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
Uniontown Hospital
 
Employer identification number

25-0965588
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
Yes
 
%
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
Yes
 
%
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

 

No
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
 
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
 
No
b
If "Yes," did the organization make it available to the public? ..............
6b
 
 
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) .. 		    1,986,399 144,755 1,841,644 1.350 %
b Medicaid (from Worksheet 3,
column a) .... 		    26,000,929 18,546,781 7,454,148 5.470 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    27,987,328 18,691,536 9,295,792 6.820 %
Other Benefits
     177,773   177,773 0.130 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    214,777   214,777 0.160 %
g Subsidized health services
(from Worksheet 6) .. 		    4,827,512 4,262,115 565,397 0.420 %
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		           
j Total. Other Benefits ..     5,220,062 4,262,115 957,947 0.710 %
k Total. Add lines 7d and 7j .     33,207,390 22,953,651 10,253,739 7.530 %
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            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     9,000   9,000 0.010 %
9 Other            
10 Total     9,000   9,000 0.010 %
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
7,176,708
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
3,215,165
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
25,509,331
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
25,437,628
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
71,703
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 Uniontown Hospital
500 W Berkeley Street
Uniontown,PA15401
uniontownhospital.org 		X X   X     X     A
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)
A
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 13
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: 0000000002.000000000000%
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: 0000000003.000000000000%
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 Yes  
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?1
Name and address Type of Facility (describe)
1 Uniontown Hospital Outpatient Diagnostic Center
150 Wayland Smith Drive Suite B
Uniontown,PA15401 		Outpatient Center
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
Part I Line 7   Uniontown Hospital used the best available data to calculate the cost of charity care reported in line 7 for certain categories, the best available data was derived from a cost accounting system in other categories, specific cost-to-charge ratios from worksheet 2 were calculated and applied to that category.
Part I Line 7   column f - The amount of expenditures used to calculate column f were reduced by bad debt expense of 7,176,708.
Part III Line 4   The audited financial statements do not contain a footnote that describes bad debt expense. They do, however, contain a footnote that describes patient accounts receivable. That footnote reads as follows The Health System, which includes the Uniontown Hospital, reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The Health System provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the Health System bills third-party payers directly and bills the patient when the patients liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account.
Part III Line 4   These expenses are incurred regardless of the efficiency of the provision of the related medical care and are deemed to have been medically necessary for the patient.
Part III Line 8   Serving patients with government health benefits, such as Medicare, is a component of the community benefit standard that tax-exempt hospitals are held to. This implies that serving Medicare patients is a community benefit and that the hospital operates to promote the health of the community. The Medicare cost report was utilized to determine the amount reported on line 6.
Part III Line 9b   The Uniontown Hospitals Revenue Cycle Principles and Policies include seven policies approved by their Board of Directors. One of the policies is titled Financial Need Discounting and establishes discounts ranging from 0 to 100 based upon the patients income as compared to the federal poverty guidelines after the payment of a Minimum Patient Liability. The Minimum Patient Liability ranges from 10-100 depending on the service. According to the policy titled Patient Payment Expectations, patients are given four monthly billing statements to resolve their financial obligation. Each statement will indicate that the patient needs to resolve their financial obligation to avoid the potential for future service delays. The patient has 120 days from the date of the initial billing statement to resolve their financial obligation. Patients are given multiple options to make payment including major credit/debit cards. The organization actively pursues collection of accounts in default unresolved for greater than 120 days in a way consistent with a relationship built on
