2011-05-13T11:46:20-04:00 2010-06-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2009-07-01 250965600 THE WASHINGTON HOSPITAL WASH 7242233007 155 WILSON AVENUE WASHINGTON PA 15301 Gary B Weinstein 2011-05-13 3176817000 2009 2016-02-24 21:20:13Z Gary B Weinstein 155 Wilson Avenue Washington PA 15301 238633501 false X www.washingtonhospital.org X 1897 PA The Washington Hospital is a community hospital dedicated to improving health/providing patient care to all persons without regard to race color, religion, sex, national origin, disability or ability to pay. 18 15 2205 437 5142263 7667706 3152485 211966418 222367447 -1527754 6268547 4391730 3628134 222498100 235416613 0 0 0 0 126885211 123526130 0 0 0 95564545 99686192 222449756 223212322 48344 12204291 278618401 286025639 170515354 182634653 108103047 103390986 The Washington Hospital is a voluntary, secular, not-for-profit community hospital dedicated to improving the health status of the community and providing quality patient care to all persons without regard to race, color, religion, sex, national origin, disability or ability to pay. false false 113494215 0 111269455 Inpatient acute services were provided to 14,988 patients in the community. The Washington Hospital provides a wide array of medical and surgical services. Surgical specialties include neurosurgery, cardiology, cardiothoracic surgery, orthopedics, obstetrics, gynecology, gastroenterology, urology and general surgery. Services were rendered regardless of a patient's ability to pay. All quality measures required by Medicare and major insurance carriers were met. Over 17% of the inpatient cases were Medical Assistance; 53% of the patient cases were Medicare. 63409856 0 77189074 A wide variety of outpatient services were provided to the community including lab, radiology, surgical, observation, emergency and therapeutic services. Over 300,000 outpatient visits were performed during the year. Services were rendered regardless of the patient's ability to pay. All quality measures required by Medicare and major insurance carriers were met. Over 13% of the outpatient visits were Medical Assistance; 36% of the outpatient visits were Medicare. 5318795 0 4434806 The Hospital supports a 30 bed inpatient behavioral health unit. It is one of the largest units of its kind in the Hospital's extended service area and served 1,061 patients in 2010. Services are rendered to all patients regardless of their ability to pay. The unit has a very high percentage of patients with Medical Assistance (47%) and has a higher than average percentage of uninsured (7%). 18808581 0 27784260 201031447 true true false true false false false false false true false true false false false false false false false false true false false true true false false false false false false false false true true false false false false false true true false false true 170 0 true 2205 true true true false false false false false false false false 18 15 false false false false true true true true true false false false true true true true true true true true false PA X MICHAEL J RONEY CFO 7242233005 155 WILSON AVENUE WASHINGTON PA 15301 Gary B Weinstein 40.0 X X 278832 0 16804 Telford Thomas 40.0 X X 516895 0 21735 Wendy Cameron 4.0 X 0 0 0 Ralph B Andy 4.0 X 0 0 0 Charles R Guthrie 4.0 X 0 0 0 John A Campbell 2.0 X 0 0 0 Jill Ealy 2.0 X 0 0 0 Howard Goldberg MD 2.0 X 0 0 0 Robert Griffin 2.0 X 0 0 0 Shirley Hardy 2.0 X 0 0 0 James Massucci MD 2.0 X 0 0 0 William McGowen 2.0 X 0 0 0 John W McIlvane III 2.0 X 0 0 0 Daniel Miller 2.0 X 0 0 0 Grant Minor 2.0 X 0 0 0 Thomas Northrop 2.0 X 0 0 0 Gerald Prado 2.0 X 0 0 0 Cynthia West MD 2.0 X 0 0 0 Richard L White 2.0 X 0 0 0 Michael J Roney 40.0 X 260803 0 16430 William Cline 40.0 X 165816 0 9277 Rodney Louk 40.0 X 200640 0 15190 Jeffrey Minteer MD 40.0 X 271229 0 15985 Paul Cullen MD 40.0 X 252136 0 14571 William Pearson MD 40.0 X 218389 0 9023 George Schmieler MD 40.0 X 193027 0 14550 Walter P Slomiany MD 40.0 X 190307 0 14490 2548074 0 148055 66 false true false ACADEMY FOR ADOLESCENT HEALTH 410 NORTH MAIN STREET WASHINGTON PA 15301 OUTREACH SERVICES 814006 IMAGING SYSTEMS SPECIALISTS 140 LOCUST AVENUE FAIRMONT WV 26554 MAINTENANCE/REPAIRS 617427 ITXM CLINICAL SERVICES PO BOX 3455 PITTSBURGH PA 15230 BLOOD PROCESSING 596838 CROTHALL SERVICES GROUP 13028 COLLECTIONS CENTER DR CHICAGO IL 60693 HOUSEKEEPING MGMT 440061 ERNST YOUNG PO BOX 340382 PITTSBURGH PA 15264 AUDIT SERVICES 371216 18 3152485 3152485 HOSPITAL IP AND OP SERVICES 900099 214696461 211021784 3674677 WELLNESS CENTER 713940 3245787 3245787 EDUCATION / TUITION 611600 1366932 1366932 DRUG SALES 446110 2010778 1997780 12998 SERVICES TO AFFILIATES 541900 631399 631399 416090 403370 12720 222367447 4505085 4505085 0 0 2741763 2566040 