 0 0 Bad Debts 20068862 0 32540865 Emergency and Trauma Services 48259214 0 93015242 All Other 17313080 0 26146592 Laboratory Services 128511699 0 197530195 255707602 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 2807 1 1 1 0 0 0 0 0 X 17 10 1 0 0 0 0 1 1 1 1 0 0 1 1 0 1 1 1 1 1 0 X Accounting Dept-ARHS 8148894100 620 Howard Avenue Altoona PA 166024899 Charles Haas MD 1 X 0 0 0 Robert Halbritter 1 X 0 0 0 Robert Montler 1 X 0 0 0 Thomas G Peoples 1 X 0 0 0 Benjamin Levine 1 X 0 0 0 Joseph M Reilly CPA 1 X 0 0 0 James Drenning 1 X 0 0 0 Donald Devorris 1 X 0 0 0 Robert E Wertz MD 1 X 0 336540 6788 R Samuel Magee MD 1 X 1885 0 0 Ann Benzel 1 X 0 0 0 Bruce Erb 1 X 0 0 0 J Grant Hormell MD 1 X 0 0 0 Daniel Lawruk 1 X 0 0 0 Karen Pfeffer 1 X 0 0 0 Gerald E Murray 50 X X 523875 0 390471 Charles R Zorger 50 X X 316471 0 135942 David L Cowger MD 50 X 306550 0 75176 Ronald J McConnell 40 X 313632 0 118309 Linnane Batzel MD 50 X 338058 0 33624 Matthew P Bouchard MD 50 X 469120 0 48536 Adam Blescia 50 X 358946 0 42076 Mohammad Arshad MD 50 X 363458 0 46698 Jessica Sheperd MD 50 X 434045 0 17742 Thomas Gore 50 X 294998 0 39448 3721038 336540 954810 82 0 1 0 Aramark 12483 COLLECTIONS CENTER DRIVE Chicago IL 60693 Biomedical Services 3260597 Siemens Medical Solutions 51 Valley Stream Parkway Malvern PA 19355 IT Services 4381179 Mayo Collaborative Services PO BOX 9146 MINNEAPOLIS MN 55480 Laboratory Services 1670704 Stoltenberg Consulting Inc 5815 Library Road Bethel Park PA 15102 IT Consulting 1564465 Allegheny Healthcare Staffing Inc 501 Howard Avenue Suite C-103 Altoona PA 16601 Healthcare Staffing 2761812 93 0 0 0 0 1009453 187798 0 1197251 Acute Inpatient Revenue 622000 42296885 42296885 0 0 Inpatient Ancillary Revenue 622000 120927181 120927181 0 0 Operating Room 622000 33402139 33402139 0 0 Radiology 622000 44523294 44523294 0 0 Outpatient Ancillary Revenue 622000 78056120 78056120 0 0 35563496 35563496 0 0 354769115 132524 0 0 132524 4551 0 0 4551 0 0 0 0 258157 0 0 0 258157 0 258157 258157 0 0 85571441 0 82740104 0 2831337 0 2831337 0 0 2831337 0 Cafeteria Sales 622000 1022330 1022330 0 0 County Contract Revenue 622000 1597528 1597528 0 0 IT Services Revenue 541511 327490 0 0 327490 5397225 5397225 0 0 8344573 367537508 363044355 0 3295902 0 0 0 0 0 0 0 0 1798586 644608 1153978 0 0 0 0 131201673 100350652 30851021 0 6803752 6645177 158575 0 26757889 17397357 9360532 0 9460571 7286239 2174332 0 11029599 7943835 3085764 0 502084 0 502084 0 197000 0 197000 0 0 0 0 0 0 0 0 0 0 0 2571038 502732 2068306 0 338624 0 338624 0 1041743 635449 406294 0 10645700 2484645 8161055 0 0 0 0 0 5971676 489060 5482616 0 268974 215202 53772 0 0 0 0 0 235423 112059 123364 0 3585502 0 3585502 0 0 0 0 0 18549317 7148909 11400408 0 3756399 0 3756399 0 Bad Debt Expense 24740520 24740520 0 0 Contract Labor 3056725 2913981 142744 0 Purchased Services 8459012 1313450 7145562 0 Supplies 68842588 67453354 1389234 0 18319880 7430373 10889507 0 358134275 255707602 102426673 0 2892750 13518530 38551803 40024159 5131842 4280296 3443661 3340044 343332717 216506787 122363910 126825930 78747898 64237431 3813574 1346566 0 1555694 4084145 28086576 32080175 284587708 289737276 29220607 38084642 0 0 0 0 0 87087920 84167686 513753 377628 35734919 68729071 152557199 191359027 X 131927457 98311320 103052 66929 0 0 132030509 98378249 284587708 289737276 X 9403233 -43055493 X 0 1 1 X 1 1 X 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 3240254 3240254 0 172159988 93078235 79081753 0 4711634 3560743 1150891 0 161547240 119867809 41679431 0 1673601 0 1673601 126825930 Other Receivables 3614077 Estimated Amounts Due from third-party payors 549740 Intercompany Receivables 7103510 Beneficial Interest in the Net Assets of the Central PA Medical Foundation 20812848 32080175 0 Accrued Pension Liability 63655814 Other Liabilities 5073257 68729071 SchD_P05_S00_L04 Schedule D, Part V, Line 4 Approximately, $42,459 of the fund is for Bioterrorism preparedness, $20,304 is for Medical Staff continuing medical education, and $4,166 is for upkeep of the Donna Jean Hospitality House. 1 1 0 0 1 1 0 1 1 2378224 0 2378224 0.0066 45458430 27498238 17960192 0.0501 0 0 47836654 27498238 20338416 0.0567 2409715 113622 2296093 0.0064 5115913 3254787 1861123 0.0051 32208661 19836049 12372612 0.0345 133977 0 133977 0.0003 0 0 39868266 23204458 16663805 0.0463 0 0 87704920 50702696 37002221 0.1030 27501 0 27501 0.00009 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27501 0 27501 0.00009 0 7828311 375129 47094573 51278341 -4183768 X 1 1 1 1 Altoona Regional Health System

