Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
ALTOONA REGIONAL HEALTH SYSTEM
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
620 Howard Avenue
 
Room/suite
City or town, state or country, and ZIP + 4
Altoona, PA16601
D Employer identification number

23-1352155
E Telephone number

G Gross receipts $ 456,015,732
F Name and address of principal officer:
Gerald Murray
620 Howard Avenue
Altoona,PA16601
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
http://www.altoonaregional.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1942
M State of legal domicile: PA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: 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.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 17
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 9
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 2,738
6 Total number of volunteers (estimate if necessary) ............. 6 600
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 145,203
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 35,137
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,197,251 1,131,966
9 Program service revenue (Part VIII, line 2g) ......... 354,769,115 368,675,517
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,968,412 5,828,864
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 8,602,730 6,527,519
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 367,537,508 382,163,866
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 176,022,471 182,594,235
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 182,111,804 187,343,225
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 358,134,275 369,937,460
19 Revenue less expenses. Subtract line 18 from line 12....... 9,403,233 12,226,406
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 289,737,276 295,566,895
21 Total liabilities (Part X, line 26)............. 191,359,027 206,638,018
22 Net assets or fund balances. Subtract line 21 from line 20..... 98,378,249 88,928,877
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: The mission of the Altoona Regional Health System is for exceptional people to provide exceptional health care.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 59,328,173 including grants of $ 0 ) (Revenue $ 39,790,413 )
Inpatient care: Inpatient care was provided to 19,340 patients, including newborns. The System had 87,734 patient days. Inpatient care was provided through 15 nursing units.
4b (Code:   ) (Expenses $ 45,315,366 including grants of $ 0 ) (Revenue $ 62,038,403 )
Surgical Services: Inpatient and outpatient surgery including: operating room, surgery center, endoscopy, peri-anesthesiology, anesthesiology, same day surgery, and perfusion services. Total surgical procedures were 20,500
4c (Code:   ) (Expenses $ 20,867,425 including grants of $ 0 ) (Revenue $ 74,581,031 )
Imaging Services, also known as radiology services is comprised of general x-ray, mammography, ultrasound, nuclear medicine, CT, MRI, and PET scans. Imaging services performed 212,926 imaging procedures.
(Code:   ) (Expenses $ 18,625,387 including grants of $ 0 ) (Revenue $ 23,100,122 )
Pharmacy Services
(Code:   ) (Expenses $ 30,033,106 including grants of $ 0 ) (Revenue $ 0 )
Bad Debts
(Code:   ) (Expenses $ 19,668,205 including grants of $ 0 ) (Revenue $ 32,556,199 )
Emergency and Trauma Services
(Code:   ) (Expenses $ 100,611,464 including grants of $ 0 ) (Revenue $ 96,849,940 )
All Other
(Code:   ) (Expenses $ 18,475,795 including grants of $ 0 ) (Revenue $ 39,759,409 )
Cardiology Services
4d Other program services (Describe in Schedule O.)
(Expenses $ 187,413,957 including grants of $ 0 ) (Revenue $ 192,265,670 )
4e Total program service expensesMediumBullet312,924,921
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
Yes
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
Yes
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
273
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
2,738
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
Yes
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
Yes
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
17
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletBetsy Kreuz620 Howard AvenueAltoonaPA166024899 (814) 889-3629
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Charles Haas MD........................................................................
Director
 1
.......................0 		X           0 0 0
(2) Robert Halbritter........................................................................
Chairperson
 1
.......................0 		X           0 0 0
(3) Robert Montler........................................................................
Director
 1
.......................0 		X           0 0 0
(4) Thomas G Peoples........................................................................
Director
 1
.......................0 		X           0 0 0
(5) Benjamin Levine........................................................................
Vice Chairperson
 1
.......................0 		X           0 0 0
(6) James Drenning........................................................................
Director
 1
.......................0 		X           0 0 0
(7) Donald Devorris........................................................................
Director
 1
.......................0 		X           0 0 0
(8) Robert E Wertz MD........................................................................
Director
 1
.......................50 		X           0 284,906 8,500
(9) R Samuel Magee MD........................................................................
Director
 1
.......................0 		X           1,250 0 0
(10) Ann Benzel........................................................................
Secretary
 1
.......................0 		X           0 0 0
(11) Bruce Erb........................................................................
Director
 1
.......................0 		X           0 0 0
(12) J Grant Hormell MD........................................................................
Director
 1
.......................0 		X           0 0 0
(13) Daniel Lawruk........................................................................
Director
 1
.......................0 		X           0 0 0
(14) Karen Pfeffer........................................................................
Director
 1
.......................0 		X           0 0 0
(15) Gerald E Murray........................................................................
President/CEO
 50
.......................0 		X   X       697,320 0 352,226
(16) Monsignor Michael Servinsky........................................................................
Director
 1
.......................0 		X           0 0 0
(17) Bernard Creppage........................................................................
Director
 1
.......................0 		X           0 0 0
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Charles R Zorger........................................................................
Senior Vice Pres
 50
.......................0 		    X       424,245 0 92,288
(19) Ronald J McConnell........................................................................
Chief Operating Officer
 50
.......................0 		      X     424,220 0 112,410
(20) Linnane Batzel MD........................................................................
Senior Vice President
 50
.......................0 		      X     383,618 0 34,414
(21) Clayton Rickens........................................................................
Sr VP of Nursing
 50
.......................0 		      X     267,439 0 34,213
(22) Matthew P Bouchard MD........................................................................
ER Physician
 50
.......................0 		        X   499,570 0 51,370
(23) Adam Blescia........................................................................
ER Physician
 50
.......................0 		        X   363,906 0 33,778
(24) Rebecca Miller MD........................................................................
ER Physician
 50
.......................0 		        X   338,587 0 15,038
(25) Matthew Murphy MD........................................................................
ER Physician
 50
.......................0 		        X   351,341 0 29,021
(26) Shaun Sheehan MD........................................................................
ER Physician
 50
.......................0 		        X   412,769 0 7,876








