2017-05-11T08:29:36-05:00 2016-06-30 990 2015-07-01 230880420 SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET SCHU 4848840130 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 EDWARD F O'DEA EXEC VP & CFO 4848840130 2017-05-11 2015 2021-01-29 14:40:06Z BRIAN A NESTER 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 58213677 0 X WWW.SCHUYLKILLHEALTH.COM X 2008 PA TO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE FOR THE SCHUYLKILL COMMUNITY. 17 16 678 50 306857 -222883 510584 100935 54313169 56726666 75336 113337 1846306 1156943 56745395 58097881 11484 12623 0 0 32204134 29853483 0 0 0 27727072 28479386 59942690 58345492 -3197295 -247611 31787865 53842294 18538853 40039362 13249012 13802932 X SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET'S (EAST) MISSION IS TO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE AVAILABLE FOR THE SCHUYLKILL COUNTY COMMUNITY. 0 0 45260878 12623 56833680 THE SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET, THROUGH THE COMBINED EFFORTS OF ITS HIGHLY QUALIFIED MEDICAL STAFF, EMPLOYEES, AND VOLUNTEERS, OFFERS A BROAD RANGE OF HEALTHCARE SERVICES TO THE RESIDENTS OF SCHUYLKILL COUNTY, PA. INPATIENT HEALTHCARE SERVICES ARE PROVIDED IN MEDICINE, SURGERY, AND CRITICAL CARE MEDICINE. 19,827 VISITS BY RESIDENTS OF THE REGION WERE MADE TO RECEIVE EMERGENCY CARE AT THE SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET'S EMERGENCY DEPARTMENT. A WIDE ARRAY OF DIAGNOSTIC AND TREATMENT PROGRAMS ARE ALSO OFFERED BY THE MEDICAL CENTER, INCLUDING CT SCANNING, INPATIENT RENAL (KIDNEY) DIALYSIS, MEDICAL ONCOLOGY/CHEMOTHERAPY, DIAGNOSTIC, ULTRASOUND, BLOOD BANKING AND LABORATORY, PHYSICAL THERAPY, CARDIOVASCULAR SERVICE, AND AN OUTPATIENT CHEMICAL DEPENDENCY PROGRAM. THE INDUSTRA-MED PROGRAM OF THE MEDICAL CENTER PROVIDED OCCUPATIONAL AND INDUSTRIAL HEALTH SERVICES TO OVER 200 OF THE REGION'S EMPLOYERS. 45260878 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 49 0 1 678 1 1 1 0 0 0 0 0 0 0 0 0 X 17 16 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X THE ORGANIZATION 4848840130 2100 MACK BLVD ALLENTOWN PA 18103 ANTHONY BARAN CHAIRMAN 1.00 3.00 X X 0 0 0 FRANKLIN K SCHOENEMAN VICE-CHAIRMAN 1.00 3.00 X X 0 0 0 E LORI SMITH TREASURER 1.00 4.00 X X 0 0 0 DEBRA C BLASCHAK SECRETARY 1.00 3.00 X X 0 0 0 RICHARD GONZALEZ TRUSTEE 1.00 4.00 X 0 0 0 REV HAROLD L HAND JR TRUSTEE 1.00 3.00 X 0 0 0 JEANNE BOYER PORTER TRUSTEE 1.00 3.00 X 0 0 0 WILLIAM L JONES III TRUSTEE 1.00 3.00 X 0 0 0 SARAH T CASEY TRUSTEE 1.00 3.00 X 0 0 0 WILLIAM E KIRWAN CPA ESQ TRUSTEE 1.00 3.00 X 0 0 0 STEVEN I FIELD TRUSTEE 1.00 3.00 X 0 0 0 AMRIT P NARULA MD TRUSTEE 1.00 3.00 X 0 0 0 JUDGE JOSEPH F MCCLOSKEY CHAIRMAN EMERITUS 1.00 3.00 X 0 0 0 SYED SHAH MD TRUSTEE 1.00 3.00 X 0 0 0 TIMOTHY TWARDZIK TRUSTEE 1.00 3.00 X 0 0 0 ROBERT M ZIMMERMAN JR DO TRUSTEE 1.00 3.00 X 0 0 0 MARC LORY INTERIM PRESIDENT/CEO 18.00 22.00 X X 0 0 0 JUDY PEEK-LEE INTERIM CFO 18.00 22.00 X 0 0 0 DIANE BORIS VP FINANCE 18.00 22.00 X 147567 0 21509 SUE CURRY VP NURSING/CNO 18.00 22.00 X 132585 0 25315 SAJJAD MALIK PATHOLOGIST 40.00 X 300242 0 30048 JOHN RUSSO PATHOLOGIST 40.00 X 274760 0 28450 BRIAN PAUL PHARMACIST 20.00 20.00 X 128714 0 22277 KELLEN SCHEIFLEY PHARMACIST 20.00 20.00 X 126695 0 22205 LESLIE DUBOWITZ PHYSICIAN 40.00 X 126071 0 23615 JOHN E SIMODEJKA FORMER PRESIDENT/CEO (TO 8/14) 0.00 0.00 X 0 305147 15896 1236634 305147 189315 15 1 1 0 THE ADVISORY BOARD COMPANY PO BOX 79461 