id	sid	tid	token	lemma	pos
commonwealth-489	1	1	microsoft	microsoft	PROPN
commonwealth-489	1	2	word	word	PROPN
commonwealth-489	1	3	volume	volume	NOUN
commonwealth-489	1	4	14.doc	14.doc	PROPN
commonwealth-489	1	5	commonwealth	commonwealth	NOUN
commonwealth-489	1	6	:	:	PUNCT
commonwealth-489	1	7	a	a	DET
commonwealth-489	1	8	journal	journal	NOUN
commonwealth-489	1	9	of	of	ADP
commonwealth-489	1	10	political	political	ADJ
commonwealth-489	1	11	science	science	NOUN
commonwealth-489	1	12			NOUN
commonwealth-489	1	13	volume	volume	NOUN
commonwealth-489	1	14	14	14	NUM
commonwealth-489	1	15	,	,	PUNCT
commonwealth-489	1	16	number	number	NOUN
commonwealth-489	1	17	1	1	NUM
commonwealth-489	1	18			NOUN
commonwealth-489	1	19	december	december	PROPN
commonwealth-489	1	20	2008	2008	NUM
commonwealth-489	1	21	special	special	ADJ
commonwealth-489	1	22	policy	policy	NOUN
commonwealth-489	1	23	issue	issue	NOUN
commonwealth-489	1	24	on	on	ADP
commonwealth-489	1	25	public	public	ADJ
commonwealth-489	1	26	health	health	NOUN
commonwealth-489	1	27			NOUN
commonwealth-489	1	28	2008	2008	NUM
commonwealth-489	1	29	ppsa	ppsa	NOUN
commonwealth-489	1	30	/	/	SYM
commonwealth-489	1	31	lorl	lorl	NOUN
commonwealth-489	1	32	,	,	PUNCT
commonwealth-489	1	33	pa	pa	PROPN
commonwealth-489	1	34	house	house	PROPN
commonwealth-489	1	35	of	of	ADP
commonwealth-489	1	36	reps	reps	PROPN
commonwealth-489	1	37	.	.	PROPN
commonwealth-489	1	38	issn	issn	PROPN
commonwealth-489	1	39	0890	0890	NUM
commonwealth-489	1	40	-	-	PUNCT
commonwealth-489	1	41	2410	2410	NUM
commonwealth-489	1	42	financial	financial	ADJ
commonwealth-489	1	43	analysis	analysis	NOUN
commonwealth-489	1	44	and	and	CCONJ
commonwealth-489	1	45	structural	structural	ADJ
commonwealth-489	1	46	considerations	consideration	NOUN
commonwealth-489	1	47	to	to	ADP
commonwealth-489	1	48	the	the	DET
commonwealth-489	1	49	problem	problem	NOUN
commonwealth-489	1	50	of	of	ADP
commonwealth-489	1	51	rural	rural	ADJ
commonwealth-489	1	52	public	public	ADJ
commonwealth-489	1	53	health	health	NOUN
commonwealth-489	1	54	in	in	ADP
commonwealth-489	1	55	pennsylvania	pennsylvania	PROPN
commonwealth-489	1	56	*	*	PROPN
commonwealth-489	1	57	alberto	alberto	PROPN
commonwealth-489	1	58	j.f	j.f	PROPN
commonwealth-489	1	59	.	.	PROPN
commonwealth-489	1	60	cardelle	cardelle	PROPN
commonwealth-489	1	61	,	,	PUNCT
commonwealth-489	1	62	phd	phd	NOUN
commonwealth-489	1	63	,	,	PUNCT
commonwealth-489	1	64	mph	mph	PROPN
commonwealth-489	1	65	,	,	PUNCT
commonwealth-489	1	66	east	east	PROPN
commonwealth-489	1	67	stroudsburg	stroudsburg	PROPN
commonwealth-489	1	68	university	university	PROPN
commonwealth-489	1	69	abstract	abstract	NOUN
commonwealth-489	1	70	currently	currently	ADV
commonwealth-489	1	71	,	,	PUNCT
commonwealth-489	1	72	none	none	NOUN
commonwealth-489	1	73	of	of	ADP
commonwealth-489	1	74	pennsylvania	pennsylvania	PROPN
commonwealth-489	1	75	's	's	PART
commonwealth-489	1	76	48	48	NUM
commonwealth-489	1	77	rural	rural	ADJ
commonwealth-489	1	78	counties	county	NOUN
commonwealth-489	1	79	has	have	VERB
commonwealth-489	1	80	a	a	DET
commonwealth-489	1	81	local	local	ADJ
commonwealth-489	1	82	health	health	NOUN
commonwealth-489	1	83	department	department	PROPN
commonwealth-489	1	84	(	(	PUNCT
commonwealth-489	1	85	lhd	lhd	PROPN
commonwealth-489	1	86	)	)	PUNCT
commonwealth-489	1	87	.	.	PUNCT
commonwealth-489	2	1	this	this	PRON
commonwealth-489	2	2	is	be	AUX
commonwealth-489	2	3	despite	despite	SCONJ
commonwealth-489	2	4	the	the	DET
commonwealth-489	2	5	existence	existence	NOUN
commonwealth-489	2	6	of	of	ADP
commonwealth-489	2	7	laws	law	NOUN
commonwealth-489	2	8	that	that	PRON
commonwealth-489	2	9	provide	provide	VERB
commonwealth-489	2	10	locales	locale	NOUN
commonwealth-489	2	11	with	with	ADP
commonwealth-489	2	12	per	per	ADP
commonwealth-489	2	13	capita	capita	X
commonwealth-489	2	14	funding	funding	NOUN
commonwealth-489	2	15	for	for	ADP
commonwealth-489	2	16	public	public	ADJ
commonwealth-489	2	17	health	health	NOUN
commonwealth-489	2	18	and	and	CCONJ
commonwealth-489	2	19	environmental	environmental	ADJ
commonwealth-489	2	20	services	service	NOUN
commonwealth-489	2	21	.	.	PUNCT
commonwealth-489	3	1	this	this	DET
commonwealth-489	3	2	study	study	NOUN
commonwealth-489	3	3	examines	examine	VERB
commonwealth-489	3	4	the	the	DET
commonwealth-489	3	5	financial	financial	ADJ
commonwealth-489	3	6	issues	issue	NOUN
commonwealth-489	3	7	that	that	PRON
commonwealth-489	3	8	may	may	AUX
commonwealth-489	3	9	influence	influence	VERB
commonwealth-489	3	10	the	the	DET
commonwealth-489	3	11	establishment	establishment	NOUN
commonwealth-489	3	12	of	of	ADP
commonwealth-489	3	13	a	a	DET
commonwealth-489	3	14	robust	robust	ADJ
commonwealth-489	3	15	public	public	ADJ
commonwealth-489	3	16	health	health	NOUN
commonwealth-489	3	17	infrastructure	infrastructure	NOUN
commonwealth-489	3	18	in	in	ADP
commonwealth-489	3	19	rural	rural	ADJ
commonwealth-489	3	20	areas	area	NOUN
commonwealth-489	3	21	.	.	PUNCT
commonwealth-489	4	1	the	the	DET
commonwealth-489	4	2	study	study	NOUN
commonwealth-489	4	3	looks	look	VERB
commonwealth-489	4	4	at	at	ADP
commonwealth-489	4	5	10	10	NUM
commonwealth-489	4	6	rural	rural	ADJ
commonwealth-489	4	7	counties	county	NOUN
commonwealth-489	4	8	in	in	ADP
commonwealth-489	4	9	the	the	DET
commonwealth-489	4	10	state	state	NOUN
commonwealth-489	4	11	and	and	CCONJ
commonwealth-489	4	12	,	,	PUNCT
commonwealth-489	4	13	through	through	ADP
commonwealth-489	4	14	financial	financial	ADJ
commonwealth-489	4	15	analysis	analysis	NOUN
commonwealth-489	4	16	of	of	ADP
commonwealth-489	4	17	different	different	ADJ
commonwealth-489	4	18	lhd	lhd	PROPN
commonwealth-489	4	19	models	model	NOUN
commonwealth-489	4	20	(	(	PUNCT
commonwealth-489	4	21	using	use	VERB
commonwealth-489	4	22	the	the	DET
commonwealth-489	4	23	2003	2003	NUM
commonwealth-489	4	24	-	-	SYM
commonwealth-489	4	25	04	04	NUM
commonwealth-489	4	26	financial	financial	ADJ
commonwealth-489	4	27	data	datum	NOUN
commonwealth-489	4	28	)	)	PUNCT
commonwealth-489	4	29	for	for	ADP
commonwealth-489	4	30	rural	rural	ADJ
commonwealth-489	4	31	counties	county	NOUN
commonwealth-489	4	32	,	,	PUNCT
commonwealth-489	4	33	helps	help	VERB
commonwealth-489	4	34	demonstrate	demonstrate	VERB
commonwealth-489	4	35	that	that	SCONJ
commonwealth-489	4	36	the	the	DET
commonwealth-489	4	37	relatively	relatively	ADV
commonwealth-489	4	38	high	high	ADJ
commonwealth-489	4	39	levels	level	NOUN
commonwealth-489	4	40	of	of	ADP
commonwealth-489	4	41	local	local	ADJ
commonwealth-489	4	42	funds	fund	NOUN
commonwealth-489	4	43	required	require	VERB
commonwealth-489	4	44	to	to	PART
commonwealth-489	4	45	establish	establish	VERB
commonwealth-489	4	46	lhds	lhds	NOUN
commonwealth-489	4	47	would	would	AUX
commonwealth-489	4	48	be	be	AUX
commonwealth-489	4	49	a	a	DET
commonwealth-489	4	50	major	major	ADJ
commonwealth-489	4	51	financial	financial	ADJ
commonwealth-489	4	52	undertaking	undertaking	NOUN
commonwealth-489	4	53	.	.	PUNCT
commonwealth-489	5	1	testing	test	VERB
commonwealth-489	5	2	three	three	NUM
commonwealth-489	5	3	models	model	NOUN
commonwealth-489	5	4	–	–	PUNCT
commonwealth-489	5	5	single	single	ADJ
commonwealth-489	5	6	-	-	PUNCT
commonwealth-489	5	7	county	county	NOUN
commonwealth-489	5	8	,	,	PUNCT
commonwealth-489	5	9	bi	bi	NOUN
commonwealth-489	5	10	-	-	NOUN
commonwealth-489	5	11	county	county	NOUN
commonwealth-489	5	12	and	and	CCONJ
commonwealth-489	5	13	tricounty	tricounty	NOUN
commonwealth-489	5	14	lhds	lhds	NOUN
commonwealth-489	5	15	–	–	PUNCT
commonwealth-489	5	16	the	the	DET
commonwealth-489	5	17	study	study	NOUN
commonwealth-489	5	18	shows	show	VERB
commonwealth-489	5	19	that	that	SCONJ
commonwealth-489	5	20	locales	locale	NOUN
commonwealth-489	5	21	would	would	AUX
commonwealth-489	5	22	require	require	VERB
commonwealth-489	5	23	an	an	DET
commonwealth-489	5	24	average	average	NOUN
commonwealth-489	5	25	of	of	ADP
commonwealth-489	5	26	$	$	SYM
commonwealth-489	5	27	16	16	NUM
commonwealth-489	5	28	per	per	ADP
commonwealth-489	5	29	capita	capita	X
commonwealth-489	5	30	annually	annually	ADV
commonwealth-489	5	31	in	in	ADP
commonwealth-489	5	32	local	local	ADJ
commonwealth-489	5	33	funds	fund	NOUN
commonwealth-489	5	34	.	.	PUNCT
commonwealth-489	6	1	the	the	DET
commonwealth-489	6	2	model	model	NOUN
commonwealth-489	6	3	analysis	analysis	NOUN
commonwealth-489	6	4	shows	show	VERB
commonwealth-489	6	5	that	that	SCONJ
commonwealth-489	6	6	small	small	ADJ
commonwealth-489	6	7	population	population	NOUN
commonwealth-489	6	8	size	size	NOUN
commonwealth-489	6	9	,	,	PUNCT
commonwealth-489	6	10	large	large	ADJ
commonwealth-489	6	11	geographic	geographic	ADJ
commonwealth-489	6	12	area	area	NOUN
commonwealth-489	6	13	,	,	PUNCT
commonwealth-489	6	14	and	and	CCONJ
commonwealth-489	6	15	the	the	DET
commonwealth-489	6	16	low	low	ADJ
commonwealth-489	6	17	availability	availability	NOUN
commonwealth-489	6	18	of	of	ADP
commonwealth-489	6	19	primary	primary	ADJ
commonwealth-489	6	20	care	care	NOUN
commonwealth-489	6	21	services	service	NOUN
commonwealth-489	6	22	drive	drive	VERB
commonwealth-489	6	23	expenses	expense	NOUN
commonwealth-489	6	24	higher	high	ADJ
commonwealth-489	6	25	.	.	PUNCT
commonwealth-489	7	1	since	since	SCONJ
commonwealth-489	7	2	rural	rural	ADJ
commonwealth-489	7	3	counties	county	NOUN
commonwealth-489	7	4	have	have	VERB
commonwealth-489	7	5	low	low	ADJ
commonwealth-489	7	6	population	population	NOUN
commonwealth-489	7	7	density	density	NOUN
commonwealth-489	7	8	,	,	PUNCT
commonwealth-489	7	9	cover	cover	VERB
commonwealth-489	7	10	broad	broad	ADJ
commonwealth-489	7	11	geographic	geographic	ADJ
commonwealth-489	7	12	expanses	expanse	NOUN
commonwealth-489	7	13	,	,	PUNCT
commonwealth-489	7	14	and	and	CCONJ
commonwealth-489	7	15	suffer	suffer	VERB
commonwealth-489	7	16	from	from	ADP
commonwealth-489	7	17	chronic	chronic	ADJ
commonwealth-489	7	18	lack	lack	NOUN
commonwealth-489	7	19	of	of	ADP
commonwealth-489	7	20	primary	primary	ADJ
commonwealth-489	7	21	care	care	NOUN
commonwealth-489	7	22	services	service	NOUN
commonwealth-489	7	23	,	,	PUNCT
commonwealth-489	7	24	rural	rural	ADJ
commonwealth-489	7	25	lhds	lhds	NOUN
commonwealth-489	7	26	covering	cover	VERB
commonwealth-489	7	27	rural	rural	ADJ
commonwealth-489	7	28	counties	county	NOUN
commonwealth-489	7	29	have	have	VERB
commonwealth-489	7	30	to	to	PART
commonwealth-489	7	31	cover	cover	VERB
commonwealth-489	7	32	a	a	DET
commonwealth-489	7	33	very	very	ADV
commonwealth-489	7	34	large	large	ADJ
commonwealth-489	7	35	geographic	geographic	ADJ
commonwealth-489	7	36	area	area	NOUN
commonwealth-489	7	37	,	,	PUNCT
commonwealth-489	7	38	a	a	DET
commonwealth-489	7	39	critical	critical	ADJ
commonwealth-489	7	40	cost	cost	NOUN
commonwealth-489	7	41	driver	driver	NOUN
commonwealth-489	7	42	especially	especially	ADV
commonwealth-489	7	43	for	for	ADP
commonwealth-489	7	44	environmental	environmental	ADJ
commonwealth-489	7	45	services	service	NOUN
commonwealth-489	7	46	such	such	ADJ
commonwealth-489	7	47	as	as	ADP
commonwealth-489	7	48	water	water	NOUN
commonwealth-489	7	49	supply	supply	NOUN
commonwealth-489	7	50	testing	testing	NOUN
commonwealth-489	7	51	.	.	PUNCT
commonwealth-489	8	1	geographically	geographically	ADV
commonwealth-489	8	2	large	large	ADJ
commonwealth-489	8	3	rural	rural	ADJ
commonwealth-489	8	4	counties	county	NOUN
commonwealth-489	8	5	are	be	AUX
commonwealth-489	8	6	also	also	ADV
commonwealth-489	8	7	pressured	pressure	VERB
commonwealth-489	8	8	to	to	PART
commonwealth-489	8	9	provide	provide	VERB
commonwealth-489	8	10	personal	personal	ADJ
commonwealth-489	8	11	health	health	NOUN
commonwealth-489	8	12	services	service	NOUN
commonwealth-489	8	13	given	give	VERB
commonwealth-489	8	14	the	the	DET
commonwealth-489	8	15	limited	limited	ADJ
commonwealth-489	8	16	number	number	NOUN
commonwealth-489	8	17	of	of	ADP
commonwealth-489	8	18	primary	primary	ADJ
commonwealth-489	8	19	care	care	NOUN
commonwealth-489	8	20	providers	provider	NOUN
commonwealth-489	8	21	.	.	PUNCT
commonwealth-489	9	1	the	the	DET
commonwealth-489	9	2	result	result	NOUN
commonwealth-489	9	3	is	be	AUX
commonwealth-489	9	4	a	a	DET
commonwealth-489	9	5	local	local	ADJ
commonwealth-489	9	6	health	health	NOUN
commonwealth-489	9	7	department	department	NOUN
commonwealth-489	9	8	with	with	ADP
commonwealth-489	9	9	very	very	ADV
commonwealth-489	9	10	high	high	ADJ
commonwealth-489	9	11	expenses	expense	NOUN
commonwealth-489	9	12	.	.	PUNCT
commonwealth-489	10	1	the	the	DET
commonwealth-489	10	2	paper	paper	NOUN
commonwealth-489	10	3	concludes	conclude	VERB
commonwealth-489	10	4	with	with	ADP
commonwealth-489	10	5	policy	policy	NOUN
commonwealth-489	10	6	considerations	consideration	NOUN
commonwealth-489	10	7	that	that	PRON
commonwealth-489	10	8	may	may	AUX
commonwealth-489	10	9	help	help	VERB
commonwealth-489	10	10	to	to	PART
commonwealth-489	10	11	overcome	overcome	VERB
commonwealth-489	10	12	these	these	DET
commonwealth-489	10	13	barriers	barrier	NOUN
commonwealth-489	10	14	,	,	PUNCT
commonwealth-489	10	15	including	include	VERB
commonwealth-489	10	16	establishing	establish	VERB
commonwealth-489	10	17	secondary	secondary	ADJ
commonwealth-489	10	18	formulas	formula	NOUN
commonwealth-489	10	19	that	that	PRON
commonwealth-489	10	20	are	be	AUX
commonwealth-489	10	21	an	an	DET
commonwealth-489	10	22	alternative	alternative	NOUN
commonwealth-489	10	23	to	to	ADP
commonwealth-489	10	24	per	per	ADP
commonwealth-489	10	25	capita	capita	X
commonwealth-489	10	26	funding	funding	NOUN
commonwealth-489	10	27	as	as	ADV
commonwealth-489	10	28	well	well	ADV
commonwealth-489	10	29	as	as	ADP
commonwealth-489	10	30	creation	creation	NOUN
commonwealth-489	10	31	start	start	VERB
commonwealth-489	10	32	-	-	PUNCT
commonwealth-489	10	33	up	up	ADP
commonwealth-489	10	34	costs	cost	NOUN
commonwealth-489	10	35	funds	fund	NOUN
commonwealth-489	10	36	.	.	PUNCT
commonwealth-489	11	1	*	*	PUNCT
commonwealth-489	11	2	the	the	DET
commonwealth-489	11	3	research	research	NOUN
commonwealth-489	11	4	for	for	ADP
commonwealth-489	11	5	this	this	DET
commonwealth-489	11	6	article	article	NOUN
commonwealth-489	11	7	was	be	AUX
commonwealth-489	11	8	funded	fund	VERB
commonwealth-489	11	9	by	by	ADP
commonwealth-489	11	10	the	the	DET
commonwealth-489	11	11	center	center	NOUN
commonwealth-489	11	12	for	for	ADP
commonwealth-489	11	13	rural	rural	ADJ
commonwealth-489	11	14	pennsylvania	pennsylvania	PROPN
commonwealth-489	11	15	.	.	PUNCT
commonwealth-489	12	1	100	100	NUM
commonwealth-489	12	2	financial	financial	ADJ
commonwealth-489	12	3	analysis	analysis	NOUN
commonwealth-489	12	4	and	and	CCONJ
commonwealth-489	12	5	structural	structural	ADJ
commonwealth-489	12	6	considerations	consideration	NOUN
commonwealth-489	12	7	to	to	ADP
commonwealth-489	12	8	the	the	DET
commonwealth-489	12	9	problem	problem	NOUN
commonwealth-489	12	10	of	of	ADP
commonwealth-489	12	11	rural	rural	ADJ
commonwealth-489	12	12	public	public	ADJ
commonwealth-489	12	13	health	health	NOUN
commonwealth-489	12	14	in	in	ADP
commonwealth-489	12	15	pennsylvania	pennsylvania	PROPN
commonwealth-489	12	16	introduction	introduction	NOUN
commonwealth-489	12	17	in	in	ADP
commonwealth-489	12	18	pennsylvania	pennsylvania	PROPN
commonwealth-489	12	19	,	,	PUNCT
commonwealth-489	12	20	the	the	DET
commonwealth-489	12	21	creation	creation	NOUN
commonwealth-489	12	22	of	of	ADP
commonwealth-489	12	23	local	local	ADJ
commonwealth-489	12	24	public	public	ADJ
commonwealth-489	12	25	health	health	NOUN
commonwealth-489	12	26	departments	department	NOUN
commonwealth-489	12	27	(	(	PUNCT
commonwealth-489	12	28	lhd	lhd	PROPN
commonwealth-489	12	29	)	)	PUNCT
commonwealth-489	12	30	is	be	AUX
commonwealth-489	12	31	left	leave	VERB
commonwealth-489	12	32	to	to	ADP
commonwealth-489	12	33	the	the	DET
commonwealth-489	12	34	discretion	discretion	NOUN
commonwealth-489	12	35	of	of	ADP
commonwealth-489	12	36	local	local	ADJ
commonwealth-489	12	37	government	government	NOUN
commonwealth-489	12	38	.	.	PUNCT
commonwealth-489	13	1	this	this	PRON
commonwealth-489	13	2	has	have	AUX
commonwealth-489	13	3	meant	mean	VERB
commonwealth-489	13	4	that	that	SCONJ
commonwealth-489	13	5	out	out	ADP
commonwealth-489	13	6	of	of	ADP
commonwealth-489	13	7	67	67	NUM
commonwealth-489	13	8	counties	county	NOUN
commonwealth-489	13	9	in	in	ADP
commonwealth-489	13	10	the	the	DET
commonwealth-489	13	11	commonwealth	commonwealth	NOUN
commonwealth-489	13	12	of	of	ADP
commonwealth-489	13	13	pennsylvania	pennsylvania	PROPN
commonwealth-489	13	14	,	,	PUNCT
commonwealth-489	13	15	only	only	ADV
commonwealth-489	13	16	five	five	NUM
commonwealth-489	13	17	have	have	VERB
commonwealth-489	13	18	a	a	DET
commonwealth-489	13	19	lhd	lhd	NOUN
commonwealth-489	13	20	.	.	PUNCT
commonwealth-489	14	1	in	in	ADP
commonwealth-489	14	2	addition	addition	NOUN
commonwealth-489	14	3	,	,	PUNCT
commonwealth-489	14	4	five	five	NUM
commonwealth-489	14	5	municipalities	municipality	NOUN
commonwealth-489	14	6	have	have	VERB
commonwealth-489	14	7	local	local	ADJ
commonwealth-489	14	8	health	health	NOUN
commonwealth-489	14	9	bureaus.1	bureaus.1	NOUN
commonwealth-489	14	10	all	all	PRON
commonwealth-489	14	11	of	of	ADP
commonwealth-489	14	12	the	the	DET
commonwealth-489	14	13	42	42	NUM
commonwealth-489	14	14	rural	rural	ADJ
commonwealth-489	14	15	counties	county	NOUN
commonwealth-489	14	16	in	in	ADP
commonwealth-489	14	17	pennsylvania	pennsylvania	PROPN
commonwealth-489	14	18	lack	lack	VERB
commonwealth-489	14	19	a	a	DET
commonwealth-489	14	20	lhd	lhd	NOUN
commonwealth-489	14	21	,	,	PUNCT
commonwealth-489	14	22	meaning	mean	VERB
commonwealth-489	14	23	that	that	SCONJ
commonwealth-489	14	24	2,824,642	2,824,642	NUM
commonwealth-489	14	25	persons	person	NOUN
commonwealth-489	14	26	or	or	CCONJ
commonwealth-489	14	27	23	23	NUM
commonwealth-489	14	28	%	%	NOUN
commonwealth-489	14	29	of	of	ADP
commonwealth-489	14	30	the	the	DET
commonwealth-489	14	31	commonwealth	commonwealth	PROPN
commonwealth-489	14	32	’s	’s	PART
commonwealth-489	14	33	population	population	NOUN
commonwealth-489	14	34	lack	lack	VERB
commonwealth-489	14	35	the	the	DET
commonwealth-489	14	36	services	service	NOUN
commonwealth-489	14	37	of	of	ADP
commonwealth-489	14	38	a	a	DET
commonwealth-489	14	39	lhd	lhd	PROPN
commonwealth-489	14	40	.	.	PROPN
commonwealth-489	15	1	in	in	ADP
commonwealth-489	15	2	the	the	DET
commonwealth-489	15	3	eventuality	eventuality	NOUN
commonwealth-489	15	4	of	of	ADP
commonwealth-489	15	5	a	a	DET
commonwealth-489	15	6	disease	disease	NOUN
commonwealth-489	15	7	outbreak	outbreak	NOUN
commonwealth-489	15	8	in	in	ADP
commonwealth-489	15	9	any	any	PRON
commonwealth-489	15	10	of	of	ADP
commonwealth-489	15	11	the	the	DET
commonwealth-489	15	12	42	42	NUM
commonwealth-489	15	13	rural	rural	ADJ
commonwealth-489	15	14	counties	county	NOUN
commonwealth-489	15	15	of	of	ADP
commonwealth-489	15	16	pennsylvania	pennsylvania	PROPN
commonwealth-489	15	17	,	,	PUNCT
commonwealth-489	15	18	it	it	PRON
commonwealth-489	15	19	is	be	AUX
commonwealth-489	15	20	fair	fair	ADJ
commonwealth-489	15	21	for	for	SCONJ
commonwealth-489	15	22	the	the	DET
commonwealth-489	15	23	residents	resident	NOUN
commonwealth-489	15	24	of	of	ADP
commonwealth-489	15	25	these	these	DET
commonwealth-489	15	26	counties	county	NOUN
commonwealth-489	15	27	to	to	PART
commonwealth-489	15	28	ask	ask	VERB
commonwealth-489	15	29	,	,	PUNCT
commonwealth-489	15	30	“	"	PUNCT
commonwealth-489	15	31	whom	whom	PRON
commonwealth-489	15	32	should	should	AUX
commonwealth-489	15	33	we	we	PRON
commonwealth-489	15	34	call	call	VERB
commonwealth-489	15	35	?	?	PUNCT
commonwealth-489	15	36	”	"	PUNCT
commonwealth-489	15	37	in	in	ADP
commonwealth-489	15	38	2003	2003	NUM
commonwealth-489	15	39	,	,	PUNCT
commonwealth-489	15	40	when	when	SCONJ
commonwealth-489	15	41	500	500	NUM
commonwealth-489	15	42	people	people	NOUN
commonwealth-489	15	43	in	in	ADP
commonwealth-489	15	44	beaver	beaver	PROPN
commonwealth-489	15	45	county	county	PROPN
commonwealth-489	15	46	,	,	PUNCT
commonwealth-489	15	47	pennsylvania	pennsylvania	PROPN
commonwealth-489	15	48	,	,	PUNCT
commonwealth-489	15	49	were	be	AUX
commonwealth-489	15	50	infected	infect	VERB
commonwealth-489	15	51	with	with	ADP
commonwealth-489	15	52	hepatitis	hepatitis	PROPN
commonwealth-489	15	53	a	a	PRON
commonwealth-489	15	54	as	as	ADP
commonwealth-489	15	55	a	a	DET
commonwealth-489	15	56	result	result	NOUN
commonwealth-489	15	57	of	of	ADP
commonwealth-489	15	58	eating	eat	VERB
commonwealth-489	15	59	at	at	ADP
commonwealth-489	15	60	a	a	DET
commonwealth-489	15	61	local	local	ADJ
commonwealth-489	15	62	restaurant	restaurant	NOUN
commonwealth-489	15	63	,	,	PUNCT
commonwealth-489	15	64	the	the	DET
commonwealth-489	15	65	county	county	NOUN
commonwealth-489	15	66	had	have	VERB
commonwealth-489	15	67	to	to	PART
commonwealth-489	15	68	rely	rely	VERB
commonwealth-489	15	69	on	on	ADP
commonwealth-489	15	70	nurses	nurse	NOUN
commonwealth-489	15	71	and	and	CCONJ
commonwealth-489	15	72	physicians	physician	NOUN
commonwealth-489	15	73	mobilized	mobilize	VERB
commonwealth-489	15	74	by	by	ADP
commonwealth-489	15	75	the	the	DET
commonwealth-489	15	76	pennsylvania	pennsylvania	PROPN
commonwealth-489	15	77	department	department	PROPN
commonwealth-489	15	78	of	of	ADP
commonwealth-489	15	79	health	health	PROPN
commonwealth-489	15	80	from	from	ADP
commonwealth-489	15	81	other	other	ADJ
commonwealth-489	15	82	parts	part	NOUN
commonwealth-489	15	83	of	of	ADP
commonwealth-489	15	84	the	the	DET
commonwealth-489	15	85	state	state	NOUN
commonwealth-489	15	86	to	to	PART
commonwealth-489	15	87	complete	complete	VERB
commonwealth-489	15	88	the	the	DET
commonwealth-489	15	89	necessary	necessary	ADJ
commonwealth-489	15	90	vaccinations	vaccination	NOUN
commonwealth-489	15	91	and	and	CCONJ
commonwealth-489	15	92	carry	carry	VERB
commonwealth-489	15	93	out	out	ADP
commonwealth-489	15	94	the	the	DET
commonwealth-489	15	95	necessary	necessary	ADJ
commonwealth-489	15	96	epidemiological	epidemiological	ADJ
commonwealth-489	15	97	investigations	investigation	NOUN
commonwealth-489	15	98	.	.	PUNCT
commonwealth-489	16	1	while	while	SCONJ
commonwealth-489	16	2	beaver	beaver	PROPN
commonwealth-489	16	3	county	county	NOUN
commonwealth-489	16	4	is	be	AUX
commonwealth-489	16	5	not	not	PART
commonwealth-489	16	6	rural	rural	ADJ
commonwealth-489	16	7	,	,	PUNCT
commonwealth-489	16	8	the	the	DET
commonwealth-489	16	9	hepatitis	hepatitis	NOUN
commonwealth-489	16	10	outbreak	outbreak	NOUN
commonwealth-489	16	11	highlighted	highlight	VERB
commonwealth-489	16	12	many	many	ADJ
commonwealth-489	16	13	of	of	ADP
commonwealth-489	16	14	the	the	DET
commonwealth-489	16	15	difficulties	difficulty	NOUN
commonwealth-489	16	16	faced	face	VERB
commonwealth-489	16	17	by	by	ADP
commonwealth-489	16	18	counties	county	NOUN
commonwealth-489	16	19	without	without	ADP
commonwealth-489	16	20	a	a	DET
commonwealth-489	16	21	lhd	lhd	NOUN
commonwealth-489	16	22	.	.	PUNCT
commonwealth-489	17	1	although	although	SCONJ
commonwealth-489	17	2	the	the	DET
commonwealth-489	17	3	source	source	NOUN
commonwealth-489	17	4	of	of	ADP
commonwealth-489	17	5	the	the	DET
commonwealth-489	17	6	outbreak	outbreak	NOUN
commonwealth-489	17	7	turned	turn	VERB
commonwealth-489	17	8	out	out	ADP
commonwealth-489	17	9	to	to	PART
commonwealth-489	17	10	be	be	AUX
commonwealth-489	17	11	contaminated	contaminate	VERB
commonwealth-489	17	12	food	food	NOUN
commonwealth-489	17	13	,	,	PUNCT
commonwealth-489	17	14	the	the	DET
commonwealth-489	17	15	contrast	contrast	NOUN
commonwealth-489	17	16	between	between	ADP
commonwealth-489	17	17	counties	county	NOUN
commonwealth-489	17	18	with	with	ADP
commonwealth-489	17	19	lhds	lhds	NOUN
commonwealth-489	17	20	and	and	CCONJ
commonwealth-489	17	21	those	those	PRON
commonwealth-489	17	22	without	without	ADP
commonwealth-489	17	23	lhds	lhds	NOUN
commonwealth-489	17	24	emerged	emerge	VERB
commonwealth-489	17	25	.	.	PUNCT
commonwealth-489	18	1	for	for	ADP
commonwealth-489	18	2	example	example	NOUN
commonwealth-489	18	3	,	,	PUNCT
commonwealth-489	18	4	it	it	PRON
commonwealth-489	18	5	became	become	VERB
commonwealth-489	18	6	evident	evident	ADJ
commonwealth-489	18	7	that	that	SCONJ
commonwealth-489	18	8	restaurants	restaurant	NOUN
commonwealth-489	18	9	in	in	ADP
commonwealth-489	18	10	beaver	beaver	PROPN
commonwealth-489	18	11	county	county	NOUN
commonwealth-489	18	12	were	be	AUX
commonwealth-489	18	13	inspected	inspect	VERB
commonwealth-489	18	14	by	by	ADP
commonwealth-489	18	15	the	the	DET
commonwealth-489	18	16	state	state	PROPN
commonwealth-489	18	17	department	department	PROPN
commonwealth-489	18	18	of	of	ADP
commonwealth-489	18	19	agriculture	agriculture	PROPN
commonwealth-489	18	20	,	,	PUNCT
commonwealth-489	18	21	while	while	SCONJ
commonwealth-489	18	22	those	those	PRON
commonwealth-489	18	23	in	in	ADP
commonwealth-489	18	24	allegheny	allegheny	PROPN
commonwealth-489	18	25	county	county	PROPN
commonwealth-489	18	26	,	,	PUNCT
commonwealth-489	18	27	just	just	ADV
commonwealth-489	18	28	over	over	ADP
commonwealth-489	18	29	the	the	DET
commonwealth-489	18	30	county	county	NOUN
commonwealth-489	18	31	line	line	NOUN
commonwealth-489	18	32	,	,	PUNCT
commonwealth-489	18	33	are	be	AUX
commonwealth-489	18	34	regulated	regulate	VERB
commonwealth-489	18	35	by	by	ADP
commonwealth-489	18	36	one	one	NUM
commonwealth-489	18	37	of	of	ADP
commonwealth-489	18	38	15	15	NUM
commonwealth-489	18	39	restaurant	restaurant	NOUN
commonwealth-489	18	40	inspectors	inspector	NOUN
commonwealth-489	18	41	in	in	ADP
commonwealth-489	18	42	the	the	DET
commonwealth-489	18	43	allegheny	allegheny	PROPN
commonwealth-489	18	44	county	county	PROPN
commonwealth-489	18	45	health	health	PROPN
commonwealth-489	18	46	department	department	PROPN
commonwealth-489	18	47	.	.	PUNCT
commonwealth-489	19	1	while	while	SCONJ
commonwealth-489	19	2	inspectors	inspector	NOUN
commonwealth-489	19	3	from	from	ADP
commonwealth-489	19	4	both	both	DET
commonwealth-489	19	5	agencies	agency	NOUN
commonwealth-489	19	6	look	look	VERB
commonwealth-489	19	7	at	at	ADP
commonwealth-489	19	8	the	the	DET
commonwealth-489	19	9	same	same	ADJ
commonwealth-489	19	10	food	food	NOUN
commonwealth-489	19	11	safety	safety	NOUN
commonwealth-489	19	12	practices	practice	NOUN
commonwealth-489	19	13	,	,	PUNCT
commonwealth-489	19	14	the	the	DET
commonwealth-489	19	15	allegheny	allegheny	PROPN
commonwealth-489	19	16	county	county	PROPN
commonwealth-489	19	17	health	health	PROPN
commonwealth-489	19	18	department	department	PROPN
commonwealth-489	19	19	requires	require	VERB
commonwealth-489	19	20	that	that	SCONJ
commonwealth-489	19	21	restaurants	restaurant	NOUN
commonwealth-489	19	22	always	always	ADV
commonwealth-489	19	23	have	have	VERB
commonwealth-489	19	24	an	an	DET
commonwealth-489	19	25	employee	employee	NOUN
commonwealth-489	19	26	on	on	ADP
commonwealth-489	19	27	-	-	PUNCT
commonwealth-489	19	28	site	site	NOUN
commonwealth-489	19	29	who	who	PRON
commonwealth-489	19	30	is	be	AUX
commonwealth-489	19	31	trained	train	VERB
commonwealth-489	19	32	in	in	ADP
commonwealth-489	19	33	food	food	NOUN
commonwealth-489	19	34	safety	safety	NOUN
commonwealth-489	19	35	by	by	ADP
commonwealth-489	19	36	the	the	DET
commonwealth-489	19	37	county	county	NOUN
commonwealth-489	19	38	or	or	CCONJ
commonwealth-489	19	39	an	an	DET
commonwealth-489	19	40	equivalent	equivalent	ADJ
commonwealth-489	19	41	program	program	NOUN
commonwealth-489	19	42	in	in	ADP
commonwealth-489	19	43	food	food	NOUN
commonwealth-489	19	44	safety	safety	NOUN
commonwealth-489	19	45	(	(	PUNCT
commonwealth-489	19	46	rotstein	rotstein	NOUN
commonwealth-489	19	47	and	and	CCONJ
commonwealth-489	19	48	snowbeck	snowbeck	NOUN
commonwealth-489	19	49	2003	2003	NUM
commonwealth-489	19	50	)	)	PUNCT
commonwealth-489	19	51	.	.	PUNCT
commonwealth-489	20	1	the	the	DET
commonwealth-489	20	2	events	event	NOUN
commonwealth-489	20	3	in	in	ADP
commonwealth-489	20	4	beaver	beaver	PROPN
commonwealth-489	20	5	county	county	NOUN
commonwealth-489	20	6	suggest	suggest	VERB
commonwealth-489	20	7	that	that	SCONJ
commonwealth-489	20	8	pennsylvania	pennsylvania	PROPN
commonwealth-489	20	9	’s	’s	PART
commonwealth-489	20	10	42	42	NUM
commonwealth-489	20	11	rural	rural	ADJ
commonwealth-489	20	12	counties	county	NOUN
commonwealth-489	20	13	lack	lack	VERB
commonwealth-489	20	14	the	the	DET
commonwealth-489	20	15	necessary	necessary	ADJ
commonwealth-489	20	16	resources	resource	NOUN
commonwealth-489	20	17	to	to	PART
commonwealth-489	20	18	address	address	VERB
commonwealth-489	20	19	a	a	DET
commonwealth-489	20	20	disease	disease	NOUN
commonwealth-489	20	21	outbreak	outbreak	NOUN
commonwealth-489	20	22	.	.	PUNCT
commonwealth-489	21	1	according	accord	VERB
commonwealth-489	21	2	to	to	ADP
commonwealth-489	21	3	the	the	DET
commonwealth-489	21	4	health	health	NOUN
commonwealth-489	21	5	resources	resource	NOUN
commonwealth-489	21	6	and	and	CCONJ
commonwealth-489	21	7	services	service	NOUN
commonwealth-489	21	8	administration	administration	NOUN
commonwealth-489	21	9	(	(	PUNCT
commonwealth-489	21	10	hrsa	hrsa	PROPN
commonwealth-489	21	11	)	)	PUNCT
commonwealth-489	21	12	,	,	PUNCT
commonwealth-489	21	13	the	the	DET
commonwealth-489	21	14	estimated	estimate	VERB
commonwealth-489	21	15	national	national	ADJ
commonwealth-489	21	16	public	public	ADJ
commonwealth-489	21	17	health	health	NOUN
commonwealth-489	21	18	workforce	workforce	NOUN
commonwealth-489	21	19	–	–	PUNCT
commonwealth-489	21	20	including	include	VERB
commonwealth-489	21	21	federal	federal	ADJ
commonwealth-489	21	22	employees	employee	NOUN
commonwealth-489	21	23	and	and	CCONJ
commonwealth-489	21	24	the	the	DET
commonwealth-489	21	25	salaried	salaried	ADJ
commonwealth-489	21	26	staff	staff	NOUN
commonwealth-489	21	27	of	of	ADP
commonwealth-489	21	28	a	a	DET
commonwealth-489	21	29	limited	limited	ADJ
commonwealth-489	21	30	number	number	NOUN
commonwealth-489	21	31	of	of	ADP
commonwealth-489	21	32	voluntary	voluntary	ADJ
commonwealth-489	21	33	agencies	agency	NOUN
commonwealth-489	21	34	–	–	PUNCT
commonwealth-489	21	35	is	be	AUX
commonwealth-489	21	36	448,254	448,254	NUM
commonwealth-489	21	37	employed	employ	VERB
commonwealth-489	21	38	workers	worker	NOUN
commonwealth-489	21	39	,	,	PUNCT
commonwealth-489	21	40	a	a	DET
commonwealth-489	21	41	ratio	ratio	NOUN
commonwealth-489	21	42	of	of	ADP
commonwealth-489	21	43	138	138	NUM
commonwealth-489	21	44	per	per	ADP
commonwealth-489	21	45	100,000	100,000	NUM
commonwealth-489	21	46	persons	person	NOUN
commonwealth-489	21	47	.	.	PUNCT
commonwealth-489	22	1	pennsylvania	pennsylvania	PROPN
commonwealth-489	22	2	has	have	VERB
commonwealth-489	22	3	37	37	NUM
commonwealth-489	22	4	workers	worker	NOUN
commonwealth-489	22	5	per	per	ADP
commonwealth-489	22	6	100,000	100,000	NUM
commonwealth-489	22	7	people	people	NOUN
commonwealth-489	22	8	,	,	PUNCT
commonwealth-489	22	9	the	the	DET
commonwealth-489	22	10	lowest	low	ADJ
commonwealth-489	22	11	1counties	1counties	NUM
commonwealth-489	22	12	with	with	ADP
commonwealth-489	22	13	health	health	NOUN
commonwealth-489	22	14	departments	department	NOUN
commonwealth-489	22	15	are	be	AUX
commonwealth-489	22	16	montgomery	montgomery	PROPN
commonwealth-489	22	17	,	,	PUNCT
commonwealth-489	22	18	bucks	buck	NOUN
commonwealth-489	22	19	,	,	PUNCT
commonwealth-489	22	20	chester	chester	NOUN
commonwealth-489	22	21	,	,	PUNCT
commonwealth-489	22	22	erie	erie	NOUN
commonwealth-489	22	23	,	,	PUNCT
commonwealth-489	22	24	and	and	CCONJ
commonwealth-489	22	25	allegheny	allegheny	PROPN
commonwealth-489	22	26	;	;	PUNCT
commonwealth-489	22	27	municipal	municipal	ADJ
commonwealth-489	22	28	bureaus	bureau	NOUN
commonwealth-489	22	29	include	include	VERB
commonwealth-489	22	30	philadelphia	philadelphia	PROPN
commonwealth-489	22	31	,	,	PUNCT
commonwealth-489	22	32	york	york	PROPN
commonwealth-489	22	33	,	,	PUNCT
commonwealth-489	22	34	allentown	allentown	PROPN
commonwealth-489	22	35	,	,	PUNCT
commonwealth-489	22	36	bethlehem	bethlehem	PROPN
commonwealth-489	22	37	,	,	PUNCT
commonwealth-489	22	38	and	and	CCONJ
commonwealth-489	22	39	wilkes	wilkes	PROPN
commonwealth-489	22	40	-	-	PUNCT
commonwealth-489	22	41	barre	barre	NOUN
commonwealth-489	22	42	.	.	PUNCT
commonwealth-489	23	1	alberto	alberto	PROPN
commonwealth-489	23	2	j.f	j.f	PROPN
commonwealth-489	23	3	.	.	PROPN
commonwealth-489	23	4	cardelle	cardelle	PROPN
commonwealth-489	23	5	101	101	NUM
commonwealth-489	23	6	ratio	ratio	NOUN
commonwealth-489	23	7	of	of	ADP
commonwealth-489	23	8	public	public	ADJ
commonwealth-489	23	9	health	health	NOUN
commonwealth-489	23	10	workers	worker	NOUN
commonwealth-489	23	11	to	to	ADP
commonwealth-489	23	12	population	population	NOUN
commonwealth-489	23	13	in	in	ADP
commonwealth-489	23	14	the	the	DET
commonwealth-489	23	15	nation	nation	NOUN
commonwealth-489	23	16	.	.	PUNCT
commonwealth-489	24	1	of	of	ADP
commonwealth-489	24	2	the	the	DET
commonwealth-489	24	3	federal	federal	ADJ
commonwealth-489	24	4	workforce	workforce	NOUN
commonwealth-489	24	5	,	,	PUNCT
commonwealth-489	24	6	3.6	3.6	NUM
commonwealth-489	24	7	%	%	NOUN
commonwealth-489	24	8	are	be	AUX
commonwealth-489	24	9	identified	identify	VERB
commonwealth-489	24	10	as	as	ADP
commonwealth-489	24	11	holding	hold	VERB
commonwealth-489	24	12	official	official	ADJ
commonwealth-489	24	13	/	/	SYM
commonwealth-489	24	14	administrative	administrative	ADJ
commonwealth-489	24	15	positions	position	NOUN
commonwealth-489	24	16	,	,	PUNCT
commonwealth-489	24	17	44.6	44.6	NUM
commonwealth-489	24	18	%	%	NOUN
commonwealth-489	24	19	are	be	AUX
commonwealth-489	24	20	in	in	ADP
commonwealth-489	24	21	professional	professional	ADJ
commonwealth-489	24	22	positions	position	NOUN
commonwealth-489	24	23	,	,	PUNCT
commonwealth-489	24	24	13.9	13.9	NUM
commonwealth-489	24	25	%	%	NOUN
commonwealth-489	24	26	in	in	ADP
commonwealth-489	24	27	technical	technical	ADJ
commonwealth-489	24	28	positions	position	NOUN
commonwealth-489	24	29	,	,	PUNCT
commonwealth-489	24	30	and	and	CCONJ
commonwealth-489	24	31	12.9	12.9	NUM
commonwealth-489	24	32	%	%	NOUN
commonwealth-489	24	33	in	in	ADP
commonwealth-489	24	34	clerical	clerical	ADJ
commonwealth-489	24	35	/	/	SYM
commonwealth-489	24	36	support	support	NOUN
commonwealth-489	24	37	positions.2	positions.2	NOUN
commonwealth-489	24	38	in	in	ADP
commonwealth-489	24	39	stark	stark	ADJ
commonwealth-489	24	40	contrast	contrast	NOUN
commonwealth-489	24	41	in	in	ADP
commonwealth-489	24	42	pennsylvania	pennsylvania	PROPN
commonwealth-489	24	43	,	,	PUNCT
commonwealth-489	24	44	12	12	NUM
commonwealth-489	24	45	%	%	NOUN
commonwealth-489	24	46	of	of	ADP
commonwealth-489	24	47	the	the	DET
commonwealth-489	24	48	public	public	ADJ
commonwealth-489	24	49	health	health	NOUN
commonwealth-489	24	50	workforce	workforce	NOUN
commonwealth-489	24	51	is	be	AUX
commonwealth-489	24	52	identified	identify	VERB
commonwealth-489	24	53	as	as	ADP
commonwealth-489	24	54	holding	hold	VERB
commonwealth-489	24	55	official	official	ADJ
commonwealth-489	24	56	/	/	SYM
commonwealth-489	24	57	administrative	administrative	ADJ
commonwealth-489	24	58	positions	position	NOUN
commonwealth-489	24	59	,	,	PUNCT
commonwealth-489	24	60	49	49	NUM
commonwealth-489	24	61	%	%	NOUN
commonwealth-489	24	62	are	be	AUX
commonwealth-489	24	63	in	in	ADP
commonwealth-489	24	64	professional	professional	ADJ
commonwealth-489	24	65	positions	position	NOUN
commonwealth-489	24	66	,	,	PUNCT
commonwealth-489	24	67	6	6	NUM
commonwealth-489	24	68	%	%	NOUN
commonwealth-489	24	69	in	in	ADP
commonwealth-489	24	70	technical	technical	ADJ
commonwealth-489	24	71	positions	position	NOUN
commonwealth-489	24	72	,	,	PUNCT
commonwealth-489	24	73	and	and	CCONJ
commonwealth-489	24	74	20	20	NUM
commonwealth-489	24	75	%	%	NOUN
commonwealth-489	24	76	in	in	ADP
commonwealth-489	24	77	clerical	clerical	ADJ
commonwealth-489	24	78	/	/	SYM
commonwealth-489	24	79	support	support	NOUN
commonwealth-489	24	80	positions	position	NOUN
commonwealth-489	24	81	.	.	PUNCT
commonwealth-489	25	1	therefore	therefore	ADV
commonwealth-489	25	2	,	,	PUNCT
commonwealth-489	25	3	not	not	PART
commonwealth-489	25	4	only	only	ADV
commonwealth-489	25	5	does	do	AUX
commonwealth-489	25	6	pennsylvania	pennsylvania	PROPN
commonwealth-489	25	7	have	have	VERB
commonwealth-489	25	8	the	the	DET
commonwealth-489	25	9	smallest	small	ADJ
commonwealth-489	25	10	public	public	ADJ
commonwealth-489	25	11	health	health	NOUN
commonwealth-489	25	12	workforce	workforce	NOUN
commonwealth-489	25	13	,	,	PUNCT
commonwealth-489	25	14	it	it	PRON
commonwealth-489	25	15	has	have	VERB
commonwealth-489	25	16	a	a	DET
commonwealth-489	25	17	very	very	ADV
commonwealth-489	25	18	low	low	ADJ
commonwealth-489	25	19	percentage	percentage	NOUN
commonwealth-489	25	20	of	of	ADP
commonwealth-489	25	21	professionals	professional	NOUN
commonwealth-489	25	22	in	in	ADP
commonwealth-489	25	23	the	the	DET
commonwealth-489	25	24	technical	technical	ADJ
commonwealth-489	25	25	fields	field	NOUN
commonwealth-489	25	26	,	,	PUNCT
commonwealth-489	25	27	particularly	particularly	ADV
commonwealth-489	25	28	in	in	ADP
commonwealth-489	25	29	the	the	DET
commonwealth-489	25	30	areas	area	NOUN
commonwealth-489	25	31	of	of	ADP
commonwealth-489	25	32	mental	mental	ADJ
commonwealth-489	25	33	health	health	NOUN
commonwealth-489	25	34	and	and	CCONJ
commonwealth-489	25	35	substance	substance	NOUN
commonwealth-489	25	36	abuse	abuse	NOUN
commonwealth-489	25	37	(	(	PUNCT
commonwealth-489	25	38	gebbie	gebbie	NOUN
commonwealth-489	25	39	2000	2000	NUM
commonwealth-489	25	40	)	)	PUNCT
commonwealth-489	25	41	.	.	PUNCT
commonwealth-489	26	1	pennsylvania	pennsylvania	PROPN
commonwealth-489	26	2	act	act	PROPN
commonwealth-489	26	3	315	315	NUM
commonwealth-489	26	4	,	,	PUNCT
commonwealth-489	26	5	passed	pass	VERB
commonwealth-489	26	6	by	by	ADP
commonwealth-489	26	7	the	the	DET
commonwealth-489	26	8	legislature	legislature	NOUN
commonwealth-489	26	9	in	in	ADP
commonwealth-489	26	10	1951	1951	NUM
commonwealth-489	26	11	,	,	PUNCT
commonwealth-489	26	12	governs	govern	VERB
commonwealth-489	26	13	the	the	DET
commonwealth-489	26	14	establishment	establishment	NOUN
commonwealth-489	26	15	of	of	ADP
commonwealth-489	26	16	lhds	lhds	NOUN
commonwealth-489	26	17	.	.	PUNCT
commonwealth-489	27	1	in	in	ADP
commonwealth-489	27	2	accordance	accordance	NOUN
commonwealth-489	27	3	to	to	PART
commonwealth-489	27	4	act	act	VERB
commonwealth-489	27	5	315	315	NUM
commonwealth-489	27	6	,	,	PUNCT
commonwealth-489	27	7	county	county	NOUN
commonwealth-489	27	8	health	health	NOUN
commonwealth-489	27	9	departments	department	NOUN
commonwealth-489	27	10	will	will	AUX
commonwealth-489	27	11	receive	receive	VERB
commonwealth-489	27	12	a	a	DET
commonwealth-489	27	13	grant	grant	NOUN
commonwealth-489	27	14	equal	equal	ADJ
commonwealth-489	27	15	to	to	ADP
commonwealth-489	27	16	50	50	NUM
commonwealth-489	27	17	%	%	NOUN
commonwealth-489	27	18	of	of	ADP
commonwealth-489	27	19	the	the	DET
commonwealth-489	27	20	total	total	NOUN
commonwealth-489	27	21	of	of	ADP
commonwealth-489	27	22	the	the	DET
commonwealth-489	27	23	department	department	NOUN
commonwealth-489	27	24	expenditures	expenditure	NOUN
commonwealth-489	27	25	but	but	CCONJ
commonwealth-489	27	26	not	not	PART
commonwealth-489	27	27	to	to	PART
commonwealth-489	27	28	exceed	exceed	VERB
commonwealth-489	27	29	more	more	ADJ
commonwealth-489	27	30	than	than	ADP
commonwealth-489	27	31	$	$	SYM
commonwealth-489	27	32	6	6	NUM
commonwealth-489	27	33	for	for	ADP
commonwealth-489	27	34	every	every	DET
commonwealth-489	27	35	person	person	NOUN
commonwealth-489	27	36	within	within	ADP
commonwealth-489	27	37	the	the	DET
commonwealth-489	27	38	jurisdiction	jurisdiction	NOUN
commonwealth-489	27	39	of	of	ADP
commonwealth-489	27	40	the	the	DET
commonwealth-489	27	41	county	county	NOUN
commonwealth-489	27	42	department	department	PROPN
commonwealth-489	27	43	of	of	ADP
commonwealth-489	27	44	health	health	NOUN
commonwealth-489	27	45	.	.	PUNCT
commonwealth-489	28	1	additionally	additionally	ADV
commonwealth-489	28	2	,	,	PUNCT
commonwealth-489	28	3	act	act	VERB
commonwealth-489	28	4	12	12	NUM
commonwealth-489	28	5	provides	provide	VERB
commonwealth-489	28	6	established	establish	VERB
commonwealth-489	28	7	lhds	lhds	NOUN
commonwealth-489	28	8	an	an	DET
commonwealth-489	28	9	additional	additional	ADJ
commonwealth-489	28	10	annual	annual	ADJ
commonwealth-489	28	11	grant	grant	NOUN
commonwealth-489	28	12	of	of	ADP
commonwealth-489	28	13	not	not	PART
commonwealth-489	28	14	more	more	ADJ
commonwealth-489	28	15	than	than	ADP
commonwealth-489	28	16	$	$	SYM
commonwealth-489	28	17	1.50	1.50	NUM
commonwealth-489	28	18	per	per	ADP
commonwealth-489	28	19	capita	capita	X
commonwealth-489	28	20	resident	resident	NOUN
commonwealth-489	28	21	for	for	ADP
commonwealth-489	28	22	environmental	environmental	ADJ
commonwealth-489	28	23	health	health	NOUN
commonwealth-489	28	24	services	service	NOUN
commonwealth-489	28	25	provided	provide	VERB
commonwealth-489	28	26	by	by	ADP
commonwealth-489	28	27	the	the	DET
commonwealth-489	28	28	county	county	NOUN
commonwealth-489	28	29	or	or	CCONJ
commonwealth-489	28	30	municipality	municipality	NOUN
commonwealth-489	28	31	.	.	PUNCT
commonwealth-489	29	1	therefore	therefore	ADV
commonwealth-489	29	2	,	,	PUNCT
commonwealth-489	29	3	existing	exist	VERB
commonwealth-489	29	4	legislation	legislation	NOUN
commonwealth-489	29	5	provides	provide	VERB
commonwealth-489	29	6	any	any	DET
commonwealth-489	29	7	county	county	NOUN
commonwealth-489	29	8	with	with	ADP
commonwealth-489	29	9	a	a	DET
commonwealth-489	29	10	lhd	lhd	NOUN
commonwealth-489	29	11	up	up	ADP
commonwealth-489	29	12	to	to	PART
commonwealth-489	29	13	$	$	SYM
commonwealth-489	29	14	7.50	7.50	NUM
commonwealth-489	29	15	per	per	ADP
commonwealth-489	29	16	capita	capita	X
commonwealth-489	29	17	resident	resident	NOUN
commonwealth-489	29	18	in	in	ADP
commonwealth-489	29	19	funding	funding	NOUN
commonwealth-489	29	20	.	.	PUNCT
commonwealth-489	30	1	in	in	ADP
commonwealth-489	30	2	addition	addition	NOUN
commonwealth-489	30	3	to	to	ADP
commonwealth-489	30	4	these	these	DET
commonwealth-489	30	5	grants	grant	NOUN
commonwealth-489	30	6	,	,	PUNCT
commonwealth-489	30	7	areas	area	NOUN
commonwealth-489	30	8	with	with	ADP
commonwealth-489	30	9	lhds	lhds	NOUN
commonwealth-489	30	10	have	have	AUX
commonwealth-489	30	11	increased	increase	VERB
commonwealth-489	30	12	likelihood	likelihood	NOUN
commonwealth-489	30	13	of	of	ADP
commonwealth-489	30	14	qualifying	qualify	VERB
commonwealth-489	30	15	for	for	ADP
commonwealth-489	30	16	state	state	NOUN
commonwealth-489	30	17	and	and	CCONJ
commonwealth-489	30	18	federal	federal	ADJ
commonwealth-489	30	19	categorical	categorical	ADJ
commonwealth-489	30	20	health	health	NOUN
commonwealth-489	30	21	grant	grant	NOUN
commonwealth-489	30	22	funding	funding	NOUN
commonwealth-489	30	23	.	.	PUNCT
commonwealth-489	31	1	across	across	ADP
commonwealth-489	31	2	the	the	DET
commonwealth-489	31	3	state	state	NOUN
commonwealth-489	31	4	,	,	PUNCT
commonwealth-489	31	5	existing	exist	VERB
commonwealth-489	31	6	lhds	lhds	NOUN
commonwealth-489	31	7	receive	receive	VERB
commonwealth-489	31	8	an	an	DET
commonwealth-489	31	9	average	average	NOUN
commonwealth-489	31	10	of	of	ADP
commonwealth-489	31	11	$	$	SYM
commonwealth-489	31	12	3.14	3.14	NUM
commonwealth-489	31	13	per	per	ADP
commonwealth-489	31	14	person	person	NOUN
commonwealth-489	31	15	in	in	ADP
commonwealth-489	31	16	categorical	categorical	ADJ
commonwealth-489	31	17	grants	grant	NOUN
commonwealth-489	31	18	.	.	PUNCT
commonwealth-489	32	1	many	many	ADJ
commonwealth-489	32	2	federal	federal	ADJ
commonwealth-489	32	3	categorical	categorical	ADJ
commonwealth-489	32	4	health	health	NOUN
commonwealth-489	32	5	grants	grant	NOUN
commonwealth-489	32	6	are	be	AUX
commonwealth-489	32	7	available	available	ADJ
commonwealth-489	32	8	only	only	ADV
commonwealth-489	32	9	to	to	ADP
commonwealth-489	32	10	local	local	ADJ
commonwealth-489	32	11	health	health	NOUN
commonwealth-489	32	12	departments	department	NOUN
commonwealth-489	32	13	,	,	PUNCT
commonwealth-489	32	14	and	and	CCONJ
commonwealth-489	32	15	even	even	ADV
commonwealth-489	32	16	those	those	PRON
commonwealth-489	32	17	for	for	ADP
commonwealth-489	32	18	which	which	PRON
commonwealth-489	32	19	it	it	PRON
commonwealth-489	32	20	is	be	AUX
commonwealth-489	32	21	not	not	PART
commonwealth-489	32	22	necessary	necessary	ADJ
commonwealth-489	32	23	to	to	PART
commonwealth-489	32	24	have	have	VERB
commonwealth-489	32	25	a	a	DET
commonwealth-489	32	26	lhd	lhd	PROPN
commonwealth-489	32	27	,	,	PUNCT
commonwealth-489	32	28	counties	county	NOUN
commonwealth-489	32	29	with	with	ADP
commonwealth-489	32	30	lhds	lhds	NOUN
commonwealth-489	32	31	have	have	VERB
commonwealth-489	32	32	a	a	DET
commonwealth-489	32	33	significant	significant	ADJ
commonwealth-489	32	34	comparative	comparative	ADJ
commonwealth-489	32	35	advantage	advantage	NOUN
commonwealth-489	32	36	.	.	PUNCT
commonwealth-489	33	1	given	give	VERB
commonwealth-489	33	2	these	these	DET
commonwealth-489	33	3	health	health	NOUN
commonwealth-489	33	4	and	and	CCONJ
commonwealth-489	33	5	financial	financial	ADJ
commonwealth-489	33	6	advantages	advantage	NOUN
commonwealth-489	33	7	to	to	ADP
commonwealth-489	33	8	establishing	establish	VERB
commonwealth-489	33	9	lhds	lhds	NOUN
commonwealth-489	33	10	,	,	PUNCT
commonwealth-489	33	11	this	this	DET
commonwealth-489	33	12	paper	paper	NOUN
commonwealth-489	33	13	identifies	identify	VERB
commonwealth-489	33	14	the	the	DET
commonwealth-489	33	15	structural	structural	ADJ
commonwealth-489	33	16	and	and	CCONJ
commonwealth-489	33	17	financial	financial	ADJ
commonwealth-489	33	18	obstacles	obstacle	NOUN
commonwealth-489	33	19	that	that	PRON
commonwealth-489	33	20	keep	keep	VERB
commonwealth-489	33	21	rural	rural	ADJ
commonwealth-489	33	22	counties	county	NOUN
commonwealth-489	33	23	from	from	ADP
commonwealth-489	33	24	establishing	establish	VERB
commonwealth-489	33	25	lhds	lhds	NOUN
commonwealth-489	33	26	and	and	CCONJ
commonwealth-489	33	27	it	it	PRON
commonwealth-489	33	28	examines	examine	VERB
commonwealth-489	33	29	lhd	lhd	PROPN
commonwealth-489	33	30	models	model	NOUN
commonwealth-489	33	31	suitable	suitable	ADJ
commonwealth-489	33	32	for	for	ADP
commonwealth-489	33	33	rural	rural	ADJ
commonwealth-489	33	34	counties	county	NOUN
commonwealth-489	33	35	.	.	PUNCT
commonwealth-489	34	1	existing	exist	VERB
commonwealth-489	34	2	literature	literature	NOUN
commonwealth-489	34	3	similar	similar	ADJ
commonwealth-489	34	4	to	to	ADP
commonwealth-489	34	5	pennsylvania	pennsylvania	PROPN
commonwealth-489	34	6	,	,	PUNCT
commonwealth-489	34	7	the	the	DET
commonwealth-489	34	8	national	national	ADJ
commonwealth-489	34	9	public	public	ADJ
commonwealth-489	34	10	health	health	NOUN
commonwealth-489	34	11	system	system	NOUN
commonwealth-489	34	12	varies	vary	VERB
commonwealth-489	34	13	greatly	greatly	ADV
commonwealth-489	34	14	by	by	ADP
commonwealth-489	34	15	geography	geography	NOUN
commonwealth-489	34	16	,	,	PUNCT
commonwealth-489	34	17	and	and	CCONJ
commonwealth-489	34	18	fails	fail	VERB
commonwealth-489	34	19	to	to	PART
commonwealth-489	34	20	provide	provide	VERB
commonwealth-489	34	21	an	an	DET
commonwealth-489	34	22	equitable	equitable	ADJ
commonwealth-489	34	23	distribution	distribution	NOUN
commonwealth-489	34	24	of	of	ADP
commonwealth-489	34	25	2the	2the	NUM
commonwealth-489	34	26	remaining	remain	VERB
commonwealth-489	34	27	25	25	NUM
commonwealth-489	34	28	%	%	NOUN
commonwealth-489	34	29	could	could	AUX
commonwealth-489	34	30	not	not	PART
commonwealth-489	34	31	be	be	AUX
commonwealth-489	34	32	assigned	assign	VERB
commonwealth-489	34	33	to	to	ADP
commonwealth-489	34	34	a	a	DET
commonwealth-489	34	35	specific	specific	ADJ
commonwealth-489	34	36	category	category	NOUN
commonwealth-489	34	37	.	.	PUNCT
commonwealth-489	35	1	102	102	NUM
commonwealth-489	35	2	financial	financial	ADJ
commonwealth-489	35	3	analysis	analysis	NOUN
commonwealth-489	35	4	and	and	CCONJ
commonwealth-489	35	5	structural	structural	ADJ
commonwealth-489	35	6	considerations	consideration	NOUN
commonwealth-489	35	7	to	to	ADP
commonwealth-489	35	8	the	the	DET
commonwealth-489	35	9	problem	problem	NOUN
commonwealth-489	35	10	of	of	ADP
commonwealth-489	35	11	rural	rural	ADJ
commonwealth-489	35	12	public	public	ADJ
commonwealth-489	35	13	health	health	NOUN
commonwealth-489	35	14	in	in	ADP
commonwealth-489	35	15	pennsylvania	pennsylvania	PROPN
commonwealth-489	35	16	services	services	PROPN
commonwealth-489	35	17	.	.	PUNCT
commonwealth-489	36	1	as	as	ADP
commonwealth-489	36	2	a	a	DET
commonwealth-489	36	3	nation	nation	NOUN
commonwealth-489	36	4	,	,	PUNCT
commonwealth-489	36	5	the	the	DET
commonwealth-489	36	6	united	united	PROPN
commonwealth-489	36	7	states	states	PROPN
commonwealth-489	36	8	has	have	AUX
commonwealth-489	36	9	used	use	VERB
commonwealth-489	36	10	a	a	DET
commonwealth-489	36	11	“	"	PUNCT
commonwealth-489	36	12	band	band	NOUN
commonwealth-489	36	13	-	-	PUNCT
commonwealth-489	36	14	aid	aid	NOUN
commonwealth-489	36	15	”	"	PUNCT
commonwealth-489	36	16	approach	approach	NOUN
commonwealth-489	36	17	to	to	ADP
commonwealth-489	36	18	funding	funding	NOUN
commonwealth-489	36	19	in	in	ADP
commonwealth-489	36	20	public	public	ADJ
commonwealth-489	36	21	health	health	NOUN
commonwealth-489	36	22	,	,	PUNCT
commonwealth-489	36	23	favoring	favor	VERB
commonwealth-489	36	24	short	short	ADJ
commonwealth-489	36	25	-	-	PUNCT
commonwealth-489	36	26	term	term	NOUN
commonwealth-489	36	27	interventions	intervention	NOUN
commonwealth-489	36	28	instead	instead	ADV
commonwealth-489	36	29	of	of	ADP
commonwealth-489	36	30	long	long	ADJ
commonwealth-489	36	31	-	-	PUNCT
commonwealth-489	36	32	term	term	NOUN
commonwealth-489	36	33	investment	investment	NOUN
commonwealth-489	36	34	in	in	ADP
commonwealth-489	36	35	the	the	DET
commonwealth-489	36	36	country	country	NOUN
commonwealth-489	36	37	’s	’s	PART
commonwealth-489	36	38	public	public	ADJ
commonwealth-489	36	39	health	health	NOUN
commonwealth-489	36	40	infrastructure	infrastructure	NOUN
commonwealth-489	36	41	(	(	PUNCT
commonwealth-489	36	42	ohara	ohara	PROPN
commonwealth-489	36	43	2001	2001	NUM
commonwealth-489	36	44	)	)	PUNCT
commonwealth-489	36	45	.	.	PUNCT
commonwealth-489	37	1	estimates	estimate	NOUN
commonwealth-489	37	2	show	show	VERB
commonwealth-489	37	3	that	that	SCONJ
commonwealth-489	37	4	95	95	NUM
commonwealth-489	37	5	%	%	NOUN
commonwealth-489	37	6	of	of	ADP
commonwealth-489	37	7	united	united	PROPN
commonwealth-489	37	8	states	states	PROPN
commonwealth-489	37	9	’	’	PART
commonwealth-489	37	10	health	health	NOUN
commonwealth-489	37	11	spending	spending	NOUN
commonwealth-489	37	12	goes	go	VERB
commonwealth-489	37	13	toward	toward	ADP
commonwealth-489	37	14	medical	medical	ADJ
commonwealth-489	37	15	interventions	intervention	NOUN
commonwealth-489	37	16	,	,	PUNCT
commonwealth-489	37	17	and	and	CCONJ
commonwealth-489	37	18	only	only	ADV
commonwealth-489	37	19	5	5	NUM
commonwealth-489	37	20	%	%	NOUN
commonwealth-489	37	21	to	to	ADP
commonwealth-489	37	22	population	population	NOUN
commonwealth-489	37	23	-	-	PUNCT
commonwealth-489	37	24	based	base	VERB
commonwealth-489	37	25	health	health	NOUN
commonwealth-489	37	26	interventions	intervention	NOUN
commonwealth-489	37	27	and	and	CCONJ
commonwealth-489	37	28	various	various	ADJ
commonwealth-489	37	29	research	research	NOUN
commonwealth-489	37	30	activities	activity	NOUN
commonwealth-489	37	31	(	(	PUNCT
commonwealth-489	37	32	levi	levi	PROPN
commonwealth-489	37	33	et	et	PROPN
commonwealth-489	37	34	al	al	PROPN
commonwealth-489	37	35	.	.	PROPN
commonwealth-489	37	36	2007	2007	NUM
commonwealth-489	37	37	)	)	PUNCT
commonwealth-489	37	38	.	.	PUNCT
commonwealth-489	38	1	the	the	DET
commonwealth-489	38	2	trust	trust	PROPN
commonwealth-489	38	3	for	for	ADP
commonwealth-489	38	4	america	america	PROPN
commonwealth-489	38	5	’s	’s	PART
commonwealth-489	38	6	health	health	PROPN
commonwealth-489	38	7	(	(	PUNCT
commonwealth-489	38	8	tfah	tfah	PROPN
commonwealth-489	38	9	)	)	PUNCT
commonwealth-489	38	10	showed	show	VERB
commonwealth-489	38	11	that	that	SCONJ
commonwealth-489	38	12	“	"	PUNCT
commonwealth-489	38	13	the	the	DET
commonwealth-489	38	14	united	united	PROPN
commonwealth-489	38	15	states	states	PROPN
commonwealth-489	38	16	has	have	AUX
commonwealth-489	38	17	made	make	VERB
commonwealth-489	38	18	a	a	DET
commonwealth-489	38	19	major	major	ADJ
commonwealth-489	38	20	commitment	commitment	NOUN
commonwealth-489	38	21	to	to	ADP
commonwealth-489	38	22	biomedical	biomedical	ADJ
commonwealth-489	38	23	research	research	NOUN
commonwealth-489	38	24	,	,	PUNCT
commonwealth-489	38	25	as	as	SCONJ
commonwealth-489	38	26	evidenced	evidence	VERB
commonwealth-489	38	27	by	by	ADP
commonwealth-489	38	28	the	the	DET
commonwealth-489	38	29	$	$	SYM
commonwealth-489	38	30	28	28	NUM
commonwealth-489	38	31	billion	billion	NUM
commonwealth-489	38	32	budget	budget	NOUN
commonwealth-489	38	33	for	for	ADP
commonwealth-489	38	34	the	the	DET
commonwealth-489	38	35	national	national	PROPN
commonwealth-489	38	36	institutes	institutes	PROPN
commonwealth-489	38	37	of	of	ADP
commonwealth-489	38	38	health	health	NOUN
commonwealth-489	38	39	,	,	PUNCT
commonwealth-489	38	40	but	but	CCONJ
