2018-05-09T08:06:44-05:00 2017-06-30 390859910 Baker Tilly Virchow Krause LLP 1650 Market Street Suite 4500 Philadelphia PA 191037341 990 2016-07-01 240795623 Pocono Medical Center POCO 5704214000 206 East Brown Street East Stroudsburg PA 18301 WILLIAM THOMA SVP Finance 5704214000 2018-04-27 1 Julius C Green CPA P00350393 2159720701 2016 2022-09-23 18:48:47Z Lehigh Valley Hospital - Pocono Elizabeth Wise 206 East Brown Street East Stroudsburg PA 18301 281542751 0 X www.poconohealthsystem.org X 1915 PA to provide world-class healthcare close to home. 15 11 2096 464 0 0 4595795 10882650 297970644 269062982 2758495 962981 978727 626645 306303661 281535258 30338734 38224707 0 0 117744205 113480594 0 0 0 154408246 161182418 302491185 312887719 3812476 -31352461 371857026 323351821 186081835 172565809 185775191 150786012 X Our mission is who we are and what we do: to provide world class care close to home. Our vision is what we aim for to best serve our community: to build a healthier community. 0 0 243614918 38224707 215203125 Pocono Medical Center is a 239-bed, acute care, not-for-profit community hospital located in East Stroudsburg, PA. With more than 275 physicians, nearly 2,000 staff members and CLOSE TO 400 volunteers, our organization's mission is to provide world-class healthcare to our community for those services most critical to the community's health needs.PMC had 47,743 patient days of stay. Over 6,000 surgeries were completed, and the PMC received 320,747 outpatient visits, including our Emergency Department (ED).These funds take the form of direct patient care, community health education, professional and patient education and community partnerships. PMC provides quality, cost-effective healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursements for services rendered are critical to the operation and stability of PMC, it is recognized that not all individuals have the same ability to pay for vital medical services. To that end, as part of our charitable mission to serve all members of the community, free care, subsidized care and health activities, programs and screenings are available to all community members, regardless of their ability to pay. Emergency Department PMC provides a number of direct patient care services to the uninsured and underinsured in our community. The ED typically serves as the principal means of healthcare for these patients. During the FY 2017 the ED saw OVER 63,000 patients, over 9% are admitted to the hospital through the ED and make up 48% of our total admissions. ESSA Heart and Vascular Institute PMC's ESSA Heart and Vascular Institute (HVI) provides comprehensive care for addressing the second highest cause of death of adults in our county, heart disease. Our program, established in 2007, has performed NEARLY 3,500 open-heart surgeries since 2009. In the years following the ESSA HVI has received full accreditation by the Society of Chest Pain Center as a Heart Failure Center and a Chest Pain Center. For the convenience of our patients and to improve operational efficiencies, we centralized our cardiac care services and opened a new Heart Rhythm Center. The Cardiac Catheterization Labs, Cardiac Rehabilitation Department and various non-invasive cardiac services (such as pacemaker checks, cardiac stress testing, nuclear stress testing, pulmonary rehab and stress echo) were relocated to offer comprehensive heart care in one location. In addition to offering minimally invasive surgical procedures to treat heart arrhythmias, our Heart Rhythm Center provides a fully equipped Electrophysiology (EP) Lab. The EP lab provides atrial and ventricular node diagnostics and ablation, intra cardiac 3D Echo and 3D cardio capabilities, as well as bi-ventricular pacemakers-services patients previously needed to travel to other facilities to receive. 24/7 Expert Stroke Care PMC joined the Jefferson Neuroscience Network, giving our patients and physicians on-call access to expert stroke teams. Jefferson Expert Teleconsulting is the region's first high-tech, robotic system that enables physicians to provide faster diagnosis and more effective treatment. Level III Trauma Center Our Level III Trauma designation brings an advanced, lifesaving level of care for severely injured patients, close to home. This milestone allowed us to provide quality, patient-centered trauma care to the individuals who live, visit and work in our community. Our coordinated, comprehensive team of trauma surgeons, orthopedic surgeons, cardiac surgeons, radiologists, nurses, lab's imaging technicians and other support staff are available 24 hours a day, 365 days a year. Advanced Wound Care Our Wound Care Center has two hyperbaric oxygen therapy chambers, enhancing the center's ability to care for patients with wounds that don't heal as they should. Inside the chamber, a patient breathes pure oxygen at a pressure two to three times higher than normal. The therapy is designed to promote healing of damaged tissue. WELLNESS PROGRAMAs a free wellness program at Pocono Medical Center, PMC Healthy Living aims to motivate and inspire people to make positive changes in order to lead their healthiest, happiest life. As a member, people throughout the Poconos are provided with life-changing health information and access to medical services available through leading experts, fun and informational activities. At PMC we offer a wide variety of Healthy Living programs, including: -Educational talks by health care providers Community wellness events -Free health screenings -Membership events and activities that are geared at improving your lifestyle and having fun -Monthly emails about what's going on in the community and information on current health topics.Medical Home With all services to be in one location, our comprehensive and coordinated medical home cares for patients and families with chronic diseases as well as expert specialty care. This patient and family centered approach provides health care that will encompass the entire spectrum of treatment with an emphasis on primary care and preventive medicine. This includes an endocrinology service line that provides the latest procedures and techniques for hormone imbalances, dermatology for treatment of skin disorders, vascular surgery, obstetrics/gynecology and behavioral health for those with mental health disorders. The Pocono Health System Community Care Network will assist those patients that require additional services at home. Immediate Care Centers are associated with each medical home to provide urgent treatment when needed without requiring an appointment. PMC opened the Bartonsville Healthcare Center, AS WELL AS THE NEW WEST END HEALTHCARE CENTER, LOCATED IN BROADHEADSVILLE. ThEsE new locationS provide convenient access for medical care with comprehensive services including primary care, endocrinology, OB/GYN, breast center including 3D mammography, imaging and a lab.Immediate Care Center Dotted throughout the Poconos, PMC's Immediate Care Centers are established in East Stroudsburg, Bartonsville, Tobyhanna and BROADHEADSVILLE. THEY offer walk-in medical care 12 hours a day, without the cost of ER co-pays. These facilities are fully backed by the services at PMC.Recent accomplishments:-PMC received the American Heart Association/American Stroke Association's prestigious Get with the Guidelines - Stroke Silver Quality Achievement Award.-PMC earned an 'A' grade for patient safety from the LeapFrog group, a national nonprofit organization that collects data and reports hospitals' performance by assigning a traditional letter grade.-Healthgrades has awarded Labor & Delivery at PMC with its prestigious 5-Star rating for superior delivery of patient care.-Healthgrades has awarded OB/Gyn at PMC with its prestigious 5-Star rating for excellence in patient care.-PMC was recognized as one of the best hospitals for 2015-2016 in Pennsylvania by U.S. News & World Report for both heart failure and bypass surgery.-PMC received the 2016 Healthgrades Patient Safety Excellence Award. This elite distinction places PMC in the nation's top 10% of all hospitals evaluated for their performance in safeguarding patients from serious, potentially preventable complications during their hospital stays. 