175723 175723 175723 1763462 1763462 1763462 1763462 0 0 660121 650848 9273 9273 CAFETERIA SALES 722210 753071 488994 264077 MANAGEMENT SERVICES 541610 1100369 1100369 PARKING REVENUE 812930 940067 940067 649631 572209 77422 3443138 235416613 220677595 5142263 6444270 0 0 0 0 1500375 1313105 187270 157306 137672 19634 95724255 83776407 11947848 2145390 1877613 267777 17206927 15059240 2147687 6791877 5944147 847730 151798 151798 443423 443423 285082 285082 20607 20607 0 0 14378381 12601775 1776606 587030 513760 73270 4241666 3712241 529425 1299791 1137557 162234 0 3929661 3439179 490482 220402 192892 27510 0 0 2715663 2715663 0 15270889 13133317 2137572 1868548 1453199 415349 MEDICAL SUPPLIES 41714190 41714190 BAD DEBT EXPENSE 9343348 9343348 OTHER EXPENSES 3215713 2814344 401369 223212322 201031447 22180875 0 5921372 17682216 281977 284663 21634833 18810706 1036261 1149637 1999782 2738751 335608000 194708666 142011824 140899334 89833321 88337270 11506387 11680457 4392644 4442605 278618401 286025639 23540460 24052337 105962 67041 104275135 100754284 42593797 57760991 170515354 182634653 X 96423602 92462153 3808923 2412668 7870522 8516165 108103047 103390986 278618401 286025639 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 20607 20607 false false Description of Lobbying Activities Schedule C, Part II-B, Line 1 Lobbying costs reported in Part II-B Line I consist of the portion of membership dues attributable to lobbying activities. The Hospital does not directly lobby or participate in political activities. 7536608 7536608 143791348 61043893 82747455 183107734 133664773 49442961 1172310 1172310 140899334 0 Accrued pension costs 40977680 Post-retirement benefit oblig. 1749406 Due to third party payors 8890015 Bond swap liability 4964928 Software license obligation 1178962 57760991 FIN 48 Footnote From Financial Statements Schedule D, Part X The Washington Hospital adopted FIN 48 in fiscal year 2008 as required. No disclosures were required under GAAP as The Washington Hospital does not have any material uncertain tax positions that required disclosures in the footnotes. true true X true X true X true true true false false 753000 753000 0.00350 23477000 18029000 5448000 0.02550 24230000 18029000 6201000 0.02900 2052000 725000 1327000 0.00620 14301000 9836000 4465000 0.02090 61907000 58119000 3788000 0.01770 78260000 68680000 9580000 0.04480 102490000 86709000 15781000 0.07380 134000 134000 0.00060 414000 414000 0.00190 548000 548000 0.00250 false 4814000 35656000 37554000 -1898000 X true true WPHO Local Healthcare Network 0.50000 0.00900 0.49100 TRI-STATE SURGERY Surgery Center 0.50000 0.07750 0.42250 THE WASHINGTON HOSPITAL

155 WILSON AVENUE WASHINGTON PA 15301

X X X X TRI-STATE SURGERY CENTER

95 LEONARD AVENUE WASHINGTON PA 15301

X N/A - the Hospital uses FPG to determine charity care. The Hospital's cost-to-charge ratios were used to calculate all amounts reported on line 7. Programs reported as subsidized health services include hospital based programs whose purpose is to serve a medical need to the community, the largest being an inpatient psychiatric unit. Services provided to Medicare recipients which are not reportable on the Medicare cost report are also included in subsidized health services. There are no physician clinics reported as subsidized services. In calculating the column (f) percentages, $9,343,348 of bad debt expense was excluded. The Hospital would like to note that, although calculated as required by the Form 990 instructions, we feel the percentages calculated in 7(f) are understated. The numerator used in the percentage formula consists of the costs reported in column 7(e) which are net of revenues; the denominator consists of gross total costs with no revenue offsets. By using amounts in column 7(c) as the numerator, the Hospital believes that their percentage of Charity Care and Certain Other Community Benefits is 20%. The Hospital follows AICPA guidance in reporting bad debt as an operating expense. Accounts are deemed to be bad debt after all reasonable collection efforts are applied. The Hospital has a generous interest-free payment plan policy and does not classify accounts on a payment plan as bad debt. Any accounts that are determined to be charity care are excluded from bad debt totals. Any discounts or settlements provided to patients are also excluded from bad debt totals. The amount due from a patient is written off to bad debt once the account is deemed uncollectible. Those amounts can be a combination of gross charges (in the case of uninsured patients not seeking discounts or payment plans) and net amounts due (in the case of insured patients with co-pays/deductibles/co-insurance obligations). The Hospital converts all bad debt accounts to gross charges and applies