commonwealth-489	38	41	has	have	AUX
commonwealth-489	38	42	not	not	PART
commonwealth-489	38	43	yet	yet	ADV
commonwealth-489	38	44	made	make	VERB
commonwealth-489	38	45	a	a	DET
commonwealth-489	38	46	similar	similar	ADJ
commonwealth-489	38	47	commitment	commitment	NOUN
commonwealth-489	38	48	to	to	ADP
commonwealth-489	38	49	public	public	ADJ
commonwealth-489	38	50	health	health	NOUN
commonwealth-489	38	51	”	"	PUNCT
commonwealth-489	38	52	(	(	PUNCT
commonwealth-489	38	53	levi	levi	PROPN
commonwealth-489	38	54	et	et	PROPN
commonwealth-489	38	55	al	al	PROPN
commonwealth-489	38	56	.	.	PROPN
commonwealth-489	38	57	2007	2007	NUM
commonwealth-489	38	58	)	)	PUNCT
commonwealth-489	38	59	.	.	PUNCT
commonwealth-489	39	1	before	before	ADP
commonwealth-489	39	2	the	the	DET
commonwealth-489	39	3	events	event	NOUN
commonwealth-489	39	4	of	of	ADP
commonwealth-489	39	5	9/11	9/11	NUM
commonwealth-489	39	6	,	,	PUNCT
commonwealth-489	39	7	there	there	PRON
commonwealth-489	39	8	had	have	AUX
commonwealth-489	39	9	been	be	AUX
commonwealth-489	39	10	a	a	DET
commonwealth-489	39	11	10	10	NUM
commonwealth-489	39	12	-	-	PUNCT
commonwealth-489	39	13	year	year	NOUN
commonwealth-489	39	14	decline	decline	NOUN
commonwealth-489	39	15	in	in	ADP
commonwealth-489	39	16	public	public	ADJ
commonwealth-489	39	17	health	health	NOUN
commonwealth-489	39	18	infrastructure	infrastructure	NOUN
commonwealth-489	39	19	funding	funding	NOUN
commonwealth-489	39	20	.	.	PUNCT
commonwealth-489	40	1	from	from	ADP
commonwealth-489	40	2	1990	1990	NUM
commonwealth-489	40	3	to	to	ADP
commonwealth-489	40	4	1993	1993	NUM
commonwealth-489	40	5	,	,	PUNCT
commonwealth-489	40	6	the	the	DET
commonwealth-489	40	7	percentage	percentage	NOUN
commonwealth-489	40	8	of	of	ADP
commonwealth-489	40	9	the	the	DET
commonwealth-489	40	10	nation	nation	NOUN
commonwealth-489	40	11	’s	’s	PART
commonwealth-489	40	12	health	health	NOUN
commonwealth-489	40	13	care	care	NOUN
commonwealth-489	40	14	dollars	dollar	NOUN
commonwealth-489	40	15	spent	spend	VERB
commonwealth-489	40	16	on	on	ADP
commonwealth-489	40	17	public	public	ADJ
commonwealth-489	40	18	health	health	NOUN
commonwealth-489	40	19	declined	decline	VERB
commonwealth-489	40	20	from	from	ADP
commonwealth-489	40	21	2.7	2.7	NUM
commonwealth-489	40	22	%	%	NOUN
commonwealth-489	40	23	to	to	PART
commonwealth-489	40	24	1	1	NUM
commonwealth-489	40	25	%	%	NOUN
commonwealth-489	40	26	(	(	PUNCT
commonwealth-489	40	27	johnson	johnson	PROPN
commonwealth-489	40	28	2001	2001	NUM
commonwealth-489	40	29	)	)	PUNCT
commonwealth-489	40	30	.	.	PUNCT
commonwealth-489	41	1	in	in	ADP
commonwealth-489	41	2	some	some	DET
commonwealth-489	41	3	parts	part	NOUN
commonwealth-489	41	4	of	of	ADP
commonwealth-489	41	5	the	the	DET
commonwealth-489	41	6	country	country	NOUN
commonwealth-489	41	7	,	,	PUNCT
commonwealth-489	41	8	the	the	DET
commonwealth-489	41	9	combination	combination	NOUN
commonwealth-489	41	10	of	of	ADP
commonwealth-489	41	11	the	the	DET
commonwealth-489	41	12	balanced	balanced	ADJ
commonwealth-489	41	13	budget	budget	NOUN
commonwealth-489	41	14	act	act	NOUN
commonwealth-489	41	15	of	of	ADP
commonwealth-489	41	16	1997	1997	NUM
commonwealth-489	41	17	and	and	CCONJ
commonwealth-489	41	18	government	government	NOUN
commonwealth-489	41	19	cutbacks	cutback	NOUN
commonwealth-489	41	20	saw	see	VERB
commonwealth-489	41	21	the	the	DET
commonwealth-489	41	22	per	per	X
commonwealth-489	41	23	capita	capita	NOUN
commonwealth-489	41	24	spending	spending	NOUN
commonwealth-489	41	25	in	in	ADP
commonwealth-489	41	26	public	public	ADJ
commonwealth-489	41	27	health	health	NOUN
commonwealth-489	41	28	decline	decline	NOUN
commonwealth-489	41	29	by	by	ADP
commonwealth-489	41	30	33	33	NUM
commonwealth-489	41	31	%	%	NOUN
commonwealth-489	41	32	between	between	ADP
commonwealth-489	41	33	1997	1997	NUM
commonwealth-489	41	34	and	and	CCONJ
commonwealth-489	41	35	2003	2003	NUM
commonwealth-489	41	36	(	(	PUNCT
commonwealth-489	41	37	naccho	naccho	NOUN
commonwealth-489	41	38	2003	2003	NUM
commonwealth-489	41	39	)	)	PUNCT
commonwealth-489	41	40	.	.	PUNCT
commonwealth-489	42	1	surveys	survey	NOUN
commonwealth-489	42	2	and	and	CCONJ
commonwealth-489	42	3	studies	study	NOUN
commonwealth-489	42	4	conducted	conduct	VERB
commonwealth-489	42	5	before	before	ADP
commonwealth-489	42	6	september	september	PROPN
commonwealth-489	42	7	11	11	NUM
commonwealth-489	42	8	,	,	PUNCT
commonwealth-489	42	9	2001	2001	NUM
commonwealth-489	42	10	,	,	PUNCT
commonwealth-489	42	11	found	find	VERB
commonwealth-489	42	12	that	that	SCONJ
commonwealth-489	42	13	many	many	ADJ
commonwealth-489	42	14	communities	community	NOUN
commonwealth-489	42	15	lacked	lack	VERB
commonwealth-489	42	16	adequate	adequate	ADJ
commonwealth-489	42	17	laboratories	laboratory	NOUN
commonwealth-489	42	18	or	or	CCONJ
commonwealth-489	42	19	epidemiologists	epidemiologist	NOUN
commonwealth-489	42	20	trained	train	VERB
commonwealth-489	42	21	to	to	PART
commonwealth-489	42	22	detect	detect	VERB
commonwealth-489	42	23	infectious	infectious	ADJ
commonwealth-489	42	24	disease	disease	NOUN
commonwealth-489	42	25	outbreaks	outbreak	NOUN
commonwealth-489	42	26	.	.	PUNCT
commonwealth-489	43	1	even	even	ADV
commonwealth-489	43	2	the	the	DET
commonwealth-489	43	3	centers	center	NOUN
commonwealth-489	43	4	for	for	ADP
commonwealth-489	43	5	disease	disease	NOUN
commonwealth-489	43	6	control	control	NOUN
commonwealth-489	43	7	and	and	CCONJ
commonwealth-489	43	8	prevention	prevention	NOUN
commonwealth-489	43	9	(	(	PUNCT
commonwealth-489	43	10	cdc	cdc	PROPN
commonwealth-489	43	11	)	)	PUNCT
commonwealth-489	43	12	,	,	PUNCT
commonwealth-489	43	13	the	the	DET
commonwealth-489	43	14	nation	nation	NOUN
commonwealth-489	43	15	’s	’s	PART
commonwealth-489	43	16	premier	premier	ADJ
commonwealth-489	43	17	public	public	ADJ
commonwealth-489	43	18	health	health	NOUN
commonwealth-489	43	19	agency	agency	NOUN
commonwealth-489	43	20	,	,	PUNCT
commonwealth-489	43	21	relied	rely	VERB
commonwealth-489	43	22	heavily	heavily	ADV
commonwealth-489	43	23	on	on	ADP
commonwealth-489	43	24	antiquated	antiquated	ADJ
commonwealth-489	43	25	laboratories	laboratory	NOUN
commonwealth-489	43	26	constructed	construct	VERB
commonwealth-489	43	27	in	in	ADP
commonwealth-489	43	28	the	the	DET
commonwealth-489	43	29	1960s	1960	NOUN
commonwealth-489	43	30	and	and	CCONJ
commonwealth-489	43	31	1970s	1970	NOUN
commonwealth-489	43	32	.	.	PUNCT
commonwealth-489	44	1	furthermore	furthermore	ADV
commonwealth-489	44	2	,	,	PUNCT
commonwealth-489	44	3	prior	prior	ADV
commonwealth-489	44	4	to	to	ADP
commonwealth-489	44	5	1999	1999	NUM
commonwealth-489	44	6	,	,	PUNCT
commonwealth-489	44	7	onethird	onethird	PROPN
commonwealth-489	44	8	of	of	ADP
commonwealth-489	44	9	public	public	ADJ
commonwealth-489	44	10	health	health	NOUN
commonwealth-489	44	11	departments	department	NOUN
commonwealth-489	44	12	serving	serve	VERB
commonwealth-489	44	13	fewer	few	ADJ
commonwealth-489	44	14	than	than	ADP
commonwealth-489	44	15	25,000	25,000	NUM
commonwealth-489	44	16	people	people	NOUN
commonwealth-489	44	17	did	do	AUX
commonwealth-489	44	18	not	not	PART
commonwealth-489	44	19	have	have	VERB
commonwealth-489	44	20	access	access	NOUN
commonwealth-489	44	21	to	to	ADP
commonwealth-489	44	22	the	the	DET
commonwealth-489	44	23	internet	internet	NOUN
commonwealth-489	44	24	or	or	CCONJ
commonwealth-489	44	25	electronic	electronic	ADJ
commonwealth-489	44	26	mail	mail	NOUN
commonwealth-489	44	27	,	,	PUNCT
commonwealth-489	44	28	and	and	CCONJ
commonwealth-489	44	29	almost	almost	ADV
commonwealth-489	44	30	20	20	NUM
commonwealth-489	44	31	%	%	NOUN
commonwealth-489	44	32	of	of	ADP
commonwealth-489	44	33	all	all	DET
commonwealth-489	44	34	lhds	lhds	NOUN
commonwealth-489	44	35	had	have	VERB
commonwealth-489	44	36	no	no	DET
commonwealth-489	44	37	e	e	NOUN
commonwealth-489	44	38	-	-	NOUN
commonwealth-489	44	39	mail	mail	NOUN
commonwealth-489	44	40	capacity	capacity	NOUN
commonwealth-489	44	41	at	at	ADP
commonwealth-489	44	42	all	all	ADV
commonwealth-489	44	43	(	(	PUNCT
commonwealth-489	44	44	frist	frist	PROPN
commonwealth-489	44	45	2002	2002	NUM
commonwealth-489	44	46	)	)	PUNCT
commonwealth-489	44	47	.	.	PUNCT
commonwealth-489	45	1	after	after	ADP
commonwealth-489	45	2	the	the	DET
commonwealth-489	45	3	anthrax	anthrax	NOUN
commonwealth-489	45	4	outbreaks	outbreak	NOUN
commonwealth-489	45	5	of	of	ADP
commonwealth-489	45	6	2001	2001	NUM
commonwealth-489	45	7	,	,	PUNCT
commonwealth-489	45	8	cdc	cdc	PROPN
commonwealth-489	45	9	funds	fund	NOUN
commonwealth-489	45	10	have	have	AUX
commonwealth-489	45	11	increased	increase	VERB
commonwealth-489	45	12	from	from	ADP
commonwealth-489	45	13	just	just	ADV
commonwealth-489	45	14	under	under	ADP
commonwealth-489	45	15	$	$	SYM
commonwealth-489	45	16	4	4	NUM
commonwealth-489	45	17	billion	billion	NUM
commonwealth-489	45	18	in	in	ADP
commonwealth-489	45	19	2000	2000	NUM
commonwealth-489	45	20	,	,	PUNCT
commonwealth-489	45	21	to	to	ADP
commonwealth-489	45	22	$	$	SYM
commonwealth-489	45	23	7.7	7.7	NUM
commonwealth-489	45	24	billion	billion	NUM
commonwealth-489	45	25	in	in	ADP
commonwealth-489	45	26	2003	2003	NUM
commonwealth-489	45	27	,	,	PUNCT
commonwealth-489	45	28	and	and	CCONJ
commonwealth-489	45	29	to	to	ADP
commonwealth-489	45	30	$	$	SYM
commonwealth-489	45	31	8.4	8.4	NUM
commonwealth-489	45	32	billion	billion	NUM
commonwealth-489	45	33	in	in	ADP
commonwealth-489	45	34	2006	2006	NUM
commonwealth-489	45	35	.	.	PUNCT
commonwealth-489	46	1	however	however	ADV
commonwealth-489	46	2	,	,	PUNCT
commonwealth-489	46	3	much	much	ADJ
commonwealth-489	46	4	of	of	ADP
commonwealth-489	46	5	this	this	PRON
commonwealth-489	46	6	can	can	AUX
commonwealth-489	46	7	be	be	AUX
commonwealth-489	46	8	attributed	attribute	VERB
commonwealth-489	46	9	to	to	ADP
commonwealth-489	46	10	post-9/11	post-9/11	NOUN
commonwealth-489	46	11	terrorism	terrorism	NOUN
commonwealth-489	46	12	preparedness	preparedness	NOUN
commonwealth-489	46	13	activities	activity	NOUN
commonwealth-489	46	14	rather	rather	ADV
commonwealth-489	46	15	than	than	ADP
commonwealth-489	46	16	core	core	ADJ
commonwealth-489	46	17	public	public	ADJ
commonwealth-489	46	18	health	health	NOUN
commonwealth-489	46	19	functions	function	NOUN
commonwealth-489	46	20	(	(	PUNCT
commonwealth-489	46	21	levi	levi	PROPN
commonwealth-489	46	22	et	et	PROPN
commonwealth-489	46	23	al	al	PROPN
commonwealth-489	46	24	.	.	PROPN
commonwealth-489	46	25	2007	2007	NUM
commonwealth-489	46	26	)	)	PUNCT
commonwealth-489	46	27	.	.	PUNCT
commonwealth-489	47	1	for	for	ADP
commonwealth-489	47	2	example	example	NOUN
commonwealth-489	47	3	,	,	PUNCT
commonwealth-489	47	4	even	even	ADV
commonwealth-489	47	5	though	though	SCONJ
commonwealth-489	47	6	hiv	hiv	PROPN
commonwealth-489	47	7	continues	continue	VERB
commonwealth-489	47	8	to	to	PART
commonwealth-489	47	9	be	be	AUX
commonwealth-489	47	10	a	a	DET
commonwealth-489	47	11	domestic	domestic	ADJ
commonwealth-489	47	12	epidemic	epidemic	NOUN
commonwealth-489	47	13	,	,	PUNCT
commonwealth-489	47	14	funding	funding	NOUN
commonwealth-489	47	15	for	for	ADP
commonwealth-489	47	16	hiv	hiv	PROPN
commonwealth-489	47	17	has	have	AUX
commonwealth-489	47	18	decreased	decrease	VERB
commonwealth-489	47	19	21	21	NUM
commonwealth-489	47	20	%	%	NOUN
commonwealth-489	47	21	since	since	SCONJ
commonwealth-489	47	22	2001	2001	NUM
commonwealth-489	47	23	(	(	PUNCT
commonwealth-489	47	24	levi	levi	PROPN
commonwealth-489	47	25	et	et	PROPN
commonwealth-489	47	26	al	al	PROPN
commonwealth-489	47	27	.	.	PROPN
commonwealth-489	47	28	2007	2007	NUM
commonwealth-489	47	29	)	)	PUNCT
commonwealth-489	47	30	.	.	PUNCT
commonwealth-489	48	1	similarly	similarly	ADV
commonwealth-489	48	2	,	,	PUNCT
commonwealth-489	48	3	the	the	DET
commonwealth-489	48	4	current	current	ADJ
commonwealth-489	48	5	level	level	NOUN
commonwealth-489	48	6	of	of	ADP
commonwealth-489	48	7	chronic	chronic	ADJ
commonwealth-489	48	8	diseases	disease	NOUN
commonwealth-489	48	9	,	,	PUNCT
commonwealth-489	48	10	which	which	PRON
commonwealth-489	48	11	account	account	VERB
commonwealth-489	48	12	for	for	ADP
commonwealth-489	48	13	the	the	DET
commonwealth-489	48	14	vast	vast	ADJ
commonwealth-489	48	15	majority	majority	NOUN
commonwealth-489	48	16	of	of	ADP
commonwealth-489	48	17	morbidity	morbidity	NOUN
commonwealth-489	48	18	and	and	CCONJ
commonwealth-489	48	19	mortality	mortality	NOUN
commonwealth-489	48	20	in	in	ADP
commonwealth-489	48	21	the	the	DET
commonwealth-489	48	22	united	united	PROPN
commonwealth-489	48	23	states	states	PROPN
commonwealth-489	48	24	,	,	PUNCT
commonwealth-489	48	25	capture	capture	VERB
commonwealth-489	48	26	only	only	ADV
commonwealth-489	48	27	marginal	marginal	ADJ
commonwealth-489	48	28	public	public	ADJ
commonwealth-489	48	29	health	health	NOUN
commonwealth-489	48	30	interest	interest	NOUN
commonwealth-489	48	31	or	or	CCONJ
commonwealth-489	48	32	financial	financial	ADJ
commonwealth-489	48	33	support	support	NOUN
commonwealth-489	48	34	(	(	PUNCT
commonwealth-489	48	35	beitsch	beitsch	ADV
commonwealth-489	48	36	et	et	PROPN
commonwealth-489	48	37	al	al	PROPN
commonwealth-489	48	38	.	.	PROPN
commonwealth-489	48	39	2006	2006	NUM
commonwealth-489	48	40	)	)	PUNCT
commonwealth-489	48	41	.	.	PUNCT
commonwealth-489	49	1	this	this	DET
commonwealth-489	49	2	lack	lack	NOUN
commonwealth-489	49	3	of	of	ADP
commonwealth-489	49	4	a	a	DET
commonwealth-489	49	5	national	national	ADJ
commonwealth-489	49	6	commitment	commitment	NOUN
commonwealth-489	49	7	has	have	AUX
commonwealth-489	49	8	meant	mean	VERB
commonwealth-489	49	9	that	that	SCONJ
commonwealth-489	49	10	the	the	DET
commonwealth-489	49	11	tendency	tendency	NOUN
commonwealth-489	49	12	in	in	ADP
commonwealth-489	49	13	the	the	DET
commonwealth-489	49	14	country	country	NOUN
commonwealth-489	49	15	is	be	AUX
commonwealth-489	49	16	for	for	ADP
commonwealth-489	49	17	local	local	ADJ
commonwealth-489	49	18	government	government	NOUN
commonwealth-489	49	19	control	control	NOUN
commonwealth-489	49	20	and	and	CCONJ
commonwealth-489	49	21	funding	funding	NOUN
commonwealth-489	49	22	of	of	ADP
commonwealth-489	49	23	public	public	ADJ
commonwealth-489	49	24	health	health	NOUN
commonwealth-489	49	25	service	service	NOUN
commonwealth-489	49	26	.	.	PUNCT
commonwealth-489	50	1	today	today	NOUN
commonwealth-489	50	2	most	most	ADJ
commonwealth-489	50	3	states	state	NOUN
commonwealth-489	50	4	in	in	ADP
commonwealth-489	50	5	the	the	DET
commonwealth-489	50	6	united	united	PROPN
commonwealth-489	50	7	states	states	PROPN
commonwealth-489	50	8	organize	organize	VERB
commonwealth-489	50	9	their	their	PRON
commonwealth-489	50	10	public	public	ADJ
commonwealth-489	50	11	alberto	alberto	PROPN
commonwealth-489	50	12	j.f	j.f	PROPN
commonwealth-489	50	13	.	.	PROPN
commonwealth-489	50	14	cardelle	cardelle	PROPN
commonwealth-489	50	15	103	103	NUM
commonwealth-489	50	16	health	health	NOUN
commonwealth-489	50	17	systems	system	NOUN
commonwealth-489	50	18	around	around	ADP
commonwealth-489	50	19	county	county	NOUN
commonwealth-489	50	20	health	health	NOUN
commonwealth-489	50	21	departments3	departments3	NOUN
commonwealth-489	50	22	(	(	PUNCT
commonwealth-489	50	23	mays	may	NOUN
commonwealth-489	50	24	et	et	PROPN
commonwealth-489	50	25	al	al	PROPN
commonwealth-489	50	26	.	.	PROPN
commonwealth-489	50	27	2004	2004	NUM
commonwealth-489	50	28	)	)	PUNCT
commonwealth-489	50	29	.	.	PUNCT
commonwealth-489	51	1	the	the	DET
commonwealth-489	51	2	national	national	PROPN
commonwealth-489	51	3	association	association	PROPN
commonwealth-489	51	4	of	of	ADP
commonwealth-489	51	5	county	county	PROPN
commonwealth-489	51	6	and	and	CCONJ
commonwealth-489	51	7	city	city	NOUN
commonwealth-489	51	8	health	health	NOUN
commonwealth-489	51	9	officials	official	NOUN
commonwealth-489	51	10	(	(	PUNCT
commonwealth-489	51	11	naacho	naacho	PROPN
commonwealth-489	51	12	)	)	PUNCT
commonwealth-489	51	13	has	have	AUX
commonwealth-489	51	14	currently	currently	ADV
commonwealth-489	51	15	identified	identify	VERB
commonwealth-489	51	16	2,865	2,865	NUM
commonwealth-489	51	17	local	local	ADJ
commonwealth-489	51	18	public	public	ADJ
commonwealth-489	51	19	health	health	NOUN
commonwealth-489	51	20	agencies	agency	NOUN
commonwealth-489	51	21	in	in	ADP
commonwealth-489	51	22	the	the	DET
commonwealth-489	51	23	united	united	PROPN
commonwealth-489	51	24	states	states	PROPN
commonwealth-489	51	25	(	(	PUNCT
commonwealth-489	51	26	naccho	naccho	NOUN
commonwealth-489	51	27	2005	2005	NUM
commonwealth-489	51	28	;	;	PUNCT
commonwealth-489	51	29	beitsch	beitsch	PROPN
commonwealth-489	51	30	et	et	PROPN
commonwealth-489	51	31	al	al	PROPN
commonwealth-489	51	32	.	.	PROPN
commonwealth-489	51	33	2006	2006	NUM
commonwealth-489	51	34	)	)	PUNCT
commonwealth-489	51	35	.	.	PUNCT
commonwealth-489	52	1	of	of	ADP
commonwealth-489	52	2	these	these	PRON
commonwealth-489	52	3	,	,	PUNCT
commonwealth-489	52	4	59	59	NUM
commonwealth-489	52	5	%	%	NOUN
commonwealth-489	52	6	were	be	AUX
commonwealth-489	52	7	county	county	NOUN
commonwealth-489	52	8	-	-	PUNCT
commonwealth-489	52	9	wide	wide	ADJ
commonwealth-489	52	10	,	,	PUNCT
commonwealth-489	52	11	14	14	NUM
commonwealth-489	52	12	%	%	NOUN
commonwealth-489	52	13	covered	cover	VERB
commonwealth-489	52	14	a	a	DET
commonwealth-489	52	15	city	city	NOUN
commonwealth-489	52	16	and	and	CCONJ
commonwealth-489	52	17	county	county	NOUN
commonwealth-489	52	18	,	,	PUNCT
commonwealth-489	52	19	9	9	NUM
commonwealth-489	52	20	%	%	NOUN
commonwealth-489	52	21	covered	cover	VERB
commonwealth-489	52	22	more	more	ADJ
commonwealth-489	52	23	than	than	ADP
commonwealth-489	52	24	one	one	NUM
commonwealth-489	52	25	county4	county4	NOUN
commonwealth-489	52	26	with	with	ADP
commonwealth-489	52	27	the	the	DET
commonwealth-489	52	28	remainder	remainder	NOUN
commonwealth-489	52	29	(	(	PUNCT
commonwealth-489	52	30	18	18	NUM
commonwealth-489	52	31	%	%	NOUN
commonwealth-489	52	32	)	)	PUNCT
commonwealth-489	52	33	covering	cover	VERB
commonwealth-489	52	34	smaller	small	ADJ
commonwealth-489	52	35	geographic	geographic	ADJ
commonwealth-489	52	36	areas	area	NOUN
commonwealth-489	52	37	(	(	PUNCT
commonwealth-489	52	38	towns	town	NOUN
commonwealth-489	52	39	and	and	CCONJ
commonwealth-489	52	40	townships	township	NOUN
commonwealth-489	52	41	)	)	PUNCT
commonwealth-489	52	42	(	(	PUNCT
commonwealth-489	52	43	naccho	naccho	NOUN
commonwealth-489	52	44	2005	2005	NUM
commonwealth-489	52	45	)	)	PUNCT
commonwealth-489	52	46	.	.	PUNCT
commonwealth-489	53	1	sixty	sixty	NUM
commonwealth-489	53	2	-	-	PUNCT
commonwealth-489	53	3	two	two	NUM
commonwealth-489	53	4	percent	percent	NOUN
commonwealth-489	53	5	of	of	ADP
commonwealth-489	53	6	lhds	lhds	NOUN
commonwealth-489	53	7	in	in	ADP
commonwealth-489	53	8	the	the	DET
commonwealth-489	53	9	united	united	PROPN
commonwealth-489	53	10	states	states	PROPN
commonwealth-489	53	11	serve	serve	VERB
commonwealth-489	53	12	populations	population	NOUN
commonwealth-489	53	13	of	of	ADP
commonwealth-489	53	14	less	less	ADJ
commonwealth-489	53	15	than	than	ADP
commonwealth-489	53	16	50,000	50,000	NUM
commonwealth-489	53	17	persons	person	NOUN
commonwealth-489	53	18	and	and	CCONJ
commonwealth-489	53	19	40	40	NUM
commonwealth-489	53	20	%	%	NOUN
commonwealth-489	53	21	of	of	ADP
commonwealth-489	53	22	lhds	lhds	NOUN
commonwealth-489	53	23	serve	serve	VERB
commonwealth-489	53	24	even	even	ADV
commonwealth-489	53	25	less	less	ADV
commonwealth-489	53	26	populated	populated	ADJ
commonwealth-489	53	27	rural	rural	ADJ
commonwealth-489	53	28	areas	area	NOUN
commonwealth-489	53	29	(	(	PUNCT
commonwealth-489	53	30	naccho	naccho	NOUN
commonwealth-489	53	31	2005	2005	NUM
commonwealth-489	53	32	)	)	PUNCT
commonwealth-489	53	33	.	.	PUNCT
commonwealth-489	54	1	the	the	DET
commonwealth-489	54	2	existing	exist	VERB
commonwealth-489	54	3	lhds	lhds	NOUN
commonwealth-489	54	4	vary	vary	VERB
commonwealth-489	54	5	immensely	immensely	ADV
commonwealth-489	54	6	in	in	ADP
commonwealth-489	54	7	their	their	PRON
commonwealth-489	54	8	per	per	X
commonwealth-489	54	9	capita	capita	NOUN
commonwealth-489	54	10	expenditures	expenditure	NOUN
commonwealth-489	54	11	.	.	PUNCT
commonwealth-489	55	1	a	a	DET
commonwealth-489	55	2	comparison	comparison	NOUN
commonwealth-489	55	3	of	of	ADP
commonwealth-489	55	4	the	the	DET
commonwealth-489	55	5	expenditures	expenditure	NOUN
commonwealth-489	55	6	of	of	ADP
commonwealth-489	55	7	small	small	ADJ
commonwealth-489	55	8	boards	board	NOUN
commonwealth-489	55	9	of	of	ADP
commonwealth-489	55	10	health	health	NOUN
commonwealth-489	55	11	with	with	ADP
commonwealth-489	55	12	the	the	DET
commonwealth-489	55	13	expenditures	expenditure	NOUN
commonwealth-489	55	14	of	of	ADP
commonwealth-489	55	15	large	large	ADJ
commonwealth-489	55	16	city	city	NOUN
commonwealth-489	55	17	departments	department	NOUN
commonwealth-489	55	18	shows	show	VERB
commonwealth-489	55	19	an	an	DET
commonwealth-489	55	20	average	average	ADJ
commonwealth-489	55	21	differential	differential	NOUN
commonwealth-489	55	22	of	of	ADP
commonwealth-489	55	23	600%5	600%5	NUM
commonwealth-489	55	24	(	(	PUNCT
commonwealth-489	55	25	naccho	naccho	NOUN
commonwealth-489	55	26	2005	2005	NUM
commonwealth-489	55	27	)	)	PUNCT
commonwealth-489	55	28	.	.	PUNCT
commonwealth-489	56	1	lhds	lhds	PROPN
commonwealth-489	56	2	also	also	ADV
commonwealth-489	56	3	vary	vary	VERB
commonwealth-489	56	4	with	with	ADP
commonwealth-489	56	5	regard	regard	NOUN
commonwealth-489	56	6	to	to	ADP
commonwealth-489	56	7	workforce	workforce	NOUN
commonwealth-489	56	8	.	.	PUNCT
commonwealth-489	57	1	more	more	ADJ
commonwealth-489	57	2	than	than	ADP
commonwealth-489	57	3	30	30	NUM
commonwealth-489	57	4	%	%	NOUN
commonwealth-489	57	5	of	of	ADP
commonwealth-489	57	6	lhds	lhds	NOUN
commonwealth-489	57	7	have	have	VERB
commonwealth-489	57	8	fewer	few	ADJ
commonwealth-489	57	9	than	than	ADP
commonwealth-489	57	10	10	10	NUM
commonwealth-489	57	11	full	full	ADJ
commonwealth-489	57	12	-	-	PUNCT
commonwealth-489	57	13	time	time	NOUN
commonwealth-489	57	14	staff	staff	NOUN
commonwealth-489	57	15	,	,	PUNCT
commonwealth-489	57	16	with	with	ADP
commonwealth-489	57	17	a	a	DET
commonwealth-489	57	18	median	median	NOUN
commonwealth-489	57	19	of	of	ADP
commonwealth-489	57	20	19	19	NUM
commonwealth-489	57	21	employees	employee	NOUN
commonwealth-489	57	22	(	(	PUNCT
commonwealth-489	57	23	naccho	naccho	NOUN
commonwealth-489	57	24	2005	2005	NUM
commonwealth-489	57	25	)	)	PUNCT
commonwealth-489	57	26	.	.	PUNCT
commonwealth-489	58	1	the	the	DET
commonwealth-489	58	2	small	small	ADJ
commonwealth-489	58	3	entities	entity	NOUN
commonwealth-489	58	4	typically	typically	ADV
commonwealth-489	58	5	employ	employ	VERB
commonwealth-489	58	6	a	a	DET
commonwealth-489	58	7	manager/	manager/	NUM
commonwealth-489	58	8	director	director	NOUN
commonwealth-489	58	9	,	,	PUNCT
commonwealth-489	58	10	nurses	nurse	NOUN
commonwealth-489	58	11	,	,	PUNCT
commonwealth-489	58	12	an	an	DET
commonwealth-489	58	13	environmental	environmental	ADJ
commonwealth-489	58	14	specialist	specialist	NOUN
commonwealth-489	58	15	,	,	PUNCT
commonwealth-489	58	16	and	and	CCONJ
commonwealth-489	58	17	clerical	clerical	ADJ
commonwealth-489	58	18	staff	staff	NOUN
commonwealth-489	58	19	,	,	PUNCT
commonwealth-489	58	20	while	while	SCONJ
commonwealth-489	58	21	the	the	DET
commonwealth-489	58	22	specialized	specialized	ADJ
commonwealth-489	58	23	staff	staff	NOUN
commonwealth-489	58	24	such	such	ADJ
commonwealth-489	58	25	as	as	ADP
commonwealth-489	58	26	nutritionist	nutritionist	NOUN
commonwealth-489	58	27	,	,	PUNCT
commonwealth-489	58	28	health	health	NOUN
commonwealth-489	58	29	educator	educator	NOUN
commonwealth-489	58	30	,	,	PUNCT
commonwealth-489	58	31	emergency	emergency	NOUN
commonwealth-489	58	32	preparedness	preparedness	NOUN
commonwealth-489	58	33	coordinator	coordinator	NOUN
commonwealth-489	58	34	,	,	PUNCT
commonwealth-489	58	35	and	and	CCONJ
commonwealth-489	58	36	epidemiologist	epidemiologist	NOUN
commonwealth-489	58	37	,	,	PUNCT
commonwealth-489	58	38	are	be	AUX
commonwealth-489	58	39	in	in	ADP
commonwealth-489	58	40	lhds	lhds	NOUN
commonwealth-489	58	41	serving	serve	VERB
commonwealth-489	58	42	larger	large	ADJ
commonwealth-489	58	43	jurisdictions	jurisdiction	NOUN
commonwealth-489	58	44	(	(	PUNCT
commonwealth-489	58	45	naccho	naccho	NOUN
commonwealth-489	58	46	2005	2005	NUM
commonwealth-489	58	47	)	)	PUNCT
commonwealth-489	58	48	.	.	PUNCT
commonwealth-489	59	1	the	the	DET
commonwealth-489	59	2	variation	variation	NOUN
commonwealth-489	59	3	in	in	ADP
commonwealth-489	59	4	resources	resource	NOUN
commonwealth-489	59	5	resulted	result	VERB
commonwealth-489	59	6	in	in	ADP
commonwealth-489	59	7	variation	variation	NOUN
commonwealth-489	59	8	of	of	ADP
commonwealth-489	59	9	services	service	NOUN
commonwealth-489	59	10	provided	provide	VERB
commonwealth-489	59	11	.	.	PUNCT
commonwealth-489	60	1	of	of	ADP
commonwealth-489	60	2	the	the	DET
commonwealth-489	60	3	75	75	NUM
commonwealth-489	60	4	public	public	ADJ
commonwealth-489	60	5	health	health	NOUN
commonwealth-489	60	6	-	-	PUNCT
commonwealth-489	60	7	related	relate	VERB
commonwealth-489	60	8	activities	activity	NOUN
commonwealth-489	60	9	and	and	CCONJ
commonwealth-489	60	10	services	service	NOUN
commonwealth-489	60	11	offered	offer	VERB
commonwealth-489	60	12	by	by	ADP
commonwealth-489	60	13	lhds	lhds	NOUN
commonwealth-489	60	14	,	,	PUNCT
commonwealth-489	60	15	three	three	NUM
commonwealth-489	60	16	-	-	PUNCT
commonwealth-489	60	17	quarters	quarter	NOUN
commonwealth-489	60	18	or	or	CCONJ
commonwealth-489	60	19	more	more	ADJ
commonwealth-489	60	20	of	of	ADP
commonwealth-489	60	21	lhds	lhds	NOUN
commonwealth-489	60	22	offered	offer	VERB
commonwealth-489	60	23	only	only	ADV
commonwealth-489	60	24	eight	eight	NUM
commonwealth-489	60	25	of	of	ADP
commonwealth-489	60	26	them	they	PRON
commonwealth-489	60	27	(	(	PUNCT
commonwealth-489	60	28	naccho	naccho	NOUN
commonwealth-489	60	29	2005	2005	NUM
commonwealth-489	60	30	)	)	PUNCT
commonwealth-489	60	31	.	.	PUNCT
commonwealth-489	61	1	a	a	DET
commonwealth-489	61	2	strong	strong	ADJ
commonwealth-489	61	3	reliance	reliance	NOUN
commonwealth-489	61	4	on	on	ADP
commonwealth-489	61	5	local	local	ADJ
commonwealth-489	61	6	resources	resource	NOUN
commonwealth-489	61	7	has	have	AUX
commonwealth-489	61	8	been	be	AUX
commonwealth-489	61	9	an	an	DET
commonwealth-489	61	10	important	important	ADJ
commonwealth-489	61	11	factor	factor	NOUN
commonwealth-489	61	12	in	in	ADP
commonwealth-489	61	13	the	the	DET
commonwealth-489	61	14	development	development	NOUN
commonwealth-489	61	15	of	of	ADP
commonwealth-489	61	16	the	the	DET
commonwealth-489	61	17	united	united	PROPN
commonwealth-489	61	18	states	states	PROPN
commonwealth-489	61	19	’	'	PUNCT
commonwealth-489	61	20	“	"	PUNCT
commonwealth-489	61	21	fragmented	fragmented	ADJ
commonwealth-489	61	22	and	and	CCONJ
commonwealth-489	61	23	uneven	uneven	ADJ
commonwealth-489	61	24	”	"	PUNCT
commonwealth-489	61	25	public	public	ADJ
commonwealth-489	61	26	health	health	NOUN
commonwealth-489	61	27	infrastructure	infrastructure	NOUN
commonwealth-489	61	28	(	(	PUNCT
commonwealth-489	61	29	baker	baker	PROPN
commonwealth-489	61	30	et	et	PROPN
commonwealth-489	61	31	al	al	PROPN
commonwealth-489	61	32	.	.	PROPN
commonwealth-489	61	33	2005	2005	NUM
commonwealth-489	61	34	)	)	PUNCT
commonwealth-489	61	35	.	.	PUNCT
commonwealth-489	62	1	the	the	DET
commonwealth-489	62	2	naccho	naccho	NOUN
commonwealth-489	62	3	survey	survey	NOUN
commonwealth-489	62	4	showed	show	VERB
commonwealth-489	62	5	3an	3an	ADJ
commonwealth-489	62	6	agency	agency	NOUN
commonwealth-489	62	7	of	of	ADP
commonwealth-489	62	8	local	local	ADJ
commonwealth-489	62	9	government	government	NOUN
commonwealth-489	62	10	,	,	PUNCT
commonwealth-489	62	11	a	a	DET
commonwealth-489	62	12	local	local	ADJ
commonwealth-489	62	13	health	health	NOUN
commonwealth-489	62	14	department	department	PROPN
commonwealth-489	62	15	(	(	PUNCT
commonwealth-489	62	16	lhd	lhd	PROPN
commonwealth-489	62	17	)	)	PUNCT
commonwealth-489	62	18	develops	develop	VERB
commonwealth-489	62	19	and	and	CCONJ
commonwealth-489	62	20	administers	administer	VERB
commonwealth-489	62	21	programs	program	NOUN
commonwealth-489	62	22	and	and	CCONJ
commonwealth-489	62	23	services	service	NOUN
commonwealth-489	62	24	that	that	PRON
commonwealth-489	62	25	are	be	AUX
commonwealth-489	62	26	aimed	aim	VERB
commonwealth-489	62	27	at	at	ADP
commonwealth-489	62	28	maintaining	maintain	VERB
commonwealth-489	62	29	a	a	DET
commonwealth-489	62	30	healthy	healthy	ADJ
commonwealth-489	62	31	community	community	NOUN
commonwealth-489	62	32	.	.	PUNCT
commonwealth-489	63	1	to	to	PART
commonwealth-489	63	2	ensure	ensure	VERB
commonwealth-489	63	3	that	that	SCONJ
commonwealth-489	63	4	these	these	DET
commonwealth-489	63	5	efforts	effort	NOUN
commonwealth-489	63	6	address	address	VERB
commonwealth-489	63	7	a	a	DET
commonwealth-489	63	8	community	community	NOUN
commonwealth-489	63	9	's	's	PART
commonwealth-489	63	10	most	most	ADV
commonwealth-489	63	11	important	important	ADJ
commonwealth-489	63	12	health	health	NOUN
commonwealth-489	63	13	problems	problem	NOUN
commonwealth-489	63	14	and	and	CCONJ
commonwealth-489	63	15	concerns	concern	NOUN
commonwealth-489	63	16	,	,	PUNCT
commonwealth-489	63	17	the	the	DET
commonwealth-489	63	18	local	local	ADJ
commonwealth-489	63	19	health	health	NOUN
commonwealth-489	63	20	department	department	NOUN
commonwealth-489	63	21	encourages	encourage	VERB
commonwealth-489	63	22	residents	resident	NOUN
commonwealth-489	63	23	to	to	PART
commonwealth-489	63	24	participate	participate	VERB
commonwealth-489	63	25	in	in	ADP
commonwealth-489	63	26	assessing	assess	VERB
commonwealth-489	63	27	public	public	ADJ
commonwealth-489	63	28	health	health	NOUN
commonwealth-489	63	29	needs	need	NOUN
commonwealth-489	63	30	and	and	CCONJ
commonwealth-489	63	31	in	in	ADP
commonwealth-489	63	32	formulating	formulate	VERB
commonwealth-489	63	33	a	a	DET
commonwealth-489	63	34	community	community	NOUN
commonwealth-489	63	35	health	health	NOUN
commonwealth-489	63	36	plan	plan	NOUN
commonwealth-489	63	37	.	.	PUNCT
commonwealth-489	64	1	it	it	PRON
commonwealth-489	64	2	also	also	ADV
commonwealth-489	64	3	works	work	VERB
commonwealth-489	64	4	with	with	ADP
commonwealth-489	64	5	other	other	ADJ
commonwealth-489	64	6	community	community	NOUN
commonwealth-489	64	7	organizations	organization	NOUN
commonwealth-489	64	8	to	to	PART
commonwealth-489	64	9	assure	assure	VERB
commonwealth-489	64	10	that	that	SCONJ
commonwealth-489	64	11	needed	need	VERB
commonwealth-489	64	12	services	service	NOUN
commonwealth-489	64	13	and	and	CCONJ
commonwealth-489	64	14	programs	program	NOUN
commonwealth-489	64	15	are	be	AUX
commonwealth-489	64	16	available	available	ADJ
commonwealth-489	64	17	.	.	PUNCT
commonwealth-489	65	1	4bi	4bi	ADJ
commonwealth-489	65	2	-	-	PUNCT
commonwealth-489	65	3	county	county	NOUN
commonwealth-489	65	4	or	or	CCONJ
commonwealth-489	65	5	tri	tri	ADJ
commonwealth-489	65	6	-	-	ADJ
commonwealth-489	65	7	county	county	NOUN
commonwealth-489	65	8	health	health	NOUN
commonwealth-489	65	9	departments	department	NOUN
commonwealth-489	65	10	are	be	AUX
commonwealth-489	65	11	like	like	ADP
commonwealth-489	65	12	single	single	ADJ
commonwealth-489	65	13	-	-	PUNCT
commonwealth-489	65	14	county	county	NOUN
commonwealth-489	65	15	health	health	NOUN
commonwealth-489	65	16	departments	department	NOUN
commonwealth-489	65	17	except	except	SCONJ
commonwealth-489	65	18	they	they	PRON
commonwealth-489	65	19	serve	serve	VERB
commonwealth-489	65	20	a	a	DET
commonwealth-489	65	21	larger	large	ADJ
commonwealth-489	65	22	area	area	NOUN
commonwealth-489	65	23	and	and	CCONJ
commonwealth-489	65	24	are	be	AUX
commonwealth-489	65	25	responsible	responsible	ADJ
commonwealth-489	65	26	to	to	ADP
commonwealth-489	65	27	more	more	ADJ
commonwealth-489	65	28	than	than	ADP
commonwealth-489	65	29	one	one	NUM
commonwealth-489	65	30	county	county	NOUN
commonwealth-489	65	31	board	board	NOUN
commonwealth-489	65	32	.	.	PUNCT
commonwealth-489	66	1	with	with	ADP
commonwealth-489	66	2	this	this	DET
commonwealth-489	66	3	arrangement	arrangement	NOUN
commonwealth-489	66	4	,	,	PUNCT
commonwealth-489	66	5	a	a	DET
commonwealth-489	66	6	board	board	NOUN
commonwealth-489	66	7	of	of	ADP
commonwealth-489	66	8	health	health	NOUN
commonwealth-489	66	9	is	be	AUX
commonwealth-489	66	10	created	create	VERB
commonwealth-489	66	11	with	with	ADP
commonwealth-489	66	12	representatives	representative	NOUN
commonwealth-489	66	13	from	from	ADP
commonwealth-489	66	14	each	each	DET
commonwealth-489	66	15	county	county	NOUN
commonwealth-489	66	16	.	.	PUNCT
commonwealth-489	67	1	the	the	DET
commonwealth-489	67	2	revenues	revenue	NOUN
commonwealth-489	67	3	and	and	CCONJ
commonwealth-489	67	4	expenses	expense	NOUN
commonwealth-489	67	5	are	be	AUX
commonwealth-489	67	6	shared	share	VERB
commonwealth-489	67	7	proportionally	proportionally	ADV
commonwealth-489	67	8	.	.	PUNCT
commonwealth-489	68	1	5the	5the	NUM
commonwealth-489	68	2	median	median	NOUN
commonwealth-489	68	3	per	per	ADP
commonwealth-489	68	4	capita	capita	NOUN
commonwealth-489	68	5	expenditure	expenditure	NOUN
commonwealth-489	68	6	is	be	AUX
commonwealth-489	68	7	a	a	DET
commonwealth-489	68	8	low	low	NOUN
commonwealth-489	68	9	of	of	ADP
commonwealth-489	68	10	$	$	SYM
commonwealth-489	68	11	9	9	NUM
commonwealth-489	68	12	per	per	ADP
commonwealth-489	68	13	capita	capita	NOUN
commonwealth-489	68	14	in	in	ADP
commonwealth-489	68	15	massachusetts	massachusetts	PROPN
commonwealth-489	68	16	to	to	ADP
commonwealth-489	68	17	a	a	DET
commonwealth-489	68	18	high	high	NOUN
commonwealth-489	68	19	of	of	ADP
commonwealth-489	68	20	$	$	SYM
commonwealth-489	68	21	94	94	NUM
commonwealth-489	68	22	per	per	ADP
commonwealth-489	68	23	capita	capita	X
commonwealth-489	68	24	in	in	ADP
commonwealth-489	68	25	maryland	maryland	PROPN
commonwealth-489	68	26	(	(	PUNCT
commonwealth-489	68	27	naccho	naccho	NOUN
commonwealth-489	68	28	2005	2005	NUM
commonwealth-489	68	29	)	)	PUNCT
commonwealth-489	68	30	.	.	PUNCT
commonwealth-489	69	1	104	104	NUM
commonwealth-489	69	2	financial	financial	ADJ
commonwealth-489	69	3	analysis	analysis	NOUN
commonwealth-489	69	4	and	and	CCONJ
commonwealth-489	69	5	structural	structural	ADJ
commonwealth-489	69	6	considerations	consideration	NOUN
commonwealth-489	69	7	to	to	ADP
commonwealth-489	69	8	the	the	DET
commonwealth-489	69	9	problem	problem	NOUN
commonwealth-489	69	10	of	of	ADP
commonwealth-489	69	11	rural	rural	ADJ
commonwealth-489	69	12	public	public	ADJ
commonwealth-489	69	13	health	health	NOUN
commonwealth-489	69	14	in	in	ADP
commonwealth-489	69	15	pennsylvania	pennsylvania	PROPN
commonwealth-489	69	16	that	that	SCONJ
commonwealth-489	69	17	65	65	NUM
commonwealth-489	69	18	%	%	NOUN
commonwealth-489	69	19	of	of	ADP
commonwealth-489	69	20	the	the	DET
commonwealth-489	69	21	funding	funding	NOUN
commonwealth-489	69	22	for	for	ADP
commonwealth-489	69	23	existing	exist	VERB
commonwealth-489	69	24	lhds	lhds	NOUN
commonwealth-489	69	25	comes	come	VERB
commonwealth-489	69	26	from	from	ADP
commonwealth-489	69	27	local	local	ADJ
commonwealth-489	69	28	government	government	NOUN
commonwealth-489	69	29	sources	source	NOUN
commonwealth-489	69	30	,	,	PUNCT
commonwealth-489	69	31	the	the	DET
commonwealth-489	69	32	state	state	NOUN
commonwealth-489	69	33	,	,	PUNCT
commonwealth-489	69	34	or	or	CCONJ
commonwealth-489	69	35	is	be	AUX
commonwealth-489	69	36	pass	pass	VERB
commonwealth-489	69	37	-	-	PUNCT
commonwealth-489	69	38	through	through	ADP
commonwealth-489	69	39	grants	grant	NOUN
commonwealth-489	69	40	from	from	ADP
commonwealth-489	69	41	the	the	DET
commonwealth-489	69	42	state	state	NOUN
commonwealth-489	69	43	.	.	PUNCT
commonwealth-489	70	1	an	an	DET
commonwealth-489	70	2	additional	additional	ADJ
commonwealth-489	70	3	30	30	NUM
commonwealth-489	70	4	%	%	NOUN
commonwealth-489	70	5	of	of	ADP
commonwealth-489	70	6	the	the	DET
commonwealth-489	70	7	funding	funding	NOUN
commonwealth-489	70	8	comes	come	VERB
commonwealth-489	70	9	from	from	ADP
commonwealth-489	70	10	fee	fee	NOUN
commonwealth-489	70	11	-	-	PUNCT
commonwealth-489	70	12	for	for	ADP
commonwealth-489	70	13	-	-	PUNCT
commonwealth-489	70	14	service	service	NOUN
commonwealth-489	70	15	programs	program	NOUN
commonwealth-489	70	16	and	and	CCONJ
commonwealth-489	70	17	competitive	competitive	ADJ
commonwealth-489	70	18	grants	grant	NOUN
commonwealth-489	70	19	sought	seek	VERB
commonwealth-489	70	20	by	by	ADP
commonwealth-489	70	21	each	each	DET
commonwealth-489	70	22	department	department	NOUN
commonwealth-489	70	23	.	.	PUNCT
commonwealth-489	71	1	additionally	additionally	ADV
commonwealth-489	71	2	,	,	PUNCT
commonwealth-489	71	3	how	how	SCONJ
commonwealth-489	71	4	lhds	lhds	NOUN
commonwealth-489	71	5	access	access	VERB
commonwealth-489	71	6	these	these	DET
commonwealth-489	71	7	funds	fund	NOUN
commonwealth-489	71	8	varies	vary	VERB
commonwealth-489	71	9	,	,	PUNCT
commonwealth-489	71	10	and	and	CCONJ
commonwealth-489	71	11	states	state	NOUN
commonwealth-489	71	12	use	use	VERB
commonwealth-489	71	13	multiple	multiple	ADJ
commonwealth-489	71	14	funding	funding	NOUN
commonwealth-489	71	15	mechanisms	mechanism	NOUN
commonwealth-489	71	16	to	to	PART
commonwealth-489	71	17	fund	fund	VERB
commonwealth-489	71	18	local	local	ADJ
commonwealth-489	71	19	public	public	ADJ
commonwealth-489	71	20	health	health	NOUN
commonwealth-489	71	21	programs	program	NOUN
commonwealth-489	71	22	.	.	PUNCT
commonwealth-489	72	1	these	these	PRON
commonwealth-489	72	2	include	include	VERB
commonwealth-489	72	3	:	:	PUNCT
commonwealth-489	72	4	1	1	X
commonwealth-489	72	5	)	)	PUNCT
commonwealth-489	72	6	a	a	DET
commonwealth-489	72	7	combination	combination	NOUN
commonwealth-489	72	8	of	of	ADP
commonwealth-489	72	9	per	per	ADP
commonwealth-489	72	10	capita	capita	X
commonwealth-489	72	11	funding	funding	NOUN
commonwealth-489	72	12	and	and	CCONJ
commonwealth-489	72	13	activity	activity	NOUN
commonwealth-489	72	14	-	-	PUNCT
commonwealth-489	72	15	specific	specific	ADJ
commonwealth-489	72	16	or	or	CCONJ
commonwealth-489	72	17	staff	staff	NOUN
commonwealth-489	72	18	-	-	PUNCT
commonwealth-489	72	19	specific	specific	ADJ
commonwealth-489	72	20	grants	grant	NOUN
commonwealth-489	72	21	;	;	PUNCT
commonwealth-489	72	22	2	2	X
commonwealth-489	72	23	)	)	PUNCT
commonwealth-489	72	24	negotiated	negotiate	VERB
commonwealth-489	72	25	contracts	contract	NOUN
commonwealth-489	72	26	for	for	ADP
commonwealth-489	72	27	local	local	ADJ
commonwealth-489	72	28	services	service	NOUN
commonwealth-489	72	29	;	;	PUNCT
commonwealth-489	72	30	3	3	X
commonwealth-489	72	31	)	)	PUNCT
commonwealth-489	72	32	formulas	formula	NOUN
commonwealth-489	72	33	incorporating	incorporate	VERB
commonwealth-489	72	34	variables	variable	NOUN
commonwealth-489	72	35	of	of	ADP
commonwealth-489	72	36	health	health	NOUN
commonwealth-489	72	37	status	status	NOUN
commonwealth-489	72	38	and	and	CCONJ
commonwealth-489	72	39	financial	financial	ADJ
commonwealth-489	72	40	resources	resource	NOUN
commonwealth-489	72	41	of	of	ADP
commonwealth-489	72	42	the	the	DET
commonwealth-489	72	43	local	local	ADJ
commonwealth-489	72	44	population	population	NOUN
commonwealth-489	72	45	;	;	PUNCT
commonwealth-489	72	46	4	4	X
commonwealth-489	72	47	)	)	PUNCT
commonwealth-489	72	48	per	per	ADP
commonwealth-489	72	49	capita	capita	NOUN
commonwealth-489	72	50	distribution	distribution	NOUN
commonwealth-489	72	51	of	of	ADP
commonwealth-489	72	52	state	state	NOUN
commonwealth-489	72	53	funds	fund	NOUN
commonwealth-489	72	54	based	base	VERB
commonwealth-489	72	55	on	on	ADP
commonwealth-489	72	56	local	local	ADJ
commonwealth-489	72	57	population	population	NOUN
commonwealth-489	72	58	statistics	statistic	NOUN
commonwealth-489	72	59	;	;	PUNCT
commonwealth-489	72	60	5	5	X
commonwealth-489	72	61	)	)	PUNCT
commonwealth-489	72	62	reimbursement	reimbursement	NOUN
commonwealth-489	72	63	of	of	ADP
commonwealth-489	72	64	allowable	allowable	ADJ
commonwealth-489	72	65	expenditures	expenditure	NOUN
commonwealth-489	72	66	for	for	ADP
commonwealth-489	72	67	pre	pre	ADJ
commonwealth-489	72	68	-	-	ADJ
commonwealth-489	72	69	established	established	ADJ
commonwealth-489	72	70	set	set	NOUN
commonwealth-489	72	71	of	of	ADP
commonwealth-489	72	72	services	service	NOUN
commonwealth-489	72	73	;	;	PUNCT
commonwealth-489	72	74	and	and	CCONJ
commonwealth-489	72	75	6	6	X
commonwealth-489	72	76	)	)	PUNCT
commonwealth-489	72	77	state	state	NOUN
commonwealth-489	72	78	funding	funding	NOUN
commonwealth-489	72	79	for	for	ADP
commonwealth-489	72	80	local	local	ADJ
commonwealth-489	72	81	agencies	agency	NOUN
commonwealth-489	72	82	that	that	PRON
commonwealth-489	72	83	are	be	AUX
commonwealth-489	72	84	extensions	extension	NOUN
commonwealth-489	72	85	of	of	ADP
commonwealth-489	72	86	the	the	DET
commonwealth-489	72	87	state	state	NOUN
commonwealth-489	72	88	agency	agency	PROPN
commonwealth-489	72	89	(	(	PUNCT
commonwealth-489	72	90	potter	potter	NOUN
commonwealth-489	72	91	and	and	CCONJ
commonwealth-489	72	92	fitzpatrick	fitzpatrick	PROPN
commonwealth-489	72	93	2007	2007	NUM
commonwealth-489	72	94	)	)	PUNCT
commonwealth-489	72	95	.	.	PUNCT
commonwealth-489	73	1	the	the	DET
commonwealth-489	73	2	lack	lack	NOUN
commonwealth-489	73	3	of	of	ADP
commonwealth-489	73	4	an	an	DET
commonwealth-489	73	5	entity	entity	NOUN
commonwealth-489	73	6	with	with	ADP
commonwealth-489	73	7	comprehensive	comprehensive	ADJ
commonwealth-489	73	8	authority	authority	NOUN
commonwealth-489	73	9	and	and	CCONJ
commonwealth-489	73	10	responsibility	responsibility	NOUN
commonwealth-489	73	11	for	for	ADP
commonwealth-489	73	12	creation	creation	NOUN
commonwealth-489	73	13	,	,	PUNCT
commonwealth-489	73	14	maintenance	maintenance	NOUN
commonwealth-489	73	15	,	,	PUNCT
commonwealth-489	73	16	and	and	CCONJ
commonwealth-489	73	17	oversight	oversight	NOUN
commonwealth-489	73	18	of	of	ADP
commonwealth-489	73	19	the	the	DET
commonwealth-489	73	20	nation	nation	NOUN
commonwealth-489	73	21	’s	’s	PART
commonwealth-489	73	22	public	public	ADJ
commonwealth-489	73	23	health	health	NOUN
commonwealth-489	73	24	infrastructure	infrastructure	NOUN
commonwealth-489	73	25	has	have	AUX
commonwealth-489	73	26	resulted	result	VERB
commonwealth-489	73	27	in	in	ADP
commonwealth-489	73	28	the	the	DET
commonwealth-489	73	29	country	country	NOUN
commonwealth-489	73	30	’s	’s	PART
commonwealth-489	73	31	fragmented	fragmented	ADJ
commonwealth-489	73	32	system	system	NOUN
commonwealth-489	73	33	.	.	PUNCT
commonwealth-489	74	1	however	however	ADV
commonwealth-489	74	2	,	,	PUNCT
commonwealth-489	74	3	potter	potter	PROPN
commonwealth-489	74	4	and	and	CCONJ
commonwealth-489	74	5	fitzgerald	fitzgerald	PROPN
commonwealth-489	74	6	found	find	VERB
commonwealth-489	74	7	three	three	NUM
commonwealth-489	74	8	key	key	ADJ
commonwealth-489	74	9	trends	trend	NOUN
commonwealth-489	74	10	in	in	ADP
commonwealth-489	74	11	state	state	NOUN
commonwealth-489	74	12	funding	funding	NOUN
commonwealth-489	74	13	of	of	ADP
commonwealth-489	74	14	public	public	ADJ
commonwealth-489	74	15	health	health	NOUN
commonwealth-489	74	16	that	that	PRON
commonwealth-489	74	17	show	show	VERB
commonwealth-489	74	18	that	that	SCONJ
commonwealth-489	74	19	in	in	ADP
commonwealth-489	74	20	cases	case	NOUN
commonwealth-489	74	21	where	where	SCONJ
commonwealth-489	74	22	the	the	DET
commonwealth-489	74	23	state	state	NOUN
commonwealth-489	74	24	government	government	NOUN
commonwealth-489	74	25	plays	play	VERB
commonwealth-489	74	26	a	a	DET
commonwealth-489	74	27	greater	great	ADJ
commonwealth-489	74	28	managerial	managerial	ADJ
commonwealth-489	74	29	role	role	NOUN
commonwealth-489	74	30	,	,	PUNCT
commonwealth-489	74	31	funding	funding	NOUN
commonwealth-489	74	32	increases	increase	NOUN
commonwealth-489	74	33	.	.	PUNCT
commonwealth-489	75	1	the	the	DET
commonwealth-489	75	2	three	three	NUM
commonwealth-489	75	3	trends	trend	NOUN
commonwealth-489	75	4	are	be	AUX
commonwealth-489	75	5	:	:	PUNCT
commonwealth-489	75	6	first	first	ADV
commonwealth-489	75	7	,	,	PUNCT
commonwealth-489	75	8	that	that	SCONJ
commonwealth-489	75	9	the	the	DET
commonwealth-489	75	10	degree	degree	NOUN
commonwealth-489	75	11	of	of	ADP
commonwealth-489	75	12	state	state	NOUN
commonwealth-489	75	13	oversight	oversight	NOUN
commonwealth-489	75	14	and	and	CCONJ
commonwealth-489	75	15	the	the	DET
commonwealth-489	75	16	procedures	procedure	NOUN
commonwealth-489	75	17	used	use	VERB
commonwealth-489	75	18	for	for	ADP
commonwealth-489	75	19	oversight	oversight	NOUN
commonwealth-489	75	20	of	of	ADP
commonwealth-489	75	21	local	local	ADJ
commonwealth-489	75	22	budgets	budget	NOUN
commonwealth-489	75	23	and	and	CCONJ
commonwealth-489	75	24	programs	program	NOUN
commonwealth-489	75	25	are	be	AUX
commonwealth-489	75	26	related	relate	VERB
commonwealth-489	75	27	to	to	ADP
commonwealth-489	75	28	funding	funding	NOUN
commonwealth-489	75	29	levels	level	NOUN
commonwealth-489	75	30	;	;	PUNCT
commonwealth-489	75	31	second	second	X
commonwealth-489	75	32	,	,	PUNCT
commonwealth-489	75	33	an	an	DET
commonwealth-489	75	34	association	association	NOUN
commonwealth-489	75	35	between	between	ADP
commonwealth-489	75	36	service	service	NOUN
commonwealth-489	75	37	mandates	mandate	NOUN
commonwealth-489	75	38	on	on	ADP
commonwealth-489	75	39	lhds	lhds	NOUN
commonwealth-489	75	40	and	and	CCONJ
commonwealth-489	75	41	levels	level	NOUN
commonwealth-489	75	42	of	of	ADP
commonwealth-489	75	43	state	state	NOUN
commonwealth-489	75	44	funding	funding	NOUN
commonwealth-489	75	45	;	;	PUNCT
commonwealth-489	75	46	and	and	CCONJ
commonwealth-489	75	47	third	third	ADJ
commonwealth-489	75	48	,	,	PUNCT
commonwealth-489	75	49	state	state	NOUN
commonwealth-489	75	50	mandates	mandate	NOUN
commonwealth-489	75	51	for	for	ADP
commonwealth-489	75	52	local	local	ADJ
commonwealth-489	75	53	public	public	ADJ
commonwealth-489	75	54	health	health	NOUN
commonwealth-489	75	55	services	service	NOUN
commonwealth-489	75	56	appear	appear	VERB
commonwealth-489	75	57	typically	typically	ADV
commonwealth-489	75	58	to	to	PART
commonwealth-489	75	59	be	be	AUX
commonwealth-489	75	60	funded	fund	VERB
commonwealth-489	75	61	mandates	mandate	NOUN
commonwealth-489	75	62	(	(	PUNCT
commonwealth-489	75	63	potter	potter	NOUN
commonwealth-489	75	64	and	and	CCONJ
commonwealth-489	75	65	fitzpatrick	fitzpatrick	PROPN
commonwealth-489	75	66	2007	2007	NUM
commonwealth-489	75	67	)	)	PUNCT
commonwealth-489	75	68	.	.	PUNCT
commonwealth-489	76	1	in	in	ADP
commonwealth-489	76	2	pennsylvania	pennsylvania	PROPN
commonwealth-489	76	3	,	,	PUNCT
commonwealth-489	76	4	these	these	DET
commonwealth-489	76	5	trends	trend	NOUN
commonwealth-489	76	6	are	be	AUX
commonwealth-489	76	7	not	not	PART
commonwealth-489	76	8	present	present	ADJ
commonwealth-489	76	9	.	.	PUNCT
commonwealth-489	77	1	there	there	PRON
commonwealth-489	77	2	are	be	VERB
commonwealth-489	77	3	no	no	DET
commonwealth-489	77	4	mandates	mandate	NOUN
commonwealth-489	77	5	requiring	require	VERB
commonwealth-489	77	6	local	local	ADJ
commonwealth-489	77	7	governments	government	NOUN
commonwealth-489	77	8	to	to	PART
commonwealth-489	77	9	establish	establish	VERB
commonwealth-489	77	10	lhds	lhds	NOUN
commonwealth-489	77	11	,	,	PUNCT
commonwealth-489	77	12	however	however	ADV
commonwealth-489	77	13	,	,	PUNCT
commonwealth-489	77	14	if	if	SCONJ
commonwealth-489	77	15	locales	locale	NOUN
commonwealth-489	77	16	do	do	AUX
commonwealth-489	77	17	establish	establish	VERB
commonwealth-489	77	18	lhds	lhds	NOUN
commonwealth-489	77	19	,	,	PUNCT
commonwealth-489	77	20	there	there	PRON
commonwealth-489	77	21	are	be	VERB
commonwealth-489	77	22	service	service	NOUN
commonwealth-489	77	23	mandates	mandate	NOUN
commonwealth-489	77	24	,	,	PUNCT
commonwealth-489	77	25	but	but	CCONJ
commonwealth-489	77	26	the	the	DET
commonwealth-489	77	27	state	state	NOUN
commonwealth-489	77	28	funds	fund	NOUN
commonwealth-489	77	29	only	only	ADV
commonwealth-489	77	30	50	50	NUM
commonwealth-489	77	31	%	%	NOUN
commonwealth-489	77	32	of	of	ADP
commonwealth-489	77	33	the	the	DET
commonwealth-489	77	34	services	service	NOUN
commonwealth-489	77	35	.	.	PUNCT
commonwealth-489	78	1	overall	overall	ADV
commonwealth-489	78	2	,	,	PUNCT
commonwealth-489	78	3	the	the	DET
commonwealth-489	78	4	public	public	ADJ
commonwealth-489	78	5	health	health	NOUN
commonwealth-489	78	6	infrastructure	infrastructure	NOUN
commonwealth-489	78	7	in	in	ADP
commonwealth-489	78	8	pennsylvania	pennsylvania	PROPN
commonwealth-489	78	9	is	be	AUX
commonwealth-489	78	10	reliant	reliant	ADJ
commonwealth-489	78	11	on	on	ADP
commonwealth-489	78	12	local	local	ADJ
commonwealth-489	78	13	government	government	NOUN
commonwealth-489	78	14	to	to	PART
commonwealth-489	78	15	generate	generate	VERB
commonwealth-489	78	16	funds	fund	NOUN
commonwealth-489	78	17	or	or	CCONJ
commonwealth-489	78	18	identify	identify	VERB
commonwealth-489	78	19	funding	funding	NOUN
commonwealth-489	78	20	,	,	PUNCT
commonwealth-489	78	21	and	and	CCONJ
commonwealth-489	78	22	there	there	PRON
commonwealth-489	78	23	is	be	VERB
commonwealth-489	78	24	a	a	DET
commonwealth-489	78	25	fragmented	fragmented	ADJ
commonwealth-489	78	26	system	system	NOUN
commonwealth-489	78	27	depending	depend	VERB
commonwealth-489	78	28	upon	upon	SCONJ
commonwealth-489	78	29	whether	whether	SCONJ
commonwealth-489	78	30	or	or	CCONJ
commonwealth-489	78	31	not	not	PART
commonwealth-489	78	32	a	a	DET
commonwealth-489	78	33	county	county	NOUN
commonwealth-489	78	34	has	have	AUX
commonwealth-489	78	35	a	a	DET
commonwealth-489	78	36	lhd	lhd	PROPN
commonwealth-489	78	37	.	.	PROPN
commonwealth-489	78	38	methodology	methodology	NOUN
commonwealth-489	78	39	the	the	DET
commonwealth-489	78	40	project	project	NOUN
commonwealth-489	78	41	methodology	methodology	NOUN
commonwealth-489	78	42	is	be	AUX
commonwealth-489	78	43	divided	divide	VERB
commonwealth-489	78	44	into	into	ADP
commonwealth-489	78	45	three	three	NUM
commonwealth-489	78	46	general	general	ADJ
commonwealth-489	78	47	tasks	task	NOUN
commonwealth-489	78	48	–	–	PUNCT
commonwealth-489	78	49	data	datum	NOUN
commonwealth-489	78	50	gathering	gathering	NOUN
commonwealth-489	78	51	,	,	PUNCT
commonwealth-489	78	52	data	datum	NOUN
commonwealth-489	78	53	analysis	analysis	NOUN
commonwealth-489	78	54	,	,	PUNCT
commonwealth-489	78	55	and	and	CCONJ
commonwealth-489	78	56	modeling	modeling	NOUN
commonwealth-489	78	57	.	.	PUNCT
commonwealth-489	79	1	the	the	DET
commonwealth-489	79	2	first	first	ADJ
commonwealth-489	79	3	task	task	NOUN
commonwealth-489	79	4	was	be	AUX
commonwealth-489	79	5	acquisition	acquisition	NOUN
commonwealth-489	79	6	and	and	CCONJ
commonwealth-489	79	7	preparation	preparation	NOUN
commonwealth-489	79	8	of	of	ADP
commonwealth-489	79	9	the	the	DET
commonwealth-489	79	10	data	datum	NOUN
commonwealth-489	79	11	.	.	PUNCT
commonwealth-489	80	1	twelve	twelve	NUM
commonwealth-489	80	2	rural	rural	ADJ
commonwealth-489	80	3	counties	county	NOUN
commonwealth-489	80	4	without	without	ADP
commonwealth-489	80	5	a	a	DET
commonwealth-489	80	6	lhd	lhd	NOUN
commonwealth-489	80	7	that	that	PRON
commonwealth-489	80	8	were	be	AUX
commonwealth-489	80	9	most	most	ADV
commonwealth-489	80	10	similar	similar	ADJ
commonwealth-489	80	11	to	to	ADP
commonwealth-489	80	12	counties	county	NOUN
commonwealth-489	80	13	with	with	ADP
commonwealth-489	80	14	lhds	lhds	NOUN
commonwealth-489	80	15	were	be	AUX
commonwealth-489	80	16	purposefully	purposefully	ADV
commonwealth-489	80	17	sampled	sample	VERB
commonwealth-489	80	18	(	(	PUNCT
commonwealth-489	80	19	table	table	NOUN
commonwealth-489	80	20	alberto	alberto	PROPN
commonwealth-489	80	21	j.f	j.f	PROPN
commonwealth-489	80	22	.	.	PROPN
commonwealth-489	80	23	cardelle	cardelle	PROPN
commonwealth-489	80	24	105	105	NUM
commonwealth-489	80	25	1	1	NUM
commonwealth-489	80	26	)	)	PUNCT
commonwealth-489	80	27	.	.	PUNCT
commonwealth-489	81	1	the	the	DET
commonwealth-489	81	2	42	42	NUM
commonwealth-489	81	3	rural	rural	ADJ
commonwealth-489	81	4	counties	county	NOUN
commonwealth-489	81	5	in	in	ADP
commonwealth-489	81	6	the	the	DET
commonwealth-489	81	7	state	state	NOUN
commonwealth-489	81	8	were	be	AUX
commonwealth-489	81	9	grouped	group	VERB
commonwealth-489	81	10	by	by	ADP
commonwealth-489	81	11	health	health	NOUN
commonwealth-489	81	12	district	district	NOUN
commonwealth-489	81	13	.	.	PUNCT
commonwealth-489	82	1	the	the	DET
commonwealth-489	82	2	counties	county	NOUN
commonwealth-489	82	3	were	be	AUX
commonwealth-489	82	4	then	then	ADV
commonwealth-489	82	5	stratified	stratify	VERB
commonwealth-489	82	6	by	by	ADP
commonwealth-489	82	7	income	income	NOUN
commonwealth-489	82	8	,	,	PUNCT
commonwealth-489	82	9	population	population	NOUN
commonwealth-489	82	10	density	density	NOUN
commonwealth-489	82	11	,	,	PUNCT
commonwealth-489	82	12	and	and	CCONJ
commonwealth-489	82	13	poverty	poverty	NOUN
commonwealth-489	82	14	rates	rate	NOUN
commonwealth-489	82	15	.	.	PUNCT
commonwealth-489	83	1	three	three	NUM
commonwealth-489	83	2	counties	county	NOUN
commonwealth-489	83	3	from	from	ADP
commonwealth-489	83	4	four	four	NUM
commonwealth-489	83	5	of	of	ADP
commonwealth-489	83	6	the	the	DET
commonwealth-489	83	7	six	six	NUM
commonwealth-489	83	8	health	health	NOUN
commonwealth-489	83	9	districts	district	NOUN