3526077 0 54785407 Dale and Frances Hughes Cancer Center Officially opening its doors on June 18, 2012, the new Dale & Frances Hughes Cancer Center provides a full line of state-of-the-art cancer treatment services for patients in our community, with a human-centered approach that embraces genuine respect and compassion for patients and their loved ones.The Hughes Cancer Center also received a three-year accreditation from the American College of Radiation Oncology and was awarded the Outstanding Achievement Award of the Commission on Cancer for 2011. The Hughes Cancer Center offers some of the most sophisticated radiation equipment, facilities, and expertly trained staff for cancer treatment, including a certified medical dosimetrist, two radiation physicists, and a dedicated surgical oncologist. The Center is one of the first of 25 cancer centers in the country to use Intensity Modulated Radiation Therapy (IMRT) and one of the first of 50 in the world to use Image-Guided Radiation Therapy (IGRT). The Hughes Cancer Center continues to explore new, innovative treatments such as using Stereotactic Body Radiation Therapy for treating non-operable lung cancer-the leading cancer in our community and nationwide. In addition, radiation oncologists have also implemented partial breast irradiation as a treatment protocol. Perhaps equally as important as our leading edge technology is the compassion and commitment our physicians and nurses at the Hughes Cancer Center bring to each and every patient. To that end, the Hughes Cancer Center offers a variety of support services for patients and families dealing with cancer diagnosis and treatment. Our support services include a Complimentary Alternative Medicine program, a full-time breast health Nurse Navigator and Thoracic Nurse Navigator dedicated to assisting patients and their loved ones who have been diagnosed with breast and lung cancer. Survivorship programs, educational services, social services, counseling and group support, pastoral care, and more are also a part of the support services. In addition, free screenings, including prostate, breast, skin, oral and colorectal are offered to the community throughout the year.The culmination of our efforts towards excellence has resulted in the 59,000 square-foot Hughes Cancer Center, opened in 2012, featuring state-of-the-art technologies, patient centered design and comprehensive cancer care under one roof. 1566177 0 20763 PMC OUTPATIENT DIAGNOSTIC LABORATORYPMC'S OUTPATIENT LABORATORY IS RECOGNIZED AS THE PRINCIPAL PROVIDER OF THE FINEST CLINICAL DIAGNOSTIC SERVICES TO OUTPATIENTS, AS WELL AS PHYSICIAN OFFICES AND NURSING HOMES IN THE AREA. IN FISCAL YEAR 2017, POCONO MEDICAL CENTER'S OUTPATIENT DIAGNOSTIC LAB VISITS TOTALED 124,422 INCLUDING NURSING HOME COLLECTIONS AND OUTPATIENT VISITS AT OUTPATIENT COLLECTION SITES.IMPROVING QUALITY, CONTINUITY OF CARE TO BETTER SERVE PATIENTS AT EVERY STAGE OF THEIR LIVES, PHS ACQUIRED THE VISITING NURSE ASSOCIATION (VNA) AND HOSPICE OF MONROE COUNTY. THIS ADDITION STRENGTHENS OUR ABILITY TO DELIVER ONGOING HEALTH CARE TO PATIENTS AND THEIR FAMILIES IN THE COMFORT OF THEIR HOMES. LEARNING INSTITUTETHE LEARNING INSTITUTE, AN OFF-SITE EDUCATIONAL FACILITY OPERATED BY PHS AND STAFFED BY PMC/NFP NURSE EDUCATORS AND HUMAN RESOURCE DEVELOPMENT TRAINING STAFF, OFFERS COURSES AND SEMINARS TO PHS EMPLOYEES AND COMMUNITY MEMBERS, INCLUDING CPR CERTIFICATION AND RE-CERTIFICATION, IN-SERVICE TRAINING, PHTLS (PRE-HOSPITAL TRAUMA LIFE SUPPORT) COURSES, PREPARED CHILDBIRTH AND BREASTFEEDING CLASSES. THE LEARNING INSTITUTE ALSO HOUSES A LOCAL NURSE-FAMILY PARTNERSHIP (NFP) PROGRAM, WHICH IS A NATIONAL, RESEARCH-BASED ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR LOW-INCOME CHILDREN AND FAMILIES.PROFESSIONAL DEVELOPMENTCONTINUING EDUCATION OPPORTUNITIESTHE CONTINUING EDUCATION PROCESS PROVIDES OPPORTUNITIES TO THE ORGANIZATION AND EMPLOYEES TO REQUEST ATTENDANCE OF OFF-SITE MEETINGS AND PROGRAMS PERTAINING TO HEALTH CARE ORGANIZATIONS AND JOB SPECIFICATIONS. AMERICAN HEART ASSOCIATION CERTIFICATION PROGRAMSAS A DESIGNATED AMERICAN HEART ASSOCIATION PROGRAM PROVIDER, POCONO HEALTH SYSTEM CERTIFIES ALL EMPLOYEES WHO ENROLL IN BLS (BASIC LIFE SUPPORT), ACLS (ADVANCED LIFE SUPPORT) AND PALS (PEDIATRIC ADVANCED LIFE SUPPORT). NURSE-FAMILY PARTNERSHIPNATIONALLY, THE NURSE-FAMILY PARTNERSHIP (NFP) IS A RESEARCH-BASED ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR LOW-INCOME CHILDREN AND FAMILIES AND CELEBRATED 15 YEARS OF SERVICE IN JULY 2017. POCONO MEDICAL CENTER'S NURSE-FAMILY PARTNERSHIP PROVIDES CRUCIAL SERVICES TO LOCAL AT-RISK NEW MOTHERS. REGISTERED NURSES WITH SPECIAL TRAINING IN PRENATAL AND INFANT CARE AS WELL AS PSYCHOSOCIAL DEVELOPMENT VISIT EXPECTANT MOTHERS IN THEIR OWN HOMES. THE VISITS BEGIN IN EARLY PREGNANCY AND CONTINUE UNTIL THE CHILD IS TWO-YEARS-OLD. HEALTHY LIFESTYLE HABITS ARE EMPHASIZED, PARENTING SKILLS ARE DEVELOPED, AND CAREER COUNSELING IS OFFERED. IN ADDITION, LIFESTYLE SKILLS SUCH AS MAKING THE HOME A SAFE PLACE FOR BABY, CONFLICT RESOLUTION, AND FISCAL RESPONSIBILITY ARE INTRODUCED THROUGH INDIVIDUAL INSTRUCTION AND GROUP ACTIVITIES. SINCE ITS INCEPTION IN AUGUST 2002, THE NURSE-FAMILY PARTNERSHIP OF MONROE COUNTRY HAS ENROLLED WELL OVER 1,000 MOMS IN THE NFP PROGRAM. DIABETES EDUCATIONCERTIFIED DIABETIC EDUCATORS, INCLUDING OUR NEW ENDOCRINOLOGY SERVICE LINE WITH DEDICATED ENDOCRINOLOGIST, REGISTERED NURSES AND DIETITIANS, CONDUCT PMC'S SUCCESS WITH THE DIABETES SELF-MANAGEMENT PROGRAM, PROVIDING OUR COMMUNITY MEMBERS WITH THE TOOLS AND KNOWLEDGE THEY NEED TO ENSURE A HEALTHY LIFESTYLE. SELF-MANAGEMENT EDUCATION IS AN ESSENTIAL PART OF DIABETES TREATMENT. COMBINED WITH MEDICAL AND NUTRITIONAL THERAPY, EDUCATION GIVES THE LEARNER THE ABILITY TO BECOME AN ACTIVE PARTICIPANT IN HIS/HER CARE. WELL-MANAGED DIABETES HAS BEEN SHOWN TO PREVENT AND/OR DELAY THE ACUTE AND CHRONIC COMPLICATIONS OF DIABETES AND REDUCE THE NUMBER AND LENGTH OF HOSPITAL ADMISSIONS. EDUCATIONAL TOPICS PROVIDED BY PMC'S SUCCESS WITH DIABETES SELF-MANAGEMENT PROGRAM INCLUDE:-OVERVIEW OF DIABETES -BEHAVIOR CHANGE STRATEGIES -BLOOD GLUCOSE LEVELS -PREVENTION, DETECTION, AND TREATMENTS OF ACUTE AND CHRONIC COMPLICATIONS -FOOT, SKIN, AND DENTAL CARE -STRESS MANAGEMENT AND PSYCHOLOGICAL ADJUSTMENT-GOAL SETTING -RISK FACTOR REDUCTION -PROBLEM SOLVING -APPROPRIATE USE OF HEALTH CARE SYSTEMS AND COMMUNITY RESOURCES COMMUNITY HEALTH AND OUTREACHTHE PMC COMMUNITY HEALTH AND OUTREACH PROGRAM IS COMMITTED TO PROVIDING THE TOOLS AND SERVICES NECESSARY FOR HELPING OUR COMMUNITY MEMBERS TO ENJOY LONGER, HEALTHIER LIVES. A VARIETY OF PROGRAMS OFFER A HOST OF CRUCIAL HEALTH AND WELLNESS SERVICES CONVENIENTLY DELIVERED TO BUSINESSES, CHURCHES, OR SOCIAL GROUPS AT NO COST. THE SCREENINGS AND SERVICES INCLUDED ARE: CARDIAC RISK ASSESSMENTS, BREAST CANCER RISK, PROSTATE CANCER, SKIN CANCER, HEALTHY LUNCH AND LEARNS, HEALTH AND WELLNESS SEMINARS AND TALKS, AND SUPPORT GROUPS.WOMEN'S AND CHILDREN'S SERVICESTHE LEVEL II NICU COMPLEMENTS A HOST OF OTHER SERVICES WITHIN OUR OB-GYN SERVICE LINE, INCLUDING PERINATOLOGY FOR HIGH-RISK MOTHERS, MATERNAL-FETAL SERVICES, A MIDWIFERY PROGRAM AND A UROGYNECOLOGY PROGRAM THAT PROVIDES ADVANCED TREATMENT, INCLUDING MINIMALLY-INVASIVE SURGERY, FOR CONDITIONS SUCH AS INCONTINENCE, ABNORMAL BLEEDING AND OTHERS. PMC ALSO OFFERS DIGITAL MAMMOGRAPHY AND THE MOST TECHNOLOGICALLY - ADVANCED BREAT CANCER TREATMENTS. WE ALSO HAVE DEDICATED BREAST HEALTH NURSE NAVIGATORS TO ASSIST PATIENTS WITH A BREAST CANCER DIAGNOSIS AND THE TREATMENT PROCESS. FOUR CONVENIENTLY LOCATED PMC PHYSICIAN ASSOCIATE OB-GYN PRACTICES ARE LOCATED IN KEY AREAS THROUGHOUT THE COMMUNITY TO IMPROVE ACCESS TO CARE. 248707172 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 150 0 1 2096 1 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X WILLIAM THOMA SVP FINANCE 5704204912 206 East Brown Street East Stroudsburg PA 18301 w Andrew Worthington Chairman 1.00 1.00 X X 0 0 0 ANDREW A FORTE TREASURER/Chair-Elect 1.00 1.00 X X 0 0 0 R Douglas Olmstead Secretary 1.00 2.00 X X 0 0 0 JEFF SNYDER PRESIDENT/CEO (term 1/1/17) 34.00 6.00 X X 668213 0 62821 Elizabeth Wise Acting President/CEO (as of 1/1/17) 1.00 39.00 X X 387389 0 44427 rajesh G Bhagat MD director 1.00 2.00 X 0 0 0 Carmine Cerra MD director 1.00 1.00 X 0 0 0 Lynn A Courtright DIREctor 1.00 1.00 X 0 0 0 Thomas Grayuski director 1.00 3.00 X 0 0 0 Elizabeth Koster DIREctor 1.00 3.00 X 0 0 0 Vincent Francescangeli MD chief of pmc medical staff 1.00 39.00 X 293204 0 32584 Richard A Staneski Director 1.00 1.00 X 0 0 0 Carolyn Bortz Director 1.00 1.00 X 0 0 0 Terry Capuano LVHN Director 1.00 39.00 X 0 941536 5210 Edward Dougherty LVHN Director 1.00 39.00 X 0 597161 15332 Steven Follett LVHN Director 1.00 1.00 X 0 0 0 WILLIAM THOMA SVP Finance 34.00 6.00 X 228518 