2011-05-04T15:11:48-05:00 2010-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2009-07-01 250965237 ARMSTRONG COUNTY MEMORIAL HOSPITAL ARMS 7245438781 ONE NOLTE DRIVE KITTANNING PA 162018808 JOHN I LEWIS 2011-05-02 true Brian D Todd 4178658701 2009 2016-02-24 21:20:13Z ACMH HOSPITAL JOHN I LEWIS ONE NOLTE DRIVE KITTANNING PA 16201 100267170 false X www.acmh.org X 1874 PA ACMH HOSPITAL IS COMMITTED TO IMPROVING THE EMOTIONAL AND PHYSICAL HEALTH OF ITS PATIENTS THROUGH SUPERIOR CLINICAL CARE AND THE COMPASSIONATE MANAGEMENT OF ILLNESS AND DISABILITY. 13 9 1084 123 347849 332331 162537 89473153 95282912 500385 264567 1052606 738306 91358475 96448322 0 0 0 0 51338640 52741153 0 0 0 39057702 38940921 90396342 91682074 962133 4766248 56257536 60168814 24150846 24196267 32106690 35972547 THE MISSION OF ARMSTRONG COUNTY MEMORIAL HOSPITAL IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF ARMSTRONG AND NEIGHBORING COUNTIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. true false 31314771 40838557 ACMH HOSPITAL PROVIDES INPATIENT SERVICES SUCH AS MEDICAL AND SURGICAL, ACUTE REHAB, SKILLED NURSING, OB/GYN, ICU/CCU, PSYCHIATRIC, AND NURSERY. DURING THE FISCAL YEAR, TOTAL ADMISSIONS WERE 7,886 AND PATIENT DAYS WERE 36,513. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 35660505 45660041 ACMH HOSPITAL PROVIDES OUTPATIENT SERVICES SUCH AS RADIOLOGY, LABORATORY, EMERGENCY VISITS, AMBULATORY SURGERY, AND OTHER VARIOUS SERVICES. DURING THE FISCAL YEAR, TOTAL OUTPATIENT EPISODES WERE 214,643. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 8778121 6851885 ACMH HOSPITAL PROVIDES PHYSICIAN CLINICS AT SEVERAL SURROUNDING LOCATIONS INCLUDING LEECHBURG AND ELDERTON. WE ALSO PROVIDE DIFFERENT SPECIALTY PHYSICIAN PRACTICES SUCH AS GENERAL SURGERY, NEUROSURGERY, RHEUMATOLOGY, OB/GYN, AND UROLOGY. DURING THE FISCAL YEAR, TOTAL VISITS FOR ALL PHYSICIAN CLINICS TOTALED 80,757. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 445789 1584580 76199186 true true false true false false false false false true true true false false false false false false false false true false false true false false false false false false false true false false false false true true false false false true 66 0 true 1084 true true true false false false false false false false false 13 9 false false false false true false true true true false false true true true true true true true true false PA X PATRICK C BURNS 7245438618 ONE NOLTE DRIVE KITTANNING PA 16201 ELIZABETH WHITE 1.0 X 0 0 0 MARK SNYDER 1.0 X 0 0 0 SAMUEL FREIDE 1.0 X 0 0 0 KAY OWEN 1.0 X 0 27692 0 DONALD TYLINSKI EDD 1.0 X X 0 0 0 HAROLD ALTMAN MD 40.0 X X 260969 0 16524 JOHN LEWIS 40.0 X X 299656 0 20284 MEREDITH CHRISTY 1.0 X X 0 0 0 HELEN BURNS RN PHD 1.0 X 0 0 0 CHASE MCCLISTER 1.0 X X 0 0 0 RODERICK GROOMES MD 40.0 X 0 0 0 JAMES RAMAGE DVM 1.0 X 0 0 0 VOLKER ZAUN 1.0 X 0 0 0 PATRICK C BURNS 40.0 X 176925 0 20516 CURT CONRY MD 40.0 X 559266 0 15496 MAUREEN RUSSELL MD 40.0 X 477984 0 2051 STEVEN PATERNO MD 40.0 X 370184 1800 20354 JEFFREY DAVID MD 40.0 X 297316 1800 19613 CRAIG SCOTT HERRING MD 40.0 X 288894 0 15832 2731194 31292 130670 40 false true false CHILDREN'S COMMUNITY PEDIATRIC PEDIATRIC 462990 N PITTSBURGH ANESTHESIA ASSOC ANESTHESIA 295190 HORTY SPRINGER MATTERN LEGAL 158182 FRG ACMH PC RADIOLOGY 124794 BKD LLP AUDITING 121289 7 79448 79854 3235 5250 162537 PATIENT SERVICE 