commonwealth-489	83	10	were	be	AUX
commonwealth-489	83	11	selected	select	VERB
commonwealth-489	83	12	.	.	PUNCT
commonwealth-489	84	1	the	the	DET
commonwealth-489	84	2	southeast	southeast	PROPN
commonwealth-489	84	3	health	health	PROPN
commonwealth-489	84	4	district	district	NOUN
commonwealth-489	84	5	was	be	AUX
commonwealth-489	84	6	not	not	PART
commonwealth-489	84	7	used	use	VERB
commonwealth-489	84	8	because	because	SCONJ
commonwealth-489	84	9	it	it	PRON
commonwealth-489	84	10	includes	include	VERB
commonwealth-489	84	11	only	only	ADV
commonwealth-489	84	12	one	one	NUM
commonwealth-489	84	13	rural	rural	ADJ
commonwealth-489	84	14	county	county	NOUN
commonwealth-489	84	15	,	,	PUNCT
commonwealth-489	84	16	and	and	CCONJ
commonwealth-489	84	17	the	the	DET
commonwealth-489	84	18	southwest	southwest	PROPN
commonwealth-489	84	19	health	health	NOUN
commonwealth-489	84	20	district	district	NOUN
commonwealth-489	84	21	was	be	AUX
commonwealth-489	84	22	not	not	PART
commonwealth-489	84	23	sampled	sample	VERB
commonwealth-489	84	24	because	because	SCONJ
commonwealth-489	84	25	it	it	PRON
commonwealth-489	84	26	had	have	VERB
commonwealth-489	84	27	an	an	DET
commonwealth-489	84	28	unrepresentative	unrepresentative	ADJ
commonwealth-489	84	29	population	population	NOUN
commonwealth-489	84	30	density	density	NOUN
commonwealth-489	84	31	level	level	NOUN
commonwealth-489	84	32	among	among	ADP
commonwealth-489	84	33	its	its	PRON
commonwealth-489	84	34	rural	rural	ADJ
commonwealth-489	84	35	counties	county	NOUN
commonwealth-489	84	36	.	.	PUNCT
commonwealth-489	85	1	three	three	NUM
commonwealth-489	85	2	counties	county	NOUN
commonwealth-489	85	3	from	from	ADP
commonwealth-489	85	4	the	the	DET
commonwealth-489	85	5	remaining	remain	VERB
commonwealth-489	85	6	four	four	NUM
commonwealth-489	85	7	districts	district	NOUN
commonwealth-489	85	8	were	be	AUX
commonwealth-489	85	9	sampled	sample	VERB
commonwealth-489	85	10	,	,	PUNCT
commonwealth-489	85	11	using	use	VERB
commonwealth-489	85	12	counties	county	NOUN
commonwealth-489	85	13	that	that	PRON
commonwealth-489	85	14	were	be	AUX
commonwealth-489	85	15	most	most	ADV
commonwealth-489	85	16	similar	similar	ADJ
commonwealth-489	85	17	with	with	ADP
commonwealth-489	85	18	regard	regard	NOUN
commonwealth-489	85	19	to	to	ADP
commonwealth-489	85	20	the	the	DET
commonwealth-489	85	21	mean	mean	ADJ
commonwealth-489	85	22	income	income	NOUN
commonwealth-489	85	23	,	,	PUNCT
commonwealth-489	85	24	population	population	NOUN
commonwealth-489	85	25	density	density	NOUN
commonwealth-489	85	26	,	,	PUNCT
commonwealth-489	85	27	and	and	CCONJ
commonwealth-489	85	28	poverty	poverty	NOUN
commonwealth-489	85	29	rate	rate	NOUN
commonwealth-489	85	30	of	of	ADP
commonwealth-489	85	31	the	the	DET
commonwealth-489	85	32	counties	county	NOUN
commonwealth-489	85	33	with	with	ADP
commonwealth-489	85	34	lhds	lhds	PROPN
commonwealth-489	85	35	.	.	PUNCT
commonwealth-489	86	1	table	table	NOUN
commonwealth-489	86	2	1	1	NUM
commonwealth-489	86	3	:	:	PUNCT
commonwealth-489	86	4	sampled	sample	VERB
commonwealth-489	86	5	counties	county	NOUN
commonwealth-489	86	6	health	health	PROPN
commonwealth-489	86	7	district	district	PROPN
commonwealth-489	86	8	county	county	PROPN
commonwealth-489	86	9	northwest	northwest	PROPN
commonwealth-489	86	10	mckean	mckean	PROPN
commonwealth-489	86	11	clarion	clarion	PROPN
commonwealth-489	86	12	jefferson	jefferson	PROPN
commonwealth-489	87	1	northcentral	northcentral	PROPN
commonwealth-489	87	2	bradford	bradford	PROPN
commonwealth-489	87	3	snyder	snyder	PROPN
commonwealth-489	87	4	tioga	tioga	PROPN
commonwealth-489	87	5	northeast	northeast	PROPN
commonwealth-489	87	6	monroe	monroe	PROPN
commonwealth-489	87	7	susquehanna	susquehanna	PROPN
commonwealth-489	87	8	wyoming	wyoming	PROPN
commonwealth-489	87	9	southcentral	southcentral	PROPN
commonwealth-489	87	10	mifflin	mifflin	PROPN
commonwealth-489	87	11	fulton	fulton	PROPN
commonwealth-489	87	12	juniata	juniata	PROPN
commonwealth-489	87	13	the	the	DET
commonwealth-489	87	14	2003	2003	NUM
commonwealth-489	87	15	-	-	SYM
commonwealth-489	87	16	04	04	NUM
commonwealth-489	87	17	budgets	budget	NOUN
commonwealth-489	87	18	from	from	ADP
commonwealth-489	87	19	the	the	DET
commonwealth-489	87	20	sampled	sample	VERB
commonwealth-489	87	21	counties	county	NOUN
commonwealth-489	87	22	,	,	PUNCT
commonwealth-489	87	23	as	as	ADV
commonwealth-489	87	24	well	well	ADV
commonwealth-489	87	25	as	as	ADP
commonwealth-489	87	26	the	the	DET
commonwealth-489	87	27	budgets	budget	NOUN
commonwealth-489	87	28	from	from	ADP
commonwealth-489	87	29	the	the	DET
commonwealth-489	87	30	counties	county	NOUN
commonwealth-489	87	31	and	and	CCONJ
commonwealth-489	87	32	municipalities	municipality	NOUN
commonwealth-489	87	33	with	with	ADP
commonwealth-489	87	34	existing	exist	VERB
commonwealth-489	87	35	lhds	lhds	NOUN
commonwealth-489	87	36	,	,	PUNCT
commonwealth-489	87	37	were	be	AUX
commonwealth-489	87	38	collected	collect	VERB
commonwealth-489	87	39	.	.	PUNCT
commonwealth-489	88	1	legislative	legislative	ADJ
commonwealth-489	88	2	language	language	NOUN
commonwealth-489	88	3	of	of	ADP
commonwealth-489	88	4	act	act	NOUN
commonwealth-489	88	5	315	315	NUM
commonwealth-489	88	6	and	and	CCONJ
commonwealth-489	88	7	act	act	VERB
commonwealth-489	88	8	12	12	NUM
commonwealth-489	88	9	and	and	CCONJ
commonwealth-489	88	10	the	the	DET
commonwealth-489	88	11	pennsylvania	pennsylvania	PROPN
commonwealth-489	88	12	code	code	PROPN
commonwealth-489	88	13	guiding	guide	VERB
commonwealth-489	88	14	the	the	DET
commonwealth-489	88	15	establishment	establishment	NOUN
commonwealth-489	88	16	of	of	ADP
commonwealth-489	88	17	lhds	lhds	NOUN
commonwealth-489	88	18	were	be	AUX
commonwealth-489	88	19	gathered	gather	VERB
commonwealth-489	88	20	.	.	PUNCT
commonwealth-489	89	1	policymakers	policymaker	NOUN
commonwealth-489	89	2	from	from	ADP
commonwealth-489	89	3	all	all	DET
commonwealth-489	89	4	counties	county	NOUN
commonwealth-489	89	5	with	with	ADP
commonwealth-489	89	6	lhds	lhds	NOUN
commonwealth-489	89	7	and	and	CCONJ
commonwealth-489	89	8	from	from	ADP
commonwealth-489	89	9	the	the	DET
commonwealth-489	89	10	pennsylvania	pennsylvania	PROPN
commonwealth-489	89	11	department	department	PROPN
commonwealth-489	89	12	of	of	ADP
commonwealth-489	89	13	health	health	NOUN
commonwealth-489	89	14	were	be	AUX
commonwealth-489	89	15	interviewed	interview	VERB
commonwealth-489	89	16	.	.	PUNCT
commonwealth-489	90	1	in	in	ADP
commonwealth-489	90	2	addition	addition	NOUN
commonwealth-489	90	3	,	,	PUNCT
commonwealth-489	90	4	a	a	DET
commonwealth-489	90	5	purposeful	purposeful	ADJ
commonwealth-489	90	6	sample6	sample6	NOUN
commonwealth-489	90	7	of	of	ADP
commonwealth-489	90	8	policymakers	policymaker	NOUN
commonwealth-489	90	9	of	of	ADP
commonwealth-489	90	10	the	the	DET
commonwealth-489	90	11	sampled	sample	VERB
commonwealth-489	90	12	counties	county	NOUN
commonwealth-489	90	13	was	be	AUX
commonwealth-489	90	14	interviewed	interview	VERB
commonwealth-489	90	15	.	.	PUNCT
commonwealth-489	91	1	the	the	DET
commonwealth-489	91	2	data	data	NOUN
commonwealth-489	91	3	analysis	analysis	NOUN
commonwealth-489	91	4	consisted	consist	VERB
commonwealth-489	91	5	of	of	ADP
commonwealth-489	91	6	analyzing	analyze	VERB
commonwealth-489	91	7	the	the	DET
commonwealth-489	91	8	mandated	mandate	VERB
commonwealth-489	91	9	financial	financial	ADJ
commonwealth-489	91	10	requirements	requirement	NOUN
commonwealth-489	91	11	of	of	ADP
commonwealth-489	91	12	the	the	DET
commonwealth-489	91	13	legislation	legislation	NOUN
commonwealth-489	91	14	.	.	PUNCT
commonwealth-489	92	1	the	the	DET
commonwealth-489	92	2	financial	financial	ADJ
commonwealth-489	92	3	statements	statement	NOUN
commonwealth-489	92	4	of	of	ADP
commonwealth-489	92	5	counties	county	NOUN
commonwealth-489	92	6	and	and	CCONJ
commonwealth-489	92	7	6the	6the	PRON
commonwealth-489	92	8	sample	sample	NOUN
commonwealth-489	92	9	consisted	consist	VERB
commonwealth-489	92	10	of	of	ADP
commonwealth-489	92	11	policymakers	policymaker	NOUN
commonwealth-489	92	12	who	who	PRON
commonwealth-489	92	13	agreed	agree	VERB
commonwealth-489	92	14	to	to	PART
commonwealth-489	92	15	speak	speak	VERB
commonwealth-489	92	16	to	to	ADP
commonwealth-489	92	17	the	the	DET
commonwealth-489	92	18	project	project	NOUN
commonwealth-489	92	19	researchers	researcher	NOUN
commonwealth-489	92	20	and	and	CCONJ
commonwealth-489	92	21	who	who	PRON
commonwealth-489	92	22	felt	feel	VERB
commonwealth-489	92	23	they	they	PRON
commonwealth-489	92	24	had	have	VERB
commonwealth-489	92	25	enough	enough	ADJ
commonwealth-489	92	26	information	information	NOUN
commonwealth-489	92	27	on	on	ADP
commonwealth-489	92	28	the	the	DET
commonwealth-489	92	29	process	process	NOUN
commonwealth-489	92	30	.	.	PUNCT
commonwealth-489	93	1	106	106	NUM
commonwealth-489	93	2	financial	financial	ADJ
commonwealth-489	93	3	analysis	analysis	NOUN
commonwealth-489	93	4	and	and	CCONJ
commonwealth-489	93	5	structural	structural	ADJ
commonwealth-489	93	6	considerations	consideration	NOUN
commonwealth-489	93	7	to	to	ADP
commonwealth-489	93	8	the	the	DET
commonwealth-489	93	9	problem	problem	NOUN
commonwealth-489	93	10	of	of	ADP
commonwealth-489	93	11	rural	rural	ADJ
commonwealth-489	93	12	public	public	ADJ
commonwealth-489	93	13	health	health	NOUN
commonwealth-489	93	14	in	in	ADP
commonwealth-489	93	15	pennsylvania	pennsylvania	PROPN
commonwealth-489	93	16	the	the	DET
commonwealth-489	93	17	existing	exist	VERB
commonwealth-489	93	18	lhds	lhds	NOUN
commonwealth-489	93	19	were	be	AUX
commonwealth-489	93	20	analyzed	analyze	VERB
commonwealth-489	93	21	in	in	ADP
commonwealth-489	93	22	order	order	NOUN
commonwealth-489	93	23	to	to	PART
commonwealth-489	93	24	determine	determine	VERB
commonwealth-489	93	25	the	the	DET
commonwealth-489	93	26	prototypical	prototypical	ADJ
commonwealth-489	93	27	balance	balance	NOUN
commonwealth-489	93	28	sheets	sheet	NOUN
commonwealth-489	93	29	,	,	PUNCT
commonwealth-489	93	30	revenue	revenue	NOUN
commonwealth-489	93	31	streams	stream	NOUN
commonwealth-489	93	32	and	and	CCONJ
commonwealth-489	93	33	expense	expense	NOUN
commonwealth-489	93	34	categories	category	NOUN
commonwealth-489	93	35	.	.	PUNCT
commonwealth-489	94	1	the	the	DET
commonwealth-489	94	2	financial	financial	ADJ
commonwealth-489	94	3	statements	statement	NOUN
commonwealth-489	94	4	were	be	AUX
commonwealth-489	94	5	also	also	ADV
commonwealth-489	94	6	analyzed	analyze	VERB
commonwealth-489	94	7	to	to	PART
commonwealth-489	94	8	identify	identify	VERB
commonwealth-489	94	9	the	the	DET
commonwealth-489	94	10	key	key	ADJ
commonwealth-489	94	11	cost	cost	NOUN
commonwealth-489	94	12	drivers	driver	NOUN
commonwealth-489	94	13	(	(	PUNCT
commonwealth-489	94	14	per	per	ADP
commonwealth-489	94	15	capita	capita	NOUN
commonwealth-489	94	16	,	,	PUNCT
commonwealth-489	94	17	per	per	ADP
commonwealth-489	94	18	services	service	NOUN
commonwealth-489	94	19	,	,	PUNCT
commonwealth-489	94	20	or	or	CCONJ
commonwealth-489	94	21	personnel	personnel	NOUN
commonwealth-489	94	22	)	)	PUNCT
commonwealth-489	94	23	.	.	PUNCT
commonwealth-489	95	1	forecasted	forecast	VERB
commonwealth-489	95	2	revenues	revenue	NOUN
commonwealth-489	95	3	were	be	AUX
commonwealth-489	95	4	calculated	calculate	VERB
commonwealth-489	95	5	by	by	ADP
commonwealth-489	95	6	using	use	VERB
commonwealth-489	95	7	the	the	DET
commonwealth-489	95	8	total	total	ADJ
commonwealth-489	95	9	population	population	NOUN
commonwealth-489	95	10	to	to	PART
commonwealth-489	95	11	be	be	AUX
commonwealth-489	95	12	served	serve	VERB
commonwealth-489	95	13	as	as	ADP
commonwealth-489	95	14	a	a	DET
commonwealth-489	95	15	multiplier	multipli	ADJ
commonwealth-489	95	16	for	for	ADP
commonwealth-489	95	17	all	all	DET
commonwealth-489	95	18	potential	potential	ADJ
commonwealth-489	95	19	revenue	revenue	NOUN
commonwealth-489	95	20	sources	source	NOUN
commonwealth-489	95	21	.	.	PUNCT
commonwealth-489	96	1	in	in	ADP
commonwealth-489	96	2	addition	addition	NOUN
commonwealth-489	96	3	,	,	PUNCT
commonwealth-489	96	4	the	the	DET
commonwealth-489	96	5	percent	percent	NOUN
commonwealth-489	96	6	of	of	ADP
commonwealth-489	96	7	the	the	DET
commonwealth-489	96	8	population	population	NOUN
commonwealth-489	96	9	living	live	VERB
commonwealth-489	96	10	below	below	ADP
commonwealth-489	96	11	poverty	poverty	NOUN
commonwealth-489	96	12	was	be	AUX
commonwealth-489	96	13	used	use	VERB
commonwealth-489	96	14	to	to	PART
commonwealth-489	96	15	determine	determine	VERB
commonwealth-489	96	16	categorical	categorical	ADJ
commonwealth-489	96	17	grant	grant	NOUN
commonwealth-489	96	18	revenue	revenue	NOUN
commonwealth-489	96	19	since	since	SCONJ
commonwealth-489	96	20	levels	level	NOUN
commonwealth-489	96	21	of	of	ADP
commonwealth-489	96	22	poverty	poverty	NOUN
commonwealth-489	96	23	are	be	AUX
commonwealth-489	96	24	a	a	DET
commonwealth-489	96	25	significant	significant	ADJ
commonwealth-489	96	26	categorical	categorical	ADJ
commonwealth-489	96	27	grant	grant	NOUN
commonwealth-489	96	28	revenue	revenue	NOUN
commonwealth-489	96	29	driver	driver	NOUN
commonwealth-489	96	30	,	,	PUNCT
commonwealth-489	96	31	and	and	CCONJ
commonwealth-489	96	32	the	the	DET
commonwealth-489	96	33	grant	grant	NOUN
commonwealth-489	96	34	revenues	revenue	NOUN
commonwealth-489	96	35	were	be	AUX
commonwealth-489	96	36	forecasted	forecast	VERB
commonwealth-489	96	37	by	by	ADP
commonwealth-489	96	38	giving	give	VERB
commonwealth-489	96	39	both	both	DET
commonwealth-489	96	40	factors	factor	NOUN
commonwealth-489	96	41	(	(	PUNCT
commonwealth-489	96	42	population	population	NOUN
commonwealth-489	96	43	and	and	CCONJ
commonwealth-489	96	44	poverty	poverty	NOUN
commonwealth-489	96	45	level	level	NOUN
commonwealth-489	96	46	)	)	PUNCT
commonwealth-489	96	47	equal	equal	ADJ
commonwealth-489	96	48	weight	weight	NOUN
commonwealth-489	96	49	.	.	PUNCT
commonwealth-489	97	1	the	the	DET
commonwealth-489	97	2	expenses	expense	NOUN
commonwealth-489	97	3	were	be	AUX
commonwealth-489	97	4	forecasted	forecast	VERB
commonwealth-489	97	5	by	by	ADP
commonwealth-489	97	6	categories	category	NOUN
commonwealth-489	97	7	.	.	PUNCT
commonwealth-489	98	1	these	these	DET
commonwealth-489	98	2	figures	figure	NOUN
commonwealth-489	98	3	were	be	AUX
commonwealth-489	98	4	forecasted	forecast	VERB
commonwealth-489	98	5	using	use	VERB
commonwealth-489	98	6	population	population	NOUN
commonwealth-489	98	7	and	and	CCONJ
commonwealth-489	98	8	land	land	NOUN
commonwealth-489	98	9	area	area	NOUN
commonwealth-489	98	10	covered	cover	VERB
commonwealth-489	98	11	,	,	PUNCT
commonwealth-489	98	12	and	and	CCONJ
commonwealth-489	98	13	medically	medically	ADV
commonwealth-489	98	14	underserved	underserved	ADJ
commonwealth-489	98	15	areas	area	NOUN
commonwealth-489	98	16	.	.	PUNCT
commonwealth-489	99	1	population	population	NOUN
commonwealth-489	99	2	and	and	CCONJ
commonwealth-489	99	3	land	land	NOUN
commonwealth-489	99	4	area	area	NOUN
commonwealth-489	99	5	to	to	PART
commonwealth-489	99	6	be	be	AUX
commonwealth-489	99	7	covered	cover	VERB
commonwealth-489	99	8	were	be	AUX
commonwealth-489	99	9	used	use	VERB
commonwealth-489	99	10	to	to	PART
commonwealth-489	99	11	forecast	forecast	VERB
commonwealth-489	99	12	all	all	PRON
commonwealth-489	99	13	of	of	ADP
commonwealth-489	99	14	the	the	DET
commonwealth-489	99	15	expense	expense	NOUN
commonwealth-489	99	16	categories	category	NOUN
commonwealth-489	99	17	.	.	PUNCT
commonwealth-489	100	1	underserved	underserved	ADJ
commonwealth-489	100	2	areas	area	NOUN
commonwealth-489	100	3	were	be	AUX
commonwealth-489	100	4	used	use	VERB
commonwealth-489	100	5	to	to	PART
commonwealth-489	100	6	forecast	forecast	VERB
commonwealth-489	100	7	personal	personal	ADJ
commonwealth-489	100	8	health	health	NOUN
commonwealth-489	100	9	expenses	expense	NOUN
commonwealth-489	100	10	since	since	SCONJ
commonwealth-489	100	11	the	the	DET
commonwealth-489	100	12	availability	availability	NOUN
commonwealth-489	100	13	of	of	ADP
commonwealth-489	100	14	primary	primary	ADJ
commonwealth-489	100	15	care	care	NOUN
commonwealth-489	100	16	was	be	AUX
commonwealth-489	100	17	a	a	DET
commonwealth-489	100	18	significant	significant	ADJ
commonwealth-489	100	19	cost	cost	NOUN
commonwealth-489	100	20	driver	driver	NOUN
commonwealth-489	100	21	of	of	ADP
commonwealth-489	100	22	personal	personal	ADJ
commonwealth-489	100	23	health	health	NOUN
commonwealth-489	100	24	expenses	expense	NOUN
commonwealth-489	100	25	.	.	PUNCT
commonwealth-489	101	1	finally	finally	ADV
commonwealth-489	101	2	,	,	PUNCT
commonwealth-489	101	3	the	the	DET
commonwealth-489	101	4	organizational	organizational	ADJ
commonwealth-489	101	5	structures	structure	NOUN
commonwealth-489	101	6	of	of	ADP
commonwealth-489	101	7	the	the	DET
commonwealth-489	101	8	existing	exist	VERB
commonwealth-489	101	9	lhds	lhds	NOUN
commonwealth-489	101	10	were	be	AUX
commonwealth-489	101	11	analyzed	analyze	VERB
commonwealth-489	101	12	,	,	PUNCT
commonwealth-489	101	13	and	and	CCONJ
commonwealth-489	101	14	a	a	DET
commonwealth-489	101	15	prototypical	prototypical	ADJ
commonwealth-489	101	16	organizational	organizational	ADJ
commonwealth-489	101	17	structure	structure	NOUN
commonwealth-489	101	18	(	(	PUNCT
commonwealth-489	101	19	personnel	personnel	NOUN
commonwealth-489	101	20	,	,	PUNCT
commonwealth-489	101	21	programmatic	programmatic	ADJ
commonwealth-489	101	22	,	,	PUNCT
commonwealth-489	101	23	and	and	CCONJ
commonwealth-489	101	24	decision	decision	NOUN
commonwealth-489	101	25	-	-	PUNCT
commonwealth-489	101	26	making	making	NOUN
commonwealth-489	101	27	)	)	PUNCT
commonwealth-489	101	28	was	be	AUX
commonwealth-489	101	29	developed	develop	VERB
commonwealth-489	101	30	.	.	PUNCT
commonwealth-489	102	1	the	the	DET
commonwealth-489	102	2	final	final	ADJ
commonwealth-489	102	3	step	step	NOUN
commonwealth-489	102	4	,	,	PUNCT
commonwealth-489	102	5	the	the	DET
commonwealth-489	102	6	modeling	modeling	NOUN
commonwealth-489	102	7	process	process	NOUN
commonwealth-489	102	8	,	,	PUNCT
commonwealth-489	102	9	included	include	VERB
commonwealth-489	102	10	the	the	DET
commonwealth-489	102	11	creation	creation	NOUN
commonwealth-489	102	12	of	of	ADP
commonwealth-489	102	13	an	an	DET
commonwealth-489	102	14	organizational	organizational	ADJ
commonwealth-489	102	15	,	,	PUNCT
commonwealth-489	102	16	programmatic	programmatic	ADJ
commonwealth-489	102	17	,	,	PUNCT
commonwealth-489	102	18	and	and	CCONJ
commonwealth-489	102	19	budget	budget	NOUN
commonwealth-489	102	20	structure	structure	NOUN
commonwealth-489	102	21	for	for	ADP
commonwealth-489	102	22	a	a	DET
commonwealth-489	102	23	prototypical	prototypical	ADJ
commonwealth-489	102	24	single	single	ADJ
commonwealth-489	102	25	county	county	NOUN
commonwealth-489	102	26	health	health	NOUN
commonwealth-489	102	27	department	department	PROPN
commonwealth-489	102	28	adequate	adequate	ADJ
commonwealth-489	102	29	for	for	ADP
commonwealth-489	102	30	three	three	NUM
commonwealth-489	102	31	of	of	ADP
commonwealth-489	102	32	the	the	DET
commonwealth-489	102	33	sampled	sample	VERB
commonwealth-489	102	34	counties	county	NOUN
commonwealth-489	102	35	,	,	PUNCT
commonwealth-489	102	36	for	for	ADP
commonwealth-489	102	37	two	two	NUM
commonwealth-489	102	38	bicounty	bicounty	ADJ
commonwealth-489	102	39	lhds	lhds	NOUN
commonwealth-489	102	40	(	(	PUNCT
commonwealth-489	102	41	four	four	NUM
commonwealth-489	102	42	counties	county	NOUN
commonwealth-489	102	43	)	)	PUNCT
commonwealth-489	102	44	,	,	PUNCT
commonwealth-489	102	45	and	and	CCONJ
commonwealth-489	102	46	two	two	NUM
commonwealth-489	102	47	tri	tri	ADJ
commonwealth-489	102	48	-	-	ADJ
commonwealth-489	102	49	county	county	NOUN
commonwealth-489	102	50	lhds	lhds	NOUN
commonwealth-489	102	51	(	(	PUNCT
commonwealth-489	102	52	six	six	NUM
commonwealth-489	102	53	counties	county	NOUN
commonwealth-489	102	54	)	)	PUNCT
commonwealth-489	102	55	.	.	PUNCT
commonwealth-489	103	1	based	base	VERB
commonwealth-489	103	2	on	on	ADP
commonwealth-489	103	3	these	these	DET
commonwealth-489	103	4	structures	structure	NOUN
commonwealth-489	103	5	,	,	PUNCT
commonwealth-489	103	6	which	which	PRON
commonwealth-489	103	7	provide	provide	VERB
commonwealth-489	103	8	a	a	DET
commonwealth-489	103	9	more	more	ADV
commonwealth-489	103	10	specific	specific	ADJ
commonwealth-489	103	11	expense	expense	NOUN
commonwealth-489	103	12	structure	structure	NOUN
commonwealth-489	103	13	,	,	PUNCT
commonwealth-489	103	14	reconciled	reconcile	VERB
commonwealth-489	103	15	expense	expense	NOUN
commonwealth-489	103	16	budgets	budget	NOUN
commonwealth-489	103	17	for	for	ADP
commonwealth-489	103	18	each	each	DET
commonwealth-489	103	19	model	model	NOUN
commonwealth-489	103	20	were	be	AUX
commonwealth-489	103	21	developed	develop	VERB
commonwealth-489	103	22	.	.	PUNCT
commonwealth-489	104	1	financial	financial	ADJ
commonwealth-489	104	2	requirements	requirement	NOUN
commonwealth-489	104	3	of	of	ADP
commonwealth-489	104	4	act	act	NOUN
commonwealth-489	104	5	315	315	NUM
commonwealth-489	104	6	and	and	CCONJ
commonwealth-489	104	7	act	act	VERB
commonwealth-489	104	8	12	12	NUM
commonwealth-489	104	9	according	accord	VERB
commonwealth-489	104	10	to	to	PART
commonwealth-489	104	11	act	act	VERB
commonwealth-489	104	12	315	315	NUM
commonwealth-489	104	13	,	,	PUNCT
commonwealth-489	104	14	the	the	DET
commonwealth-489	104	15	secretary	secretary	PROPN
commonwealth-489	104	16	of	of	ADP
commonwealth-489	104	17	health	health	PROPN
commonwealth-489	104	18	annually	annually	ADV
commonwealth-489	104	19	computes	compute	VERB
commonwealth-489	104	20	the	the	DET
commonwealth-489	104	21	disbursement	disbursement	NOUN
commonwealth-489	104	22	to	to	PART
commonwealth-489	104	23	lhds	lhds	AUX
commonwealth-489	104	24	based	base	VERB
commonwealth-489	104	25	on	on	ADP
commonwealth-489	104	26	lhds	lhds	NOUN
commonwealth-489	104	27	’	'	PUNCT
commonwealth-489	104	28	eligible	eligible	ADJ
commonwealth-489	104	29	public	public	ADJ
commonwealth-489	104	30	health	health	NOUN
commonwealth-489	104	31	expenditures	expenditure	NOUN
commonwealth-489	104	32	.	.	PUNCT
commonwealth-489	105	1	the	the	DET
commonwealth-489	105	2	state	state	NOUN
commonwealth-489	105	3	’s	’s	PART
commonwealth-489	105	4	315	315	NUM
commonwealth-489	105	5	disbursement	disbursement	NOUN
commonwealth-489	105	6	provides	provide	VERB
commonwealth-489	105	7	lhds	lhds	NOUN
commonwealth-489	105	8	with	with	ADP
commonwealth-489	105	9	50	50	NUM
commonwealth-489	105	10	%	%	NOUN
commonwealth-489	105	11	of	of	ADP
commonwealth-489	105	12	the	the	DET
commonwealth-489	105	13	funding	funding	NOUN
commonwealth-489	105	14	of	of	ADP
commonwealth-489	105	15	all	all	DET
commonwealth-489	105	16	expenditures	expenditure	NOUN
commonwealth-489	105	17	that	that	PRON
commonwealth-489	105	18	are	be	AUX
commonwealth-489	105	19	public	public	ADJ
commonwealth-489	105	20	health	health	NOUN
commonwealth-489	105	21	related	relate	VERB
commonwealth-489	105	22	and	and	CCONJ
commonwealth-489	105	23	not	not	PART
commonwealth-489	105	24	paid	pay	VERB
commonwealth-489	105	25	for	for	ADP
commonwealth-489	105	26	out	out	ADP
commonwealth-489	105	27	of	of	ADP
commonwealth-489	105	28	any	any	DET
commonwealth-489	105	29	special	special	ADJ
commonwealth-489	105	30	grants	grant	NOUN
commonwealth-489	105	31	received	receive	VERB
commonwealth-489	105	32	from	from	ADP
commonwealth-489	105	33	the	the	DET
commonwealth-489	105	34	state	state	NOUN
commonwealth-489	105	35	or	or	CCONJ
commonwealth-489	105	36	the	the	DET
commonwealth-489	105	37	federal	federal	ADJ
commonwealth-489	105	38	government	government	NOUN
commonwealth-489	105	39	.	.	PUNCT
commonwealth-489	106	1	lhds	lhds	NOUN
commonwealth-489	106	2	will	will	AUX
commonwealth-489	106	3	also	also	ADV
commonwealth-489	106	4	receive	receive	VERB
commonwealth-489	106	5	a	a	DET
commonwealth-489	106	6	disbursement	disbursement	NOUN
commonwealth-489	106	7	$	$	SYM
commonwealth-489	106	8	1.50	1.50	NUM
commonwealth-489	106	9	per	per	ADP
commonwealth-489	106	10	capita	capita	NOUN
commonwealth-489	106	11	from	from	ADP
commonwealth-489	106	12	act	act	NOUN
commonwealth-489	106	13	12	12	NUM
commonwealth-489	106	14	for	for	ADP
commonwealth-489	106	15	environmental	environmental	ADJ
commonwealth-489	106	16	health	health	NOUN
commonwealth-489	106	17	services	service	NOUN
commonwealth-489	106	18	.	.	PUNCT
commonwealth-489	107	1	there	there	PRON
commonwealth-489	107	2	is	be	VERB
commonwealth-489	107	3	no	no	DET
commonwealth-489	107	4	required	required	ADJ
commonwealth-489	107	5	match	match	NOUN
commonwealth-489	107	6	of	of	ADP
commonwealth-489	107	7	local	local	ADJ
commonwealth-489	107	8	funds	fund	NOUN
commonwealth-489	107	9	for	for	ADP
commonwealth-489	107	10	funds	fund	NOUN
commonwealth-489	107	11	drawn	draw	VERB
commonwealth-489	107	12	down	down	ADP
commonwealth-489	107	13	through	through	ADP
commonwealth-489	107	14	act	act	NOUN
commonwealth-489	107	15	12	12	NUM
commonwealth-489	107	16	.	.	PUNCT
commonwealth-489	108	1	alberto	alberto	PROPN
commonwealth-489	108	2	j.f	j.f	PROPN
commonwealth-489	108	3	.	.	PROPN
commonwealth-489	108	4	cardelle	cardelle	PROPN
commonwealth-489	108	5	107	107	NUM
commonwealth-489	108	6	as	as	ADP
commonwealth-489	108	7	table	table	NOUN
commonwealth-489	108	8	2	2	NUM
commonwealth-489	108	9	demonstrates	demonstrate	NOUN
commonwealth-489	108	10	,	,	PUNCT
commonwealth-489	108	11	the	the	DET
commonwealth-489	108	12	revenue	revenue	NOUN
commonwealth-489	108	13	structure	structure	NOUN
commonwealth-489	108	14	of	of	ADP
commonwealth-489	108	15	existing	exist	VERB
commonwealth-489	108	16	lhds	lhds	NOUN
commonwealth-489	108	17	vary	vary	NOUN
commonwealth-489	108	18	,	,	PUNCT
commonwealth-489	108	19	but	but	CCONJ
commonwealth-489	108	20	on	on	ADP
commonwealth-489	108	21	average	average	ADJ
commonwealth-489	108	22	act	act	NOUN
commonwealth-489	108	23	315	315	NUM
commonwealth-489	108	24	and	and	CCONJ
commonwealth-489	108	25	act	act	VERB
commonwealth-489	108	26	12	12	NUM
commonwealth-489	108	27	funds	fund	NOUN
commonwealth-489	108	28	represent	represent	VERB
commonwealth-489	108	29	about	about	ADV
commonwealth-489	108	30	30	30	NUM
commonwealth-489	108	31	%	%	NOUN
commonwealth-489	108	32	of	of	ADP
commonwealth-489	108	33	the	the	DET
commonwealth-489	108	34	funds	fund	NOUN
commonwealth-489	108	35	employed	employ	VERB
commonwealth-489	108	36	by	by	ADP
commonwealth-489	108	37	the	the	DET
commonwealth-489	108	38	lhds	lhds	NOUN
commonwealth-489	108	39	.	.	PUNCT
commonwealth-489	109	1	table	table	NOUN
commonwealth-489	109	2	2	2	NUM
commonwealth-489	109	3	percent	percent	NOUN
commonwealth-489	109	4	of	of	ADP
commonwealth-489	109	5	budget	budget	NOUN
commonwealth-489	109	6	by	by	ADP
commonwealth-489	109	7	funding	fund	VERB
commonwealth-489	109	8	source	source	NOUN
commonwealth-489	109	9	extant	extant	ADJ
commonwealth-489	109	10	lhd	lhd	PROPN
commonwealth-489	109	11	total	total	PROPN
commonwealth-489	109	12	budget	budget	PROPN
commonwealth-489	109	13	act	act	VERB
commonwealth-489	109	14	315/12	315/12	NUM
commonwealth-489	109	15	grants	grant	VERB
commonwealth-489	109	16	fees	fee	NOUN
commonwealth-489	109	17	direct	direct	ADJ
commonwealth-489	109	18	funds	fund	NOUN
commonwealth-489	109	19	per	per	ADP
commonwealth-489	109	20	capita	capita	X
commonwealth-489	109	21	cost	cost	NOUN
commonwealth-489	109	22	roi	roi	NOUN
commonwealth-489	109	23	per	per	ADP
commonwealth-489	109	24	capita	capita	NOUN
commonwealth-489	109	25	benefits	benefit	NOUN
commonwealth-489	109	26	allegheny	allegheny	NOUN
commonwealth-489	109	27	*	*	SYM
commonwealth-489	109	28	$	$	SYM
commonwealth-489	109	29	43,866,737	43,866,737	NUM
commonwealth-489	109	30	21	21	NUM
commonwealth-489	109	31	%	%	NOUN
commonwealth-489	109	32	51	51	NUM
commonwealth-489	109	33	%	%	NOUN
commonwealth-489	109	34	9	9	NUM
commonwealth-489	109	35	%	%	NOUN
commonwealth-489	109	36	20	20	NUM
commonwealth-489	109	37	%	%	NOUN
commonwealth-489	109	38	$	$	SYM
commonwealth-489	109	39	6.93	6.93	NUM
commonwealth-489	109	40	399	399	NUM
commonwealth-489	109	41	%	%	NOUN
commonwealth-489	109	42	$	$	SYM
commonwealth-489	109	43	27.62	27.62	NUM
commonwealth-489	109	44	bucks	buck	NOUN
commonwealth-489	109	45	$	$	SYM
commonwealth-489	109	46	9,056,640	9,056,640	NUM
commonwealth-489	109	47	42	42	NUM
commonwealth-489	109	48	%	%	NOUN
commonwealth-489	109	49	18	18	NUM
commonwealth-489	109	50	%	%	NOUN
commonwealth-489	109	51	10	10	NUM
commonwealth-489	109	52	%	%	NOUN
commonwealth-489	109	53	29	29	NUM
commonwealth-489	109	54	%	%	NOUN
commonwealth-489	109	55	$	$	SYM
commonwealth-489	109	56	4.51	4.51	NUM
commonwealth-489	109	57	241	241	NUM
commonwealth-489	109	58	%	%	NOUN
commonwealth-489	109	59	$	$	SYM
commonwealth-489	109	60	10.89	10.89	NUM
commonwealth-489	109	61	chester	chester	NOUN
commonwealth-489	109	62	$	$	SYM
commonwealth-489	109	63	7,493,410	7,493,410	NUM
commonwealth-489	109	64	43	43	NUM
commonwealth-489	109	65	%	%	NOUN
commonwealth-489	109	66	26	26	NUM
commonwealth-489	109	67	%	%	NOUN
commonwealth-489	109	68	21	21	NUM
commonwealth-489	109	69	%	%	NOUN
commonwealth-489	109	70	9	9	NUM
commonwealth-489	109	71	%	%	NOUN
commonwealth-489	109	72	$	$	SYM
commonwealth-489	109	73	1.63	1.63	NUM
commonwealth-489	109	74	960	960	NUM
commonwealth-489	109	75	%	%	NOUN
commonwealth-489	109	76	$	$	SYM
commonwealth-489	109	77	15.65	15.65	NUM
commonwealth-489	109	78	montgomery	montgomery	NOUN
commonwealth-489	109	79	$	$	SYM
commonwealth-489	109	80	7,200,000	7,200,000	NUM
commonwealth-489	109	81	42	42	NUM
commonwealth-489	109	82	%	%	NOUN
commonwealth-489	109	83	23	23	NUM
commonwealth-489	109	84	%	%	NOUN
commonwealth-489	109	85	9	9	NUM
commonwealth-489	109	86	%	%	NOUN
commonwealth-489	109	87	19	19	NUM
commonwealth-489	109	88	%	%	NOUN
commonwealth-489	109	89	$	$	SYM
commonwealth-489	109	90	1.93	1.93	NUM
commonwealth-489	109	91	414	414	NUM
commonwealth-489	109	92	%	%	NOUN
commonwealth-489	109	93	$	$	SYM
commonwealth-489	109	94	8.01	8.01	NUM
commonwealth-489	109	95	allentown	allentown	VERB
commonwealth-489	109	96	$	$	SYM
commonwealth-489	109	97	3,048,295	3,048,295	NUM
commonwealth-489	109	98	25	25	NUM
commonwealth-489	109	99	%	%	NOUN
commonwealth-489	109	100	22	22	NUM
commonwealth-489	109	101	%	%	NOUN
commonwealth-489	109	102	5	5	NUM
commonwealth-489	109	103	%	%	NOUN
commonwealth-489	109	104	48	48	NUM
commonwealth-489	109	105	%	%	NOUN
commonwealth-489	109	106	$	$	SYM
commonwealth-489	109	107	13.74	13.74	NUM
commonwealth-489	109	108	108	108	NUM
commonwealth-489	109	109	%	%	NOUN
commonwealth-489	109	110	$	$	SYM
commonwealth-489	109	111	14.85	14.85	NUM
commonwealth-489	109	112	york	york	NOUN
commonwealth-489	109	113	$	$	SYM
commonwealth-489	109	114	1,096,246	1,096,246	NUM
commonwealth-489	109	115	29	29	NUM
commonwealth-489	109	116	%	%	NOUN
commonwealth-489	109	117	44	44	NUM
commonwealth-489	109	118	%	%	NOUN
commonwealth-489	109	119	3	3	NUM
commonwealth-489	109	120	%	%	NOUN
commonwealth-489	109	121	21	21	NUM
commonwealth-489	109	122	%	%	NOUN
commonwealth-489	109	123	$	$	SYM
commonwealth-489	109	124	5.72	5.72	NUM
commonwealth-489	109	125	383	383	NUM
commonwealth-489	109	126	%	%	NOUN
commonwealth-489	109	127	$	$	SYM
commonwealth-489	109	128	21.89	21.89	NUM
commonwealth-489	109	129	average	average	NOUN
commonwealth-489	109	130	$	$	SYM
commonwealth-489	109	131	11,960,221	11,960,221	NUM
commonwealth-489	109	132	28	28	NUM
commonwealth-489	109	133	%	%	NOUN
commonwealth-489	109	134	40	40	NUM
commonwealth-489	109	135	%	%	NOUN
commonwealth-489	109	136	10	10	NUM
commonwealth-489	109	137	%	%	NOUN
commonwealth-489	109	138	21	21	NUM
commonwealth-489	109	139	%	%	NOUN
commonwealth-489	109	140	$	$	SYM
commonwealth-489	109	141	5.74	5.74	NUM
commonwealth-489	109	142	417	417	NUM
commonwealth-489	109	143	%	%	NOUN
commonwealth-489	109	144	$	$	SYM
commonwealth-489	109	145	16.48	16.48	NUM
commonwealth-489	109	146	*	*	DET
commonwealth-489	109	147	the	the	DET
commonwealth-489	109	148	allegheny	allegheny	PROPN
commonwealth-489	109	149	lhd	lhd	PROPN
commonwealth-489	109	150	budget	budget	PROPN
commonwealth-489	109	151	includes	include	VERB
commonwealth-489	109	152	monies	monie	NOUN
commonwealth-489	109	153	for	for	ADP
commonwealth-489	109	154	its	its	PRON
commonwealth-489	109	155	emergency	emergency	NOUN
commonwealth-489	109	156	medical	medical	ADJ
commonwealth-489	109	157	system	system	NOUN
commonwealth-489	109	158	.	.	PUNCT
commonwealth-489	110	1	usually	usually	ADV
commonwealth-489	110	2	,	,	PUNCT
commonwealth-489	110	3	the	the	DET
commonwealth-489	110	4	second	second	ADJ
commonwealth-489	110	5	most	most	ADV
commonwealth-489	110	6	important	important	ADJ
commonwealth-489	110	7	source	source	NOUN
commonwealth-489	110	8	of	of	ADP
commonwealth-489	110	9	funding	funding	NOUN
commonwealth-489	110	10	for	for	ADP
commonwealth-489	110	11	lhds	lhds	NOUN
commonwealth-489	110	12	are	be	AUX
commonwealth-489	110	13	grants	grant	NOUN
commonwealth-489	110	14	.	.	PUNCT
commonwealth-489	111	1	these	these	PRON
commonwealth-489	111	2	are	be	AUX
commonwealth-489	111	3	usually	usually	ADV
commonwealth-489	111	4	either	either	CCONJ
commonwealth-489	111	5	state	state	NOUN
commonwealth-489	111	6	or	or	CCONJ
commonwealth-489	111	7	federal	federal	ADJ
commonwealth-489	111	8	categorical	categorical	ADJ
commonwealth-489	111	9	and	and	CCONJ
commonwealth-489	111	10	block	block	NOUN
commonwealth-489	111	11	grants	grant	NOUN
commonwealth-489	111	12	.	.	PUNCT
commonwealth-489	112	1	all	all	PRON
commonwealth-489	112	2	of	of	ADP
commonwealth-489	112	3	the	the	DET
commonwealth-489	112	4	existing	exist	VERB
commonwealth-489	112	5	departments	department	NOUN
commonwealth-489	112	6	and	and	CCONJ
commonwealth-489	112	7	bureaus	bureaus	NOUN
commonwealth-489	112	8	reported	report	VERB
commonwealth-489	112	9	that	that	SCONJ
commonwealth-489	112	10	any	any	DET
commonwealth-489	112	11	increase	increase	NOUN
commonwealth-489	112	12	in	in	ADP
commonwealth-489	112	13	funding	funding	NOUN
commonwealth-489	112	14	is	be	AUX
commonwealth-489	112	15	a	a	DET
commonwealth-489	112	16	result	result	NOUN
commonwealth-489	112	17	of	of	ADP
commonwealth-489	112	18	the	the	DET
commonwealth-489	112	19	availability	availability	NOUN
commonwealth-489	112	20	of	of	ADP
commonwealth-489	112	21	non	non	ADJ
commonwealth-489	112	22	-	-	ADJ
commonwealth-489	112	23	act	act	ADJ
commonwealth-489	112	24	315	315	NUM
commonwealth-489	112	25	or	or	CCONJ
commonwealth-489	112	26	act	act	VERB
commonwealth-489	112	27	12	12	NUM
commonwealth-489	112	28	grants	grant	NOUN
commonwealth-489	112	29	.	.	PUNCT
commonwealth-489	113	1	existing	exist	VERB
commonwealth-489	113	2	lhds	lhds	NOUN
commonwealth-489	113	3	receive	receive	VERB
commonwealth-489	113	4	an	an	DET
commonwealth-489	113	5	average	average	NOUN
commonwealth-489	113	6	of	of	ADP
commonwealth-489	113	7	$	$	SYM
commonwealth-489	113	8	2.3	2.3	NUM
commonwealth-489	113	9	million	million	NUM
commonwealth-489	113	10	dollars	dollar	NOUN
commonwealth-489	113	11	in	in	ADP
commonwealth-489	113	12	federal	federal	ADJ
commonwealth-489	113	13	categorical	categorical	ADJ
commonwealth-489	113	14	grants	grant	NOUN
commonwealth-489	113	15	.	.	PUNCT
commonwealth-489	114	1	the	the	DET
commonwealth-489	114	2	most	most	ADV
commonwealth-489	114	3	common	common	ADJ
commonwealth-489	114	4	categorical	categorical	ADJ
commonwealth-489	114	5	grants	grant	NOUN
commonwealth-489	114	6	received	receive	VERB
commonwealth-489	114	7	by	by	ADP
commonwealth-489	114	8	lhds	lhds	NOUN
commonwealth-489	114	9	are	be	AUX
commonwealth-489	114	10	for	for	ADP
commonwealth-489	114	11	immunization	immunization	NOUN
commonwealth-489	114	12	,	,	PUNCT
commonwealth-489	114	13	family	family	NOUN
commonwealth-489	114	14	planning	planning	NOUN
commonwealth-489	114	15	,	,	PUNCT
commonwealth-489	114	16	clean	clean	ADJ
commonwealth-489	114	17	water	water	NOUN
commonwealth-489	114	18	,	,	PUNCT
commonwealth-489	114	19	hiv	hiv	PROPN
commonwealth-489	114	20	/	/	SYM
commonwealth-489	114	21	aids	aids	PROPN
commonwealth-489	114	22	,	,	PUNCT
commonwealth-489	114	23	and	and	CCONJ
commonwealth-489	114	24	cancer	cancer	NOUN
commonwealth-489	114	25	prevention	prevention	NOUN
commonwealth-489	114	26	.	.	PUNCT
commonwealth-489	115	1	existing	exist	VERB
commonwealth-489	115	2	lhds	lhds	NOUN
commonwealth-489	115	3	receive	receive	VERB
commonwealth-489	115	4	an	an	DET
commonwealth-489	115	5	average	average	NOUN
commonwealth-489	115	6	of	of	ADP
commonwealth-489	115	7	$	$	SYM
commonwealth-489	115	8	1.8	1.8	NUM
commonwealth-489	115	9	million	million	NUM
commonwealth-489	115	10	in	in	ADP
commonwealth-489	115	11	state	state	NOUN
commonwealth-489	115	12	grants	grant	NOUN
commonwealth-489	115	13	(	(	PUNCT
commonwealth-489	115	14	non	non	ADJ
commonwealth-489	115	15	-	-	ADJ
commonwealth-489	115	16	act	act	ADJ
commonwealth-489	115	17	315	315	NUM
commonwealth-489	115	18	and	and	CCONJ
commonwealth-489	115	19	12	12	NUM
commonwealth-489	115	20	)	)	PUNCT
commonwealth-489	115	21	.	.	PUNCT
commonwealth-489	116	1	a	a	DET
commonwealth-489	116	2	majority	majority	NOUN
commonwealth-489	116	3	of	of	ADP
commonwealth-489	116	4	these	these	DET
commonwealth-489	116	5	funds	fund	NOUN
commonwealth-489	116	6	are	be	AUX
commonwealth-489	116	7	passed	pass	VERB
commonwealth-489	116	8	through	through	ADP
commonwealth-489	116	9	from	from	ADP
commonwealth-489	116	10	the	the	DET
commonwealth-489	116	11	preventive	preventive	ADJ
commonwealth-489	116	12	health	health	NOUN
commonwealth-489	116	13	and	and	CCONJ
commonwealth-489	116	14	health	health	NOUN
commonwealth-489	116	15	services	service	NOUN
commonwealth-489	116	16	(	(	PUNCT
commonwealth-489	116	17	phhs	phhs	NOUN
commonwealth-489	116	18	)	)	PUNCT
commonwealth-489	116	19	block	block	NOUN
commonwealth-489	116	20	grant	grant	NOUN
commonwealth-489	116	21	that	that	SCONJ
commonwealth-489	116	22	the	the	DET
commonwealth-489	116	23	state	state	NOUN
commonwealth-489	116	24	of	of	ADP
commonwealth-489	116	25	pennsylvania	pennsylvania	PROPN
commonwealth-489	116	26	receives	receive	VERB
commonwealth-489	116	27	from	from	ADP
commonwealth-489	116	28	the	the	DET
commonwealth-489	116	29	federal	federal	ADJ
commonwealth-489	116	30	government	government	NOUN
commonwealth-489	116	31	.	.	PUNCT
commonwealth-489	117	1	the	the	DET
commonwealth-489	117	2	phhs	phhs	NOUN
commonwealth-489	117	3	block	block	NOUN
commonwealth-489	117	4	grant	grant	NOUN
commonwealth-489	117	5	is	be	AUX
commonwealth-489	117	6	the	the	DET
commonwealth-489	117	7	primary	primary	ADJ
commonwealth-489	117	8	source	source	NOUN
commonwealth-489	117	9	of	of	ADP
commonwealth-489	117	10	flexible	flexible	ADJ
commonwealth-489	117	11	funding	funding	NOUN
commonwealth-489	117	12	that	that	PRON
commonwealth-489	117	13	provides	provide	VERB
commonwealth-489	117	14	states	state	NOUN
commonwealth-489	117	15	the	the	DET
commonwealth-489	117	16	latitude	latitude	NOUN
commonwealth-489	117	17	to	to	PART
commonwealth-489	117	18	fund	fund	VERB
commonwealth-489	117	19	any	any	PRON
commonwealth-489	117	20	of	of	ADP
commonwealth-489	117	21	265	265	NUM
commonwealth-489	117	22	national	national	ADJ
commonwealth-489	117	23	health	health	NOUN
commonwealth-489	117	24	objectives	objective	NOUN
commonwealth-489	117	25	available	available	ADJ
commonwealth-489	117	26	in	in	ADP
commonwealth-489	117	27	the	the	DET
commonwealth-489	117	28	nation	nation	NOUN
commonwealth-489	117	29	's	's	PART
commonwealth-489	117	30	healthy	healthy	ADJ
commonwealth-489	117	31	people	people	NOUN
commonwealth-489	117	32	2010	2010	NUM
commonwealth-489	117	33	health	health	NOUN
commonwealth-489	117	34	improvement	improvement	NOUN
commonwealth-489	117	35	plan	plan	NOUN
commonwealth-489	117	36	.	.	PUNCT
commonwealth-489	118	1	in	in	ADP
commonwealth-489	118	2	fiscal	fiscal	ADJ
commonwealth-489	118	3	year	year	NOUN
commonwealth-489	118	4	2001	2001	NUM
commonwealth-489	118	5	,	,	PUNCT
commonwealth-489	118	6	pennsylvania	pennsylvania	PROPN
commonwealth-489	118	7	chose	choose	VERB
commonwealth-489	118	8	17	17	NUM
commonwealth-489	118	9	108	108	NUM
commonwealth-489	118	10	financial	financial	ADJ
commonwealth-489	118	11	analysis	analysis	NOUN
commonwealth-489	118	12	and	and	CCONJ
commonwealth-489	118	13	structural	structural	ADJ
commonwealth-489	118	14	considerations	consideration	NOUN
commonwealth-489	118	15	to	to	ADP
commonwealth-489	118	16	the	the	DET
commonwealth-489	118	17	problem	problem	NOUN
commonwealth-489	118	18	of	of	ADP
commonwealth-489	118	19	rural	rural	ADJ
commonwealth-489	118	20	public	public	ADJ
commonwealth-489	118	21	health	health	NOUN
commonwealth-489	118	22	in	in	ADP
commonwealth-489	118	23	pennsylvania	pennsylvania	PROPN
commonwealth-489	118	24	priority	priority	NOUN
commonwealth-489	118	25	areas	area	NOUN
commonwealth-489	118	26	for	for	ADP
commonwealth-489	118	27	distributing	distribute	VERB
commonwealth-489	118	28	its	its	PRON
commonwealth-489	118	29	phhs	phhs	NOUN
commonwealth-489	118	30	block	block	NOUN
commonwealth-489	118	31	grant	grant	NOUN
commonwealth-489	118	32	and	and	CCONJ
commonwealth-489	118	33	received	receive	VERB
commonwealth-489	118	34	approximately	approximately	ADV
commonwealth-489	118	35	$	$	SYM
commonwealth-489	118	36	8	8	NUM
commonwealth-489	118	37	billion.7	billion.7	NOUN
commonwealth-489	118	38	the	the	DET
commonwealth-489	118	39	third	third	ADJ
commonwealth-489	118	40	source	source	NOUN
commonwealth-489	118	41	of	of	ADP
commonwealth-489	118	42	funding	funding	NOUN
commonwealth-489	118	43	for	for	ADP
commonwealth-489	118	44	lhds	lhds	NOUN
commonwealth-489	118	45	is	be	AUX
commonwealth-489	118	46	inspection	inspection	NOUN
commonwealth-489	118	47	fees	fee	NOUN
commonwealth-489	118	48	and	and	CCONJ
commonwealth-489	118	49	licensures	licensure	NOUN
commonwealth-489	118	50	costs	cost	NOUN
commonwealth-489	118	51	.	.	PUNCT
commonwealth-489	119	1	lhds	lhds	NOUN
commonwealth-489	119	2	that	that	PRON
commonwealth-489	119	3	carry	carry	VERB
commonwealth-489	119	4	out	out	ADP
commonwealth-489	119	5	public	public	ADJ
commonwealth-489	119	6	and	and	CCONJ
commonwealth-489	119	7	recreational	recreational	ADJ
commonwealth-489	119	8	pool	pool	NOUN
commonwealth-489	119	9	and	and	CCONJ
commonwealth-489	119	10	restaurant	restaurant	NOUN
commonwealth-489	119	11	inspections	inspection	NOUN
commonwealth-489	119	12	charge	charge	VERB
commonwealth-489	119	13	the	the	DET
commonwealth-489	119	14	sites	site	NOUN
commonwealth-489	119	15	a	a	DET
commonwealth-489	119	16	fee	fee	NOUN
commonwealth-489	119	17	for	for	ADP
commonwealth-489	119	18	the	the	DET
commonwealth-489	119	19	inspection	inspection	NOUN
commonwealth-489	119	20	and	and	CCONJ
commonwealth-489	119	21	license	license	NOUN
commonwealth-489	119	22	.	.	PUNCT
commonwealth-489	120	1	although	although	SCONJ
commonwealth-489	120	2	these	these	DET
commonwealth-489	120	3	services	service	NOUN
commonwealth-489	120	4	are	be	AUX
commonwealth-489	120	5	act	act	NOUN
commonwealth-489	120	6	12	12	NUM
commonwealth-489	120	7	reimbursable	reimbursable	ADJ
commonwealth-489	120	8	services	service	NOUN
commonwealth-489	120	9	,	,	PUNCT
commonwealth-489	120	10	the	the	DET
commonwealth-489	120	11	lhds	lhds	NOUN
commonwealth-489	120	12	use	use	VERB
commonwealth-489	120	13	this	this	DET
commonwealth-489	120	14	money	money	NOUN
commonwealth-489	120	15	to	to	PART
commonwealth-489	120	16	not	not	PART
commonwealth-489	120	17	only	only	ADV
commonwealth-489	120	18	offset	offset	VERB
commonwealth-489	120	19	their	their	PRON
commonwealth-489	120	20	additional	additional	ADJ
commonwealth-489	120	21	environmental	environmental	ADJ
commonwealth-489	120	22	services	service	NOUN
commonwealth-489	120	23	costs	cost	NOUN
commonwealth-489	120	24	,	,	PUNCT
commonwealth-489	120	25	but	but	CCONJ
commonwealth-489	120	26	also	also	ADV
commonwealth-489	120	27	as	as	ADP
commonwealth-489	120	28	part	part	NOUN
commonwealth-489	120	29	of	of	ADP
commonwealth-489	120	30	the	the	DET
commonwealth-489	120	31	funds	fund	NOUN
commonwealth-489	120	32	that	that	PRON
commonwealth-489	120	33	are	be	AUX
commonwealth-489	120	34	eligible	eligible	ADJ
commonwealth-489	120	35	for	for	ADP
commonwealth-489	120	36	the	the	DET
commonwealth-489	120	37	act	act	NOUN
commonwealth-489	120	38	315	315	NUM
commonwealth-489	120	39	match	match	NOUN
commonwealth-489	120	40	.	.	PUNCT
commonwealth-489	121	1	any	any	DET
commonwealth-489	121	2	income	income	NOUN
commonwealth-489	121	3	that	that	PRON
commonwealth-489	121	4	lhds	lhds	NOUN
commonwealth-489	121	5	can	can	AUX
commonwealth-489	121	6	generate	generate	VERB
commonwealth-489	121	7	as	as	ADP
commonwealth-489	121	8	a	a	DET
commonwealth-489	121	9	result	result	NOUN
commonwealth-489	121	10	of	of	ADP
commonwealth-489	121	11	their	their	PRON
commonwealth-489	121	12	services	service	NOUN
commonwealth-489	121	13	serves	serve	VERB
commonwealth-489	121	14	to	to	PART
commonwealth-489	121	15	offset	offset	VERB
commonwealth-489	121	16	the	the	DET
commonwealth-489	121	17	amount	amount	NOUN
commonwealth-489	121	18	of	of	ADP
commonwealth-489	121	19	funds	fund	NOUN
commonwealth-489	121	20	that	that	PRON
commonwealth-489	121	21	the	the	DET
commonwealth-489	121	22	county	county	NOUN
commonwealth-489	121	23	must	must	AUX
commonwealth-489	121	24	generate	generate	VERB
commonwealth-489	121	25	as	as	ADP
commonwealth-489	121	26	direct	direct	ADJ
commonwealth-489	121	27	contribution	contribution	NOUN
commonwealth-489	121	28	to	to	ADP
commonwealth-489	121	29	the	the	DET
commonwealth-489	121	30	lhd	lhd	PROPN
commonwealth-489	121	31	,	,	PUNCT
commonwealth-489	121	32	which	which	PRON
commonwealth-489	121	33	is	be	AUX
commonwealth-489	121	34	the	the	DET
commonwealth-489	121	35	fourth	fourth	ADJ
commonwealth-489	121	36	source	source	NOUN
commonwealth-489	121	37	of	of	ADP
commonwealth-489	121	38	revenue	revenue	NOUN
commonwealth-489	121	39	for	for	ADP
commonwealth-489	121	40	lhds	lhds	NOUN
commonwealth-489	121	41	.	.	PUNCT
commonwealth-489	122	1	direct	direct	ADJ
commonwealth-489	122	2	funding	funding	NOUN
commonwealth-489	122	3	is	be	AUX
commonwealth-489	122	4	any	any	DET
commonwealth-489	122	5	source	source	NOUN
commonwealth-489	122	6	not	not	PART
commonwealth-489	122	7	generated	generate	VERB
commonwealth-489	122	8	from	from	ADP
commonwealth-489	122	9	reimbursable	reimbursable	ADJ
commonwealth-489	122	10	grants	grant	NOUN
commonwealth-489	122	11	,	,	PUNCT
commonwealth-489	122	12	categorical	categorical	ADJ
commonwealth-489	122	13	grants	grant	NOUN
commonwealth-489	122	14	,	,	PUNCT
commonwealth-489	122	15	or	or	CCONJ
commonwealth-489	122	16	fees	fee	NOUN
commonwealth-489	122	17	collected	collect	VERB
commonwealth-489	122	18	.	.	PUNCT
commonwealth-489	123	1	these	these	DET
commonwealth-489	123	2	direct	direct	ADJ
commonwealth-489	123	3	funds	fund	NOUN
commonwealth-489	123	4	are	be	AUX
commonwealth-489	123	5	usually	usually	ADV
commonwealth-489	123	6	not	not	PART
commonwealth-489	123	7	new	new	ADJ
commonwealth-489	123	8	funds	fund	NOUN
commonwealth-489	123	9	collected	collect	VERB
commonwealth-489	123	10	by	by	ADP
commonwealth-489	123	11	the	the	DET
commonwealth-489	123	12	local	local	ADJ
commonwealth-489	123	13	government	government	NOUN
commonwealth-489	123	14	for	for	ADP
commonwealth-489	123	15	the	the	DET
commonwealth-489	123	16	purposes	purpose	NOUN
commonwealth-489	123	17	of	of	ADP
commonwealth-489	123	18	subsidizing	subsidize	VERB
commonwealth-489	123	19	the	the	DET
commonwealth-489	123	20	lhds	lhds	NOUN
commonwealth-489	123	21	.	.	PUNCT
commonwealth-489	124	1	these	these	DET
commonwealth-489	124	2	funds	fund	NOUN
commonwealth-489	124	3	may	may	AUX
commonwealth-489	124	4	support	support	VERB
commonwealth-489	124	5	other	other	ADJ
commonwealth-489	124	6	health	health	NOUN
commonwealth-489	124	7	services	service	NOUN
commonwealth-489	124	8	that	that	PRON
commonwealth-489	124	9	the	the	DET
commonwealth-489	124	10	local	local	ADJ
commonwealth-489	124	11	government	government	NOUN
commonwealth-489	124	12	has	have	AUX
commonwealth-489	124	13	historically	historically	ADV
commonwealth-489	124	14	provided	provide	VERB
commonwealth-489	124	15	and	and	CCONJ
commonwealth-489	124	16	which	which	PRON
commonwealth-489	124	17	is	be	AUX
commonwealth-489	124	18	protecting	protect	VERB
commonwealth-489	124	19	the	the	DET
commonwealth-489	124	20	public	public	NOUN
commonwealth-489	124	21	’s	’s	PART
commonwealth-489	124	22	health	health	NOUN
commonwealth-489	124	23	.	.	PUNCT
commonwealth-489	125	1	these	these	DET
commonwealth-489	125	2	services	service	NOUN
commonwealth-489	125	3	include	include	VERB
commonwealth-489	125	4	:	:	PUNCT
commonwealth-489	125	5	county	county	NOUN
commonwealth-489	125	6	funds	fund	NOUN
commonwealth-489	125	7	used	use	VERB
commonwealth-489	125	8	for	for	ADP
commonwealth-489	125	9	vector	vector	NOUN
commonwealth-489	125	10	control	control	NOUN
commonwealth-489	125	11	(	(	PUNCT
commonwealth-489	125	12	mosquito	mosquito	NOUN
commonwealth-489	125	13	and	and	CCONJ
commonwealth-489	125	14	gypsy	gypsy	NOUN
commonwealth-489	125	15	fly	fly	NOUN
commonwealth-489	125	16	control	control	NOUN
commonwealth-489	125	17	)	)	PUNCT
commonwealth-489	125	18	,	,	PUNCT
commonwealth-489	125	19	drug	drug	NOUN
commonwealth-489	125	20	and	and	CCONJ
commonwealth-489	125	21	alcohol	alcohol	NOUN
commonwealth-489	125	22	prevention	prevention	NOUN
commonwealth-489	125	23	programs	program	NOUN
commonwealth-489	125	24	,	,	PUNCT
commonwealth-489	125	25	preventative	preventative	ADJ
commonwealth-489	125	26	health	health	NOUN
commonwealth-489	125	27	services	service	NOUN
commonwealth-489	125	28	provided	provide	VERB
commonwealth-489	125	29	to	to	ADP
commonwealth-489	125	30	seniors	senior	NOUN
commonwealth-489	125	31	in	in	ADP
commonwealth-489	125	32	long	long	ADJ
commonwealth-489	125	33	-	-	PUNCT
commonwealth-489	125	34	term	term	NOUN
commonwealth-489	125	35	care	care	NOUN
commonwealth-489	125	36	settings	setting	NOUN
commonwealth-489	125	37	(	(	PUNCT
commonwealth-489	125	38	chronic	chronic	ADJ
commonwealth-489	125	39	disease	disease	NOUN
commonwealth-489	125	40	screenings	screening	NOUN
commonwealth-489	125	41	)	)	PUNCT
commonwealth-489	125	42	,	,	PUNCT
commonwealth-489	125	43	preventive	preventive	ADJ
commonwealth-489	125	44	health	health	NOUN
commonwealth-489	125	45	service	service	NOUN
commonwealth-489	125	46	provided	provide	VERB
commonwealth-489	125	47	to	to	ADP
commonwealth-489	125	48	prisoners	prisoner	NOUN
commonwealth-489	125	49	in	in	ADP
commonwealth-489	125	50	county	county	NOUN
commonwealth-489	125	51	jails	jail	NOUN
commonwealth-489	125	52	(	(	PUNCT
commonwealth-489	125	53	std	std	NOUN
commonwealth-489	125	54	screenings	screening	NOUN
commonwealth-489	125	55	)	)	PUNCT
commonwealth-489	125	56	,	,	PUNCT
commonwealth-489	125	57	solid	solid	ADJ
commonwealth-489	125	58	waste	waste	NOUN
commonwealth-489	125	59	and	and	CCONJ
commonwealth-489	125	60	litter	litter	NOUN
commonwealth-489	125	61	control	control	NOUN
commonwealth-489	125	62	programs	program	NOUN
commonwealth-489	125	63	,	,	PUNCT
commonwealth-489	125	64	weights	weight	NOUN
commonwealth-489	125	65	and	and	CCONJ
commonwealth-489	125	66	measures	measure	NOUN
commonwealth-489	125	67	certification	certification	NOUN
commonwealth-489	125	68	,	,	PUNCT
commonwealth-489	125	69	county	county	NOUN
commonwealth-489	125	70	/	/	SYM
commonwealth-489	125	71	municipal	municipal	ADJ
commonwealth-489	125	72	health	health	NOUN
commonwealth-489	125	73	services	service	NOUN
commonwealth-489	125	74	information	information	NOUN
commonwealth-489	125	75	and	and	CCONJ
commonwealth-489	125	76	referral	referral	NOUN
commonwealth-489	125	77	systems	system	NOUN
commonwealth-489	125	78	,	,	PUNCT
commonwealth-489	125	79	county	county	NOUN
commonwealth-489	125	80	/	/	SYM
commonwealth-489	125	81	municipal	municipal	ADJ
commonwealth-489	125	82	health	health	NOUN
commonwealth-489	125	83	and	and	CCONJ
commonwealth-489	125	84	wellness	wellness	NOUN
commonwealth-489	125	85	fairs	fair	NOUN
commonwealth-489	125	86	,	,	PUNCT
commonwealth-489	125	87	and	and	CCONJ
commonwealth-489	125	88	any	any	DET
commonwealth-489	125	89	other	other	ADJ
commonwealth-489	125	90	service	service	NOUN
commonwealth-489	125	91	that	that	PRON
commonwealth-489	125	92	is	be	AUX
commonwealth-489	125	93	designed	design	VERB
commonwealth-489	125	94	to	to	PART
commonwealth-489	125	95	protect	protect	VERB
commonwealth-489	125	96	the	the	DET
commonwealth-489	125	97	health	health	NOUN
commonwealth-489	125	98	of	of	ADP
commonwealth-489	125	99	the	the	DET
commonwealth-489	125	100	public	public	NOUN
commonwealth-489	125	101	.	.	PUNCT
commonwealth-489	126	1	since	since	SCONJ
commonwealth-489	126	2	counties	county	NOUN
commonwealth-489	126	3	may	may	AUX
commonwealth-489	126	4	not	not	PART
commonwealth-489	126	5	use	use	VERB
commonwealth-489	126	6	financial	financial	ADJ
commonwealth-489	126	7	resources	resource	NOUN
commonwealth-489	126	8	from	from	ADP
commonwealth-489	126	9	state	state	NOUN
commonwealth-489	126	10	and	and	CCONJ
commonwealth-489	126	11	federal	federal	ADJ
commonwealth-489	126	12	grants	grant	NOUN
commonwealth-489	126	13	as	as	ADP
commonwealth-489	126	14	match	match	NOUN
commonwealth-489	126	15	,	,	PUNCT
commonwealth-489	126	16	direct	direct	ADJ
commonwealth-489	126	17	funds	fund	NOUN
commonwealth-489	126	18	are	be	AUX
commonwealth-489	126	19	the	the	DET
commonwealth-489	126	20	most	most	ADV
commonwealth-489	126	21	critical	critical	ADJ