Part III Line 9b   trust and compassion. Insensitive collection practices are avoided and collection agencies are only used in situations where contact cannot be made with the patient. Patients that have accounts in default may be asked to take financial accountability before scheduling non-emergency services. Collection activities do not include judgments.
Part V   Line 3 -Tripp Umbach facilitated and managed a comprehensive community health needs assessment on behalf of the Uniontown Hospital. The process included input from key community stakeholders collected through a series of 21 interviews that were completed between April and May, 2012. The following is a complete list of those consulted Albert Gallatin, Laurel Highlands, Brownsville Area, Uniontown Area, and Connellsville area school districts Pennsylvania State University Fayette/Eberly Campus United Way of Fayette PA Department of Health California University of Social Work Fayette County Children Youth Fayette Chamber of Commerce Fayette County Commissioners Fayette County Office of Human Services Fayette County CHIP Fayette County Drug Alcohol Commission Fayette County Behavior Health Administration Fayette County Community Action Agency Fay-Penn Economic Development Council Southwest Pennsylvania Area Agency on Aging Uniontown Hospital Diabetes Center and Career Link Fayette.
Part V   Line 7 - Three needs identified as not being met 1. Lifestyle choices of consumers While hospital leaders are interested in this issue, there is a Healthy Lifestyles Committee that is participating in the planning process from the Fayette County CHIP Program. The Hospital collaborates and works closely with the CHIP program, which has chosen to take responsibility for addressing the choices of residents that impact health. Additionally, the hospital will study and identify methods for addressing substance abuse issues among pregnant women, which is as a component of lifestyle choices and an area the hospital may have a measure of influence. 2. Dental Care The hospital does not have access to the resources needed to provide dental care to residents in Fayette County. The hospital does not offer dental care and has limited leverage to influence dental providers in the community. 3. Socio-economic barriers The hospital does not have access to the resources needed to address the socia-economic issues in Fayette County. The hospital has helped facilitate the formulation of a community development committee, which has chosen to address the socio-economic issues in Fayette County. A seperate community development plan was developed during this planning process and may begin to address some of these issues.
Part V   Line 14g - The Financial Assistance Policy FAP is publicized to the community in various ways. There is a link posted on the Hospital website giving instructions on how to get a copy the FAP. There is a paragraph on the patient bill discussing free or discounted services and directing patients to the proper location to see the FAP. Brochures are available in the emergency waiting room, Patient Financial Services and admissions office which discuss the FAP.
Part V   Line 20d - Charges are established using cost as the principle basis. A relevant cost basis is established for each service on an annual basis. The charge will be initially established based upon 150 of the cost of the service. Prior to eligibility for financial assistance, a patient will be billed gross charges. Individuals elibible for assistance under the Hospitas financial assistance program will not be charged more than the amount generally billed to individuals having insurance coverage. Charges for emergency and other medically necessary care will not be charged more than amounts generally billed to individuals having insurance coverage. Financial assistance free or discounted adjusted amounts will be applied to gross charges. Based on the poverty income guidelines, free assistance will be provided at 100 for incomes less than 200 of the poverty income guidelines. Discounted assistance will be provided at 66 for incomes greater than 200 but less than 250 and 33 for incomes greater than 250 but less than 300. There will be a minimum patient liability amount required for each service. Payment of the following minimum patient liability amounts will be required for each service 10 Outpatient diagnostic testing 25 Emergency department 50 Same Day Surgery 100 Observation and Inpatient services.
Part V   Line 1i - The Uniontown Hospital did not encounter any information gaps that limited the hospital facilitys ability to assess the communitys health needs.
Part VI Line 2   The Fayette Regional Health System leadership team develops a strategic plan every three years. This strategic plan establishes several priorities for Uniontown Hospital, all of which are focused on meeting the ever changing healthcare needs of the community. The leadership team develops this strategic plan with knowledge gathered from direct contact from patients patient satisfaction surveys outside consultants professional health care groups such as the Hospital Association of Pennsylvania and the Healthcare Financial Management Association and research obtained from various sources including the federal and state government and various other outreach programs and sources.