900099 93350477 93350477 UNRELATED LAB SERVICES 621500 347849 347849 CAFETERIA 722210 594938 594938 MEDICAL RECORDS 561000 15428 15428 OTHER REVENUE 900099 713110 713110 261110 261110 95282912 512706 512706 0 0 387222 0 387222 387222 387222 3566681 4028 3765756 53092 -199075 -49064 -248139 -248139 0 0 0 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 351084 351084 351084 96448322 94935063 347849 1002873 0 0 0 0 794874 277493 517381 0 41831307 34877625 6953682 1876313 1645989 230324 5227856 4605918 621938 3010803 2635796 375007 0 278259 278259 106400 106400 0 0 49650 49650 6889881 5748211 1141670 288071 22921 265150 5235284 4225333 1009951 784484 147716 636768 0 1739491 1346481 393010 89605 64898 24707 0 85845 57283 28562 373160 313939 59221 0 5262868 4427649 835219 1634515 62552 1571963 PROVISION FOR BAD DEBT 2891756 2891756 RECRUITING & RETENTION 93857 22740 71117 DUES & SUBSCRIPTIONS 273477 150671 122806 MEDICAL SUPPLIES & DRUGS 11962391 11962391 FOOD EXPENSES 677907 677907 224020 33917 190103 91682074 76199186 15482888 0 26484 47219 11372561 15635667 6912663 7591185 480499 127915 846822 756551 1440992 1268131 101740602 79394625 24277446 22345977 7553954 8206387 1227145 1679311 2118970 2510471 56257536 60168814 8715711 9307143 39267 55631 6852978 5306820 287432 8542890 9239241 24150846 24196267 X 31959690 35972547 147000 32106690 35972547 56257536 60168814 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 9502 9502 false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1(i) THE HOSPITAL HOLDS MEMBERSHIP IN THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) AND THE HOSPITAL COUNCIL OF WESTERN PENNSYLVANIA (HCWP) WHICH ENGAGE IN LOBBYING AS PART OF THEIR MISSION TO REPRESENT THE INTEREST OF HOSPITALS AT BOTH THE FEDERAL AND STATE LEVELS. 174825 174825 35032892 24134057 10898835 63522460 52785663 10736797 3010425 2474905 535520 22345977 0 AMOUNT DUE TO THIRD PARTY PAYERS 2387177 MINIMUM PENSION LIABILITY 6852064 9239241 96448322 91682074 4766248 1108563 -2008954 -900391 3865857 95542865 1108563 -2014020 -905457 96448322 96448322 91677008 91677008 5066 5066 91682074 FIN 48 DISCLOSURE SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. OTHER CHANGES IN NET ASSETS SCHEDULE D, PART XI, LINE 8 $ (1,240,152) UNREALIZED CHANGE IN DEFINED BENEFIT PENSION PLAN: ( 768,802) TRANSFER TO AFFILIATES ------------- $ (2,008,954) OTHER RECONCILING ITEMS - RECONCILIATION OF REVENUE SCHEDULE D, PART XII, LINE 2D $ (1,240,152) UNREALIZED CHANGE IN DEFINED BENEFIT PENSION PLAN: ( 768,802) TRANSFER TO AFFILIATES ( 5,066) INVESTMENT FEES WERE INCLUDED WITH REVENUES ON THE AUDIT REPORT; HOWEVER, WERE MOVED TO BE PROPERLY INCLUDED WITH EXPENSES ON THE TAX RETURN. ------------- $ (2,014,020) OTHER RECONCILING ITEMS - RECONCILIATION OF EXPENSES SCHEDULE D, PART XIII, LINE 4B INVESTMENT FEES OF $(5,066) WERE INCLUDED WITH REVENUES ON THE AUDIT REPORT; HOWEVER, WERE MOVED TO BE PROPERLY INCLUDED WITH EXPENSES ON THE TAX RETURN. true true X true X true X true true false false 876268 876268 0.00960 12494753 9272040 3222713 0.03520 723213 491077 232136 0.00250 14094234 9763117 4331117 0.04730 18272 18272 0.00020 115076 54189 60887 0.00070 3237348 2379393 857955 0.00940 430 430 0.00000 3371126 2433582 937544 0.01030 17465360 12196699 5268661 0.05760 false 1090432 31099 15598507 15372366 226141 X true false ARMSTRONG COUNTY MEMORIAL HOSPITAL