commonwealth-489	126	22	financial	financial	ADJ
commonwealth-489	126	23	issue	issue	NOUN
commonwealth-489	126	24	associated	associate	VERB
commonwealth-489	126	25	with	with	ADP
commonwealth-489	126	26	the	the	DET
commonwealth-489	126	27	reimbursable	reimbursable	ADJ
commonwealth-489	126	28	grants	grant	NOUN
commonwealth-489	126	29	(	(	PUNCT
commonwealth-489	126	30	act	act	NOUN
commonwealth-489	126	31	315	315	NUM
commonwealth-489	126	32	)	)	PUNCT
commonwealth-489	126	33	because	because	SCONJ
commonwealth-489	126	34	these	these	PRON
commonwealth-489	126	35	are	be	AUX
commonwealth-489	126	36	the	the	DET
commonwealth-489	126	37	most	most	ADV
commonwealth-489	126	38	common	common	ADJ
commonwealth-489	126	39	source	source	NOUN
commonwealth-489	126	40	of	of	ADP
commonwealth-489	126	41	financing	financing	NOUN
commonwealth-489	126	42	available	available	ADJ
commonwealth-489	126	43	for	for	ADP
commonwealth-489	126	44	the	the	DET
commonwealth-489	126	45	match	match	NOUN
commonwealth-489	126	46	.	.	PUNCT
commonwealth-489	127	1	these	these	DET
commonwealth-489	127	2	funds	fund	NOUN
commonwealth-489	127	3	usually	usually	ADV
commonwealth-489	127	4	emanate	emanate	VERB
commonwealth-489	127	5	from	from	ADP
commonwealth-489	127	6	revenues	revenue	NOUN
commonwealth-489	127	7	or	or	CCONJ
commonwealth-489	127	8	from	from	ADP
commonwealth-489	127	9	intergovernmental	intergovernmental	ADJ
commonwealth-489	127	10	transfer	transfer	NOUN
commonwealth-489	127	11	from	from	ADP
commonwealth-489	127	12	an	an	DET
commonwealth-489	127	13	existing	exist	VERB
commonwealth-489	127	14	department	department	NOUN
commonwealth-489	127	15	to	to	ADP
commonwealth-489	127	16	a	a	DET
commonwealth-489	127	17	new	new	ADJ
commonwealth-489	127	18	department	department	NOUN
commonwealth-489	127	19	,	,	PUNCT
commonwealth-489	127	20	in	in	ADP
commonwealth-489	127	21	order	order	NOUN
commonwealth-489	127	22	for	for	SCONJ
commonwealth-489	127	23	the	the	DET
commonwealth-489	127	24	lhd	lhd	PROPN
commonwealth-489	127	25	qualify	qualify	VERB
commonwealth-489	127	26	for	for	ADP
commonwealth-489	127	27	the	the	DET
commonwealth-489	127	28	grants	grant	NOUN
commonwealth-489	127	29	.	.	PUNCT
commonwealth-489	128	1	although	although	SCONJ
commonwealth-489	128	2	as	as	SCONJ
commonwealth-489	128	3	the	the	DET
commonwealth-489	128	4	data	data	NOUN
commonwealth-489	128	5	shows	show	VERB
commonwealth-489	128	6	(	(	PUNCT
commonwealth-489	128	7	table	table	NOUN
commonwealth-489	128	8	2	2	NUM
commonwealth-489	128	9	,	,	PUNCT
commonwealth-489	128	10	page	page	NOUN
commonwealth-489	128	11	107	107	NUM
commonwealth-489	128	12	)	)	PUNCT
commonwealth-489	128	13	,	,	PUNCT
commonwealth-489	128	14	the	the	DET
commonwealth-489	128	15	7cancer	7cancer	NUM
commonwealth-489	128	16	,	,	PUNCT
commonwealth-489	128	17	diabetes	diabetes	NOUN
commonwealth-489	128	18	,	,	PUNCT
commonwealth-489	128	19	educational	educational	ADJ
commonwealth-489	128	20	and	and	CCONJ
commonwealth-489	128	21	community	community	NOUN
commonwealth-489	128	22	-	-	PUNCT
commonwealth-489	128	23	based	base	VERB
commonwealth-489	128	24	programs	program	NOUN
commonwealth-489	128	25	,	,	PUNCT
commonwealth-489	128	26	heart	heart	NOUN
commonwealth-489	128	27	disease	disease	NOUN
commonwealth-489	128	28	and	and	CCONJ
commonwealth-489	128	29	stroke	stroke	NOUN
commonwealth-489	128	30	,	,	PUNCT
commonwealth-489	128	31	heart	heart	NOUN
commonwealth-489	128	32	disease	disease	NOUN
commonwealth-489	128	33	and	and	CCONJ
commonwealth-489	128	34	stroke	stroke	NOUN
commonwealth-489	128	35	,	,	PUNCT
commonwealth-489	128	36	immunization	immunization	NOUN
commonwealth-489	128	37	and	and	CCONJ
commonwealth-489	128	38	infectious	infectious	ADJ
commonwealth-489	128	39	diseases	disease	NOUN
commonwealth-489	128	40	,	,	PUNCT
commonwealth-489	128	41	injury	injury	NOUN
commonwealth-489	128	42	and	and	CCONJ
commonwealth-489	128	43	violence	violence	NOUN
commonwealth-489	128	44	prevention	prevention	NOUN
commonwealth-489	128	45	,	,	PUNCT
commonwealth-489	128	46	nutrition	nutrition	NOUN
commonwealth-489	128	47	and	and	CCONJ
commonwealth-489	128	48	overweight	overweight	ADJ
commonwealth-489	128	49	,	,	PUNCT
commonwealth-489	128	50	oral	oral	ADJ
commonwealth-489	128	51	health	health	NOUN
commonwealth-489	128	52	,	,	PUNCT
commonwealth-489	128	53	physical	physical	ADJ
commonwealth-489	128	54	activity	activity	NOUN
commonwealth-489	128	55	and	and	CCONJ
commonwealth-489	128	56	fitness	fitness	NOUN
commonwealth-489	128	57	,	,	PUNCT
commonwealth-489	128	58	public	public	ADJ
commonwealth-489	128	59	health	health	NOUN
commonwealth-489	128	60	data	datum	NOUN
commonwealth-489	128	61	,	,	PUNCT
commonwealth-489	128	62	surveillance	surveillance	NOUN
commonwealth-489	128	63	,	,	PUNCT
commonwealth-489	128	64	epidemiology	epidemiology	NOUN
commonwealth-489	128	65	,	,	PUNCT
commonwealth-489	128	66	and	and	CCONJ
commonwealth-489	128	67	training	training	NOUN
commonwealth-489	128	68	,	,	PUNCT
commonwealth-489	128	69	respiratory	respiratory	ADJ
commonwealth-489	128	70	diseases	disease	NOUN
commonwealth-489	128	71	,	,	PUNCT
commonwealth-489	128	72	rape	rape	NOUN
commonwealth-489	128	73	or	or	CCONJ
commonwealth-489	128	74	attempted	attempt	VERB
commonwealth-489	128	75	rape	rape	NOUN
commonwealth-489	128	76	,	,	PUNCT
commonwealth-489	128	77	administrative	administrative	ADJ
commonwealth-489	128	78	cost	cost	NOUN
commonwealth-489	128	79	.	.	PUNCT
commonwealth-489	129	1	alberto	alberto	PROPN
commonwealth-489	129	2	j.f	j.f	PROPN
commonwealth-489	129	3	.	.	PROPN
commonwealth-489	129	4	cardelle	cardelle	PROPN
commonwealth-489	129	5	109	109	NUM
commonwealth-489	129	6	investment	investment	NOUN
commonwealth-489	129	7	made	make	VERB
commonwealth-489	129	8	by	by	ADP
commonwealth-489	129	9	counties	county	NOUN
commonwealth-489	129	10	with	with	ADP
commonwealth-489	129	11	lhds	lhds	NOUN
commonwealth-489	129	12	for	for	ADP
commonwealth-489	129	13	lhd	lhd	NOUN
commonwealth-489	129	14	activities	activity	NOUN
commonwealth-489	129	15	and	and	CCONJ
commonwealth-489	129	16	the	the	DET
commonwealth-489	129	17	match	match	NOUN
commonwealth-489	129	18	demonstrate	demonstrate	VERB
commonwealth-489	129	19	a	a	DET
commonwealth-489	129	20	return	return	NOUN
commonwealth-489	129	21	on	on	ADP
commonwealth-489	129	22	investments	investment	NOUN
commonwealth-489	129	23	(	(	PUNCT
commonwealth-489	129	24	roi)8	roi)8	PROPN
commonwealth-489	129	25	of	of	ADP
commonwealth-489	129	26	over	over	ADP
commonwealth-489	129	27	100	100	NUM
commonwealth-489	129	28	%	%	NOUN
commonwealth-489	129	29	,	,	PUNCT
commonwealth-489	129	30	the	the	DET
commonwealth-489	129	31	earmarking	earmarking	NOUN
commonwealth-489	129	32	of	of	ADP
commonwealth-489	129	33	these	these	DET
commonwealth-489	129	34	matching	match	VERB
commonwealth-489	129	35	funds	fund	NOUN
commonwealth-489	129	36	during	during	ADP
commonwealth-489	129	37	the	the	DET
commonwealth-489	129	38	creation	creation	NOUN
commonwealth-489	129	39	of	of	ADP
commonwealth-489	129	40	a	a	DET
commonwealth-489	129	41	lhd	lhd	PROPN
commonwealth-489	129	42	represents	represent	VERB
commonwealth-489	129	43	a	a	DET
commonwealth-489	129	44	major	major	ADJ
commonwealth-489	129	45	barrier	barrier	NOUN
commonwealth-489	129	46	for	for	ADP
commonwealth-489	129	47	counties	county	NOUN
commonwealth-489	129	48	.	.	PUNCT
commonwealth-489	130	1	in	in	ADP
commonwealth-489	130	2	the	the	DET
commonwealth-489	130	3	long	long	ADJ
commonwealth-489	130	4	term	term	NOUN
commonwealth-489	130	5	,	,	PUNCT
commonwealth-489	130	6	these	these	DET
commonwealth-489	130	7	funds	fund	NOUN
commonwealth-489	130	8	represent	represent	VERB
commonwealth-489	130	9	a	a	DET
commonwealth-489	130	10	very	very	ADV
commonwealth-489	130	11	good	good	ADJ
commonwealth-489	130	12	investment	investment	NOUN
commonwealth-489	130	13	with	with	ADP
commonwealth-489	130	14	existing	exist	VERB
commonwealth-489	130	15	lhds	lhds	NOUN
commonwealth-489	130	16	producing	produce	VERB
commonwealth-489	130	17	an	an	DET
commonwealth-489	130	18	average	average	ADJ
commonwealth-489	130	19	roi	roi	NOUN
commonwealth-489	130	20	of	of	ADP
commonwealth-489	130	21	over	over	ADP
commonwealth-489	130	22	400	400	NUM
commonwealth-489	130	23	%	%	NOUN
commonwealth-489	130	24	.	.	PUNCT
commonwealth-489	131	1	for	for	ADP
commonwealth-489	131	2	example	example	NOUN
commonwealth-489	131	3	,	,	PUNCT
commonwealth-489	131	4	chester	chester	PROPN
commonwealth-489	131	5	county	county	PROPN
commonwealth-489	131	6	’s	’s	PART
commonwealth-489	131	7	department	department	PROPN
commonwealth-489	131	8	of	of	ADP
commonwealth-489	131	9	health	health	PROPN
commonwealth-489	131	10	has	have	VERB
commonwealth-489	131	11	almost	almost	ADV
commonwealth-489	131	12	an	an	DET
commonwealth-489	131	13	annual	annual	ADJ
commonwealth-489	131	14	1000	1000	NUM
commonwealth-489	131	15	%	%	NOUN
commonwealth-489	131	16	roi	roi	NOUN
commonwealth-489	131	17	.	.	PUNCT
commonwealth-489	132	1	for	for	ADP
commonwealth-489	132	2	its	its	PRON
commonwealth-489	132	3	annual	annual	ADJ
commonwealth-489	132	4	investment	investment	NOUN
commonwealth-489	132	5	of	of	ADP
commonwealth-489	132	6	about	about	ADV
commonwealth-489	132	7	$	$	SYM
commonwealth-489	132	8	700,000	700,000	NUM
commonwealth-489	132	9	of	of	ADP
commonwealth-489	132	10	direct	direct	ADJ
commonwealth-489	132	11	county	county	NOUN
commonwealth-489	132	12	revenues	revenue	NOUN
commonwealth-489	132	13	into	into	ADP
commonwealth-489	132	14	the	the	DET
commonwealth-489	132	15	chester	chester	PROPN
commonwealth-489	132	16	county	county	PROPN
commonwealth-489	132	17	health	health	PROPN
commonwealth-489	132	18	department	department	PROPN
commonwealth-489	132	19	,	,	PUNCT
commonwealth-489	132	20	that	that	SCONJ
commonwealth-489	132	21	health	health	NOUN
commonwealth-489	132	22	department	department	NOUN
commonwealth-489	132	23	offers	offer	VERB
commonwealth-489	132	24	the	the	DET
commonwealth-489	132	25	county	county	NOUN
commonwealth-489	132	26	$	$	SYM
commonwealth-489	132	27	7.5	7.5	NUM
commonwealth-489	132	28	million	million	NUM
commonwealth-489	132	29	in	in	ADP
commonwealth-489	132	30	services	service	NOUN
commonwealth-489	132	31	.	.	PUNCT
commonwealth-489	133	1	revenue	revenue	NOUN
commonwealth-489	133	2	drivers	driver	NOUN
commonwealth-489	133	3	the	the	DET
commonwealth-489	133	4	analysis	analysis	NOUN
commonwealth-489	133	5	looked	look	VERB
commonwealth-489	133	6	at	at	ADP
commonwealth-489	133	7	various	various	ADJ
commonwealth-489	133	8	different	different	ADJ
commonwealth-489	133	9	revenue	revenue	NOUN
commonwealth-489	133	10	drivers	driver	NOUN
commonwealth-489	133	11	(	(	PUNCT
commonwealth-489	133	12	factors	factor	NOUN
commonwealth-489	133	13	driving	drive	VERB
commonwealth-489	133	14	revenue	revenue	NOUN
commonwealth-489	133	15	)	)	PUNCT
commonwealth-489	133	16	to	to	PART
commonwealth-489	133	17	determine	determine	VERB
commonwealth-489	133	18	the	the	DET
commonwealth-489	133	19	factors	factor	NOUN
commonwealth-489	133	20	that	that	PRON
commonwealth-489	133	21	most	most	ADV
commonwealth-489	133	22	influenced	influence	VERB
commonwealth-489	133	23	the	the	DET
commonwealth-489	133	24	lhd	lhd	PROPN
commonwealth-489	133	25	’s	’s	PART
commonwealth-489	133	26	ability	ability	NOUN
commonwealth-489	133	27	to	to	PART
commonwealth-489	133	28	generate	generate	VERB
commonwealth-489	133	29	revenue	revenue	NOUN
commonwealth-489	133	30	.	.	PUNCT
commonwealth-489	134	1	the	the	DET
commonwealth-489	134	2	drivers	driver	NOUN
commonwealth-489	134	3	explored	explore	VERB
commonwealth-489	134	4	were	be	AUX
commonwealth-489	134	5	population	population	NOUN
commonwealth-489	134	6	,	,	PUNCT
commonwealth-489	134	7	poverty	poverty	NOUN
commonwealth-489	134	8	rates	rate	NOUN
commonwealth-489	134	9	,	,	PUNCT
commonwealth-489	134	10	geographic	geographic	ADJ
commonwealth-489	134	11	size	size	NOUN
commonwealth-489	134	12	of	of	ADP
commonwealth-489	134	13	the	the	DET
commonwealth-489	134	14	areas	area	NOUN
commonwealth-489	134	15	covered	cover	VERB
commonwealth-489	134	16	,	,	PUNCT
commonwealth-489	134	17	size	size	NOUN
commonwealth-489	134	18	of	of	ADP
commonwealth-489	134	19	the	the	DET
commonwealth-489	134	20	local	local	ADJ
commonwealth-489	134	21	government	government	NOUN
commonwealth-489	134	22	,	,	PUNCT
commonwealth-489	134	23	and	and	CCONJ
commonwealth-489	134	24	the	the	DET
commonwealth-489	134	25	demographic	demographic	ADJ
commonwealth-489	134	26	structure	structure	NOUN
commonwealth-489	134	27	of	of	ADP
commonwealth-489	134	28	the	the	DET
commonwealth-489	134	29	population	population	NOUN
commonwealth-489	134	30	covered	cover	VERB
commonwealth-489	134	31	.	.	PUNCT
commonwealth-489	135	1	these	these	DET
commonwealth-489	135	2	factors	factor	NOUN
commonwealth-489	135	3	were	be	AUX
commonwealth-489	135	4	selected	select	VERB
commonwealth-489	135	5	based	base	VERB
commonwealth-489	135	6	on	on	ADP
commonwealth-489	135	7	the	the	DET
commonwealth-489	135	8	qualitative	qualitative	ADJ
commonwealth-489	135	9	data	datum	NOUN
commonwealth-489	135	10	generated	generate	VERB
commonwealth-489	135	11	from	from	ADP
commonwealth-489	135	12	the	the	DET
commonwealth-489	135	13	interviews	interview	NOUN
commonwealth-489	135	14	with	with	ADP
commonwealth-489	135	15	lhd	lhd	PROPN
commonwealth-489	135	16	administrators	administrators	PROPN
commonwealth-489	135	17	.	.	PUNCT
commonwealth-489	136	1	each	each	PRON
commonwealth-489	136	2	of	of	ADP
commonwealth-489	136	3	these	these	DET
commonwealth-489	136	4	factors	factor	NOUN
commonwealth-489	136	5	was	be	AUX
commonwealth-489	136	6	identified	identify	VERB
commonwealth-489	136	7	by	by	ADP
commonwealth-489	136	8	at	at	ADV
commonwealth-489	136	9	least	least	ADV
commonwealth-489	136	10	one	one	NUM
commonwealth-489	136	11	administrator	administrator	NOUN
commonwealth-489	136	12	as	as	ADP
commonwealth-489	136	13	being	be	AUX
commonwealth-489	136	14	a	a	DET
commonwealth-489	136	15	factor	factor	NOUN
commonwealth-489	136	16	that	that	PRON
commonwealth-489	136	17	affected	affect	VERB
commonwealth-489	136	18	their	their	PRON
commonwealth-489	136	19	ability	ability	NOUN
commonwealth-489	136	20	to	to	PART
commonwealth-489	136	21	generate	generate	VERB
commonwealth-489	136	22	funds	fund	NOUN
commonwealth-489	136	23	.	.	PUNCT
commonwealth-489	137	1	the	the	DET
commonwealth-489	137	2	two	two	NUM
commonwealth-489	137	3	factors	factor	NOUN
commonwealth-489	137	4	that	that	PRON
commonwealth-489	137	5	show	show	VERB
commonwealth-489	137	6	the	the	DET
commonwealth-489	137	7	strongest	strong	ADJ
commonwealth-489	137	8	influence	influence	NOUN
commonwealth-489	137	9	on	on	ADP
commonwealth-489	137	10	revenue	revenue	NOUN
commonwealth-489	137	11	are	be	AUX
commonwealth-489	137	12	population	population	NOUN
commonwealth-489	137	13	and	and	CCONJ
commonwealth-489	137	14	levels	level	NOUN
commonwealth-489	137	15	of	of	ADP
commonwealth-489	137	16	poverty	poverty	NOUN
commonwealth-489	137	17	in	in	ADP
commonwealth-489	137	18	the	the	DET
commonwealth-489	137	19	community	community	NOUN
commonwealth-489	137	20	served	serve	VERB
commonwealth-489	137	21	.	.	PUNCT
commonwealth-489	138	1	the	the	DET
commonwealth-489	138	2	other	other	ADJ
commonwealth-489	138	3	factors	factor	NOUN
commonwealth-489	138	4	were	be	AUX
commonwealth-489	138	5	either	either	CCONJ
commonwealth-489	138	6	not	not	PART
commonwealth-489	138	7	significant	significant	ADJ
commonwealth-489	138	8	,	,	PUNCT
commonwealth-489	138	9	or	or	CCONJ
commonwealth-489	138	10	closely	closely	ADV
commonwealth-489	138	11	related	relate	VERB
commonwealth-489	138	12	to	to	ADP
commonwealth-489	138	13	population	population	NOUN
commonwealth-489	138	14	(	(	PUNCT
commonwealth-489	138	15	number	number	NOUN
commonwealth-489	138	16	of	of	ADP
commonwealth-489	138	17	townships	township	NOUN
commonwealth-489	138	18	for	for	ADP
commonwealth-489	138	19	example	example	NOUN
commonwealth-489	138	20	)	)	PUNCT
commonwealth-489	138	21	.	.	PUNCT
commonwealth-489	139	1	table	table	NOUN
commonwealth-489	139	2	3	3	NUM
commonwealth-489	139	3	shows	show	VERB
commonwealth-489	139	4	the	the	DET
commonwealth-489	139	5	pearson	pearson	PROPN
commonwealth-489	139	6	correlation	correlation	NOUN
commonwealth-489	139	7	coefficient9	coefficient9	PROPN
commonwealth-489	139	8	between	between	ADP
commonwealth-489	139	9	the	the	DET
commonwealth-489	139	10	different	different	ADJ
commonwealth-489	139	11	revenue	revenue	NOUN
commonwealth-489	139	12	sources	source	NOUN
commonwealth-489	139	13	and	and	CCONJ
commonwealth-489	139	14	total	total	ADJ
commonwealth-489	139	15	population	population	NOUN
commonwealth-489	139	16	and	and	CCONJ
commonwealth-489	139	17	percentage	percentage	NOUN
commonwealth-489	139	18	of	of	ADP
commonwealth-489	139	19	the	the	DET
commonwealth-489	139	20	population	population	NOUN
commonwealth-489	139	21	below	below	ADP
commonwealth-489	139	22	poverty	poverty	NOUN
commonwealth-489	139	23	.	.	PUNCT
commonwealth-489	140	1	the	the	DET
commonwealth-489	140	2	data	datum	NOUN
commonwealth-489	140	3	means	mean	VERB
commonwealth-489	140	4	that	that	SCONJ
commonwealth-489	140	5	as	as	ADP
commonwealth-489	140	6	the	the	DET
commonwealth-489	140	7	population	population	NOUN
commonwealth-489	140	8	covered	cover	VERB
commonwealth-489	140	9	by	by	ADP
commonwealth-489	140	10	the	the	DET
commonwealth-489	140	11	lhd	lhd	PROPN
commonwealth-489	140	12	increases	increase	NOUN
commonwealth-489	140	13	,	,	PUNCT
commonwealth-489	140	14	so	so	ADV
commonwealth-489	140	15	does	do	VERB
commonwealth-489	140	16	the	the	DET
commonwealth-489	140	17	revenue	revenue	NOUN
commonwealth-489	140	18	.	.	PUNCT
commonwealth-489	141	1	the	the	DET
commonwealth-489	141	2	same	same	ADJ
commonwealth-489	141	3	relationship	relationship	NOUN
commonwealth-489	141	4	exists	exist	VERB
commonwealth-489	141	5	between	between	ADP
commonwealth-489	141	6	revenue	revenue	NOUN
commonwealth-489	141	7	and	and	CCONJ
commonwealth-489	141	8	poverty	poverty	NOUN
commonwealth-489	141	9	levels	level	NOUN
commonwealth-489	141	10	.	.	PUNCT
commonwealth-489	142	1	in	in	ADP
commonwealth-489	142	2	other	other	ADJ
commonwealth-489	142	3	words	word	NOUN
commonwealth-489	142	4	,	,	PUNCT
commonwealth-489	142	5	as	as	SCONJ
commonwealth-489	142	6	poverty	poverty	NOUN
commonwealth-489	142	7	levels	level	NOUN
commonwealth-489	142	8	increase	increase	VERB
commonwealth-489	142	9	,	,	PUNCT
commonwealth-489	142	10	revenues	revenue	NOUN
commonwealth-489	142	11	increase	increase	NOUN
commonwealth-489	142	12	.	.	PUNCT
commonwealth-489	143	1	although	although	SCONJ
commonwealth-489	143	2	this	this	PRON
commonwealth-489	143	3	is	be	AUX
commonwealth-489	143	4	an	an	DET
commonwealth-489	143	5	expected	expect	VERB
commonwealth-489	143	6	trend	trend	NOUN
commonwealth-489	143	7	given	give	VERB
commonwealth-489	143	8	that	that	DET
commonwealth-489	143	9	act	act	NOUN
commonwealth-489	143	10	315	315	NUM
commonwealth-489	143	11	8the	8the	DET
commonwealth-489	143	12	roi	roi	NOUN
commonwealth-489	143	13	was	be	AUX
commonwealth-489	143	14	calculated	calculate	VERB
commonwealth-489	143	15	by	by	ADP
commonwealth-489	143	16	dividing	divide	VERB
commonwealth-489	143	17	the	the	DET
commonwealth-489	143	18	total	total	ADJ
commonwealth-489	143	19	amount	amount	NOUN
commonwealth-489	143	20	of	of	ADP
commonwealth-489	143	21	financial	financial	ADJ
commonwealth-489	143	22	resources	resource	NOUN
commonwealth-489	143	23	used	use	VERB
commonwealth-489	143	24	to	to	PART
commonwealth-489	143	25	provide	provide	VERB
commonwealth-489	143	26	public	public	ADJ
commonwealth-489	143	27	health	health	NOUN
commonwealth-489	143	28	services	service	NOUN
commonwealth-489	143	29	(	(	PUNCT
commonwealth-489	143	30	not	not	PART
commonwealth-489	143	31	including	include	VERB
commonwealth-489	143	32	the	the	DET
commonwealth-489	143	33	direct	direct	ADJ
commonwealth-489	143	34	funds	fund	NOUN
commonwealth-489	143	35	)	)	PUNCT
commonwealth-489	143	36	by	by	ADP
commonwealth-489	143	37	the	the	DET
commonwealth-489	143	38	amount	amount	NOUN
commonwealth-489	143	39	of	of	ADP
commonwealth-489	143	40	lhd	lhd	PROPN
commonwealth-489	143	41	budgets	budget	NOUN
commonwealth-489	143	42	stemming	stem	VERB
commonwealth-489	143	43	from	from	ADP
commonwealth-489	143	44	direct	direct	ADJ
commonwealth-489	143	45	funds	fund	NOUN
commonwealth-489	143	46	.	.	PUNCT
commonwealth-489	144	1	9pearson	9pearson	NUM
commonwealth-489	144	2	correlation	correlation	NOUN
commonwealth-489	144	3	coefficient	coefficient	NOUN
commonwealth-489	144	4	is	be	AUX
commonwealth-489	144	5	a	a	DET
commonwealth-489	144	6	measure	measure	NOUN
commonwealth-489	144	7	of	of	ADP
commonwealth-489	144	8	how	how	SCONJ
commonwealth-489	144	9	closely	closely	ADV
commonwealth-489	144	10	to	to	ADP
commonwealth-489	144	11	variables	variable	NOUN
commonwealth-489	144	12	relate	relate	VERB
commonwealth-489	144	13	to	to	ADP
commonwealth-489	144	14	each	each	DET
commonwealth-489	144	15	other	other	ADJ
commonwealth-489	144	16	.	.	PUNCT
commonwealth-489	145	1	a	a	DET
commonwealth-489	145	2	coefficient	coefficient	NOUN
commonwealth-489	145	3	of	of	ADP
commonwealth-489	145	4	close	close	ADJ
commonwealth-489	145	5	to	to	ADP
commonwealth-489	145	6	one	one	NUM
commonwealth-489	145	7	means	mean	VERB
commonwealth-489	145	8	that	that	SCONJ
commonwealth-489	145	9	the	the	DET
commonwealth-489	145	10	two	two	NUM
commonwealth-489	145	11	variables	variable	NOUN
commonwealth-489	145	12	are	be	AUX
commonwealth-489	145	13	positively	positively	ADV
commonwealth-489	145	14	correlated	correlate	VERB
commonwealth-489	145	15	,	,	PUNCT
commonwealth-489	145	16	or	or	CCONJ
commonwealth-489	145	17	in	in	ADP
commonwealth-489	145	18	other	other	ADJ
commonwealth-489	145	19	words	word	NOUN
commonwealth-489	145	20	as	as	SCONJ
commonwealth-489	145	21	one	one	NUM
commonwealth-489	145	22	rises	rise	VERB
commonwealth-489	145	23	the	the	DET
commonwealth-489	145	24	other	other	ADJ
commonwealth-489	145	25	also	also	ADV
commonwealth-489	145	26	tends	tend	VERB
commonwealth-489	145	27	to	to	PART
commonwealth-489	145	28	rise	rise	VERB
commonwealth-489	145	29	.	.	PUNCT
commonwealth-489	146	1	110	110	NUM
commonwealth-489	146	2	financial	financial	ADJ
commonwealth-489	146	3	analysis	analysis	NOUN
commonwealth-489	146	4	and	and	CCONJ
commonwealth-489	146	5	structural	structural	ADJ
commonwealth-489	146	6	considerations	consideration	NOUN
commonwealth-489	146	7	to	to	ADP
commonwealth-489	146	8	the	the	DET
commonwealth-489	146	9	problem	problem	NOUN
commonwealth-489	146	10	of	of	ADP
commonwealth-489	146	11	rural	rural	ADJ
commonwealth-489	146	12	public	public	ADJ
commonwealth-489	146	13	health	health	NOUN
commonwealth-489	146	14	in	in	ADP
commonwealth-489	146	15	pennsylvania	pennsylvania	PROPN
commonwealth-489	146	16	and	and	CCONJ
commonwealth-489	146	17	act	act	VERB
commonwealth-489	146	18	12	12	NUM
commonwealth-489	146	19	funds	fund	NOUN
commonwealth-489	146	20	are	be	AUX
commonwealth-489	146	21	reimbursable	reimbursable	ADJ
commonwealth-489	146	22	on	on	ADP
commonwealth-489	146	23	a	a	DET
commonwealth-489	146	24	per	per	ADP
commonwealth-489	146	25	capita	capita	NOUN
commonwealth-489	146	26	basis	basis	NOUN
commonwealth-489	146	27	,	,	PUNCT
commonwealth-489	146	28	the	the	DET
commonwealth-489	146	29	analysis	analysis	NOUN
commonwealth-489	146	30	shows	show	VERB
commonwealth-489	146	31	these	these	DET
commonwealth-489	146	32	funds	fund	NOUN
commonwealth-489	146	33	are	be	AUX
commonwealth-489	146	34	not	not	PART
commonwealth-489	146	35	the	the	DET
commonwealth-489	146	36	only	only	ADJ
commonwealth-489	146	37	source	source	NOUN
commonwealth-489	146	38	that	that	PRON
commonwealth-489	146	39	is	be	AUX
commonwealth-489	146	40	dependent	dependent	ADJ
commonwealth-489	146	41	on	on	ADP
commonwealth-489	146	42	population	population	NOUN
commonwealth-489	146	43	size	size	NOUN
commonwealth-489	146	44	.	.	PUNCT
commonwealth-489	147	1	table	table	NOUN
commonwealth-489	147	2	3	3	NUM
commonwealth-489	147	3	shows	show	VERB
commonwealth-489	147	4	there	there	PRON
commonwealth-489	147	5	is	be	VERB
commonwealth-489	147	6	a	a	DET
commonwealth-489	147	7	strong	strong	ADJ
commonwealth-489	147	8	positive	positive	ADJ
commonwealth-489	147	9	relationship	relationship	NOUN
commonwealth-489	147	10	between	between	ADP
commonwealth-489	147	11	population	population	NOUN
commonwealth-489	147	12	and	and	CCONJ
commonwealth-489	147	13	grants	grant	NOUN
commonwealth-489	147	14	(	(	PUNCT
commonwealth-489	147	15	a	a	DET
commonwealth-489	147	16	pearson	pearson	NOUN
commonwealth-489	147	17	correlation	correlation	NOUN
commonwealth-489	147	18	coefficient	coefficient	NOUN
commonwealth-489	147	19	of	of	ADP
commonwealth-489	147	20	0.84	0.84	NUM
commonwealth-489	147	21	)	)	PUNCT
commonwealth-489	147	22	.	.	PUNCT
commonwealth-489	148	1	this	this	PRON
commonwealth-489	148	2	is	be	AUX
commonwealth-489	148	3	explained	explain	VERB
commonwealth-489	148	4	by	by	ADP
commonwealth-489	148	5	the	the	DET
commonwealth-489	148	6	fact	fact	NOUN
commonwealth-489	148	7	that	that	SCONJ
commonwealth-489	148	8	many	many	ADJ
commonwealth-489	148	9	of	of	ADP
commonwealth-489	148	10	the	the	DET
commonwealth-489	148	11	non	non	ADJ
commonwealth-489	148	12	-	-	ADJ
commonwealth-489	148	13	reimbursable	reimbursable	ADJ
commonwealth-489	148	14	grants	grant	NOUN
commonwealth-489	148	15	are	be	AUX
commonwealth-489	148	16	formula	formula	NOUN
commonwealth-489	148	17	grants	grant	NOUN
commonwealth-489	148	18	based	base	VERB
commonwealth-489	148	19	on	on	ADP
commonwealth-489	148	20	the	the	DET
commonwealth-489	148	21	population	population	NOUN
commonwealth-489	148	22	covered	cover	VERB
commonwealth-489	148	23	.	.	PUNCT
commonwealth-489	149	1	these	these	DET
commonwealth-489	149	2	trends	trend	NOUN
commonwealth-489	149	3	are	be	AUX
commonwealth-489	149	4	an	an	DET
commonwealth-489	149	5	important	important	ADJ
commonwealth-489	149	6	consideration	consideration	NOUN
commonwealth-489	149	7	for	for	ADP
commonwealth-489	149	8	rural	rural	ADJ
commonwealth-489	149	9	areas	area	NOUN
commonwealth-489	149	10	with	with	ADP
commonwealth-489	149	11	small	small	ADJ
commonwealth-489	149	12	populations	population	NOUN
commonwealth-489	149	13	.	.	PUNCT
commonwealth-489	150	1	rural	rural	ADJ
commonwealth-489	150	2	areas	area	NOUN
commonwealth-489	150	3	would	would	AUX
commonwealth-489	150	4	be	be	AUX
commonwealth-489	150	5	less	less	ADV
commonwealth-489	150	6	likely	likely	ADJ
commonwealth-489	150	7	to	to	PART
commonwealth-489	150	8	generate	generate	VERB
commonwealth-489	150	9	the	the	DET
commonwealth-489	150	10	additional	additional	ADJ
commonwealth-489	150	11	funds	fund	NOUN
commonwealth-489	150	12	from	from	ADP
commonwealth-489	150	13	grants	grant	NOUN
commonwealth-489	150	14	and	and	CCONJ
commonwealth-489	150	15	fees	fee	NOUN
commonwealth-489	150	16	,	,	PUNCT
commonwealth-489	150	17	therefore	therefore	ADV
commonwealth-489	150	18	requiring	require	VERB
commonwealth-489	150	19	a	a	DET
commonwealth-489	150	20	relative	relative	ADJ
commonwealth-489	150	21	greater	great	ADJ
commonwealth-489	150	22	proportion	proportion	NOUN
commonwealth-489	150	23	of	of	ADP
commonwealth-489	150	24	the	the	DET
commonwealth-489	150	25	revenues	revenue	NOUN
commonwealth-489	150	26	to	to	PART
commonwealth-489	150	27	come	come	VERB
commonwealth-489	150	28	from	from	ADP
commonwealth-489	150	29	local	local	ADJ
commonwealth-489	150	30	government	government	NOUN
commonwealth-489	150	31	.	.	PUNCT
commonwealth-489	151	1	table	table	NOUN
commonwealth-489	151	2	3	3	NUM
commonwealth-489	151	3	:	:	PUNCT
commonwealth-489	151	4	correlation10	correlation10	NOUN
commonwealth-489	151	5	between	between	ADP
commonwealth-489	151	6	sources	source	NOUN
commonwealth-489	151	7	of	of	ADP
commonwealth-489	151	8	revenue	revenue	NOUN
commonwealth-489	151	9	and	and	CCONJ
commonwealth-489	151	10	revenue	revenue	NOUN
commonwealth-489	151	11	drivers	driver	NOUN
commonwealth-489	151	12	and	and	CCONJ
commonwealth-489	151	13	types	type	NOUN
commonwealth-489	151	14	of	of	ADP
commonwealth-489	151	15	services	service	NOUN
commonwealth-489	151	16	population	population	NOUN
commonwealth-489	151	17	poverty	poverty	NOUN
commonwealth-489	151	18	(	(	PUNCT
commonwealth-489	151	19	%	%	INTJ
commonwealth-489	151	20	)	)	PUNCT
commonwealth-489	151	21	personal	personal	ADJ
commonwealth-489	151	22	health	health	NOUN
commonwealth-489	151	23	services	service	NOUN
commonwealth-489	151	24	environmental	environmental	PROPN
commonwealth-489	151	25	health	health	PROPN
commonwealth-489	151	26	services	service	NOUN
commonwealth-489	151	27	public	public	ADJ
commonwealth-489	151	28	health	health	NOUN
commonwealth-489	151	29	services	service	NOUN
commonwealth-489	151	30	act	act	VERB
commonwealth-489	151	31	315	315	NUM
commonwealth-489	151	32	&	&	CCONJ
commonwealth-489	151	33	12	12	NUM
commonwealth-489	151	34	revenue	revenue	NOUN
commonwealth-489	151	35	0.96	0.96	NUM
commonwealth-489	151	36	0.98	0.98	NUM
commonwealth-489	151	37	0.144	0.144	NUM
commonwealth-489	151	38	0.54	0.54	NUM
commonwealth-489	151	39	-0.36	-0.36	NUM
commonwealth-489	151	40	grant	grant	NOUN
commonwealth-489	151	41	revenue	revenue	NOUN
commonwealth-489	151	42	0.84	0.84	NUM
commonwealth-489	151	43	0.99	0.99	NUM
commonwealth-489	151	44	0.580	0.580	NUM
commonwealth-489	151	45	0.06	0.06	NUM
commonwealth-489	151	46	-0.61	-0.61	NOUN
commonwealth-489	151	47	user	user	NOUN
commonwealth-489	151	48	fee	fee	NOUN
commonwealth-489	151	49	revenue	revenue	NOUN
commonwealth-489	151	50	0.88	0.88	NUM
commonwealth-489	151	51	0.92	0.92	NUM
commonwealth-489	151	52	-0.200	-0.200	X
commonwealth-489	151	53	0.91	0.91	NUM
commonwealth-489	151	54	-0.38	-0.38	PROPN
commonwealth-489	151	55	direct	direct	ADJ
commonwealth-489	151	56	funds	fund	NOUN
commonwealth-489	151	57	revenue	revenue	NOUN
commonwealth-489	151	58	0.86	0.86	NUM
commonwealth-489	151	59	0.97	0.97	NUM
commonwealth-489	151	60	-0.550	-0.550	PUNCT
commonwealth-489	151	61	-0.78	-0.78	NUM
commonwealth-489	151	62	0.95	0.95	NUM
commonwealth-489	151	63	a	a	DET
commonwealth-489	151	64	second	second	ADJ
commonwealth-489	151	65	important	important	ADJ
commonwealth-489	151	66	revenue	revenue	NOUN
commonwealth-489	151	67	driver	driver	NOUN
commonwealth-489	151	68	is	be	AUX
commonwealth-489	151	69	the	the	DET
commonwealth-489	151	70	level	level	NOUN
commonwealth-489	151	71	of	of	ADP
commonwealth-489	151	72	poverty	poverty	NOUN
commonwealth-489	151	73	in	in	ADP
commonwealth-489	151	74	the	the	DET
commonwealth-489	151	75	county	county	NOUN
commonwealth-489	151	76	.	.	PUNCT
commonwealth-489	152	1	table	table	NOUN
commonwealth-489	152	2	3	3	NUM
commonwealth-489	152	3	shows	show	VERB
commonwealth-489	152	4	that	that	SCONJ
commonwealth-489	152	5	there	there	PRON
commonwealth-489	152	6	is	be	VERB
commonwealth-489	152	7	a	a	DET
commonwealth-489	152	8	strong	strong	ADJ
commonwealth-489	152	9	correlation	correlation	NOUN
commonwealth-489	152	10	between	between	ADP
commonwealth-489	152	11	poverty	poverty	NOUN
commonwealth-489	152	12	levels	level	NOUN
commonwealth-489	152	13	and	and	CCONJ
commonwealth-489	152	14	all	all	DET
commonwealth-489	152	15	the	the	DET
commonwealth-489	152	16	revenue	revenue	NOUN
commonwealth-489	152	17	funds	fund	NOUN
commonwealth-489	152	18	,	,	PUNCT
commonwealth-489	152	19	with	with	ADP
commonwealth-489	152	20	the	the	DET
commonwealth-489	152	21	highest	high	ADJ
commonwealth-489	152	22	strongest	strong	ADJ
commonwealth-489	152	23	correlation	correlation	NOUN
commonwealth-489	152	24	(	(	PUNCT
commonwealth-489	152	25	.99	.99	NUM
commonwealth-489	152	26	)	)	PUNCT
commonwealth-489	152	27	found	find	VERB
commonwealth-489	152	28	between	between	ADP
commonwealth-489	152	29	levels	level	NOUN
commonwealth-489	152	30	of	of	ADP
commonwealth-489	152	31	poverty	poverty	NOUN
commonwealth-489	152	32	and	and	CCONJ
commonwealth-489	152	33	grants	grant	NOUN
commonwealth-489	152	34	(	(	PUNCT
commonwealth-489	152	35	this	this	PRON
commonwealth-489	152	36	is	be	AUX
commonwealth-489	152	37	controlling	control	VERB
commonwealth-489	152	38	for	for	ADP
commonwealth-489	152	39	the	the	DET
commonwealth-489	152	40	difference	difference	NOUN
commonwealth-489	152	41	between	between	ADP
commonwealth-489	152	42	the	the	DET
commonwealth-489	152	43	municipal	municipal	ADJ
commonwealth-489	152	44	lhds	lhds	NOUN
commonwealth-489	152	45	and	and	CCONJ
commonwealth-489	152	46	county	county	NOUN
commonwealth-489	152	47	lhds	lhds	NOUN
commonwealth-489	152	48	)	)	PUNCT
commonwealth-489	152	49	.	.	PUNCT
commonwealth-489	153	1	this	this	DET
commonwealth-489	153	2	relationship	relationship	NOUN
commonwealth-489	153	3	is	be	AUX
commonwealth-489	153	4	also	also	ADV
commonwealth-489	153	5	expected	expect	VERB
commonwealth-489	153	6	given	give	VERB
commonwealth-489	153	7	that	that	DET
commonwealth-489	153	8	poverty	poverty	NOUN
commonwealth-489	153	9	levels	level	NOUN
commonwealth-489	153	10	,	,	PUNCT
commonwealth-489	153	11	like	like	ADP
commonwealth-489	153	12	population	population	NOUN
commonwealth-489	153	13	,	,	PUNCT
commonwealth-489	153	14	are	be	AUX
commonwealth-489	153	15	key	key	ADJ
commonwealth-489	153	16	eligibility	eligibility	NOUN
commonwealth-489	153	17	criteria	criterion	NOUN
commonwealth-489	153	18	in	in	ADP
commonwealth-489	153	19	many	many	ADJ
commonwealth-489	153	20	competitive	competitive	ADJ
commonwealth-489	153	21	grants	grant	NOUN
commonwealth-489	153	22	.	.	PUNCT
commonwealth-489	154	1	cost	cost	NOUN
commonwealth-489	154	2	drivers	driver	NOUN
commonwealth-489	154	3	act	act	VERB
commonwealth-489	154	4	315	315	NUM
commonwealth-489	154	5	and	and	CCONJ
commonwealth-489	154	6	act	act	VERB
commonwealth-489	154	7	12	12	NUM
commonwealth-489	154	8	funding	funding	NOUN
commonwealth-489	154	9	require	require	VERB
commonwealth-489	154	10	the	the	DET
commonwealth-489	154	11	recipient	recipient	NOUN
commonwealth-489	154	12	to	to	PART
commonwealth-489	154	13	provide	provide	VERB
commonwealth-489	154	14	a	a	DET
commonwealth-489	154	15	certain	certain	ADJ
commonwealth-489	154	16	set	set	NOUN
commonwealth-489	154	17	of	of	ADP
commonwealth-489	154	18	services	service	NOUN
commonwealth-489	154	19	and	and	CCONJ
commonwealth-489	154	20	to	to	PART
commonwealth-489	154	21	maintain	maintain	VERB
commonwealth-489	154	22	a	a	DET
commonwealth-489	154	23	certain	certain	ADJ
commonwealth-489	154	24	personnel	personnel	NOUN
commonwealth-489	154	25	structure	structure	NOUN
commonwealth-489	154	26	.	.	PUNCT
commonwealth-489	155	1	using	use	VERB
commonwealth-489	155	2	the	the	DET
commonwealth-489	155	3	general	general	ADJ
commonwealth-489	155	4	structures	structure	NOUN
commonwealth-489	155	5	established	establish	VERB
commonwealth-489	155	6	by	by	ADP
commonwealth-489	155	7	the	the	DET
commonwealth-489	155	8	legislation	legislation	NOUN
commonwealth-489	155	9	,	,	PUNCT
commonwealth-489	155	10	table	table	NOUN
commonwealth-489	155	11	4	4	NUM
commonwealth-489	155	12	shows	show	VERB
commonwealth-489	155	13	how	how	SCONJ
commonwealth-489	155	14	the	the	DET
commonwealth-489	155	15	10pearson	10pearson	NUM
commonwealth-489	155	16	correlations	correlation	NOUN
commonwealth-489	155	17	.	.	PUNCT
commonwealth-489	156	1	alberto	alberto	PROPN
commonwealth-489	156	2	j.f	j.f	PROPN
commonwealth-489	156	3	.	.	PROPN
commonwealth-489	156	4	cardelle	cardelle	PROPN
commonwealth-489	156	5	111	111	NUM
commonwealth-489	156	6	extant	extant	ADJ
commonwealth-489	156	7	lhds	lhds	NOUN
commonwealth-489	156	8	compare	compare	VERB
commonwealth-489	156	9	with	with	ADP
commonwealth-489	156	10	regard	regard	NOUN
commonwealth-489	156	11	to	to	ADP
commonwealth-489	156	12	expenditure	expenditure	NOUN
commonwealth-489	156	13	structures	structure	NOUN
commonwealth-489	156	14	.	.	PUNCT
commonwealth-489	157	1	expenditures	expenditure	NOUN
commonwealth-489	157	2	are	be	AUX
commonwealth-489	157	3	grouped	group	VERB
commonwealth-489	157	4	into	into	ADP
commonwealth-489	157	5	four	four	NUM
commonwealth-489	157	6	general	general	ADJ
commonwealth-489	157	7	and	and	CCONJ
commonwealth-489	157	8	generic	generic	ADJ
commonwealth-489	157	9	categories	category	NOUN
commonwealth-489	157	10	:	:	PUNCT
commonwealth-489	157	11	administration	administration	NOUN
commonwealth-489	157	12	,	,	PUNCT
commonwealth-489	157	13	personal	personal	ADJ
commonwealth-489	157	14	health	health	NOUN
commonwealth-489	157	15	services	service	NOUN
commonwealth-489	157	16	(	(	PUNCT
commonwealth-489	157	17	immunizations	immunization	NOUN
commonwealth-489	157	18	,	,	PUNCT
commonwealth-489	157	19	std	std	NOUN
commonwealth-489	157	20	testing	testing	NOUN
commonwealth-489	157	21	counseling	counseling	NOUN
commonwealth-489	157	22	,	,	PUNCT
commonwealth-489	157	23	maternal	maternal	ADJ
commonwealth-489	157	24	and	and	CCONJ
commonwealth-489	157	25	child	child	NOUN
commonwealth-489	157	26	health	health	NOUN
commonwealth-489	157	27	services	service	NOUN
commonwealth-489	157	28	,	,	PUNCT
commonwealth-489	157	29	etc	etc	X
commonwealth-489	157	30	.	.	X
commonwealth-489	157	31	)	)	PUNCT
commonwealth-489	157	32	,	,	PUNCT
commonwealth-489	157	33	environmental	environmental	ADJ
commonwealth-489	157	34	health	health	NOUN
commonwealth-489	157	35	services	service	NOUN
commonwealth-489	157	36	(	(	PUNCT
commonwealth-489	157	37	all	all	PRON
commonwealth-489	157	38	of	of	ADP
commonwealth-489	157	39	the	the	DET
commonwealth-489	157	40	act	act	NOUN
commonwealth-489	157	41	12	12	NUM
commonwealth-489	157	42	mandated	mandate	VERB
commonwealth-489	157	43	services	service	NOUN
commonwealth-489	157	44	)	)	PUNCT
commonwealth-489	157	45	,	,	PUNCT
commonwealth-489	157	46	and	and	CCONJ
commonwealth-489	157	47	public	public	ADJ
commonwealth-489	157	48	health	health	NOUN
commonwealth-489	157	49	services	service	NOUN
commonwealth-489	157	50	(	(	PUNCT
commonwealth-489	157	51	health	health	NOUN
commonwealth-489	157	52	education	education	NOUN
commonwealth-489	157	53	,	,	PUNCT
commonwealth-489	157	54	public	public	ADJ
commonwealth-489	157	55	health	health	NOUN
commonwealth-489	157	56	laboratory	laboratory	NOUN
commonwealth-489	157	57	,	,	PUNCT
commonwealth-489	157	58	public	public	ADJ
commonwealth-489	157	59	health	health	NOUN
commonwealth-489	157	60	policy	policy	NOUN
commonwealth-489	157	61	development	development	NOUN
commonwealth-489	157	62	,	,	PUNCT
commonwealth-489	157	63	epidemiology	epidemiology	NOUN
commonwealth-489	157	64	,	,	PUNCT
commonwealth-489	157	65	etc	etc	X
commonwealth-489	157	66	)	)	PUNCT
commonwealth-489	157	67	.	.	PUNCT
commonwealth-489	158	1	on	on	ADP
commonwealth-489	158	2	the	the	DET
commonwealth-489	158	3	average	average	NOUN
commonwealth-489	158	4	,	,	PUNCT
commonwealth-489	158	5	existing	exist	VERB
commonwealth-489	158	6	lhds	lhds	NOUN
commonwealth-489	158	7	spend	spend	VERB
commonwealth-489	158	8	an	an	DET
commonwealth-489	158	9	average	average	NOUN
commonwealth-489	158	10	of	of	ADP
commonwealth-489	158	11	18	18	NUM
commonwealth-489	158	12	%	%	NOUN
commonwealth-489	158	13	on	on	ADP
commonwealth-489	158	14	administration	administration	NOUN
commonwealth-489	158	15	,	,	PUNCT
commonwealth-489	158	16	30	30	NUM
commonwealth-489	158	17	%	%	NOUN
commonwealth-489	158	18	on	on	ADP
commonwealth-489	158	19	personal	personal	ADJ
commonwealth-489	158	20	health	health	NOUN
commonwealth-489	158	21	services	service	NOUN
commonwealth-489	158	22	,	,	PUNCT
commonwealth-489	158	23	40	40	NUM
commonwealth-489	158	24	%	%	NOUN
commonwealth-489	158	25	on	on	ADP
commonwealth-489	158	26	environmental	environmental	ADJ
commonwealth-489	158	27	services	service	NOUN
commonwealth-489	158	28	,	,	PUNCT
commonwealth-489	158	29	and	and	CCONJ
commonwealth-489	158	30	12	12	NUM
commonwealth-489	158	31	%	%	NOUN
commonwealth-489	158	32	on	on	ADP
commonwealth-489	158	33	public	public	ADJ
commonwealth-489	158	34	health	health	NOUN
commonwealth-489	158	35	services	service	NOUN
commonwealth-489	158	36	.	.	PUNCT
commonwealth-489	159	1	table	table	NOUN
commonwealth-489	159	2	4	4	NUM
commonwealth-489	159	3	lhd11	lhd11	NOUN
commonwealth-489	159	4	,	,	PUNCT
commonwealth-489	159	5	12	12	NUM
commonwealth-489	159	6	total	total	ADJ
commonwealth-489	159	7	budget	budget	NOUN
commonwealth-489	159	8	administration	administration	NOUN
commonwealth-489	159	9	(	(	PUNCT
commonwealth-489	159	10	%	%	INTJ
commonwealth-489	159	11	)	)	PUNCT
commonwealth-489	159	12	personal	personal	ADJ
commonwealth-489	159	13	health	health	NOUN
commonwealth-489	159	14	(	(	PUNCT
commonwealth-489	159	15	%	%	NOUN
commonwealth-489	159	16	)	)	PUNCT
commonwealth-489	159	17	environmental	environmental	ADJ
commonwealth-489	159	18	health	health	NOUN
commonwealth-489	159	19	(	(	PUNCT
commonwealth-489	159	20	%	%	NOUN
commonwealth-489	159	21	)	)	PUNCT
commonwealth-489	159	22	public	public	ADJ
commonwealth-489	159	23	health	health	NOUN
commonwealth-489	159	24	(	(	PUNCT
commonwealth-489	159	25	%	%	NOUN
commonwealth-489	159	26	)	)	PUNCT
commonwealth-489	159	27	allegheny	allegheny	PROPN
commonwealth-489	159	28	$	$	SYM
commonwealth-489	159	29	18,405,300	18,405,300	NUM
commonwealth-489	159	30	20	20	NUM
commonwealth-489	159	31	%	%	NOUN
commonwealth-489	159	32	29	29	NUM
commonwealth-489	159	33	%	%	NOUN
commonwealth-489	159	34	40	40	NUM
commonwealth-489	159	35	%	%	NOUN
commonwealth-489	159	36	11	11	NUM
commonwealth-489	159	37	%	%	NOUN
commonwealth-489	159	38	chester	chester	NOUN
commonwealth-489	159	39	8,426,541	8,426,541	NUM
commonwealth-489	159	40	13	13	NUM
commonwealth-489	159	41	%	%	NOUN
commonwealth-489	159	42	31	31	NUM
commonwealth-489	159	43	%	%	NOUN
commonwealth-489	159	44	48	48	NUM
commonwealth-489	159	45	%	%	NOUN
commonwealth-489	159	46	8	8	NUM
commonwealth-489	159	47	%	%	NOUN
commonwealth-489	159	48	allentown	allentown	NOUN
commonwealth-489	159	49	1,902,799	1,902,799	NUM
commonwealth-489	159	50	27	27	NUM
commonwealth-489	159	51	%	%	NOUN
commonwealth-489	159	52	15	15	NUM
commonwealth-489	159	53	%	%	NOUN
commonwealth-489	159	54	21	21	NUM
commonwealth-489	159	55	%	%	NOUN
commonwealth-489	159	56	37	37	NUM
commonwealth-489	159	57	%	%	NOUN
commonwealth-489	159	58	york	york	NOUN
commonwealth-489	159	59	1,096,246	1,096,246	NUM
commonwealth-489	159	60	14	14	NUM
commonwealth-489	159	61	%	%	NOUN
commonwealth-489	159	62	54	54	NUM
commonwealth-489	159	63	%	%	NOUN
commonwealth-489	159	64	23	23	NUM
commonwealth-489	159	65	%	%	NOUN
commonwealth-489	159	66	9	9	NUM
commonwealth-489	159	67	%	%	NOUN
commonwealth-489	159	68	average	average	NOUN
commonwealth-489	159	69	7,457,722	7,457,722	NUM
commonwealth-489	159	70	18	18	NUM
commonwealth-489	159	71	%	%	NOUN
commonwealth-489	159	72	30	30	NUM
commonwealth-489	159	73	%	%	NOUN
commonwealth-489	159	74	40	40	NUM
commonwealth-489	159	75	%	%	NOUN
commonwealth-489	159	76	12	12	NUM
commonwealth-489	159	77	%	%	NOUN
commonwealth-489	159	78	all	all	PRON
commonwealth-489	159	79	of	of	ADP
commonwealth-489	159	80	the	the	DET
commonwealth-489	159	81	lhds	lhds	NOUN
commonwealth-489	159	82	interviewed	interview	VERB
commonwealth-489	159	83	indicated	indicate	VERB
commonwealth-489	159	84	that	that	SCONJ
commonwealth-489	159	85	the	the	DET
commonwealth-489	159	86	most	most	ADV
commonwealth-489	159	87	important	important	ADJ
commonwealth-489	159	88	determinant	determinant	ADJ
commonwealth-489	159	89	of	of	ADP
commonwealth-489	159	90	their	their	PRON
commonwealth-489	159	91	expense	expense	NOUN
commonwealth-489	159	92	structure	structure	NOUN
commonwealth-489	159	93	is	be	AUX
commonwealth-489	159	94	their	their	PRON
commonwealth-489	159	95	revenue	revenue	NOUN
commonwealth-489	159	96	stream	stream	NOUN
commonwealth-489	159	97	.	.	PUNCT
commonwealth-489	160	1	in	in	ADP
commonwealth-489	160	2	other	other	ADJ
commonwealth-489	160	3	words	word	NOUN
commonwealth-489	160	4	,	,	PUNCT
commonwealth-489	160	5	what	what	PRON
commonwealth-489	160	6	they	they	PRON
commonwealth-489	160	7	spend	spend	VERB
commonwealth-489	160	8	is	be	AUX
commonwealth-489	160	9	determined	determine	VERB
commonwealth-489	160	10	by	by	ADP
commonwealth-489	160	11	their	their	PRON
commonwealth-489	160	12	success	success	NOUN
commonwealth-489	160	13	in	in	ADP
commonwealth-489	160	14	obtaining	obtain	VERB
commonwealth-489	160	15	funds	fund	NOUN
commonwealth-489	160	16	.	.	PUNCT
commonwealth-489	161	1	in	in	ADP
commonwealth-489	161	2	particular	particular	ADJ
commonwealth-489	161	3	,	,	PUNCT
commonwealth-489	161	4	their	their	PRON
commonwealth-489	161	5	grant	grant	NOUN
commonwealth-489	161	6	revenues	revenue	NOUN
commonwealth-489	161	7	are	be	AUX
commonwealth-489	161	8	most	most	ADV
commonwealth-489	161	9	influential	influential	ADJ
commonwealth-489	161	10	.	.	PUNCT
commonwealth-489	162	1	the	the	DET
commonwealth-489	162	2	existing	exist	VERB
commonwealth-489	162	3	lhds	lhds	NOUN
commonwealth-489	162	4	report	report	NOUN
commonwealth-489	162	5	that	that	SCONJ
commonwealth-489	162	6	the	the	DET
commonwealth-489	162	7	only	only	ADJ
commonwealth-489	162	8	significant	significant	ADJ
commonwealth-489	162	9	revenue	revenue	NOUN
commonwealth-489	162	10	growth	growth	NOUN
commonwealth-489	162	11	experienced	experience	VERB
commonwealth-489	162	12	by	by	ADP
commonwealth-489	162	13	lhds	lhds	NOUN
commonwealth-489	162	14	emerges	emerge	NOUN
commonwealth-489	162	15	from	from	ADP
commonwealth-489	162	16	grant	grant	NOUN
commonwealth-489	162	17	funds	fund	NOUN
commonwealth-489	162	18	.	.	PUNCT
commonwealth-489	163	1	the	the	DET
commonwealth-489	163	2	analysis	analysis	NOUN
commonwealth-489	163	3	of	of	ADP
commonwealth-489	163	4	the	the	DET
commonwealth-489	163	5	expenditures	expenditure	NOUN
commonwealth-489	163	6	shows	show	VERB
commonwealth-489	163	7	that	that	SCONJ
commonwealth-489	163	8	a	a	DET
commonwealth-489	163	9	lhd	lhd	PROPN
commonwealth-489	163	10	’s	’s	PART
commonwealth-489	163	11	grant	grant	NOUN
commonwealth-489	163	12	revenue	revenue	NOUN
commonwealth-489	163	13	is	be	AUX
commonwealth-489	163	14	most	most	ADV
commonwealth-489	163	15	influential	influential	ADJ
commonwealth-489	163	16	on	on	ADP
commonwealth-489	163	17	their	their	PRON
commonwealth-489	163	18	personal	personal	ADJ
commonwealth-489	163	19	health	health	NOUN
commonwealth-489	163	20	services	service	NOUN
commonwealth-489	163	21	.	.	PUNCT
commonwealth-489	164	1	table	table	NOUN
commonwealth-489	164	2	3	3	NUM
commonwealth-489	164	3	(	(	PUNCT
commonwealth-489	164	4	page	page	NOUN
commonwealth-489	164	5	110	110	NUM
commonwealth-489	164	6	)	)	PUNCT
commonwealth-489	164	7	shows	show	VERB
commonwealth-489	164	8	the	the	DET
commonwealth-489	164	9	correlation	correlation	NOUN
commonwealth-489	164	10	(	(	PUNCT
commonwealth-489	164	11	pearson	pearson	NOUN
commonwealth-489	164	12	correlation	correlation	NOUN
commonwealth-489	164	13	coefficients	coefficient	NOUN
commonwealth-489	164	14	)	)	PUNCT
commonwealth-489	164	15	between	between	ADP
commonwealth-489	164	16	revenue	revenue	NOUN
commonwealth-489	164	17	sources	source	NOUN
commonwealth-489	164	18	and	and	CCONJ
commonwealth-489	164	19	expenditure	expenditure	NOUN
commonwealth-489	164	20	types	type	NOUN
commonwealth-489	164	21	.	.	PUNCT
commonwealth-489	165	1	it	it	PRON
commonwealth-489	165	2	also	also	ADV
commonwealth-489	165	3	shows	show	VERB
commonwealth-489	165	4	that	that	SCONJ
commonwealth-489	165	5	as	as	SCONJ
commonwealth-489	165	6	lhds	lhds	NOUN
commonwealth-489	165	7	generate	generate	VERB
commonwealth-489	165	8	more	more	ADJ
commonwealth-489	165	9	grant	grant	NOUN
commonwealth-489	165	10	revenue	revenue	NOUN
commonwealth-489	165	11	they	they	PRON
commonwealth-489	165	12	are	be	AUX
commonwealth-489	165	13	more	more	ADV
commonwealth-489	165	14	likely	likely	ADJ
commonwealth-489	165	15	to	to	PART
commonwealth-489	165	16	increase	increase	VERB
commonwealth-489	165	17	their	their	PRON
commonwealth-489	165	18	personal	personal	ADJ
commonwealth-489	165	19	health	health	NOUN
commonwealth-489	165	20	services	service	NOUN
commonwealth-489	165	21	11the	11the	NOUN
commonwealth-489	165	22	revenues	revenue	NOUN
commonwealth-489	165	23	reported	report	VERB
commonwealth-489	165	24	in	in	ADP
commonwealth-489	165	25	the	the	DET
commonwealth-489	165	26	previous	previous	ADJ
commonwealth-489	165	27	section	section	NOUN
commonwealth-489	165	28	do	do	AUX
commonwealth-489	165	29	not	not	PART
commonwealth-489	165	30	necessarily	necessarily	ADV
commonwealth-489	165	31	match	match	VERB
commonwealth-489	165	32	the	the	DET
commonwealth-489	165	33	expenses	expense	NOUN
commonwealth-489	165	34	because	because	SCONJ
commonwealth-489	165	35	the	the	DET
commonwealth-489	165	36	budgets	budget	NOUN
commonwealth-489	165	37	reported	report	VERB
commonwealth-489	165	38	here	here	ADV
commonwealth-489	165	39	are	be	AUX
commonwealth-489	165	40	strictly	strictly	ADV
commonwealth-489	165	41	for	for	ADP
commonwealth-489	165	42	the	the	DET
commonwealth-489	165	43	expenses	expense	NOUN
commonwealth-489	165	44	of	of	ADP
commonwealth-489	165	45	activities	activity	NOUN
commonwealth-489	165	46	considered	consider	VERB
commonwealth-489	165	47	to	to	PART
commonwealth-489	165	48	be	be	AUX
commonwealth-489	165	49	core	core	ADJ
commonwealth-489	165	50	public	public	ADJ
commonwealth-489	165	51	health	health	NOUN
commonwealth-489	165	52	functions	function	NOUN
commonwealth-489	165	53	(	(	PUNCT
commonwealth-489	165	54	for	for	ADP
commonwealth-489	165	55	example	example	NOUN
commonwealth-489	165	56	,	,	PUNCT
commonwealth-489	165	57	allegheny	allegheny	PROPN
commonwealth-489	165	58	county	county	NOUN
commonwealth-489	165	59	has	have	VERB
commonwealth-489	165	60	$	$	SYM
commonwealth-489	165	61	500,000	500,000	NUM
commonwealth-489	165	62	passthrough	passthrough	NOUN
commonwealth-489	165	63	grant	grant	NOUN
commonwealth-489	165	64	to	to	PART
commonwealth-489	165	65	manage	manage	VERB
commonwealth-489	165	66	county	county	NOUN
commonwealth-489	165	67	jail	jail	NOUN
commonwealth-489	165	68	health	health	NOUN
commonwealth-489	165	69	care	care	NOUN
commonwealth-489	165	70	)	)	PUNCT
commonwealth-489	165	71	and	and	CCONJ
commonwealth-489	165	72	because	because	SCONJ
commonwealth-489	165	73	lhds	lhds	NOUN
commonwealth-489	165	74	revenues	revenue	NOUN
commonwealth-489	165	75	streams	stream	NOUN
commonwealth-489	165	76	have	have	VERB
commonwealth-489	165	77	different	different	ADJ
commonwealth-489	165	78	fiscal	fiscal	ADJ
commonwealth-489	165	79	years	year	NOUN
commonwealth-489	165	80	and	and	CCONJ
commonwealth-489	165	81	therefore	therefore	ADV
commonwealth-489	165	82	lhds	lhds	NOUN
commonwealth-489	165	83	may	may	AUX
commonwealth-489	165	84	carry	carry	VERB
commonwealth-489	165	85	a	a	DET
commonwealth-489	165	86	balance	balance	NOUN
commonwealth-489	165	87	between	between	ADP
commonwealth-489	165	88	fiscal	fiscal	ADJ
commonwealth-489	165	89	years	year	NOUN
commonwealth-489	165	90	.	.	PUNCT
commonwealth-489	166	1	12these	12these	NUM
commonwealth-489	166	2	are	be	AUX
commonwealth-489	166	3	the	the	DET
commonwealth-489	166	4	only	only	ADJ
commonwealth-489	166	5	reported	report	VERB
commonwealth-489	166	6	budgets	budget	NOUN
commonwealth-489	166	7	because	because	SCONJ
commonwealth-489	166	8	of	of	ADP
commonwealth-489	166	9	either	either	DET
commonwealth-489	166	10	difficulty	difficulty	NOUN
commonwealth-489	166	11	in	in	ADP
commonwealth-489	166	12	obtaining	obtain	VERB
commonwealth-489	166	13	budgets	budget	NOUN
commonwealth-489	166	14	or	or	CCONJ
commonwealth-489	166	15	in	in	ADP
commonwealth-489	166	16	obtaining	obtain	VERB
commonwealth-489	166	17	budgets	budget	NOUN
commonwealth-489	166	18	in	in	ADP
commonwealth-489	166	19	which	which	PRON
commonwealth-489	166	20	expenditures	expenditure	NOUN
commonwealth-489	166	21	are	be	AUX
commonwealth-489	166	22	reported	report	VERB
commonwealth-489	166	23	per	per	ADP
commonwealth-489	166	24	program	program	NOUN
commonwealth-489	166	25	.	.	PUNCT
commonwealth-489	167	1	112	112	NUM
commonwealth-489	167	2	financial	financial	ADJ
commonwealth-489	167	3	analysis	analysis	NOUN
commonwealth-489	167	4	and	and	CCONJ
commonwealth-489	167	5	structural	structural	ADJ
commonwealth-489	167	6	considerations	consideration	NOUN
commonwealth-489	167	7	to	to	ADP
commonwealth-489	167	8	the	the	DET
commonwealth-489	167	9	problem	problem	NOUN
commonwealth-489	167	10	of	of	ADP
commonwealth-489	167	11	rural	rural	ADJ
commonwealth-489	167	12	public	public	ADJ
commonwealth-489	167	13	health	health	NOUN
commonwealth-489	167	14	in	in	ADP
commonwealth-489	167	15	pennsylvania	pennsylvania	PROPN
commonwealth-489	167	16	(	(	PUNCT
commonwealth-489	167	17	0.54	0.54	NUM
commonwealth-489	167	18	)	)	PUNCT
commonwealth-489	167	19	.	.	PUNCT
commonwealth-489	168	1	this	this	PRON
commonwealth-489	168	2	again	again	ADV
commonwealth-489	168	3	is	be	AUX
commonwealth-489	168	4	consistent	consistent	ADJ
commonwealth-489	168	5	with	with	ADP
commonwealth-489	168	6	the	the	DET
commonwealth-489	168	7	objectives	objective	NOUN
commonwealth-489	168	8	of	of	ADP
commonwealth-489	168	9	these	these	DET
commonwealth-489	168	10	grant	grant	NOUN
commonwealth-489	168	11	sources	source	NOUN
commonwealth-489	168	12	,	,	PUNCT
commonwealth-489	168	13	which	which	PRON
commonwealth-489	168	14	include	include	VERB
commonwealth-489	168	15	maternal	maternal	ADJ
commonwealth-489	168	16	and	and	CCONJ
commonwealth-489	168	17	child	child	NOUN
commonwealth-489	168	18	health	health	NOUN
commonwealth-489	168	19	,	,	PUNCT
commonwealth-489	168	20	std	std	NOUN
commonwealth-489	168	21	treatment	treatment	NOUN
commonwealth-489	168	22	,	,	PUNCT