0 44320 stephen cunningham SVP & Chief Development OfFICER 40.00 2.00 X 405505 0 18536 lynn lansdowne vp of human resources 40.00 X 268500 0 62821 William Cors VP OF MEDICAL AFFAIRS 40.00 1.00 X 493530 0 39671 LAMONT LOUIS VP PHYSICIAN NETWORK 39.00 1.00 X 236567 0 19246 ferdinand feola vp & chief information offICER 40.00 X 235940 0 32143 VIRGINIA GORTYCH-BARNES Physician advisor 40.00 X 254429 0 18897 LOUIS NARDELLA clinical psychiatrist 40.00 X 217822 0 18897 Geoffrey Dieck Clinical Medical Pharmacist 40.00 X 182463 0 18897 William Bedwick Director, Pharmacy 40.00 X 181080 0 19286 John Klutch Labor/Employment Counsel 40.00 X 180854 0 19286 KATHLEEN KUCK FORMER PRESIDENT/CEO 0.00 0.00 X 481659 0 8321 Michael A Wilk FORMER SVP Finance/CFO 0.00 0.00 X 247872 0 33197 4963545 1538697 513892 83 1 1 0 EMERGENCY PHYSICIAN ASSOCIATES PO BOX 634850 CINCINNATI OH 45263 PHYSICIAN SERVICES 5676620 FREEMANWHITE 8845 RED OAK BOULEVARD CHARLOTTE NC 28217 CONSULTING & DESIGN SERVICES 1919162 quest diagnostics 12436 COLLECTIONS CENTER DRIVE CHICAGO IL 606932436 lab testing 1800933 BOYLE CONSTRUCTION 1209 HAUSMAN ROAD SUITE B ALLENTOWN PA 18104 CONSTRUCTION 1638673 JP GROUP LEHIGH VALLEY LLC 309 B SOUTH MAIN STREET PHILLIPSBURG NJ 08865 CONSTRUCTION 1470386 55 1073272 9809378 10882650 patient service revenue 622000 268609474 268609474 other revenue 900099 453508 453508 269062982 1153823 1153823 -239600 -239600 298359 7493 290866 290866 290866 48758 0 48758 48758 48758 Tobacco Settlement 900099 335779 335779 335779 281535258 269062982 0 1589626 38211707 38211707 13000 13000 6213462 4225153 1988309 80883500 55000780 25882720 2685774 1826326 859448 17101865 11629270 5472595 6595993 4485275 2110718 837627 569586 268041 407377 277016 130361 175790 119537 56253 4751 4751 114920 78146 36774 18314179 12453641 5860538 1115767 758722 357045 11282615 7672178 3610437 1340763 911719 429044 12927504 8790703 4136801 100238 68162 32076 141572 96269 45303 4512624 3068584 1444040 14404936 9795356 4609580 10667962 7254214 3413748 Med. Supplies & Drugs 40983404 40983404 bad debt Expense 28055099 28055099 Gifts 7894893 5368527 2526366 State MA Assessment 4551945 4551945 3348452 2442853 905599 312887719 248707172 64180547 0 1675 1475 1350985 15060195 35963388 27854447 775705 4420006 4331978 5027232 4886893 319316126 179944272 135056620 139371854 169514436 120281977 3397757 16349222 11563002 371857026 323351821 29648251 26816696 120560000 116796188 183059 35690525 28952925 186081835 172565809 X 181029883 150786012 1577170 0 3168138 0 185775191 150786012 371857026 323351821 X -31352461 1422928 -5059646 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 4751 0 0 4751 0 Part II-B, Line 1: The organization pays dues to AHA and HAP. THE portion of these dues used towards lobbying WAS $4,751. 1315089 32486 5000 1342575 1386530 32165 80750 3661 19195 1315089 1400692 52051 64590 1623 1386530 1373626 66059 34000 4993 1400692 1385298 50340 56855 5157 1373626 1 1 1 5054066 5054066 168823773 73568900 95254873 137550359 106375372 31174987 7887928 7887928 139371854 estimated self-insurance costs 13040360 estimated amounts due to third-party payers 4300795 Accrued Pension Obligation 723156 interest rate swap agreement 2793692 asset retirement obligation 745641 deferred compensation 7349281 28952925 X Part V, Line 4: Each fund has been board designated with a different purpose. Funds are held and disbursed per the donor intent. All funds were set up to be consistent with the organizational mission. During the year all endowment funds were transferred to the Pocono Health Foundation Part X, Line 2: The Organization and its subsidiaries are generally exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code, except for tax imposed on unrelated business income. The most recent determination letter, received by the Organization, is dated May 1, 2014. The Organization and its subsidiaries account for uncertain tax positions in accordance with Accounting Standards Codification (ASC) Topic 740. The Organization's for-profit components recognize deferred tax assets and liabilities for the future tax impact of temporary differences between amounts recorded in the consolidated financial statements and their respective tax bases and the future benefit of utilization net operating loss carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. Income taxes of the Organization's tax-exempt and for-profit components are not material to the accompanying consolidated financial statements. 1 1 X 1 X 1 X 1 1 0 1 1 373388 335779 37609 0.00010 48055566 25485507 22570059 0.08170 48428954 25821286 22607668 0.08180 131204 131204 0.00050 826304 826304 0.00300 143574 143574 0.00050 1101082 1101082 0.00400 49530036 25821286 23708750 0.08580 0 6390951 926688 64474225 65557392 -1083167 X 1 0 1 1 pocono medical center 206 east brown street east stroudsburg PA 18301 072001 X X X Level III Trauma Center Pocono Medical Center 1 0 0 1 X X X X X X X X X 16 1 0 1 1 X www.lvhn.org/about_us/community_health_needs_assessment_reports X 1 16 1 www.lvhn.org/about_us/community_health_needs_assessment 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X www.poconohealthsystem.org X www.poconohealthsystem.org X www.poconohealthsystem.org X X X X X X 1 X 0 X X X 1 X 0 0 Pocono Medical Center Part V, Section B, Line 5: The Lehigh Valley Health Network Pocono ("LVH-P") CHNA Steering Committee, comprised of representatives from LVH-P's hospital leadership, LVHN's Department of Community Health (DCH), and East Stroudsburg University's Institute of Public Health, conducted its 2017 Community Health Needs Assessment (CHNA) for the LVH-P Campus. This group of leaders utilized a combination of quantitative (e.g., public health data) and qualitative (e.g., interviews and focus groups) data collection and analysis methods to analyze the needs of the community. The LVH-P CHNA Steering Committee made a concerted effort to ensure all members of the community within the primary service area, including all socioeconomic groups, the medically underserved, and minority populations, were represented in this assessment. See further detail of community detail at Schedule H, Part VI, Line 2. Pocono Medical Center Part V, Section B, Line 6b: LVH-P collaborated with LVHN's Department of Community Health and East Stroudsburg University's Institute of Public Health, Research and Innovation. Pocono Medical Center Part V, Section B, Line 11: The priority needs identified in the most recent Community Health Needs Assessment were obesity, housing cost burden, mental health, breast/lung cancer mortality, alcohol/substance abuse, access to primary care, transportation, and sexually transmitted infections. The Hospital is addressing the significant needs identified as follows:obesityObjective: Engage community members in a structured program of healthy eating and exercise with a goal of achieving a healthier weight.Tactic: Continue "Biggest Winner" program in the community in order to encourage healthy eating and physical activity to reduce rates of obesity.Objective: Increase access to healthy food for vulnerable populations.Tactics: 1) Provide information and training to local supplemental food provider network about Feeding America "Food to Encourage" model and "Healthy Nudges." 2) Work with community collaborators to explore expansion of "Double Bucks" program to provide nutrition incentives for vulnerable populations, in order to increase fruit and vegetable consumption.housing cost burdenObjective: Work with community stakeholders and civic leaders to address the health and social needs dueto lack of affordable housing in Monroe County.Tactics: 1) In collaboration with local community stakeholders, promote smart buying decisions through educational sessions that will teach community members about financial aspects of purchasing a home, such as mortgage rates and property and school taxes. 2) Determine feasibility of partnership with Elderly Low Income Housing Authority in order to increase number of residents with affordable housing. 