ONE NOLTE DRIVE KITTANNING PA 16201

X X X SNU, REHAB, & PSYCHIATRIC UNITS ABC WOMEN'S CARE - SUITE 300

300 MEDICAL ARTS COMPLEX STE 300 KITTANNING PA 16201

OB/GYN FACILITY ABC WOMEN'S CARE - SUITE 230

200 MEDICAL ARTS COMPLEX STE 230 KITTANNING PA 16201

OB/GYN FACILITY WOMEN'S HEALTH CARE

400 MEDICAL ARTS BUILDING STE 420 KITTANNING PA 16201

OB/GYN FACILITY ARMSTRONG PRIMARY CARE CENTER-ELDERTON

116 MAIN ST ELDERTON PA 15736

PRIMARY CARE, LAB DRAW, RADIOLOGY ARMSTRONG PRIMARY CARE CENTER-LEECHBURG

116 MAIN ST LEECHBURG PA 15656

PRIMARY CARE, LAB DRAW, PHYSICAL THERAPY, RADIOLOGY WESTERN PA NEUROLOGICAL ASSOCIATES

100 MEDICAL ARTS BUILDING STE 130 KITTANNING PA 16201

NEUROSURGERY ACMH PRIMARY CARE CENTER-KITTANNING

100 MEDICAL ARTS BUILDING STE 150 KITTANNING PA 16201

PRIMARY CARE ACMH RHEUMATOLOGY

400 MEDICAL ARTS BUILDING STE 410 KITTANNING PA 16201

RHEUMATOLOGY PRACTICE ACMH UROLOGY

400 MEDICAL ARTS BUILDING STE 410 KITTANNING PA 16201

UROLOGY PRACTICE ARMSTRONG SURGICAL ASSOCIATES

500 MEDICAL ARTS BUILDING STE 540 KITTANNING PA 16201

GENERAL SURGERY PRACTICE ENDOCRINOLOGY ASSOCIATES OF ARMSTRONG

500 MEDICAL ARTS BUILDING SUITE 53 KITTANNING PA 16201

ENDOCRINOLOGY PRACTICE ACMH HEALTH PAVILION

202 5TH AVE FORD CITY PA 16226

OUTPATIENT PHYSICAL THERAPY & LAB DRAW STATION ONDICH RURAL HEALTH CENTER

RD 5 BOX 246B RURAL VALLEY PA 16249

LAB DRAW STATION WORTHINGTON FAMILY PRACTICE

1482 BUTLER ROAD WORTHINGTON PA 16262

LAB DRAW STATION COWANSVILLE SERVICE CENTER

882 EAST BRADY ROAD COWANSVILLE PA 16218

LAB DRAW STATION ABC WOMEN'S CARE - BUTLER

BROCKLEY PROF BLDG 99 W SUNBERRY R BUTLER PA 16001

OB/GYN FACILTY KITTANNING LAB DRAWSTATION

108 MULBERRY S JEFFERSON ST KITTANNING PA 16201

LAB DRAW STATION VA CLINIC

313 FORD STREET FORD CITY PA 16226

VA CLINIC ARMSTRONG OUTPATIENT IMAGING CENTER

87 GLADE DRIVE KITTANNING PA 16201

OUTPATIENT RADIOLOGY CENTER THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PART PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENTS ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATIONS AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. LINE 2 WAS CALCULATED USING THE FACILITIES COST TO CHARGE RATIO FROM WORKSHEET C OF THE MEDICARE COST REPORT. LINE 3 WAS CALCULATED BY MULTIPLYING THE PERCENTAGE OF CHARITY CARE TO GROSS CHARGES LESS BAD DEBT BY THE TOTAL BAD DEBT EXPENSE. SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. WE REGULARLY USE RELIABLE DATA AVAILABLE ON THE INTERNET TO DETERMINE THE NEEDS OF OUR COMMUNITY. COUNTY HEALTH RANKINGS PULLS FROM VARIOUS RELIABLE DATABASES TO PROVIDE INFORMATION ABOUT OUTCOMES, HEALTH FACTORS, ENVIRONMENTAL FACTORS, AND COMMUNITY HEALTH STATUS INDICATORS. WE ALSO USE INFORMATION FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH REGARDING HEALTH BEHAVIORS. WE ALSO COLLABORATE WITH THE LOCAL SCHOOL DISTRICT AND OTHER COMMUNITY ORGANIZATIONS AND EMPLOYERS TO DETERMINE OUR ROLE IN THE DEVELOPMENT OF HEALTHY FACILITIES, PROGRAMS, AND BEHAVIORS