commonwealth-489	168	23	counseling	counseling	NOUN
commonwealth-489	168	24	,	,	PUNCT
commonwealth-489	168	25	and	and	CCONJ
commonwealth-489	168	26	screenings	screening	NOUN
commonwealth-489	168	27	,	,	PUNCT
commonwealth-489	168	28	etc	etc	X
commonwealth-489	168	29	.	.	X
commonwealth-489	168	30	there	there	PRON
commonwealth-489	168	31	is	be	VERB
commonwealth-489	168	32	also	also	ADV
commonwealth-489	168	33	a	a	DET
commonwealth-489	168	34	very	very	ADV
commonwealth-489	168	35	strong	strong	ADJ
commonwealth-489	168	36	relationship	relationship	NOUN
commonwealth-489	168	37	between	between	ADP
commonwealth-489	168	38	user	user	NOUN
commonwealth-489	168	39	fee	fee	NOUN
commonwealth-489	168	40	revenue	revenue	NOUN
commonwealth-489	168	41	and	and	CCONJ
commonwealth-489	168	42	environmental	environmental	ADJ
commonwealth-489	168	43	services	service	NOUN
commonwealth-489	168	44	(	(	PUNCT
commonwealth-489	168	45	0.91	0.91	NUM
commonwealth-489	168	46	)	)	PUNCT
commonwealth-489	168	47	.	.	PUNCT
commonwealth-489	169	1	this	this	PRON
commonwealth-489	169	2	is	be	AUX
commonwealth-489	169	3	also	also	ADV
commonwealth-489	169	4	an	an	DET
commonwealth-489	169	5	expected	expect	VERB
commonwealth-489	169	6	outcome	outcome	NOUN
commonwealth-489	169	7	since	since	SCONJ
commonwealth-489	169	8	a	a	DET
commonwealth-489	169	9	major	major	ADJ
commonwealth-489	169	10	source	source	NOUN
commonwealth-489	169	11	of	of	ADP
commonwealth-489	169	12	the	the	DET
commonwealth-489	169	13	user	user	NOUN
commonwealth-489	169	14	fee	fee	NOUN
commonwealth-489	169	15	revenues	revenue	NOUN
commonwealth-489	169	16	comes	come	VERB
commonwealth-489	169	17	from	from	ADP
commonwealth-489	169	18	lhd	lhd	PROPN
commonwealth-489	169	19	’s	’s	PART
commonwealth-489	169	20	environmental	environmental	ADJ
commonwealth-489	169	21	services	service	NOUN
commonwealth-489	169	22	,	,	PUNCT
commonwealth-489	169	23	and	and	CCONJ
commonwealth-489	169	24	food	food	NOUN
commonwealth-489	169	25	handling	handling	NOUN
commonwealth-489	169	26	facilities	facility	NOUN
commonwealth-489	169	27	inspections	inspection	NOUN
commonwealth-489	169	28	.	.	PUNCT
commonwealth-489	170	1	finally	finally	ADV
commonwealth-489	170	2	,	,	PUNCT
commonwealth-489	170	3	direct	direct	ADJ
commonwealth-489	170	4	funds	fund	NOUN
commonwealth-489	170	5	are	be	AUX
commonwealth-489	170	6	most	most	ADV
commonwealth-489	170	7	influential	influential	ADJ
commonwealth-489	170	8	on	on	ADP
commonwealth-489	170	9	public	public	ADJ
commonwealth-489	170	10	health	health	NOUN
commonwealth-489	170	11	services	service	NOUN
commonwealth-489	170	12	.	.	PUNCT
commonwealth-489	171	1	while	while	SCONJ
commonwealth-489	171	2	the	the	DET
commonwealth-489	171	3	reason	reason	NOUN
commonwealth-489	171	4	for	for	ADP
commonwealth-489	171	5	this	this	PRON
commonwealth-489	171	6	is	be	AUX
commonwealth-489	171	7	not	not	PART
commonwealth-489	171	8	completely	completely	ADV
commonwealth-489	171	9	clear	clear	ADJ
commonwealth-489	171	10	,	,	PUNCT
commonwealth-489	171	11	it	it	PRON
commonwealth-489	171	12	is	be	AUX
commonwealth-489	171	13	likely	likely	ADJ
commonwealth-489	171	14	that	that	SCONJ
commonwealth-489	171	15	these	these	DET
commonwealth-489	171	16	services	service	NOUN
commonwealth-489	171	17	are	be	AUX
commonwealth-489	171	18	in	in	ADP
commonwealth-489	171	19	part	part	NOUN
commonwealth-489	171	20	associated	associate	VERB
commonwealth-489	171	21	with	with	ADP
commonwealth-489	171	22	lhd	lhd	PROPN
commonwealth-489	171	23	activities	activity	NOUN
commonwealth-489	171	24	in	in	ADP
commonwealth-489	171	25	policy	policy	NOUN
commonwealth-489	171	26	development	development	NOUN
commonwealth-489	171	27	and	and	CCONJ
commonwealth-489	171	28	consultation	consultation	NOUN
commonwealth-489	171	29	with	with	ADP
commonwealth-489	171	30	government	government	NOUN
commonwealth-489	171	31	officials	official	NOUN
commonwealth-489	171	32	,	,	PUNCT
commonwealth-489	171	33	not	not	PART
commonwealth-489	171	34	traditionally	traditionally	ADV
commonwealth-489	171	35	a	a	DET
commonwealth-489	171	36	reimbursable	reimbursable	ADJ
commonwealth-489	171	37	service	service	NOUN
commonwealth-489	171	38	.	.	PUNCT
commonwealth-489	172	1	personal	personal	ADJ
commonwealth-489	172	2	health	health	NOUN
commonwealth-489	172	3	services	service	NOUN
commonwealth-489	172	4	are	be	AUX
commonwealth-489	172	5	also	also	ADV
commonwealth-489	172	6	a	a	DET
commonwealth-489	172	7	significant	significant	ADJ
commonwealth-489	172	8	cost	cost	NOUN
commonwealth-489	172	9	driver	driver	NOUN
commonwealth-489	172	10	for	for	ADP
commonwealth-489	172	11	existing	exist	VERB
commonwealth-489	172	12	lhds	lhds	NOUN
commonwealth-489	172	13	.	.	PUNCT
commonwealth-489	173	1	not	not	PART
commonwealth-489	173	2	only	only	ADV
commonwealth-489	173	3	in	in	ADP
commonwealth-489	173	4	pennsylvania	pennsylvania	PROPN
commonwealth-489	173	5	,	,	PUNCT
commonwealth-489	173	6	but	but	CCONJ
commonwealth-489	173	7	also	also	ADV
commonwealth-489	173	8	throughout	throughout	ADP
commonwealth-489	173	9	the	the	DET
commonwealth-489	173	10	country	country	NOUN
commonwealth-489	173	11	,	,	PUNCT
commonwealth-489	173	12	lhds	lhds	NOUN
commonwealth-489	173	13	that	that	PRON
commonwealth-489	173	14	serve	serve	VERB
commonwealth-489	173	15	as	as	ADP
commonwealth-489	173	16	safety	safety	NOUN
commonwealth-489	173	17	-	-	PUNCT
commonwealth-489	173	18	net	net	NOUN
commonwealth-489	173	19	providers	provider	NOUN
commonwealth-489	173	20	are	be	AUX
commonwealth-489	173	21	forced	force	VERB
commonwealth-489	173	22	to	to	PART
commonwealth-489	173	23	invest	invest	VERB
commonwealth-489	173	24	a	a	DET
commonwealth-489	173	25	significant	significant	ADJ
commonwealth-489	173	26	amount	amount	NOUN
commonwealth-489	173	27	of	of	ADP
commonwealth-489	173	28	resources	resource	NOUN
commonwealth-489	173	29	in	in	ADP
commonwealth-489	173	30	their	their	PRON
commonwealth-489	173	31	personal	personal	ADJ
commonwealth-489	173	32	health	health	NOUN
commonwealth-489	173	33	programs	program	NOUN
commonwealth-489	173	34	.	.	PUNCT
commonwealth-489	174	1	the	the	DET
commonwealth-489	174	2	tendency	tendency	NOUN
commonwealth-489	174	3	has	have	AUX
commonwealth-489	174	4	been	be	AUX
commonwealth-489	174	5	that	that	DET
commonwealth-489	174	6	lhds	lhds	NOUN
commonwealth-489	174	7	in	in	ADP
commonwealth-489	174	8	areas	area	NOUN
commonwealth-489	174	9	with	with	ADP
commonwealth-489	174	10	few	few	ADJ
commonwealth-489	174	11	safety	safety	NOUN
commonwealth-489	174	12	-	-	PUNCT
commonwealth-489	174	13	net	net	NOUN
commonwealth-489	174	14	providers	provider	NOUN
commonwealth-489	174	15	tended	tend	VERB
commonwealth-489	174	16	to	to	PART
commonwealth-489	174	17	fill	fill	VERB
commonwealth-489	174	18	this	this	DET
commonwealth-489	174	19	void	void	NOUN
commonwealth-489	174	20	.	.	PUNCT
commonwealth-489	175	1	based	base	VERB
commonwealth-489	175	2	on	on	ADP
commonwealth-489	175	3	the	the	DET
commonwealth-489	175	4	examples	example	NOUN
commonwealth-489	175	5	examined	examine	VERB
commonwealth-489	175	6	here	here	ADV
commonwealth-489	175	7	,	,	PUNCT
commonwealth-489	175	8	the	the	DET
commonwealth-489	175	9	york	york	PROPN
commonwealth-489	175	10	city	city	PROPN
commonwealth-489	175	11	health	health	PROPN
commonwealth-489	175	12	department	department	PROPN
commonwealth-489	175	13	has	have	VERB
commonwealth-489	175	14	the	the	DET
commonwealth-489	175	15	highest	high	ADJ
commonwealth-489	175	16	percentage	percentage	NOUN
commonwealth-489	175	17	of	of	ADP
commonwealth-489	175	18	their	their	PRON
commonwealth-489	175	19	funds	fund	NOUN
commonwealth-489	175	20	expended	expend	VERB
commonwealth-489	175	21	on	on	ADP
commonwealth-489	175	22	personal	personal	ADJ
commonwealth-489	175	23	health	health	NOUN
commonwealth-489	175	24	services	service	NOUN
commonwealth-489	175	25	.	.	PUNCT
commonwealth-489	176	1	the	the	DET
commonwealth-489	176	2	trend	trend	NOUN
commonwealth-489	176	3	observed	observe	VERB
commonwealth-489	176	4	with	with	ADP
commonwealth-489	176	5	these	these	DET
commonwealth-489	176	6	four	four	NUM
commonwealth-489	176	7	lhds	lhds	NOUN
commonwealth-489	176	8	correlates	correlate	VERB
commonwealth-489	176	9	negatively	negatively	ADV
commonwealth-489	176	10	(	(	PUNCT
commonwealth-489	176	11	-0.71	-0.71	NOUN
commonwealth-489	176	12	)	)	PUNCT
commonwealth-489	176	13	with	with	ADP
commonwealth-489	176	14	the	the	DET
commonwealth-489	176	15	number	number	NOUN
commonwealth-489	176	16	of	of	ADP
commonwealth-489	176	17	primary	primary	ADJ
commonwealth-489	176	18	care	care	NOUN
commonwealth-489	176	19	physicians	physician	NOUN
commonwealth-489	176	20	per	per	ADP
commonwealth-489	176	21	100,000	100,000	NUM
commonwealth-489	176	22	persons	person	NOUN
commonwealth-489	176	23	.	.	PUNCT
commonwealth-489	177	1	lhds	lhds	NOUN
commonwealth-489	177	2	in	in	ADP
commonwealth-489	177	3	areas	area	NOUN
commonwealth-489	177	4	with	with	ADP
commonwealth-489	177	5	a	a	DET
commonwealth-489	177	6	limited	limited	ADJ
commonwealth-489	177	7	number	number	NOUN
commonwealth-489	177	8	of	of	ADP
commonwealth-489	177	9	primary	primary	ADJ
commonwealth-489	177	10	care	care	NOUN
commonwealth-489	177	11	physicians	physician	NOUN
commonwealth-489	177	12	tend	tend	VERB
commonwealth-489	177	13	to	to	PART
commonwealth-489	177	14	fill	fill	VERB
commonwealth-489	177	15	the	the	DET
commonwealth-489	177	16	service	service	NOUN
commonwealth-489	177	17	void	void	VERB
commonwealth-489	177	18	and	and	CCONJ
commonwealth-489	177	19	provide	provide	VERB
commonwealth-489	177	20	a	a	DET
commonwealth-489	177	21	wider	wide	ADJ
commonwealth-489	177	22	array	array	NOUN
commonwealth-489	177	23	of	of	ADP
commonwealth-489	177	24	personal	personal	ADJ
commonwealth-489	177	25	health	health	NOUN
commonwealth-489	177	26	services	service	NOUN
commonwealth-489	177	27	,	,	PUNCT
commonwealth-489	177	28	which	which	PRON
commonwealth-489	177	29	in	in	ADP
commonwealth-489	177	30	other	other	ADJ
commonwealth-489	177	31	areas	area	NOUN
commonwealth-489	177	32	private	private	ADJ
commonwealth-489	177	33	practitioners	practitioner	NOUN
commonwealth-489	177	34	provide	provide	VERB
commonwealth-489	177	35	.	.	PUNCT
commonwealth-489	178	1	it	it	PRON
commonwealth-489	178	2	is	be	AUX
commonwealth-489	178	3	important	important	ADJ
commonwealth-489	178	4	to	to	PART
commonwealth-489	178	5	highlight	highlight	VERB
commonwealth-489	178	6	that	that	SCONJ
commonwealth-489	178	7	nationally	nationally	ADV
commonwealth-489	178	8	the	the	DET
commonwealth-489	178	9	trend	trend	NOUN
commonwealth-489	178	10	has	have	AUX
commonwealth-489	178	11	been	be	AUX
commonwealth-489	178	12	for	for	ADP
commonwealth-489	178	13	lhds	lhds	NOUN
commonwealth-489	178	14	to	to	PART
commonwealth-489	178	15	reduce	reduce	VERB
commonwealth-489	178	16	their	their	PRON
commonwealth-489	178	17	personal	personal	ADJ
commonwealth-489	178	18	health	health	NOUN
commonwealth-489	178	19	services	service	NOUN
commonwealth-489	178	20	as	as	SCONJ
commonwealth-489	178	21	medicaid	medicaid	PROPN
commonwealth-489	178	22	has	have	AUX
commonwealth-489	178	23	moved	move	VERB
commonwealth-489	178	24	toward	toward	ADP
commonwealth-489	178	25	a	a	DET
commonwealth-489	178	26	managed	manage	VERB
commonwealth-489	178	27	care	care	NOUN
commonwealth-489	178	28	model	model	NOUN
commonwealth-489	178	29	because	because	SCONJ
commonwealth-489	178	30	reimbursements	reimbursement	NOUN
commonwealth-489	178	31	have	have	AUX
commonwealth-489	178	32	declined	decline	VERB
commonwealth-489	178	33	.	.	PUNCT
commonwealth-489	179	1	as	as	SCONJ
commonwealth-489	179	2	mentioned	mention	VERB
commonwealth-489	179	3	in	in	ADP
commonwealth-489	179	4	section	section	NOUN
commonwealth-489	179	5	two	two	NUM
commonwealth-489	179	6	,	,	PUNCT
commonwealth-489	179	7	this	this	PRON
commonwealth-489	179	8	has	have	AUX
commonwealth-489	179	9	been	be	AUX
commonwealth-489	179	10	a	a	DET
commonwealth-489	179	11	major	major	ADJ
commonwealth-489	179	12	factor	factor	NOUN
commonwealth-489	179	13	in	in	ADP
commonwealth-489	179	14	the	the	DET
commonwealth-489	179	15	reduction	reduction	NOUN
commonwealth-489	179	16	of	of	ADP
commonwealth-489	179	17	funding	funding	NOUN
commonwealth-489	179	18	for	for	ADP
commonwealth-489	179	19	lhds	lhds	NOUN
commonwealth-489	179	20	nationally	nationally	ADV
commonwealth-489	179	21	.	.	PUNCT
commonwealth-489	180	1	environmental	environmental	ADJ
commonwealth-489	180	2	services	service	NOUN
commonwealth-489	180	3	expenses	expense	NOUN
commonwealth-489	180	4	are	be	AUX
commonwealth-489	180	5	the	the	DET
commonwealth-489	180	6	largest	large	ADJ
commonwealth-489	180	7	expenditures	expenditure	NOUN
commonwealth-489	180	8	of	of	ADP
commonwealth-489	180	9	existing	exist	VERB
commonwealth-489	180	10	lhds	lhds	NOUN
commonwealth-489	180	11	.	.	PUNCT
commonwealth-489	181	1	while	while	SCONJ
commonwealth-489	181	2	the	the	DET
commonwealth-489	181	3	reasons	reason	NOUN
commonwealth-489	181	4	for	for	ADP
commonwealth-489	181	5	this	this	PRON
commonwealth-489	181	6	are	be	AUX
commonwealth-489	181	7	not	not	PART
commonwealth-489	181	8	completely	completely	ADV
commonwealth-489	181	9	evident	evident	ADJ
commonwealth-489	181	10	,	,	PUNCT
commonwealth-489	181	11	there	there	PRON
commonwealth-489	181	12	are	be	VERB
commonwealth-489	181	13	four	four	NUM
commonwealth-489	181	14	influencing	influence	VERB
commonwealth-489	181	15	factors	factor	NOUN
commonwealth-489	181	16	.	.	PUNCT
commonwealth-489	182	1	first	first	ADV
commonwealth-489	182	2	is	be	AUX
commonwealth-489	182	3	the	the	DET
commonwealth-489	182	4	size	size	NOUN
commonwealth-489	182	5	of	of	ADP
commonwealth-489	182	6	the	the	DET
commonwealth-489	182	7	territory	territory	NOUN
commonwealth-489	182	8	covered	cover	VERB
commonwealth-489	182	9	by	by	ADP
commonwealth-489	182	10	the	the	DET
commonwealth-489	182	11	lhds	lhds	NOUN
commonwealth-489	182	12	.	.	PUNCT
commonwealth-489	183	1	unlike	unlike	ADP
commonwealth-489	183	2	the	the	DET
commonwealth-489	183	3	other	other	ADJ
commonwealth-489	183	4	types	type	NOUN
commonwealth-489	183	5	of	of	ADP
commonwealth-489	183	6	services	service	NOUN
commonwealth-489	183	7	,	,	PUNCT
commonwealth-489	183	8	environmental	environmental	ADJ
commonwealth-489	183	9	programs	program	NOUN
commonwealth-489	183	10	such	such	ADJ
commonwealth-489	183	11	as	as	ADP
commonwealth-489	183	12	restaurant	restaurant	NOUN
commonwealth-489	183	13	and	and	CCONJ
commonwealth-489	183	14	pool	pool	NOUN
commonwealth-489	183	15	inspections	inspection	NOUN
commonwealth-489	183	16	require	require	VERB
commonwealth-489	183	17	periodic	periodic	ADJ
commonwealth-489	183	18	onsite	onsite	ADJ
commonwealth-489	183	19	visits	visit	NOUN
commonwealth-489	183	20	increasing	increase	VERB
commonwealth-489	183	21	the	the	DET
commonwealth-489	183	22	need	need	NOUN
commonwealth-489	183	23	for	for	ADP
commonwealth-489	183	24	staff	staff	NOUN
commonwealth-489	183	25	and	and	CCONJ
commonwealth-489	183	26	transportation	transportation	NOUN
commonwealth-489	183	27	.	.	PUNCT
commonwealth-489	184	1	the	the	DET
commonwealth-489	184	2	percentage	percentage	NOUN
commonwealth-489	184	3	of	of	ADP
commonwealth-489	184	4	overall	overall	ADJ
commonwealth-489	184	5	expenditures	expenditure	NOUN
commonwealth-489	184	6	that	that	PRON
commonwealth-489	184	7	lhds	lhds	AUX
commonwealth-489	184	8	spend	spend	VERB
commonwealth-489	184	9	on	on	ADP
commonwealth-489	184	10	environmental	environmental	ADJ
commonwealth-489	184	11	services	service	NOUN
commonwealth-489	184	12	correlates	correlate	VERB
commonwealth-489	184	13	strongly	strongly	ADV
commonwealth-489	184	14	with	with	ADP
commonwealth-489	184	15	square	square	ADJ
commonwealth-489	184	16	miles	mile	NOUN
commonwealth-489	184	17	covered	cover	VERB
commonwealth-489	184	18	by	by	ADP
commonwealth-489	184	19	the	the	DET
commonwealth-489	184	20	lhd	lhd	PROPN
commonwealth-489	184	21	(	(	PUNCT
commonwealth-489	184	22	0.97	0.97	NUM
commonwealth-489	184	23	)	)	PUNCT
commonwealth-489	184	24	.	.	PUNCT
commonwealth-489	185	1	second	second	ADJ
commonwealth-489	185	2	,	,	PUNCT
commonwealth-489	185	3	environmental	environmental	ADJ
commonwealth-489	185	4	services	service	NOUN
commonwealth-489	185	5	,	,	PUNCT
commonwealth-489	185	6	compared	compare	VERB
commonwealth-489	185	7	to	to	ADP
commonwealth-489	185	8	other	other	ADJ
commonwealth-489	185	9	services	service	NOUN
commonwealth-489	185	10	such	such	ADJ
commonwealth-489	185	11	as	as	ADP
commonwealth-489	185	12	education	education	NOUN
commonwealth-489	185	13	and	and	CCONJ
commonwealth-489	185	14	screening	screening	NOUN
commonwealth-489	185	15	,	,	PUNCT
commonwealth-489	185	16	for	for	ADP
commonwealth-489	185	17	example	example	NOUN
commonwealth-489	185	18	,	,	PUNCT
commonwealth-489	185	19	are	be	AUX
commonwealth-489	185	20	more	more	ADV
commonwealth-489	185	21	costly	costly	ADJ
commonwealth-489	185	22	in	in	SCONJ
commonwealth-489	185	23	that	that	SCONJ
commonwealth-489	185	24	they	they	PRON
commonwealth-489	185	25	involve	involve	VERB
commonwealth-489	185	26	testing	test	VERB
commonwealth-489	185	27	alberto	alberto	PROPN
commonwealth-489	185	28	j.f	j.f	PROPN
commonwealth-489	185	29	.	.	PROPN
commonwealth-489	185	30	cardelle	cardelle	PROPN
commonwealth-489	185	31	113	113	NUM
commonwealth-489	185	32	and	and	CCONJ
commonwealth-489	185	33	laboratory	laboratory	NOUN
commonwealth-489	185	34	procedures	procedure	NOUN
commonwealth-489	185	35	.	.	PUNCT
commonwealth-489	186	1	third	third	ADJ
commonwealth-489	186	2	,	,	PUNCT
commonwealth-489	186	3	environmental	environmental	ADJ
commonwealth-489	186	4	services	service	NOUN
commonwealth-489	186	5	are	be	AUX
commonwealth-489	186	6	a	a	DET
commonwealth-489	186	7	revenuegenerating	revenuegenerate	VERB
commonwealth-489	186	8	service	service	NOUN
commonwealth-489	186	9	for	for	ADP
commonwealth-489	186	10	lhds	lhds	NOUN
commonwealth-489	186	11	.	.	PUNCT
commonwealth-489	187	1	since	since	SCONJ
commonwealth-489	187	2	lhds	lhds	NOUN
commonwealth-489	187	3	charge	charge	VERB
commonwealth-489	187	4	an	an	DET
commonwealth-489	187	5	inspection	inspection	NOUN
commonwealth-489	187	6	fee	fee	NOUN
commonwealth-489	187	7	from	from	ADP
commonwealth-489	187	8	the	the	DET
commonwealth-489	187	9	sites	site	NOUN
commonwealth-489	187	10	that	that	PRON
commonwealth-489	187	11	are	be	AUX
commonwealth-489	187	12	inspected	inspect	VERB
commonwealth-489	187	13	,	,	PUNCT
commonwealth-489	187	14	lhds	lhds	NOUN
commonwealth-489	187	15	have	have	VERB
commonwealth-489	187	16	the	the	DET
commonwealth-489	187	17	incentive	incentive	NOUN
commonwealth-489	187	18	to	to	PART
commonwealth-489	187	19	provide	provide	VERB
commonwealth-489	187	20	extensive	extensive	ADJ
commonwealth-489	187	21	and	and	CCONJ
commonwealth-489	187	22	continuous	continuous	ADJ
commonwealth-489	187	23	coverage	coverage	NOUN
commonwealth-489	187	24	so	so	SCONJ
commonwealth-489	187	25	as	as	SCONJ
commonwealth-489	187	26	to	to	PART
commonwealth-489	187	27	maximize	maximize	VERB
commonwealth-489	187	28	their	their	PRON
commonwealth-489	187	29	revenue	revenue	NOUN
commonwealth-489	187	30	-	-	PUNCT
commonwealth-489	187	31	producing	produce	VERB
commonwealth-489	187	32	activities	activity	NOUN
commonwealth-489	187	33	.	.	PUNCT
commonwealth-489	188	1	in	in	ADP
commonwealth-489	188	2	addition	addition	NOUN
commonwealth-489	188	3	,	,	PUNCT
commonwealth-489	188	4	administrators	administrator	NOUN
commonwealth-489	188	5	also	also	ADV
commonwealth-489	188	6	report	report	VERB
commonwealth-489	188	7	that	that	SCONJ
commonwealth-489	188	8	environmental	environmental	ADJ
commonwealth-489	188	9	services	service	NOUN
commonwealth-489	188	10	are	be	AUX
commonwealth-489	188	11	also	also	ADV
commonwealth-489	188	12	the	the	DET
commonwealth-489	188	13	service	service	NOUN
commonwealth-489	188	14	that	that	PRON
commonwealth-489	188	15	are	be	AUX
commonwealth-489	188	16	most	most	ADV
commonwealth-489	188	17	visible	visible	ADJ
commonwealth-489	188	18	and	and	CCONJ
commonwealth-489	188	19	most	most	ADV
commonwealth-489	188	20	publicly	publicly	ADV
commonwealth-489	188	21	and	and	CCONJ
commonwealth-489	188	22	politically	politically	ADV
commonwealth-489	188	23	scrutinized	scrutinize	VERB
commonwealth-489	188	24	.	.	PUNCT
commonwealth-489	189	1	since	since	SCONJ
commonwealth-489	189	2	no	no	DET
commonwealth-489	189	3	local	local	ADJ
commonwealth-489	189	4	government	government	NOUN
commonwealth-489	189	5	,	,	PUNCT
commonwealth-489	189	6	and	and	CCONJ
commonwealth-489	189	7	more	more	ADV
commonwealth-489	189	8	importantly	importantly	ADV
commonwealth-489	189	9	no	no	DET
commonwealth-489	189	10	local	local	ADJ
commonwealth-489	189	11	elected	elect	VERB
commonwealth-489	189	12	official	official	NOUN
commonwealth-489	189	13	,	,	PUNCT
commonwealth-489	189	14	wants	want	VERB
commonwealth-489	189	15	to	to	PART
commonwealth-489	189	16	have	have	VERB
commonwealth-489	189	17	an	an	DET
commonwealth-489	189	18	environmental	environmental	ADJ
commonwealth-489	189	19	incident	incident	NOUN
commonwealth-489	189	20	in	in	ADP
commonwealth-489	189	21	their	their	PRON
commonwealth-489	189	22	jurisdiction	jurisdiction	NOUN
commonwealth-489	189	23	(	(	PUNCT
commonwealth-489	189	24	food	food	NOUN
commonwealth-489	189	25	poisoning	poisoning	NOUN
commonwealth-489	189	26	or	or	CCONJ
commonwealth-489	189	27	disease	disease	NOUN
commonwealth-489	189	28	outbreak	outbreak	NOUN
commonwealth-489	189	29	)	)	PUNCT
commonwealth-489	189	30	,	,	PUNCT
commonwealth-489	189	31	local	local	ADJ
commonwealth-489	189	32	health	health	NOUN
commonwealth-489	189	33	officials	official	NOUN
commonwealth-489	189	34	feel	feel	VERB
commonwealth-489	189	35	compelled	compel	VERB
commonwealth-489	189	36	to	to	PART
commonwealth-489	189	37	provide	provide	VERB
commonwealth-489	189	38	thorough	thorough	ADJ
commonwealth-489	189	39	environmental	environmental	ADJ
commonwealth-489	189	40	services	service	NOUN
commonwealth-489	189	41	.	.	PUNCT
commonwealth-489	190	1	in	in	ADP
commonwealth-489	190	2	summary	summary	NOUN
commonwealth-489	190	3	,	,	PUNCT
commonwealth-489	190	4	total	total	ADJ
commonwealth-489	190	5	population	population	NOUN
commonwealth-489	190	6	covered	cover	VERB
commonwealth-489	190	7	,	,	PUNCT
commonwealth-489	190	8	geographic	geographic	ADJ
commonwealth-489	190	9	area	area	NOUN
commonwealth-489	190	10	covered	cover	VERB
commonwealth-489	190	11	,	,	PUNCT
commonwealth-489	190	12	and	and	CCONJ
commonwealth-489	190	13	availability	availability	NOUN
commonwealth-489	190	14	of	of	ADP
commonwealth-489	190	15	primary	primary	ADJ
commonwealth-489	190	16	care	care	NOUN
commonwealth-489	190	17	services	service	NOUN
commonwealth-489	190	18	will	will	AUX
commonwealth-489	190	19	be	be	AUX
commonwealth-489	190	20	the	the	DET
commonwealth-489	190	21	key	key	ADJ
commonwealth-489	190	22	cost	cost	NOUN
commonwealth-489	190	23	and	and	CCONJ
commonwealth-489	190	24	revenue	revenue	NOUN
commonwealth-489	190	25	drivers	driver	NOUN
commonwealth-489	190	26	used	use	VERB
commonwealth-489	190	27	to	to	PART
commonwealth-489	190	28	assemble	assemble	VERB
commonwealth-489	190	29	new	new	ADJ
commonwealth-489	190	30	public	public	ADJ
commonwealth-489	190	31	health	health	NOUN
commonwealth-489	190	32	models	model	NOUN
commonwealth-489	190	33	.	.	PUNCT
commonwealth-489	191	1	rural	rural	ADJ
commonwealth-489	191	2	lhd	lhd	PROPN
commonwealth-489	191	3	models	model	NOUN
commonwealth-489	191	4	this	this	DET
commonwealth-489	191	5	section	section	NOUN
commonwealth-489	191	6	constructs	construct	VERB
commonwealth-489	191	7	three	three	NUM
commonwealth-489	191	8	different	different	ADJ
commonwealth-489	191	9	viable	viable	ADJ
commonwealth-489	191	10	models	model	NOUN
commonwealth-489	191	11	:	:	PUNCT
commonwealth-489	191	12	the	the	DET
commonwealth-489	191	13	single	single	ADJ
commonwealth-489	191	14	county	county	PROPN
commonwealth-489	191	15	health	health	PROPN
commonwealth-489	191	16	department	department	PROPN
commonwealth-489	191	17	,	,	PUNCT
commonwealth-489	191	18	the	the	DET
commonwealth-489	191	19	bi	bi	ADJ
commonwealth-489	191	20	-	-	PROPN
commonwealth-489	191	21	county	county	NOUN
commonwealth-489	191	22	health	health	NOUN
commonwealth-489	191	23	department	department	NOUN
commonwealth-489	191	24	and	and	CCONJ
commonwealth-489	191	25	the	the	DET
commonwealth-489	191	26	tricounty	tricounty	NOUN
commonwealth-489	191	27	health	health	NOUN
commonwealth-489	191	28	department	department	PROPN
commonwealth-489	191	29	for	for	ADP
commonwealth-489	191	30	four	four	NUM
commonwealth-489	191	31	regions	region	NOUN
commonwealth-489	191	32	of	of	ADP
commonwealth-489	191	33	pennsylvania	pennsylvania	PROPN
commonwealth-489	191	34	.	.	PUNCT
commonwealth-489	192	1	these	these	DET
commonwealth-489	192	2	models	model	NOUN
commonwealth-489	192	3	include	include	VERB
commonwealth-489	192	4	a	a	DET
commonwealth-489	192	5	sample	sample	NOUN
commonwealth-489	192	6	revenue	revenue	NOUN
commonwealth-489	192	7	structure	structure	NOUN
commonwealth-489	192	8	,	,	PUNCT
commonwealth-489	192	9	an	an	DET
commonwealth-489	192	10	expenditure	expenditure	NOUN
commonwealth-489	192	11	budget	budget	NOUN
commonwealth-489	192	12	,	,	PUNCT
commonwealth-489	192	13	a	a	DET
commonwealth-489	192	14	personnel	personnel	NOUN
commonwealth-489	192	15	structure	structure	NOUN
commonwealth-489	192	16	,	,	PUNCT
commonwealth-489	192	17	and	and	CCONJ
commonwealth-489	192	18	a	a	DET
commonwealth-489	192	19	program	program	NOUN
commonwealth-489	192	20	budget	budget	NOUN
commonwealth-489	192	21	.	.	PUNCT
commonwealth-489	193	1	the	the	DET
commonwealth-489	193	2	models	model	NOUN
commonwealth-489	193	3	’	'	PUNCT
commonwealth-489	193	4	budgets	budget	NOUN
commonwealth-489	193	5	consist	consist	VERB
commonwealth-489	193	6	of	of	ADP
commonwealth-489	193	7	creating	create	VERB
commonwealth-489	193	8	a	a	DET
commonwealth-489	193	9	general	general	ADJ
commonwealth-489	193	10	revenue	revenue	NOUN
commonwealth-489	193	11	and	and	CCONJ
commonwealth-489	193	12	expenditure	expenditure	NOUN
commonwealth-489	193	13	budget	budget	NOUN
commonwealth-489	193	14	using	use	VERB
commonwealth-489	193	15	a	a	DET
commonwealth-489	193	16	basic	basic	ADJ
commonwealth-489	193	17	forecasting	forecasting	NOUN
commonwealth-489	193	18	method	method	NOUN
commonwealth-489	193	19	that	that	PRON
commonwealth-489	193	20	uses	use	VERB
commonwealth-489	193	21	the	the	DET
commonwealth-489	193	22	revenue	revenue	NOUN
commonwealth-489	193	23	and	and	CCONJ
commonwealth-489	193	24	expenditure	expenditure	NOUN
commonwealth-489	193	25	data	datum	NOUN
commonwealth-489	193	26	of	of	ADP
commonwealth-489	193	27	the	the	DET
commonwealth-489	193	28	existing	exist	VERB
commonwealth-489	193	29	county	county	NOUN
commonwealth-489	193	30	health	health	NOUN
commonwealth-489	193	31	departments	department	NOUN
commonwealth-489	193	32	in	in	ADP
commonwealth-489	193	33	allegheny	allegheny	PROPN
commonwealth-489	193	34	and	and	CCONJ
commonwealth-489	193	35	chester	chester	PROPN
commonwealth-489	193	36	counties	county	NOUN
commonwealth-489	193	37	and	and	CCONJ
commonwealth-489	193	38	municipal	municipal	ADJ
commonwealth-489	193	39	health	health	PROPN
commonwealth-489	193	40	bureaus	bureaus	PROPN
commonwealth-489	193	41	in	in	ADP
commonwealth-489	193	42	allentown	allentown	PROPN
commonwealth-489	193	43	and	and	CCONJ
commonwealth-489	193	44	york	york	PROPN
commonwealth-489	193	45	city	city	PROPN
commonwealth-489	193	46	,	,	PUNCT
commonwealth-489	193	47	as	as	ADP
commonwealth-489	193	48	a	a	DET
commonwealth-489	193	49	base	base	NOUN
commonwealth-489	193	50	.	.	PUNCT
commonwealth-489	194	1	the	the	DET
commonwealth-489	194	2	models	model	NOUN
commonwealth-489	194	3	’	'	PUNCT
commonwealth-489	194	4	forecasted	forecast	VERB
commonwealth-489	194	5	revenues	revenue	NOUN
commonwealth-489	194	6	and	and	CCONJ
commonwealth-489	194	7	expenses	expense	NOUN
commonwealth-489	194	8	were	be	AUX
commonwealth-489	194	9	based	base	VERB
commonwealth-489	194	10	on	on	ADP
commonwealth-489	194	11	total	total	ADJ
commonwealth-489	194	12	population	population	NOUN
commonwealth-489	194	13	covered	cover	VERB
commonwealth-489	194	14	,	,	PUNCT
commonwealth-489	194	15	area	area	NOUN
commonwealth-489	194	16	covered	cover	VERB
commonwealth-489	194	17	,	,	PUNCT
commonwealth-489	194	18	poverty	poverty	NOUN
commonwealth-489	194	19	level	level	NOUN
commonwealth-489	194	20	,	,	PUNCT
commonwealth-489	194	21	and	and	CCONJ
commonwealth-489	194	22	primary	primary	ADJ
commonwealth-489	194	23	care	care	NOUN
commonwealth-489	194	24	provider	provider	NOUN
commonwealth-489	194	25	availability	availability	NOUN
commonwealth-489	194	26	.	.	PUNCT
commonwealth-489	195	1	then	then	ADV
commonwealth-489	195	2	,	,	PUNCT
commonwealth-489	195	3	specific	specific	ADJ
commonwealth-489	195	4	sample	sample	NOUN
commonwealth-489	195	5	program	program	NOUN
commonwealth-489	195	6	budgets	budget	NOUN
commonwealth-489	195	7	(	(	PUNCT
commonwealth-489	195	8	using	use	VERB
commonwealth-489	195	9	the	the	DET
commonwealth-489	195	10	allentown	allentown	PROPN
commonwealth-489	195	11	health	health	PROPN
commonwealth-489	195	12	bureau	bureau	PROPN
commonwealth-489	195	13	budget	budget	NOUN
commonwealth-489	195	14	structure	structure	NOUN
commonwealth-489	195	15	because	because	SCONJ
commonwealth-489	195	16	of	of	ADP
commonwealth-489	195	17	allentown	allentown	PROPN
commonwealth-489	195	18	’s	’s	PART
commonwealth-489	195	19	resemblance	resemblance	NOUN
commonwealth-489	195	20	in	in	ADP
commonwealth-489	195	21	population	population	NOUN
commonwealth-489	195	22	)	)	PUNCT
commonwealth-489	195	23	,	,	PUNCT
commonwealth-489	195	24	identify	identify	VERB
commonwealth-489	195	25	the	the	DET
commonwealth-489	195	26	costs	cost	NOUN
commonwealth-489	195	27	of	of	ADP
commonwealth-489	195	28	the	the	DET
commonwealth-489	195	29	specific	specific	ADJ
commonwealth-489	195	30	services	service	NOUN
commonwealth-489	195	31	created	create	VERB
commonwealth-489	195	32	for	for	ADP
commonwealth-489	195	33	each	each	PRON
commonwealth-489	195	34	of	of	ADP
commonwealth-489	195	35	the	the	DET
commonwealth-489	195	36	models	model	NOUN
commonwealth-489	195	37	.	.	PUNCT
commonwealth-489	196	1	in	in	ADP
commonwealth-489	196	2	addition	addition	NOUN
commonwealth-489	196	3	,	,	PUNCT
commonwealth-489	196	4	potential	potential	ADJ
commonwealth-489	196	5	match	match	NOUN
commonwealth-489	196	6	sources	source	NOUN
commonwealth-489	196	7	are	be	AUX
commonwealth-489	196	8	approximated	approximate	VERB
commonwealth-489	196	9	using	use	VERB
commonwealth-489	196	10	the	the	DET
commonwealth-489	196	11	county	county	NOUN
commonwealth-489	196	12	budgets	budget	NOUN
commonwealth-489	196	13	of	of	ADP
commonwealth-489	196	14	the	the	DET
commonwealth-489	196	15	sample	sample	NOUN
commonwealth-489	196	16	counties	county	NOUN
commonwealth-489	196	17	.	.	PUNCT
commonwealth-489	197	1	each	each	DET
commonwealth-489	197	2	model	model	NOUN
commonwealth-489	197	3	’s	’s	PART
commonwealth-489	197	4	feasibility	feasibility	NOUN
commonwealth-489	197	5	is	be	AUX
commonwealth-489	197	6	discussed	discuss	VERB
commonwealth-489	197	7	using	use	VERB
commonwealth-489	197	8	the	the	DET
commonwealth-489	197	9	forecasted	forecast	VERB
commonwealth-489	197	10	direct	direct	ADJ
commonwealth-489	197	11	contributions	contribution	NOUN
commonwealth-489	197	12	required	require	VERB
commonwealth-489	197	13	by	by	ADP
commonwealth-489	197	14	the	the	DET
commonwealth-489	197	15	counties	county	NOUN
commonwealth-489	197	16	,	,	PUNCT
commonwealth-489	197	17	on	on	ADP
commonwealth-489	197	18	a	a	DET
commonwealth-489	197	19	per	per	ADP
commonwealth-489	197	20	capita	capita	NOUN
commonwealth-489	197	21	basis	basis	NOUN
commonwealth-489	197	22	,	,	PUNCT
commonwealth-489	197	23	as	as	ADV
commonwealth-489	197	24	well	well	ADV
commonwealth-489	197	25	as	as	ADP
commonwealth-489	197	26	the	the	DET
commonwealth-489	197	27	potential	potential	ADJ
commonwealth-489	197	28	match	match	NOUN
commonwealth-489	197	29	sources	source	NOUN
commonwealth-489	197	30	.	.	PUNCT
commonwealth-489	198	1	the	the	DET
commonwealth-489	198	2	models	model	NOUN
commonwealth-489	198	3	constructed	construct	VERB
commonwealth-489	198	4	are	be	AUX
commonwealth-489	198	5	exhibited	exhibit	VERB
commonwealth-489	198	6	on	on	ADP
commonwealth-489	198	7	the	the	DET
commonwealth-489	198	8	following	follow	VERB
commonwealth-489	198	9	table	table	NOUN
commonwealth-489	198	10	and	and	CCONJ
commonwealth-489	198	11	figure	figure	NOUN
commonwealth-489	198	12	:	:	PUNCT
commonwealth-489	198	13	114	114	NUM
commonwealth-489	198	14	financial	financial	ADJ
commonwealth-489	198	15	analysis	analysis	NOUN
commonwealth-489	198	16	and	and	CCONJ
commonwealth-489	198	17	structural	structural	ADJ
commonwealth-489	198	18	considerations	consideration	NOUN
commonwealth-489	198	19	to	to	ADP
commonwealth-489	198	20	the	the	DET
commonwealth-489	198	21	problem	problem	NOUN
commonwealth-489	198	22	of	of	ADP
commonwealth-489	198	23	rural	rural	ADJ
commonwealth-489	198	24	public	public	ADJ
commonwealth-489	198	25	health	health	NOUN
commonwealth-489	198	26	in	in	ADP
commonwealth-489	198	27	pennsylvania	pennsylvania	PROPN
commonwealth-489	198	28	table	table	NOUN
commonwealth-489	198	29	7	7	NUM
commonwealth-489	198	30	model	model	NOUN
commonwealth-489	198	31	land	land	NOUN
commonwealth-489	198	32	square	square	ADJ
commonwealth-489	198	33	miles	mile	NOUN
commonwealth-489	198	34	population	population	NOUN
commonwealth-489	198	35	percent	percent	NOUN
commonwealth-489	198	36	of	of	ADP
commonwealth-489	198	37	persons	person	NOUN
commonwealth-489	198	38	below	below	ADP
commonwealth-489	198	39	poverty	poverty	NOUN
commonwealth-489	198	40	(	(	PUNCT
commonwealth-489	198	41	1999	1999	NUM
commonwealth-489	198	42	)	)	PUNCT
commonwealth-489	198	43	number	number	NOUN
commonwealth-489	198	44	of	of	ADP
commonwealth-489	198	45	pcp13/100,000	pcp13/100,000	ADJ
commonwealth-489	198	46	staff	staff	NOUN
commonwealth-489	198	47	tri	tri	ADJ
commonwealth-489	198	48	-	-	ADJ
commonwealth-489	198	49	county	county	NOUN
commonwealth-489	198	50	health	health	NOUN
commonwealth-489	198	51	department	department	NOUN
commonwealth-489	198	52	models	model	NOUN
commonwealth-489	198	53	(	(	PUNCT
commonwealth-489	198	54	bordered	border	VERB
commonwealth-489	198	55	by	by	ADP
commonwealth-489	198	56	#	#	NOUN
commonwealth-489	198	57	#	#	NOUN
commonwealth-489	198	58	#	#	NOUN
commonwealth-489	198	59	in	in	ADP
commonwealth-489	198	60	figure	figure	NOUN
commonwealth-489	198	61	1	1	NUM
commonwealth-489	198	62	,	,	PUNCT
commonwealth-489	198	63	following	follow	VERB
commonwealth-489	198	64	)	)	PUNCT
commonwealth-489	198	65	bradford	bradford	PROPN
commonwealth-489	198	66	-	-	PUNCT
commonwealth-489	198	67	tioga	tioga	PROPN
commonwealth-489	198	68	-	-	PUNCT
commonwealth-489	198	69	wyoming	wyoming	PROPN
commonwealth-489	198	70	2,682	2,682	NUM
commonwealth-489	198	71	132,072	132,072	NUM
commonwealth-489	198	72	11.83	11.83	NUM
commonwealth-489	198	73	121.66	121.66	NUM
commonwealth-489	198	74	137	137	NUM
commonwealth-489	198	75	mifflin	mifflin	PROPN
commonwealth-489	198	76	-	-	PUNCT
commonwealth-489	198	77	juniata	juniata	NOUN
commonwealth-489	198	78	-	-	PUNCT
commonwealth-489	198	79	snyder	snyder	NOUN
commonwealth-489	198	80	1,134	1,134	NUM
commonwealth-489	198	81	107,023	107,023	NUM
commonwealth-489	198	82	10.63	10.63	NUM
commonwealth-489	198	83	70.23	70.23	NUM
commonwealth-489	198	84	60	60	NUM
commonwealth-489	198	85	bi	bi	ADJ
commonwealth-489	198	86	-	-	ADJ
commonwealth-489	198	87	county	county	NOUN
commonwealth-489	198	88	health	health	NOUN
commonwealth-489	198	89	department	department	NOUN
commonwealth-489	198	90	models	model	NOUN
commonwealth-489	198	91	(	(	PUNCT
commonwealth-489	198	92	bordered	border	VERB
commonwealth-489	198	93	by	by	ADP
commonwealth-489	198	94	•	•	NUM
commonwealth-489	198	95	•	•	NOUN
commonwealth-489	198	96	•	•	NOUN
commonwealth-489	198	97	in	in	ADP
commonwealth-489	198	98	figure	figure	NOUN
commonwealth-489	198	99	1	1	NUM
commonwealth-489	198	100	,	,	PUNCT
commonwealth-489	198	101	following	follow	VERB
commonwealth-489	198	102	)	)	PUNCT
commonwealth-489	198	103	susquehanna	susquehanna	NOUN
commonwealth-489	198	104	-	-	PUNCT
commonwealth-489	198	105	wyoming	wyoming	NOUN
commonwealth-489	198	106	1,220	1,220	NUM
commonwealth-489	198	107	69,883	69,883	NUM
commonwealth-489	198	108	11.25	11.25	NUM
commonwealth-489	198	109	90.15	90.15	NUM
commonwealth-489	198	110	56	56	NUM
commonwealth-489	198	111	clarion	clarion	NOUN
commonwealth-489	198	112	–	–	PUNCT
commonwealth-489	198	113	jefferson	jefferson	PROPN
commonwealth-489	198	114	1,258	1,258	NUM
commonwealth-489	198	115	87,134	87,134	NUM
commonwealth-489	198	116	13.6	13.6	NUM
commonwealth-489	198	117	93.85	93.85	NUM
commonwealth-489	198	118	70	70	NUM
commonwealth-489	198	119	single	single	ADJ
commonwealth-489	198	120	health	health	NOUN
commonwealth-489	198	121	department	department	NOUN
commonwealth-489	198	122	models	model	NOUN
commonwealth-489	198	123	(	(	PUNCT
commonwealth-489	198	124	bordered	border	VERB
commonwealth-489	198	125	by	by	ADP
commonwealth-489	198	126			NUM
commonwealth-489	198	127			NOUN
commonwealth-489	198	128			NOUN
commonwealth-489	198	129	in	in	ADP
commonwealth-489	198	130	figure	figure	NOUN
commonwealth-489	198	131	1	1	NUM
commonwealth-489	198	132	,	,	PUNCT
commonwealth-489	198	133	following	follow	VERB
commonwealth-489	198	134	)	)	PUNCT
commonwealth-489	198	135	mckean	mckean	PROPN
commonwealth-489	198	136	982	982	NUM
commonwealth-489	198	137	44,884	44,884	NUM
commonwealth-489	198	138	13.1	13.1	NUM
commonwealth-489	198	139	74.0	74.0	NUM
commonwealth-489	198	140	35	35	NUM
commonwealth-489	198	141	monroe	monroe	NOUN
commonwealth-489	198	142	607	607	NUM
commonwealth-489	198	143	148,839	148,839	NUM
commonwealth-489	198	144	9.0	9.0	NUM
commonwealth-489	198	145	65.6	65.6	NUM
commonwealth-489	198	146	73	73	NUM
commonwealth-489	198	147	fulton	fulton	PROPN
commonwealth-489	198	148	438	438	NUM
commonwealth-489	198	149	14,365	14,365	NUM
commonwealth-489	198	150	10.8	10.8	NUM
commonwealth-489	198	151	49.1	49.1	NUM
commonwealth-489	198	152	23	23	NUM
commonwealth-489	198	153	figure	figure	NOUN
commonwealth-489	198	154	1	1	NUM
commonwealth-489	198	155	13primary	13primary	NUM
commonwealth-489	198	156	care	care	NOUN
commonwealth-489	198	157	provider	provider	NOUN
commonwealth-489	198	158	.	.	PUNCT
commonwealth-489	199	1	alberto	alberto	PROPN
commonwealth-489	199	2	j.f	j.f	PROPN
commonwealth-489	199	3	.	.	PROPN
commonwealth-489	199	4	cardelle	cardelle	PROPN
commonwealth-489	199	5	115	115	NUM
commonwealth-489	199	6	based	base	VERB
commonwealth-489	199	7	on	on	ADP
commonwealth-489	199	8	the	the	DET
commonwealth-489	199	9	characteristics	characteristic	NOUN
commonwealth-489	199	10	exhibited	exhibit	VERB
commonwealth-489	199	11	in	in	ADP
commonwealth-489	199	12	table	table	NOUN
commonwealth-489	199	13	7	7	NUM
commonwealth-489	199	14	,	,	PUNCT
commonwealth-489	199	15	a	a	DET
commonwealth-489	199	16	personnel	personnel	NOUN
commonwealth-489	199	17	structure	structure	NOUN
commonwealth-489	199	18	for	for	ADP
commonwealth-489	199	19	each	each	DET
commonwealth-489	199	20	model	model	NOUN
commonwealth-489	199	21	was	be	AUX
commonwealth-489	199	22	developed	develop	VERB
commonwealth-489	199	23	.	.	PUNCT
commonwealth-489	200	1	as	as	SCONJ
commonwealth-489	200	2	the	the	DET
commonwealth-489	200	3	structures	structure	NOUN
commonwealth-489	200	4	demonstrate	demonstrate	VERB
commonwealth-489	200	5	,	,	PUNCT
commonwealth-489	200	6	the	the	DET
commonwealth-489	200	7	models	model	NOUN
commonwealth-489	200	8	’	'	PUNCT
commonwealth-489	200	9	personnel	personnel	NOUN
commonwealth-489	200	10	structure	structure	NOUN
commonwealth-489	200	11	differs	differ	VERB
commonwealth-489	200	12	significantly	significantly	ADV
commonwealth-489	200	13	based	base	VERB
commonwealth-489	200	14	on	on	ADP
commonwealth-489	200	15	population	population	NOUN
commonwealth-489	200	16	covered	cover	VERB
commonwealth-489	200	17	and	and	CCONJ
commonwealth-489	200	18	most	most	ADV
commonwealth-489	200	19	importantly	importantly	ADV
commonwealth-489	200	20	on	on	ADP
commonwealth-489	200	21	area	area	NOUN
commonwealth-489	200	22	covered	cover	VERB
commonwealth-489	200	23	.	.	PUNCT
commonwealth-489	201	1	the	the	DET
commonwealth-489	201	2	tri	tri	ADJ
commonwealth-489	201	3	-	-	ADJ
commonwealth-489	201	4	county	county	NOUN
commonwealth-489	201	5	model	model	NOUN
commonwealth-489	201	6	designed	design	VERB
commonwealth-489	201	7	for	for	ADP
commonwealth-489	201	8	bradford	bradford	NOUN
commonwealth-489	201	9	-	-	PUNCT
commonwealth-489	201	10	tioga	tioga	PROPN
commonwealth-489	201	11	-	-	PUNCT
commonwealth-489	201	12	wyoming	wyoming	PROPN
commonwealth-489	201	13	would	would	AUX
commonwealth-489	201	14	cover	cover	VERB
commonwealth-489	201	15	only	only	ADV
commonwealth-489	201	16	132,000	132,000	NUM
commonwealth-489	201	17	persons	person	NOUN
commonwealth-489	201	18	but	but	CCONJ
commonwealth-489	201	19	it	it	PRON
commonwealth-489	201	20	would	would	AUX
commonwealth-489	201	21	be	be	AUX
commonwealth-489	201	22	spread	spread	VERB
commonwealth-489	201	23	over	over	ADP
commonwealth-489	201	24	2,500	2,500	NUM
commonwealth-489	201	25	square	square	ADJ
commonwealth-489	201	26	miles	mile	NOUN
commonwealth-489	201	27	.	.	PUNCT
commonwealth-489	202	1	the	the	DET
commonwealth-489	202	2	large	large	ADJ
commonwealth-489	202	3	geographic	geographic	ADJ
commonwealth-489	202	4	area	area	NOUN
commonwealth-489	202	5	covered	cover	VERB
commonwealth-489	202	6	by	by	ADP
commonwealth-489	202	7	that	that	DET
commonwealth-489	202	8	model	model	NOUN
commonwealth-489	202	9	requires	require	VERB
commonwealth-489	202	10	the	the	DET
commonwealth-489	202	11	largest	large	ADJ
commonwealth-489	202	12	personnel	personnel	NOUN
commonwealth-489	202	13	.	.	PUNCT
commonwealth-489	203	1	the	the	DET
commonwealth-489	203	2	potential	potential	ADJ
commonwealth-489	203	3	revenue	revenue	NOUN
commonwealth-489	203	4	streams	stream	NOUN
commonwealth-489	203	5	of	of	ADP
commonwealth-489	203	6	the	the	DET
commonwealth-489	203	7	different	different	ADJ
commonwealth-489	203	8	models	model	NOUN
commonwealth-489	203	9	were	be	AUX
commonwealth-489	203	10	developed	develop	VERB
commonwealth-489	203	11	using	use	VERB
commonwealth-489	203	12	the	the	DET
commonwealth-489	203	13	total	total	ADJ
commonwealth-489	203	14	population	population	NOUN
commonwealth-489	203	15	that	that	PRON
commonwealth-489	203	16	was	be	AUX
commonwealth-489	203	17	to	to	PART
commonwealth-489	203	18	be	be	AUX
commonwealth-489	203	19	served	serve	VERB
commonwealth-489	203	20	as	as	ADP
commonwealth-489	203	21	a	a	DET
commonwealth-489	203	22	multiplier	multipli	ADJ
commonwealth-489	203	23	for	for	ADP
commonwealth-489	203	24	all	all	DET
commonwealth-489	203	25	the	the	DET
commonwealth-489	203	26	potential	potential	ADJ
commonwealth-489	203	27	revenue	revenue	NOUN
commonwealth-489	203	28	sources	source	NOUN
commonwealth-489	203	29	.	.	PUNCT
commonwealth-489	204	1	in	in	ADP
commonwealth-489	204	2	addition	addition	NOUN
commonwealth-489	204	3	,	,	PUNCT
commonwealth-489	204	4	the	the	DET
commonwealth-489	204	5	percent	percent	NOUN
commonwealth-489	204	6	of	of	ADP
commonwealth-489	204	7	the	the	DET
commonwealth-489	204	8	population	population	NOUN
commonwealth-489	204	9	under	under	ADP
commonwealth-489	204	10	poverty	poverty	NOUN
commonwealth-489	204	11	was	be	AUX
commonwealth-489	204	12	used	use	VERB
commonwealth-489	204	13	to	to	PART
commonwealth-489	204	14	determine	determine	VERB
commonwealth-489	204	15	categorical	categorical	ADJ
commonwealth-489	204	16	grant	grant	NOUN
commonwealth-489	204	17	revenue	revenue	NOUN
commonwealth-489	204	18	since	since	SCONJ
commonwealth-489	204	19	level	level	NOUN
commonwealth-489	204	20	of	of	ADP
commonwealth-489	204	21	poverty	poverty	NOUN
commonwealth-489	204	22	is	be	AUX
commonwealth-489	204	23	a	a	DET
commonwealth-489	204	24	significant	significant	ADJ
commonwealth-489	204	25	driver	driver	NOUN
commonwealth-489	204	26	of	of	ADP
commonwealth-489	204	27	categorical	categorical	ADJ
commonwealth-489	204	28	grant	grant	NOUN
commonwealth-489	204	29	revenue	revenue	NOUN
commonwealth-489	204	30	.	.	PUNCT
commonwealth-489	205	1	the	the	DET
commonwealth-489	205	2	grant	grant	NOUN
commonwealth-489	205	3	revenues	revenue	NOUN
commonwealth-489	205	4	were	be	AUX
commonwealth-489	205	5	calculated	calculate	VERB
commonwealth-489	205	6	by	by	ADP
commonwealth-489	205	7	giving	give	VERB
commonwealth-489	205	8	both	both	DET
commonwealth-489	205	9	factors	factor	NOUN
commonwealth-489	205	10	(	(	PUNCT
commonwealth-489	205	11	population	population	NOUN
commonwealth-489	205	12	and	and	CCONJ
commonwealth-489	205	13	poverty	poverty	NOUN
commonwealth-489	205	14	level	level	NOUN
commonwealth-489	205	15	)	)	PUNCT
commonwealth-489	205	16	equal	equal	ADJ
commonwealth-489	205	17	weight	weight	NOUN
commonwealth-489	205	18	.	.	PUNCT
commonwealth-489	206	1	table	table	NOUN
commonwealth-489	206	2	8	8	NUM
commonwealth-489	206	3	shows	show	VERB
commonwealth-489	206	4	the	the	DET
commonwealth-489	206	5	result	result	NOUN
commonwealth-489	206	6	of	of	ADP
commonwealth-489	206	7	the	the	DET
commonwealth-489	206	8	revenue	revenue	NOUN
commonwealth-489	206	9	forecasting	forecasting	NOUN
commonwealth-489	206	10	.	.	PUNCT
commonwealth-489	207	1	the	the	DET
commonwealth-489	207	2	forecasts	forecast	NOUN
commonwealth-489	207	3	show	show	VERB
commonwealth-489	207	4	that	that	SCONJ
commonwealth-489	207	5	the	the	DET
commonwealth-489	207	6	two	two	NUM
commonwealth-489	207	7	tri	tri	ADJ
commonwealth-489	207	8	-	-	ADJ
commonwealth-489	207	9	county	county	NOUN
commonwealth-489	207	10	lhds	lhds	NOUN
commonwealth-489	207	11	would	would	AUX
commonwealth-489	207	12	have	have	VERB
commonwealth-489	207	13	multi	multi	ADJ
commonwealth-489	207	14	-	-	ADJ
commonwealth-489	207	15	million	million	NUM
commonwealth-489	207	16	dollar	dollar	NOUN
commonwealth-489	207	17	revenue	revenue	NOUN
commonwealth-489	207	18	streams	stream	NOUN
commonwealth-489	207	19	,	,	PUNCT
commonwealth-489	207	20	as	as	SCONJ
commonwealth-489	207	21	would	would	AUX
commonwealth-489	207	22	monroe	monroe	PROPN
commonwealth-489	207	23	county	county	PROPN
commonwealth-489	207	24	because	because	SCONJ
commonwealth-489	207	25	of	of	ADP
commonwealth-489	207	26	the	the	DET
commonwealth-489	207	27	county	county	NOUN
commonwealth-489	207	28	’s	’s	PART
commonwealth-489	207	29	growing	grow	VERB
commonwealth-489	207	30	population	population	NOUN
commonwealth-489	207	31	(	(	PUNCT
commonwealth-489	207	32	larger	large	ADJ
commonwealth-489	207	33	than	than	ADP
commonwealth-489	207	34	any	any	PRON
commonwealth-489	207	35	of	of	ADP
commonwealth-489	207	36	the	the	DET
commonwealth-489	207	37	tri	tri	ADJ
commonwealth-489	207	38	-	-	ADJ
commonwealth-489	207	39	county	county	NOUN
commonwealth-489	207	40	departments	department	NOUN
commonwealth-489	207	41	)	)	PUNCT
commonwealth-489	207	42	.	.	PUNCT
commonwealth-489	208	1	all	all	PRON
commonwealth-489	208	2	of	of	ADP
commonwealth-489	208	3	the	the	DET
commonwealth-489	208	4	model	model	NOUN
commonwealth-489	208	5	lhds	lhds	NOUN
commonwealth-489	208	6	show	show	VERB
commonwealth-489	208	7	very	very	ADV
commonwealth-489	208	8	high	high	ADJ
commonwealth-489	208	9	contributions	contribution	NOUN
commonwealth-489	208	10	from	from	ADP
commonwealth-489	208	11	grants	grant	NOUN
commonwealth-489	208	12	,	,	PUNCT
commonwealth-489	208	13	over	over	ADP
commonwealth-489	208	14	40	40	NUM
commonwealth-489	208	15	%	%	NOUN
commonwealth-489	208	16	.	.	PUNCT
commonwealth-489	209	1	this	this	PRON
commonwealth-489	209	2	is	be	AUX
commonwealth-489	209	3	because	because	SCONJ
commonwealth-489	209	4	of	of	ADP
commonwealth-489	209	5	their	their	PRON
commonwealth-489	209	6	relatively	relatively	ADV
commonwealth-489	209	7	small	small	ADJ
commonwealth-489	209	8	populations	population	NOUN
commonwealth-489	209	9	,	,	PUNCT
commonwealth-489	209	10	but	but	CCONJ
commonwealth-489	209	11	relatively	relatively	ADV
commonwealth-489	209	12	high	high	ADJ
commonwealth-489	209	13	level	level	NOUN
commonwealth-489	209	14	of	of	ADP
commonwealth-489	209	15	poverty	poverty	NOUN
commonwealth-489	209	16	,	,	PUNCT
commonwealth-489	209	17	in	in	ADP
commonwealth-489	209	18	comparison	comparison	NOUN
commonwealth-489	209	19	to	to	ADP
commonwealth-489	209	20	existing	exist	VERB
commonwealth-489	209	21	lhds	lhds	NOUN
commonwealth-489	209	22	(	(	PUNCT
commonwealth-489	209	23	almost	almost	ADV
commonwealth-489	209	24	twice	twice	DET
commonwealth-489	209	25	the	the	DET
commonwealth-489	209	26	rate	rate	NOUN
commonwealth-489	209	27	–	–	PUNCT
commonwealth-489	209	28	6.3	6.3	NUM
commonwealth-489	209	29	to	to	ADP
commonwealth-489	209	30	11.4	11.4	NUM
commonwealth-489	209	31	)	)	PUNCT
commonwealth-489	209	32	.	.	PUNCT
commonwealth-489	210	1	this	this	PRON
commonwealth-489	210	2	means	mean	VERB
commonwealth-489	210	3	that	that	SCONJ
commonwealth-489	210	4	these	these	DET
commonwealth-489	210	5	areas	area	NOUN
commonwealth-489	210	6	would	would	AUX
commonwealth-489	210	7	be	be	AUX
commonwealth-489	210	8	eligible	eligible	ADJ
commonwealth-489	210	9	for	for	ADP
commonwealth-489	210	10	a	a	DET
commonwealth-489	210	11	greater	great	ADJ
commonwealth-489	210	12	amount	amount	NOUN
commonwealth-489	210	13	of	of	ADP
commonwealth-489	210	14	categorical	categorical	ADJ
commonwealth-489	210	15	grants	grant	NOUN
commonwealth-489	210	16	relative	relative	ADJ
commonwealth-489	210	17	to	to	PART
commonwealth-489	210	18	act	act	VERB
commonwealth-489	210	19	315	315	NUM
commonwealth-489	210	20	and	and	CCONJ
commonwealth-489	210	21	act	act	VERB
commonwealth-489	210	22	12	12	NUM
commonwealth-489	210	23	formula	formula	NOUN
commonwealth-489	210	24	grants	grant	NOUN
commonwealth-489	210	25	.	.	PUNCT
commonwealth-489	211	1	table	table	NOUN
commonwealth-489	211	2	8	8	NUM
commonwealth-489	211	3	local	local	ADJ
commonwealth-489	211	4	health	health	NOUN
commonwealth-489	211	5	department	department	NOUN
commonwealth-489	211	6	models	model	NOUN
commonwealth-489	211	7	bradfordtiogawyoming	bradfordtiogawyome	VERB
commonwealth-489	211	8	mifflinjuniatasnyder	mifflinjuniatasnyder	NOUN
commonwealth-489	211	9	susquehanna	susquehanna	PROPN
commonwealth-489	211	10	wyoming	wyoming	PROPN
commonwealth-489	211	11	clarion	clarion	PROPN
commonwealth-489	211	12	jefferson	jefferson	PROPN
commonwealth-489	211	13	mckean	mckean	PROPN
commonwealth-489	211	14	monroe	monroe	PROPN
commonwealth-489	211	15	fulton	fulton	PROPN
commonwealth-489	211	16	forecasted	forecast	VERB
commonwealth-489	211	17	revenue	revenue	NOUN
commonwealth-489	211	18	budget	budget	NOUN
commonwealth-489	211	19	$	$	SYM
commonwealth-489	211	20	2,571,363	2,571,363	NUM
commonwealth-489	211	21	2,028,745	2,028,745	NUM
commonwealth-489	211	22	1,312,304	1,312,304	NUM
commonwealth-489	211	23	1,718,374	1,718,374	NUM
commonwealth-489	211	24	842,004	842,004	NUM
commonwealth-489	211	25	2,775,084	2,775,084	NUM
commonwealth-489	211	26	330,312	330,312	NUM
commonwealth-489	211	27	act	act	NOUN
commonwealth-489	211	28	315/12	315/12	NUM
commonwealth-489	211	29	29	29	NUM
commonwealth-489	211	30	%	%	NOUN
commonwealth-489	211	31	28	28	NUM
commonwealth-489	211	32	%	%	NOUN
commonwealth-489	211	33	24	24	NUM
commonwealth-489	211	34	%	%	NOUN
commonwealth-489	211	35	25	25	NUM
commonwealth-489	211	36	%	%	NOUN
commonwealth-489	211	37	18	18	NUM
commonwealth-489	211	38	%	%	NOUN
commonwealth-489	211	39	31	31	NUM
commonwealth-489	211	40	%	%	NOUN
commonwealth-489	211	41	22	22	NUM
commonwealth-489	211	42	%	%	NOUN
commonwealth-489	211	43	grants	grant	VERB
commonwealth-489	211	44	45	45	NUM
commonwealth-489	211	45	%	%	NOUN
commonwealth-489	211	46	45	45	NUM
commonwealth-489	211	47	%	%	NOUN
commonwealth-489	211	48	48	48	NUM
commonwealth-489	211	49	%	%	NOUN
commonwealth-489	211	50	48	48	NUM
commonwealth-489	211	51	%	%	NOUN
commonwealth-489	211	52	54	54	NUM
commonwealth-489	211	53	%	%	NOUN
commonwealth-489	211	54	42	42	NUM
commonwealth-489	211	55	%	%	NOUN
commonwealth-489	211	56	55	55	NUM
commonwealth-489	211	57	%	%	NOUN
commonwealth-489	211	58	user	user	NOUN
commonwealth-489	211	59	fees	fee	NOUN
commonwealth-489	211	60	9	9	NUM
commonwealth-489	211	61	%	%	NOUN
commonwealth-489	211	62	9	9	NUM
commonwealth-489	211	63	%	%	NOUN
commonwealth-489	211	64	9	9	NUM
commonwealth-489	211	65	%	%	NOUN
commonwealth-489	211	66	9	9	NUM
commonwealth-489	211	67	%	%	NOUN
commonwealth-489	211	68	9	9	NUM
commonwealth-489	211	69	%	%	NOUN
commonwealth-489	211	70	9	9	NUM
commonwealth-489	211	71	%	%	NOUN
commonwealth-489	211	72	8	8	NUM
commonwealth-489	211	73	%	%	NOUN
commonwealth-489	211	74	direct	direct	ADJ
commonwealth-489	211	75	funds	fund	NOUN
commonwealth-489	211	76	18	18	NUM
commonwealth-489	211	77	%	%	NOUN
commonwealth-489	211	78	18	18	NUM
commonwealth-489	211	79	%	%	NOUN
commonwealth-489	211	80	18	18	NUM
commonwealth-489	211	81	%	%	NOUN
commonwealth-489	211	82	17	17	NUM
commonwealth-489	211	83	%	%	NOUN
commonwealth-489	211	84	18	18	NUM
commonwealth-489	211	85	%	%	NOUN
commonwealth-489	211	86	18	18	NUM
commonwealth-489	211	87	%	%	NOUN
commonwealth-489	211	88	15	15	NUM
commonwealth-489	211	89	%	%	NOUN
commonwealth-489	211	90	116	116	NUM
commonwealth-489	211	91	financial	financial	ADJ
commonwealth-489	211	92	analysis	analysis	NOUN
commonwealth-489	211	93	and	and	CCONJ