1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 4,164,265 284,906 771,134
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet111
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Lexington Surgical Associates620 Howard AvenueSuite 3FAltoonaPA16601 Trauma Services 1,464,506
Blair County Anesthesia PC1701 12th AvenueSuite G2AltoonaPA16601 Anesthesia Services 1,006,317
Mayo Collaborative ServicesPO BOX 9146MINNEAPOLISMN55480 Laboratory Services 1,697,703
Stoltenberg Consulting Inc5815 Library RoadBethel ParkPA15102 IT Consulting 1,420,596
Allegheny Healthcare Staffing Inc501 Howard AvenueSuite C-103AltoonaPA16601 Healthcare Staffing 2,503,185
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet51
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a 0
b Membership dues....1b 0
c Fundraising events....1c 0
d Related organizations...1d 0
e Government grants (contributions)1e 1,131,782
f All other contributions, gifts, grants, and
similar amounts not included above1f 		184
g Noncash contributions included in lines
1a-1f:$ 		0
h Total. Add lines 1a-1f.......MediumBullet 1,131,966
Program Service Revenue Business Code
2a Acute Inpatient Revenue 622000 39,790,413 39,790,413 0 0
b Inpatient Ancillary Revenue 622000 113,714,477 113,714,477 0 0
c Operating Room 622000 28,480,187 28,480,187 0 0
d Radiology 622000 45,049,913 45,049,913 0 0
e Outpatient Ancillary Revenue 622000 79,717,449 79,717,449 0 0
f All other program service revenue . 61,923,078 61,923,078 0 0
g Total. Add lines 2a–2f........MediumBullet 368,675,517
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 185,448 0 0 185,448
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0 0 0 0
5 Royalties...........MediumBullet 0 0 0 0
(i) Real (ii) Personal
6a Gross rents 370,903 0
b Less: rental expenses 0 0
c Rental income or (loss) 370,903 0
d Net rental income or (loss).......MediumBullet 370,903 370,903 0 0
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 79,495,282 0
b Less: cost or other basis and sales expenses 73,851,866 0
c Gain or (loss) 5,643,416 0
d Net gain or (loss)..........MediumBullet 5,643,416 0 0 5,643,416
8a Gross income from fundraising events (not including
$ 0
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a Cafeteria Sales 622000 1,109,325 1,109,325 0 0
b County Contract Revenue 622000 1,489,319 1,489,319 0 0
c IT Services Revenue 541511 145,203 0 145,203 0
d All other revenue .... 3,412,769 3,412,769 0 0
e Total. Add lines 11a–11d ...... MediumBullet 6,156,616
12 Total revenue. See Instructions......MediumBullet 382,163,866 375,057,833 145,203 5,828,864
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21    
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 2,176,842 631,057 1,545,785 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 131,875,423 116,408,769 15,466,654  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 9,729,277 8,494,534 1,234,743  
9 Other employee benefits ....... 29,328,633 25,372,730 3,955,903  
10 Payroll taxes ........... 9,484,060 8,280,438 1,203,622  
11 Fees for services (non-employees):        
a Management ...... 1,037,655 861,254 176,401  
b Legal ......... 288,020 0 288,020  
c Accounting ........... 173,550 0 173,550  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 12,151,240 10,085,529 2,065,711  
12 Advertising and promotion .... 127,814 106,086 21,728  
13 Office expenses ....... 3,536,391 2,935,205 601,186  
14 Information technology ...... 11,054,973 9,175,628 1,879,345  
15 Royalties ..        
16 Occupancy ........... 4,991,289 4,142,770 848,519  
17 Travel ............ 337,160 279,843 57,317  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 251,126 208,435 42,691  
20 Interest ........... 4,500,284   4,500,284  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 17,809,203 14,781,638 3,027,565 0
23 Insurance .............. 4,424,861   4,424,861  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Bad Debt Expense 30,033,106 30,033,106 0 0
b Contract Labor 2,824,224 2,344,106 480,118  
c Purchases Services 7,244,690 5,729,858 1,514,832  
d Supplies 68,911,249 57,196,337 11,714,912  
e All other expenses 17,646,390 15,857,598 1,788,792  
25 Total functional expenses. Add lines 1 through 24e 369,937,460 312,924,921 57,012,539 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 13,518,530 1 9,299,236
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 40,024,159 4 43,692,449
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 4,280,296 8 4,336,771
9 Prepaid expenses and deferred charges .......... 3,340,044 9 4,005,598
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 356,948,433
b Less: accumulated depreciation ..... 10b 232,484,014 126,825,930 10c 124,464,419
11 Investments—publicly traded securities .......... 64,237,431 11 68,146,212
12 Investments—other securities. See Part IV, line 11 ..... 1,346,566 12 962,067
13 Investments—program-related. See Part IV, line 11 .....   13 0
14 Intangible assets ............... 4,084,145 14 5,237,732
15 Other assets. See Part IV, line 11 ........... 32,080,175 15 35,422,411
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 289,737,276 16 295,566,895
Liabilities 17 Accounts payable and accrued expenses ......... 38,084,642 17 46,732,976
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 84,167,686 23 81,131,755
24 Unsecured notes and loans payable to unrelated third parties .... 377,628 24 813,202
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 68,729,071 25 77,960,085
26 Total liabilities. Add lines 17 through 25......... 191,359,027 26 206,638,018
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 98,311,320 27 88,866,759
28 Temporarily restricted net assets ........... 66,929 28 62,118
29 Permanently restricted net assets ........... 0 29 0
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 98,378,249 33 88,928,877
34 Total liabilities and net assets/fund balances ........ 289,737,276 34 295,566,895
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
382,163,866
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
369,937,460
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
12,226,406
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
98,378,249
5
Net unrealized gains (losses) on investments ...............
5
-1,125,819
6
Donated services and use of facilities .................
6
0
7
Investment expenses .....................
7
0
8
Prior period adjustments .....................
8
0
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-20,549,959
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
88,928,877
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
Yes
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID: 12000197
Software Version: v1.00
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ALTOONA REGIONAL HEALTH SYSTEM
 