IN ARMSTRONG COUNTY. EACH PATIENT IS ASKED THE QUESTION, "DO YOU NEED HELP WITH YOUR MEDICAL BILLS?" AT THE POINT OF REGISTRATION. FOR EVERY PATIENT THAT ANSWERS YES, WE SEND THE PATIENT A COVER LETTER EXPLAINING OUR FINANCIAL ASSISTANCE PROGRAM, AN APPLICATION, AND BASIC GUIDELINES IDENTIFYING INFORMATION NEEDED TO PROCESS THE APPLICATION. ONCE THE PATIENT RECEIVES THE APPLICATION AND COMPLETES THE INFORMATION, THE APPLICATION IS REVIEWED FOR ACCURACY AND POTENTIAL APPROVAL. IF THE PATIENT HAS SUPPLIED ALL THE NECESSARY INFORMATION AND A DECISION IS MADE, AN APPROVED OR DENIED LETTER IS SENT TO THE PATIENT. IF THE PATIENT HAS NOT SUPPLIED ENOUGH INFORMATION TO MAKE A PROPER DECISION, A LETTER DETAILING THE MISSING INFORMATION IS SENT TO THE PATIENT ALONG WITH A FOLLOW UP PHONE CALL. THE APPLICATION IS PRINTED ON THE BACK OF EVERY STATEMENT SENT TO PATIENTS CONCERNING THEIR OUT OF POCKET EXPENSE. WE UTILIZE AN EARLY OUT SELF PAY VENDOR THAT HAS BEEN TRAINED ON OUR FINANCIAL ASSISTANCE POLICY AND WHEN THEY HAVE CONTACT WITH OUR PATIENTS, THEY ADVISE THEM OF THE PROGRAM AND INITIATE THE APPLICATION PROCESS WHEN THE PATIENT REQUESTS THEIR ASSISTANCE. THIS VENDOR OFFERS THE FINANCIAL ASSISTANCE APPLICATION ON THEIR WEBSITE LISTED UNDER THE OPTIONS FOR RESOLUTION OF THE OUTSTANDING BALANCE(S). THE HOSPITAL HAS FINANCIAL ASSISTANCE POSTERS PLACED IN STRATEGIC LOCATIONS THROUGHOUT THE FACILITY TO INFORM THEM OF THE PROGRAM OFFERED. WE ARE PARTICIPATING IN HEALTH FAIRS THROUGHOUT BY ATTENDING AND OFFERING ASSISTANCE WITH THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE. THE HOSPITAL HAS OBTAINED THE ASSISTANCE OF A COMPANY TO WORK WITH THE INPATIENT POPULATION TO OBTAIN PENNSYLVANIA MEDICAL ASSISTANCE. THE COMPANY MEETS WITH THE PATIENT ONE ON ONE TO OBTAIN ALL THE INFORMATION NEEDED TO SUBMIT THE APPLICATION ON BEHALF OF THE PATIENT. IF INFORMATION IS NEEDED AFTER DISCHARGE, THE COMPANY GOES TO THE PATIENT'S HOME AND OBTAINS ANY INFORMATION NEEDED AND MEETS WITH THE COUNTY ASSISTANCE OFFICE WHEN NEEDED. THE HOSPITAL'S FINANCIAL COUNSELING DEPARTMENT RECEIVES PHONE CALLS DAILY AND ASSISTS PATIENTS WITH PAYMENT PLAN OPTIONS SUCH AS FINANCIAL ASSISTANCE, MEDICAID APPLICATIONS, PAYROLL DEDUCTIONS, AND PAYMENT ARRANGEMENTS/PLANS. WE CONSIDER ALL OF ARMSTRONG COUNTY TO BE INCLUDED IN OUR SERVICE AREA AS WE ARE THE ONLY HOSPITAL AND THE ONLY PROVIDER OF EMERGENCY AND URGENT CARE SERVICES. ARMSTRONG COUNTY LIES IN THE RURAL APPALACHIAN REGION AND IS MADE UP OF 45 MINOR CIVIL DIVISIONS. CURRENTLY, 33 OF THESE MUNICIPALITIES ARE DESIGNATED AS EITHER MEDICALLY UNDERSERVED AREAS OR HEALTH PROFESSIONAL SHORTAGE AREAS, OR BOTH, BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THERE IS NO PUBLIC TRANSPORTATION SYSTEM FOR MOST OF THE AREA. SOCIOECONOMIC DATA FOR THE REGION SHOWS THAT THE PER CAPITA INCOME OF ARMSTRONG COUNTY IS LOWER THAN THE AVERAGE OF THE UNITED STATES, THE STATE OF PENNSYLVANIA AND THE OVERALL APPALACHIAN REGION. ARMSTRONG COUNTY RESIDENTS ARE OLDER THAN THE