Part VI Line 3   As part of the Revenue Cycle policy entitled Service Access, it states under Patient Advocacy that the health care system will actively assist all individuals in seeking resolution to their financial obligations. This includes helping them understand what services are covered by their health insurance, providing assistance in obtaining health insurance and helping seek eligibility for financial assistance. Convenient office hours, in a convenient location, will be established for patients seeking assistance. Currently this program is called the Safety Net Access Program SNAP. SNAP is available to all residents of Fayette County and patients will be assisted by Financial Care Consultants that are part of the Patient Financial Services department. The Hospital has brochures located in its waiting rooms referencing all financial services and patient obligations. In addition, the Patient Access staff makes the brochures readily available to the population at the time of registration.
Part VI Line 4   The Uniontown Hospital is a 196 bed community hospital which is located 50 miles southeast of Pittsburgh in the City of Uniontown, Fayette County. Since 1903 the Hospital has been serving the greater Uniontown and Fayette County area, providing quality healthcare regardless of a persons ability to pay. The approximate population of Fayette County is 136,000. The current unemployment rate is 9.3. Approximately 18.0 of the population is over 65 with 19.2 of the population below the poverty level and 25.6 of the population eligible for Medical Assistance. Source Pennsylvania Department of Health 2013 Health Profile.
Part VI Line 5   The general health and well being of the community residents is central to the mission of Uniontown Hospital. The Hospital responds to the healthcare needs of the community with a number of community education and outreach programs. These outreach services include a Community Outreach department, support groups to help patients and their families cope with debilitating disease and injury and health fairs offering free health information and screenings. Support groups include Cancer Support, Diabetes Support, Breast Feeding Support, Pregnant Moms Club, Patient Support group for Pregnancy Infant Loss and Caregivers Support. Additionally numerous specialized education classes are offered free of care to the public and the Hospital sponsors Blood Drives with the American Red Cross and outreach activities with the American Heart Association. Also, thirteen years ago the Hospital joined forces with health organizations and other community groups to organize the Fayette County Community Health Improvement Partnership CHIP. CHIP has initiated numerous programs to benefit the health of the public such as a student immunization program, a program to reduce teen pregnancy and smoking, and several health issue related task forces. Under the auspice of CHIP is Fayette County STEPS initiative which is a national pilot program funded by the Centers for Disease Control which targets chronic disease prevention. The STEPS program builds partnerships among area school districts, workplaces, doctor offices, and neighborhood coalitions to educate and promote healthier lifestyles.
Part VI Line 6   Fayette Regional Health System FRHS is a registered 501c 3 Pennsylvania nonprofit charitable organization that serves as the parent company for Uniontown Hospital Hospital. The hospital is the only full service hospital in Fayette County. The Hospital includes the following services a 24/7 Emergency Department Obstetrics a Cardiac Care Center Orthopedics Surgery Diagnostic Imaging Services a Diabetes Center and a Wound Care Center. Additionally, services are delivered in not only an acute care setting, but also in satellite phlebotomy centers, in a sub-acute skilled nursing center center, in an inpatient rehabilitation unit, and a behavior health unit. In addition, Fayette Home Care, a subsidiary of FRHS during the first 11 months of FY13, provides skilled nursing care physical, occupational, and speech therapies hospice care and many other support services for homebound patients. Fayette Home was merged as of June 1, 2013 with an existing joint venture between UPMC and Jefferson Hospital UPMC/VNA for a 4.5 interest in the new joint venture. FRHS also has a 50 interest in Fayette Physician Network FPN, a joint venture formed effective July, 1 2012 between FRHS and UPMC Community Medicine. FPN is made up of multiple physician offices throughout the county. Services include primary care cardiology obstetrics/gynecology surgery pulmonology psychiatry neurology anesthesia and hospitalists. Previous to the formation of the joint venture FPN the above mentioned offices were operated by Fayette Health Management, which was a subsidiary of FRHS during FY12. FRHS also has a joint venture agreement with Southwestern Gastrointestinal Specialists, PC SWGI. The purpose of the joint venture is to provide endoscopy services to patients in an around Fayette County. Additionally, FRHS has a joint venture agreement with UPMC Cancer Centers. The purpose of the joint venture is to provide outpatient radiation oncology services and PET/CT imaging.
Schedule H (Form 990) 2012
Additional Data


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