620 Howard Avenue Altoona PA 16601

X Altoona Regional Health System 1 1 X X X X X X X X 08 1 1 1 X X X X X X X X 0 1 1 150 1 300 1 X 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 by the federal Register. Charity care may reduce the patients bill by 25%, 50%, 75% or 100% based on the financial information received. SchH_P01_S00_L06a Schedule H, Part I, Line 6a N/A 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 Worksheet2 - ratio of patient care cost to charge also cost from Medicare 2012 cost report. SchH_P01_S00_L072f Schedule H, Part I, Line 7, Column f Bad debt 24,740,520 SchH_P01_S00_L07g Schedule H, Part I, Line 7g ARHS included in the subsidized health services costs attributable to its 2 physician clinics (AFP and Williamsburg) and its women's health center. AFP cost: $5,629,831, Williamsburg Clinic cost: $929,458, Women's Health Center cost: $651,708 (these include all actual expenses). 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 collectibility 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 amounts. 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 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 increased from 80% of self-pay accounts receivable at June 30, 2011, to 92% of self-pay accounts receivable at June 30, 2012. In addition, The Health system's write-offs were approximately $25,100,000 and $21,900,000, respectively, in 2012 and 2011. Both increases were the result of negative trends experienced in the collection of amounts from self-pay patients in fiscal year 2012. Methodology: Bad debt cost less bad debt expenses minus any bad debt recoveries multiplied by the ratio derived from worksheet 2 less ration of patient care cost to charges also cost from Medicare 2012 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 2012 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 - 12 months. If the account cannot be paid off within 3 - 12 months, a minimum amount 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 In its final document: Blair County Community Plan: March 12, 2012, the Healthy Blair County Coalition (HBCC) identified 15 "top priorities" needs/goals that had been part of a larger group of needs identified through the needs assessment process. The Coalition formed 4 work groups: Alcohol and Other Drugs, Economy, Crime, and healthcare. The Alcohol and other Drugs Work Group developed 3 major goals and 18 strategies to address these 3 major goal areas. The Crime Work Group identified 5 major goal areas and 17 strategies to meet these identified need areas. The Economy Work Group developed 4 major goals and 18 strategies to meet these identified goal areas. The HealthCare Work Group identified 3 major goal areas and 7 strategies to meet these identified goal areas. Altoona Regional Health System took a leadership role in working with the HealthCare Work Group to develop strategies designed to meet the identified community healthcare needs, as did the other work groups relevant to their specific needs. The top three healthcare needs identified by the HealthCare Work Group were: Goal 1: Increase the access to care for physical mental and substance abuse services in Blair County. Strategies included: a) Advocate for the recruitment of additional psychiatrists to serve consumers. ARHS implemented this strategy /met this need by successfully recruiting additional psychiatrists to its Behavioral Health Department. Additionally, ARHS partnered with Primary Health Network to increase access to physical, mental, and substance abuse services for Blair County residents. Primary Health Network has 32 clinic sites/service locations in Pennsylvania, employs over 130 physicians, dentists, physician assistants, certified nurse practitioners, and