AVERAGE RESIDENT OF PENNSYLVANIA AS A WHOLE. A DISPROPORTIONATELY LARGER PERCENTAGE OF OUR POPULATION RESIDES IN RURAL AREAS (85% COMPARED TO 31.1% STATE-WIDE.) THE UNEMPLOYMENT RATE FOR NOVEMBER 2010 WAS 8.2%. THE AVERAGE WAGE IN ARMSTRONG COUNTY WAS $655 A WEEK IN THE FIRST QUARTER OF 2010 WHILE PENNSYLVANIA'S AVERAGE WAGE FOR THIS SAME PERIOD OF TIME WAS $858. WITH MORE INCOME LEVELS BELOW THE POVERTY LEVEL (12.6% VS. 10.7%), RESIDENTS ARE LESS LIKELY TO HAVE HEALTH-CARE INSURANCE. ACMH IS A FOUNDING MEMBER OF THE ARMSTRONG COUNTY COALITION FOR HEALTH AND WELLNESS WHICH EXISTS TO PROMOTE PHYSICAL ACTIVITY AND HEALTHIER FAMILIES THROUGH COMMUNITY DESIGN AND SUPPORT. COALITION MEMBERS CURRENTLY INCLUDE, ELECTED ARMSTRONG COUNTY OFFICIALS, ACMH HOSPITAL PERSONNEL, AND OTHER COMMUNITY LEADERS. THE GOAL OF THE COALITION IS TO REVERSE THREATS TO THE HEALTH AND WELL-BEING OF ARMSTRONG COUNTY CITIZENS WHICH INCLUDE POOR NUTRITION, SEDENTARY LIFESTYLES, AND LIMITED PHYSICAL ACTIVITY BY PROVIDING LEADERSHIP, FUNDING AND TECHNICAL ASSISTANCE IN ORDER TO PROMOTE THE USE OF EXISTING TRAILS AND PARKS, TO OPTIMIZE COMMUNITY DESIGN, TO INCREASE ACCESS TO RECREATIONAL RESOURCES, TO ENHANCE EXISTING FITNESS FACILITIES AND TO PROMOTE EDUCATIONAL PROGRAMS THAT FOCUS ON HEALTHIER LIFESTYLES. ACMH ALSO PARTICIPATES IN HEALTHY ARMSTRONG, A COALITION OF A LARGE NUMBER OF STAKEHOLDERS THAT MEETS MONTHLY TO COMBAT CHILDHOOD OBESITY. HEALTHY ARMSTRONG HAS BEEN AWARDED SEVERAL GRANTS AND HAS ACHIEVED NATIONAL RECOGNITION THROUGH ITS PROGRAM OF USING THE SCHOOL SYSTEM TO PROMOTE INCREASED PHYSICAL ACTIVITY AND NUTRITIONAL EDUCATION. ACMH PARTICIPATES IN ECONOMIC DEVELOPMENT MEETINGS. ACMH HOSPITAL HAS AN OPEN MEDICAL STAFF. THE MAJORITY OF BOARD MEMBERS ARE ARMSTRONG COUNTY RESIDENTS AND WERE SELECTED TO REPRESENT THE COMMUNITIES SERVED. ACMH MANAGERS ARE ENCOURAGED TO PARTICIPATE ON THE BOARDS OF OTHER NON-PROFIT HEALTH AND HUMAN SERVICES ORGANIZATIONS. ACMH PROVIDES STRATEGIC PLANNING LEADERSHIP AND FACILITATION TO SMALLER ORGANIZATIONS IN THE COMMUNITY. ACMH WIDELY ADVERTISES IT'S FINANCIAL ASSISTANCE/FREE CARE PROGRAMS WHICH ARE INCOME BASED. SINCE ACMH OWNS PHYSICIAN PRACTICES THAT PROVIDE SERVICES IN THE AREAS OF INTERNAL MEDICINE/FAMILY PRACTICE, OB/GYN, GENERAL SURGERY, SPECIALTY SURGERY, AND PEDIATRICS IT OFFERS FINANCIAL ASSISTANCE AND FREE CARE TO LOW INCOME INDIVIDUALS AND FAMILIES FOR ALL TYPES OF HEALTHCARE SERVICES. THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED GROUP, AND THE GROUP'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF ARMSTRONG COUNTY MEMORIAL HOSPITAL, ARMSCARE, INC., ARMSTRONG OUTPATIENT IMAGING, LLC (AOI), ACMH FOUNDATION, ACMH ANESTHESIA SERVICES, ACMH PHYSICIAN SERVICES, AND ARMSTRONG CENTER FOR MEDICINE AND HEALTH, INC. (ACMH, INC.), COLLECTIVELY REFERRED TO AS THE HEALTH SYSTEM. THE HOSPITAL IS A NOT-FOR-PROFIT ENTITY, WHOLLY OWNED BY ACMH, INC. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES IN THE ARMSTRONG COUNTY, PENNSYLVANIA AREA. ACMH, INC. IS A NOT-FOR-PROFIT CORPORATION FORMED TO SUPPORT AND FURTHER THE CHARITABLE ACTIVITIES OF ARMSTRONG COUNTY MEMORIAL HOSPITAL AS WELL AS ANY OTHER SUBSIDIARY ORGANIZATION AND IS THE PARENT ORGANIZATION. ARMSCARE, INC. IS A 95%-OWNED, FOR-PROFIT ENTITY ENGAGED PRINCIPALLY IN THE RENTAL AND SALE OF MEDICAL EQUIPMENT AND SUPPLIES. THE FOUNDATION IS A NOT-FOR-PROFIT ENTITY WHOSE PURPOSE IS TO RAISE FUNDS FOR THE BENEFIT OF THE HOSPITAL AND WELLNESS OF THE COMMUNITY. IN ADDITION, THE HEALTH SYSTEM FORMED ACMH ANESTHESIA SERVICES AND ACMH PHYSICIAN SERVICES IN 2006. THESE ENTITIES WERE ESTABLISHED TO PROVIDE ANESTHESIA AND PHYSICIAN SERVICES TO THE HEALTH SYSTEM. X X X X X false false false false false false false false false HAROLD ALTMAN MD 237557 0 0 23412 2250 14274 277493 0 JOHN LEWIS 279312 0 0 20344 2250 18034 319940 0 PATRICK C BURNS 164194 0 0 12731 2250 18266 197441 0 CURT CONRY MD 497834 0 61432 0 1500 13996 574762 0 MAUREEN RUSSELL MD 324449 0 152335 1200 1500 551 480035 0 STEVEN PATERNO MD 320784 1800 49400 0 1500 18854 390538 1800 JEFFREY DAVID MD 252674 1800 44642 0 2250 17363 316929 1800 CRAIG SCOTT HERRING MD 248556 0 40338 0 1500 14332 304726 0 BONUSES SCHEDULE J, PART II, COLUMN B(II) MANAGEMENT USES MGMA PUBLISHED STANDARDS TO ESTABLISH A BASE SALARY FOR PROVIDERS. IN ADDITION TO THE BASE SALARY, PROVIDERS HAVE THE ABILITY TO EARN INCENTIVES BASED UPON THEIR PRODUCTIVITY AS REFLECTED IN WORK RVU MEASURES. SNYDER ASSOCIATES M SNYDER IS INDIRECT OWNR 101383 GAS SERVICES & GAS LEASE false ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 THE MISSION OF ARMSTRONG COUNTY MEMORIAL HOSPITAL IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF ARMSTRONG AND NEIGHBORING COUNTIES. THE HOSPITAL WILL: FOCUS ON PATIENT AND FAMILY CENTERED SERVICES, CONTINUE TO DEVELOP THOSE SPECIALTY SERVICES THAT MEET THE CHANGING NEEDS OF THE COMMUNITY, DELIVER HIGH QUALITY, COST-EFFECTIVE CARE, AND PROMOTE HEALTH EDUCATION AND WELLNESS. SIGNIFICANT PROGRAM SERVICES FORM 990, PART III, LINE 2 IN FISCAL YEAR 2010, ACMH HOSPITAL OPENED A NEW PRIMARY CARE CENTER. RURAL VALLEY PRIMARY CARE CENTER PROVIDES FAMILY MEDICINE SERVICES IN A RURAL AREA OF ARMSTRONG COUNTY. PROGRAM SERVICES FORM 990, PART III, LINE 4 ARMSTRONG COUNTY MEMORIAL HOSPITAL IS A 172 BED COMMUNITY HOSPITAL WHICH PROVIDES INPATIENT & OUTPATIENT MEDICAL SERVICES TO ALL COUNTY RESIDENTS WITHOUT DISCRIMINATION. THE HOSPITAL HAS CONTRACTS WITH THIRD-PARTY PAYERS TO PROVIDE CARE FOR MEDICARE, MEDICAID, BLUE CROSS PATIENTS, AND OTHER COMMERCIAL PAYERS. THE HOSPITAL PROVIDES CARE REGARDLESS OF A PATIENTS ABILITY TO PAY. PURSUANT TO THE HOSPITAL'S CHARITY CARE POLICY, CHARGES ARE FULLY OR PARTIALLY WRITTEN OFF FOR PATIENTS MEETING THE CRITERIA SPECIFIED IN THE POLICY. CHARGES EXCLUDED UNDER THE HOSPITAL'S CHARITY CARE POLICY WERE APPROXIMATELY $2,164,160 FOR THE FISCAL YEAR. PROGRAM SERVICE REVENUE AND EXPENSES UNDER LINE 4 PERTAINS TO ITEMS THAT HELP SUPPORT THE MEDICAL SERVICES THAT OUR PATIENTS RECEIVE