Employer identification number

23-1352155
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000197
Software Version: v1.00
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ALTOONA REGIONAL HEALTH SYSTEM
 
Employer identification number

23-1352155
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 66,929 103,052 74,650 104,356 1,169,242
b Contributions ........ 40,540 59,594 99,290 90,067 130,429
c Net investment earnings, gains, and losses 155 279 0 502 -132,651
d Grants or scholarships ..... 0 0 0 0 0
e Other expenditures for facilities
and programs ........ 		45,506 95,996 70,888 120,275 1,062,664
f Administrative expenses .... 0 0 0 0 0
g End of year balance ...... 62,118 66,929 103,052 74,650 104,356
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet0 %
c
Temporarily restricted endowment SchDMd Bullet100 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 0 3,963,077 3,963,077
b Buildings ................ 0 174,839,743 99,596,290 75,243,453
c Leasehold improvements ............ 0 5,195,737 3,731,845 1,463,892
d Equipment ................ 0 165,083,482 129,155,879 35,927,603
e Other ................. 0 7,866,394 0 7,866,394
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 124,464,419
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Other Receivables 4,807,547
(2) Estimated Amounts Due from third-party payors 52,609
(3) Intercompany Receivables 15,032,505
(4) Beneficial Interest in the Net Assets of the Central PA Medical Foundation 14,486,980
(5) Other Long Term Assets 1,042,770




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 35,422,411
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
Accrued Pension Liability 69,599,601
Other Liabilities 8,360,484







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 77,960,085
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
SchD_P05_S00_L04 Schedule D, Part V, Line 4 Approximately $39,000 of the fund is for Bioterrorism preparedness, approximately $20,000 is for Medical Staff continuing medical education and approximately $3,000 is for the upkeep of the Donna Jean Hospitality House.
Schedule D (Form 990) 2012

Additional Data


Software ID: 12000197
Software Version: v1.00




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ALTOONA REGIONAL HEALTH SYSTEM
 