BALTIMORE MD 21279 CONSULTANT - HOSPITAL MANAGEMENT 2464344 REHAB CARE GROUP INC PO BOX 502096 ST LOUIS MO 631502096 MGMT FIRM - INPAT REHAB UNIT 685548 SODEXHO INC & AFFILIATES BOX 360710 PITTSBURGH PA 152516922 MGMT SERV - DIETARY & HOUSEKEEPING 684115 POTTSVILLE HOSPITALISTS PO BOX 1125 POTTSVILLE PA 17901 HOUSE PHYSICIAN GROUP 434000 ACCELECARE WOUND CENTERS PO BOX 671242 DALLAS TX 75267 WOUND CARE SERVICES 256323 13 100935 100935 NET PATIENT SERVICE REV 541511 56726666 56419809 306857 56726666 88369 88369 382611 107044 275567 275567 275567 33720 8752 24968 24968 24968 ALCOHOL & DRUG REV 561439 413871 413871 CAFETERIA & VENDING REV 561439 306476 306476 PARKING LOT REVENUE 561439 22518 22518 138511 138511 881376 58097881 56833680 306857 856409 X 12623 12623 345105 345105 24317054 18878821 5438233 698000 541927 156073 2732605 2121595 611010 1760719 1369220 391499 191536 191536 107497 107497 7989265 4838800 3150465 35328 35328 1042506 558116 484390 1458284 263887 1194397 76852 31447 45405 2775 2480 295 818446 818446 3048342 3048342 361821 321695 40126 MEDICAL SUPPLIES 4493791 4493791 DRUGS 3023431 3023431 BAD DEBT EXPENSE 2902982 2902982 MA ASSESSMENT FEES 1362650 1362650 1563880 670625 893255 58345492 45260878 13084614 0 1580 1829 824945 12308848 33665 33665 5662219 5204398 1008293 992135 396942 363781 87739759 75091611 13536316 12648148 3572766 1558767 1463271 1006303 5287868 19724420 31787865 53842294 6675351 7131895 796060 727771 20000000 1000000 3710621 10067442 8469075 18538853 40039362 X 12517353 13086598 45138 46177 686521 670157 13249012 13802932 31787865 53842294 X -247611 801531 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7730 7730 0 PART II-B, LINE 1: SCHUYLKILL MEDICAL CENTER - E. NORWEGIAN STREET IS A MEMBER OF THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA. A PERCENTAGE OF THE DUES PAID TO THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA GOES TOWARDS LOBBYING EFFORTS. THEIR MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS AND COMMUNITIES TO LEAD, REPRESENT, AND SERVE HEALTH CARE PROVIDER ORGANIZATIONS THAT ARE ACCOUNTABLE TO THE COMMUNITY AND COMMITTED TO HEALTH IMPROVEMENT. 559398 559398 869014 52020702 45843559 7046157 32195615 29108357 3087258 2095030 139695 1955335 12648148 DUE FROM AFFILIATES 5881445 INSURANCE RECOVERIES RECEIVABLE 976250 BOND ASSETS 12706568 BENEFICIAL INT IN PERPETUAL TRUSTS 160157 19724420 ESTIMATED MALPRACTICE LIABILITY 1395541 DUE TO AFFILIATES 4869116 PENSION LIABILITIES 698000 THIRD-PARTY SETTLEMENTS -263984 BLUE CROSS ADVANCE 419600 CAPITAL LEASE OBLIGATIONS 1350802 8469075 X PART X, LINE 2: THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2016 AND 2015. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN SUPPLIES AND EXPENSE. THE CORPORATION'S FEDERAL EXEMPT ORGANIZATION RETURNS OF INCOME TAX AND ITS BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED PRIOR TO JUNE 30, 2013 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, INVESTMENT 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 X 1 X 175.000000000000 1 X 1 1 0 1 1 173701 173701 0.00310 6906846 4999773 1907073 0.03440 7080547 4999773 2080774 0.03750 26758 26758 0.00050 29407 29407 0.00050 12572 12572 0.00020 68737 68737 0.00120 7149284 4999773 2149511 0.03870 1 1044461 1044461 25111644 26775085 -1663441 X 1 1 1 1 SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREET 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 X X X SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN 1 0 0 0 1 1 50000 1 X 175.000000000000 250.000000000000 X X X 1 1 X X X 1 X X X X 1 X 0 X 1 X 0 0 SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREET PART V, SECTION B, LINE 5: THE SCHUYLKILL HEALTH SYSTEM (SHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED WITH THE SUPPORT OF STRATEGY SOLUTIONS, INC. (SSI), THE CONSULTING GROUP ENGAGED BY SHS TO ASSIST WITH THE ASSESSMENT. REPRESENTATIVES FROM SHS AND SSI WORKED COLLABORATIVELY TO GUIDE AND CONDUCT THE ASSESSMENT. A STEERING COMMITTEE MADE UP OF SENIOR REPRESENTATIVES OF SHS, AS WELL AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS, LEADING HEALTH AND SOCIAL SERVICE ORGANIZATIONS, LOCAL AREA SCHOOL DISTRICTS AND COUNTY GOVERNMENT PROVIDED ADDITIONAL INPUT. THE COMBINED EXPERTISE, INPUT AND KNOWLEDGE OF THE MEMBERS OF THE STEERING COMMITTEE WAS VITAL TO THE PROJECT. THE GROUP DESERVES SPECIAL RECOGNITION FOR THEIR TIRELESS OVERSIGHT AND SUPPORT OF THE CHNA PROCESS.DURING THIS CHNA PROJECT, FOURTEEN INDIVIDUALS WERE INTERVIEWED BY SSI, INCLUDING REPRESENTATIVES FROM HEALTH AND SOCIAL SERVICE AGENCIES, SCHOOL DISTRICT PERSONNEL, FAITH-BASED CONGREGATION, GOVERNMENT REPRESENTATIVE, HIGHER EDUCATION AND SENIOR POPULATION.THESE INFORMATION-GATHERING EFFORTS ALLOWED THE PROJECT TEAM AND STEERING COMMITTEE TO GAIN A BETTER UNDERSTANDING OF THE HEALTH STATUS, HEALTH CARE NEEDS, SERVICE GAPS AND BARRIERS TO CARE OF THOSE LIVING IN THE COUNTY OF SCHUYLKILL (PA), WHICH REPRESENT THE PRIMARY AND SECONDARY SERVICE AREA OF SHS. THE ADMINISTRATION OF SHS WOULD LIKE TO THANK ALL OF THOSE WHO WERE INVOLVED IN THIS PROJECT, PARTICULARLY THOSE WHO PARTICIPATED IN INTERVIEWS AND INFORMATION GATHERING. SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREET PART V, SECTION B, LINE 6A: SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREET PART V, SECTION B, LINE 11: FROM THE 2012 IMPLEMENTATION PLAN, THE HOSPITAL WORKED TOWARDS ADDRESSING THE FOLLOWING NEEDS:ACCESS TO QUALITY HEALTH CARE/WOMEN'S HEALTH - DEVELOPED BROCHURES TO EXPLAIN THE NEED FOR MAMMOGRAMS FOR EARLY DETECTION OF BREAST CANCER. BROCHURES ARE AVAILABLE IN THE WAITING AREAS OF THE MEDICAL CENTER, AS WELL AS DOCTORS' OFFICES. A PROGRAM WAS SET UP TO OFFER LOW COST OR FREE MAMMOGRAMS TWICE A YEAR FOR PEOPLE WHO MEET CERTAIN CRITERIA. THE CHAT PRESENTATION PROGRAM IS ALSO USED TO GET INFORMATION OUT EXPLAINING THE NEED FOR EARLY DETECTION OF BREAST CANCER AND THE AVAILABILITY OF TESTING.HEALTHY MOTHER, BABIES, CHILDREN/TOBACCO & ALCOHOL USE DURING PREGNANCY - DEVELOPED BROCHURES TO EXPLAIN THE RISK OF SMOKING AND ALCOHOL USE DURING PREGNANCY. BROCHURES ARE AVAILABLE IN WAITING AREAS OF THE MEDICAL CENTER, AS WELL AS DOCTORS' OFFICES. THE SMOKING CESSATION PROGRAM THAT WAS DEVELOPED IN THE EAST COUNSELING CENTER WAS EXPANDED TO BE INCLUDED DURING CHILD BIRTH CLASSES IN THE SOUTH MATERNITY AREA. SOUTH ALSO HOSTS A BREASTFEEDING SUPPORT GROUP, CHILDBIRTH EDUCATION CLASSES, HAND WASHING EDUCATION FOR NEW PARENTS, AND INFANT CPR TRAINING SESSIONS.PHYSICAL ACTIVITY AND NUTRITION, OBESITY - A PROGRAM TITLED "HEALTHY HAVEN" WAS PRESENTED TO BOTH SCHUYLKILL HAVEN MIDDLE SCHOOL AND ST AMBROSE STUDENTS. THE PROGRAM DISCUSSED WELLNESS, AS WELL AS NUTRITIONAL EXERCISE INTERVENTIONS. THE HOPE IS TO EXPAND THIS PROGRAM TO OTHER COMMUNITIES. A 5K RUN AND CARBON COUNTY DIABETES WALK ARE ALSO SUPPORTED BY SOUTH TO ENCOURAGE PHYSICAL ACTIVITY.UNINTENTIONAL