an overall cost-to-charge ratio to determine the cost of bad debt reported on Part III, line 2. The audited financial statements of the Hospital discloses/describes bad debt as follows: Balance Sheet: the amount of the allowance for doubtful accounts is clearly disclosed with patient accounts receivable for all years presented. Statement of Operations: bad debt is clearly reported as a separate operating expense for all years presented. Footnotes: the "Net Revenue from Patient Services & Accounts Receivable" footnote states "Revenues from patient services are recognized in the period in which the services were provided. Management performs an evaluation of the collectability of revenues recorded based upon an assessment of historical and expected net collections and records an allowance for bad debts based on probability of collection." The Hospital's service area has a very high elderly population. Medicare makes up 62% of the inpatient patient care days and 35% of the outpatient services provided by the Hospital. As the largest Hospital in the county, we provide a wide array of services to our community. Our elderly population does not have to travel to the nearest large city hospital to seek care for most services. Medicare patients generally have multiple health conditions that can easily complicate the care provided to them. The current inpatient payment system provides payment for the health condition that precipitated an admission to the Hospital - it does not necessarily take into account all of the other underlying illnesses that must be treated or attended to during a patient's stay. As such, tremendous resources can be used to treat a Medicare patient with multiple illnesses yet the Hospital may only be paid for resources associated with the admitting illness. The Hospital strives to provide all needed care to our patients without consideration of payment shortfalls. As such, we feel strongly that the Medicare shortfalls incurred by the Hospital are a community benefit. The Hospital has a written bad debt policy by which it follows for all patients. If a patient is determined to qualify for charity care or financial assistance, the account is excluded from the normal collection process. Those accounts are handled under the separate charity care policy. If an account is set up on a payment plan, only the current monthly payment amount is pursued under the collection policy. The Washington Hospital operates the following facilities. Information for all facilities is included in the form 990 submission. Children's Therapy Center (1 location) Diabetes Education & Management Program (1 location) Family Medicine Centers (3 locations) Lab & Radiology Diagnostic Centers (12 locations) Hospice (1 inpatient location, 1 outpatient) Sleep & pulmonary support center (3 locations) Wellness & Rehabilitation Center (1 location) Wound & Skin Healing Center (1 location) Although we recognize the possibility that some of the bad debt costs could qualify under our charity care policy, we have no reasonable way to determine those amounts. The primary method that the hospital uses to assess the health care needs of the communities it serves is through assessing the total number of physicians providing medical services to the areas served. The qualitative standard does not factor the economic or financial benefits to the hospital of any recruitment of physicians in addressing the continuum of need. The assessment focuses on community need as a determining factor in assessing the appropriateness of physician recruitment initiatives. The approach to evaluating physician need is based on the following factors: * Defining the demographic profile and payor mix of the hospital's service area. * Researching unique service area factors that might influence the demand for healthcare services within the area. * Identifying the total number of physicians by specialty in the defined service area. * Developing a profile of the current Medical Staff. * Utilizing six established physician needs assessment models to identify potential physician surpluses or deficits in each medical specialty. * Examining results of the Medical Staff Survey and Physician Focus Interviews to determine the perceived recruitment needs of the hospital's existing staff physicians and to identify medical community concerns. * Conduct a Community Survey to integrate perceived community shortages into recommendations. * Evaluating results of the above efforts in the context of our medical staffing and consulting experience. Other ways to assess the communities' health needs includes conducting various health screenings, seminars and education sessions held for the general public. The Hospital attempts to inform all uninsured patients of available programs to