Employer identification number

23-1352155
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
 
No
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    2,572,306 0 2,572,306 0.77 %
b Medicaid (from Worksheet 3,
column a) .... 		    47,803,391 30,606,262 17,197,129 5.12 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		    0 0 0 0 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		0 0 50,375,697 30,606,262 19,769,435 5.89 %
Other Benefits
     2,142,673 109,803 2,032,870 0.61 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    5,249,016 3,254,787 1,994,229 0.59 %
g Subsidized health services
(from Worksheet 6) .. 		    49,282,895 39,144,906 10,137,989 3.12 %
h Research (from Worksheet 7)     0 0 0 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    83,872 0 83,872 0.03 %
j Total. Other Benefits .. 0 0 56,758,456 42,509,496 14,248,960 4.35 %
k Total. Add lines 7d and 7j . 0 0 107,134,153 73,115,758 34,018,395 10.24 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     27,551 0 27,551 0.01 %
2 Economic development     1,067 0 1,067 0 %
3 Community support     0 0 0 0 %
4 Environmental improvements     0 0 0 0 %
5 Leadership development and training for community members     0 0 0 0 %
6 Coalition building     0 0 0 0 %
7 Community health improvement advocacy     910 0 910 0 %
8 Workforce development     0 0 0 0 %
9 Other     0 0 0 0 %
10 Total 0 0 29,528 0 29,528 0.01 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
8,666,477
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
398,676
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
141,348,874
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
162,049,333
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-20,700,459
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 Altoona Regional Health System
620 Howard Avenue
Altoona,PA16601
www.altoonaregional.org 		X X   X     X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Altoona Regional Health System
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 150%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17 Yes  
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
SchH_P01_S00_L03c Schedule H, Part I, Line 3c Charity care will be extended to patients who are determined to be financially indigent. The determination will be based on poverty guidelines published in the Federal Register. Charity care may reduce the patients bill by 25% 50% 75% or 100% based on the financial information received. The amount of free care charity care and financial assistance is based on income and family size.
SchH_P01_S00_L07 Schedule H, Part I, Line 7 Two costing methodologies were used: 1. Actual expenses, and 2. Cost to charge ratio derived from Worksheet 2: ratio of patient care cost to charge and also cost from Medicare cost report
SchH_P01_S00_L072f Schedule H, Part I, Line 7, Column f Bad debt - 30,033,106
SchH_P01_S00_L07g Schedule H, Part I, Line 7g As part of the Subsidized Health Services, ARHS included in the subsidized health services costs attributable to its 2 physician clinics (AFP and Williamsburg) and its women's health center. AFP Costs $6,307,354, Williamsburg costs $1,025,177 and Women's Health Center cost $671,566
SchH_P02_S00_L00 Schedule H, Part II ARHS community building activities promote the health of the community we serve in the following ways: physical improvement and housing; participation in community revitalization efforts; and the use of health system owned properties/houses by other non-profit community organizations
SchH_P03_S0A_L04 Schedule H, Part III, Section A, Line 4 Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Health System analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Health System analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Health System and its affiliates record a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Health System's allowance for doubtful accounts for self pay patients decreased from 92% of self pay accounts receivable at June 30, 2012 to 86% of self pay accounts receivable at June 30, 2013. In addition, the Health System's write offs were approximately $30,300,000 and $21,900,000, respectively in 2013 and 2012. The increase was the result of negative trends experienced in the collection of amounts from self pay patients in fiscal year 2013. Methodology: Bad debt cost less bad debt expenses minus any bad debt recoveries multiplied by the ratio derived from worksheet 2 less ratio of patient care cost to charges also cost from Medicare 2013 Cost Report
SchH_P03_S0B_L08 Schedule H, Part III, Section B, Line 8 ARHS considers 100% of the Medicare shortfall to be a community benefit. The costing methodology is the allocated costs from the 2013 Medicare Cost Report.
SchH_P03_S0C_L09b Schedule H, Part III, Section C, Line 9b If a patient contacts the hospital and indicates an inability to pay in full, a payment arrangement is utilized to help the patient pay off the bill within 3 to 12 months. If the account cannot be paid off within 3 to 12 months, a minimum of $50 per month is required. If the patient is unable to meet this schedule, they need to provide budget information to justify a lower monthly payment.
SchH_P05_S0B_L04 Schedule H, Part V, Section B, Line 4 The Needs Assessment was conducted in collaboration between Altoona Regional Health System, Nason Hospital, and Tyrone Hospital, as well as with many other community organizations and agencies.
SchH_P05_S0B_L05 Schedule H, Part V, Section B, Line 5 The Hospital's needs assessment is also placed on the Healthy Blair County Coalition website (http://healthyblaircountycoalition.org).
SchH_P05_S0B_L07 Schedule H, Part V, Section B, Line 7 The Hospital (ARHS) did not meet all of the needs identified in the Community Health Needs Assessment (CHNA) it conducted in collaboration with the Health Blair County Coalition (HBCC). The CHNA that was conducted between July and October 2012 identified the following 31 community needs, all of which impact an individuals and familys health and in turn the communitys health which are grouped by category. 1.Economics: Unemployment/Underemployment, Poverty, Lack of Jobs 2.Education: children being adequately educated, unsafe school environment, bullying/harassment, use/availability of drugs 3.Environmental: water and air pollution, noise pollution 4.Health: alcohol/drug abuse, smoking and tobacco, adults with mental illness/emotional issues, children with mental health or emotional issues, lack of affordable medical care, HIV/AIDS, diabetes, and obesity 5.Housing: shortage of affordable housing, substandard housing, overcrowded housing 6.Leisure Activities: shortage of recreational facilities, lack of cultural activities 7.Safety: crime, gangs 8.Social: teen pregnancy, racial or ethnic intimidation, family violence, gambling, and lack of affordable daycare for children 9.Transportation: inadequate public transportation, poor roads and traffic conditions. Following a needs prioritization process and evaluation, the HBCC chose to develop the following strategies. Strategy 1: Promote a Healthy Lifestyle Strategy 2: Alcohol and Other Substance Abuse Strategy 3: Mental Health Needs of Children/Adolescents Strategy 4: Smoking/Tobacco. ARHS has chosen, in partnership with the HBCC, to address the following community needs: 1. Promote a health lifestyle: to address obesity, physical inactivity, and diabetes. 2. Mental health needs of children and adolescents. The other 2 community hospitals and the remaining 47 other community partners that are part of the HBCC are addressing some of the other 31 issues identified above. However neither ARHS - as a single community hospital, nor the HBCC with 50 community members, has sufficient financial and human resources to meet all of the 31 identified community needs. Many of these needs, which are common in most communities, are significant and are such that society has been working long term to address. However ARHS has committed resources and efforts, and is work with other community partners, to meet its above identified needs. ARHS, in partnership with the HBCC, has developed strategies to address its identified community health needs. Although the hospital is not able to address all of the needs identified in Blair County, ARHS is addressing the identified needs, which will result in healthier individual and families, which will in turn result in an overall healthier community
SchH_P05_S0B_L13 Schedule H, Part V, Section B, Line 13 The following statement appears on all patient bills: "If you are experiencing financial hardship and are unable to pay this bill, charity/financial aid may be available if you qualify. Please contact us at (814.889.2333) or toll free in PA at 800.443.4050 to obtain information about charity/financial aid and how to apply for it."
SchH_P05_S0B_L14 Schedule H, Part V, Section B, Line 14 The following statement appears on all bills: "if you are experiencing financial hardship and are unable to pay this bill, charity/financial aid may be available, if you qualify. Please contact us at (814.889.2333) to toll free in PA at 800.443.4050 to obtain information about charity/financial aid and how to apply for it."