INJURIES, MOTOR VEHICLES - THIS WAS ADDRESSED IN 2 DIFFERENT WAYS. AS PART OF OUR MAKE-A-DIFFERENCE DAY, THE MATERNITY/NURSERY DEPARTMENTS HELD A CHILD SEAT SAFETY CHECK. THE GOAL OF THE PROGRAM WAS TO ENSURE SEATS WERE INSTALLED PROPERLY. EDUCATION WAS ALSO PROVIDED FOR ANY RECALLS THAT MAY BE ISSUED. ANOTHER PROGRAM THAT WAS USED DURING HIGH SCHOOL FOOTBALL GAMES TO EDUCATE STUDENTS AND THE GENERAL PUBLIC ABOUT THE DANGERS OF TEXTING AND DRIVING AND OTHER TYPES OF DISTRACTED DRIVING THAT MAY CAUSE ACCIDENTS THAT RESULT IN INJURIES.CHRONIC DISEASE: DIABETES - THERE ARE SEVERAL INITIATIVES THAT THE MEDICAL CENTER HAS TO GET EDUCATIONAL INFORMATION TO THE PUBLIC ABOUT DIABETES. THERE IS A TYPE 2 DIABETES SUPPORT GROUP THAT MEETS TO DISCUSS HOW TO DEAL WITH THE DISEASE. THE MEDICAL CENTER IS ALSO INVOLVED IN THE NATIONAL DIABETES EDUCATION PROGRAM TO HELP PREVENT OR DELAY THE ONSET OF DIABETES. THERE ARE ALSO SEVERAL CHAT PROGRAMS THAT ARE OFFERED TO DISCUSS DIABETES.SCHUYLKILL HEALTH DID NOT ADDRESS AL THE NEEDS IN THE ASSESSMENT. SCHUYLKILL HEALTH LEADERSHIP HAD A MEETING TO DISCUSS WHAT ITEMS WOULD BE BEST HANDLED BY EACH FACILITY. THE ITEMS THAT THEY DID NOT ADDRESS WERE THEN GIVEN TO APPROPRIATE COMMUNITY ORGANIZATIONS THAT WOULD BE ABLE TO BEST HANDLE THEM. SCHUYLKILL COUNTY VISION ADDRESSES 2 ISSUES THAT WERE IDENTIFIED: 1) PHYSICAL ACTIVITY, NUTRITION AND OBESITY AND 2) UNINTENTIONAL INJURIES FROM MOTOR VEHICLES. SCHUYLKILL COUNTY VISION TOOK THESE ISSUES ON BECAUSE THEY DEAL WITH A DIVERSE GROUP OF ORGANIZATIONS THAT WOULD BE ABLE TO IMPROVE THESE NEEDS BETTER THAN THE HEALTH SYSTEM.SCHUYLKILL COUNTY DRUG AND ALCOHOL PROGRAM ALSO HANDLED ONE OF THE RECOGNIZED NEEDS FROM THE ASSESSMENT. THEY HANDLED THE NEED TO IMPROVE MENTAL HEALTH AND CONTROL DRUG AND ALCOHOL ABUSE. THEY CHOSE TO ADDRESS THIS NEED BECAUSE THEY WORK WITH THESE ISSUES ALREADY AND ARE MORE PREPARED TO ADDRESS THIS NEED THAN THE HEALTH SYSTEM.IN THE 2016 IMPLEMENTATION PLAN, THE FOLLOWING KEY FOCUS AREAS WERE IDENTIFIED: COMMUNITY ENGAGEMENTWE DEFINED COMMUNITY ENGAGEMENT AS "DEVELOPING COMMUNITY PARTNERSHIPS TO IDENTIFY PRIORITIES AND SUPPORT COMPLEX ISSUES THAT IMPACT HEALTH."SCHUYLKILL WILL FOCUS ON EXPLORING AND BUILDING COMMUNITY PARTNERSHIPS WITH AN AIM TO ADDRESS SOCIAL AND HEALTH NEEDS OF COMMUNITY POPULATIONS.AT-RISK POPULATIONSWE DEFINED AT-RISK POPULATIONS AS "PROVIDING CLINICAL SERVICES THAT MEET A SIGNIFICANT COMMUNITY NEED FOR AN AT-RISK POPULATION, BUT ARE NOT FINANCIALLY VIABLE ON THEIR OWN." SOME EXAMPLES OF AT-RISK POPULATIONS INCLUDE THOSE WITH BEHAVIORAL HEALTH OR PSYCHO-SOCIAL NEEDS. OUR IMPLEMENTATION PLAN ALSO ADDRESSES TOBACCO USE AMONG PREGNANT WOMEN.ACCESS TO CARE AND HEALTH EQUITYWE DEFINED ACCESS TO CARE AND HEALTH EQUITY AS "BEING ATTENTIVE TO THE NEEDS FOR ACCESS TO MEDICAL CARE IN THE COMMUNITIES WE SERVE AND TO EACH PERSON'S LANGUAGE AND CULTURE." SCHUYLKILL WILL ADDRESS THIS NEED IN SEVERAL WAYS: BY RECRUITING ADDITIONAL STAFF AND SPECIALTY PROVIDERS TO PROVIDE CARE FOR SCHUYLKILL COUNTY-AREA PATIENTS. EDUCATING PATIENTS ABOUT LVHN'S FINANCIAL ASSISTANCE POLICY, AND EDUCATING LCH SCHUYLKILL STAFF ABOUT LANGUAGE AND CULTURAL SENSITIVITY.PREVENTION AND WELLNESSWE DEFINED PREVENTION AND WELLNESS AS "INCREASING THE NUMBER OF PEOPLE WHO ARE HEALTHY AND WELL BY EMPOWERING PEOPLE TO TAKE AN ACTIVE ROLE IN THEIR HEALTH AND ADDRESSING ISSUES THAT CONTRIBUTE TO PREVENTABLE DISEASE." SUCH INITIATIVES INCLUDE