other healthcare professionals, and a support staff of over 400. In the past year PHN provided services to over 80,000 people, including those served in Blair County. ARHS worked with PHN to support the development of: Altoona Community Health Center - which provided increased access to physical health services; and Altoona Behavioral Health which has provided increased access to mental health services and substance abuse services. Also, the Health System provides health care and dental care to the community through its free clinic: Partnership for a Healthy Community. Also - for Goal 1: the health system continues, on a local and state level, to advocate for insurance initiatives to reduce the number of uninsured persons. For Goal 2: Increase community awareness of existing physician, mental, and substance and social service agencies in Blair County, the Health System continues to support the development and implementation of the 211 information system in Blair County. The Health System educates community residents regarding services availability through its Community Education Office and provides referrals to community agencies, programs and services. For Goal 3: Enhance coordination of referrals and services among providers in Blair County, the health system has not yet met this goal, but continues to work with over 100 community service providers to enhance service coordination and referral. One proposed strategy to accomplish this is to form a workgroup to develop and implement a common application form acceptable to all participating providers to better facilitate client access to services. Although there are important HIPPA considerations regarding a common application form, these concerns may be adequately addressed via appropriate IT safeguards. 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_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_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_P06_S00_L02 Schedule H, Part VI, Line 2 Altoona Regional Health System (ARHS) helped form and actively supports and participates in the Blair County Community Needs Assessment Partnership (Partnership). The Partnership is comprised of over 50 community agencies, organizations, and services. The Partnership 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 initial and follow-up survey processes and involve a household survey, focus groups, and survey of local businesses. 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 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 7 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 - 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 500-bed, regional health care system which provide regional/tertiary care services. SchH_P06_S00_L05 Schedule H, Part VI, Line 5 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 help people 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 areas. 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 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: 2 acute care hospitals that provide routine, primary care services as well as regional/tertiary care services; a home nursing/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 Robert E Wertz MD 0 336540 0 0 0 0 0 0 0 6788 0 343328 0 419429 Gerald E Murray 521938 0 0 0 1937 0 372751 0 17720 0 914346 0 725125 0 Charles R Zorger 311471 0 5000 0 0 0 118307 0 17635 0 452413 0 452677 0 David L Cowger MD 306550 0 0 0 0 0 57273 0 17903 0 381726 0 410646 0 Ronald J McConnell 313632 0 0 0 0 0 100322 0 17987 0 431941 0 407538 0 Matthew P Bouchard MD 429201 0 39919 0 0 0 33198 0 15338 0 517656 0 457781 0 Adam Blescia 325771 0 33175 0 0 0 24388 0 17688 0 401022 0 334229 0 Linnane Batzel MD 307028 0 31030 0 0 0 17962 0 15662 0 371682 0 318856 0 Mohammad Arshad MD 329259 0 34199 0 0 0 28961 0 17737 0 410156 0 404488 0 Jessica Sheperd MD 425412 0 8633 0 0 0 55 0 17687 0 451787 0 0 0 Thomas Gore 266048 0 28950 0 0 0 21461 0 17987 0 334446 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 $326,868, Charlie Zorger $78,116, Ronald McConnell $58,597, and David Cowger $9,320 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, and at least 75% of the