3) Work with local homeless coordination mechanisms to ensure that hospital efforts targeting homeless residents or those at risk of becoming homeless are aligned with local and regional efforts.mental healthObjective: Educate patients and community stakeholders about depression; reduce stigma associated with mental health conditions.Tactic: Initiate a depression destigmatization campaign that uses various media outlets to educate about depression as a treatable health condition, to promote importance of early identification of symptoms, social support and to treatment; "Tell your story campaign".Objective: Improve clinical systems designed to identify patients with depressive symptoms more consistently and provide an opportunity for earlier intervention.Tactic: Within practices using electronic health record, implement and track rates of depression screening using the standardized tool, PHQ-2/9, in order to more accurately assess depression in patient populations.breast/lung cancer mortalityObjective: Increase access to breast cancer screening to those who are eligible.Tactic: Develop protocols and order sets within clinical practices to improve mammography screening rates among eligible women.Objective: Increase lung screening among eligible patients.Tactic: Increase lung cancer screening rates in community members at elevated risk for lung cancer, based on age and smoking history (using current USPSTF guideline).alcohol/substance abuseObjective: Reduce number of community members who use tobacco in Monroe County.Tactic: Provide smoking cessation classes to adolescents and adults to reduce smoking rates among community members in Monroe County.Objective: Promote safe prescribing of opioid analgesics by clinicians.Tactics: 1) Implement physician outreach and education to develop guidelines for acute and chronic pain management, as well as patient screening for safe prescribing of opioid analgesics. 2) Establish outpatient office-based standards for safe and effective care of patients prescribed opioid analgesics.Objective: Connect patients and families struggling with substance use disorders (SUDs) to county drug and alcohol resources.Tactic: Coordinate activities with local stakeholders related to education and resources for patients with alcohol and substance abuse disorders (SUDs).access to primary careObjective: Develop and maintain a strong safety net of services that improve access to care among vulnerable populations.Tactic: Implement LVHN's financial assistance program, providing free or discounted care forqualifying patients.Objective: Improve access to care in areas identified in the community health needs assessment report.Tactic: Recruit primary care and other specialist clinicians to improve access to needed care for members of the community.transportationObjective: Enhance transportation to health care centers.Tactic: Explore bus routes/stops to determine potential changes for access to health care centers.sexually transmitted infections don't have a specific objective outlined in the implementation plan, but the hospital plans to address their high incidence with better overall patient awareness and outreach that are outlined in other objective in the implementation plan. Part I, Line 7: The Medical Center used a cost-to-charge ratio in determining the figures reported in this table. Total operating expenses less bad debt expenses less non patient activities less Medicaid provider taxes equally costs related to patient care divided by gross patient charges. Part I, Ln 7 Col(f): The bad debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $28,055,099. Part II, Community Building Activities: Pocono Medical Center provides a myriad of health screenings and community presentations on healthy lifestyles and disease awareness through the Wellness Institute and the Spirit of Women initiative. Activities include providing transportation for patients in need, providing free space for community meetings, television and radio health education programs, and community wellness outreach. Part III, Line 2: TOTAL BAD DEBT EXPENSE (AT COST) WAS DETERMINED BY APPLYING THE COST-TO-CHARGE RATIO, DERIVED FROM WORKSHEET 2-RATIO OF PATIENT CARE COST TO CHARGES TO TOTAL THE NET OF ACTUAL BAD DEBT WRITE-OFF'S AND RECOVERIES PROCESSED DURING THE 2017 FISCAL YEAR.THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY BY UTILIZING DATA FROM THE U.S. CENSUS BUREAU. THE ORGANIZATION ESTIMATED THE PERCENTAGE BY OBTAINING THE PERCENT OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES. ACCORDING TO THE LATEST PUBLICIZED CENSUS DATA FOR MONROE COUNTY, PA, 13.5% OF INDIVIDUALS ARE CONSIDERED TO BE IN POVERTY. Part III, Line 3: A COST TO CHARGE RATIO WAS USED. TOTAL OPERATING EXPENSES LESS BAD DEBT EXPENSES LESS NON PATIENT ACTIVITIES LESS MEDICAID PROVIDER TAXES EQUAL COSTS RELATED TO PATIENT CARE DIVIDED BY GROSS PATIENT CHARGES. Part III, Line 4: Net patient accounts receivable for which the Organization receives payment under cost reimbursements, prospective payment formulas, or negotiated rates, which cover the majority of patient services, are stated at the estimated net amounts receivable from payers, which are generally less than the established billing rates of the Organization. Patient accounts receivable is reported at its net realizable value. Net patient accounts receivable includes reserves for bad debts of $140,109 and $83,627 at June 30, 2017 and 2016, respectively. Bad debt reserves are estimated based on the Organization's belief that a patient has the ability to pay for services, but payment is not expected to be received. The reserves for bad debts are based on management's assessment of historical and expected collections, business economic conditions, trends in health care coverage, and other collection indicators. Accounts receivable are written off against the reserves for bad debts when management determines that recovery is unlikely and the Organization ceases collection efforts. The reserves for bad debts related to self-pay patients increased from 65% of self-pay accounts receivable at June 30, 2016, to 69% of self-pay accounts receivable at June 30, 2017. Self-pay write offs for the years ended June 30, 2017 and 2016, were $95,307 and $79,503, respectively. The Organization has not changed its charity care or uninsured discount policies during the fiscal year. The Organization does not maintain a reserve for bad debts for third-party payers, nor did it have significant write offs from third-party payers. Part III, Line 8: THE SHORTFALL SHOULD BE TREATED AS 100% COMMUNITY BENEFIT. The fiscal year 2017 Medicare cost report was utilized to calculate the cost report on line 6. Serving patients with government health benefits, such as Medicare, is a component of the community benefit standard that tax exempt hospitals are held to. This implies that serving Medicare patients is a community benefit and that the hospital operates to promote the health of the community. Part VI, Line 2: In fiscal year 2017, Pocono Health System collaborated with the local university and presented a comprehensive Monroe County Health Needs Assessment. This document was presented at the Annual Meeting as a community forum to provide a communication flow and exchange of ideas on addressing the identified needs.Information was collected on the current strengths, concerns, and conditions of children, adults, families, and the community. The assessment is based on information from many sources, elicited by many techniques, and includes over 50 surveys of key informants, 2 focus groups, and analysis of secondary demographic and epidemiological data. This community assessment was designed as a rapid assessment, and it identifies key health trends in Monroe County along five areas:1) Demographic Trends: Highlighting the most critical demographic trends affecting Monroe County including overall population growth, sources of population growth, the County's changing demographic profile, socioeconomic profile of the population, and the County's ethnic and racial makeup. In this analysis the assessment compares the county with the state as well as peer counties in Pennsylvania. 2) Epidemiological Profile: Providing an epidemiological assessment of Monroe County, using the focus areas identified in Healthy people 2020. In this analysis the assessment compares the county with the state as well as peer counties in Pennsylvania. 3) Key Informants: Identifies and analyzes the perceived needs of key informants in the county with regard to issues that affect the health and well-being of the county residents.4) Focus Groups: A qualitative analysis of the perceived needs of key informants in the county with regard to issues that affect the health and well-being of the county residents. 