assist them in obtaining health care services. Inpatient: Any patient admitted to the Hospital without insurance is provided assistance in applying for the state Medical Assistance program. A Hospital representative will explain the state programs to the patient and assist in the preparation of the application and gathering of information, if applicable. If the patient does not qualify for assistance, the representative informs him/her of the Hospital's Charity Care program. Outpatient: Certain outpatient areas (Emergency Room, registration) have signs that let patients know the Hospital has a charity care program. Some areas also have Medical Assistance applications on hand to give to patients. Consistent with the Hospital mission, all patients requiring immediate care are treated without regard to their ability to pay. All patients: The Hospital does not have an up front financial counseling program, nor do we ask for payment prior to providing non-elective services. Once a patient receives a bill, a phone number is provided for them to call and discuss any payment issues. If the patient does not call or make payment, a Hospital representative will call him/her to determine if there are any programs or insurances the patient is eligible for or payment arrangements that can help the patient. At any point in the conversation, if the patient says he/she cannot afford the bill, the patient is offered a charity care application. Once the charity care application is complete, if the patient does not qualify but continues to express concerns about being able to pay his/her bill, the account is reviewed for the possibility of a discount or an affordable payment plan. The Hospital strives to accommodate every patient's financial situation if possible. The Washington Hospital (TWH) is a 260 bed acute care general hospital located in Washington, Pennsylvania. Founded in 1897, the hospital serves the surrounding communities with a total patient draw of over 320,000 residents living in 63 zip codes. The service area extends to the western and southern borders of Pennsylvania. There are three other general acute care hospitals that serve portions of TWH's geographic area, however, TWH is the largest hospital providing the broadest range of services to the community. TWH is the only hospital that offers obstetrical, cardiothoracic, electrophysiology, interventional cardiac procedures, acute rehabilitation, diabetes management, sleep therapy, wound care, and children's therapy services to the service area. The geographic area of the service area is quite large and has a substantial rural component. At least three areas within TWH's service area are designated as medically underserved and/or areas with a health care professional shortage. Approximately 16% of the patients served are Medical Assistance and another 3% are uninsured. To further support the large geographic area, TWH provides space for a medical helicopter to be stationed full time in the service area. Household income/economic factors can have a significant impact on the general health of a service area. Lower household income may reflect lower primary care utilization and higher critical care utilization. Various studies and articles also suggest greater reliance on hospital emergency rooms for non-emergency diagnosis and treatment in low-income areas. Median household income in the hospital's primary service area in 2007 is $47,649 which is lower than the US as a whole ($49,280). The hospital's service area may have some household income-related factors that would drive an additional need for physician services within portions of the community. Approximately 7,400 households (13%) within the primary service area earn less than $15,000 per year. A lack of available resources to the indigent may increase volumes in the emergency room, as patients lacking primary care access often seek routine care through emergency services. Community Building Activities: Most of the community programs that fall within the Hospital's expertise are reported on line 7 as community health improvement services, education services or subsidized health services, however, there are some reportable community building activities. The Hospital is very proactive in emergency preparedness and has staff devoted to being prepared in the event of a disaster. This preparation includes collaboration with local and state officials and incorporates the entire community's needs with the Hospital's needs in the event of an emergency or disaster. Not reported in Part II, are costs associated with disaster drills conducted periodically to ensure that the Hospital will be prepared to handle a disaster. These costs are embedded in the normal operations of the Hospital and due to the 'surprise' nature of