senior leader's goals have been achieved, the minimum payout would be 18.75% of base pay and the maximum payout would be 30% (per Board approved capped Mercer compensation program design). Blair County Hospital Authority 251352705 092840HV2 2009-12-03 66371478 capital projects and renovations and partial refunding of 1998 bonds 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 X Vicki Wertz Daughter of Board Member 105460 Compensation 0 Lexington Mall Partners LP Director Devorris is a 16% owner 1035003 Rent 0 Pathology Associates of Blair County Director Haas is an owner 126427 Professional Fees 0 Lexington Mall Partners LP Director Lawruk is a partner 1035003 Rent 0 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 decisions made by 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 at a meeting held on May 9, 2013. 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 retirned. These statemetns 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 otehr members of the Senior Leadership Team are reviewed by the Executive Compensation & Benefits Committee, a subcommittee of the Board of Directors, with the 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 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 regrd to financial statements, the organization publishes and makes available to the public its balance sheets and income statements in 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_L05 Form 990, Part XI, Line 5 Unrealized Gain on Investments: ($943,409), Minimum Pension Liability Adjustment: ($34,078,840), Net Cash Infusion to Related Organizations: ($10,769,506), Change in Beneficial Interest in Net Assets of Central PA Medical Foundation: $2,234,145, Change in Minority Interest: $538,240, and Net Changes in Restricted Funds: ($36,123) 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 0 Lexington Mall Holdings LLC 620 Howard Avenue Altoona PA 16601 270063014 Real Estate PA Lexington One Unrelated 0 0 0 0 0 0 Altoona Family Inc 2500 Seventh Avenue Altoona PA 16602 251444935 Property Rental PA N/A C -26947 64813 1 Lexington Holdings Inc 620 Howard Avenue Altoona PA 16601 251794386 Holding Company PA Central Pennsylvania Medical Foundation C 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 Blair Medical Associates Inc 1414 Ninth Avenue Altoona PA 16602 251219302 Physician Practices PA Lexington Four Inc C 0 0 0 Lexington Anesthesia Associates Inc 620 Howard Avenue Altoona PA 16601 251897765 CRNA practice PA Lexington Four Inc C 0 0 0 Lexington Orthopedic Associates Inc 620 Howard AVenue Altoona PA 16601 550874905 phyisican practice PA Lexington Four Inc C 0 0 0 Lexington Surgical Associates Inc 620 Howard Avenue Altoona PA 16601 233040538 physician practice PA Lexington Four Inc C 0 0 0 Mainline Medical Associates Inc 1400 Ninth Avenue Altoona PA 16601 251439055 physician practice PA Lexington Four Inc C 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 Patton Family Medical Center Inc 142 E Carroll Street Carrolltown PA 15722 251793735 physican practice PA Lexington Four Inc C 0 0 0 Lexington Hospitalists Inc 620 Howard Avenue Altoona PA 16601 562584130 physician practice PA Lexington Four Inc C 0 0 0 Lexington One Inc 620 Howard Avenue Altoona PA 16601 251468889 Real Estate PA Lexington Holdings C 0 0 0 Lexington Two Inc 620 Howard AVenue Altoona PA 16601 251555689 Durable Medical Equipment PA Lexington Holdings Inc C 0 0 0 Lexington Radiology Inc 620 Howard Avenue Altoona PA 16601 271440673 physician practice PA Lexington Four Inc C 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 Lexington Investments Inc 620 Howard Avenue Altoona PA 16601 270687832 holding company PA Lexington Anesthesia C 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 0 1 0 0 Central Pennsylvania Medical Foundation b 10135414 checks issued Altoona Regional Partnership for a Healthy Community p 993980 checks issued Altoona Regional Partnership for a Healthy Community n 102486 Payroll records Altoona Regional Health System Foundation For Life p 25566 Checks issued Home Nursing Agency Visiting Nurse Association k 561441 Invoices Home Nursing Agency Community Services k 97861 Invoices