commonwealth-489	211	94	structural	structural	ADJ
commonwealth-489	211	95	considerations	consideration	NOUN
commonwealth-489	211	96	to	to	ADP
commonwealth-489	211	97	the	the	DET
commonwealth-489	211	98	problem	problem	NOUN
commonwealth-489	211	99	of	of	ADP
commonwealth-489	211	100	rural	rural	ADJ
commonwealth-489	211	101	public	public	ADJ
commonwealth-489	211	102	health	health	NOUN
commonwealth-489	211	103	in	in	ADP
commonwealth-489	211	104	pennsylvania	pennsylvania	PROPN
commonwealth-489	211	105	local	local	PROPN
commonwealth-489	211	106	health	health	PROPN
commonwealth-489	211	107	department	department	NOUN
commonwealth-489	211	108	models	model	NOUN
commonwealth-489	211	109	bradfordtiogawyoming	bradfordtiogawyome	VERB
commonwealth-489	211	110	mifflinjuniatasnyder	mifflinjuniatasnyder	NOUN
commonwealth-489	211	111	susquehanna	susquehanna	PROPN
commonwealth-489	211	112	wyoming	wyoming	PROPN
commonwealth-489	211	113	clarion	clarion	PROPN
commonwealth-489	211	114	jefferson	jefferson	PROPN
commonwealth-489	211	115	mckean	mckean	PROPN
commonwealth-489	211	116	monroe	monroe	PROPN
commonwealth-489	211	117	fulton	fulton	PROPN
commonwealth-489	211	118	forecasted	forecast	VERB
commonwealth-489	211	119	expenses	expense	NOUN
commonwealth-489	211	120	budget	budget	VERB
commonwealth-489	211	121	$	$	SYM
commonwealth-489	211	122	7,809,675	7,809,675	NUM
commonwealth-489	211	123	3,259,014	3,259,014	NUM
commonwealth-489	211	124	2,321,767	2,321,767	NUM
commonwealth-489	211	125	2,906,886	2,906,886	NUM
commonwealth-489	211	126	1,362,989	1,362,989	NUM
commonwealth-489	211	127	2,991,986	2,991,986	NUM
commonwealth-489	211	128	431,135	431,135	NUM
commonwealth-489	211	129	administration	administration	NOUN
commonwealth-489	211	130	28	28	NUM
commonwealth-489	211	131	%	%	NOUN
commonwealth-489	211	132	27	27	NUM
commonwealth-489	211	133	%	%	NOUN
commonwealth-489	211	134	26	26	NUM
commonwealth-489	211	135	%	%	NOUN
commonwealth-489	211	136	27	27	NUM
commonwealth-489	211	137	%	%	NOUN
commonwealth-489	211	138	24	24	NUM
commonwealth-489	211	139	%	%	NOUN
commonwealth-489	211	140	27	27	NUM
commonwealth-489	211	141	%	%	NOUN
commonwealth-489	211	142	15	15	NUM
commonwealth-489	211	143	%	%	NOUN
commonwealth-489	211	144	personal	personal	ADJ
commonwealth-489	211	145	health	health	NOUN
commonwealth-489	211	146	23	23	NUM
commonwealth-489	211	147	%	%	NOUN
commonwealth-489	211	148	26	26	NUM
commonwealth-489	211	149	%	%	NOUN
commonwealth-489	211	150	28	28	NUM
commonwealth-489	211	151	%	%	NOUN
commonwealth-489	211	152	27	27	NUM
commonwealth-489	211	153	%	%	NOUN
commonwealth-489	211	154	33	33	NUM
commonwealth-489	211	155	%	%	NOUN
commonwealth-489	211	156	27	27	NUM
commonwealth-489	211	157	%	%	NOUN
commonwealth-489	211	158	60	60	NUM
commonwealth-489	211	159	%	%	NOUN
commonwealth-489	211	160	environmental	environmental	ADJ
commonwealth-489	211	161	health	health	NOUN
commonwealth-489	211	162	40	40	NUM
commonwealth-489	211	163	%	%	NOUN
commonwealth-489	211	164	38	38	NUM
commonwealth-489	211	165	%	%	NOUN
commonwealth-489	211	166	37	37	NUM
commonwealth-489	211	167	%	%	NOUN
commonwealth-489	211	168	38	38	NUM
commonwealth-489	211	169	%	%	NOUN
commonwealth-489	211	170	34	34	NUM
commonwealth-489	211	171	%	%	NOUN
commonwealth-489	211	172	38	38	NUM
commonwealth-489	211	173	%	%	NOUN
commonwealth-489	211	174	21	21	NUM
commonwealth-489	211	175	%	%	NOUN
commonwealth-489	211	176	public	public	ADJ
commonwealth-489	211	177	health	health	NOUN
commonwealth-489	211	178	9	9	NUM
commonwealth-489	211	179	%	%	NOUN
commonwealth-489	211	180	9	9	NUM
commonwealth-489	211	181	%	%	NOUN
commonwealth-489	211	182	8	8	NUM
commonwealth-489	211	183	%	%	NOUN
commonwealth-489	211	184	9	9	NUM
commonwealth-489	211	185	%	%	NOUN
commonwealth-489	211	186	8	8	NUM
commonwealth-489	211	187	%	%	NOUN
commonwealth-489	211	188	9	9	NUM
commonwealth-489	211	189	%	%	NOUN
commonwealth-489	211	190	5	5	NUM
commonwealth-489	211	191	%	%	NOUN
commonwealth-489	211	192	reconciled	reconcile	VERB
commonwealth-489	211	193	revenue	revenue	NOUN
commonwealth-489	211	194	budget	budget	NOUN
commonwealth-489	211	195	based	base	VERB
commonwealth-489	211	196	on	on	ADP
commonwealth-489	211	197	forecasted	forecast	VERB
commonwealth-489	211	198	expenses	expense	NOUN
commonwealth-489	211	199	budget	budget	VERB
commonwealth-489	211	200	$	$	SYM
commonwealth-489	211	201	7,359,310	7,359,310	NUM
commonwealth-489	211	202	2,894,065	2,894,065	NUM
commonwealth-489	211	203	2,083,466	2,083,466	NUM
commonwealth-489	211	204	2,609,760	2,609,760	NUM
commonwealth-489	211	205	1,209,935	1,209,935	NUM
commonwealth-489	211	206	2,484,445	2,484,445	NUM
commonwealth-489	211	207	382,151	382,151	NUM
commonwealth-489	211	208	act	act	NOUN
commonwealth-489	211	209	315/12	315/12	NUM
commonwealth-489	211	210	10	10	NUM
commonwealth-489	211	211	%	%	NOUN
commonwealth-489	211	212	20	20	NUM
commonwealth-489	211	213	%	%	NOUN
commonwealth-489	211	214	15	15	NUM
commonwealth-489	211	215	%	%	NOUN
commonwealth-489	211	216	17	17	NUM
commonwealth-489	211	217	%	%	NOUN
commonwealth-489	211	218	13	13	NUM
commonwealth-489	211	219	%	%	NOUN
commonwealth-489	211	220	34	34	NUM
commonwealth-489	211	221	%	%	NOUN
commonwealth-489	211	222	19	19	NUM
commonwealth-489	211	223	%	%	NOUN
commonwealth-489	211	224	grants	grant	NOUN
commonwealth-489	211	225	16	16	NUM
commonwealth-489	211	226	%	%	NOUN
commonwealth-489	211	227	31	31	NUM
commonwealth-489	211	228	%	%	NOUN
commonwealth-489	211	229	30	30	NUM
commonwealth-489	211	230	%	%	NOUN
commonwealth-489	211	231	32	32	NUM
commonwealth-489	211	232	%	%	NOUN
commonwealth-489	211	233	38	38	NUM
commonwealth-489	211	234	%	%	NOUN
commonwealth-489	211	235	47	47	NUM
commonwealth-489	211	236	%	%	NOUN
commonwealth-489	211	237	48	48	NUM
commonwealth-489	211	238	%	%	NOUN
commonwealth-489	211	239	user	user	NOUN
commonwealth-489	211	240	fees	fee	NOUN
commonwealth-489	211	241	3	3	NUM
commonwealth-489	211	242	%	%	NOUN
commonwealth-489	211	243	6	6	NUM
commonwealth-489	211	244	%	%	NOUN
commonwealth-489	211	245	6	6	NUM
commonwealth-489	211	246	%	%	NOUN
commonwealth-489	211	247	6	6	NUM
commonwealth-489	211	248	%	%	NOUN
commonwealth-489	211	249	6	6	NUM
commonwealth-489	211	250	%	%	NOUN
commonwealth-489	211	251	10	10	NUM
commonwealth-489	211	252	%	%	NOUN
commonwealth-489	211	253	7	7	NUM
commonwealth-489	211	254	%	%	NOUN
commonwealth-489	211	255	direct	direct	ADJ
commonwealth-489	211	256	funds	fund	NOUN
commonwealth-489	211	257	71	71	NUM
commonwealth-489	211	258	%	%	NOUN
commonwealth-489	211	259	43	43	NUM
commonwealth-489	211	260	%	%	NOUN
commonwealth-489	211	261	48	48	NUM
commonwealth-489	211	262	%	%	NOUN
commonwealth-489	211	263	46	46	NUM
commonwealth-489	211	264	%	%	NOUN
commonwealth-489	211	265	43	43	NUM
commonwealth-489	211	266	%	%	NOUN
commonwealth-489	211	267	9	9	NUM
commonwealth-489	211	268	%	%	NOUN
commonwealth-489	211	269	26	26	NUM
commonwealth-489	211	270	%	%	NOUN
commonwealth-489	211	271	some	some	DET
commonwealth-489	211	272	percentages	percentage	NOUN
commonwealth-489	211	273	do	do	AUX
commonwealth-489	211	274	not	not	PART
commonwealth-489	211	275	add	add	VERB
commonwealth-489	211	276	up	up	ADP
commonwealth-489	211	277	to	to	PART
commonwealth-489	211	278	100	100	NUM
commonwealth-489	211	279	due	due	ADJ
commonwealth-489	211	280	to	to	ADP
commonwealth-489	211	281	rounding	round	VERB
commonwealth-489	211	282	.	.	PUNCT
commonwealth-489	212	1	table	table	NOUN
commonwealth-489	212	2	8	8	NUM
commonwealth-489	212	3	shows	show	VERB
commonwealth-489	212	4	the	the	DET
commonwealth-489	212	5	forecasted	forecast	VERB
commonwealth-489	212	6	expenses	expense	NOUN
commonwealth-489	212	7	in	in	ADP
commonwealth-489	212	8	broad	broad	ADJ
commonwealth-489	212	9	categories	category	NOUN
commonwealth-489	212	10	.	.	PUNCT
commonwealth-489	213	1	these	these	DET
commonwealth-489	213	2	figures	figure	NOUN
commonwealth-489	213	3	were	be	AUX
commonwealth-489	213	4	forecasted	forecast	VERB
commonwealth-489	213	5	using	use	VERB
commonwealth-489	213	6	population	population	NOUN
commonwealth-489	213	7	covered	cover	VERB
commonwealth-489	213	8	,	,	PUNCT
commonwealth-489	213	9	land	land	NOUN
commonwealth-489	213	10	area	area	NOUN
commonwealth-489	213	11	to	to	PART
commonwealth-489	213	12	be	be	AUX
commonwealth-489	213	13	covered	cover	VERB
commonwealth-489	213	14	,	,	PUNCT
commonwealth-489	213	15	and	and	CCONJ
commonwealth-489	213	16	underserved	underserved	ADJ
commonwealth-489	213	17	medical	medical	ADJ
commonwealth-489	213	18	areas	area	NOUN
commonwealth-489	213	19	.	.	PUNCT
commonwealth-489	214	1	population	population	NOUN
commonwealth-489	214	2	covered	cover	VERB
commonwealth-489	214	3	and	and	CCONJ
commonwealth-489	214	4	land	land	NOUN
commonwealth-489	214	5	area	area	NOUN
commonwealth-489	214	6	to	to	PART
commonwealth-489	214	7	be	be	AUX
commonwealth-489	214	8	covered	cover	VERB
commonwealth-489	214	9	were	be	AUX
commonwealth-489	214	10	used	use	VERB
commonwealth-489	214	11	to	to	PART
commonwealth-489	214	12	forecast	forecast	VERB
commonwealth-489	214	13	all	all	PRON
commonwealth-489	214	14	of	of	ADP
commonwealth-489	214	15	the	the	DET
commonwealth-489	214	16	expenses	expense	NOUN
commonwealth-489	214	17	categories	category	NOUN
commonwealth-489	214	18	.	.	PUNCT
commonwealth-489	215	1	underserved	underserved	ADJ
commonwealth-489	215	2	areas	area	NOUN
commonwealth-489	215	3	were	be	AUX
commonwealth-489	215	4	used	use	VERB
commonwealth-489	215	5	to	to	PART
commonwealth-489	215	6	forecast	forecast	VERB
commonwealth-489	215	7	personal	personal	ADJ
commonwealth-489	215	8	health	health	NOUN
commonwealth-489	215	9	expenses	expense	NOUN
commonwealth-489	215	10	since	since	SCONJ
commonwealth-489	215	11	the	the	DET
commonwealth-489	215	12	availability	availability	NOUN
commonwealth-489	215	13	of	of	ADP
commonwealth-489	215	14	primary	primary	ADJ
commonwealth-489	215	15	care	care	NOUN
commonwealth-489	215	16	was	be	AUX
commonwealth-489	215	17	a	a	DET
commonwealth-489	215	18	significant	significant	ADJ
commonwealth-489	215	19	cost	cost	NOUN
commonwealth-489	215	20	driver	driver	NOUN
commonwealth-489	215	21	of	of	ADP
commonwealth-489	215	22	personal	personal	ADJ
commonwealth-489	215	23	health	health	NOUN
commonwealth-489	215	24	expenses	expense	NOUN
commonwealth-489	215	25	.	.	PUNCT
commonwealth-489	216	1	the	the	DET
commonwealth-489	216	2	forecasts	forecast	NOUN
commonwealth-489	216	3	show	show	VERB
commonwealth-489	216	4	the	the	DET
commonwealth-489	216	5	clear	clear	ADJ
commonwealth-489	216	6	effect	effect	NOUN
commonwealth-489	216	7	of	of	ADP
commonwealth-489	216	8	having	have	VERB
commonwealth-489	216	9	to	to	PART
commonwealth-489	216	10	cover	cover	VERB
commonwealth-489	216	11	large	large	ADJ
commonwealth-489	216	12	areas	area	NOUN
commonwealth-489	216	13	.	.	PUNCT
commonwealth-489	217	1	the	the	DET
commonwealth-489	217	2	two	two	NUM
commonwealth-489	217	3	tri	tri	ADJ
commonwealth-489	217	4	-	-	ADJ
commonwealth-489	217	5	county	county	NOUN
commonwealth-489	217	6	lhds	lhds	NOUN
commonwealth-489	217	7	have	have	VERB
commonwealth-489	217	8	very	very	ADV
commonwealth-489	217	9	large	large	ADJ
commonwealth-489	217	10	budgets	budget	NOUN
commonwealth-489	217	11	relative	relative	ADJ
commonwealth-489	217	12	to	to	ADP
commonwealth-489	217	13	their	their	PRON
commonwealth-489	217	14	populations	population	NOUN
commonwealth-489	217	15	.	.	PUNCT
commonwealth-489	218	1	the	the	DET
commonwealth-489	218	2	bradford	bradford	PROPN
commonwealth-489	218	3	-	-	PUNCT
commonwealth-489	218	4	tioga	tioga	PROPN
commonwealth-489	218	5	-	-	PUNCT
commonwealth-489	218	6	wyoming	wyoming	NOUN
commonwealth-489	218	7	model	model	NOUN
commonwealth-489	218	8	would	would	AUX
commonwealth-489	218	9	have	have	VERB
commonwealth-489	218	10	a	a	DET
commonwealth-489	218	11	budget	budget	NOUN
commonwealth-489	218	12	of	of	ADP
commonwealth-489	218	13	over	over	ADP
commonwealth-489	218	14	$	$	SYM
commonwealth-489	218	15	7	7	NUM
commonwealth-489	218	16	million	million	NUM
commonwealth-489	218	17	.	.	PUNCT
commonwealth-489	219	1	for	for	ADP
commonwealth-489	219	2	both	both	CCONJ
commonwealth-489	219	3	tri	tri	ADJ
commonwealth-489	219	4	-	-	ADJ
commonwealth-489	219	5	county	county	NOUN
commonwealth-489	219	6	lhds	lhds	NOUN
commonwealth-489	219	7	,	,	PUNCT
commonwealth-489	219	8	environmental	environmental	ADJ
commonwealth-489	219	9	health	health	NOUN
commonwealth-489	219	10	expenses	expense	NOUN
commonwealth-489	219	11	are	be	AUX
commonwealth-489	219	12	significantly	significantly	ADV
commonwealth-489	219	13	high	high	ADJ
commonwealth-489	219	14	because	because	SCONJ
commonwealth-489	219	15	of	of	ADP
commonwealth-489	219	16	the	the	DET
commonwealth-489	219	17	area	area	NOUN
commonwealth-489	219	18	to	to	PART
commonwealth-489	219	19	be	be	AUX
commonwealth-489	219	20	covered	cover	VERB
commonwealth-489	219	21	.	.	PUNCT
commonwealth-489	220	1	on	on	ADP
commonwealth-489	220	2	the	the	DET
commonwealth-489	220	3	other	other	ADJ
commonwealth-489	220	4	hand	hand	NOUN
commonwealth-489	220	5	,	,	PUNCT
commonwealth-489	220	6	personal	personal	ADJ
commonwealth-489	220	7	health	health	NOUN
commonwealth-489	220	8	services	service	NOUN
commonwealth-489	220	9	are	be	AUX
commonwealth-489	220	10	a	a	DET
commonwealth-489	220	11	significant	significant	ADJ
commonwealth-489	220	12	expense	expense	NOUN
commonwealth-489	220	13	in	in	ADP
commonwealth-489	220	14	the	the	DET
commonwealth-489	220	15	fulton	fulton	PROPN
commonwealth-489	220	16	,	,	PUNCT
commonwealth-489	220	17	monroe	monroe	PROPN
commonwealth-489	220	18	,	,	PUNCT
commonwealth-489	220	19	and	and	CCONJ
commonwealth-489	220	20	mckean	mckean	PROPN
commonwealth-489	220	21	models	model	NOUN
commonwealth-489	220	22	because	because	SCONJ
commonwealth-489	220	23	of	of	ADP
commonwealth-489	220	24	the	the	DET
commonwealth-489	220	25	relatively	relatively	ADV
commonwealth-489	220	26	low	low	ADJ
commonwealth-489	220	27	numbers	number	NOUN
commonwealth-489	220	28	of	of	ADP
commonwealth-489	220	29	primary	primary	ADJ
commonwealth-489	220	30	care	care	NOUN
commonwealth-489	220	31	providers	provider	NOUN
commonwealth-489	220	32	in	in	ADP
commonwealth-489	220	33	those	those	DET
commonwealth-489	220	34	areas	area	NOUN
commonwealth-489	220	35	.	.	PUNCT
commonwealth-489	221	1	table	table	NOUN
commonwealth-489	221	2	8	8	NUM
commonwealth-489	221	3	shows	show	VERB
commonwealth-489	221	4	a	a	DET
commonwealth-489	221	5	reconciled	reconcile	VERB
commonwealth-489	221	6	revenue	revenue	NOUN
commonwealth-489	221	7	budget	budget	NOUN
commonwealth-489	221	8	based	base	VERB
commonwealth-489	221	9	on	on	ADP
commonwealth-489	221	10	the	the	DET
commonwealth-489	221	11	expenses	expense	NOUN
commonwealth-489	221	12	forecasted	forecast	VERB
commonwealth-489	221	13	.	.	PUNCT
commonwealth-489	222	1	as	as	SCONJ
commonwealth-489	222	2	the	the	DET
commonwealth-489	222	3	table	table	NOUN
commonwealth-489	222	4	shows	show	VERB
commonwealth-489	222	5	under	under	ADP
commonwealth-489	222	6	the	the	DET
commonwealth-489	222	7	reconciled	reconcile	VERB
commonwealth-489	222	8	revenue	revenue	NOUN
commonwealth-489	222	9	budget	budget	NOUN
commonwealth-489	222	10	,	,	PUNCT
commonwealth-489	222	11	the	the	DET
commonwealth-489	222	12	local	local	ADJ
commonwealth-489	222	13	direct	direct	ADJ
commonwealth-489	222	14	contributions	contribution	NOUN
commonwealth-489	222	15	increase	increase	VERB
commonwealth-489	222	16	dramatically	dramatically	ADV
commonwealth-489	222	17	so	so	SCONJ
commonwealth-489	222	18	that	that	SCONJ
commonwealth-489	222	19	local	local	ADJ
commonwealth-489	222	20	contributions	contribution	NOUN
commonwealth-489	222	21	now	now	ADV
commonwealth-489	222	22	represent	represent	VERB
commonwealth-489	222	23	over	over	ADP
commonwealth-489	222	24	40	40	NUM
commonwealth-489	222	25	%	%	NOUN
commonwealth-489	222	26	of	of	ADP
commonwealth-489	222	27	the	the	DET
commonwealth-489	222	28	budget	budget	NOUN
commonwealth-489	222	29	revenue	revenue	NOUN
commonwealth-489	222	30	in	in	ADP
commonwealth-489	222	31	all	all	PRON
commonwealth-489	222	32	but	but	SCONJ
commonwealth-489	222	33	two	two	NUM
commonwealth-489	222	34	of	of	ADP
commonwealth-489	222	35	the	the	DET
commonwealth-489	222	36	alberto	alberto	PROPN
commonwealth-489	222	37	j.f	j.f	PROPN
commonwealth-489	222	38	.	.	PROPN
commonwealth-489	222	39	cardelle	cardelle	PROPN
commonwealth-489	222	40	117	117	NUM
commonwealth-489	222	41	models	model	NOUN
commonwealth-489	222	42	.	.	PUNCT
commonwealth-489	223	1	the	the	DET
commonwealth-489	223	2	shortfall	shortfall	NOUN
commonwealth-489	223	3	occurs	occur	VERB
commonwealth-489	223	4	primarily	primarily	ADV
commonwealth-489	223	5	because	because	SCONJ
commonwealth-489	223	6	most	most	ADJ
commonwealth-489	223	7	of	of	ADP
commonwealth-489	223	8	the	the	DET
commonwealth-489	223	9	models	model	NOUN
commonwealth-489	223	10	do	do	AUX
commonwealth-489	223	11	not	not	PART
commonwealth-489	223	12	generate	generate	VERB
commonwealth-489	223	13	enough	enough	ADJ
commonwealth-489	223	14	funds	fund	NOUN
commonwealth-489	223	15	under	under	ADP
commonwealth-489	223	16	act	act	NOUN
commonwealth-489	223	17	315	315	NUM
commonwealth-489	223	18	and	and	CCONJ
commonwealth-489	223	19	act	act	VERB
commonwealth-489	223	20	12	12	NUM
commonwealth-489	223	21	and	and	CCONJ
commonwealth-489	223	22	from	from	ADP
commonwealth-489	223	23	user	user	NOUN
commonwealth-489	223	24	fees	fee	NOUN
commonwealth-489	223	25	,	,	PUNCT
commonwealth-489	223	26	because	because	SCONJ
commonwealth-489	223	27	of	of	ADP
commonwealth-489	223	28	their	their	PRON
commonwealth-489	223	29	small	small	ADJ
commonwealth-489	223	30	population	population	NOUN
commonwealth-489	223	31	size	size	NOUN
commonwealth-489	223	32	,	,	PUNCT
commonwealth-489	223	33	to	to	PART
commonwealth-489	223	34	cover	cover	VERB
commonwealth-489	223	35	the	the	DET
commonwealth-489	223	36	expenses	expense	NOUN
commonwealth-489	223	37	related	relate	VERB
commonwealth-489	223	38	to	to	ADP
commonwealth-489	223	39	the	the	DET
commonwealth-489	223	40	large	large	ADJ
commonwealth-489	223	41	geographical	geographical	ADJ
commonwealth-489	223	42	coverage	coverage	NOUN
commonwealth-489	223	43	area	area	NOUN
commonwealth-489	223	44	.	.	PUNCT
commonwealth-489	224	1	this	this	DET
commonwealth-489	224	2	assumption	assumption	NOUN
commonwealth-489	224	3	is	be	AUX
commonwealth-489	224	4	made	make	VERB
commonwealth-489	224	5	because	because	SCONJ
commonwealth-489	224	6	the	the	DET
commonwealth-489	224	7	projections	projection	NOUN
commonwealth-489	224	8	show	show	VERB
commonwealth-489	224	9	it	it	PRON
commonwealth-489	224	10	is	be	AUX
commonwealth-489	224	11	not	not	PART
commonwealth-489	224	12	reasonable	reasonable	ADJ
commonwealth-489	224	13	to	to	PART
commonwealth-489	224	14	assume	assume	VERB
commonwealth-489	224	15	that	that	SCONJ
commonwealth-489	224	16	the	the	DET
commonwealth-489	224	17	locales	locale	NOUN
commonwealth-489	224	18	will	will	AUX
commonwealth-489	224	19	be	be	AUX
commonwealth-489	224	20	able	able	ADJ
commonwealth-489	224	21	to	to	PART
commonwealth-489	224	22	cover	cover	VERB
commonwealth-489	224	23	the	the	DET
commonwealth-489	224	24	shortfall	shortfall	NOUN
commonwealth-489	224	25	from	from	ADP
commonwealth-489	224	26	grants	grant	NOUN
commonwealth-489	224	27	or	or	CCONJ
commonwealth-489	224	28	fees	fee	NOUN
commonwealth-489	224	29	.	.	PUNCT
commonwealth-489	225	1	in	in	ADP
commonwealth-489	225	2	the	the	DET
commonwealth-489	225	3	largest	large	ADJ
commonwealth-489	225	4	of	of	ADP
commonwealth-489	225	5	the	the	DET
commonwealth-489	225	6	models	model	NOUN
commonwealth-489	225	7	,	,	PUNCT
commonwealth-489	225	8	the	the	DET
commonwealth-489	225	9	bradford	bradford	PROPN
commonwealth-489	225	10	-	-	PUNCT
commonwealth-489	225	11	tioga	tioga	PROPN
commonwealth-489	225	12	-	-	PUNCT
commonwealth-489	225	13	wyoming	wyoming	PROPN
commonwealth-489	225	14	model	model	NOUN
commonwealth-489	225	15	,	,	PUNCT
commonwealth-489	225	16	the	the	DET
commonwealth-489	225	17	direct	direct	ADJ
commonwealth-489	225	18	funds	fund	NOUN
commonwealth-489	225	19	would	would	AUX
commonwealth-489	225	20	now	now	ADV
commonwealth-489	225	21	represent	represent	VERB
commonwealth-489	225	22	71	71	NUM
commonwealth-489	225	23	%	%	NOUN
commonwealth-489	225	24	of	of	ADP
commonwealth-489	225	25	the	the	DET
commonwealth-489	225	26	revenue	revenue	NOUN
commonwealth-489	225	27	.	.	PUNCT
commonwealth-489	226	1	these	these	DET
commonwealth-489	226	2	budgets	budget	NOUN
commonwealth-489	226	3	show	show	VERB
commonwealth-489	226	4	that	that	SCONJ
commonwealth-489	226	5	the	the	DET
commonwealth-489	226	6	tri	tri	ADJ
commonwealth-489	226	7	-	-	ADJ
commonwealth-489	226	8	county	county	NOUN
commonwealth-489	226	9	health	health	NOUN
commonwealth-489	226	10	departments	department	NOUN
commonwealth-489	226	11	have	have	VERB
commonwealth-489	226	12	very	very	ADV
commonwealth-489	226	13	high	high	ADJ
commonwealth-489	226	14	expenses	expense	NOUN
commonwealth-489	226	15	relative	relative	ADJ
commonwealth-489	226	16	to	to	ADP
commonwealth-489	226	17	their	their	PRON
commonwealth-489	226	18	act	act	NOUN
commonwealth-489	226	19	315	315	NUM
commonwealth-489	226	20	and	and	CCONJ
commonwealth-489	226	21	act	act	VERB
commonwealth-489	226	22	12	12	NUM
commonwealth-489	226	23	funding	funding	NOUN
commonwealth-489	226	24	.	.	PUNCT
commonwealth-489	227	1	for	for	ADP
commonwealth-489	227	2	example	example	NOUN
commonwealth-489	227	3	,	,	PUNCT
commonwealth-489	227	4	the	the	DET
commonwealth-489	227	5	bradford	bradford	PROPN
commonwealth-489	227	6	-	-	PUNCT
commonwealth-489	227	7	tioga	tioga	PROPN
commonwealth-489	227	8	-	-	PUNCT
commonwealth-489	227	9	wyoming	wyoming	NOUN
commonwealth-489	227	10	model	model	NOUN
commonwealth-489	227	11	has	have	VERB
commonwealth-489	227	12	close	close	ADJ
commonwealth-489	227	13	to	to	ADP
commonwealth-489	227	14	a	a	DET
commonwealth-489	227	15	$	$	SYM
commonwealth-489	227	16	1	1	NUM
commonwealth-489	227	17	million	million	NUM
commonwealth-489	227	18	deficit	deficit	NOUN
commonwealth-489	227	19	just	just	ADV
commonwealth-489	227	20	as	as	ADP
commonwealth-489	227	21	a	a	DET
commonwealth-489	227	22	result	result	NOUN
commonwealth-489	227	23	of	of	ADP
commonwealth-489	227	24	the	the	DET
commonwealth-489	227	25	environmental	environmental	ADJ
commonwealth-489	227	26	services	service	NOUN
commonwealth-489	227	27	provided	provide	VERB
commonwealth-489	227	28	.	.	PUNCT
commonwealth-489	228	1	in	in	ADP
commonwealth-489	228	2	comparison	comparison	NOUN
commonwealth-489	228	3	,	,	PUNCT
commonwealth-489	228	4	although	although	SCONJ
commonwealth-489	228	5	the	the	DET
commonwealth-489	228	6	mifflin	mifflin	PROPN
commonwealth-489	228	7	-	-	PUNCT
commonwealth-489	228	8	juniata	juniata	PROPN
commonwealth-489	228	9	-	-	PUNCT
commonwealth-489	228	10	snyder	snyder	PROPN
commonwealth-489	228	11	model	model	NOUN
commonwealth-489	228	12	,	,	PUNCT
commonwealth-489	228	13	the	the	DET
commonwealth-489	228	14	monroe	monroe	PROPN
commonwealth-489	228	15	model	model	NOUN
commonwealth-489	228	16	,	,	PUNCT
commonwealth-489	228	17	and	and	CCONJ
commonwealth-489	228	18	the	the	DET
commonwealth-489	228	19	fulton	fulton	PROPN
commonwealth-489	228	20	model	model	NOUN
commonwealth-489	228	21	still	still	ADV
commonwealth-489	228	22	have	have	VERB
commonwealth-489	228	23	a	a	DET
commonwealth-489	228	24	deficit	deficit	NOUN
commonwealth-489	228	25	,	,	PUNCT
commonwealth-489	228	26	the	the	DET
commonwealth-489	228	27	deficits	deficit	NOUN
commonwealth-489	228	28	with	with	ADP
commonwealth-489	228	29	regard	regard	NOUN
commonwealth-489	228	30	to	to	ADP
commonwealth-489	228	31	the	the	DET
commonwealth-489	228	32	environmental	environmental	ADJ
commonwealth-489	228	33	services	service	NOUN
commonwealth-489	228	34	are	be	AUX
commonwealth-489	228	35	smallest	smallest	ADJ
commonwealth-489	228	36	.	.	PUNCT
commonwealth-489	229	1	the	the	DET
commonwealth-489	229	2	reason	reason	NOUN
commonwealth-489	229	3	for	for	ADP
commonwealth-489	229	4	the	the	DET
commonwealth-489	229	5	small	small	ADJ
commonwealth-489	229	6	deficit	deficit	NOUN
commonwealth-489	229	7	in	in	ADP
commonwealth-489	229	8	the	the	DET
commonwealth-489	229	9	fulton	fulton	PROPN
commonwealth-489	229	10	model	model	NOUN
commonwealth-489	229	11	is	be	AUX
commonwealth-489	229	12	because	because	SCONJ
commonwealth-489	229	13	of	of	ADP
commonwealth-489	229	14	its	its	PRON
commonwealth-489	229	15	small	small	ADJ
commonwealth-489	229	16	size	size	NOUN
commonwealth-489	229	17	;	;	PUNCT
commonwealth-489	229	18	however	however	ADV
commonwealth-489	229	19	,	,	PUNCT
commonwealth-489	229	20	the	the	DET
commonwealth-489	229	21	small	small	ADJ
commonwealth-489	229	22	deficits	deficit	NOUN
commonwealth-489	229	23	in	in	ADP
commonwealth-489	229	24	both	both	CCONJ
commonwealth-489	229	25	the	the	DET
commonwealth-489	229	26	mifflin	mifflin	PROPN
commonwealth-489	229	27	-	-	PUNCT
commonwealth-489	229	28	juniata	juniata	PROPN
commonwealth-489	229	29	-	-	PUNCT
commonwealth-489	229	30	snyder	snyder	PROPN
commonwealth-489	229	31	and	and	CCONJ
commonwealth-489	229	32	monroe	monroe	PROPN
commonwealth-489	229	33	models	model	NOUN
commonwealth-489	229	34	is	be	AUX
commonwealth-489	229	35	a	a	DET
commonwealth-489	229	36	combination	combination	NOUN
commonwealth-489	229	37	of	of	ADP
commonwealth-489	229	38	the	the	DET
commonwealth-489	229	39	fact	fact	NOUN
commonwealth-489	229	40	that	that	SCONJ
commonwealth-489	229	41	they	they	PRON
commonwealth-489	229	42	both	both	PRON
commonwealth-489	229	43	have	have	AUX
commonwealth-489	229	44	a	a	DET
commonwealth-489	229	45	substantial	substantial	ADJ
commonwealth-489	229	46	population	population	NOUN
commonwealth-489	229	47	within	within	ADP
commonwealth-489	229	48	a	a	DET
commonwealth-489	229	49	manageable	manageable	ADJ
commonwealth-489	229	50	geographic	geographic	ADJ
commonwealth-489	229	51	area	area	NOUN
commonwealth-489	229	52	.	.	PUNCT
commonwealth-489	230	1	this	this	PRON
commonwealth-489	230	2	lowers	lower	VERB
commonwealth-489	230	3	expenses	expense	NOUN
commonwealth-489	230	4	and	and	CCONJ
commonwealth-489	230	5	maximizes	maximize	VERB
commonwealth-489	230	6	funding	funding	NOUN
commonwealth-489	230	7	.	.	PUNCT
commonwealth-489	231	1	this	this	PRON
commonwealth-489	231	2	is	be	AUX
commonwealth-489	231	3	the	the	DET
commonwealth-489	231	4	trend	trend	NOUN
commonwealth-489	231	5	throughout	throughout	ADP
commonwealth-489	231	6	the	the	DET
commonwealth-489	231	7	budget	budget	NOUN
commonwealth-489	231	8	calculations	calculation	NOUN
commonwealth-489	231	9	.	.	PUNCT
commonwealth-489	232	1	in	in	ADP
commonwealth-489	232	2	the	the	DET
commonwealth-489	232	3	models	model	NOUN
commonwealth-489	232	4	with	with	ADP
commonwealth-489	232	5	small	small	ADJ
commonwealth-489	232	6	populations	population	NOUN
commonwealth-489	232	7	and	and	CCONJ
commonwealth-489	232	8	large	large	ADJ
commonwealth-489	232	9	areas	area	NOUN
commonwealth-489	232	10	,	,	PUNCT
commonwealth-489	232	11	the	the	DET
commonwealth-489	232	12	expenses	expense	NOUN
commonwealth-489	232	13	are	be	AUX
commonwealth-489	232	14	not	not	PART
commonwealth-489	232	15	offset	offset	VERB
commonwealth-489	232	16	by	by	ADP
commonwealth-489	232	17	the	the	DET
commonwealth-489	232	18	revenue	revenue	NOUN
commonwealth-489	232	19	from	from	ADP
commonwealth-489	232	20	grants	grant	NOUN
commonwealth-489	232	21	and	and	CCONJ
commonwealth-489	232	22	fees	fee	NOUN
commonwealth-489	232	23	.	.	PUNCT
commonwealth-489	233	1	the	the	DET
commonwealth-489	233	2	overall	overall	ADJ
commonwealth-489	233	3	result	result	NOUN
commonwealth-489	233	4	is	be	AUX
commonwealth-489	233	5	very	very	ADV
commonwealth-489	233	6	high	high	ADJ
commonwealth-489	233	7	county	county	NOUN
commonwealth-489	233	8	contributions	contribution	NOUN
commonwealth-489	233	9	that	that	PRON
commonwealth-489	233	10	make	make	VERB
commonwealth-489	233	11	these	these	DET
commonwealth-489	233	12	structures	structure	NOUN
commonwealth-489	233	13	unrealistic	unrealistic	ADJ
commonwealth-489	233	14	at	at	ADP
commonwealth-489	233	15	the	the	DET
commonwealth-489	233	16	present	present	ADJ
commonwealth-489	233	17	funding	funding	NOUN
commonwealth-489	233	18	levels	level	NOUN
commonwealth-489	233	19	.	.	PUNCT
commonwealth-489	234	1	table	table	NOUN
commonwealth-489	234	2	9	9	NUM
commonwealth-489	234	3	on	on	ADP
commonwealth-489	234	4	the	the	DET
commonwealth-489	234	5	following	follow	VERB
commonwealth-489	234	6	page	page	NOUN
commonwealth-489	234	7	summarizes	summarize	VERB
commonwealth-489	234	8	the	the	DET
commonwealth-489	234	9	overall	overall	ADJ
commonwealth-489	234	10	trends	trend	NOUN
commonwealth-489	234	11	in	in	ADP
commonwealth-489	234	12	the	the	DET
commonwealth-489	234	13	revenue	revenue	NOUN
commonwealth-489	234	14	and	and	CCONJ
commonwealth-489	234	15	expense	expense	NOUN
commonwealth-489	234	16	analysis	analysis	NOUN
commonwealth-489	234	17	of	of	ADP
commonwealth-489	234	18	the	the	DET
commonwealth-489	234	19	viable	viable	ADJ
commonwealth-489	234	20	models	model	NOUN
commonwealth-489	234	21	.	.	PUNCT
commonwealth-489	235	1	the	the	DET
commonwealth-489	235	2	table	table	NOUN
commonwealth-489	235	3	shows	show	VERB
commonwealth-489	235	4	that	that	SCONJ
commonwealth-489	235	5	with	with	ADP
commonwealth-489	235	6	the	the	DET
commonwealth-489	235	7	exception	exception	NOUN
commonwealth-489	235	8	of	of	ADP
commonwealth-489	235	9	the	the	DET
commonwealth-489	235	10	single	single	ADJ
commonwealth-489	235	11	county	county	PROPN
commonwealth-489	235	12	health	health	PROPN
commonwealth-489	235	13	department	department	NOUN
commonwealth-489	235	14	models	model	NOUN
commonwealth-489	235	15	in	in	ADP
commonwealth-489	235	16	monroe	monroe	PROPN
commonwealth-489	235	17	and	and	CCONJ
commonwealth-489	235	18	fulton	fulton	PROPN
commonwealth-489	235	19	,	,	PUNCT
commonwealth-489	235	20	all	all	PRON
commonwealth-489	235	21	of	of	ADP
commonwealth-489	235	22	the	the	DET
commonwealth-489	235	23	other	other	ADJ
commonwealth-489	235	24	models	model	NOUN
commonwealth-489	235	25	represent	represent	VERB
commonwealth-489	235	26	higher	high	ADJ
commonwealth-489	235	27	per	per	ADP
commonwealth-489	235	28	capita	capita	NOUN
commonwealth-489	235	29	investments	investment	NOUN
commonwealth-489	235	30	than	than	ADP
commonwealth-489	235	31	the	the	DET
commonwealth-489	235	32	existing	exist	VERB
commonwealth-489	235	33	lhds	lhds	NOUN
commonwealth-489	235	34	.	.	PUNCT
commonwealth-489	236	1	the	the	DET
commonwealth-489	236	2	large	large	ADJ
commonwealth-489	236	3	tri	tri	ADJ
commonwealth-489	236	4	-	-	ADJ
commonwealth-489	236	5	county	county	NOUN
commonwealth-489	236	6	health	health	NOUN
commonwealth-489	236	7	departments	department	NOUN
commonwealth-489	236	8	with	with	ADP
commonwealth-489	236	9	large	large	ADJ
commonwealth-489	236	10	geographical	geographical	ADJ
commonwealth-489	236	11	areas	area	NOUN
commonwealth-489	236	12	and	and	CCONJ
commonwealth-489	236	13	small	small	ADJ
commonwealth-489	236	14	populations	population	NOUN
commonwealth-489	236	15	have	have	VERB
commonwealth-489	236	16	the	the	DET
commonwealth-489	236	17	highest	high	ADJ
commonwealth-489	236	18	per	per	ADP
commonwealth-489	236	19	capita	capita	NOUN
commonwealth-489	236	20	investments	investment	NOUN
commonwealth-489	236	21	.	.	PUNCT
commonwealth-489	237	1	of	of	ADP
commonwealth-489	237	2	the	the	DET
commonwealth-489	237	3	two	two	NUM
commonwealth-489	237	4	tri	tri	ADJ
commonwealth-489	237	5	-	-	ADJ
commonwealth-489	237	6	county	county	NOUN
commonwealth-489	237	7	health	health	NOUN
commonwealth-489	237	8	departments	department	NOUN
commonwealth-489	237	9	,	,	PUNCT
commonwealth-489	237	10	the	the	DET
commonwealth-489	237	11	mifflin	mifflin	PROPN
commonwealth-489	237	12	-	-	PUNCT
commonwealth-489	237	13	juniata	juniata	NOUN
commonwealth-489	237	14	-	-	PUNCT
commonwealth-489	237	15	snyder	snyder	NOUN
commonwealth-489	237	16	model	model	NOUN
commonwealth-489	237	17	is	be	AUX
commonwealth-489	237	18	much	much	ADV
commonwealth-489	237	19	more	more	ADV
commonwealth-489	237	20	feasible	feasible	ADJ
commonwealth-489	237	21	because	because	SCONJ
commonwealth-489	237	22	of	of	ADP
commonwealth-489	237	23	its	its	PRON
commonwealth-489	237	24	smaller	small	ADJ
commonwealth-489	237	25	geographic	geographic	ADJ
commonwealth-489	237	26	area	area	NOUN
commonwealth-489	237	27	and	and	CCONJ
commonwealth-489	237	28	bigger	big	ADJ
commonwealth-489	237	29	population	population	NOUN
commonwealth-489	237	30	.	.	PUNCT
commonwealth-489	238	1	however	however	ADV
commonwealth-489	238	2	,	,	PUNCT
commonwealth-489	238	3	even	even	ADV
commonwealth-489	238	4	the	the	DET
commonwealth-489	238	5	two	two	NUM
commonwealth-489	238	6	-	-	PUNCT
commonwealth-489	238	7	county	county	NOUN
commonwealth-489	238	8	lhds	lhds	NOUN
commonwealth-489	238	9	have	have	VERB
commonwealth-489	238	10	relatively	relatively	ADV
commonwealth-489	238	11	high	high	ADJ
commonwealth-489	238	12	per	per	ADP
commonwealth-489	238	13	capita	capita	NOUN
commonwealth-489	238	14	investments	investment	NOUN
commonwealth-489	238	15	.	.	PUNCT
commonwealth-489	239	1	this	this	PRON
commonwealth-489	239	2	is	be	AUX
commonwealth-489	239	3	again	again	ADV
commonwealth-489	239	4	a	a	DET
commonwealth-489	239	5	result	result	NOUN
commonwealth-489	239	6	of	of	ADP
commonwealth-489	239	7	the	the	DET
commonwealth-489	239	8	interaction	interaction	NOUN
commonwealth-489	239	9	between	between	ADP
commonwealth-489	239	10	population	population	NOUN
commonwealth-489	239	11	and	and	CCONJ
commonwealth-489	239	12	geography	geography	NOUN
commonwealth-489	239	13	.	.	PUNCT
commonwealth-489	240	1	118	118	NUM
commonwealth-489	240	2	financial	financial	ADJ
commonwealth-489	240	3	analysis	analysis	NOUN
commonwealth-489	240	4	and	and	CCONJ
commonwealth-489	240	5	structural	structural	ADJ
commonwealth-489	240	6	considerations	consideration	NOUN
commonwealth-489	240	7	to	to	ADP
commonwealth-489	240	8	the	the	DET
commonwealth-489	240	9	problem	problem	NOUN
commonwealth-489	240	10	of	of	ADP
commonwealth-489	240	11	rural	rural	ADJ
commonwealth-489	240	12	public	public	ADJ
commonwealth-489	240	13	health	health	NOUN
commonwealth-489	240	14	in	in	ADP
commonwealth-489	240	15	pennsylvania	pennsylvania	PROPN
commonwealth-489	240	16	table	table	NOUN
commonwealth-489	240	17	9	9	NUM
commonwealth-489	240	18	direct	direct	ADJ
commonwealth-489	240	19	funds	fund	NOUN
commonwealth-489	240	20	per	per	ADP
commonwealth-489	240	21	capita	capita	NOUN
commonwealth-489	240	22	forecasting	forecast	VERB
commonwealth-489	240	23	direct	direct	ADJ
commonwealth-489	240	24	funds	fund	NOUN
commonwealth-489	240	25	per	per	ADP
commonwealth-489	240	26	capita	capita	NOUN
commonwealth-489	240	27	program	program	NOUN
commonwealth-489	240	28	budget	budget	NOUN
commonwealth-489	240	29	roi	roi	PROPN
commonwealth-489	240	30	bradford	bradford	PROPN
commonwealth-489	240	31	-	-	PUNCT
commonwealth-489	240	32	tioga	tioga	PROPN
commonwealth-489	240	33	-	-	PUNCT
commonwealth-489	240	34	wyoming	wyoming	PROPN
commonwealth-489	240	35	$	$	SYM
commonwealth-489	240	36	40	40	NUM
commonwealth-489	240	37	$	$	SYM
commonwealth-489	240	38	60	60	NUM
commonwealth-489	240	39	144	144	NUM
commonwealth-489	240	40	%	%	NOUN
commonwealth-489	240	41	mifflin	mifflin	PROPN
commonwealth-489	240	42	-	-	PUNCT
commonwealth-489	240	43	juniata	juniata	NOUN
commonwealth-489	240	44	-	-	PUNCT
commonwealth-489	240	45	snyder	snyder	NOUN
commonwealth-489	240	46	$	$	SYM
commonwealth-489	240	47	11	11	NUM
commonwealth-489	240	48	$	$	SYM
commonwealth-489	240	49	9	9	NUM
commonwealth-489	240	50	341	341	NUM
commonwealth-489	240	51	%	%	NOUN
commonwealth-489	240	52	susquehanna	susquehanna	NOUN
commonwealth-489	240	53	-	-	PUNCT
commonwealth-489	240	54	wyoming	wyoming	PROPN
commonwealth-489	240	55	$	$	SYM
commonwealth-489	240	56	14	14	NUM
commonwealth-489	240	57	$	$	SYM
commonwealth-489	240	58	22	22	NUM
commonwealth-489	240	59	208	208	NUM
commonwealth-489	240	60	%	%	NOUN
commonwealth-489	240	61	clarion	clarion	NOUN
commonwealth-489	240	62	-	-	PUNCT
commonwealth-489	240	63	jefferson	jefferson	PROPN
commonwealth-489	240	64	$	$	SYM
commonwealth-489	240	65	14	14	NUM
commonwealth-489	240	66	$	$	SYM
commonwealth-489	240	67	14	14	NUM
commonwealth-489	240	68	260	260	NUM
commonwealth-489	240	69	%	%	NOUN
commonwealth-489	240	70	mckean	mckean	PROPN
commonwealth-489	240	71	$	$	SYM
commonwealth-489	240	72	12	12	NUM
commonwealth-489	240	73	$	$	SYM
commonwealth-489	240	74	8	8	NUM
commonwealth-489	240	75	371	371	NUM
commonwealth-489	240	76	%	%	NOUN
commonwealth-489	240	77	monroe	monroe	PROPN
commonwealth-489	240	78	$	$	SYM
commonwealth-489	240	79	1	1	NUM
commonwealth-489	240	80	$	$	SYM
commonwealth-489	240	81	3	3	NUM
commonwealth-489	240	82	511	511	NUM
commonwealth-489	240	83	%	%	NOUN
commonwealth-489	240	84	fulton	fulton	PROPN
commonwealth-489	240	85	$	$	SYM
commonwealth-489	240	86	7	7	NUM
commonwealth-489	240	87	$	$	SYM
commonwealth-489	240	88	5	5	NUM
commonwealth-489	240	89	555	555	NUM
commonwealth-489	240	90	%	%	NOUN
commonwealth-489	240	91	in	in	ADP
commonwealth-489	240	92	summary	summary	NOUN
commonwealth-489	240	93	,	,	PUNCT
commonwealth-489	240	94	the	the	DET
commonwealth-489	240	95	analysis	analysis	NOUN
commonwealth-489	240	96	predicts	predict	VERB
commonwealth-489	240	97	that	that	SCONJ
commonwealth-489	240	98	the	the	DET
commonwealth-489	240	99	barrier	barrier	NOUN
commonwealth-489	240	100	that	that	PRON
commonwealth-489	240	101	most	most	ADJ
commonwealth-489	240	102	local	local	ADJ
commonwealth-489	240	103	governments	government	NOUN
commonwealth-489	240	104	face	face	VERB
commonwealth-489	240	105	when	when	SCONJ
commonwealth-489	240	106	initiating	initiate	VERB
commonwealth-489	240	107	a	a	DET
commonwealth-489	240	108	lhd	lhd	PROPN
commonwealth-489	240	109	is	be	AUX
commonwealth-489	240	110	new	new	ADJ
commonwealth-489	240	111	funding	funding	NOUN
commonwealth-489	240	112	.	.	PUNCT
commonwealth-489	241	1	although	although	SCONJ
commonwealth-489	241	2	the	the	DET
commonwealth-489	241	3	model	model	NOUN
commonwealth-489	241	4	budgets	budget	NOUN
commonwealth-489	241	5	represented	represent	VERB
commonwealth-489	241	6	here	here	ADV
commonwealth-489	241	7	are	be	AUX
commonwealth-489	241	8	representative	representative	NOUN
commonwealth-489	241	9	of	of	ADP
commonwealth-489	241	10	the	the	DET
commonwealth-489	241	11	expenses	expense	NOUN
commonwealth-489	241	12	of	of	ADP
commonwealth-489	241	13	a	a	DET
commonwealth-489	241	14	fully	fully	ADV
commonwealth-489	241	15	functioning	function	VERB
commonwealth-489	241	16	lhd	lhd	NOUN
commonwealth-489	241	17	that	that	SCONJ
commonwealth-489	241	18	most	most	ADJ
commonwealth-489	241	19	local	local	ADJ
commonwealth-489	241	20	areas	area	NOUN
commonwealth-489	241	21	would	would	AUX
commonwealth-489	241	22	not	not	PART
commonwealth-489	241	23	see	see	VERB
commonwealth-489	241	24	developed	develop	VERB
commonwealth-489	241	25	for	for	ADP
commonwealth-489	241	26	a	a	DET
commonwealth-489	241	27	few	few	ADJ
commonwealth-489	241	28	years	year	NOUN
commonwealth-489	241	29	after	after	ADP
commonwealth-489	241	30	inception	inception	NOUN
commonwealth-489	241	31	of	of	ADP
commonwealth-489	241	32	a	a	DET
commonwealth-489	241	33	lhd	lhd	PROPN
commonwealth-489	241	34	,	,	PUNCT
commonwealth-489	241	35	they	they	PRON
commonwealth-489	241	36	demonstrate	demonstrate	VERB
commonwealth-489	241	37	the	the	DET
commonwealth-489	241	38	need	need	NOUN
commonwealth-489	241	39	for	for	ADP
commonwealth-489	241	40	a	a	DET
commonwealth-489	241	41	combination	combination	NOUN
commonwealth-489	241	42	of	of	ADP
commonwealth-489	241	43	significant	significant	ADJ
commonwealth-489	241	44	new	new	ADJ
commonwealth-489	241	45	funding	funding	NOUN
commonwealth-489	241	46	or	or	CCONJ
commonwealth-489	241	47	significant	significant	ADJ
commonwealth-489	241	48	restructuring	restructuring	NOUN
commonwealth-489	241	49	of	of	ADP
commonwealth-489	241	50	local	local	ADJ
commonwealth-489	241	51	government	government	NOUN
commonwealth-489	241	52	funding	funding	NOUN
commonwealth-489	241	53	and	and	CCONJ
commonwealth-489	241	54	budgets	budget	NOUN
commonwealth-489	241	55	in	in	ADP
commonwealth-489	241	56	order	order	NOUN
commonwealth-489	241	57	to	to	PART
commonwealth-489	241	58	make	make	VERB
commonwealth-489	241	59	lhds	lhds	NOUN
commonwealth-489	241	60	viable	viable	ADJ
commonwealth-489	241	61	.	.	PUNCT
commonwealth-489	242	1	the	the	DET
commonwealth-489	242	2	most	most	ADV
commonwealth-489	242	3	critical	critical	ADJ
commonwealth-489	242	4	cost	cost	NOUN
commonwealth-489	242	5	driver	driver	NOUN
commonwealth-489	242	6	for	for	ADP
commonwealth-489	242	7	these	these	DET
commonwealth-489	242	8	models	model	NOUN
commonwealth-489	242	9	is	be	AUX
commonwealth-489	242	10	area	area	NOUN
commonwealth-489	242	11	to	to	PART
commonwealth-489	242	12	be	be	AUX
commonwealth-489	242	13	covered	cover	VERB
commonwealth-489	242	14	.	.	PUNCT
commonwealth-489	243	1	the	the	DET
commonwealth-489	243	2	existing	exist	VERB
commonwealth-489	243	3	funding	funding	NOUN
commonwealth-489	243	4	stream	stream	NOUN
commonwealth-489	243	5	dependence	dependence	NOUN
commonwealth-489	243	6	on	on	ADP
commonwealth-489	243	7	population	population	NOUN
commonwealth-489	243	8	as	as	ADP
commonwealth-489	243	9	the	the	DET
commonwealth-489	243	10	sole	sole	ADJ
commonwealth-489	243	11	criteria	criterion	NOUN
commonwealth-489	243	12	for	for	ADP
commonwealth-489	243	13	the	the	DET
commonwealth-489	243	14	act	act	NOUN
commonwealth-489	243	15	315	315	NUM
commonwealth-489	243	16	formula	formula	NOUN
commonwealth-489	243	17	grant	grant	NOUN
commonwealth-489	243	18	signifies	signifie	NOUN
commonwealth-489	243	19	that	that	PRON
commonwealth-489	243	20	areas	area	NOUN
commonwealth-489	243	21	that	that	PRON
commonwealth-489	243	22	require	require	VERB
commonwealth-489	243	23	extensive	extensive	ADJ
commonwealth-489	243	24	coverage	coverage	NOUN
commonwealth-489	243	25	are	be	AUX
commonwealth-489	243	26	at	at	ADP
commonwealth-489	243	27	a	a	DET
commonwealth-489	243	28	major	major	ADJ
commonwealth-489	243	29	disadvantage	disadvantage	NOUN
commonwealth-489	243	30	.	.	PUNCT
commonwealth-489	244	1	in	in	ADP
commonwealth-489	244	2	the	the	DET
commonwealth-489	244	3	models	model	NOUN
commonwealth-489	244	4	that	that	PRON
commonwealth-489	244	5	had	have	VERB
commonwealth-489	244	6	a	a	DET
commonwealth-489	244	7	critical	critical	ADJ
commonwealth-489	244	8	population	population	NOUN
commonwealth-489	244	9	and	and	CCONJ
commonwealth-489	244	10	not	not	PART
commonwealth-489	244	11	as	as	ADP
commonwealth-489	244	12	an	an	DET
commonwealth-489	244	13	extensive	extensive	ADJ
commonwealth-489	244	14	geographic	geographic	ADJ
commonwealth-489	244	15	coverage	coverage	NOUN
commonwealth-489	244	16	,	,	PUNCT
commonwealth-489	244	17	the	the	DET
commonwealth-489	244	18	models	model	NOUN
commonwealth-489	244	19	become	become	VERB
commonwealth-489	244	20	more	more	ADV
commonwealth-489	244	21	viable	viable	ADJ
commonwealth-489	244	22	.	.	PUNCT
commonwealth-489	245	1	the	the	DET
commonwealth-489	245	2	tri	tri	ADJ
commonwealth-489	245	3	-	-	ADJ
commonwealth-489	245	4	county	county	NOUN
commonwealth-489	245	5	lhd	lhd	PROPN
commonwealth-489	245	6	model	model	NOUN
commonwealth-489	245	7	covering	cover	VERB
commonwealth-489	245	8	mifflinjuniata	mifflinjuniata	NOUN
commonwealth-489	245	9	-	-	PUNCT
commonwealth-489	245	10	snyder	snyder	PROPN
commonwealth-489	245	11	has	have	VERB
commonwealth-489	245	12	local	local	ADJ
commonwealth-489	245	13	contribution	contribution	NOUN
commonwealth-489	245	14	amounts	amount	NOUN
commonwealth-489	245	15	that	that	PRON
commonwealth-489	245	16	are	be	AUX
commonwealth-489	245	17	closer	close	ADJ
commonwealth-489	245	18	to	to	ADP
commonwealth-489	245	19	the	the	DET
commonwealth-489	245	20	norm	norm	NOUN
commonwealth-489	245	21	as	as	SCONJ
commonwealth-489	245	22	are	be	AUX
commonwealth-489	245	23	the	the	DET
commonwealth-489	245	24	single	single	ADJ
commonwealth-489	245	25	county	county	NOUN
commonwealth-489	245	26	lhds	lhds	NOUN
commonwealth-489	245	27	in	in	ADP
commonwealth-489	245	28	monroe	monroe	PROPN
commonwealth-489	245	29	,	,	PUNCT
commonwealth-489	245	30	fulton	fulton	PROPN
commonwealth-489	245	31	,	,	PUNCT
commonwealth-489	245	32	and	and	CCONJ
commonwealth-489	245	33	mckean	mckean	PROPN
commonwealth-489	245	34	counties	county	NOUN
commonwealth-489	245	35	.	.	PUNCT
commonwealth-489	246	1	however	however	ADV
commonwealth-489	246	2	,	,	PUNCT
commonwealth-489	246	3	the	the	DET
commonwealth-489	246	4	other	other	ADJ
commonwealth-489	246	5	models	model	NOUN
commonwealth-489	246	6	highlight	highlight	VERB
commonwealth-489	246	7	the	the	DET
commonwealth-489	246	8	problem	problem	NOUN
commonwealth-489	246	9	of	of	ADP
commonwealth-489	246	10	using	use	VERB
commonwealth-489	246	11	populationbased	populationbase	VERB
commonwealth-489	246	12	formula	formula	NOUN
commonwealth-489	246	13	grants	grant	NOUN
commonwealth-489	246	14	for	for	ADP
commonwealth-489	246	15	rural	rural	ADJ
commonwealth-489	246	16	areas	area	NOUN
commonwealth-489	246	17	.	.	PUNCT
commonwealth-489	247	1	conclusions	conclusion	NOUN
commonwealth-489	247	2	and	and	CCONJ
commonwealth-489	247	3	policy	policy	NOUN
commonwealth-489	247	4	implications	implication	NOUN
commonwealth-489	247	5	the	the	DET
commonwealth-489	247	6	fundamental	fundamental	ADJ
commonwealth-489	247	7	assumption	assumption	NOUN
commonwealth-489	247	8	guiding	guide	VERB
commonwealth-489	247	9	this	this	DET
commonwealth-489	247	10	research	research	NOUN
commonwealth-489	247	11	is	be	AUX
commonwealth-489	247	12	that	that	SCONJ
commonwealth-489	247	13	a	a	DET
commonwealth-489	247	14	strong	strong	ADJ
commonwealth-489	247	15	local	local	ADJ
commonwealth-489	247	16	public	public	ADJ
commonwealth-489	247	17	health	health	NOUN
commonwealth-489	247	18	infrastructure	infrastructure	NOUN
commonwealth-489	247	19	is	be	AUX
commonwealth-489	247	20	a	a	DET
commonwealth-489	247	21	critical	critical	ADJ
commonwealth-489	247	22	component	component	NOUN
commonwealth-489	247	23	of	of	ADP
commonwealth-489	247	24	the	the	DET
commonwealth-489	247	25	health	health	NOUN
commonwealth-489	247	26	care	care	NOUN
commonwealth-489	247	27	continuum	continuum	PROPN
commonwealth-489	247	28	.	.	PUNCT
commonwealth-489	248	1	however	however	ADV
commonwealth-489	248	2	,	,	PUNCT
commonwealth-489	248	3	the	the	DET
commonwealth-489	248	4	national	national	ADJ
commonwealth-489	248	5	trend	trend	NOUN
commonwealth-489	248	6	,	,	PUNCT
commonwealth-489	248	7	as	as	SCONJ
commonwealth-489	248	8	was	be	AUX
commonwealth-489	248	9	demonstrated	demonstrate	VERB
commonwealth-489	248	10	by	by	ADP
commonwealth-489	248	11	the	the	DET
commonwealth-489	248	12	literature	literature	PROPN
commonwealth-489	248	13	review	review	PROPN
commonwealth-489	248	14	,	,	PUNCT
commonwealth-489	248	15	shows	show	VERB
commonwealth-489	248	16	a	a	DET
commonwealth-489	248	17	slow	slow	ADJ
commonwealth-489	248	18	erosion	erosion	NOUN
commonwealth-489	248	19	of	of	ADP
commonwealth-489	248	20	the	the	DET
commonwealth-489	248	21	national	national	ADJ
commonwealth-489	248	22	public	public	PROPN
commonwealth-489	248	23	health	health	PROPN
commonwealth-489	248	24	alberto	alberto	PROPN
commonwealth-489	248	25	j.f	j.f	PROPN
commonwealth-489	248	26	.	.	PROPN
commonwealth-489	248	27	cardelle	cardelle	PROPN
commonwealth-489	248	28	119	119	NUM
commonwealth-489	248	29	infrastructure	infrastructure	NOUN
commonwealth-489	248	30	.	.	PUNCT
commonwealth-489	249	1	funding	funding	NOUN
commonwealth-489	249	2	for	for	ADP
commonwealth-489	249	3	public	public	ADJ
commonwealth-489	249	4	health	health	NOUN
commonwealth-489	249	5	has	have	AUX
commonwealth-489	249	6	steadily	steadily	ADV
commonwealth-489	249	7	decreased	decrease	VERB
commonwealth-489	249	8	since	since	SCONJ
commonwealth-489	249	9	the	the	DET
commonwealth-489	249	10	1980s	1980	NOUN
commonwealth-489	249	11	and	and	CCONJ
commonwealth-489	249	12	this	this	PRON
commonwealth-489	249	13	,	,	PUNCT
commonwealth-489	249	14	in	in	ADP
commonwealth-489	249	15	combination	combination	NOUN
commonwealth-489	249	16	with	with	ADP
commonwealth-489	249	17	the	the	DET
commonwealth-489	249	18	reliance	reliance	NOUN
commonwealth-489	249	19	on	on	ADP
commonwealth-489	249	20	local	local	ADJ
commonwealth-489	249	21	funds	fund	NOUN
commonwealth-489	249	22	,	,	PUNCT
commonwealth-489	249	23	has	have	AUX
commonwealth-489	249	24	created	create	VERB
commonwealth-489	249	25	significant	significant	ADJ
commonwealth-489	249	26	gaps	gap	NOUN
commonwealth-489	249	27	in	in	ADP
commonwealth-489	249	28	services	service	NOUN
commonwealth-489	249	29	and	and	CCONJ
commonwealth-489	249	30	increased	increase	VERB
commonwealth-489	249	31	vulnerability	vulnerability	NOUN
commonwealth-489	249	32	to	to	ADP
commonwealth-489	249	33	the	the	DET
commonwealth-489	249	34	spread	spread	NOUN
commonwealth-489	249	35	of	of	ADP
commonwealth-489	249	36	disease	disease	NOUN
commonwealth-489	249	37	.	.	PUNCT
commonwealth-489	250	1	the	the	DET
commonwealth-489	250	2	threat	threat	NOUN
commonwealth-489	250	3	of	of	ADP
commonwealth-489	250	4	bioterrorism	bioterrorism	NOUN
commonwealth-489	250	5	and	and	CCONJ
commonwealth-489	250	6	the	the	DET
commonwealth-489	250	7	preparedness	preparedness	NOUN
commonwealth-489	250	8	that	that	PRON
commonwealth-489	250	9	has	have	AUX
commonwealth-489	250	10	followed	follow	VERB
commonwealth-489	250	11	since	since	SCONJ
commonwealth-489	250	12	2001	2001	NUM
commonwealth-489	250	13	has	have	AUX
commonwealth-489	250	14	highlighted	highlight	VERB
commonwealth-489	250	15	these	these	DET
commonwealth-489	250	16	gaps	gap	NOUN
commonwealth-489	250	17	.	.	PUNCT
commonwealth-489	251	1	the	the	DET
commonwealth-489	251	2	research	research	NOUN
commonwealth-489	251	3	also	also	ADV
commonwealth-489	251	4	showed	show	VERB
commonwealth-489	251	5	that	that	SCONJ
commonwealth-489	251	6	,	,	PUNCT
commonwealth-489	251	7	relative	relative	ADJ
commonwealth-489	251	8	to	to	ADP
commonwealth-489	251	9	this	this	DET
commonwealth-489	251	10	national	national	ADJ
commonwealth-489	251	11	trend	trend	NOUN
commonwealth-489	251	12	,	,	PUNCT
commonwealth-489	251	13	the	the	DET
commonwealth-489	251	14	local	local	ADJ
commonwealth-489	251	15	public	public	ADJ
commonwealth-489	251	16	health	health	NOUN
commonwealth-489	251	17	infrastructure	infrastructure	NOUN
commonwealth-489	251	18	in	in	ADP
commonwealth-489	251	19	pennsylvania	pennsylvania	PROPN
commonwealth-489	251	20	is	be	AUX
commonwealth-489	251	21	very	very	ADV
commonwealth-489	251	22	weak	weak	ADJ
commonwealth-489	251	23	.	.	PUNCT
commonwealth-489	252	1	with	with	ADP
commonwealth-489	252	2	only	only	ADV
commonwealth-489	252	3	five	five	NUM
commonwealth-489	252	4	county	county	NOUN
commonwealth-489	252	5	health	health	NOUN
commonwealth-489	252	6	departments	department	NOUN
commonwealth-489	252	7	,	,	PUNCT
commonwealth-489	252	8	five	five	NUM
commonwealth-489	252	9	municipal	municipal	ADJ
commonwealth-489	252	10	health	health	NOUN
commonwealth-489	252	11	bureaus	bureaus	NOUN
commonwealth-489	252	12	,	,	PUNCT
commonwealth-489	252	13	and	and	CCONJ
commonwealth-489	252	14	a	a	DET
commonwealth-489	252	15	network	network	NOUN
commonwealth-489	252	16	of	of	ADP
commonwealth-489	252	17	state	state	NOUN
commonwealth-489	252	18	clinics	clinic	NOUN
commonwealth-489	252	19	in	in	ADP
commonwealth-489	252	20	the	the	DET
commonwealth-489	252	21	remainder	remainder	NOUN
commonwealth-489	252	22	of	of	ADP
commonwealth-489	252	23	the	the	DET
commonwealth-489	252	24	state	state	NOUN
commonwealth-489	252	25	,	,	PUNCT
commonwealth-489	252	26	pennsylvania	pennsylvania	PROPN
commonwealth-489	252	27	has	have	VERB
commonwealth-489	252	28	the	the	DET
commonwealth-489	252	29	lowest	low	ADJ
commonwealth-489	252	30	public	public	ADJ
commonwealth-489	252	31	health	health	NOUN
commonwealth-489	252	32	workforce	workforce	NOUN
commonwealth-489	252	33	in	in	ADP
commonwealth-489	252	34	the	the	DET
commonwealth-489	252	35	country	country	NOUN
commonwealth-489	252	36	:	:	PUNCT
commonwealth-489	252	37	38	38	NUM
commonwealth-489	252	38	public	public	ADJ
commonwealth-489	252	39	health	health	NOUN
commonwealth-489	252	40	workers	worker	NOUN
commonwealth-489	252	41	per	per	ADP
commonwealth-489	252	42	1,000,000	1,000,000	NUM
commonwealth-489	252	43	persons	person	NOUN
commonwealth-489	252	44	.	.	PUNCT
commonwealth-489	253	1	the	the	DET
commonwealth-489	253	2	state	state	NOUN
commonwealth-489	253	3	’s	’s	PART
commonwealth-489	253	4	limited	limited	ADJ
commonwealth-489	253	5	public	public	ADJ
commonwealth-489	253	6	health	health	NOUN
commonwealth-489	253	7	infrastructure	infrastructure	NOUN
commonwealth-489	253	8	is	be	AUX
commonwealth-489	253	9	despite	despite	SCONJ
commonwealth-489	253	10	the	the	DET
commonwealth-489	253	11	existence	existence	NOUN
commonwealth-489	253	12	of	of	ADP
commonwealth-489	253	13	legislation	legislation	NOUN
commonwealth-489	253	14	(	(	PUNCT
commonwealth-489	253	15	act	act	VERB
commonwealth-489	253	16	315	315	NUM
commonwealth-489	253	17	and	and	CCONJ
commonwealth-489	253	18	act	act	VERB
commonwealth-489	253	19	12	12	NUM
commonwealth-489	253	20	)	)	PUNCT
commonwealth-489	253	21	that	that	PRON
commonwealth-489	253	22	allows	allow	VERB
commonwealth-489	253	23	local	local	ADJ
commonwealth-489	253	24	government	government	NOUN