SchH_P05_S0B_L17 Schedule H, Part V, Section B, Line 17 The following statement appears on all patient bills: "If you are experiencing financial hardship and are unable to pay this bill, charity/financial aid may be available if you qualify. Please contact us at (814.889.2333) or toll free in PA at 800.443.4050 to obtain information about charity/financial aid and how to apply for it." Also an authorized third party (Financial Health Strategies) when contacting the patient for payment will make the patient aware of the health system's free care program if the patient explains that they will have a difficult time paying the bill. In cases where the inpatient bill exceeds $10,000 we turn it over to another third party (Healthcare Receivable Specialists) who will attempt to qualify the patient for Medical Assistance and let them know about the health system's Charity and Free Care Program.
SchH_P05_S0B_L18 Schedule H, Part V, Section B, Line 18 The following statement appears on all patient bills:"if you are experiencing financial hardship and are unable to pay this bill, charity/financial aid may be available, if you qualify. Please contact us at (814.889.2333) to toll free in PA at 800.443.4050 to obtain information about charity/financial aid and how to apply for it." Also an authorized third party,when contacting the patient for payment will make the patient aware of the health system's free care program if the patient explains that they will have a difficult time paying the bill. In cases where the inpatient bill exceeds $10,000 the health system turns it over to another third party who will attempt to qualify the patient for Medical Assistance and let them know about the health system's Charity and Free Care Program.
SchH_P05_S0B_L19 Schedule H, Part V, Section B, Line 19 For any patient that qualifies for free care, the patient's bill will have a 60% allowance applied before a further reduction of 25%, 50%, 75%, or 100% would apply based on their income level as it relates to the free care tables within the Health System policy.
SchH_P05_S0B_L20 Schedule H, Part V, Section B, Line 20 For any patient who qualifies for free care, the patient's bill will have a 60% allowance applied before a further reduction of 25% 50% 75% or 100% would apply based on their income level as it relates to the free care tables with the health system's policy.
SchH_P06_S00_L02 Schedule H, Part VI, Line 2 Needs Assessment:Altoona Regional Health System (ARHS) helped form and actively supports and participates in the Healthy Blair County Coalition (Coalition). The Coalition is comprised of over 50 community agencies, organizations, and services. The Coalition was formed in 2007 to conduct comprehensive community needs assessments, review and analyze data, formulate strategies to meet identified service gaps and needs, implement strategies to meet identified needs, and conduct subsequent post-implementation surveys to determine effectiveness of programs and services implemented. An assessment of the communities healthcare needs are part of the followup survey processes and involve a household survey, focus groups, and survey of local businesses, service providers, healthcare providers with special expertise and knowledge in helping to assess needs within our community.
SchH_P06_S00_L03 Schedule H, Part VI, Line 3 Patient education of eligibility for assistance: the Health System informs and educates patients, their families, and others regarding eligibility and the application process for federal, state, and local governmental financial assistance programs; as well as health system financial assistance programs and charity care available, through the following means: a) printed information is contained in the Patient Guide book given to all hospital inpatients; b) financial counseling services are available to all patients, at no cost, by the staff of the Patient Financial Services Department; c) the health system contracts with a special consultant/company to assist patients to complete and file Medical Assistance applications; d) the health system has extensive charity care provisions which are available to all patients and are based on eligibility criteria; e) the health systems displays at all patient care service entrances the U.S. Department of Health & Human Services, Public Health Service notice regarding: Medical Care for Those who Cannot Afford to Pay Notice; f) Patient Rights and Responsibilities Posters are prominently displayed in all patient care areas and patient rooms which contain patients rights including the right to care without regard to ability to pay; g) an Open Admission policy prominently displayed in patient care areas which states the health system's responsibility to provide care to all patients without regard to their ability to pay.
SchH_P06_S00_L04 Schedule H, Part VI, Line 4 Community Information: Altoona Regional Health System (ARHS) serves approximately 330,000 individuals in central Pennsylvania. This service area encompasses all of Blair County and portions of the following 6 contiguous counties: Bedford, Cambria, Centre, Clearfield, Fulton, and Huntingdon counties. Approximately 16.2% of the service area population is age 65+, 16.5% of the population are eligible for medical assistance and 14.8% of the population has income below the poverty level.The cost of living is low compared to national averages, the public educational system is outstanding, and there is an abundance of local colleges and universities. Within the service area there are Medically Underserved Area(s)/Medically Underserved Populations (MUA/MUP) as well as Health professional Shortage Area(s) (HPSAs). Within the service area there are 2 additional, smaller (25 to 50 bed) community hospital that provide routine, primary care, services to their respective communities. These hospitals refer higher acuity patients to Altoona Regional Health System, as it is a 400-bed, regional health care system which provide regional/tertiary care services.
SchH_P06_S00_L05 Schedule H, Part VI, Line 5 Promotion of community health: Describe how organization promotes the health of the community: ARHS promotes the health of the community in the following ways: a) by providing an open medical staff to enable credentialed physician to provide care to patients in our community; b) the entire health system is governed by a voluntary (non-paid) board of directors comprised of members of the local community; c) providing programs and services to help all people lead safer, healthier, happier lives and to care for them in times of crisis. For example: i. community education classes such as the Safe Sitter child-care courses, many programs by physicians on dealing with various conditions and disease, as well as on achieving and maintaining better health for example: free child safety-seat check ups; ii. Support groups that deal with Alzheimer's disease, stroke, cancer, diabetes, grief, mental health issues and caring for ill loved ones. iii. Self-help programs, such as classes on exercise, nutrition, and quitting smoking; iv. Screenings for osteoporosis, depression, high blood pressure, hepatitis, stroke, heart disease, and colon cancer; v Free health care for people with no insurance or not enough insurance through Partnering for Health Services Medical Clinic. d) By providing educational and training programs to prepare future health care professionals to serve our community. The health system supports the Altoona Family Physician residency program and local universities and colleges in the training of nurses and other health professionals. e) ARHS supports people and groups in the community: in additional to contributing to events and organizations that improve the community's health, ARHS allow them to use our meeting rooms, supplies and parking area. ARHS donates food to local food banks, provide assistance to important community services like the homeless shelter, domestic abuse shelter, CONTACT Altoona (referral service to those in need). Some of the events we sponsor include the Blair Unit of the American Cancer Society's events and we provide free emergency care at local events.
SchH_P06_S00_L06 Schedule H, Part VI, Line 6 Affiliated health care system: Altoona Regional Health System is, as defined in the instructions, an affiliated health care system as it includes affiliates under common control that cooperate in providing health care services to our community. The entire health care systems is comprised of 25 companies, corporations, and affiliates that employ approximately 4,000 individuals and collectively include: an acute care hospital that provide routine, primary care services as well as regional and tertiary care services; a home nursing and home health care agency, physician practices, a free clinic, and a non profit foundation. These entities provide care to thousands of members of our community every year and include: over 20,000 hospital inpatients, over 400,000 hospital outpatient visits, over 400,000 physician office visits, and care to thousands of patients in their homes.
Schedule H (Form 990) 2012
Additional Data