the drills, are not easily separated from normal operations. The Hospital estimates these annual costs to be between $50,000 and $100,000. The Hospital serves a large percentage of Medicare and Medical Assistance patients. Recruiting physicians to the area can be very challenging. Although restricted by various rules and regulations, the Hospital does spend what it can to attract the best physicians to the area. Amounts reported in Part II as workforce development consist primarily of costs to recruit physicians to the area so the patients have access to a wide array of high quality health care. The Washington Hospital continually strives to fulfill its exempt status and be a leader in the community. In addition to the various patient care services and community benefits described previously, the hospital is committed to having strong, independent leadership in place. Our Board of trustees is comprised of independent community leaders that have no ownership in the hospital nor do they get compensated for their time served. Each Board member as well as each member of hospital management is subject to a strong conflict of interest policy to further ensure independence and solid leadership. The hospital attempts to make the best care available to the community by having an open medical staff that consists of highly trained, well qualified medical professionals. Qualified medical professionals that have a desire to practice in the hospital's service area are generally granted medical staff privileges. Having excellent equipment and staff in place to support patient care is another significant component of providing high quality care to patients. Significant investments are made annually in the hospital's properties and equipment to ensure the medical staff has sufficient technology to diagnose and treat our patients. The hospital is dedicated to employing and retaining competent, trained staff and boasts a low turnover rate each year. In addition, the majority of the hospital employees have over ten years of service with The Washington Hospital. We believe that a stable employee base promotes stability and quality of care. X false true X X X X false false false false false false false false false Gary B Weinstein 235720 0 0 0 43112 0 5776 0 11028 0 295636 0 0 0 Michael J Roney 213058 0 0 0 47745 0 5402 0 11028 0 277233 0 0 0 William Cline 153819 0 0 0 11997 0 3435 0 5842 0 175093 0 0 0 Rodney Louk 185067 0 0 0 15573 0 4156 0 11034 0 215830 0 0 0 Telford Thomas 429469 0 0 0 87426 0 10707 0 11028 0 538630 0 0 0 Jeffrey Minteer MD 250729 0 0 0 20500 0 5423 0 10562 0 287214 0 0 0 Paul Cullen MD 240136 0 0 0 12000 0 5223 0 9348 0 266707 0 0 0 William Pearson MD 218389 0 0 0 0 0 4524 0 4499 0 227412 0 0 0 George Schmieler MD 171027 0 0 0 22000 0 3998 0 10552 0 207577 0 0 0 Walter P Slomiany MD 179907 0 0 0 10400 0 3942 0 10548 0 204797 0 0 0 Tax Indemnification Schedule J, Part I, Line 1b The officers and key employees receive life insurance coverage beyond the normal group term life limits. Tax indemnification is provided for this benefit. WASHINGTON COUNTY HOSPITAL AUTHORITY 256001043 938592HG0 2007-03-29 40000000 Hospital Expansion & Renovation false false WASHINGTON COUNTY HOSPITAL AUTHORITY 256001043 938592HJ4 2008-06-26 16800000 Refund Bonds Issued 7/8/2004 false false 41436000 0 0 0 431223 0 41004777 2009 false false true true 16800000 0 0 0 238889 0 0 2008 true false true true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false true true PNC BANK (SEE SCH O) 30. false false false false true true PNC BANK 15. false false false JOHN CAMPBELL CAMPBELL INSURANCE BOARD MEMBER 303508 PURCHASE GENERAL INS COVERAGE false THOMAS NORTHROP OBSERVER REPORTER BOARD MEMBER 155671 ADVERTISING IN NEWSPAPER false MARYANN WEINSTEIN MD FAMILY MEMBER OF OFFICER 114747 SALARY PAID TO FAMILY MEMBER false SARA SCHUMACHER FAMILY MEMBER OF KEY EMPL 42559 SALARY PAID TO FAMILY MEMBER false Other Program Services Form 990, Part III, Line 4d Other program services include a multitude of activities performed by the Hospital to do business in the community and provide valuable community benefits. Activities in this category include, but are not limited to, a teenage abstinence education program, a Family Practice education program, a School of Nursing, a School for X-ray Technicians, hospice services, certain Emergency department services, operation of a wellness center, rental activities, and operation of an employee cafeteria. Business or Family Relationships Form 990, Part VI, Line 2 The Hospital's Board of Trustees is made up of highly respected leaders in the community. Board members are selected and voted on by the entire Board. The Hospital does not compensate or select Board members. The Hospital has a Conflict of Interest policy