commonwealth-489	253	25	to	to	PART
commonwealth-489	253	26	draw	draw	VERB
commonwealth-489	253	27	down	down	ADP
commonwealth-489	253	28	state	state	NOUN
commonwealth-489	253	29	funds	fund	NOUN
commonwealth-489	253	30	for	for	ADP
commonwealth-489	253	31	the	the	DET
commonwealth-489	253	32	operation	operation	NOUN
commonwealth-489	253	33	of	of	ADP
commonwealth-489	253	34	local	local	ADJ
commonwealth-489	253	35	public	public	ADJ
commonwealth-489	253	36	health	health	NOUN
commonwealth-489	253	37	infrastructure	infrastructure	NOUN
commonwealth-489	253	38	.	.	PUNCT
commonwealth-489	254	1	the	the	DET
commonwealth-489	254	2	areas	area	NOUN
commonwealth-489	254	3	of	of	ADP
commonwealth-489	254	4	the	the	DET
commonwealth-489	254	5	state	state	NOUN
commonwealth-489	254	6	with	with	ADP
commonwealth-489	254	7	lhds	lhds	NOUN
commonwealth-489	254	8	have	have	AUX
commonwealth-489	254	9	demonstrated	demonstrate	VERB
commonwealth-489	254	10	a	a	DET
commonwealth-489	254	11	very	very	ADV
commonwealth-489	254	12	good	good	ADJ
commonwealth-489	254	13	capacity	capacity	NOUN
commonwealth-489	254	14	to	to	PART
commonwealth-489	254	15	use	use	VERB
commonwealth-489	254	16	both	both	DET
commonwealth-489	254	17	state	state	NOUN
commonwealth-489	254	18	and	and	CCONJ
commonwealth-489	254	19	federal	federal	ADJ
commonwealth-489	254	20	funding	funding	NOUN
commonwealth-489	254	21	to	to	PART
commonwealth-489	254	22	assemble	assemble	VERB
commonwealth-489	254	23	vibrant	vibrant	ADJ
commonwealth-489	254	24	health	health	NOUN
commonwealth-489	254	25	departments	department	NOUN
commonwealth-489	254	26	that	that	PRON
commonwealth-489	254	27	provide	provide	VERB
commonwealth-489	254	28	an	an	DET
commonwealth-489	254	29	array	array	NOUN
commonwealth-489	254	30	of	of	ADP
commonwealth-489	254	31	public	public	ADJ
commonwealth-489	254	32	health	health	NOUN
commonwealth-489	254	33	services	service	NOUN
commonwealth-489	254	34	.	.	PUNCT
commonwealth-489	255	1	these	these	DET
commonwealth-489	255	2	existing	exist	VERB
commonwealth-489	255	3	lhds	lhds	NOUN
commonwealth-489	255	4	have	have	AUX
commonwealth-489	255	5	been	be	AUX
commonwealth-489	255	6	able	able	ADJ
commonwealth-489	255	7	to	to	PART
commonwealth-489	255	8	grow	grow	VERB
commonwealth-489	255	9	their	their	PRON
commonwealth-489	255	10	locales	locale	NOUN
commonwealth-489	255	11	’	’	PART
commonwealth-489	255	12	capacity	capacity	NOUN
commonwealth-489	255	13	to	to	PART
commonwealth-489	255	14	provide	provide	VERB
commonwealth-489	255	15	public	public	ADJ
commonwealth-489	255	16	health	health	NOUN
commonwealth-489	255	17	services	service	NOUN
commonwealth-489	255	18	by	by	ADP
commonwealth-489	255	19	not	not	PART
commonwealth-489	255	20	only	only	ADV
commonwealth-489	255	21	using	use	VERB
commonwealth-489	255	22	the	the	DET
commonwealth-489	255	23	state	state	NOUN
commonwealth-489	255	24	formula	formula	NOUN
commonwealth-489	255	25	grants	grant	NOUN
commonwealth-489	255	26	,	,	PUNCT
commonwealth-489	255	27	but	but	CCONJ
commonwealth-489	255	28	also	also	ADV
commonwealth-489	255	29	federal	federal	ADJ
commonwealth-489	255	30	and	and	CCONJ
commonwealth-489	255	31	other	other	ADJ
commonwealth-489	255	32	state	state	NOUN
commonwealth-489	255	33	categorical	categorical	ADJ
commonwealth-489	255	34	health	health	NOUN
commonwealth-489	255	35	grants	grant	NOUN
commonwealth-489	255	36	.	.	PUNCT
commonwealth-489	256	1	as	as	ADP
commonwealth-489	256	2	a	a	DET
commonwealth-489	256	3	result	result	NOUN
commonwealth-489	256	4	of	of	ADP
commonwealth-489	256	5	these	these	DET
commonwealth-489	256	6	grants	grant	NOUN
commonwealth-489	256	7	,	,	PUNCT
commonwealth-489	256	8	these	these	DET
commonwealth-489	256	9	lhds	lhds	NOUN
commonwealth-489	256	10	have	have	AUX
commonwealth-489	256	11	established	establish	VERB
commonwealth-489	256	12	lhds	lhds	NOUN
commonwealth-489	256	13	that	that	PRON
commonwealth-489	256	14	have	have	VERB
commonwealth-489	256	15	an	an	DET
commonwealth-489	256	16	average	average	NOUN
commonwealth-489	256	17	of	of	ADP
commonwealth-489	256	18	420	420	NUM
commonwealth-489	256	19	%	%	NOUN
commonwealth-489	256	20	return	return	NOUN
commonwealth-489	256	21	on	on	ADP
commonwealth-489	256	22	investment	investment	NOUN
commonwealth-489	256	23	.	.	PUNCT
commonwealth-489	257	1	on	on	ADP
commonwealth-489	257	2	average	average	ADJ
commonwealth-489	257	3	,	,	PUNCT
commonwealth-489	257	4	the	the	DET
commonwealth-489	257	5	residents	resident	NOUN
commonwealth-489	257	6	of	of	ADP
commonwealth-489	257	7	the	the	DET
commonwealth-489	257	8	locales	locale	NOUN
commonwealth-489	257	9	with	with	ADP
commonwealth-489	257	10	lhds	lhds	NOUN
commonwealth-489	257	11	contribute	contribute	VERB
commonwealth-489	257	12	less	less	ADJ
commonwealth-489	257	13	than	than	ADP
commonwealth-489	257	14	$	$	SYM
commonwealth-489	257	15	5	5	NUM
commonwealth-489	257	16	per	per	ADP
commonwealth-489	257	17	capita	capita	NOUN
commonwealth-489	257	18	annually	annually	ADV
commonwealth-489	257	19	and	and	CCONJ
commonwealth-489	257	20	receive	receive	VERB
commonwealth-489	257	21	services	service	NOUN
commonwealth-489	257	22	totaling	total	VERB
commonwealth-489	257	23	over	over	ADP
commonwealth-489	257	24	$	$	SYM
commonwealth-489	257	25	2,000	2,000	NUM
commonwealth-489	257	26	per	per	ADP
commonwealth-489	257	27	person	person	NOUN
commonwealth-489	257	28	.	.	PUNCT
commonwealth-489	258	1	the	the	DET
commonwealth-489	258	2	existing	exist	VERB
commonwealth-489	258	3	lhds	lhds	NOUN
commonwealth-489	258	4	have	have	AUX
commonwealth-489	258	5	been	be	AUX
commonwealth-489	258	6	very	very	ADV
commonwealth-489	258	7	successful	successful	ADJ
commonwealth-489	258	8	at	at	ADP
commonwealth-489	258	9	expanding	expand	VERB
commonwealth-489	258	10	services	service	NOUN
commonwealth-489	258	11	without	without	ADP
commonwealth-489	258	12	using	use	VERB
commonwealth-489	258	13	local	local	ADJ
commonwealth-489	258	14	funds	fund	NOUN
commonwealth-489	258	15	.	.	PUNCT
commonwealth-489	259	1	nonetheless	nonetheless	ADV
commonwealth-489	259	2	,	,	PUNCT
commonwealth-489	259	3	there	there	PRON
commonwealth-489	259	4	are	be	VERB
commonwealth-489	259	5	critical	critical	ADJ
commonwealth-489	259	6	policy	policy	NOUN
commonwealth-489	259	7	and	and	CCONJ
commonwealth-489	259	8	financial	financial	ADJ
commonwealth-489	259	9	issues	issue	NOUN
commonwealth-489	259	10	that	that	PRON
commonwealth-489	259	11	locales	locale	NOUN
commonwealth-489	259	12	must	must	AUX
commonwealth-489	259	13	satisfy	satisfy	VERB
commonwealth-489	259	14	in	in	ADP
commonwealth-489	259	15	the	the	DET
commonwealth-489	259	16	process	process	NOUN
commonwealth-489	259	17	of	of	ADP
commonwealth-489	259	18	establishing	establish	VERB
commonwealth-489	259	19	these	these	DET
commonwealth-489	259	20	lhds	lhds	NOUN
commonwealth-489	259	21	.	.	PUNCT
commonwealth-489	260	1	among	among	ADP
commonwealth-489	260	2	the	the	DET
commonwealth-489	260	3	most	most	ADV
commonwealth-489	260	4	critical	critical	ADJ
commonwealth-489	260	5	aspects	aspect	NOUN
commonwealth-489	260	6	faced	face	VERB
commonwealth-489	260	7	by	by	ADP
commonwealth-489	260	8	locales	locale	NOUN
commonwealth-489	260	9	trying	try	VERB
commonwealth-489	260	10	to	to	PART
commonwealth-489	260	11	establish	establish	VERB
commonwealth-489	260	12	lhds	lhds	NOUN
commonwealth-489	260	13	are	be	AUX
commonwealth-489	260	14	the	the	DET
commonwealth-489	260	15	need	need	NOUN
commonwealth-489	260	16	to	to	PART
commonwealth-489	260	17	identify	identify	VERB
commonwealth-489	260	18	local	local	ADJ
commonwealth-489	260	19	funds	fund	NOUN
commonwealth-489	260	20	for	for	ADP
commonwealth-489	260	21	initial	initial	ADJ
commonwealth-489	260	22	start	start	NOUN
commonwealth-489	260	23	-	-	PUNCT
commonwealth-489	260	24	up	up	ADP
commonwealth-489	260	25	funds	fund	NOUN
commonwealth-489	260	26	and	and	CCONJ
commonwealth-489	260	27	for	for	ADP
commonwealth-489	260	28	the	the	DET
commonwealth-489	260	29	financial	financial	ADJ
commonwealth-489	260	30	match	match	NOUN
commonwealth-489	260	31	of	of	ADP
commonwealth-489	260	32	state	state	NOUN
commonwealth-489	260	33	funds	fund	NOUN
commonwealth-489	260	34	.	.	PUNCT
commonwealth-489	261	1	the	the	DET
commonwealth-489	261	2	financial	financial	ADJ
commonwealth-489	261	3	analysis	analysis	NOUN
commonwealth-489	261	4	of	of	ADP
commonwealth-489	261	5	the	the	DET
commonwealth-489	261	6	different	different	ADJ
commonwealth-489	261	7	model	model	NOUN
commonwealth-489	261	8	lhds	lhds	NOUN
commonwealth-489	261	9	open	open	ADJ
commonwealth-489	261	10	to	to	ADP
commonwealth-489	261	11	rural	rural	ADJ
commonwealth-489	261	12	counties	county	NOUN
commonwealth-489	261	13	of	of	ADP
commonwealth-489	261	14	pennsylvania	pennsylvania	PROPN
commonwealth-489	261	15	demonstrate	demonstrate	VERB
commonwealth-489	261	16	that	that	SCONJ
commonwealth-489	261	17	the	the	DET
commonwealth-489	261	18	relatively	relatively	ADV
commonwealth-489	261	19	high	high	ADJ
commonwealth-489	261	20	levels	level	NOUN
commonwealth-489	261	21	of	of	ADP
commonwealth-489	261	22	local	local	ADJ
commonwealth-489	261	23	funds	fund	NOUN
commonwealth-489	261	24	required	require	VERB
commonwealth-489	261	25	to	to	PART
commonwealth-489	261	26	establish	establish	VERB
commonwealth-489	261	27	lhds	lhds	NOUN
commonwealth-489	261	28	will	will	AUX
commonwealth-489	261	29	be	be	AUX
commonwealth-489	261	30	a	a	DET
commonwealth-489	261	31	major	major	ADJ
commonwealth-489	261	32	financial	financial	ADJ
commonwealth-489	261	33	barrier	barrier	NOUN
commonwealth-489	261	34	.	.	PUNCT
commonwealth-489	262	1	on	on	ADP
commonwealth-489	262	2	average	average	ADJ
commonwealth-489	262	3	,	,	PUNCT
commonwealth-489	262	4	the	the	DET
commonwealth-489	262	5	three	three	NUM
commonwealth-489	262	6	different	different	ADJ
commonwealth-489	262	7	models	model	NOUN
commonwealth-489	262	8	analyzed	analyze	VERB
commonwealth-489	262	9	for	for	ADP
commonwealth-489	262	10	rural	rural	ADJ
commonwealth-489	262	11	counties	county	NOUN
commonwealth-489	262	12	,	,	PUNCT
commonwealth-489	262	13	a	a	DET
commonwealth-489	262	14	tricounty	tricounty	NOUN
commonwealth-489	262	15	health	health	NOUN
commonwealth-489	262	16	department	department	PROPN
commonwealth-489	262	17	,	,	PUNCT
commonwealth-489	262	18	a	a	DET
commonwealth-489	262	19	bi	bi	ADJ
commonwealth-489	262	20	-	-	ADJ
commonwealth-489	262	21	county	county	NOUN
commonwealth-489	262	22	health	health	NOUN
commonwealth-489	262	23	department	department	NOUN
commonwealth-489	262	24	,	,	PUNCT
commonwealth-489	262	25	and	and	CCONJ
commonwealth-489	262	26	a	a	DET
commonwealth-489	262	27	single	single	ADJ
commonwealth-489	262	28	county	county	NOUN
commonwealth-489	262	29	health	health	NOUN
commonwealth-489	262	30	department	department	PROPN
commonwealth-489	262	31	,	,	PUNCT
commonwealth-489	262	32	require	require	VERB
commonwealth-489	262	33	$	$	SYM
commonwealth-489	262	34	16	16	NUM
commonwealth-489	262	35	per	per	ADP
commonwealth-489	262	36	capita	capita	X
commonwealth-489	262	37	annually	annually	ADV
commonwealth-489	262	38	in	in	ADP
commonwealth-489	262	39	local	local	ADJ
commonwealth-489	262	40	funds	fund	NOUN
commonwealth-489	262	41	.	.	PUNCT
commonwealth-489	263	1	the	the	DET
commonwealth-489	263	2	principal	principal	ADJ
commonwealth-489	263	3	reason	reason	NOUN
commonwealth-489	263	4	for	for	ADP
commonwealth-489	263	5	this	this	DET
commonwealth-489	263	6	financial	financial	ADJ
commonwealth-489	263	7	reality	reality	NOUN
commonwealth-489	263	8	is	be	AUX
commonwealth-489	263	9	that	that	SCONJ
commonwealth-489	263	10	rural	rural	ADJ
commonwealth-489	263	11	counties	county	NOUN
commonwealth-489	263	12	have	have	VERB
commonwealth-489	263	13	relatively	relatively	ADV
commonwealth-489	263	14	high	high	ADJ
commonwealth-489	263	15	levels	level	NOUN
commonwealth-489	263	16	of	of	ADP
commonwealth-489	263	17	the	the	DET
commonwealth-489	263	18	factors	factor	NOUN
commonwealth-489	263	19	that	that	PRON
commonwealth-489	263	20	tend	tend	VERB
commonwealth-489	263	21	to	to	PART
commonwealth-489	263	22	drive	drive	VERB
commonwealth-489	263	23	expenses	expense	NOUN
commonwealth-489	263	24	up	up	ADP
commonwealth-489	263	25	and	and	CCONJ
commonwealth-489	263	26	120	120	NUM
commonwealth-489	263	27	financial	financial	ADJ
commonwealth-489	263	28	analysis	analysis	NOUN
commonwealth-489	263	29	and	and	CCONJ
commonwealth-489	263	30	structural	structural	ADJ
commonwealth-489	263	31	considerations	consideration	NOUN
commonwealth-489	263	32	to	to	ADP
commonwealth-489	263	33	the	the	DET
commonwealth-489	263	34	problem	problem	NOUN
commonwealth-489	263	35	of	of	ADP
commonwealth-489	263	36	rural	rural	ADJ
commonwealth-489	263	37	public	public	ADJ
commonwealth-489	263	38	health	health	NOUN
commonwealth-489	263	39	in	in	ADP
commonwealth-489	263	40	pennsylvania	pennsylvania	PROPN
commonwealth-489	263	41	relatively	relatively	ADV
commonwealth-489	263	42	small	small	ADJ
commonwealth-489	263	43	populations	population	NOUN
commonwealth-489	263	44	,	,	PUNCT
commonwealth-489	263	45	the	the	DET
commonwealth-489	263	46	major	major	ADJ
commonwealth-489	263	47	revenue	revenue	NOUN
commonwealth-489	263	48	driver	driver	NOUN
commonwealth-489	263	49	for	for	ADP
commonwealth-489	263	50	funding	funding	NOUN
commonwealth-489	263	51	from	from	ADP
commonwealth-489	263	52	act	act	PROPN
commonwealth-489	263	53	315	315	NUM
commonwealth-489	263	54	and	and	CCONJ
commonwealth-489	263	55	act	act	VERB
commonwealth-489	263	56	12	12	NUM
commonwealth-489	263	57	.	.	PUNCT
commonwealth-489	264	1	the	the	DET
commonwealth-489	264	2	analysis	analysis	NOUN
commonwealth-489	264	3	showed	show	VERB
commonwealth-489	264	4	that	that	SCONJ
commonwealth-489	264	5	primarily	primarily	ADV
commonwealth-489	264	6	population	population	NOUN
commonwealth-489	264	7	covered	cover	VERB
commonwealth-489	264	8	,	,	PUNCT
commonwealth-489	264	9	geographic	geographic	ADJ
commonwealth-489	264	10	area	area	NOUN
commonwealth-489	264	11	covered	cover	VERB
commonwealth-489	264	12	,	,	PUNCT
commonwealth-489	264	13	and	and	CCONJ
commonwealth-489	264	14	the	the	DET
commonwealth-489	264	15	availability	availability	NOUN
commonwealth-489	264	16	of	of	ADP
commonwealth-489	264	17	primary	primary	ADJ
commonwealth-489	264	18	care	care	NOUN
commonwealth-489	264	19	services	service	NOUN
commonwealth-489	264	20	drive	drive	VERB
commonwealth-489	264	21	expenses	expense	NOUN
commonwealth-489	264	22	.	.	PUNCT
commonwealth-489	265	1	although	although	SCONJ
commonwealth-489	265	2	rural	rural	ADJ
commonwealth-489	265	3	counties	county	NOUN
commonwealth-489	265	4	do	do	AUX
commonwealth-489	265	5	not	not	PART
commonwealth-489	265	6	have	have	VERB
commonwealth-489	265	7	very	very	ADV
commonwealth-489	265	8	dense	dense	ADJ
commonwealth-489	265	9	populations	population	NOUN
commonwealth-489	265	10	,	,	PUNCT
commonwealth-489	265	11	they	they	PRON
commonwealth-489	265	12	do	do	AUX
commonwealth-489	265	13	cover	cover	VERB
commonwealth-489	265	14	broad	broad	ADJ
commonwealth-489	265	15	geographic	geographic	ADJ
commonwealth-489	265	16	expanses	expanse	NOUN
commonwealth-489	265	17	and	and	CCONJ
commonwealth-489	265	18	suffer	suffer	VERB
commonwealth-489	265	19	from	from	ADP
commonwealth-489	265	20	chronic	chronic	ADJ
commonwealth-489	265	21	lack	lack	NOUN
commonwealth-489	265	22	of	of	ADP
commonwealth-489	265	23	primary	primary	ADJ
commonwealth-489	265	24	care	care	NOUN
commonwealth-489	265	25	services	service	NOUN
commonwealth-489	265	26	.	.	PUNCT
commonwealth-489	266	1	this	this	PRON
commonwealth-489	266	2	means	mean	VERB
commonwealth-489	266	3	that	that	PRON
commonwealth-489	266	4	lhds	lhds	NOUN
commonwealth-489	266	5	covering	cover	VERB
commonwealth-489	266	6	rural	rural	ADJ
commonwealth-489	266	7	counties	county	NOUN
commonwealth-489	266	8	will	will	AUX
commonwealth-489	266	9	have	have	VERB
commonwealth-489	266	10	to	to	PART
commonwealth-489	266	11	cover	cover	VERB
commonwealth-489	266	12	a	a	DET
commonwealth-489	266	13	very	very	ADV
commonwealth-489	266	14	large	large	ADJ
commonwealth-489	266	15	geographic	geographic	ADJ
commonwealth-489	266	16	area	area	NOUN
commonwealth-489	266	17	,	,	PUNCT
commonwealth-489	266	18	a	a	DET
commonwealth-489	266	19	critical	critical	ADJ
commonwealth-489	266	20	cost	cost	NOUN
commonwealth-489	266	21	driver	driver	NOUN
commonwealth-489	266	22	especially	especially	ADV
commonwealth-489	266	23	for	for	ADP
commonwealth-489	266	24	environmental	environmental	ADJ
commonwealth-489	266	25	services	service	NOUN
commonwealth-489	266	26	,	,	PUNCT
commonwealth-489	266	27	and	and	CCONJ
commonwealth-489	266	28	will	will	AUX
commonwealth-489	266	29	be	be	AUX
commonwealth-489	266	30	pressured	pressure	VERB
commonwealth-489	266	31	to	to	PART
commonwealth-489	266	32	provide	provide	VERB
commonwealth-489	266	33	personal	personal	ADJ
commonwealth-489	266	34	health	health	NOUN
commonwealth-489	266	35	services	service	NOUN
commonwealth-489	266	36	in	in	ADP
commonwealth-489	266	37	areas	area	NOUN
commonwealth-489	266	38	that	that	PRON
commonwealth-489	266	39	have	have	VERB
commonwealth-489	266	40	a	a	DET
commonwealth-489	266	41	limited	limited	ADJ
commonwealth-489	266	42	number	number	NOUN
commonwealth-489	266	43	of	of	ADP
commonwealth-489	266	44	primary	primary	ADJ
commonwealth-489	266	45	care	care	NOUN
commonwealth-489	266	46	providers	provider	NOUN
commonwealth-489	266	47	.	.	PUNCT
commonwealth-489	267	1	this	this	PRON
commonwealth-489	267	2	will	will	AUX
commonwealth-489	267	3	result	result	VERB
commonwealth-489	267	4	in	in	ADP
commonwealth-489	267	5	very	very	ADV
commonwealth-489	267	6	high	high	ADJ
commonwealth-489	267	7	expenses	expense	NOUN
commonwealth-489	267	8	.	.	PUNCT
commonwealth-489	268	1	this	this	PRON
commonwealth-489	268	2	,	,	PUNCT
commonwealth-489	268	3	coupled	couple	VERB
commonwealth-489	268	4	with	with	ADP
commonwealth-489	268	5	the	the	DET
commonwealth-489	268	6	fact	fact	NOUN
commonwealth-489	268	7	that	that	SCONJ
commonwealth-489	268	8	these	these	DET
commonwealth-489	268	9	areas	area	NOUN
commonwealth-489	268	10	do	do	AUX
commonwealth-489	268	11	not	not	PART
commonwealth-489	268	12	quality	quality	VERB
commonwealth-489	268	13	for	for	ADP
commonwealth-489	268	14	high	high	ADJ
commonwealth-489	268	15	reimbursement	reimbursement	NOUN
commonwealth-489	268	16	rates	rate	NOUN
commonwealth-489	268	17	from	from	ADP
commonwealth-489	268	18	formula	formula	NOUN
commonwealth-489	268	19	and	and	CCONJ
commonwealth-489	268	20	categorical	categorical	ADJ
commonwealth-489	268	21	grants	grant	NOUN
commonwealth-489	268	22	because	because	SCONJ
commonwealth-489	268	23	of	of	ADP
commonwealth-489	268	24	their	their	PRON
commonwealth-489	268	25	small	small	ADJ
commonwealth-489	268	26	population	population	NOUN
commonwealth-489	268	27	and	and	CCONJ
commonwealth-489	268	28	their	their	PRON
commonwealth-489	268	29	relatively	relatively	ADV
commonwealth-489	268	30	low	low	ADJ
commonwealth-489	268	31	levels	level	NOUN
commonwealth-489	268	32	of	of	ADP
commonwealth-489	268	33	poverty	poverty	NOUN
commonwealth-489	268	34	(	(	PUNCT
commonwealth-489	268	35	a	a	DET
commonwealth-489	268	36	major	major	ADJ
commonwealth-489	268	37	criteria	criterion	NOUN
commonwealth-489	268	38	for	for	ADP
commonwealth-489	268	39	categorical	categorical	ADJ
commonwealth-489	268	40	grants	grant	NOUN
commonwealth-489	268	41	)	)	PUNCT
commonwealth-489	268	42	,	,	PUNCT
commonwealth-489	268	43	means	mean	VERB
commonwealth-489	268	44	that	that	SCONJ
commonwealth-489	268	45	they	they	PRON
commonwealth-489	268	46	will	will	AUX
commonwealth-489	268	47	have	have	VERB
commonwealth-489	268	48	to	to	PART
commonwealth-489	268	49	generate	generate	VERB
commonwealth-489	268	50	significant	significant	ADJ
commonwealth-489	268	51	amounts	amount	NOUN
commonwealth-489	268	52	of	of	ADP
commonwealth-489	268	53	local	local	ADJ
commonwealth-489	268	54	funds	fund	NOUN
commonwealth-489	268	55	to	to	PART
commonwealth-489	268	56	operate	operate	VERB
commonwealth-489	268	57	lhds	lhds	NOUN
commonwealth-489	268	58	.	.	PUNCT
commonwealth-489	269	1	this	this	DET
commonwealth-489	269	2	trend	trend	NOUN
commonwealth-489	269	3	varies	vary	VERB
commonwealth-489	269	4	somewhat	somewhat	ADV
commonwealth-489	269	5	among	among	ADP
commonwealth-489	269	6	the	the	DET
commonwealth-489	269	7	different	different	ADJ
commonwealth-489	269	8	models	model	NOUN
commonwealth-489	269	9	,	,	PUNCT
commonwealth-489	269	10	and	and	CCONJ
commonwealth-489	269	11	those	those	DET
commonwealth-489	269	12	models	model	NOUN
commonwealth-489	269	13	that	that	PRON
commonwealth-489	269	14	are	be	AUX
commonwealth-489	269	15	geographically	geographically	ADV
commonwealth-489	269	16	large	large	ADJ
commonwealth-489	269	17	and	and	CCONJ
commonwealth-489	269	18	have	have	VERB
commonwealth-489	269	19	small	small	ADJ
commonwealth-489	269	20	populations	population	NOUN
commonwealth-489	269	21	have	have	VERB
commonwealth-489	269	22	the	the	DET
commonwealth-489	269	23	highest	high	ADJ
commonwealth-489	269	24	levels	level	NOUN
commonwealth-489	269	25	of	of	ADP
commonwealth-489	269	26	local	local	ADJ
commonwealth-489	269	27	contribution	contribution	NOUN
commonwealth-489	269	28	while	while	SCONJ
commonwealth-489	269	29	those	those	PRON
commonwealth-489	269	30	with	with	ADP
commonwealth-489	269	31	smaller	small	ADJ
commonwealth-489	269	32	geographic	geographic	ADJ
commonwealth-489	269	33	areas	area	NOUN
commonwealth-489	269	34	and	and	CCONJ
commonwealth-489	269	35	larger	large	ADJ
commonwealth-489	269	36	populations	population	NOUN
commonwealth-489	269	37	tend	tend	VERB
commonwealth-489	269	38	to	to	PART
commonwealth-489	269	39	rely	rely	VERB
commonwealth-489	269	40	less	less	ADV
commonwealth-489	269	41	on	on	ADP
commonwealth-489	269	42	local	local	ADJ
commonwealth-489	269	43	funding	funding	NOUN
commonwealth-489	269	44	.	.	PUNCT
commonwealth-489	270	1	in	in	ADP
commonwealth-489	270	2	the	the	DET
commonwealth-489	270	3	models	model	NOUN
commonwealth-489	270	4	tested	test	VERB
commonwealth-489	270	5	in	in	ADP
commonwealth-489	270	6	this	this	DET
commonwealth-489	270	7	research	research	NOUN
commonwealth-489	270	8	,	,	PUNCT
commonwealth-489	270	9	the	the	DET
commonwealth-489	270	10	tri	tri	ADJ
commonwealth-489	270	11	-	-	ADJ
commonwealth-489	270	12	county	county	NOUN
commonwealth-489	270	13	model	model	NOUN
commonwealth-489	270	14	that	that	PRON
commonwealth-489	270	15	included	include	VERB
commonwealth-489	270	16	the	the	DET
commonwealth-489	270	17	counties	county	NOUN
commonwealth-489	270	18	of	of	ADP
commonwealth-489	270	19	bradford	bradford	PROPN
commonwealth-489	270	20	,	,	PUNCT
commonwealth-489	270	21	tioga	tioga	PROPN
commonwealth-489	270	22	,	,	PUNCT
commonwealth-489	270	23	and	and	CCONJ
commonwealth-489	270	24	wyoming	wyoming	PROPN
commonwealth-489	270	25	,	,	PUNCT
commonwealth-489	270	26	compared	compare	VERB
commonwealth-489	270	27	with	with	ADP
commonwealth-489	270	28	the	the	DET
commonwealth-489	270	29	worst	bad	ADJ
commonwealth-489	270	30	,	,	PUNCT
commonwealth-489	270	31	and	and	CCONJ
commonwealth-489	270	32	the	the	DET
commonwealth-489	270	33	models	model	NOUN
commonwealth-489	270	34	that	that	PRON
commonwealth-489	270	35	included	include	VERB
commonwealth-489	270	36	single	single	ADJ
commonwealth-489	270	37	counties	county	NOUN
commonwealth-489	270	38	,	,	PUNCT
commonwealth-489	270	39	mckean	mckean	PROPN
commonwealth-489	270	40	,	,	PUNCT
commonwealth-489	270	41	monroe	monroe	PROPN
commonwealth-489	270	42	,	,	PUNCT
commonwealth-489	270	43	and	and	CCONJ
commonwealth-489	270	44	fulton	fulton	PROPN
commonwealth-489	270	45	,	,	PUNCT
commonwealth-489	270	46	demonstrated	demonstrate	VERB
commonwealth-489	270	47	the	the	DET
commonwealth-489	270	48	most	most	ADV
commonwealth-489	270	49	viable	viable	ADJ
commonwealth-489	270	50	financial	financial	ADJ
commonwealth-489	270	51	models	model	NOUN
commonwealth-489	270	52	.	.	PUNCT
commonwealth-489	271	1	in	in	ADP
commonwealth-489	271	2	general	general	ADJ
commonwealth-489	271	3	,	,	PUNCT
commonwealth-489	271	4	the	the	DET
commonwealth-489	271	5	reality	reality	NOUN
commonwealth-489	271	6	is	be	AUX
commonwealth-489	271	7	that	that	SCONJ
commonwealth-489	271	8	the	the	DET
commonwealth-489	271	9	existing	exist	VERB
commonwealth-489	271	10	funding	funding	NOUN
commonwealth-489	271	11	mechanisms	mechanism	NOUN
commonwealth-489	271	12	in	in	ADP
commonwealth-489	271	13	place	place	NOUN
commonwealth-489	271	14	for	for	ADP
commonwealth-489	271	15	local	local	ADJ
commonwealth-489	271	16	public	public	ADJ
commonwealth-489	271	17	health	health	NOUN
commonwealth-489	271	18	are	be	AUX
commonwealth-489	271	19	not	not	PART
commonwealth-489	271	20	appropriate	appropriate	ADJ
commonwealth-489	271	21	for	for	ADP
commonwealth-489	271	22	the	the	DET
commonwealth-489	271	23	realities	reality	NOUN
commonwealth-489	271	24	of	of	ADP
commonwealth-489	271	25	rural	rural	ADJ
commonwealth-489	271	26	counties	county	NOUN
commonwealth-489	271	27	in	in	ADP
commonwealth-489	271	28	pennsylvania	pennsylvania	PROPN
commonwealth-489	271	29	.	.	PUNCT
commonwealth-489	272	1	although	although	SCONJ
commonwealth-489	272	2	the	the	DET
commonwealth-489	272	3	barriers	barrier	NOUN
commonwealth-489	272	4	to	to	ADP
commonwealth-489	272	5	a	a	DET
commonwealth-489	272	6	robust	robust	ADJ
commonwealth-489	272	7	public	public	ADJ
commonwealth-489	272	8	health	health	NOUN
commonwealth-489	272	9	infrastructure	infrastructure	NOUN
commonwealth-489	272	10	are	be	AUX
commonwealth-489	272	11	significant	significant	ADJ
commonwealth-489	272	12	,	,	PUNCT
commonwealth-489	272	13	many	many	ADJ
commonwealth-489	272	14	of	of	ADP
commonwealth-489	272	15	the	the	DET
commonwealth-489	272	16	barriers	barrier	NOUN
commonwealth-489	272	17	have	have	VERB
commonwealth-489	272	18	a	a	DET
commonwealth-489	272	19	policy	policy	NOUN
commonwealth-489	272	20	basis	basis	NOUN
commonwealth-489	272	21	;	;	PUNCT
commonwealth-489	272	22	therefore	therefore	ADV
commonwealth-489	272	23	,	,	PUNCT
commonwealth-489	272	24	the	the	DET
commonwealth-489	272	25	recommendations	recommendation	NOUN
commonwealth-489	272	26	below	below	ADP
commonwealth-489	272	27	present	present	ADJ
commonwealth-489	272	28	policy	policy	NOUN
commonwealth-489	272	29	projects	project	NOUN
commonwealth-489	272	30	that	that	PRON
commonwealth-489	272	31	can	can	AUX
commonwealth-489	272	32	be	be	AUX
commonwealth-489	272	33	accomplished	accomplish	VERB
commonwealth-489	272	34	by	by	ADP
commonwealth-489	272	35	the	the	DET
commonwealth-489	272	36	commonwealth	commonwealth	PROPN
commonwealth-489	272	37	’s	’s	PART
commonwealth-489	272	38	administrative	administrative	ADJ
commonwealth-489	272	39	and	and	CCONJ
commonwealth-489	272	40	legislative	legislative	ADJ
commonwealth-489	272	41	entities	entity	NOUN
commonwealth-489	272	42	and	and	CCONJ
commonwealth-489	272	43	by	by	ADP
commonwealth-489	272	44	local	local	ADJ
commonwealth-489	272	45	governments	government	NOUN
commonwealth-489	272	46	to	to	PART
commonwealth-489	272	47	improve	improve	VERB
commonwealth-489	272	48	the	the	DET
commonwealth-489	272	49	state	state	NOUN
commonwealth-489	272	50	’s	’s	PART
commonwealth-489	272	51	public	public	ADJ
commonwealth-489	272	52	health	health	NOUN
commonwealth-489	272	53	infrastructure	infrastructure	NOUN
commonwealth-489	272	54	.	.	PUNCT
commonwealth-489	273	1	1	1	X
commonwealth-489	273	2	)	)	PUNCT
commonwealth-489	273	3	additional	additional	ADJ
commonwealth-489	273	4	core	core	NOUN
commonwealth-489	273	5	funding	funding	NOUN
commonwealth-489	273	6	for	for	ADP
commonwealth-489	273	7	act	act	NOUN
commonwealth-489	273	8	12	12	NUM
commonwealth-489	273	9	would	would	AUX
commonwealth-489	273	10	mean	mean	VERB
commonwealth-489	273	11	that	that	SCONJ
commonwealth-489	273	12	these	these	DET
commonwealth-489	273	13	models	model	NOUN
commonwealth-489	273	14	would	would	AUX
commonwealth-489	273	15	have	have	VERB
commonwealth-489	273	16	additional	additional	ADJ
commonwealth-489	273	17	financing	financing	NOUN
commonwealth-489	273	18	for	for	ADP
commonwealth-489	273	19	environmental	environmental	ADJ
commonwealth-489	273	20	services	service	NOUN
commonwealth-489	273	21	.	.	PUNCT
commonwealth-489	274	1	as	as	SCONJ
commonwealth-489	274	2	was	be	AUX
commonwealth-489	274	3	demonstrated	demonstrate	VERB
commonwealth-489	274	4	by	by	ADP
commonwealth-489	274	5	the	the	DET
commonwealth-489	274	6	paper	paper	NOUN
commonwealth-489	274	7	,	,	PUNCT
commonwealth-489	274	8	most	most	ADJ
commonwealth-489	274	9	of	of	ADP
commonwealth-489	274	10	the	the	DET
commonwealth-489	274	11	existing	exist	VERB
commonwealth-489	274	12	lhds	lhds	NOUN
commonwealth-489	274	13	and	and	CCONJ
commonwealth-489	274	14	all	all	PRON
commonwealth-489	274	15	of	of	ADP
commonwealth-489	274	16	the	the	DET
commonwealth-489	274	17	models	model	NOUN
commonwealth-489	274	18	analyzed	analyze	VERB
commonwealth-489	274	19	have	have	VERB
commonwealth-489	274	20	significant	significant	ADJ
commonwealth-489	274	21	deficits	deficit	NOUN
commonwealth-489	274	22	as	as	ADP
commonwealth-489	274	23	a	a	DET
commonwealth-489	274	24	result	result	NOUN
commonwealth-489	274	25	of	of	ADP
commonwealth-489	274	26	their	their	PRON
commonwealth-489	274	27	environmental	environmental	ADJ
commonwealth-489	274	28	services	service	NOUN
commonwealth-489	274	29	which	which	PRON
commonwealth-489	274	30	then	then	ADV
commonwealth-489	274	31	become	become	VERB
commonwealth-489	274	32	part	part	NOUN
commonwealth-489	274	33	of	of	ADP
commonwealth-489	274	34	their	their	PRON
commonwealth-489	274	35	act	act	NOUN
commonwealth-489	274	36	315	315	NUM
commonwealth-489	274	37	reimbursable	reimbursable	ADJ
commonwealth-489	274	38	expenses	expense	NOUN
commonwealth-489	274	39	.	.	PUNCT
commonwealth-489	275	1	so	so	ADV
commonwealth-489	275	2	,	,	PUNCT
commonwealth-489	275	3	in	in	ADP
commonwealth-489	275	4	fact	fact	NOUN
commonwealth-489	275	5	,	,	PUNCT
commonwealth-489	275	6	in	in	ADP
commonwealth-489	275	7	many	many	ADJ
commonwealth-489	275	8	respects	respect	NOUN
commonwealth-489	275	9	the	the	DET
commonwealth-489	275	10	limited	limited	ADJ
commonwealth-489	275	11	act	act	NOUN
commonwealth-489	275	12	12	12	NUM
commonwealth-489	275	13	funding	funding	NOUN
commonwealth-489	275	14	is	be	AUX
commonwealth-489	275	15	resulting	result	VERB
commonwealth-489	275	16	in	in	ADP
commonwealth-489	275	17	counties	county	NOUN
commonwealth-489	275	18	having	have	VERB
commonwealth-489	275	19	to	to	PART
commonwealth-489	275	20	limit	limit	VERB
commonwealth-489	275	21	the	the	DET
commonwealth-489	275	22	services	service	NOUN
commonwealth-489	275	23	they	they	PRON
commonwealth-489	275	24	alberto	alberto	PROPN
commonwealth-489	275	25	j.f	j.f	PROPN
commonwealth-489	275	26	.	.	PROPN
commonwealth-489	275	27	cardelle	cardelle	PROPN
commonwealth-489	275	28	121	121	NUM
commonwealth-489	275	29	can	can	AUX
commonwealth-489	275	30	offer	offer	VERB
commonwealth-489	275	31	under	under	ADP
commonwealth-489	275	32	act	act	PROPN
commonwealth-489	275	33	315	315	NUM
commonwealth-489	275	34	.	.	PUNCT
commonwealth-489	276	1	this	this	DET
commonwealth-489	276	2	additional	additional	ADJ
commonwealth-489	276	3	funding	funding	NOUN
commonwealth-489	276	4	would	would	AUX
commonwealth-489	276	5	be	be	AUX
commonwealth-489	276	6	critical	critical	ADJ
commonwealth-489	276	7	for	for	ADP
commonwealth-489	276	8	rural	rural	ADJ
commonwealth-489	276	9	counties	county	NOUN
commonwealth-489	276	10	that	that	PRON
commonwealth-489	276	11	would	would	AUX
commonwealth-489	276	12	have	have	VERB
commonwealth-489	276	13	to	to	PART
commonwealth-489	276	14	cover	cover	VERB
commonwealth-489	276	15	a	a	DET
commonwealth-489	276	16	wider	wide	ADJ
commonwealth-489	276	17	geographic	geographic	ADJ
commonwealth-489	276	18	area	area	NOUN
commonwealth-489	276	19	.	.	PUNCT
commonwealth-489	277	1	2	2	X
commonwealth-489	277	2	)	)	PUNCT
commonwealth-489	277	3	a	a	DET
commonwealth-489	277	4	second	second	ADJ
commonwealth-489	277	5	critical	critical	ADJ
commonwealth-489	277	6	aspect	aspect	NOUN
commonwealth-489	277	7	would	would	AUX
commonwealth-489	277	8	be	be	AUX
commonwealth-489	277	9	the	the	DET
commonwealth-489	277	10	need	need	NOUN
commonwealth-489	277	11	for	for	SCONJ
commonwealth-489	277	12	start	start	VERB
commonwealth-489	277	13	-	-	PUNCT
commonwealth-489	277	14	up	up	ADP
commonwealth-489	277	15	funds	fund	NOUN
commonwealth-489	277	16	to	to	PART
commonwealth-489	277	17	be	be	AUX
commonwealth-489	277	18	available	available	ADJ
commonwealth-489	277	19	.	.	PUNCT
commonwealth-489	278	1	the	the	DET
commonwealth-489	278	2	availability	availability	NOUN
commonwealth-489	278	3	of	of	ADP
commonwealth-489	278	4	start	start	NOUN
commonwealth-489	278	5	-	-	PUNCT
commonwealth-489	278	6	up	up	ADP
commonwealth-489	278	7	funds	fund	NOUN
commonwealth-489	278	8	would	would	AUX
commonwealth-489	278	9	go	go	VERB
commonwealth-489	278	10	a	a	DET
commonwealth-489	278	11	long	long	ADJ
commonwealth-489	278	12	way	way	NOUN
commonwealth-489	278	13	in	in	ADP
commonwealth-489	278	14	lowering	lower	VERB
commonwealth-489	278	15	the	the	DET
commonwealth-489	278	16	financial	financial	ADJ
commonwealth-489	278	17	threshold	threshold	NOUN
commonwealth-489	278	18	that	that	SCONJ
commonwealth-489	278	19	local	local	ADJ
commonwealth-489	278	20	governments	government	NOUN
commonwealth-489	278	21	must	must	AUX
commonwealth-489	278	22	meet	meet	VERB
commonwealth-489	278	23	in	in	ADP
commonwealth-489	278	24	establishing	establish	VERB
commonwealth-489	278	25	a	a	DET
commonwealth-489	278	26	structure	structure	NOUN
commonwealth-489	278	27	for	for	ADP
commonwealth-489	278	28	the	the	DET
commonwealth-489	278	29	first	first	ADJ
commonwealth-489	278	30	year	year	NOUN
commonwealth-489	278	31	of	of	ADP
commonwealth-489	278	32	a	a	DET
commonwealth-489	278	33	lhd	lhd	PROPN
commonwealth-489	278	34	.	.	PUNCT
commonwealth-489	279	1	the	the	DET
commonwealth-489	279	2	greatest	great	ADJ
commonwealth-489	279	3	barrier	barrier	NOUN
commonwealth-489	279	4	faced	face	VERB
commonwealth-489	279	5	by	by	ADP
commonwealth-489	279	6	local	local	ADJ
commonwealth-489	279	7	entities	entity	NOUN
commonwealth-489	279	8	is	be	AUX
commonwealth-489	279	9	the	the	DET
commonwealth-489	279	10	identification	identification	NOUN
commonwealth-489	279	11	of	of	ADP
commonwealth-489	279	12	funds	fund	NOUN
commonwealth-489	279	13	for	for	ADP
commonwealth-489	279	14	the	the	DET
commonwealth-489	279	15	initial	initial	ADJ
commonwealth-489	279	16	establishment	establishment	NOUN
commonwealth-489	279	17	of	of	ADP
commonwealth-489	279	18	lhd	lhd	PROPN
commonwealth-489	279	19	before	before	SCONJ
commonwealth-489	279	20	they	they	PRON
commonwealth-489	279	21	can	can	AUX
commonwealth-489	279	22	begin	begin	VERB
commonwealth-489	279	23	to	to	PART
commonwealth-489	279	24	draw	draw	VERB
commonwealth-489	279	25	down	down	ADP
commonwealth-489	279	26	state	state	NOUN
commonwealth-489	279	27	funds	fund	NOUN
commonwealth-489	279	28	or	or	CCONJ
commonwealth-489	279	29	before	before	SCONJ
commonwealth-489	279	30	they	they	PRON
commonwealth-489	279	31	can	can	AUX
commonwealth-489	279	32	generate	generate	VERB
commonwealth-489	279	33	revenues	revenue	NOUN
commonwealth-489	279	34	from	from	ADP
commonwealth-489	279	35	grants	grant	NOUN
commonwealth-489	279	36	and	and	CCONJ
commonwealth-489	279	37	fees	fee	NOUN
commonwealth-489	279	38	.	.	PUNCT
commonwealth-489	280	1	an	an	DET
commonwealth-489	280	2	initial	initial	ADJ
commonwealth-489	280	3	one	one	NUM
commonwealth-489	280	4	-	-	PUNCT
commonwealth-489	280	5	time	time	NOUN
commonwealth-489	280	6	grant	grant	NOUN
commonwealth-489	280	7	to	to	PART
commonwealth-489	280	8	help	help	VERB
commonwealth-489	280	9	locales	locale	NOUN
commonwealth-489	280	10	hire	hire	VERB
commonwealth-489	280	11	the	the	DET
commonwealth-489	280	12	personnel	personnel	NOUN
commonwealth-489	280	13	that	that	PRON
commonwealth-489	280	14	act	act	VERB
commonwealth-489	280	15	315	315	NUM
commonwealth-489	280	16	mandates	mandate	NOUN
commonwealth-489	280	17	(	(	PUNCT
commonwealth-489	280	18	a	a	DET
commonwealth-489	280	19	director	director	NOUN
commonwealth-489	280	20	and	and	CCONJ
commonwealth-489	280	21	a	a	DET
commonwealth-489	280	22	personal	personal	ADJ
commonwealth-489	280	23	health	health	NOUN
commonwealth-489	280	24	and	and	CCONJ
commonwealth-489	280	25	environmental	environmental	ADJ
commonwealth-489	280	26	health	health	NOUN
commonwealth-489	280	27	manager	manager	NOUN
commonwealth-489	280	28	)	)	PUNCT
commonwealth-489	280	29	would	would	AUX
commonwealth-489	280	30	allow	allow	VERB
commonwealth-489	280	31	the	the	DET
commonwealth-489	280	32	local	local	ADJ
commonwealth-489	280	33	governments	government	NOUN
commonwealth-489	280	34	a	a	DET
commonwealth-489	280	35	one	one	NUM
commonwealth-489	280	36	-	-	PUNCT
commonwealth-489	280	37	year	year	NOUN
commonwealth-489	280	38	time	time	NOUN
commonwealth-489	280	39	period	period	NOUN
commonwealth-489	280	40	to	to	PART
commonwealth-489	280	41	establish	establish	VERB
commonwealth-489	280	42	the	the	DET
commonwealth-489	280	43	infrastructure	infrastructure	NOUN
commonwealth-489	280	44	and	and	CCONJ
commonwealth-489	280	45	begin	begin	VERB
commonwealth-489	280	46	to	to	PART
commonwealth-489	280	47	generate	generate	VERB
commonwealth-489	280	48	revenue	revenue	NOUN
commonwealth-489	280	49	from	from	ADP
commonwealth-489	280	50	other	other	ADJ
commonwealth-489	280	51	sources	source	NOUN
commonwealth-489	280	52	.	.	PUNCT
commonwealth-489	281	1	3	3	X
commonwealth-489	281	2	)	)	PUNCT
commonwealth-489	281	3	the	the	DET
commonwealth-489	281	4	legislature	legislature	NOUN
commonwealth-489	281	5	should	should	AUX
commonwealth-489	281	6	establish	establish	VERB
commonwealth-489	281	7	secondary	secondary	ADJ
commonwealth-489	281	8	formulas	formula	NOUN
commonwealth-489	281	9	for	for	ADP
commonwealth-489	281	10	calculating	calculate	VERB
commonwealth-489	281	11	act	act	NOUN
commonwealth-489	281	12	315	315	NUM
commonwealth-489	281	13	and	and	CCONJ
commonwealth-489	281	14	act	act	VERB
commonwealth-489	281	15	12	12	NUM
commonwealth-489	281	16	funds	fund	NOUN
commonwealth-489	281	17	for	for	ADP
commonwealth-489	281	18	rural	rural	ADJ
commonwealth-489	281	19	counties	county	NOUN
commonwealth-489	281	20	.	.	PUNCT
commonwealth-489	282	1	formulas	formula	NOUN
commonwealth-489	282	2	that	that	PRON
commonwealth-489	282	3	address	address	VERB
commonwealth-489	282	4	the	the	DET
commonwealth-489	282	5	cost	cost	NOUN
commonwealth-489	282	6	drivers	driver	NOUN
commonwealth-489	282	7	faced	face	VERB
commonwealth-489	282	8	by	by	ADP
commonwealth-489	282	9	rural	rural	ADJ
commonwealth-489	282	10	counties	county	NOUN
commonwealth-489	282	11	should	should	AUX
commonwealth-489	282	12	be	be	AUX
commonwealth-489	282	13	taken	take	VERB
commonwealth-489	282	14	into	into	ADP
commonwealth-489	282	15	account	account	NOUN
commonwealth-489	282	16	.	.	PUNCT
commonwealth-489	283	1	these	these	DET
commonwealth-489	283	2	formulas	formula	NOUN
commonwealth-489	283	3	would	would	AUX
commonwealth-489	283	4	allow	allow	VERB
commonwealth-489	283	5	lhds	lhds	NOUN
commonwealth-489	283	6	covering	cover	VERB
commonwealth-489	283	7	these	these	DET
commonwealth-489	283	8	areas	area	NOUN
commonwealth-489	283	9	to	to	PART
commonwealth-489	283	10	draw	draw	VERB
commonwealth-489	283	11	down	down	ADP
commonwealth-489	283	12	the	the	DET
commonwealth-489	283	13	additional	additional	ADJ
commonwealth-489	283	14	funds	fund	NOUN
commonwealth-489	283	15	necessary	necessary	ADJ
commonwealth-489	283	16	to	to	PART
commonwealth-489	283	17	cover	cover	VERB
commonwealth-489	283	18	large	large	ADJ
commonwealth-489	283	19	geographic	geographic	ADJ
commonwealth-489	283	20	areas	area	NOUN
commonwealth-489	283	21	.	.	PUNCT
commonwealth-489	284	1	the	the	DET
commonwealth-489	284	2	formulas	formula	NOUN
commonwealth-489	284	3	could	could	AUX
commonwealth-489	284	4	be	be	AUX
commonwealth-489	284	5	revised	revise	VERB
commonwealth-489	284	6	to	to	PART
commonwealth-489	284	7	take	take	VERB
commonwealth-489	284	8	into	into	ADP
commonwealth-489	284	9	account	account	NOUN
commonwealth-489	284	10	population	population	NOUN
commonwealth-489	284	11	density	density	NOUN
commonwealth-489	284	12	,	,	PUNCT
commonwealth-489	284	13	with	with	ADP
commonwealth-489	284	14	an	an	DET
commonwealth-489	284	15	additional	additional	ADJ
commonwealth-489	284	16	allotment	allotment	NOUN
commonwealth-489	284	17	for	for	ADP
commonwealth-489	284	18	travel	travel	NOUN
commonwealth-489	284	19	expenses	expense	NOUN
commonwealth-489	284	20	as	as	SCONJ
commonwealth-489	284	21	population	population	NOUN
commonwealth-489	284	22	density	density	NOUN
commonwealth-489	284	23	decreases	decrease	VERB
commonwealth-489	284	24	.	.	PUNCT
commonwealth-489	285	1	there	there	PRON
commonwealth-489	285	2	are	be	VERB
commonwealth-489	285	3	many	many	ADJ
commonwealth-489	285	4	examples	example	NOUN
commonwealth-489	285	5	of	of	ADP
commonwealth-489	285	6	formula	formula	NOUN
commonwealth-489	285	7	grants	grant	NOUN
commonwealth-489	285	8	that	that	PRON
commonwealth-489	285	9	take	take	VERB
commonwealth-489	285	10	population	population	NOUN
commonwealth-489	285	11	density	density	NOUN
commonwealth-489	285	12	into	into	ADP
commonwealth-489	285	13	consideration	consideration	NOUN
commonwealth-489	285	14	.	.	PUNCT
commonwealth-489	286	1	for	for	ADP
commonwealth-489	286	2	example	example	NOUN
commonwealth-489	286	3	,	,	PUNCT
commonwealth-489	286	4	transportation	transportation	NOUN
commonwealth-489	286	5	grants	grant	NOUN
commonwealth-489	286	6	to	to	ADP
commonwealth-489	286	7	cities	city	NOUN
commonwealth-489	286	8	with	with	ADP
commonwealth-489	286	9	fewer	few	ADJ
commonwealth-489	286	10	than	than	ADP
commonwealth-489	286	11	200,000	200,000	NUM
commonwealth-489	286	12	persons	person	NOUN
commonwealth-489	286	13	receive	receive	VERB
commonwealth-489	286	14	a	a	DET
commonwealth-489	286	15	greater	great	ADJ
commonwealth-489	286	16	subsidy	subsidy	NOUN
commonwealth-489	286	17	than	than	ADP
commonwealth-489	286	18	cities	city	NOUN
commonwealth-489	286	19	with	with	ADP
commonwealth-489	286	20	more	more	ADJ
commonwealth-489	286	21	than	than	ADP
commonwealth-489	286	22	200,000	200,000	NUM
commonwealth-489	286	23	persons	person	NOUN
commonwealth-489	286	24	to	to	PART
commonwealth-489	286	25	offset	offset	VERB
commonwealth-489	286	26	the	the	DET
commonwealth-489	286	27	lack	lack	NOUN
commonwealth-489	286	28	of	of	ADP
commonwealth-489	286	29	local	local	ADJ
commonwealth-489	286	30	revenue	revenue	NOUN
commonwealth-489	286	31	because	because	SCONJ
commonwealth-489	286	32	of	of	ADP
commonwealth-489	286	33	low	low	ADJ
commonwealth-489	286	34	usage	usage	NOUN
commonwealth-489	286	35	(	(	PUNCT
commonwealth-489	286	36	u.s	u.s	PROPN
commonwealth-489	286	37	.	.	PROPN
commonwealth-489	286	38	department	department	PROPN
commonwealth-489	286	39	of	of	ADP
commonwealth-489	286	40	transportation	transportation	NOUN
commonwealth-489	286	41	2003	2003	NUM
commonwealth-489	286	42	)	)	PUNCT
commonwealth-489	286	43	.	.	PUNCT
commonwealth-489	287	1	in	in	ADP
commonwealth-489	287	2	the	the	DET
commonwealth-489	287	3	area	area	NOUN
commonwealth-489	287	4	of	of	ADP
commonwealth-489	287	5	bioterrorism	bioterrorism	NOUN
commonwealth-489	287	6	,	,	PUNCT
commonwealth-489	287	7	homeland	homeland	NOUN
commonwealth-489	287	8	security	security	NOUN
commonwealth-489	287	9	grants	grant	NOUN
commonwealth-489	287	10	have	have	AUX
commonwealth-489	287	11	“	"	PUNCT
commonwealth-489	287	12	updated	update	VERB
commonwealth-489	287	13	formulas	formula	NOUN
commonwealth-489	287	14	that	that	PRON
commonwealth-489	287	15	better	well	ADV
commonwealth-489	287	16	take	take	VERB
commonwealth-489	287	17	into	into	ADP
commonwealth-489	287	18	account	account	NOUN
commonwealth-489	287	19	threats	threat	NOUN
commonwealth-489	287	20	,	,	PUNCT
commonwealth-489	287	21	population	population	NOUN
commonwealth-489	287	22	density	density	NOUN
commonwealth-489	287	23	,	,	PUNCT
commonwealth-489	287	24	and	and	CCONJ
commonwealth-489	287	25	the	the	DET
commonwealth-489	287	26	presence	presence	NOUN
commonwealth-489	287	27	of	of	ADP
commonwealth-489	287	28	critical	critical	ADJ
commonwealth-489	287	29	infrastructure	infrastructure	NOUN
commonwealth-489	287	30	”	"	PUNCT
commonwealth-489	287	31	(	(	PUNCT
commonwealth-489	287	32	ridge	ridge	NOUN
commonwealth-489	287	33	2003	2003	NUM
commonwealth-489	287	34	)	)	PUNCT
commonwealth-489	287	35	.	.	PUNCT
commonwealth-489	288	1	the	the	DET
commonwealth-489	288	2	existing	exist	VERB
commonwealth-489	288	3	legislation	legislation	NOUN
commonwealth-489	288	4	could	could	AUX
commonwealth-489	288	5	then	then	ADV
commonwealth-489	288	6	create	create	VERB
commonwealth-489	288	7	an	an	DET
commonwealth-489	288	8	additional	additional	ADJ
commonwealth-489	288	9	subsidy	subsidy	NOUN
commonwealth-489	288	10	for	for	ADP
commonwealth-489	288	11	countywide	countywide	ADJ
commonwealth-489	288	12	lhds	lhds	NOUN
commonwealth-489	288	13	that	that	PRON
commonwealth-489	288	14	fall	fall	VERB
commonwealth-489	288	15	below	below	ADP
commonwealth-489	288	16	a	a	DET
commonwealth-489	288	17	specified	specified	ADJ
commonwealth-489	288	18	population	population	NOUN
commonwealth-489	288	19	.	.	PUNCT
commonwealth-489	289	1	most	most	ADJ
commonwealth-489	289	2	of	of	ADP
commonwealth-489	289	3	the	the	DET
commonwealth-489	289	4	counties	county	NOUN
commonwealth-489	289	5	in	in	ADP
commonwealth-489	289	6	the	the	DET
commonwealth-489	289	7	commonwealth	commonwealth	NOUN
commonwealth-489	289	8	have	have	VERB
commonwealth-489	289	9	a	a	DET
commonwealth-489	289	10	state	state	NOUN
commonwealth-489	289	11	health	health	NOUN
commonwealth-489	289	12	improvement	improvement	NOUN
commonwealth-489	289	13	plan	plan	NOUN
commonwealth-489	289	14	(	(	PUNCT
commonwealth-489	289	15	ship	ship	NOUN
commonwealth-489	289	16	)	)	PUNCT
commonwealth-489	289	17	.	.	PUNCT
commonwealth-489	290	1	ship	ship	NOUN
commonwealth-489	290	2	is	be	AUX
commonwealth-489	290	3	a	a	DET
commonwealth-489	290	4	statewide	statewide	ADJ
commonwealth-489	290	5	health	health	NOUN
commonwealth-489	290	6	plan	plan	NOUN
commonwealth-489	290	7	that	that	PRON
commonwealth-489	290	8	places	place	VERB
commonwealth-489	290	9	emphasis	emphasis	NOUN
commonwealth-489	290	10	on	on	ADP
commonwealth-489	290	11	improving	improve	VERB
commonwealth-489	290	12	the	the	DET
commonwealth-489	290	13	health	health	NOUN
commonwealth-489	290	14	status	status	NOUN
commonwealth-489	290	15	of	of	ADP
commonwealth-489	290	16	populations	population	NOUN
commonwealth-489	290	17	through	through	ADP
commonwealth-489	290	18	planning	planning	NOUN
commonwealth-489	290	19	that	that	PRON
commonwealth-489	290	20	addresses	address	VERB
commonwealth-489	290	21	the	the	DET
commonwealth-489	290	22	root	root	NOUN
commonwealth-489	290	23	or	or	CCONJ
commonwealth-489	290	24	underlying	underlying	ADJ
commonwealth-489	290	25	causes	cause	NOUN
commonwealth-489	290	26	of	of	ADP
commonwealth-489	290	27	premature	premature	ADJ
commonwealth-489	290	28	disease	disease	NOUN
commonwealth-489	290	29	,	,	PUNCT
commonwealth-489	290	30	death	death	NOUN
commonwealth-489	290	31	,	,	PUNCT
commonwealth-489	290	32	and	and	CCONJ
commonwealth-489	290	33	disability	disability	NOUN
commonwealth-489	290	34	.	.	PUNCT
commonwealth-489	291	1	the	the	DET
commonwealth-489	291	2	plan	plan	NOUN
commonwealth-489	291	3	calls	call	VERB
commonwealth-489	291	4	for	for	ADP
commonwealth-489	291	5	engaging	engage	VERB
commonwealth-489	291	6	with	with	ADP
commonwealth-489	291	7	organized	organize	VERB
commonwealth-489	291	8	community122	community122	NOUN
commonwealth-489	291	9	financial	financial	ADJ
commonwealth-489	291	10	analysis	analysis	NOUN
commonwealth-489	291	11	and	and	CCONJ
commonwealth-489	291	12	structural	structural	ADJ
commonwealth-489	291	13	considerations	consideration	NOUN
commonwealth-489	291	14	to	to	ADP
commonwealth-489	291	15	the	the	DET
commonwealth-489	291	16	problem	problem	NOUN
commonwealth-489	291	17	of	of	ADP
commonwealth-489	291	18	rural	rural	ADJ
commonwealth-489	291	19	public	public	ADJ
commonwealth-489	291	20	health	health	NOUN
commonwealth-489	291	21	in	in	ADP
commonwealth-489	291	22	pennsylvania	pennsylvania	PROPN
commonwealth-489	291	23	based	base	VERB
commonwealth-489	291	24	health	health	NOUN
commonwealth-489	291	25	improvement	improvement	NOUN
commonwealth-489	291	26	partnerships	partnership	NOUN
commonwealth-489	291	27	to	to	PART
commonwealth-489	291	28	coordinate	coordinate	VERB
commonwealth-489	291	29	resources	resource	NOUN
commonwealth-489	291	30	in	in	ADP
commonwealth-489	291	31	meaningful	meaningful	ADJ
commonwealth-489	291	32	ways	way	NOUN
commonwealth-489	291	33	and	and	CCONJ
commonwealth-489	291	34	address	address	VERB
commonwealth-489	291	35	local	local	ADJ
commonwealth-489	291	36	health	health	NOUN
commonwealth-489	291	37	improvement	improvement	NOUN
commonwealth-489	291	38	issues	issue	NOUN
commonwealth-489	291	39	and	and	CCONJ
commonwealth-489	291	40	priorities	priority	NOUN
commonwealth-489	291	41	.	.	PUNCT
commonwealth-489	292	1	these	these	DET
commonwealth-489	292	2	partnerships	partnership	NOUN
commonwealth-489	292	3	are	be	AUX
commonwealth-489	292	4	made	make	VERB
commonwealth-489	292	5	up	up	ADP
commonwealth-489	292	6	of	of	ADP
commonwealth-489	292	7	coalitions	coalition	NOUN
commonwealth-489	292	8	of	of	ADP
commonwealth-489	292	9	local	local	ADJ
commonwealth-489	292	10	social	social	ADJ
commonwealth-489	292	11	service	service	NOUN
commonwealth-489	292	12	agencies	agency	NOUN
commonwealth-489	292	13	,	,	PUNCT
commonwealth-489	292	14	health	health	NOUN
commonwealth-489	292	15	providers	provider	NOUN
commonwealth-489	292	16	,	,	PUNCT
commonwealth-489	292	17	and	and	CCONJ
commonwealth-489	292	18	other	other	ADJ
commonwealth-489	292	19	community	community	NOUN
commonwealth-489	292	20	-	-	PUNCT
commonwealth-489	292	21	based	base	VERB
commonwealth-489	292	22	organizations	organization	NOUN
commonwealth-489	292	23	engaging	engage	VERB
commonwealth-489	292	24	in	in	ADP
commonwealth-489	292	25	the	the	DET
commonwealth-489	292	26	delivery	delivery	NOUN
commonwealth-489	292	27	of	of	ADP
commonwealth-489	292	28	health	health	NOUN
commonwealth-489	292	29	services	service	NOUN
commonwealth-489	292	30	(	(	PUNCT
commonwealth-489	292	31	padoh	padoh	NOUN
commonwealth-489	292	32	2003	2003	NUM
commonwealth-489	292	33	)	)	PUNCT
commonwealth-489	292	34	.	.	PUNCT
commonwealth-489	293	1	these	these	DET
commonwealth-489	293	2	organizations	organization	NOUN
commonwealth-489	293	3	already	already	ADV
commonwealth-489	293	4	have	have	VERB
commonwealth-489	293	5	relationships	relationship	NOUN
commonwealth-489	293	6	with	with	ADP
commonwealth-489	293	7	the	the	DET
commonwealth-489	293	8	state	state	NOUN
commonwealth-489	293	9	regional	regional	ADJ
commonwealth-489	293	10	offices	office	NOUN
commonwealth-489	293	11	.	.	PUNCT
commonwealth-489	294	1	a	a	DET
commonwealth-489	294	2	possible	possible	ADJ
commonwealth-489	294	3	model	model	NOUN
commonwealth-489	294	4	for	for	ADP
commonwealth-489	294	5	improving	improve	VERB
commonwealth-489	294	6	local	local	ADJ
commonwealth-489	294	7	public	public	ADJ
commonwealth-489	294	8	health	health	NOUN
commonwealth-489	294	9	infrastructure	infrastructure	NOUN
commonwealth-489	294	10	in	in	ADP
commonwealth-489	294	11	areas	area	NOUN
commonwealth-489	294	12	that	that	PRON
commonwealth-489	294	13	are	be	AUX
commonwealth-489	294	14	expansive	expansive	ADJ
commonwealth-489	294	15	and	and	CCONJ
commonwealth-489	294	16	lack	lack	VERB
commonwealth-489	294	17	the	the	DET
commonwealth-489	294	18	critical	critical	ADJ
commonwealth-489	294	19	population	population	NOUN
commonwealth-489	294	20	levels	level	NOUN
commonwealth-489	294	21	would	would	AUX
commonwealth-489	294	22	be	be	AUX
commonwealth-489	294	23	to	to	PART
commonwealth-489	294	24	formalize	formalize	VERB
commonwealth-489	294	25	the	the	DET
commonwealth-489	294	26	link	link	NOUN
commonwealth-489	294	27	between	between	ADP
commonwealth-489	294	28	these	these	DET
commonwealth-489	294	29	partners	partner	NOUN
commonwealth-489	294	30	and	and	CCONJ
commonwealth-489	294	31	local	local	ADJ
commonwealth-489	294	32	government	government	NOUN
commonwealth-489	294	33	.	.	PUNCT
commonwealth-489	295	1	local	local	ADJ
commonwealth-489	295	2	public	public	ADJ
commonwealth-489	295	3	health	health	NOUN
commonwealth-489	295	4	services	service	NOUN
commonwealth-489	295	5	could	could	AUX
commonwealth-489	295	6	be	be	AUX
commonwealth-489	295	7	offered	offer	VERB
commonwealth-489	295	8	through	through	ADP
commonwealth-489	295	9	community	community	NOUN
commonwealth-489	295	10	based	base	VERB
commonwealth-489	295	11	organizations	organization	NOUN
commonwealth-489	295	12	,	,	PUNCT
commonwealth-489	295	13	but	but	CCONJ
commonwealth-489	295	14	with	with	ADP
commonwealth-489	295	15	a	a	DET
commonwealth-489	295	16	central	central	ADJ
commonwealth-489	295	17	public	public	ADJ
commonwealth-489	295	18	sector	sector	NOUN
commonwealth-489	295	19	-	-	PUNCT
commonwealth-489	295	20	based	base	VERB
commonwealth-489	295	21	coordinating	coordinating	NOUN
commonwealth-489	295	22	body	body	NOUN
commonwealth-489	295	23	.	.	PUNCT
commonwealth-489	296	1	therefore	therefore	ADV
commonwealth-489	296	2	,	,	PUNCT