Software ID: 12000197
Software Version: v1.00
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ALTOONA REGIONAL HEALTH SYSTEM
 
Employer identification number

23-1352155
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Gerald E MurrayPresident/CEO (i)
(ii)		 536,612
0 		159,120
0 		1,587
0 		327,355
0 		24,871
0 		1,049,545
0 		914,346
0
(2)Charles R ZorgerSenior Vice Pres (i)
(ii)		 324,995
0 		96,740
0 		2,510
0 		72,890
0 		19,398
0 		516,533
0 		452,413
0
(3)Ronald J McConnellChief Operating Officer (i)
(ii)		 326,876
0 		97,344
0 		0
0 		93,997
0 		18,413
0 		536,630
0 		431,941
0
(4)Matthew P Bouchard MDEmergency Room MD (i)
(ii)		 457,214
0 		42,356
0 		0
0 		34,000
0 		17,370
0 		550,940
0 		517,656
0
(5)Linnane Batzel MDSenior Vice President (i)
(ii)		 309,261
0 		74,357
0 		0
0 		16,500
0 		17,914
0 		418,032
0 		371,682
0
(6)Clayton RickensSr VP of Nursing (i)
(ii)		 205,764
0 		61,675
0 		0
0 		157,687
0 		18,445
0 		443,571
0 		0
0
(7)Robert E Wertz MDDirector (i)
(ii)		 0
284,906 		0
0 		0
0 		0
0 		0
8,500 		0
293,406 		0
343,328
(8)Adam BlesciaER Physician (i)
(ii)		 328,308
0 		35,598
0 		0
0 		16,500
0 		17,278
0 		397,684
0 		401,022
0
(9)Shaun Sheehan MDER Physician (i)
(ii)		 354,155
0 		58,614
0 		0
0 		0
0 		7,876
0 		420,645
0 		0
0
(10)Matthew Murphy MDER Physician (i)
(ii)		 315,816
0 		35,525
0 		0
0 		11,700
0 		17,321
0 		380,362
0 		0
0
(11)Rebecca Miller MDER Physician (i)
(ii)		 306,344
0 		32,243
0 		0
0 		0
0 		15,038
0 		353,625
0 		0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
SchJ_P01_S00_L04 Schedule J, Part I, Line 4 The organization contributed to a SERP for the following key employees: Gerald Murray $327,355, Charlie Zorger $72,890 Ronald McConnell $61,117 and Clayton Rickens $10,568.
SchJ_P01_S00_L06 Schedule J, Part I, Line 6 The Incentive Compensation Program requires a 1% or greater financial operating margin that also covers the overall cost of the organizational incentive compensation program. When Incentive compensation is available, an at least 75% of the senior leader's goals have been achieved, the minimum payout would be 18.75% of base pay and maximum payout would be 30%(per Board approved capped Mercer compensation program design).
Schedule J (Form 990) 2012