and queries Board members, officers and key employees each year about any business or family relationships. There have been no family relationships reported. Although not classified as business relationships for the purposes of Part VI, Line 2, normal arms length business transactions do exist between some Board members. The business transactions are generally irrelevant and immaterial to the operations of the Hospital. The Hospital does not receive any benefits from any relationships that may exist among Board members nor does it influence the relationships in any way. Description of Classes of Members and the Nature of Their Rights Form 990, Part VI, Lines 6 & 7 The parent corporation of The Washington Hospital is Washington Health Care Services, Inc. The parent corporation has the following powers over the Board of Trustees of the Hospital: 1. The power to ratify the selection of members of the Board of Trustees of The Washington Hospital. 2. The power to approve any amendment, change, suspension or repeal of the Articles of Incorporation of The Washington Hospital, or of the Bylaws. 3. The power to nullify any action of the Board of Trustees of The Washington Hospital which the Board of Directors of the parent corporation determines to be an ultra vires act; that is, any act outside the scope of the legitimate powers or beyond the purpose of The Washington Hospital. Describe the Process Used by Mgmt &/or Governing Body to Review 990 Form 990, Part VI, Line 11 Prior to being filed, the Form 990 is reviewed by the members of the Finance Committee as designated by the entire Board of Trustees. The Finance Committee meets with Hospital management and reviews the content of the Form 990. After filing of the Form 990, the Finance Committee reports the review and any notable items from the review to the full Board of Trustees. At this time, the Board of Trustees is provided a copy of the Form 990. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Line 12c The Hospital's conflict of interest policy is monitored primarily by Hospital management. Each year a conflict of interest statement must be completed by all Board of Trustee members as well as certain key management employees of the Hospital. The questionnaire is distributed by Hospital management and all responses must be received. If necessary, the assistance of the Board Chairperson is sought to obtain all responses. The responses are initially reviewed by Hospital management. Any exceptions or potential conflicts are reviewed by the CEO and Board Chairperson. Any necessary action is determined by the Chairperson and addressed at the Board level. Great care is taken by the Board Chairperson to ensure that an independent Board is in place. Process for Determining Compensation for Top Mgmt Official & Key Employees Form 990, Part VI, Lines 15a & 15b The Board of Trustees elects a Personnel Committee to handle compensation, benefits and employee related issues related to the Hospital. The general compensation process for all employees starts with Hospital management compiling survey and comparison information and making recommendations for salary adjustments to the Personnel Committee. The Personnel Committee reviews that information, has discussions with Hospital Management and ultimately approves or denies the recommendations for salary adjustments. The Executive Compensation Committee determines the compensation of the executives. An independent consultant's review of executive salaries is the primary tool used to make their determination. The results of management's survey and comparison data will also be taken into consideration. All activities of the Executive Compensation Committee are reported to the Board of Trustees. Avail of Gov Docs, Conflict of Interest Policy & Fin Stmts to Gen Public Form 990, Part VI, Line 19 The Hospital makes Form 990 and 990-T available to the public by request. The governing documents, conflict of interest policy and financial statements are not routinely available to the public. Qualified hedge Schedule K, Part IV, Line 3a The 2007 Bond Issue consisted of two portions: 2007A (Issue Price: $15,000,000) and 2007B (Issue Price: $25,000,000). The qualified hedge identified relates only to the 2007B portion of the 2007 Bond Issue. WASHINGTON HEALTHCARE SERVICES INC 155 WILSON AVENUE WASHINGTON PA 15301 251509768 PARENT PA 501(c)(3) 11a NA THE WASHINGTON HOSPITAL FOUNDATION 155 WILSON AVENUE WASHINGTON PA 15301 251708215 SUPPORT TWH PA 501(c)(3) 11a NA PHOENIX-WASHINGTON INC 800 MANOR DRIVE WASHINGTON PA 15301 251492898 SUBSTANCE TRTMNT PA NA C 276942 3546302 1.00000 true true true true false false false false true false true false false false false true false false PHOENIX-WASHINGTON INC A 844324 PHOENIX-WASHINGTON INC K 1100369