PROMOTING MAMMOGRAMS, FLU SHOTS, TIMELY PREGNANCY CARE AND OBESITY SCREENINGS, AND BUILDING AWARENESS ABOUT THE EMERGING OPIOID DRUG USE AND ABUSE ISSUES FACING OUR COMMUNITIES. SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREET PART V, SECTION B, LINE 20E: WHEN A PATIENT DOES NOT MAKE A PAYMENT, A PATIENT IS EVALUATED TO DETERMINE IF THEY MEET THE GUIDELINES FOR FINANCIAL ASSISTANCE. IF THEY DO, THEY ARE GIVEN THE PROPER INFORMATION. SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREET PART V, SECTION B, LINE 22D: THE SAME POLICY IS USED FOR EMERGENCY OR MEDICALLY NECESSARY CARE THAT IS USED FOR ANY OTHER TYPE OF CARE. THERE IS A STANDARD AMOUNT THAT IS CHARGED FOR PROCEDURES PER THE HOSPITAL'S CHARGE MASTER.INCOME GUIDELINES ARE DEVELOPED TO SHOW OR PROVE A PATIENT'S OR GUARANTOR'S INABILITY TO PAY. THESE INCOME GUIDELINES WILL BE BASED UPON THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND WILL BE REVISED EACH YEAR. INCOME LEVELS WILL DETERMINE IF SERVICES WILL BE RENDERED WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE PERCENTAGE OF TOTAL INCOME ABOVE THE FEDERAL POVERTY INCOME GUIDELINE WILL DETERMINE THE PERCENTAGE OF CHARITY CARE GRANTED. SCHEDULE H, PART V, SECTION B, LINE 12 THE TAXPAYER COMPLETED ITS FIRST CHNA, AS REQUIRED BY SECTION 501(R)(3), DURING THE TAX YEAR-ENDED JUNE 30, 2013. IN ORDER TO MEET THE REQUIREMENTS OF SECTION 501(R) FOR THE TAX YEAR-ENDED JUNE 30, 2016, THE TAXPAYER WAS REQUIRED TO CONDUCT A CHNA PRIOR TO THE LAST DAY OF THE TAX YEAR. HOWEVER, DUE TO EXTRAORDINARY CIRCUMSTANCES, THE TAXPAYER'S CHNA WAS COMPLETED BY JULY 25, 2016, ONLY 25 DAYS AFTER THE CLOSE OF THE TAX YEAR.THE TAXPAYER'S LATE COMPLETION OF THE CHNA STEMS FROM MAJOR FINANCIAL DISTRESS AND TURNOVER IN EXECUTIVE LEADERSHIP. FROM 2014 TO THE PRESENT, THE TAXPAYER HAS STRUGGLED IMMENSELY TO CONTINUE OPERATIONS. IN ADDITION, THE TAXPAYER EXPERIENCED SIGNIFICANT TURNOVER AT THE MANAGEMENT LEVEL, INCLUDING THOSE INDIVIDUALS, SUCH AS THE FORMER CEO, WHO WERE DIRECTLY IN CHARGE OF THE COMPLETION OF THE TAXPAYER'S CHNA. DURING THE 2014 TAX YEAR, THE TAXPAYER'S FINANCIAL TROUBLES RESULTED IN THE TAXPAYER'S AUDITORS RAISING A GOING-CONCERN ISSUE WITHIN THE TAXPAYER'S FINANCIAL STATEMENTS. THE TAXPAYER HIRED THE ADVISORY BOARD COMPANY ("ABC") TO STEP IN AND ASSIST THE TAXPAYER TO OVERCOME ITS FINANCIAL AND OPERATIONAL DIFFICULTIES. SOON AFTER, THE TAXPAYER'S CEO ABRUPTLY RESIGNED. IT IS IMPORTANT TO NOTE THAT THE TAXPAYER'S FORMER CEO WAS PRIMARILY RESPONSIBLE FOR ENSURING THE TAXPAYER CONDUCTED ITS CHNA.ABC SUGGESTED AND MADE MANY OPERATIONAL CHANGES TO THE TAXPAYER'S ORGANIZATION IN A SHORT PERIOD OF TIME. THE BOARD OF DIRECTORS REQUESTED THAT ABC PROVIDE INDIVIDUALS TO REPLACE THE CEO AND CFO OF THE ORGANIZATION. DURING THIS TIME, THE TAXPAYER WAS AT RISK TO SHUT DOWN AND SOUGHT A STRATEGIC PARTNERSHIP IN ORDER TO CONTINUE OPERATIONS. DURING THE 2015 TAX YEAR, THE TAXPAYER DECIDED TO AFFILIATE WITH LEHIGH VALLEY HEALTH NETWORK ("LVHN") AND DUE DILIGENCE COMMENCED. IN APRIL 2016, THE TAXPAYER SIGNED A DEFINITIVE AGREEMENT WITH LVHN AND DURING INTEGRATION PLANNING, IT WAS DISCOVERED THAT THE TAXPAYER HAD YET TO COMMENCE ITS CHNA WHICH WAS DUE BY THE END OF THE 2015 TAX YEAR. AT THIS TIME, THE TAXPAYER PROMPTLY CONDUCTED THE CHNA, WHICH WAS COMPLETED ONLY 25 DAYS FOLLOWING THE CLOSE OF THE 2015 TAX YEAR.TAXPAYER HAS REQUESTED ABATEMENT OF THE EXICSE TAX RELATED TO THE LATE COMPLETION OF