5) Summary of Findings: Provides a list of the findings of the various data sources.Epidemiological and demographic data that were collected and analyzed for the county are extracted from the following sources:-United States Census Bureau-PA Department of Health: Healthy People 2020 Objectives-PA Department of Health: Behavioral Risk Factor Surveillance System-PA Department of Health: Analysis of Cancer Incidence in Pennsylvania Counties-PA Dept. of Public Welfare-PA Center for Rural PennsylvaniaKey Informant SurveysWeb-based surveys were sent to key informants in 125 institutions in the county. These key informants represented the: a) business sector, b) the government sector, c) the nonprofit sector, d) the educational sector and e) faith-based organizations. Focus groupsTwo focus groups with 10 community representatives were convened in the fall of 2017. The focus groups asked participants to discuss the strengths and weaknesses in Monroe County through the community health framework model. The results of the focus groups are presented in the report but they were also used to prepare the key informant survey.Data AnalysisThe assessment organized its data collection to conform with the Robert Wood Johnson Foundation's County Health Rankings framework, and the demographic and epidemiologic used various geographic areas of Monroe County to organize and compare data. The analysis also compared Monroe county with two comparative values or groups-peer group counties and the state. This allowed the assessment to compare Monroe County to the state average as well as three peer counties within Pennsylvania with regard to key epidemiologic and demographic data. Peer counties were selected by identifying counties sharing similar community health-related factors. The following four factors were used to define the counties: a) population size; b) poverty, c) median age and d) population density. For the purposes of this study Monroe was compared to: a) Butler County, b) Cumberland County, c) Dauphin County, d) Pennsylvania and e) The U.S.The data was analyzed using basic descriptive statistics to identify trends and to compare Monroe with the comparison group. Summary of FindingsThe findings of the assessment shows that Monroe County's population has experienced among the greatest population growth in the state, and this growth has quickly increased the county's racial and ethnic diversity. The county has high levels of poverty that tend to be concentrated in certain areas of the county and it has not seen rapid increase in household incomes.The county has lower than expected number of physicians. It also has lower rates of most cancers with the exception of lung cancer and higher than expected rates of smoking and heavy drinking. Monroe county has high levels of women receiving no pre-natal care. The county also has slightly higher rate of suicide. The primary data collected through the surveys and focus groups confirms many of these findings, but also highlights the gap in behavioral health services and prevention services.The findings of the individual sections are highly interrelated. Many of the outcomes and social/behavioral factors have their foundations in systemic factors. The qualitative and quantitative data shows that certain themes and factors were identified with greatest frequency, and can be organized in three general categories.Outcomes - Poor outcomes in:-Cancer-Oral health-Maternal health-ViolenceSocial and Behavioral Factors - Risky behavior with regard to:-Substance abuse-Alcoholism-Smoking-Poor nutritionSystemic Factors:-Lack of primary care (including dental care)-Lack of behavioral health-Lack of preventive services-Poor transportation-Limited built environmentBy cross-tabulating these three sets of indicators and using the established correlations found in the literature between the systemic factors and the identified outcomes and observed behaviors, it becomes apparent that the five systemic factors identified are highly interrelated with the outcome indicators that were identified. According to this logic, interventions in the community that address the known systemic factors may effectively address the more specific critical health outcomes. For example, the lack of preventive health services is a root cause of all the specific health and behavioral outcomes identified-no pre-natal care, mental illness, cancer, poor nutrition, etc. Monroe County possesses the qualities and the assets required to enhance the health and well-being of its residents, and to improve its already good quality of life. The health and wellness assets of the County are a critical component of an overall community development process. The barriers to health and well-being that the residents of Monroe County face are varied and affect every segment of the community. The County's residents report good quality care and don't highlight an acute shortage of medical care. However the data shows a need of programs that focus on primary care, prevention and behavioral health issues. Any broad initiative looking to enhance the County's quality of life must be predicated on the availability of primary care, access to disease prevention and health promotion programs, and systems conducive to social wellness.The health and wellness of Monroe County residents is being affected detrimentally by a systemic lack of:-Overall primary care.-Projects and programs that strengthen maternal health care.-Initiatives improving access to behavioral health programs.-Programs promoting healthy attitudes and practices (specially targeting smoking, drinking and nutrition).-Programs ensuring access to the basic dental care.The health and wellness of Monroe County residents would improve significantly through initiatives that:-Provide residents with information and knowledge required to attain the highest level of health and wellness.-Encourage the creation and support the maintenance of information and referral systems for consumers.-Promote policy changes and strengthen programs that will improve access to information and primary, secondary, and tertiary prevention programs.-Assist safety-net providers who offer services to high-risk, underserved people and to the disadvantaged in the community.-Promote programs that encourage prevention among high-risk, underserved and/or disadvantaged communities. Part VI, Line 3: Patients who express a need for financial assistance are initially offered a discount of charges and/or a payment plan. Once a determination has been made that a patient is uninsured, they are provided a copy of the charity policy as well as an application for financial assistance. PMC's charity policy is posted in inpatient and outpatient areas and on the PHS web site. A notice is also provided in the patient's bills and to local social service agencies. PMC reviews completed applications against eligibility criteria set forth in the policy. All pre-registration, registration, business office and patient financial services staff receive training as to the policy. Part VI, Line 4: Pocono Medical Center primarily serves Monroe County, Pennsylvania and adjacent areas. Monroe County is 608.5 square miles. The County borders the State of New Jersey. A total of 38.4% of the population is living in a rural area in Monroe County, compared to 21.3% in the state. Alternatively, 61.7% of residents live in an urban area, compared to 78.7% in the state. Urban areas are identified using population density, count, size thresholds, and development. Rural areas are classified as all areas that are not urban (US Census Bureau, 2010). From 2000-2010 the total population within Monroe County grew by 22.4%, equaling 31,126 additional residents that moved into the county. Of these new residents, 13,091 (42% of the new growth) are Hispanic. Within the state of Pennsylvania, there has been a population change of 3.4%. A positive shift in total population over time impacts healthcare providers and the utilization of community resources (US Census Bureau, 2010). The largest proportion of individuals living in Monroe County (31.2%) are between the age of 45 - 64 years old; 29.1% are 20 - 44 years old, 20.7% are 5 19 years old; 8.6% are 65-74 years old; 5.8% are 75 years old or older; and 4.6% are under 5 years old (US Census Bureau, ACS 2011-2015). Overall, individuals living in Monroe County tend to middle aged or younger. Data suggests that 31.4%, or 51,915 Monroe County residents, are living in households with an income at or below 200% of the Federal Poverty Level (US Census Bureau, ACS 2011-15). Qualitative data collected from focus group discussions with various community leaders highlighted that poverty is a significant issue that creates barriers to accessing health care services, dental services, and healthy and nutritious