commonwealth-489	296	3	a	a	DET
commonwealth-489	296	4	potential	potential	ADJ
commonwealth-489	296	5	policy	policy	NOUN
commonwealth-489	296	6	option	option	NOUN
commonwealth-489	296	7	would	would	AUX
commonwealth-489	296	8	be	be	AUX
commonwealth-489	296	9	a	a	DET
commonwealth-489	296	10	modification	modification	NOUN
commonwealth-489	296	11	to	to	PART
commonwealth-489	296	12	act	act	VERB
commonwealth-489	296	13	315	315	NUM
commonwealth-489	296	14	that	that	PRON
commonwealth-489	296	15	would	would	AUX
commonwealth-489	296	16	allow	allow	VERB
commonwealth-489	296	17	local	local	ADJ
commonwealth-489	296	18	government	government	NOUN
commonwealth-489	296	19	to	to	PART
commonwealth-489	296	20	use	use	VERB
commonwealth-489	296	21	act	act	NOUN
commonwealth-489	296	22	315	315	NUM
commonwealth-489	296	23	funds	fund	NOUN
commonwealth-489	296	24	to	to	PART
commonwealth-489	296	25	provide	provide	VERB
commonwealth-489	296	26	services	service	NOUN
commonwealth-489	296	27	through	through	ADP
commonwealth-489	296	28	community	community	NOUN
commonwealth-489	296	29	-	-	PUNCT
commonwealth-489	296	30	based	base	VERB
commonwealth-489	296	31	organizations	organization	NOUN
commonwealth-489	296	32	and	and	CCONJ
commonwealth-489	296	33	still	still	ADV
commonwealth-489	296	34	retain	retain	VERB
commonwealth-489	296	35	the	the	DET
commonwealth-489	296	36	coordinating	coordinating	NOUN
commonwealth-489	296	37	and	and	CCONJ
commonwealth-489	296	38	planning	planning	NOUN
commonwealth-489	296	39	responsibility	responsibility	NOUN
commonwealth-489	296	40	.	.	PUNCT
commonwealth-489	297	1	this	this	PRON
commonwealth-489	297	2	would	would	AUX
commonwealth-489	297	3	allow	allow	VERB
commonwealth-489	297	4	for	for	ADP
commonwealth-489	297	5	decentralized	decentralized	ADJ
commonwealth-489	297	6	services	service	NOUN
commonwealth-489	297	7	and	and	CCONJ
commonwealth-489	297	8	more	more	ADV
commonwealth-489	297	9	flexible	flexible	ADJ
commonwealth-489	297	10	expense	expense	NOUN
commonwealth-489	297	11	structures	structure	NOUN
commonwealth-489	297	12	.	.	PUNCT
commonwealth-489	298	1	another	another	DET
commonwealth-489	298	2	policy	policy	NOUN
commonwealth-489	298	3	option	option	NOUN
commonwealth-489	298	4	that	that	PRON
commonwealth-489	298	5	also	also	ADV
commonwealth-489	298	6	entails	entail	VERB
commonwealth-489	298	7	a	a	DET
commonwealth-489	298	8	break	break	NOUN
commonwealth-489	298	9	from	from	ADP
commonwealth-489	298	10	the	the	DET
commonwealth-489	298	11	act	act	NOUN
commonwealth-489	298	12	315	315	NUM
commonwealth-489	298	13	structure	structure	NOUN
commonwealth-489	298	14	would	would	AUX
commonwealth-489	298	15	be	be	AUX
commonwealth-489	298	16	the	the	DET
commonwealth-489	298	17	creation	creation	NOUN
commonwealth-489	298	18	of	of	ADP
commonwealth-489	298	19	decentralized	decentralized	ADJ
commonwealth-489	298	20	regional	regional	ADJ
commonwealth-489	298	21	offices	office	NOUN
commonwealth-489	298	22	of	of	ADP
commonwealth-489	298	23	the	the	DET
commonwealth-489	298	24	state	state	PROPN
commonwealth-489	298	25	department	department	PROPN
commonwealth-489	298	26	of	of	ADP
commonwealth-489	298	27	health	health	NOUN
commonwealth-489	298	28	.	.	PUNCT
commonwealth-489	299	1	this	this	DET
commonwealth-489	299	2	option	option	NOUN
commonwealth-489	299	3	would	would	AUX
commonwealth-489	299	4	be	be	AUX
commonwealth-489	299	5	responding	respond	VERB
commonwealth-489	299	6	to	to	ADP
commonwealth-489	299	7	the	the	DET
commonwealth-489	299	8	national	national	ADJ
commonwealth-489	299	9	trend	trend	NOUN
commonwealth-489	299	10	of	of	ADP
commonwealth-489	299	11	lhd	lhd	PROPN
commonwealth-489	299	12	consolidation	consolidation	PROPN
commonwealth-489	299	13	.	.	PUNCT
commonwealth-489	300	1	baker	baker	PROPN
commonwealth-489	300	2	and	and	CCONJ
commonwealth-489	300	3	koplan	koplan	PROPN
commonwealth-489	300	4	(	(	PUNCT
commonwealth-489	300	5	2002	2002	NUM
commonwealth-489	300	6	)	)	PUNCT
commonwealth-489	300	7	,	,	PUNCT
commonwealth-489	300	8	for	for	ADP
commonwealth-489	300	9	example	example	NOUN
commonwealth-489	300	10	,	,	PUNCT
commonwealth-489	300	11	estimate	estimate	VERB
commonwealth-489	300	12	that	that	SCONJ
commonwealth-489	300	13	as	as	ADP
commonwealth-489	300	14	a	a	DET
commonwealth-489	300	15	result	result	NOUN
commonwealth-489	300	16	of	of	ADP
commonwealth-489	300	17	a	a	DET
commonwealth-489	300	18	national	national	ADJ
commonwealth-489	300	19	level	level	NOUN
commonwealth-489	300	20	consolidation	consolidation	NOUN
commonwealth-489	300	21	trend	trend	NOUN
commonwealth-489	300	22	,	,	PUNCT
commonwealth-489	300	23	the	the	DET
commonwealth-489	300	24	number	number	NOUN
commonwealth-489	300	25	of	of	ADP
commonwealth-489	300	26	local	local	ADJ
commonwealth-489	300	27	public	public	ADJ
commonwealth-489	300	28	health	health	NOUN
commonwealth-489	300	29	entities	entity	NOUN
commonwealth-489	300	30	across	across	ADP
commonwealth-489	300	31	the	the	DET
commonwealth-489	300	32	nation	nation	NOUN
commonwealth-489	300	33	could	could	AUX
commonwealth-489	300	34	diminish	diminish	VERB
commonwealth-489	300	35	from	from	ADP
commonwealth-489	300	36	3,000	3,000	NUM
commonwealth-489	300	37	to	to	ADP
commonwealth-489	300	38	an	an	DET
commonwealth-489	300	39	estimated	estimate	VERB
commonwealth-489	300	40	500	500	NUM
commonwealth-489	300	41	-	-	SYM
commonwealth-489	300	42	1,000	1,000	NUM
commonwealth-489	300	43	entities	entity	NOUN
commonwealth-489	300	44	.	.	PUNCT
commonwealth-489	301	1	therefore	therefore	ADV
commonwealth-489	301	2	,	,	PUNCT
commonwealth-489	301	3	under	under	ADP
commonwealth-489	301	4	this	this	DET
commonwealth-489	301	5	policy	policy	NOUN
commonwealth-489	301	6	scenario	scenario	NOUN
commonwealth-489	301	7	,	,	PUNCT
commonwealth-489	301	8	the	the	DET
commonwealth-489	301	9	option	option	NOUN
commonwealth-489	301	10	would	would	AUX
commonwealth-489	301	11	not	not	PART
commonwealth-489	301	12	be	be	AUX
commonwealth-489	301	13	to	to	PART
commonwealth-489	301	14	create	create	VERB
commonwealth-489	301	15	more	more	ADJ
commonwealth-489	301	16	lhds	lhds	NOUN
commonwealth-489	301	17	but	but	SCONJ
commonwealth-489	301	18	to	to	PART
commonwealth-489	301	19	use	use	VERB
commonwealth-489	301	20	the	the	DET
commonwealth-489	301	21	existing	exist	VERB
commonwealth-489	301	22	six	six	NUM
commonwealth-489	301	23	health	health	NOUN
commonwealth-489	301	24	regional	regional	ADJ
commonwealth-489	301	25	offices	office	NOUN
commonwealth-489	301	26	that	that	PRON
commonwealth-489	301	27	now	now	ADV
commonwealth-489	301	28	cover	cover	VERB
commonwealth-489	301	29	an	an	DET
commonwealth-489	301	30	average	average	NOUN
commonwealth-489	301	31	of	of	ADP
commonwealth-489	301	32	10	10	NUM
commonwealth-489	301	33	counties	county	NOUN
commonwealth-489	301	34	to	to	PART
commonwealth-489	301	35	cover	cover	VERB
commonwealth-489	301	36	areas	area	NOUN
commonwealth-489	301	37	that	that	PRON
commonwealth-489	301	38	can	can	AUX
commonwealth-489	301	39	not	not	PART
commonwealth-489	301	40	be	be	AUX
commonwealth-489	301	41	feasibly	feasibly	ADV
commonwealth-489	301	42	covered	cover	VERB
commonwealth-489	301	43	by	by	ADP
commonwealth-489	301	44	a	a	DET
commonwealth-489	301	45	lhd	lhd	PROPN
commonwealth-489	301	46	.	.	PUNCT
commonwealth-489	302	1	however	however	ADV
commonwealth-489	302	2	,	,	PUNCT
commonwealth-489	302	3	these	these	DET
commonwealth-489	302	4	regional	regional	ADJ
commonwealth-489	302	5	offices	office	NOUN
commonwealth-489	302	6	would	would	AUX
commonwealth-489	302	7	need	need	VERB
commonwealth-489	302	8	to	to	PART
commonwealth-489	302	9	be	be	AUX
commonwealth-489	302	10	restructured	restructure	VERB
commonwealth-489	302	11	into	into	ADP
commonwealth-489	302	12	a	a	DET
commonwealth-489	302	13	network	network	NOUN
commonwealth-489	302	14	of	of	ADP
commonwealth-489	302	15	sub	sub	ADJ
commonwealth-489	302	16	-	-	ADJ
commonwealth-489	302	17	regional	regional	ADJ
commonwealth-489	302	18	offices	office	NOUN
commonwealth-489	302	19	that	that	PRON
commonwealth-489	302	20	would	would	AUX
commonwealth-489	302	21	cover	cover	VERB
commonwealth-489	302	22	three	three	NUM
commonwealth-489	302	23	to	to	PART
commonwealth-489	302	24	four	four	NUM
commonwealth-489	302	25	counties	county	NOUN
commonwealth-489	302	26	.	.	PUNCT
commonwealth-489	303	1	this	this	PRON
commonwealth-489	303	2	would	would	AUX
commonwealth-489	303	3	allow	allow	VERB
commonwealth-489	303	4	the	the	DET
commonwealth-489	303	5	state	state	NOUN
commonwealth-489	303	6	offices	office	NOUN
commonwealth-489	303	7	to	to	PART
commonwealth-489	303	8	have	have	VERB
commonwealth-489	303	9	greater	great	ADJ
commonwealth-489	303	10	access	access	NOUN
commonwealth-489	303	11	to	to	ADP
commonwealth-489	303	12	these	these	DET
commonwealth-489	303	13	underserved	underserved	ADJ
commonwealth-489	303	14	areas	area	NOUN
commonwealth-489	303	15	,	,	PUNCT
commonwealth-489	303	16	without	without	ADP
commonwealth-489	303	17	the	the	DET
commonwealth-489	303	18	need	need	NOUN
commonwealth-489	303	19	to	to	PART
commonwealth-489	303	20	create	create	VERB
commonwealth-489	303	21	new	new	ADJ
commonwealth-489	303	22	structures	structure	NOUN
commonwealth-489	303	23	.	.	PUNCT
commonwealth-489	304	1	the	the	DET
commonwealth-489	304	2	results	result	NOUN
commonwealth-489	304	3	show	show	VERB
commonwealth-489	304	4	that	that	SCONJ
commonwealth-489	304	5	it	it	PRON
commonwealth-489	304	6	is	be	AUX
commonwealth-489	304	7	clear	clear	ADJ
commonwealth-489	304	8	on	on	ADP
commonwealth-489	304	9	the	the	DET
commonwealth-489	304	10	need	need	NOUN
commonwealth-489	304	11	for	for	ADP
commonwealth-489	304	12	a	a	DET
commonwealth-489	304	13	strengthened	strengthen	VERB
commonwealth-489	304	14	public	public	ADJ
commonwealth-489	304	15	health	health	NOUN
commonwealth-489	304	16	infrastructure	infrastructure	NOUN
commonwealth-489	304	17	in	in	ADP
commonwealth-489	304	18	all	all	PRON
commonwealth-489	304	19	of	of	ADP
commonwealth-489	304	20	pennsylvania	pennsylvania	PROPN
commonwealth-489	304	21	,	,	PUNCT
commonwealth-489	304	22	and	and	CCONJ
commonwealth-489	304	23	in	in	ADP
commonwealth-489	304	24	particular	particular	ADJ
commonwealth-489	304	25	rural	rural	ADJ
commonwealth-489	304	26	pennsylvania	pennsylvania	NOUN
commonwealth-489	304	27	;	;	PUNCT
commonwealth-489	304	28	however	however	ADV
commonwealth-489	304	29	,	,	PUNCT
commonwealth-489	304	30	in	in	ADP
commonwealth-489	304	31	areas	area	NOUN
commonwealth-489	304	32	where	where	SCONJ
commonwealth-489	304	33	the	the	DET
commonwealth-489	304	34	political	political	ADJ
commonwealth-489	304	35	will	will	AUX
commonwealth-489	304	36	exists	exist	VERB
commonwealth-489	304	37	to	to	PART
commonwealth-489	304	38	create	create	VERB
commonwealth-489	304	39	these	these	DET
commonwealth-489	304	40	structures	structure	NOUN
commonwealth-489	304	41	,	,	PUNCT
commonwealth-489	304	42	local	local	ADJ
commonwealth-489	304	43	policymakers	policymaker	NOUN
commonwealth-489	304	44	are	be	AUX
commonwealth-489	304	45	stymied	stymie	VERB
commonwealth-489	304	46	by	by	ADP
commonwealth-489	304	47	the	the	DET
commonwealth-489	304	48	initial	initial	ADJ
commonwealth-489	304	49	financial	financial	ADJ
commonwealth-489	304	50	threshold	threshold	NOUN
commonwealth-489	304	51	set	set	VERB
commonwealth-489	304	52	for	for	ADP
commonwealth-489	304	53	their	their	PRON
commonwealth-489	304	54	establishment	establishment	NOUN
commonwealth-489	304	55	.	.	PUNCT
commonwealth-489	305	1	policies	policy	NOUN
commonwealth-489	305	2	that	that	PRON
commonwealth-489	305	3	help	help	VERB
commonwealth-489	305	4	counties	county	NOUN
commonwealth-489	305	5	attain	attain	VERB
commonwealth-489	305	6	this	this	DET
commonwealth-489	305	7	threshold	threshold	NOUN
commonwealth-489	305	8	would	would	AUX
commonwealth-489	305	9	boost	boost	VERB
commonwealth-489	305	10	political	political	ADJ
commonwealth-489	305	11	will	will	NOUN
commonwealth-489	305	12	.	.	PUNCT
commonwealth-489	306	1	alberto	alberto	PROPN
commonwealth-489	306	2	j.f	j.f	PROPN
commonwealth-489	306	3	.	.	PROPN
commonwealth-489	306	4	cardelle	cardelle	PROPN
commonwealth-489	306	5	123	123	NUM
commonwealth-489	306	6	references	reference	NOUN
commonwealth-489	306	7	allukian	allukian	ADJ
commonwealth-489	306	8	,	,	PUNCT
commonwealth-489	306	9	m.	m.	NOUN
commonwealth-489	306	10	jr	jr	PROPN
commonwealth-489	306	11	.	.	PROPN
commonwealth-489	306	12	1993	1993	NUM
commonwealth-489	306	13	.	.	PUNCT
commonwealth-489	307	1	“	"	PUNCT
commonwealth-489	307	2	forging	forge	VERB
commonwealth-489	307	3	the	the	DET
commonwealth-489	307	4	future	future	NOUN
commonwealth-489	307	5	:	:	PUNCT
commonwealth-489	307	6	the	the	DET
commonwealth-489	307	7	public	public	ADJ
commonwealth-489	307	8	health	health	NOUN
commonwealth-489	307	9	imperative	imperative	NOUN
commonwealth-489	307	10	.	.	PUNCT
commonwealth-489	307	11	”	"	PUNCT
commonwealth-489	308	1	american	american	PROPN
commonwealth-489	308	2	journal	journal	PROPN
commonwealth-489	308	3	of	of	ADP
commonwealth-489	308	4	public	public	ADJ
commonwealth-489	308	5	health	health	NOUN
commonwealth-489	308	6	83	83	NUM
commonwealth-489	308	7	:	:	PUNCT
commonwealth-489	308	8	655	655	NUM
commonwealth-489	308	9	-	-	SYM
commonwealth-489	308	10	60	60	NUM
commonwealth-489	308	11	.	.	PUNCT
commonwealth-489	309	1	american	american	ADJ
commonwealth-489	309	2	public	public	PROPN
commonwealth-489	309	3	health	health	PROPN
commonwealth-489	309	4	association	association	PROPN
commonwealth-489	309	5	.	.	PUNCT
commonwealth-489	310	1	august	august	PROPN
commonwealth-489	310	2	2004	2004	NUM
commonwealth-489	310	3	.	.	PUNCT
commonwealth-489	311	1	“	"	PUNCT
commonwealth-489	311	2	shift	shift	VERB
commonwealth-489	311	3	in	in	ADP
commonwealth-489	311	4	preparedness	preparedness	NOUN
commonwealth-489	311	5	funds	fund	NOUN
commonwealth-489	311	6	undermines	undermine	VERB
commonwealth-489	311	7	readiness	readiness	NOUN
commonwealth-489	311	8	efforts	effort	NOUN
commonwealth-489	311	9	.	.	PUNCT
commonwealth-489	311	10	”	"	PUNCT
commonwealth-489	312	1	the	the	DET
commonwealth-489	312	2	nation	nation	NOUN
commonwealth-489	312	3	’s	’s	PART
commonwealth-489	312	4	health	health	NOUN
commonwealth-489	312	5	.	.	PUNCT
commonwealth-489	313	1	baker	baker	PROPN
commonwealth-489	313	2	,	,	PUNCT
commonwealth-489	313	3	edward	edward	NOUN
commonwealth-489	313	4	,	,	PUNCT
commonwealth-489	313	5	and	and	CCONJ
commonwealth-489	313	6	jeffery	jeffery	PROPN
commonwealth-489	313	7	koplan	koplan	PROPN
commonwealth-489	313	8	.	.	PUNCT
commonwealth-489	313	9	2002	2002	NUM
commonwealth-489	313	10	.	.	PUNCT
commonwealth-489	314	1	“	"	PUNCT
commonwealth-489	314	2	strengthening	strengthen	VERB
commonwealth-489	314	3	the	the	DET
commonwealth-489	314	4	nation	nation	NOUN
commonwealth-489	314	5	’s	’s	PART
commonwealth-489	314	6	public	public	ADJ
commonwealth-489	314	7	health	health	NOUN
commonwealth-489	314	8	infrastructure	infrastructure	NOUN
commonwealth-489	314	9	:	:	PUNCT
commonwealth-489	314	10	historic	historic	ADJ
commonwealth-489	314	11	challenge	challenge	NOUN
commonwealth-489	314	12	,	,	PUNCT
commonwealth-489	314	13	unprecedented	unprecedented	ADJ
commonwealth-489	314	14	opportunity	opportunity	NOUN
commonwealth-489	314	15	.	.	PUNCT
commonwealth-489	314	16	”	"	PUNCT
commonwealth-489	315	1	health	health	NOUN
commonwealth-489	315	2	affairs	affair	NOUN
commonwealth-489	315	3	(	(	PUNCT
commonwealth-489	315	4	millwood	millwood	PROPN
commonwealth-489	315	5	)	)	PUNCT
commonwealth-489	315	6	6:15	6:15	PROPN
commonwealth-489	315	7	-	-	SYM
commonwealth-489	315	8	27	27	NUM
commonwealth-489	315	9	.	.	PUNCT
commonwealth-489	316	1	baker	baker	PROPN
commonwealth-489	316	2	,	,	PUNCT
commonwealth-489	316	3	edward	edward	PROPN
commonwealth-489	316	4	,	,	PUNCT
commonwealth-489	316	5	margaret	margaret	PROPN
commonwealth-489	316	6	a.	a.	PROPN
commonwealth-489	316	7	potter	potter	PROPN
commonwealth-489	316	8	,	,	PUNCT
commonwealth-489	316	9	debora	debora	PROPN
commonwealth-489	316	10	l.	l.	PROPN
commonwealth-489	316	11	jones	jones	PROPN
commonwealth-489	316	12	,	,	PUNCT
commonwealth-489	316	13	shawna	shawna	PROPN
commonwealth-489	316	14	l.	l.	PROPN
commonwealth-489	316	15	mercer	mercer	PROPN
commonwealth-489	316	16	,	,	PUNCT
commonwealth-489	316	17	joan	joan	PROPN
commonwealth-489	316	18	p.	p.	PROPN
commonwealth-489	316	19	cioffi	cioffi	PROPN
commonwealth-489	316	20	,	,	PUNCT
commonwealth-489	316	21	lawrence	lawrence	PROPN
commonwealth-489	316	22	w.	w.	PROPN
commonwealth-489	316	23	green	green	PROPN
commonwealth-489	316	24	,	,	PUNCT
commonwealth-489	316	25	paul	paul	PROPN
commonwealth-489	316	26	k.	k.	PROPN
commonwealth-489	316	27	halverson	halverson	PROPN
commonwealth-489	316	28	,	,	PUNCT
commonwealth-489	316	29	maureen	maureen	PROPN
commonwealth-489	316	30	y.	y.	PROPN
commonwealth-489	316	31	lichtveld	lichtveld	VERB
commonwealth-489	316	32	and	and	CCONJ
commonwealth-489	316	33	david	david	PROPN
commonwealth-489	316	34	w.	w.	PROPN
commonwealth-489	316	35	fleming	fleming	PROPN
commonwealth-489	316	36	.	.	PROPN
commonwealth-489	317	1	2005	2005	NUM
commonwealth-489	317	2	.	.	PUNCT
commonwealth-489	318	1	“	"	PUNCT
commonwealth-489	318	2	the	the	DET
commonwealth-489	318	3	public	public	ADJ
commonwealth-489	318	4	health	health	NOUN
commonwealth-489	318	5	infrastructure	infrastructure	NOUN
commonwealth-489	318	6	and	and	CCONJ
commonwealth-489	318	7	our	our	PRON
commonwealth-489	318	8	nation	nation	NOUN
commonwealth-489	318	9	’s	’s	PART
commonwealth-489	318	10	health	health	NOUN
commonwealth-489	318	11	.	.	PUNCT
commonwealth-489	318	12	”	"	PUNCT
commonwealth-489	319	1	annual	annual	ADJ
commonwealth-489	319	2	review	review	NOUN
commonwealth-489	319	3	public	public	ADJ
commonwealth-489	319	4	health	health	NOUN
commonwealth-489	319	5	26:303	26:303	NUM
commonwealth-489	319	6	-	-	SYM
commonwealth-489	319	7	18	18	NUM
commonwealth-489	319	8	.	.	PUNCT
commonwealth-489	320	1	baxter	baxter	PROPN
commonwealth-489	320	2	r.j	r.j	PROPN
commonwealth-489	320	3	.	.	PROPN
commonwealth-489	320	4	,	,	PUNCT
commonwealth-489	320	5	c.r	c.r	PROPN
commonwealth-489	320	6	.	.	PROPN
commonwealth-489	320	7	steinberg	steinberg	PROPN
commonwealth-489	320	8	,	,	PUNCT
commonwealth-489	320	9	and	and	CCONJ
commonwealth-489	320	10	j.r	j.r	PROPN
commonwealth-489	320	11	.	.	PROPN
commonwealth-489	320	12	shapiro	shapiro	PROPN
commonwealth-489	320	13	.	.	PUNCT
commonwealth-489	320	14	2001	2001	NUM
commonwealth-489	320	15	.	.	PUNCT
commonwealth-489	321	1	“	"	PUNCT
commonwealth-489	321	2	is	be	AUX
commonwealth-489	321	3	the	the	DET
commonwealth-489	321	4	u.s	u.s	PROPN
commonwealth-489	321	5	.	.	PROPN
commonwealth-489	321	6	public	public	ADJ
commonwealth-489	321	7	health	health	NOUN
commonwealth-489	321	8	system	system	NOUN
commonwealth-489	321	9	ready	ready	ADJ
commonwealth-489	321	10	for	for	ADP
commonwealth-489	321	11	bioterrorism	bioterrorism	NOUN
commonwealth-489	321	12	?	?	PUNCT
commonwealth-489	322	1	an	an	DET
commonwealth-489	322	2	assessment	assessment	NOUN
commonwealth-489	322	3	of	of	ADP
commonwealth-489	322	4	the	the	DET
commonwealth-489	322	5	u.s	u.s	PROPN
commonwealth-489	322	6	.	.	PROPN
commonwealth-489	322	7	public	public	ADJ
commonwealth-489	322	8	health	health	NOUN
commonwealth-489	322	9	infrastructure	infrastructure	NOUN
commonwealth-489	322	10	and	and	CCONJ
commonwealth-489	322	11	its	its	PRON
commonwealth-489	322	12	capacity	capacity	NOUN
commonwealth-489	322	13	for	for	ADP
commonwealth-489	322	14	infectious	infectious	ADJ
commonwealth-489	322	15	disease	disease	NOUN
commonwealth-489	322	16	surveillance	surveillance	NOUN
commonwealth-489	322	17	.	.	PUNCT
commonwealth-489	322	18	”	"	PUNCT
commonwealth-489	323	1	yale	yale	PROPN
commonwealth-489	323	2	journal	journal	PROPN
commonwealth-489	323	3	of	of	ADP
commonwealth-489	323	4	health	health	NOUN
commonwealth-489	323	5	policy	policy	NOUN
commonwealth-489	323	6	law	law	NOUN
commonwealth-489	323	7	ethics	ethic	NOUN
commonwealth-489	323	8	1:1	1:1	NUM
commonwealth-489	323	9	-	-	SYM
commonwealth-489	323	10	21	21	NUM
commonwealth-489	323	11	.	.	PUNCT
commonwealth-489	324	1	beitsch	beitsch	PROPN
commonwealth-489	324	2	,	,	PUNCT
commonwealth-489	324	3	leslie	leslie	PROPN
commonwealth-489	324	4	,	,	PUNCT
commonwealth-489	324	5	robert	robert	PROPN
commonwealth-489	324	6	g.	g.	PROPN
commonwealth-489	324	7	brooks	brooks	PROPN
commonwealth-489	324	8	,	,	PUNCT
commonwealth-489	324	9	nir	nir	PROPN
commonwealth-489	324	10	menachemi	menachemi	NOUN
commonwealth-489	324	11	,	,	PUNCT
commonwealth-489	324	12	and	and	CCONJ
commonwealth-489	324	13	patrick	patrick	PROPN
commonwealth-489	324	14	m.	m.	PROPN
commonwealth-489	324	15	libbey	libbey	PROPN
commonwealth-489	324	16	.	.	PUNCT
commonwealth-489	325	1	2006	2006	NUM
commonwealth-489	325	2	.	.	PUNCT
commonwealth-489	326	1	“	"	PUNCT
commonwealth-489	326	2	public	public	ADJ
commonwealth-489	326	3	health	health	NOUN
commonwealth-489	326	4	at	at	ADP
commonwealth-489	326	5	center	center	ADJ
commonwealth-489	326	6	stage	stage	NOUN
commonwealth-489	326	7	:	:	PUNCT
commonwealth-489	326	8	new	new	ADJ
commonwealth-489	326	9	roles	role	NOUN
commonwealth-489	326	10	,	,	PUNCT
commonwealth-489	326	11	old	old	ADJ
commonwealth-489	326	12	props	prop	NOUN
commonwealth-489	326	13	.	.	PUNCT
commonwealth-489	326	14	”	"	PUNCT
commonwealth-489	327	1	health	health	NOUN
commonwealth-489	327	2	affairs	affair	NOUN
commonwealth-489	327	3	25:911	25:911	PROPN
commonwealth-489	327	4	-	-	SYM
commonwealth-489	327	5	922	922	NUM
commonwealth-489	327	6	.	.	PUNCT
commonwealth-489	328	1	cardelle	cardelle	PROPN
commonwealth-489	328	2	,	,	PUNCT
commonwealth-489	328	3	alberto	alberto	PROPN
commonwealth-489	328	4	.	.	PUNCT
commonwealth-489	328	5	2004	2004	NUM
commonwealth-489	328	6	.	.	PUNCT
commonwealth-489	329	1	“	"	PUNCT
commonwealth-489	329	2	assessment	assessment	NOUN
commonwealth-489	329	3	of	of	ADP
commonwealth-489	329	4	rural	rural	ADJ
commonwealth-489	329	5	public	public	ADJ
commonwealth-489	329	6	health	health	NOUN
commonwealth-489	329	7	infrastructure	infrastructure	NOUN
commonwealth-489	329	8	.	.	PUNCT
commonwealth-489	329	9	”	"	PUNCT
commonwealth-489	330	1	unpublished	unpublished	ADJ
commonwealth-489	330	2	manuscript	manuscript	NOUN
commonwealth-489	330	3	.	.	PUNCT
commonwealth-489	331	1	center	center	NOUN
commonwealth-489	331	2	for	for	ADP
commonwealth-489	331	3	disease	disease	NOUN
commonwealth-489	331	4	control	control	NOUN
commonwealth-489	331	5	and	and	CCONJ
commonwealth-489	331	6	prevention	prevention	NOUN
commonwealth-489	331	7	.	.	PUNCT
commonwealth-489	332	1	2004	2004	NUM
commonwealth-489	332	2	.	.	PUNCT
commonwealth-489	333	1	“	"	PUNCT
commonwealth-489	333	2	public	public	ADJ
commonwealth-489	333	3	health	health	NOUN
commonwealth-489	333	4	performance	performance	NOUN
commonwealth-489	333	5	measures	measure	NOUN
commonwealth-489	333	6	.	.	PUNCT
commonwealth-489	333	7	”	"	PUNCT
commonwealth-489	334	1	http://www.ruralpa.org/county_profiles.html	http://www.ruralpa.org/county_profiles.html	PROPN
commonwealth-489	334	2	(	(	PUNCT
commonwealth-489	334	3	accessed	access	VERB
commonwealth-489	334	4	march	march	PROPN
commonwealth-489	334	5	1	1	NUM
commonwealth-489	334	6	,	,	PUNCT
commonwealth-489	334	7	2008	2008	NUM
commonwealth-489	334	8	)	)	PUNCT
commonwealth-489	334	9	.	.	PUNCT
commonwealth-489	335	1	center	center	NOUN
commonwealth-489	335	2	for	for	ADP
commonwealth-489	335	3	rural	rural	ADJ
commonwealth-489	335	4	pennsylvania	pennsylvania	PROPN
commonwealth-489	335	5	.	.	PUNCT
commonwealth-489	336	1	2004	2004	NUM
commonwealth-489	336	2	.	.	PUNCT
commonwealth-489	337	1	“	"	PUNCT
commonwealth-489	337	2	profile	profile	NOUN
commonwealth-489	337	3	of	of	ADP
commonwealth-489	337	4	pennsylvania	pennsylvania	PROPN
commonwealth-489	337	5	’s	’s	PART
commonwealth-489	337	6	rural	rural	ADJ
commonwealth-489	337	7	and	and	CCONJ
commonwealth-489	337	8	urban	urban	ADJ
commonwealth-489	337	9	counties	county	NOUN
commonwealth-489	337	10	.	.	PUNCT
commonwealth-489	337	11	”	"	PUNCT
commonwealth-489	338	1	http://www.cdc.gov	http://www.cdc.gov	NOUN
commonwealth-489	338	2	(	(	PUNCT
commonwealth-489	338	3	accessed	access	VERB
commonwealth-489	338	4	march	march	PROPN
commonwealth-489	338	5	10	10	NUM
commonwealth-489	338	6	,	,	PUNCT
commonwealth-489	338	7	2007	2007	NUM
commonwealth-489	338	8	)	)	PUNCT
commonwealth-489	338	9	.	.	PUNCT
commonwealth-489	339	1	dreicker	dreicker	NOUN
commonwealth-489	339	2	,	,	PUNCT
commonwealth-489	339	3	m.	m.	NOUN
commonwealth-489	339	4	2004	2004	NUM
commonwealth-489	339	5	.	.	PUNCT
commonwealth-489	340	1	plans	plan	NOUN
commonwealth-489	340	2	for	for	ADP
commonwealth-489	340	3	a	a	DET
commonwealth-489	340	4	northampton	northampton	PROPN
commonwealth-489	340	5	county	county	PROPN
commonwealth-489	340	6	health	health	PROPN
commonwealth-489	340	7	department	department	PROPN
commonwealth-489	340	8	.	.	PUNCT
commonwealth-489	341	1	testimony	testimony	NOUN
commonwealth-489	341	2	presented	present	VERB
commonwealth-489	341	3	to	to	ADP
commonwealth-489	341	4	northampton	northampton	PROPN
commonwealth-489	341	5	county	county	PROPN
commonwealth-489	341	6	council	council	PROPN
commonwealth-489	341	7	,	,	PUNCT
commonwealth-489	341	8	april	april	PROPN
commonwealth-489	341	9	12	12	NUM
commonwealth-489	341	10	.	.	PUNCT
commonwealth-489	342	1	frist	frist	PROPN
commonwealth-489	342	2	,	,	PUNCT
commonwealth-489	342	3	william	william	PROPN
commonwealth-489	342	4	.	.	PROPN
commonwealth-489	342	5	2002	2002	NUM
commonwealth-489	342	6	.	.	PUNCT
commonwealth-489	343	1	public	public	ADJ
commonwealth-489	343	2	health	health	NOUN
commonwealth-489	343	3	and	and	CCONJ
commonwealth-489	343	4	national	national	ADJ
commonwealth-489	343	5	security	security	NOUN
commonwealth-489	343	6	:	:	PUNCT
commonwealth-489	343	7	the	the	DET
commonwealth-489	343	8	critical	critical	ADJ
commonwealth-489	343	9	role	role	NOUN
commonwealth-489	343	10	of	of	ADP
commonwealth-489	343	11	increased	increase	VERB
commonwealth-489	343	12	federal	federal	ADJ
commonwealth-489	343	13	support	support	NOUN
commonwealth-489	343	14	.	.	PUNCT
commonwealth-489	344	1	health	health	NOUN
commonwealth-489	344	2	affairs	affair	NOUN
commonwealth-489	344	3	(	(	PUNCT
commonwealth-489	344	4	millwood	millwood	PROPN
commonwealth-489	344	5	)	)	PUNCT
commonwealth-489	344	6	6:117	6:117	NUM
commonwealth-489	344	7	-	-	SYM
commonwealth-489	344	8	30	30	NUM
commonwealth-489	344	9	.	.	PUNCT
commonwealth-489	345	1	gebbie	gebbie	PROPN
commonwealth-489	345	2	,	,	PUNCT
commonwealth-489	345	3	kristine	kristine	PROPN
commonwealth-489	345	4	.	.	PUNCT
commonwealth-489	345	5	1993	1993	NUM
commonwealth-489	345	6	.	.	PUNCT
commonwealth-489	346	1	“	"	PUNCT
commonwealth-489	346	2	rebuilding	rebuild	VERB
commonwealth-489	346	3	a	a	DET
commonwealth-489	346	4	public	public	ADJ
commonwealth-489	346	5	health	health	NOUN
commonwealth-489	346	6	infrastructure	infrastructure	NOUN
commonwealth-489	346	7	.	.	PUNCT
commonwealth-489	346	8	”	"	PUNCT
commonwealth-489	346	9	journal	journal	NOUN
commonwealth-489	346	10	of	of	ADP
commonwealth-489	346	11	law	law	NOUN
commonwealth-489	346	12	and	and	CCONJ
commonwealth-489	346	13	medical	medical	ADJ
commonwealth-489	346	14	ethics	ethic	NOUN
commonwealth-489	346	15	3	3	NUM
commonwealth-489	346	16	-	-	SYM
commonwealth-489	346	17	4:368	4:368	NUM
commonwealth-489	346	18	-	-	PUNCT
commonwealth-489	346	19	71	71	NUM
commonwealth-489	346	20	.	.	PUNCT
commonwealth-489	347	1	gebbie	gebbie	PROPN
commonwealth-489	347	2	,	,	PUNCT
commonwealth-489	347	3	kristine	kristine	PROPN
commonwealth-489	347	4	.	.	PUNCT
commonwealth-489	348	1	1999	1999	NUM
commonwealth-489	348	2	.	.	PUNCT
commonwealth-489	349	1	“	"	PUNCT
commonwealth-489	349	2	the	the	DET
commonwealth-489	349	3	public	public	ADJ
commonwealth-489	349	4	health	health	NOUN
commonwealth-489	349	5	workforce	workforce	NOUN
commonwealth-489	349	6	:	:	PUNCT
commonwealth-489	349	7	key	key	ADJ
commonwealth-489	349	8	to	to	ADP
commonwealth-489	349	9	public	public	ADJ
commonwealth-489	349	10	health	health	NOUN
commonwealth-489	349	11	infrastructure	infrastructure	NOUN
commonwealth-489	349	12	.	.	PUNCT
commonwealth-489	349	13	”	"	PUNCT
commonwealth-489	350	1	american	american	PROPN
commonwealth-489	350	2	journal	journal	PROPN
commonwealth-489	350	3	of	of	ADP
commonwealth-489	350	4	public	public	ADJ
commonwealth-489	350	5	health	health	NOUN
commonwealth-489	350	6	5:660	5:660	NUM
commonwealth-489	350	7	-	-	SYM
commonwealth-489	350	8	1	1	NUM
commonwealth-489	350	9	.	.	PUNCT
commonwealth-489	350	10	gebbie	gebbie	PROPN
commonwealth-489	350	11	,	,	PUNCT
commonwealth-489	350	12	kristine	kristine	PROPN
commonwealth-489	350	13	.	.	PUNCT
commonwealth-489	350	14	2000	2000	NUM
commonwealth-489	350	15	.	.	PUNCT
commonwealth-489	351	1	“	"	PUNCT
commonwealth-489	351	2	the	the	DET
commonwealth-489	351	3	public	public	ADJ
commonwealth-489	351	4	health	health	NOUN
commonwealth-489	351	5	workforce	workforce	NOUN
commonwealth-489	351	6	;	;	PUNCT
commonwealth-489	351	7	enumeration	enumeration	NOUN
commonwealth-489	351	8	2000	2000	NUM
commonwealth-489	351	9	.	.	PUNCT
commonwealth-489	351	10	”	"	PUNCT
commonwealth-489	352	1	washington	washington	PROPN
commonwealth-489	352	2	dc	dc	PROPN
commonwealth-489	352	3	.	.	PUNCT
commonwealth-489	352	4	:	:	PUNCT
commonwealth-489	353	1	health	health	NOUN
commonwealth-489	353	2	research	research	NOUN
commonwealth-489	353	3	and	and	CCONJ
commonwealth-489	353	4	services	services	PROPN
commonwealth-489	353	5	administration	administration	NOUN
commonwealth-489	353	6	.	.	PUNCT
commonwealth-489	354	1	greiner	greiner	PROPN
commonwealth-489	354	2	,	,	PUNCT
commonwealth-489	354	3	philip	philip	PROPN
commonwealth-489	354	4	,	,	PUNCT
commonwealth-489	354	5	oppewal	oppewal	NOUN
commonwealth-489	354	6	sonda	sonda	NOUN
commonwealth-489	354	7	.	.	PUNCT
commonwealth-489	355	1	january	january	PROPN
commonwealth-489	355	2	27	27	NUM
commonwealth-489	355	3	,	,	PUNCT
commonwealth-489	355	4	2003	2003	NUM
commonwealth-489	355	5	.	.	PUNCT
commonwealth-489	356	1	“	"	PUNCT
commonwealth-489	356	2	work	work	NOUN
commonwealth-489	356	3	environment	environment	NOUN
commonwealth-489	356	4	for	for	ADP
commonwealth-489	356	5	nurses	nurse	NOUN
commonwealth-489	356	6	and	and	CCONJ
commonwealth-489	356	7	patient	patient	ADJ
commonwealth-489	356	8	safety	safety	NOUN
commonwealth-489	356	9	.	.	PUNCT
commonwealth-489	356	10	”	"	PUNCT
commonwealth-489	357	1	testimony	testimony	NOUN
commonwealth-489	357	2	institute	institute	NOUN
commonwealth-489	357	3	of	of	ADP
commonwealth-489	357	4	medicine	medicine	NOUN
commonwealth-489	357	5	.	.	PUNCT
commonwealth-489	358	1	institute	institute	PROPN
commonwealth-489	358	2	of	of	ADP
commonwealth-489	358	3	medicine	medicine	NOUN
commonwealth-489	358	4	.	.	PUNCT
commonwealth-489	359	1	2003	2003	NUM
commonwealth-489	359	2	.	.	PUNCT
commonwealth-489	360	1	“	"	PUNCT
commonwealth-489	360	2	overhaul	overhaul	NOUN
commonwealth-489	360	3	of	of	ADP
commonwealth-489	360	4	government	government	NOUN
commonwealth-489	360	5	public	public	ADJ
commonwealth-489	360	6	health	health	NOUN
commonwealth-489	360	7	infrastructure	infrastructure	NOUN
commonwealth-489	360	8	:	:	PUNCT
commonwealth-489	360	9	new	new	ADJ
commonwealth-489	360	10	partners	partner	NOUN
commonwealth-489	360	11	needed	need	VERB
commonwealth-489	360	12	.	.	PUNCT
commonwealth-489	360	13	”	"	PUNCT
commonwealth-489	361	1	public	public	ADJ
commonwealth-489	361	2	health	health	NOUN
commonwealth-489	361	3	reports	report	VERB
commonwealth-489	361	4	1:74	1:74	NUM
commonwealth-489	361	5	-	-	SYM
commonwealth-489	361	6	5	5	NUM
commonwealth-489	361	7	.	.	PUNCT
commonwealth-489	362	1	johnson	johnson	PROPN
commonwealth-489	362	2	,	,	PUNCT
commonwealth-489	362	3	robert	robert	PROPN
commonwealth-489	362	4	.	.	PROPN
commonwealth-489	362	5	february	february	PROPN
commonwealth-489	362	6	2001	2001	NUM
commonwealth-489	362	7	.	.	PUNCT
commonwealth-489	363	1	“	"	PUNCT
commonwealth-489	363	2	rural	rural	ADJ
commonwealth-489	363	3	public	public	ADJ
commonwealth-489	363	4	health	health	NOUN
commonwealth-489	363	5	:	:	PUNCT
commonwealth-489	363	6	issues	issue	NOUN
commonwealth-489	363	7	and	and	CCONJ
commonwealth-489	363	8	considerations	consideration	NOUN
commonwealth-489	363	9	.	.	PUNCT
commonwealth-489	363	10	”	"	PUNCT
commonwealth-489	364	1	the	the	DET
commonwealth-489	364	2	national	national	PROPN
commonwealth-489	364	3	advisory	advisory	PROPN
commonwealth-489	364	4	committee	committee	NOUN
commonwealth-489	364	5	on	on	ADP
commonwealth-489	364	6	rural	rural	ADJ
commonwealth-489	364	7	health	health	NOUN
commonwealth-489	364	8	.	.	PUNCT
commonwealth-489	365	1	124	124	NUM
commonwealth-489	365	2	financial	financial	ADJ
commonwealth-489	365	3	analysis	analysis	NOUN
commonwealth-489	365	4	and	and	CCONJ
commonwealth-489	365	5	structural	structural	ADJ
commonwealth-489	365	6	considerations	consideration	NOUN
commonwealth-489	365	7	to	to	ADP
commonwealth-489	365	8	the	the	DET
commonwealth-489	365	9	problem	problem	NOUN
commonwealth-489	365	10	of	of	ADP
commonwealth-489	365	11	rural	rural	ADJ
commonwealth-489	365	12	public	public	ADJ
commonwealth-489	365	13	health	health	NOUN
commonwealth-489	365	14	in	in	ADP
commonwealth-489	365	15	pennsylvania	pennsylvania	PROPN
commonwealth-489	365	16	keanne	keanne	PROPN
commonwealth-489	365	17	,	,	PUNCT
commonwealth-489	365	18	christopher	christopher	PROPN
commonwealth-489	365	19	,	,	PUNCT
commonwealth-489	365	20	john	john	PROPN
commonwealth-489	365	21	marx	marx	PROPN
commonwealth-489	365	22	,	,	PUNCT
commonwealth-489	365	23	edmund	edmund	PROPN
commonwealth-489	365	24	ricci	ricci	PROPN
commonwealth-489	365	25	,	,	PUNCT
commonwealth-489	365	26	and	and	CCONJ
commonwealth-489	365	27	gerald	gerald	PROPN
commonwealth-489	365	28	barron	barron	PROPN
commonwealth-489	365	29	.	.	PUNCT
commonwealth-489	365	30	2002	2002	NUM
commonwealth-489	365	31	.	.	PUNCT
commonwealth-489	366	1	“	"	PUNCT
commonwealth-489	366	2	the	the	DET
commonwealth-489	366	3	perceived	perceive	VERB
commonwealth-489	366	4	impact	impact	NOUN
commonwealth-489	366	5	of	of	ADP
commonwealth-489	366	6	privatization	privatization	NOUN
commonwealth-489	366	7	on	on	ADP
commonwealth-489	366	8	local	local	ADJ
commonwealth-489	366	9	health	health	NOUN
commonwealth-489	366	10	departments	department	NOUN
commonwealth-489	366	11	.	.	PUNCT
commonwealth-489	366	12	”	"	PUNCT
commonwealth-489	367	1	american	american	PROPN
commonwealth-489	367	2	journal	journal	PROPN
commonwealth-489	367	3	of	of	ADP
commonwealth-489	367	4	public	public	ADJ
commonwealth-489	367	5	health	health	NOUN
commonwealth-489	367	6	.	.	PUNCT
commonwealth-489	368	1	7:1178	7:1178	NUM
commonwealth-489	368	2	-	-	SYM
commonwealth-489	368	3	82	82	NUM
commonwealth-489	368	4	.	.	PUNCT
commonwealth-489	369	1	koplin	koplin	PROPN
commonwealth-489	369	2	,	,	PUNCT
commonwealth-489	369	3	allan	allan	PROPN
commonwealth-489	369	4	.	.	PROPN
commonwealth-489	369	5	1993	1993	NUM
commonwealth-489	369	6	.	.	PUNCT
commonwealth-489	370	1	“	"	PUNCT
commonwealth-489	370	2	a	a	DET
commonwealth-489	370	3	national	national	ADJ
commonwealth-489	370	4	program	program	NOUN
commonwealth-489	370	5	to	to	PART
commonwealth-489	370	6	restructure	restructure	VERB
commonwealth-489	370	7	local	local	ADJ
commonwealth-489	370	8	public	public	ADJ
commonwealth-489	370	9	health	health	NOUN
commonwealth-489	370	10	agencies	agency	NOUN
commonwealth-489	370	11	in	in	ADP
commonwealth-489	370	12	the	the	DET
commonwealth-489	370	13	united	united	PROPN
commonwealth-489	370	14	states	states	PROPN
commonwealth-489	370	15	.	.	PUNCT
commonwealth-489	370	16	”	"	PUNCT
commonwealth-489	371	1	j	j	PROPN
commonwealth-489	371	2	public	public	ADJ
commonwealth-489	371	3	health	health	NOUN
commonwealth-489	371	4	policy	policy	NOUN
commonwealth-489	371	5	4:393	4:393	NOUN
commonwealth-489	371	6	-	-	PUNCT
commonwealth-489	371	7	402	402	NUM
commonwealth-489	371	8	.	.	PUNCT
commonwealth-489	372	1	levi	levi	PROPN
commonwealth-489	372	2	,	,	PUNCT
commonwealth-489	372	3	jeffery	jeffery	PROPN
commonwealth-489	372	4	,	,	PUNCT
commonwealth-489	372	5	chrissie	chrissie	PROPN
commonwealth-489	372	6	juliano	juliano	PROPN
commonwealth-489	372	7	,	,	PUNCT
commonwealth-489	372	8	and	and	CCONJ
commonwealth-489	372	9	maxwell	maxwell	PROPN
commonwealth-489	372	10	richardson	richardson	PROPN
commonwealth-489	372	11	.	.	PUNCT
commonwealth-489	372	12	2007	2007	NUM
commonwealth-489	372	13	.	.	PUNCT
commonwealth-489	373	1	“	"	PUNCT
commonwealth-489	373	2	financing	finance	VERB
commonwealth-489	373	3	public	public	ADJ
commonwealth-489	373	4	health	health	NOUN
commonwealth-489	373	5	:	:	PUNCT
commonwealth-489	373	6	diminished	diminish	VERB
commonwealth-489	373	7	funding	funding	NOUN
commonwealth-489	373	8	for	for	ADP
commonwealth-489	373	9	core	core	NOUN
commonwealth-489	373	10	needs	need	NOUN
commonwealth-489	373	11	and	and	CCONJ
commonwealth-489	373	12	state	state	NOUN
commonwealth-489	373	13	-	-	PUNCT
commonwealth-489	373	14	by	by	ADP
commonwealth-489	373	15	-	-	PUNCT
commonwealth-489	373	16	state	state	NOUN
commonwealth-489	373	17	variation	variation	NOUN
commonwealth-489	373	18	in	in	ADP
commonwealth-489	373	19	support	support	NOUN
commonwealth-489	373	20	.	.	PUNCT
commonwealth-489	373	21	”	"	PUNCT
commonwealth-489	373	22	journal	journal	NOUN
commonwealth-489	373	23	of	of	ADP
commonwealth-489	373	24	public	public	ADJ
commonwealth-489	373	25	health	health	NOUN
commonwealth-489	373	26	management	management	NOUN
commonwealth-489	373	27	practice	practice	NOUN
commonwealth-489	373	28	13:97	13:97	NUM
commonwealth-489	373	29	-	-	SYM
commonwealth-489	373	30	102	102	NUM
commonwealth-489	373	31	.	.	PUNCT
commonwealth-489	374	1	mays	may	NOUN
commonwealth-489	374	2	,	,	PUNCT
commonwealth-489	374	3	glen	glen	PROPN
commonwealth-489	374	4	,	,	PUNCT
commonwealth-489	374	5	k.	k.	PROPN
commonwealth-489	374	6	halverson	halverson	PROPN
commonwealth-489	374	7	,	,	PUNCT
commonwealth-489	374	8	edward	edward	PROPN
commonwealth-489	374	9	l.	l.	PROPN
commonwealth-489	374	10	baker	baker	PROPN
commonwealth-489	374	11	,	,	PUNCT
commonwealth-489	374	12	rachel	rachel	PROPN
commonwealth-489	374	13	stevens	stevens	PROPN
commonwealth-489	374	14	,	,	PUNCT
commonwealth-489	374	15	and	and	CCONJ
commonwealth-489	374	16	julie	julie	PROPN
commonwealth-489	374	17	j.	j.	PROPN
commonwealth-489	374	18	vann	vann	PROPN
commonwealth-489	374	19	.	.	PUNCT
commonwealth-489	375	1	2004	2004	NUM
commonwealth-489	375	2	.	.	PUNCT
commonwealth-489	376	1	“	"	PUNCT
commonwealth-489	376	2	availability	availability	NOUN
commonwealth-489	376	3	and	and	CCONJ
commonwealth-489	376	4	perceived	perceive	VERB
commonwealth-489	376	5	effectiveness	effectiveness	NOUN
commonwealth-489	376	6	of	of	ADP
commonwealth-489	376	7	public	public	ADJ
commonwealth-489	376	8	health	health	NOUN
commonwealth-489	376	9	activities	activity	NOUN
commonwealth-489	376	10	in	in	ADP
commonwealth-489	376	11	the	the	DET
commonwealth-489	376	12	nation	nation	NOUN
commonwealth-489	376	13	’s	’s	PART
commonwealth-489	376	14	most	most	ADV
commonwealth-489	376	15	populous	populous	ADJ
commonwealth-489	376	16	communities	community	NOUN
commonwealth-489	376	17	.	.	PUNCT
commonwealth-489	376	18	”	"	PUNCT
commonwealth-489	377	1	american	american	PROPN
commonwealth-489	377	2	journal	journal	PROPN
commonwealth-489	377	3	of	of	ADP
commonwealth-489	377	4	public	public	ADJ
commonwealth-489	377	5	health	health	NOUN
commonwealth-489	377	6	94	94	NUM
commonwealth-489	377	7	:	:	PUNCT
commonwealth-489	377	8	1016	1016	NUM
commonwealth-489	377	9	-	-	SYM
commonwealth-489	377	10	1026	1026	NUM
commonwealth-489	377	11	.	.	PUNCT
commonwealth-489	378	1	montgomery	montgomery	PROPN
commonwealth-489	378	2	county	county	PROPN
commonwealth-489	378	3	.	.	PUNCT
commonwealth-489	379	1	montgomery	montgomery	PROPN
commonwealth-489	379	2	county	county	PROPN
commonwealth-489	379	3	health	health	PROPN
commonwealth-489	379	4	department	department	PROPN
commonwealth-489	379	5	program	program	NOUN
commonwealth-489	379	6	plans	plan	NOUN
commonwealth-489	379	7	.	.	PUNCT
commonwealth-489	380	1	montgomery	montgomery	PROPN
commonwealth-489	380	2	county	county	PROPN
commonwealth-489	380	3	government	government	NOUN
commonwealth-489	380	4	:	:	PUNCT
commonwealth-489	380	5	norristown	norristown	PROPN
commonwealth-489	380	6	,	,	PUNCT
commonwealth-489	380	7	pa	pa	PROPN
commonwealth-489	380	8	.	.	PROPN
commonwealth-489	380	9	2001	2001	NUM
commonwealth-489	380	10	.	.	PUNCT
commonwealth-489	381	1	national	national	PROPN
commonwealth-489	381	2	association	association	PROPN
commonwealth-489	381	3	of	of	ADP
commonwealth-489	381	4	county	county	PROPN
commonwealth-489	381	5	and	and	CCONJ
commonwealth-489	381	6	city	city	NOUN
commonwealth-489	381	7	health	health	NOUN
commonwealth-489	381	8	officials	official	NOUN
commonwealth-489	381	9	.	.	PUNCT
commonwealth-489	382	1	march	march	PROPN
commonwealth-489	382	2	2003	2003	NUM
commonwealth-489	382	3	.	.	PUNCT
commonwealth-489	383	1	executive	executive	ADJ
commonwealth-489	383	2	director	director	NOUN
commonwealth-489	383	3	congressional	congressional	ADJ
commonwealth-489	383	4	testimony	testimony	NOUN
commonwealth-489	383	5	.	.	PUNCT
commonwealth-489	384	1	national	national	PROPN
commonwealth-489	384	2	association	association	PROPN
commonwealth-489	384	3	of	of	ADP
commonwealth-489	384	4	county	county	PROPN
commonwealth-489	384	5	and	and	CCONJ
commonwealth-489	384	6	city	city	NOUN
commonwealth-489	384	7	health	health	NOUN
commonwealth-489	384	8	officials	official	NOUN
commonwealth-489	384	9	.	.	PUNCT
commonwealth-489	385	1	2005	2005	NUM
commonwealth-489	385	2	.	.	PUNCT
commonwealth-489	386	1	“	"	PUNCT
commonwealth-489	386	2	2005	2005	NUM
commonwealth-489	386	3	local	local	ADJ
commonwealth-489	386	4	profile	profile	NOUN
commonwealth-489	386	5	local	local	ADJ
commonwealth-489	386	6	health	health	NOUN
commonwealth-489	386	7	departments	department	NOUN
commonwealth-489	386	8	.	.	PUNCT
commonwealth-489	386	9	”	"	PUNCT
commonwealth-489	387	1	http://www.naccho.org/topics/infrastructure/2005	http://www.naccho.org/topics/infrastructure/2005	PROPN
commonwealth-489	387	2	profile.cfm	profile.cfm	X
commonwealth-489	387	3	(	(	PUNCT
commonwealth-489	387	4	accessed	access	VERB
commonwealth-489	387	5	march	march	PROPN
commonwealth-489	387	6	10	10	NUM
commonwealth-489	387	7	,	,	PUNCT
commonwealth-489	387	8	2007	2007	NUM
commonwealth-489	387	9	)	)	PUNCT
commonwealth-489	387	10	.	.	PUNCT
commonwealth-489	388	1	o’hara	o’hara	NOUN
commonwealth-489	388	2	,	,	PUNCT
commonwealth-489	388	3	james	james	PROPN
commonwealth-489	388	4	.	.	PROPN
commonwealth-489	388	5	2001	2001	NUM
commonwealth-489	388	6	.	.	PUNCT
commonwealth-489	389	1	“	"	PUNCT
commonwealth-489	389	2	west	west	PROPN
commonwealth-489	389	3	nile	nile	PROPN
commonwealth-489	389	4	virus	virus	PROPN
commonwealth-489	389	5	:	:	PUNCT
commonwealth-489	389	6	success	success	NOUN
commonwealth-489	389	7	of	of	ADP
commonwealth-489	389	8	public	public	ADJ
commonwealth-489	389	9	health	health	NOUN
commonwealth-489	389	10	response	response	NOUN
commonwealth-489	389	11	underlines	underline	VERB
commonwealth-489	389	12	failure	failure	NOUN
commonwealth-489	389	13	of	of	ADP
commonwealth-489	389	14	the	the	DET
commonwealth-489	389	15	system	system	NOUN
commonwealth-489	389	16	.	.	PUNCT
commonwealth-489	390	1	j	j	PROPN
commonwealth-489	390	2	urban	urban	PROPN
commonwealth-489	390	3	health	health	PROPN
commonwealth-489	390	4	2:392	2:392	PROPN
commonwealth-489	390	5	-	-	SYM
commonwealth-489	390	6	5	5	NUM
commonwealth-489	390	7	.	.	PUNCT
commonwealth-489	391	1	pennsylvania	pennsylvania	PROPN
commonwealth-489	391	2	department	department	PROPN
commonwealth-489	391	3	of	of	ADP
commonwealth-489	391	4	health	health	PROPN
commonwealth-489	391	5	,	,	PUNCT
commonwealth-489	391	6	2007	2007	NUM
commonwealth-489	391	7	.	.	PUNCT
commonwealth-489	392	1	“	"	PUNCT
commonwealth-489	392	2	who	who	PRON
commonwealth-489	392	3	are	be	AUX
commonwealth-489	392	4	we	we	PRON
commonwealth-489	392	5	.	.	PUNCT
commonwealth-489	392	6	”	"	PUNCT
commonwealth-489	393	1	www.dsf.health.state.pa.us/	www.dsf.health.state.pa.us/	VERB
commonwealth-489	393	2	health	health	NOUN
commonwealth-489	393	3	/	/	SYM
commonwealth-489	393	4	site	site	NOUN
commonwealth-489	393	5	/	/	SYM
commonwealth-489	393	6	default.asp	default.asp	X
commonwealth-489	393	7	(	(	PUNCT
commonwealth-489	393	8	accessed	access	VERB
commonwealth-489	393	9	march	march	PROPN
commonwealth-489	393	10	13	13	NUM
commonwealth-489	393	11	,	,	PUNCT
commonwealth-489	393	12	2007	2007	NUM
commonwealth-489	393	13	)	)	PUNCT
commonwealth-489	393	14	.	.	PUNCT
commonwealth-489	394	1	pennsylvania	pennsylvania	PROPN
commonwealth-489	394	2	department	department	PROPN
commonwealth-489	394	3	of	of	ADP
commonwealth-489	394	4	health	health	PROPN
commonwealth-489	394	5	,	,	PUNCT
commonwealth-489	394	6	2007	2007	NUM
commonwealth-489	394	7	.	.	PUNCT
commonwealth-489	395	1	state	state	NOUN
commonwealth-489	395	2	health	health	PROPN
commonwealth-489	395	3	improvement	improvement	NOUN
commonwealth-489	395	4	plan	plan	NOUN
commonwealth-489	395	5	.	.	PUNCT
commonwealth-489	396	1	www.dsf	www.dsf	NOUN
commonwealth-489	396	2	.	.	PUNCT
commonwealth-489	397	1	health.state.pa.us/health/site/default.asp	health.state.pa.us/health/site/default.asp	NOUN
commonwealth-489	397	2	(	(	PUNCT
commonwealth-489	397	3	accessed	access	VERB
commonwealth-489	397	4	march	march	PROPN
commonwealth-489	397	5	1	1	NUM
commonwealth-489	397	6	,	,	PUNCT
commonwealth-489	397	7	2007	2007	NUM
commonwealth-489	397	8	)	)	PUNCT
commonwealth-489	397	9	.	.	PUNCT
commonwealth-489	398	1	potter	potter	PROPN
commonwealth-489	398	2	,	,	PUNCT
commonwealth-489	398	3	margaret	margaret	PROPN
commonwealth-489	398	4	,	,	PUNCT
commonwealth-489	398	5	and	and	CCONJ
commonwealth-489	398	6	tiffany	tiffany	PROPN
commonwealth-489	398	7	fitzpatrick	fitzpatrick	PROPN
commonwealth-489	398	8	.	.	PUNCT
commonwealth-489	399	1	2007	2007	NUM
commonwealth-489	399	2	.	.	PUNCT
commonwealth-489	400	1	“	"	PUNCT
commonwealth-489	400	2	state	state	NOUN
commonwealth-489	400	3	funding	funding	NOUN
commonwealth-489	400	4	for	for	ADP
commonwealth-489	400	5	local	local	ADJ
commonwealth-489	400	6	public	public	ADJ
commonwealth-489	400	7	health	health	NOUN
commonwealth-489	400	8	:	:	PUNCT
commonwealth-489	400	9	observations	observation	NOUN
commonwealth-489	400	10	from	from	ADP
commonwealth-489	400	11	six	six	NUM
commonwealth-489	400	12	case	case	NOUN
commonwealth-489	400	13	studies	study	NOUN
commonwealth-489	400	14	.	.	PUNCT
commonwealth-489	400	15	”	"	PUNCT
commonwealth-489	401	1	public	public	ADJ
commonwealth-489	401	2	health	health	NOUN
commonwealth-489	401	3	management	management	NOUN
commonwealth-489	401	4	practice	practice	NOUN
commonwealth-489	401	5	13:163168	13:163168	NUM
commonwealth-489	401	6	.	.	PUNCT
commonwealth-489	402	1	ridge	ridge	PROPN
commonwealth-489	402	2	,	,	PUNCT
commonwealth-489	402	3	tom	tom	PROPN
commonwealth-489	402	4	.	.	PROPN
commonwealth-489	402	5	2003	2003	NUM
commonwealth-489	402	6	.	.	PUNCT
commonwealth-489	403	1	testimony	testimony	NOUN
commonwealth-489	403	2	before	before	ADP
commonwealth-489	403	3	the	the	DET
commonwealth-489	403	4	senate	senate	PROPN
commonwealth-489	403	5	committee	committee	PROPN
commonwealth-489	403	6	on	on	ADP
commonwealth-489	403	7	governmental	governmental	ADJ
commonwealth-489	403	8	affairs	affair	NOUN
commonwealth-489	403	9	.	.	PUNCT
commonwealth-489	404	1	march	march	PROPN
commonwealth-489	404	2	2003	2003	NUM
commonwealth-489	404	3	.	.	PUNCT
commonwealth-489	405	1	rotstein	rotstein	PROPN
commonwealth-489	405	2	,	,	PUNCT
commonwealth-489	405	3	gary	gary	PROPN
commonwealth-489	405	4	,	,	PUNCT
commonwealth-489	405	5	and	and	CCONJ
commonwealth-489	405	6	christopher	christopher	PROPN
commonwealth-489	405	7	snowbeck	snowbeck	PROPN
commonwealth-489	405	8	.	.	PUNCT
commonwealth-489	406	1	november	november	PROPN
commonwealth-489	406	2	6	6	NUM
commonwealth-489	406	3	,	,	PUNCT
commonwealth-489	406	4	2003	2003	NUM
commonwealth-489	406	5	.	.	PUNCT
commonwealth-489	407	1	“	"	PUNCT
commonwealth-489	407	2	hepatitis	hepatitis	NOUN
commonwealth-489	407	3	outbreak	outbreak	NOUN
commonwealth-489	407	4	in	in	ADP
commonwealth-489	407	5	beaver	beaver	PROPN
commonwealth-489	407	6	triggers	trigger	NOUN
commonwealth-489	407	7	shots	shot	NOUN
commonwealth-489	407	8	for	for	ADP
commonwealth-489	407	9	nearly	nearly	ADV
commonwealth-489	407	10	3,000	3,000	NUM
commonwealth-489	407	11	.	.	PUNCT
commonwealth-489	407	12	”	"	PUNCT
commonwealth-489	408	1	pittsburgh	pittsburgh	PROPN
commonwealth-489	408	2	post	post	PROPN
commonwealth-489	408	3	-	-	PROPN
commonwealth-489	408	4	gazette	gazette	PROPN
commonwealth-489	408	5	.	.	PUNCT
commonwealth-489	409	1	turnock	turnock	PROPN
commonwealth-489	409	2	,	,	PUNCT
commonwealth-489	409	3	bernard	bernard	PROPN
commonwealth-489	409	4	.	.	PUNCT
commonwealth-489	410	1	2004	2004	NUM
commonwealth-489	410	2	.	.	PUNCT
commonwealth-489	411	1	“	"	PUNCT
commonwealth-489	411	2	public	public	ADJ
commonwealth-489	411	3	health	health	NOUN
commonwealth-489	411	4	what	what	PRON
commonwealth-489	411	5	it	it	PRON
commonwealth-489	411	6	is	be	AUX
commonwealth-489	411	7	and	and	CCONJ
commonwealth-489	411	8	how	how	SCONJ
commonwealth-489	411	9	it	it	PRON
commonwealth-489	411	10	works	work	VERB
commonwealth-489	411	11	.	.	PUNCT
commonwealth-489	411	12	”	"	PUNCT
commonwealth-489	411	13	boston	boston	PROPN
commonwealth-489	411	14	,	,	PUNCT
commonwealth-489	411	15	ma	ma	PROPN
commonwealth-489	411	16	:	:	PUNCT
commonwealth-489	411	17	jones	jones	PROPN
commonwealth-489	411	18	and	and	CCONJ
commonwealth-489	411	19	bartlett	bartlett	PROPN
commonwealth-489	411	20	.	.	PUNCT
commonwealth-489	411	21	trevino	trevino	PROPN
commonwealth-489	411	22	,	,	PUNCT
commonwealth-489	411	23	fernando	fernando	PROPN
commonwealth-489	411	24	,	,	PUNCT
commonwealth-489	411	25	and	and	CCONJ
commonwealth-489	411	26	jeff	jeff	PROPN
commonwealth-489	411	27	jacobs	jacobs	PROPN
commonwealth-489	411	28	.	.	PUNCT
commonwealth-489	411	29	1994	1994	NUM
commonwealth-489	411	30	.	.	PUNCT
commonwealth-489	412	1	“	"	PUNCT
commonwealth-489	412	2	public	public	ADJ
commonwealth-489	412	3	health	health	NOUN
commonwealth-489	412	4	and	and	CCONJ
commonwealth-489	412	5	health	health	NOUN
commonwealth-489	412	6	care	care	NOUN
commonwealth-489	412	7	reform	reform	NOUN
commonwealth-489	412	8	:	:	PUNCT
commonwealth-489	412	9	the	the	DET
commonwealth-489	412	10	american	american	ADJ
commonwealth-489	412	11	public	public	PROPN
commonwealth-489	412	12	health	health	PROPN
commonwealth-489	412	13	association	association	PROPN
commonwealth-489	412	14	’s	’s	PART
commonwealth-489	412	15	perspective	perspective	NOUN
commonwealth-489	412	16	.	.	PUNCT
commonwealth-489	412	17	”	"	PUNCT
commonwealth-489	413	1	journal	journal	NOUN
commonwealth-489	413	2	of	of	ADP
commonwealth-489	413	3	public	public	ADJ
commonwealth-489	413	4	health	health	NOUN
commonwealth-489	413	5	policy	policy	NOUN
commonwealth-489	413	6	4	4	NUM
commonwealth-489	413	7	:	:	SYM
commonwealth-489	413	8	397	397	NUM
commonwealth-489	413	9	-	-	SYM
commonwealth-489	413	10	406	406	NUM
commonwealth-489	413	11	.	.	PUNCT
commonwealth-489	414	1	trust	trust	NOUN
commonwealth-489	414	2	for	for	ADP
commonwealth-489	414	3	america	america	PROPN
commonwealth-489	414	4	’s	’s	PART
commonwealth-489	414	5	health	health	NOUN
commonwealth-489	414	6	.	.	PUNCT
commonwealth-489	415	1	december	december	PROPN
commonwealth-489	415	2	11	11	NUM
commonwealth-489	415	3	,	,	PUNCT
commonwealth-489	415	4	2003	2003	NUM
commonwealth-489	415	5	.	.	PUNCT
commonwealth-489	416	1	“	"	PUNCT
commonwealth-489	416	2	pennsylvania	pennsylvania	PROPN
commonwealth-489	416	3	scores	score	VERB
commonwealth-489	416	4	3	3	NUM
commonwealth-489	416	5	out	out	ADP
commonwealth-489	416	6	of	of	ADP
commonwealth-489	416	7	10	10	NUM
commonwealth-489	416	8	in	in	ADP
commonwealth-489	416	9	new	new	ADJ
commonwealth-489	416	10	bioterrorism	bioterrorism	NOUN
commonwealth-489	416	11	preparedness	preparedness	NOUN
commonwealth-489	416	12	study	study	NOUN
commonwealth-489	416	13	.	.	PUNCT
commonwealth-489	416	14	”	"	PUNCT
commonwealth-489	417	1	press	press	NOUN
commonwealth-489	417	2	release	release	NOUN
commonwealth-489	417	3	.	.	PUNCT
commonwealth-489	418	1	u.s	u.s	PROPN
commonwealth-489	418	2	.	.	PROPN
commonwealth-489	418	3	department	department	PROPN
commonwealth-489	418	4	of	of	ADP
commonwealth-489	418	5	transportation	transportation	PROPN
commonwealth-489	418	6	federal	federal	ADJ
commonwealth-489	418	7	transit	transit	NOUN
commonwealth-489	418	8	formula	formula	NOUN
commonwealth-489	418	9	grants	grant	NOUN
commonwealth-489	418	10	.	.	PUNCT
commonwealth-489	419	1	2004	2004	NUM
commonwealth-489	419	2	.	.	PUNCT
commonwealth-489	420	1	49	49	NUM
commonwealth-489	420	2	u.s.c	u.s.c	ADJ
commonwealth-489	420	3	.	.	PUNCT
commonwealth-489	421	1	5307	5307	NUM
commonwealth-489	421	2	,	,	PUNCT
commonwealth-489	421	3	2003	2003	NUM
commonwealth-489	421	4	.	.	PUNCT
commonwealth-489	422	1	http://www.cfda.gov	http://www.cfda.gov	PUNCT
commonwealth-489	422	2	(	(	PUNCT
commonwealth-489	422	3	accessed	access	VERB
commonwealth-489	422	4	may	may	PROPN
commonwealth-489	422	5	5	5	NUM
commonwealth-489	422	6	,	,	PUNCT
commonwealth-489	422	7	2004	2004	NUM
commonwealth-489	422	8	)	)	PUNCT
commonwealth-489	422	9	.	.	PUNCT