THE CHNA. TAXPAYER CONTENDS THAT THE TAXPAYER'S LATE COMPLETION OF THE CHNA SHOULD NOT BE CONSIDERED A FAILURE UNDER SECTION 1.501(R)-2(B)(1), AND THE TAXPAYER SHOULD NOT BE SUBJECT TO THE EXCISE TAX IMPOSED UNDER SECTION 4959. THE TAXPAYER'S LATE COMPLETION OF THE CHNA SHOULD BE CONSIDERED A MINOR ERROR OR OMISSION. THE TAXPAYER'S CHNA WAS COMPLETED WITHIN 25 DAYS OF THE DUE DATE REQUIRED UNDER SECTION 501(R). THE CHNA PROCESS IS LENGTHY AND BEGAN IN EARNEST ONCE THE NEW HOSPITAL LEADERSHIP DISCOVERED THE PROCESS HAD NOT BEGUN. ADDITIONALLY, EVEN THOUGH THE CHNA WAS NOT TIMELY COMPLETED, THE IMPLEMENTATION PLAN WAS COMPLETED, APPROVED AND POSTED IN A TIMELY FASHION. ALTHOUGH THE CHNA ITSELF WAS LATE, NO HARM TO COMMUNITY HEALTH OCCURRED BECAUSE IMPLEMENTATION IS PROCEEDING IN A TIMELY FASHION. THE TAXPAYER COMPLETED A LATE CHNA IN LIEU OF COMPLETING A TIMELY CHNA THAT WOULD BE PARTIALLY INCOMPLETE OR CONTAIN OTHER MINOR ERRORS OR OMISSIONS. PART I, LINE 7: SCHUYLKILL MEDICAL CENTER - EAST COMPUTED A COST TO CHARGE RATIO USING INFORMATION FROM THE MOST RECENTLY FILED MEDICARE COST REPORT (FYE 6/30/16) FOR THE CALCULATION OF COSTS FOR CHARITY CARE AND MEDICAID. DIRECT COSTS ARE OBTAINED FROM THE HOSPITAL COMPUTER SYSTEM FOR EACH COST CENTER FOR ALL OTHER BENEFITS. INDIRECT COSTS ARE COMPUTED UTILIZING THE MOST RECENTLY FILED MEDICARE COST REPORT (FYE 6/30/16). PART I, LINE 7G: THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,902,982. PART III, LINE 2: ALL APPROPRIATE DISCOUNTS AND PAYMENTS ARE REFLECTED IN EACH PATIENTS' ACCOUNT. ONCE A PATIENT IS IDENTIFIED AS BAD DEBT, THE BALANCE THAT IS BAD DEBT WOULD BE CHARGES NET OF ANY PAYMENTS OR ADJUSTMENTS.THE COST OF BAD DEBT EXPENSE IS CALCULATED BY USING THE COST TO CHARGE RATIO FROM THE MOST RECENTLY FILED MEDICARE COST REPORT AND APPLYING THAT TO THE CHARGE. PART III, LINE 3: WE BELIEVE THAT A PORTION OF OUR BAD DEBTS RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNABLE OR UNWILLING TO PROVIDE THE APPROPRIATE DOCUMENTATION TO ALLOW THAT CLASSIFICATION. THESE WOULD BE CLASSIFIED AS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO TO ARRIVE AT THE COST. THIS SHOULD BE CONSIDERED COMMUNITY BENEFIT AS THE HOSPITAL IS PROVIDING CARE TO PATIENTS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. PART III, LINE 4: ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT THE NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES), THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: THE HOSPITAL USES THE COST-TO-CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWANCE COSTS.THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT AS THE HOSPITAL IS TREATING MEDICARE PATIENTS DESPITE THE RISE IN UNREIMBURSED COST. PART III, LINE 9B: THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. ALL STAFF INVOLVED IN DEBT COLLECTION (EMPLOYEES OF THE MEDICAL CENTER AND ANY THIRD PARTY AGENCIES) ARE TRAINED ON THE POLICY AS WELL AS THE CHARITY CARE POLICY. IN DEALING WITH PATIENTS IN DEBT COLLECTION, STAFF WILL INFORM PATIENTS OF THE CHARITY CARE POLICY THAT IS AVAILABLE AND ALSO ANY OTHER FINANCIAL ASSISTANCE POLICIES OF THE MEDICAL CENTER THAT MAY BE APPLICABLE TO THE PATIENT. THE STAFF WILL INSTRUCT PATIENTS ON APPROPRIATE PAPERWORK THAT NEEDS TO BE COMPLETED WITH REGARDS TO CHARITY CARE OR FINANCIAL ASSISTANCE. PART VI, LINE 2: THE 2016 SCHUYLKILL HEALTH SYSTEM (SHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED TO IDENTIFY SIGNIFICANT