foods, and it has contributed to an increase in the homeless population within Monroe County. When comparing race alone, more than three quarters (78.1%) of individuals who are living in Monroe County are White. The majority of the population within Monroe County self-reported as Non-Hispanic (85.8%) and the remaining 14.2% self-reported as Hispanic or Latino. Pennsylvania data indicates that 6.4% of individuals in the state identify as Hispanic or Latino, compared to 17.1% of individuals who self-reported being Hispanic or Latino in the United States (US Census Bureau, ACS 2011-2015). Part VI, Line 5: As an organization deeply rooted in serving the community, we take seriously our responsibility to address their diverse and challenging healthcare needs. In the last fiscal year alone, we provided more than $35.5 million in service to our community. These services included direct patient care, medical assistance shortfall, charity care at cost, bad debt expense at cost, community education and prevention, community partnerships and support, professional and patient education, and financial support to The Monroe County Family Health Center, The Commonwealth Medical College, and our Auxiliary. By taking care of our community through health education, prevention, and screenings, we are able to fulfill our mission of delivering world-class care, close to home - a symbiotic relationship we consider priceless. As a member of the national Spirit of Women network, we provide health promotion opportunities through educational programs and events. We believe that healthy lifestyles education begins early in life and this year launched our Spirit Girls program as an extension of Spirit of Women to encourage healthy lifestyles and promote self-esteem for eighth-grade girls living in Monroe County. We also closely partner with the Greater Pocono Chamber of Commerce to offer a health program to new members and shares information regularly to help foster healthy workplaces. Given the community high utilization of critical services, we closely partner with the American Red Cross to offer blood drives monthly to ensure an adequate supply to meet the healthcare needs of patients. In an effort to increase donors, we engage community partners to help spread the word. We also work with Channel 13 Blue Ridge Cable to offer Pathways to Healthy Living which is an interactive monthly health education show. For the past two years, we have partnered with Pocono Alliance to obtain a grant from the Pennsylvania Department of Health to offer free influenza immunizations to high risk and senior populations. This has resulted in over a thousand of individuals vaccinated. Through the Dale and Frances Hughes Cancer Center, Wellness Institute, Spirit of Women, and others, we offer free health screenings and risk assessments to community residents throughout the year. These include breast, prostate, colon, skin, peripheral artery disease, cardiac, among others. We also offer a Speaker's Bureau program which sends health professionals into the community to speak to students, residents, and others on a myriad of health matters. We routinely attend events in the community to share health information and provide screenings and risk assessments. We provide Professional Health Courses at our Learning Institute for health professionals and first responders in the community. We also feature various support groups, education classes, among other opportunities to engage our community in their health. One of our major community initiatives is called Community Health Connections. This effort developed after the Monroe County Health Needs Assessment results were revealed to the community in October 2011. A Steering Committee comprised of business, government, law enforcement, education, among others was formed and they decided it was best to focus on behavioral health and wellness issues. We then engaged the community by inviting those interested to become a part of the behavioral health and wellness working groups. These groups have met throughout the year and shared ideas and strategies to help improve the health of Monroe County. The behavioral health group worked with the Greater Pocono Chamber of Commerce's Leadership Pocono Program to learn more about the providers and system in place and also have collaborated on the National Depression Screening Day, National Suicide Survivor's Day, and the development of a School Resource Officers Education Program. The wellness group first identified existing community resources and accessibility/awareness of the obesity issue. They determined that there was a lack of infrastructure to engage, enroll, educate, notify individuals of community events, and track participation/outcomes. We have also served as the medical service provider to large-scale events including the Red Cross Run For The Red Pocono Marathon. Carl Wilgus, Resident/CEO, Pocono Mountains Visitors Bureau had commented that: "Knowing that we had the back-up of Pocono Medical Center as well as the safety net of the entire Pocono Health System meant knowing that our athletes would receive top-notch medical attention delivered with hometown care." Part VI, Line 6: Pocono medical center (the "Medical Center") is a not-for-profit, acute-care hospital affiliated with Pocono health system (the "health system"). The health system is a not-for-profit corporation whose purpose is to support programmatically and financially the activities of the medical center and other entities it controls. The Health system's operations and primary service area includes Stroudsburg, Pennsylvania, and surrounding communities in Monroe county, Pennsylvania. All revenues generated by the system are related to the delivery of health care services. The health system has consolidated financial statements that include the accounts and transactions of Pocono health system, the controlling parent, and its affiliates, the medical center, family care centers, Inc., Pocono healthcare partners, Pocono health foundation, Pocono ambulatory services, Inc., POCONO VNA-HOSPICE, AND POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE, LP. Pocono medical center is not affiliated with another healthcare system.Family Care Centers, Inc. (dba Lehigh Valley Physician Group) operates several Physician Practices, including, but not limited to Family Medicine, Hematology and Oncology, Internal Medicine and Obstetrics and Gynecology. Pocono Health Foundation provides support and fundraising for PMC and its' affiliates. Pocono Ambulatory Services, Inc. provides outpatient services to patients through a LIMITED partnership interest in Pocono Ambulatory Surgery Center (PASC). Pocono Healthcare Partners provides Outpatient Diagnostic Radiology and Women's Healthcare Services. The company's operations were merged into PMC and the company is currently inactive. Pocono Health System was formed to support the charitable, scientific and educational activities of PMC, maintain a healthcare system, and to carry on such activities.POCONO VNA-HOSPICE ("VNA") IS A PA non-profit corporation, the sole member of which is the Parent. VNA HAS been the only non-profit home health AND hospice agency based in Monroe County since 1950. VNA serviceS all of Monroe County, PA and PROVIDES limited services to portions of Northampton, Carbon, Luzerne, Lackawanna, Pike, and Wayne Counties in Pennsylvania.POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE, LP IS LIMITED INVESTMENT partnership OF WHICH POCONO HEALTH SYSTEM OWNS THE MAJORITY 83.5%.IN ADDITION, ON JANUARY 1, 2017, AS NOTED ON FORM 990, PART VI, SECTION A, LINE 6, POCONO MEDICAL CENTER BECAME PART OF LEHIGH VALLEY HEALTH NETWORK. INCLUDED IN LEHIGH VALLEY HEALTH NETWORK ARE ADDITIONAL ORGANIZATIONS CONTRIBUTING TO PROMOTING THE HEALTH OF OTHER COMMUNITIES. SEE FORM 990, SCHEDULE R FOR A COMPLETE LIST OF THESE RELATED ENTITIES. Part VI, Line 7, Reports Filed With States PA 1 family care centers inc 206 east brown street east stroudsburg PA 18301 232349341 501(C)(3) 35531897 general expenses - related organization YOUTH EMPLOYMENT SERVICES PO BOX 81 TANNERSVILLE PA 18372 232062579 501(C)(3) 5000 TO FURTHER THE ORGANIZATION'S TAX-EXEMPT MISSION PLEASANT VALLEY ECUMENICAL NETWORK PO BOX 561 SAYLORSBURG PA 18353 232503149 501(C)(3) 6000 TO FURTHER THE ORGANIZATION'S TAX-EXEMPT MISSION POCONO ALLIANCE 912 MAIN STREET SUITE 300 STROUDSBURG PA 18360 364491978 501(C)(3) 6000 TO FURTHER THE ORGANIZATION'S TAX-EXEMPT MISSION BOROUGH OF EAST STROUDSBURG FIRE DEPARTMENT 24 ANALOMINK