Additional Data


Software ID: 12000197
Software Version: v1.00
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ALTOONA REGIONAL HEALTH SYSTEM
 
Employer identification number
23-1352155
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A Blair County Hospital Authority
  		25-1352705 092840HV2 12-03-2009 66,371,478 capital projects and renovations and partial refunding of 1998 bonds   X X     X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0      
2 Amount of bonds legally defeased . . . . . . . . . . . 0      
3 Total proceeds of issue . . . . . . . . . . . . . . 66,450,563      
4 Gross proceeds in reserve funds . . . . . . . . . . . . 5,605,366      
5 Capitalized interest from proceeds . . . . . . . . . . . 0      
6 Proceeds in refunding escrows . . . . . . . . . . . . 7,230,708      
7 Issuance costs from proceeds . . . . . . . . . . . . 292,082      
8 Credit enhancement from proceeds . . . . . . . . . . . 0      
9 Working capital expenditures from proceeds . . . . . . . . . 2,167,071      
10 Capital expenditures from proceeds . . . . . . . . . . . 50,167,666      
11 Other spent proceeds . . . . . . . . . . . . . . 0      
12 Other unspent proceeds . . . . . . . . . . . . . . 0      
13 Year of substantial completion . . . . . . . . . . . . 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X            
15 Were the bonds issued as part of an advance refunding issue? . . . . . X              
16 Has the final allocation of proceeds been made? . . . . . . . .   X            
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X            
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X            
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X            
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0%   %   %   %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0%   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0%   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . . X              
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X            
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X              
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X            
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X            
b Exception to rebate? . . . . . . . .   X            
c No rebate due? . . . . . . . . . .
  X            
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X            
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X            
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X            
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X            
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X              
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X              
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2012

Additional Data


Software ID: 12000197
Software Version: v1.00

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ALTOONA REGIONAL HEALTH SYSTEM
 
Employer identification number

23-1352155
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Vicki Wertz Daughter of Board Member 122,798 Compensation   No
(2) Lexington Mall Partners LP
  		Director Devorris is a 16% owner 732,444 Rent   No
(3) Lexington Mall Partners LP
  		Director Lawruk is a partner 732,444 Rent   No
(4) Pathology Associates of Blair County
  		Director Haas is an owner 125,000 Professional Services   No
(5) Reilly Creppage & Co Inc
  		Director Creppage is an owner 205,995 Professional Fees   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000197
Software Version: v1.00




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ALTOONA REGIONAL HEALTH SYSTEM
 
Employer identification number

23-1352155
Identifier Return Reference Explanation
F990_P04_S00_L20b Form 990, Part IV, Line 20b As of May 15, 2014, the Health System's auditors (E&Y) have still not issued the audit report for the fiscal year ending June 30, 2013. As such, a draft audit report has been attached. The Health System will file an amended return when the audit report has been issued.
F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Director Devorris has a business relationship with Directors Wertz and Lawruk. Director Erb has a business relationship with Director Montler. Director Murray is employed by the organization: Altoona Regional Health System. Director Pfeffer is employed by Director Levine's law firm.
F990_P06_S0A_L07a Form 990, Part VI, Section A, Line 7a The parent corporation of Altoona Regional Health System is Central Pennsylvania Health Services Corporation (CPHSC) which has input into the nominating process for members of the governing board of Altoona Regional Health System
F990_P06_S0A_L07b Form 990, Part VI, Section A, Line 7b The parent corporation: Central Pennsylvania Health Services Corporation has some reserved powers to review and approve decision made by the Altoona Regional Health System Board of Directors
F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The organization's Form 990 was reviewed prior to its submission by the Altoona Regional Health System Board of Directors as a meeting held in May 2014.
F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c The organization annually distributes to all officers, directors, and key employees a conflict of interest Disclosure Statement which must be completed and returned. These Statements are reviewed by legal counsel and the corporate compliance officer to ensure compliance
F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The compensation of the CEO and other members of the Senior Leadership Team are reviewed by the Executive Compensation & Benefits Committee, a sub-committee of the Board of Directors, with recommendations presented to the full Board of Directors for approval. External compensation benchmarks are utilized, including the use of mercer Human Resource Consultants for each leadership position on an annual basis
F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The organization has a public website: www.altoonaregional.org and its Board of Directors names, positions, and companies are provided on that website. With regard to financial statements, the organization publishes and makes available to the public its balance sheets and income statements its publication Healthy Living, which is printed and distributed to the public. Additionally, the organization provides an annual community Benefits Report, which is freely available to the public which provides an accounting of all of the free and discounted care provided to the poor and to those without health insurance
F990_P11_S00_L09 Form 990, Part XI, Line 9 Minimum Pension Liability Adjustment ($11,202,714), Net Cash Infusion to Related Organizations ($3,016,558), Change in Beneficial Interest in Net Assets of the Central PA Medical Foundation ($6,760,658), Net Changes in Restricted Funds ($4,811), and Change in Minority Interest $434,782
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000197
Software Version: v1.00
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ALTOONA REGIONAL HEALTH SYSTEM
 
Employer identification number

23-1352155
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) Central Pennsylvania Health Services Corporation