HEALTH ISSUES AND NEEDS, AS WELL AS TO PROVIDE CRITICAL INFORMATION TO SHS AND OTHERS IN A POSITION TO MAKE A POSITIVE IMPACT ON THE HEALTH OF THE REGION'S RESIDENTS. THE RESULTS ENABLE THE HOSPITAL AND OTHER COMMUNITY PARTNERS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS AND DIRECT RESOURCES TO IMPROVE THE HEALTH OF PEOPLE LIVING IN THE SHS SERVICE AREA. TO ASSIST WITH THE CHNA PROCESS, SHS RETAINED STRATEGY SOLUTIONS, INC. (SSI), A PLANNING AND RESEARCH FIRM BASED IN ERIE, PA WHOSE MISSION IS TO CREATE HEALTHY COMMUNITIES TO CONDUCT THE COLLABORATIVE STUDY. THE ASSESSMENT FOLLOWED BEST PRACTICES AS OUTLINED BY THE ASSOCIATION OF COMMUNITY HEALTH IMPROVEMENT. THE ASSESSMENT WAS ALSO DESIGNED TO ENSURE COMPLIANCE WITH CURRENT INTERNAL REVENUE SERVICE (IRS) GUIDELINES FOR CHARITABLE 501(C)(3) TAX-EXEMPT HOSPITALS THAT WAS PUBLISHED IN DECEMBER 2014. THIS CHNA AND ITS SUPPLEMENTAL RESOURCE DATA LOCATED IN THE APPENDICES DOCUMENT INCLUDE A DETAILED EXAMINATION OF THE FOLLOWING AREA: - EVALUATION OF THE 2013 SHS CHNA - DEMOGRAPHICS & SOCIA-ECONOMIC INDICATORS - ACCESS TO QUALITY HEALTH CARE - CHRONIC DISEASE - HEALTHY ENVIRONMENT - HEALTH MOTHERSS, BABIES & CHILDREN - INFECTIOUS DISEASE - MENTAL HEALTH AND SUBSTANCE ABUSE - PHYSICAL ACTIVITY AND NUTRITION - TOBACCO USE - INJURYSECONDARY PUBLIC HEALTH DATA ON DISEASE INCIDENCE AND MORTALITY, AS WELL AS BEHAVIORAL RISK FACTORS, WERE GATHERED FROM NUMEROUS SOURCES INCLUDING THE PENNSYLVANIA DEPARTMENT OF HEALTH, THE CENTER FOR DISEASE CONTROL, HEALTHY PEOPLE 2020, AND COUNTY HEALTH RANKINGS, AS WELL AS A NUMBER OF OTHER REPORTS AND PUBLICATIONS. DATA WAS COLLECTED FOR SHS, ALTHOUGH SOME SELECTED NATIONAL DATA IS INCLUDED WHERE LOCAL/REGIONAL DATA WAS NOT AVAILABLE. DEMOGRAPHIC DATA WAS COLLECTED FROM THE NIELSEN/CLARITAS DEMOGRAPHIC DATABASE. PRIMARY QUALITATIVE DATA COLLECTED SPECIFICALLY FOR THIS ASSESSMENT INCLUDED A TOTAL OF 14 IN-DEPTH INTERVIEWS, INPUT AND GUIDANCE ALSO CAME FROM SHS AND COMMUNITY REPRESENTATIVES WHO SERVED ON TEH SHS STEERING COMMITTEE.AFTER ALL PRIMARY (STAKEHOLDER INTERVIEWS) AND SECONDARY DATA WERE REVIEWED AND ANALYZED BY THE STEERING COMMITTEE, THE DATA SUGGESTED A TOTAL OF 39 DISTINCT ISSUES, NEEDS AND POSSIBLE PRIORITY AREAS FOR POTENTIAL INTERVENTION BY SHS. MEMBERS OF THE SHS CHNA STEERING COMMITTEE MET TO REVIEW THE FINAL PRIORITIES SELECTED BY THE SHS STEERING COMMITTEE. LOOKING AT THE FINAL RANK ORDERING BASED ON THE FOUR PRIORITIZATION CRITERIA OF (I) ACCOUNTABLE ROLE OF THE HOSPITAL, (II) MAGNITUDE OF THE PROBLEM, (III) IMPACT ON OTHER HEALTH OUTCOMES AND (IV) CAPACITY (SYSTEMS AND RESOURCES) TO IMPLEMENT EVIDENCE-BASED SOLUTIONS, ALONG WITH THE RANK ORDER OF THE FINAL PRIORITIES SELECTED BY TEH SHS STEERING COMMITTEE, THE STEERING COMMITTEE IDENTIFIED FOUR PRIORITY AREAS THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY:1. ACCESS TO CARE: URGENT CARE SERVICES2. ACCESS TO CARE: MAMMOGRAM SCREENINGS3. ACCESS TO CARE: PRIMARY/SPECIALTY MEDICAL CARE4. MENTAL HEALTH AND SUBSTANCE ABUSE: DRUG AND ALCOHOL ABUSEIT IS IMPORTANT TO NOTE THAT THE PRIORITIZATION CRITERIA THAT WERE UTILIZED FOR THE 2016 SHS CHNA ARE DIFFERENT FROM THE CRITERIA UTILIZED FOR THE PREVIOUS (2013) CHNA. IN 2013, THE SHS LEADERSHIP SELECTED CRITERIA THAT THEY FELT WERE RELEVANT TO THEIR NEEDS AT THE TIME. SINCE THAT TIME, AND IN LIGHT OF THE 2014 IRS RULING, SSI HAS ENCOURAGED HOSPITALS TO USE THE SAME CRITERIA, ACCOUNTABLE