STREET EAST stroudsburg PA 18301 246000588 501(C)(3) 15000 TO FURTHER THE ORGANIZATION'S TAX-EXEMPT MISSION POCONO HEALTH FOUNDATION 206 east brown street EAst stroudsburg PA 18301 232516451 501(C)(3) 1488740 TO TRANSFER TEMPORARY & PERMANENTLY RESTRICTED NET ASSETS POCONO HEALTH SYSTEM 206 east brown street EAst stroudsburg PA 18301 232336285 501(C)(3) 1159070 TO FURTHER THE ORGANIZATION'S TAX-EXEMPT MISSION 7 0 NURSING SCHOLARSHIP 2 13000 Part I, Line 2: For grants to related organizations, Pocono Medical Center has shared financial reporting functions. As a result, the Medical Center is able to monitor the use of these grant funds. Funds and grants are also provided to other organizations that are charitable in nature and are required to use their funds for charitable purposes. X 0 0 X X X X 1 1 0 0 0 0 0 1 0 JEFF SNYDER PRESIDENT/CEO (term 1/1/17) 443619 0 119738 0 104856 0 42000 0 20821 0 731034 0 102234 0 Elizabeth Wise Acting President/CEO (as of 1/1/17) 386147 0 0 0 1242 0 24000 0 20427 0 431816 0 0 0 Vincent Francescangeli MD chief of pmc medical staff 293204 0 0 0 0 0 11763 0 20821 0 325788 0 0 0 Terry Capuano LVHN Director 0 646506 0 144768 0 150262 0 0 0 5210 0 946746 0 0 Edward Dougherty LVHN Director 0 411781 0 106660 0 78720 0 0 0 15332 0 612493 0 0 WILLIAM THOMA SVP Finance 210491 0 17389 0 638 0 23499 0 20821 0 272838 0 0 0 stephen cunningham SVP & Chief Development OfFICER 236465 0 33751 0 135289 0 18296 0 240 0 424041 0 132236 0 lynn lansdowne vp of human resources 204018 0 30655 0 33827 0 42000 0 20821 0 331321 0 32874 0 William Cors VP OF MEDICAL AFFAIRS 347905 0 48693 0 96932 0 18850 0 20821 0 533201 0 90074 0 LAMONT LOUIS VP PHYSICIAN NETWORK 204601 0 31000 0 966 0 0 0 19246 0 255813 0 0 0 ferdinand feola vp & chief information offICER 205011 0 29999 0 930 0 11322 0 20821 0 268083 0 0 0 VIRGINIA GORTYCH-BARNES Physician advisor 254429 0 0 0 0 0 0 0 18897 0 273326 0 0 0 LOUIS NARDELLA clinical psychiatrist 217822 0 0 0 0 0 0 0 18897 0 236719 0 0 0 Geoffrey Dieck Clinical Medical Pharmacist 182463 0 0 0 0 0 0 0 18897 0 201360 0 0 0 William Bedwick Director, Pharmacy 181080 0 0 0 0 0 0 0 19286 0 200366 0 0 0 John Klutch Labor/Employment Counsel 180854 0 0 0 0 0 0 0 19286 0 200140 0 0 0 KATHLEEN KUCK FORMER PRESIDENT/CEO 0 0 0 0 481659 0 0 0 8321 0 489980 0 282460 0 Michael A Wilk FORMER SVP Finance/CFO 197558 0 0 0 50314 0 12376 0 20821 0 281069 0 49064 0 Part I, Line 1a some top executives took advantage of this benefit. LTD is a taxable benefit and a tax gross up was provided to assist the employee with their personal income tax liability. Part I, Lines 4a-b THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENTS FROM THE ORGANIZATION IN CALENDAR YEAR 2016: KATHLEEN KUCK, FORMER PRESIDENT/CEO - $199,199 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F)SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF POCONO MEDICAL CENTER AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2016: JEFF SNYDER, FORMER PRESIDENT/CEO - $102,234 KATHLEEN KUCK, FORMER PRESIDENT/CEO - $282,460 MICHAEL WILK, FORMER SVP FINANCE/CFO - $49,064 William Cors, VP of Medical Affairs - $90,074 STEPHEN CUNNINGHAM, SVP & CHIEF DEVELOPMENT OFFICER - $132,236 LYNNE LANSDOWNE, VP OF HUMAN RESOURCES - $32,874 Part I, Line 7 Incentive compensation is paid based on the following four performance criteria: 1) increase in the services available to the community, 2) Improvement in customer satisfaction and quality of service provided, 3) Stable financial ratios, and 4) improving employee satisfaction. Physicians receive non-fixed bonus and incentive compensation based on their respective contract. Incentives are either based on a percentage of payments received above required expense coverage threshold or Relative Value Unit (RVU) threshold. A Monroe County Hospital Authority 232928969 610773GK3 2016-12-01 64223519 refund 6/27/07 & 4/17/12 issues 0 0 0 B Monroe County Hospital Authority 232928969 2017-06-01 56900000 acquisition of facilities and equipment 0 0 0 A 2310000 64223519 63262792 954376 6351 2016 1 0 1 1 B 56900000 653023 56246977 2017 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 A 1 B 1 DENISE CUNNINGHAM wife of Stephen cunningham, SVP & Chief Development Officer 67245 The amount reported here represents Compensation earned for providing services as an employee of the Medical Center for 2016 as reported on the W-2. 0 Steven Follett President, CEO & Chairman of Follett LLC - Trustee of LVHN/LVH/LVHM 269121 Follett LLC manufactures and sells ice and water dispensers and medical grade refrigeration equipment to LVH, LVHM, & LVPG at fair market value. 0 Form 990, Part VI, Section A, line 6 The sole member of the corporation is Pocono Health System (PHS), A Pennsylvania nonprofit corporation. On December 11, 2015, LVHN executed an Affiliation Agreement with the Pocono Health System (PHS) providing for an affiliation between LVHN and Pocono Medical Center (PMC), Pocono Health Foundation (Foundation), Family Care Centers (FCC), Pocono VNA/Hospice (VNA), Pocono Healthcare Partners (PHP) and Pocono Ambulatory Services (PAS). The governing documents of PHS were amended such that effective January 1, 2017, the closing date of the affiliation, PHS merged into LVHN and LVHN became the sole member of Pocono Health System. PHS consists primarily of PMC, a 239-bed inpatient acute care hospitals also providing rehab and emergency care to East Stroudsburg, Pennsylvania and surrounding communities, Pocono VNA/Hospice providing home health and hospice services, and FCC, a multi-specialty physician group. Form 990, Part VI, Section A, line 7a Pocono Health System, the sole member of the corporation, Elects/Appoints the board members of Pocono Medical Center (PMC). Form 990, Part VI, Section A, line 7b THe following was noted in Section 4-07 of the organization's bylaws: "IN ADDITION TO ALL MATTERS REQUIRED BY LAW OR BY OTHER PROVISIONS OF THE BYLAWS TO BE SUBMITTED TO A VOTE OF THE SOLE MEMBER, THE SOLE MEMBER IS EMPOWERED TO INITIATE AND IMPLEMENT ANY OF THE FOLLOWING ACTIONS WITH RESPECT TO THE CORPORATION AND IF ANY SUCH ACTION IS OTHERWISE INITIATED BY THE CORPORATION, SUCH ACTION WILL NOT BECOME EFFECTIVE UNLESS APPROVED BY THE SOLE MEMBER: (A) TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THIS CORPORATION OR ANY SUBSIDIARY CORPORATION; (B) TO DISSOLVE, REORGANIZE, DIVIDE, CONVERT, LIQUIDATE OR WIND-UP ANY SUBSIDIARY CORPORATION OR CONSOLIDATE OR MERGE THIS CORPORATION WITH ANY OTHER CORPORATION OR ENTITY; (C) TO ANNUALLY APPROVE ALL CAPITAL AND OPERATING BUDGETS FOR THIS CORPORATION; (D) TO ANNUALLY APPROVE THE STRATEGIC AND OPERATING PLANS OR ANY CHANGES THERETO OF THIS CORPORATION; (E) TO APPROVE ANY UNBUDGETED EXPENSE ITEM OF THIS CORPORATION IN EXCESS OF five hundred thousand ($500,000.00) DOLLARS; (F) TO RECEIVE, REVIEW, AND APPROVE FINANCIAL AND OPERATING REPORTS FROM THIS CORPORATION ON AT LEAST A QUARTERLY BASIS; (G) TO APPROVE ANY NEW LINE(S) OF BUSINESS AND/OR MATERIAL CHANGES IN EXISTING SERVICES AND/OR PARTICIPATION BY THIS CORPORATION WITH ANY OTHER ENTITY WHERE LICENSURE BY THE COMMONWEALTH OF PENNSYLVANIA IS REQUIRED AS A PRECONDITION FOR ANY SUCH ACTION, BUSINESS, SERVICE, OR PARTICIPATION; (H) TO APPROVE THE INCURRENCE OF INDEBTEDNESS BY THIS CORPORATION; (I) TO APPROVE THE AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION; (J) TO SPECIFY THE NUMBER OF AND TO ELECT OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS OF THIS CORPORATION; (K) TO APPROVE THE ELECTION OR REMOVAL OF THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THIS CORPORATION; (L) TO REQUIRE EACH DIRECTOR OF THIS CORPORATION AND THE PRESIDENT, EACH VICE PRESIDENT, AND ALL KEY MANAGEMENT PERSONNEL OF THIS CORPORATION TO ANNUALLY SUBMIT TO THE BOARD OF DIRECTORS OF THIS CORPORATION A CONFLICT OF INTEREST STATEMENT IN FORM FIRST APPROVED BY THE BOARD OF DIRECTORS OF THE SOLE MEMBER; (M) TO ANNUALLY EVALUATE THE PERFORMANCE OF THIS CORPORATION'S BOARD OF DIRECTORS IN OVERSEEING THE MANAGEMENT AND PERFORMANCE OF THIS CORPORATION; (N) TO REQUIRE THAT THIS CORPORATION'S GOVERNANCE, DELIBERATIONS, AND ACTIONS ARE ORIENTED TO COMMUNITY SERVICE." Form 990, Part VI, Section B, line 11b THE ORGANIZATION HAS AN EXTENSIVE 990 REVIEW PROCESS. THE 990 IS FIRST REVIEWED BY THE ACCOUNTING DEPARTMENT AND THE CFO. AFTER ANY NECESSARY CHANGES ARE MADE, A REVIEW IS PERFORMED BY THE CORPORATE COMPLIANCE OFFICER, THE FINANCE COMMITTEE, AND THE CEO. AFTER ALL CHANGES ARE MADE, THE FINAL COPY IS PROVIDED TO ALL BOARD MEMBERS prior