620 Howard Avenue

Altoona,PA16601
25-1468814 		Support the Health System PA 501c3 11 N/A
 
No
(2) Altoona Regional Partnership for a Healthy
Community
620 Howard Avenue

Altoona,PA16601
25-1842308 		medical and dental clinics PA 501c3 3 N/A
Yes
 
(3) Altoona Regional Health System Foundation
For Life
620 Howard avenue

Altoona,PA16601
55-0787040 		Support the health system PA 501c3 11 N/A
Yes
 
(4) Central Pennsylvania Medical Foundation

620 Howard Avenue

Altoona,PA16601
25-1454709 		support health system PA 501c3 11 N/A
Yes
 
(5) Home Nursing Agency Affiliates

201 Chestnut Avenue
PO Box 352
Altoona,PA16601
25-1518698 		Home Healthcare PA 501c3 11 N/A
Yes
 
(6) Home Nursing Agency Community Services

201 Chestnut Avenue
PO Box 352
Altoona,PA16601
25-1517533 		Home Healthcare PA 501c3 9 Home Nursing Agency Affiliates
 
 
No
(7) Home Nursing Agency Foundation

201 Chestnut Avenue
PO Box 352
Altoona,PA16601
25-1467014 		Support Home Nursing Agency PA 501c3 11 Home Nursing Agency Affiliates
 
 
No
(8) Home Nursing Agency Visiting Nurse Association

201 Chestnut Avenue
PO Box 352
Altoona,PA16601
25-1188570 		Home healthcare PA 501c3 9 Home Nursing Agency Affiliates
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Lexington Mall Partners

620 Howard Avenue
Altoona,PA16601
51-0459194 		Real Estate PA Lexington One
  		Unrelated 0 0   No     No 0 %
(2) Lexington Mall Holdings LLC

620 Howard Avenue
Altoona,PA16601
27-0063014 		Real Estate PA Lexington One
  		Unrelated 0 0   No     No 0 %










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Altoona Family Inc

2500 Seventh Avenue
Altoona,PA16602
25-1444935 		Property Rental PA N/A
 C 0 0 100 %   No
(2) Lexington Holdings Inc

620 Howard Avenue
Altoona,PA16601
25-1794386 		Holding Company PA Central Pennsylvania Medical Foundation
  		C 0 0 0 %   No
(3) Lexington Four Inc

620 Howard Avenue
Altoona,PA16601
25-1793736 		holding company for physician practices PA Lexington Holdings
  		C 0 0 0 %   No
(4) Blair Medical Associates Inc

1414 Ninth Avenue
Altoona,PA16602
25-1219302 		Physician Practices PA Lexington Four Inc
  		C 0 0 0 %   No
(5) Lexington Anesthesia Associates Inc

620 Howard Avenue
Altoona,PA16601
25-1897765 		CRNA practice PA Lexington Four Inc
  		C 0 0 0 %   No
(6) Lexington Orthopedic Associates Inc

620 Howard AVenue
Altoona,PA16601
55-0874905 		phyisican practice PA Lexington Four Inc
  		C 0 0 0 %   No
(7) Lexington Surgical Associates Inc

620 Howard Avenue
Altoona,PA16601
23-3040538 		physician practice PA Lexington Four Inc
  		C 0 0 0 %   No
(8) Mainline Medical Associates Inc

1400 Ninth Avenue
Altoona,PA16601
25-1439055 		physician practice PA Lexington Four Inc
  		C 0 0 0 %   No
(9) Northern Cambria Medical Center Inc

1106 Bingler Avenue
Northern Cambria,PA15714
25-1793735 		physician practice PA Lexington Four Inc
  		C 0 0 0 %   No
(10) Patton Family Medical Center Inc

142 E Carroll Street
Carrolltown,PA15722
25-1793735 		physican practice PA Lexington Four Inc
  		C 0 0 0 %   No
(11) Lexington Hospitalists Inc

620 Howard Avenue
Altoona,PA16601
56-2584130 		physician practice PA Lexington Four Inc
  		C 0 0 0 %   No
(12) Lexington One Inc

620 Howard Avenue
Altoona,PA16601
25-1468889 		Real Estate PA Lexington Holdings
  		C 0 0 0 %   No
(13) Lexington Two Inc

620 Howard AVenue
Altoona,PA16601
25-1555689 		Durable Medical Equipment PA Lexington Holdings Inc
  		C 0 0 0 %   No
(14) Lexington Radiology Inc

620 Howard Avenue
Altoona,PA16601
27-1440673 		physician practice PA Lexington Four Inc
  		C 0 0 0 %   No
(15) Allegheny Healthcare Staffing Inc

620 Howard Avenue
Altoona,PA16601
27-1657362 		healthcare staffing company PA Lexington Holdings Inc
  		C 0 0 0 %   No
(16) Lexington Investments LLC

620 Howard Avenue
Altoona,PA16601
27-0687832 		holding company PA Lexington Anesthesia
  		C 0 0 0 %   No
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Central Pennsylvania Medical Foundation

 b 2,141,558 Canceled checks
(2) Altoona Regional Partnership for a Healthy
Community
 q 870,000 Canceled checks
(3) Altoona Regional Partnership for a Healthy
Community
 o 122,255 Payroll records
(4) Altoona Regional Health System Foundation
For Life
 q 360,000 Canceled checks
(5) Home Nursing Agency Community Services

 l 103,846 Invoices
(6) Home Nursing Agency Visiting Nurse Association

 l 588,729 Invoices
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


Software ID: 12000197
Software Version: v1.00