AT ACMH. ITEMS INCLUDE CAFETERIA AND VENDING SALES, MEDICAL RECORDS, REBATES, AND OTHER MISCELLANEOUS INCOME. MEMBERS, STOCKHOLDERS, OR OTHER PERSONS FORM 990, PART VI, SECTION A, LINES 6 & 7B THE ORGANIZATION IS A SUBSIDIARY OF ARMSTRONG CENTER FOR MEDICINE AND HEALTH, ANOTHER TAX EXEMPT ENTITY. ACCORDING TO THE BYLAWS, ARTICLE II, "ARMSTRONG CENTER FOR MEDICINE AND HEALTH ("ACMH"), A PENNSYLVANIA NONPROFIT CORPORATION, SHALL HAVE CERTAIN RIGHTS WITH RESPECT TO THE GOVERNANCE OF THIS CORPORATION AS MAY BE SPECIFIED IN THESE BYLAWS IN THE CAPACITY OF AN "OTHER BODY" AS THAT TERM IS DEFINED IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW, SPECIFICALLY 15 PA. C.S. SECTION 7103." THE BYLAWS OF ACMH DESCRIBE SEVEN SITUATIONS IN WHICH APPROVAL IS NEEDED BY THE PARENT CORPORATION. 1) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THIS CORPORATION OR OF THESE BYLAWS 2) THE SALE, LEASE, OR EXCHANGE OF ALL OF SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THIS CORPORATION 3) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION 4) DISSOLUTION OF THE CORPORATION AND DISTRIBUTION OF ASSETS PURSUANT THERETO 5) APPROVAL OF THE ANNUAL BUDGET AND LONG-RANGE PLAN FOR THIS CORPORATION 6) ANY TRANSFER OF FUND BY GRANT, GIFT OR LOAN FROM THIS CORPORATION 7) ANY OTHER MATTER THAT BYLAWS REQUIRES THE APPROVAL OF THE MEMBERS OF THE CORPORATION. REVIEW OF THE FORM 990 FORM 990, PART VI, SECTION B, LINE 11A THE CFO AND THE FINANCE DEPARTMENT PERFORM AN INITIAL REVIEW OF THE COMPLETED 990. ANY NECESSARY CHANGES ARE MADE AND THEN THE REVISED COPY IS PRESENTED TO THE CFO AND CEO FOR FINAL REVIEW. THE 990 IS PRESENTED BY THE CFO TO THE FINANCE COMMITTEE FOR THEIR CONSIDERATION. THEIR FINDINGS ARE SUBMITTED TO THE BOARD OF DIRECTORS, WHICH APPROVES THE TAX RETURN. ONCE APPROVED, THE TAX RETURN IS SIGNED BY THE CEO AND FILED WITH THE IRS. A COPY OF THE SUBMITTED TAX RETURN IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS. CONFLICTS OF INTEREST FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REQUESTING ON AN ANNUAL BASIS THAT MEMBERS OF THE BOARD OF DIRECTORS, ALL CORPORATE OFFICERS, AND ALL KEY EMPLOYEES COMPLETE A QUESTIONNAIRE LISTING ALL ORGANIZATIONS WITH WHICH THEY HAVE AN AFFILIATION. THE BYLAWS OF THE ORGANIZATION DESCRIBE HOW ANY CONFLICTS OF INTEREST ARE TO BE ADDRESSED. "THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH THE STATEMENTS OF ALL DIRECTORS IN ORDER TO GUIDE HIS CONDUCT SHOULD A CONFLICT ARISE. THE VICE- CHAIRMAN OF THE BOARD SHALL BE FAMILIAR WITH THE STATEMENT FILED BY THE CHAIRMAN." IF A CONFLICT OF INTEREST SHOULD ARISE, THE MEMBERS ABSTAIN FROM THE VOTE RELATING TO THAT MATTER. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PAID BY ARMSTRONG COUNTY MEMORIAL HOSPITAL (ACMH HOSPITAL). THE PROCESS ACMH HOSPITAL USES TO DETERMINE IF THE OFFICERS OF THE ORGANIZATION ARE TO RECEIVE A WAGE ADJUSTMENT IS AS FOLLOWS: 1) A SALARY COMPARISON IS PREPARED BY MARC CAMMARATA ASSOCIATES, USING SURVEYS FROM YAFFE, SULLIVAN COTTER AND WATSON WYATT; 2) THE INFORMATION IS COMPILED BY THE VP OF HUMAN RESOURCES AND GIVEN TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR CONSIDERATION AND INPUT; 3) CHANGES TO EXECUTIVE COMPENSATION REQUIRE A SIGNED DOCUMENT FROM THE CHAIR OF THE HOSPITAL BOARD OF DIRECTORS. EXECUTIVE COMPENSATION IS REVIEWED AS DESCRIBED ABOVE, ON AN AS NEEDED BASIS AND WAS COMPLETED IN 2008 AND OCTOBER 2010. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION TAKES THE FOLLOWING ACTIONS RELEASING INFORMATION REGARDING THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS OF THE HOSPITAL. IF A REQUEST IS MADE TO REVIEW THE UNAUDITED FINANCIAL STATEMENTS, IT IS DISCUSSED ON A CASE BY CASE BASIS AS TO WHETHER THE INFORMATION WILL BE RELEASED. THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE ORGANIZATIONS THAT REQUEST THEM. A CODE OF CONDUCT FOR THE HOSPITAL IS AVAILABLE TO THE PUBLIC ON THE HOSPITAL'S MAIN WEBSITE AT WWW.ACMH.ORG. THE CORPORATION'S GOVERNING DOCUMENTS ARE KEPT IN THE ADMINISTRATIVE DEPARTMENT OF THE HOSPITAL. THESE DOCUMENTS CAN BE VIEWED UPON REQUEST, BUT THEY ARE NOT ALLOWED TO BE TAKEN FROM THEIR DESIGNATED AREA OR HAVE COPIES MADE WITHOUT PERMISSION. RELATED HOURS FORM 990, PART VII, SECTION A, COLUMN B JOHN I. LEWIS, ACMH HOSPITAL PRESIDENT/CEO, WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN ACMH HOSPITAL, ACMH FOUNDATION, ACMH PHYSICIAN SERVICES AND ARMSTRONG CENTER FOR MEDICINE & HEALTH. HAROLD ALTMAN, ACMH HOSPITAL VICE PRESIDENT OF MEDICAL AFFAIRS, WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN ACMH HOSPITAL, ACMH PHYSICAN SERVICES AND ARMSTRONG CENTER FOR MEDICINE & HEALTH, INC. PATRICK BURNS, ACMH HOSPITAL CFO/VP OF FINANCE, WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN ACMH HOSPITAL, ACMH FOUNDATION, ACMH PHYSICIAN SERVICES AND ARMSTRONG CENTER FOR MEDICINE & HEALTH, INC. RENTAL EXPENSES FORM 990, PART VIII, LINE 6B ACMH HOSPITAL PROVIDES RENTAL LOCATIONS TO AREA PHYSICIANS AND OTHER HEALTHCARE RELATED ENTITIES IN ORDER TO PROMOTE ACCESSIBLE HEALTHCARE OPTIONS CLOSE TO HOME FOR THE LOCAL COMMUNITY. THE RENTAL INCOME CHARGED TO EACH LOCATION IS BASED ON PREVAILING RENTAL RATES PER SQUARE FOOT, THE AMOUNT OF SPACE, THE CONDITION OF THE OFFICE SPACE AND THE AMOUNT OF TIME THE OFFICE SPACE IS USED EACH MONTH. ARMSTRONG OUTPATIENT IMAGING LLC 87 GLADE PARK EAST KITTANNING PA 16201 030492975 RADIOLOGY PA 0 7732 ACMH PHYSICIAN SERVICES ONE NOLTE DRIVE KITTANNING PA 16201 204648195 PRIMARY CARE PA 501(C)(3) 3 ARMSTRONG HEALTH & EDUCATION FOUNDATION ONE NOLTE DRIVE KITTANNING PA 16201 251655867 FOUNDATION PA 501(C)(3) 11A I ARMSTRONG CENTER FOR MEDICINE AND HEALTH ONE NOLTE DRIVE KITTANNING PA 16201 204648477 PARENT CORP PA 501(C)(3) 7 GLADE RUN MEDICAL ASSOCIATES ONE NOLTE DRIVE KITTANNING PA 16201 264750523 PHYS PRACTICE PA 501(C)(3) 11A I ARMSCARE INC ONE NOLTE DRIVE KITTANNING PA 16201 251495691 DURABLE MED EQUIP PA NA C CORP false false true false false false false false true false false false true true false true true false