to issuance Form 990, Part VI, Section B, line 12c On an annual basis, Board members and key management personnel are required to complete a Conflict of Interest Disclosure Form. All forms are submitted to and reviewed by the Corporate Compliance Officer of Pocono Health System. Interested persons have a continuing obligation to disclose, through a written description, the existence and nature of any actual, apparent, or potential Conflict of Interest he/she may have. The Audit and Compliance Committee shall review the matter and determine whether a Conflict of Interest exists. Once all necessary information has been obtained, the Audit and Compliance Committee shall make a finding as to whether a conflict of interest indeed exists, and shall forward that finding to the Board of Directors for discussion and vote. Only disinterested Directors may vote to determine whether a Conflict of Interest exists. The subject Interested Person may not be present when this vote is taken. For all identified conflicts, the interested persons are required to leave the room while the related matters are discussed and voted on. Form 990, Part VI, Section B, line 15 Once every three years, or sooner if necessary, compensation reviews are conducted for the CEO and top management. THE COMPENSATION COMMITTEE RECOMMENDS TO THE BOARD THE COMPENSATION OF THE PRESIDENT AND CEO AND COMPENSATION RANGES FOR THE VICE PRESIDENTS. THE CEO SHALL THEN SET THE COMPENSATION OF THE VICE PRESIDENTS WITHIN THE APPROVED RANGES. IN MAKING RECOMMENDATIONS TO THE BOARD ON COMPENSATION AND COMPENSATION RANGES, THE COMPENSATION COMMITTEE RELIES ON REPORTS FROM AN INDEPENDENT COMPENSATION CONSULTANT SELECTED BY THE COMMITTEE. TO ASSURE INDEPENDENCE, THE CONSULTANT SHALL PERFORM NO OTHER SERVICES FOR PMC. THE CONSULTANT WAS MOST RECENTLY USED IN April 2014. THE COMMITTEE REPORTS ITS DECISIONS TO THE BOARD AT ITS NEXT EXECUTIVE SESSION, AT WHICH TIME THE BOARD SHALL EITHER RATIFY THE DECISION OR SEND IT BACK TO THE COMMITTEE FOR FURTHER DELIBERATION. ONCE A FINAL DECISION IS REACHED, THE BOARD CHAIRMAN INFORMS THE CEO OF THE DECISIONS OF THE COMMITTEE AND RATIFICATION BY THE BOARD REGARDING THE CEO'S SALARY AND THE SALARY RANGES FOR THE VICE PRESIDENTS. MINUTES OF THE COMMITTEE AND THE EXECUTIVE SESSION PORTION OF THE BOARD ARE PREPARED AND RETAINED IN THE ADMINISTRATION OFFICES AND CONTAIN SUFFICIENT INFORMATION TO SUBSTANTIATE THE DELIBERATION AND DECISION. Form 990, Part VI, Section C, line 19 FINANCIAL RESULTS ARE PUBLISHED IN THE ANNUAL REPORT, A COPY OF WHICH IS DISTRIBUTED IN A VARIETY OF PUBLIC FORUMS AND WOULD OTHERWISE BE PROVIDED UPON REQUEST. THE CONFLICT OF INTEREST POLICY WOULD BE AVAILABLE FOR VIEWING IN THE BUSINESS OR ADMINISTRATIVE OFFICES OF PMC UPON REQUEST TO ENSURE THE MOST CURRENT COPY IS ALWAYS THE ONE BEING MADE AVAILABLE. THE GOVERNING DOCUMENTS ARE AVAILABLE upon request for public inspection. Form 990, Part XI, line 9: CHANGE IN FV OF INTEREST RATE SWAP 842,911. LOSS ON EXTINGUISHMENT OF DEBT -2,260,380. DEFINED BENEFIT PENSION COSTS -218,916. CHANGE IN INTEREST IN NET ASSETS OF THE FOUNDATION -3,397,757. NET ASSET ADJUSTMENT -25,504. pocono health system 206 east brown street east stroudsburg PA 18301 232336285 support PMC PA 501(c)(3) Line 12b, II Lehigh Valley Health Network 0 family care centers Inc 206 east brown street east stroudsburg PA 18301 232349341 healthcare PA 501(c)(3) Line 3 Lehigh Valley Physician Group 0 pocono health foundation 206 east brown street east stroudsburg PA 18301 232516451 support PA 501(c)(3) Line 12a, I pocono Health System 0 pocono healthcare partners 206 east brown street east stroudsburg PA 18301 233014006 healthcare PA 501(c)(3) Line 3 pocono Health System 0 pocono ambulatory services Inc 206 east brown street east stroudsburg PA 18301 232611474 healthcare PA 501(c)(3) Line 3 pocono Health System 0 pocono health system med professional liab self-insur trust 206 east brown street east stroudsburg PA 18301 206560453 self-insurance PA 501(c)(3) Line 12a, I pocono Health System 0 POCONO VNA-HOSPICE 206 east brown street east stroudsburg PA 18301 232535297 healthcare PA 501(c)(3) Line 10 pocono Health System 0 Lehigh Valley Health Network 1200 S Cedar Crest Blvd Allentown PA 181036202 222458317 Parent Company PA 501(c)(3) Line 3 N/A 0 Lehigh Valley Hospital 2100 Mack Blvd Allentown PA 181035622 231689692 Health Care Organization PA 501(c)(3) Line 3 Lehigh Valley Health Network 0 Lehigh Valley Hospital-Muhlenberg 1200 S Cedar Crest Blvd Allentown PA 181036202 232367707 Health Care Organization PA 501(c)(3) Line 3 Lehigh Valley Health Network 0 Lehigh Valley Physician Group 1200 S Cedar Crest Blvd Allentown PA 181036202 232700908 Physician Practice Organization PA 501(c)(3) Line 3 Lehigh Valley Health Network 0 Muhlenberg Realty Corporation 1200 S Cedar Crest Blvd Allentown PA 181036202 232245513 Real Estate Rentals PA 501(c)(3) Line 3 Lehigh Valley Health Network 0 Lehigh Valley Health Network Realty Holding Co 1200 S Cedar Crest Blvd Allentown PA 181036202 232586770 Real Estate Holding Co PA 501(c)(2) Lehigh Valley Health Network 0 Northeastern Pennsylvania Health Corp 700 E Broad St Hazleton PA 182016835 232421970 Health Care Organization PA 501(c)(3) Line 3 Lehigh Valley Health Network 0 Hazleton Professional Services 700 E Broad St Hazleton PA 182016835 205880364 Physician Practice Organization PA 501(c)(3) Line 3 Lehigh Valley Physician Group 0 Hazleton Health & Wellness Center 700 E Broad St Hazleton PA 182016835 232580968 Staffing Services PA 501(c)(3) Line 12a, I Northeastern Pennsylvania Health Corp 0 Hazleton Surgical Alliance 700 E Broad St Hazleton PA 182016835 202038456 Surgical Services PA 501(c)(3) Line 3 Northeastern Pennsylvania Health Corp 0 Schuylkill Health System Medical Group Inc 700 East Norwegian Street Pottsville PA 17901 232866006 SUPPORT PA 501(c)(3) Line 10 Lehigh Valley Physician Group 0 Schuylkill Medical Center - South Jackson Street Mauch Chunk Jackson Streets Pottsville PA 17901 231352202 Health Care Organization PA 501(c)(3) Line 3 Lehigh Valley Health Network 0 Schuylkill Rehabilitation Center Inc 420 South Jackson Street Pottsville PA 17901 232440891 Health Care Organization PA 501(c)(3) Line 3 Lehigh Valley Health Network 0 Schuylkill Medical Center - East Norwegian Street 700 East Norwegian Street Pottsville PA 17901 230880420 Health Care Organization PA 501(c)(3) Line 3 Lehigh Valley Health Network 0 West End Community Ambulance Association PO Box 200 Effort PA 18330 232532377 Ambulance Transport Services PA 501(c)(3) Line 10 Pocono Health System 0 Pocono Ambulatory Surgery Center Ltd one Storm Street stroudsburg PA 18360 232611442 Surgery PA N/A POCONO HEALTH SYSTEM INVEST COLLAB LP 206 EAST BROWN STREET east stroudsburg PA 18301 472125419 INVESTMENTS PA N/A LVHN Reciprocal Risk Retention Group 151 Meeting Street Suite 310 Charleston SC 294012238 200037118 Insurance PA N/A Health Network Laboratories LLC 794 Roble Rd Allentown PA 181099110 232932802 Laboratory Services PA N/A Health Network Laboratories LP 794 Roble Rd Allentown PA 181099110 232948774 Laboratory Services PA N/A Lehigh Magnetic Imaging Center 1230 S Cedar Crest Blvd Allentown PA 18103 232429007 Imaging Center PA N/A Lehigh Valley Imaging LLC 1200 Cedar Crest Blvd Allentown PA 181036202 464551937 Imaging Services PA N/A Hazleton Surgery Center LLC 17480 Dallas Pkwy Ste 210 Dallas TX 752877304 201232531 Surgical Services PA N/A Schuylkill Health System Medical Mall LP East Norwegian Tremont Streets Pottsville PA 17901 232514813 Rental PA N/A Lehigh Valley Health Services Inc 2100 Mack Blvd Allentown PA 181035622 232263665 Health Care Related Services PA N/A C 0 Lehigh Valley Anesthesia Services PC 2100 Mack Blvd Allentown PA 181035622 233906125 Anesthesia Services PA N/A C 0 Westgate Professional Center Inc 2100 Mack Blvd Allentown PA 181035622 231657333 Real Estate Rentals PA N/A C 0 Lehigh Valley Physician Hospital Organization Inc 2100 Mack Blvd Allentown PA 181035622 232750430 Health Care Related Services PA N/A C 0 Hazleton Saint Joseph Medical Office Building Inc 700 E Broad St Hazleton PA 182016835 232500981 Medical Office Rental PA N/A C 0 Schuylkill Health System Development Corporation 700 East Norwegian Street Pottsville PA 17901 232432417 Pursues, implements, & furthers the activities & purposes of the system PA N/A C 0 Schuylkill Medical Plaza - Condominium Association 420 South Jackson Street Pottsville PA 17901 232931821 Condominium Association PA N/A C 0 0 1 1 0 0 0 0 0 1 0 0 1 1 1 1 1 0 1 0