ROLE, MAGNITUDE, IMPACT AND CAPACITY.THE IMPLEMENTATION STRATEGIES SELECTED BY SHS AND ITS COMMUNITY PARTNERS WILL ADDRESS THE MOST SIGNIFICANT NEEDS THORUGH A VARIETY OF IMPLEMENTATION STRATEGIES. PART VI, LINE 3: EACH PATIENT IS REGISTERED INTO THE HOSPITAL COMPUTER SYSTEM WHEN THEY ARRIVE FOR SERVICES. AS PART OF THE REGISTRATION, INFORMATION IS OBTAINED ON ANY HEALTH INSURANCE THEY HAVE. INDIVIDUALS WITHOUT HEALTH INSURANCE ARE INFORMED AT THAT TIME OF THE MEDICAL CENTER'S CHARITY CARE POLICY. PATIENTS ARE GIVEN INFORMATION ON CONTACTING STAFF WITHIN THE HOSPITAL PATIENT ACCOUNTING DEPARTMENT TO DISCUSS APPLYING FOR THE HOSPITAL CHARITY CARE PROGRAM. SPECIFIC STAFF HAVE BEEN TRAINED AND ARE RESPONSIBLE FOR ADMINISTERING THE CHARITY CARE PROGRAM FOR THE HOSPITAL. HOSPITAL STAFF CONTACT PATIENTS WITHOUT INSURANCE AND EXPLAIN THE POLICY AND THE INFORMATION NEEDED TO APPLY. HOSPITAL STAFF WILL ALSO ASSIST PATIENTS IN APPLYING FOR MEDICAL ASSISTANCE. THEY WILL ALSO ASSIST PATIENTS IN COMPLETING THE APPLICATION AND GATHERING THE NECESSARY FINANCIAL DOCUMENTS.THE MEDICAL CENTER ALSO POSTS INFORMATION WITHIN THE ADMISSION AND EMERGENCY ROOM AREAS INFORMING PATIENTS THAT THERE IS A CHARITY CARE POLICY AVAILABLE. ALL REGISTRATION PERSONNEL ARE TRAINED ON THE POLICY SO THAT THEY ARE ABLE TO INFORM PATIENTS WHEN THEY ARE REGISTERED.OTHER HOSPITAL STAFF MEMBERS THAT MAY COME IN CONTACT WITH PATIENTS ARE ALSO EDUCATED REGARDING THE CHARITY CARE POLICY. THIS WOULD INCLUDE SOCIAL WORKERS, CARE MANAGERS, NURSING STAFF, AND ALL DEPARTMENT DIRECTORS. THE CHARITY CARE POLICY IS AVAILABLE ON THE HOSPITAL INTRANET WHICH IS ACCESSIBLE BY ALL EMPLOYEES. THE HOSPITAL IS ALSO IN THE PROCESS OF PLACING THE POLICY ON THE HOSPITAL WEBSITE.ALL PATIENT ACCOUNTING, CASHIERING, AND COLLECTION STAFF ARE ALSO EDUCATED ON THE CHARITY CARE POLICY AND CAN ASSIST PATIENTS IN APPLYING FOR CHARITY CARE. ALSO ALL THIRD PARTY ORGANIZATIONS THAT WORK ON BEHALF OF THE MEDICAL CENTER IN PERFORMING COLLECTIONS HAVE BEEN EDUCATED ON THE CHARITY CARE POLICY AND CAN ADVISE PATIENTS ON APPLYING FOR THIS BENEFIT. PART VI, LINE 4: SMC-ENS IS LOCATED IN POTTSVILLE, PENNSYLVANIA. THE MEDICAL CENTER SERVES ALL OF SCHUYLKILL COUNTY. SCHUYLKILL COUNTY IS A RURAL COUNTY IN PENNSYLVANIA. POTTSVILLE IS THE LARGEST POPULATION CENTER OF SCHUYLKILL COUNTY AND IS ALSO THE COUNTY SEAT. THE COUNTY IS COMPRISED OF ONE SMALL CITY AS WELL AS SEVERAL BOROUGHS AND TOWNSHIPS.THE POPULATION OF THE COUNTY IS APPROXIMATELY 148,000. APPROXIMATELY 21% OF THE POPULATION IS UNDER THE AGE OF 18 AND 18% IS OVER THE AGE OF 65. THE POPULATION IS 49% FEMALE AND 94% WHITE. APPROXIMATELY 15% OF THE POPULATION HAS A BACHELOR'S DEGREE OR HIGHER. 13.1% OF THE POPULATION IS BELOW THE POVERTY LEVEL. THE UNEMPLOYMENT RATE IS 8.8%.23% OF THE POPULATION IS INSURED BY MEDICAID. APPROXIMATELY 55% OF THE BIRTHS ARE COVERED BY THE MEDICAID PROGRAM.IN A RECENT REPORT RELEASED BY THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN'S POPULATION HEALTH INSTITUTE, SCHUYLKILL COUNTY WAS RANKED THE 61ST HEALTHIEST OF THE 67 COUNTIES IN PENNSYLVANIA. SCHUYLKILL COUNTY HAD HIGHER THAN THE STATE AND NATIONAL RATES FOR SMOKING, OBESITY, EXCESSIVE DRINKING, AND MOTOR VEHICLE CRASH DEATH RATES. THIS REPORT ALSO SHOWED THAT THE COUNTY HAD ACCESS TO FEWER PRIMARY CARE PHYSICIANS.THE DEMOGRAPHICS OF THE PATIENTS ADMITTED TO SMC-ENS WERE 76% MEDICARE, 9% MEDICAID, AND 19% SELF-PAY. EMERGENCY PATIENTS AT SMC-ENS ARE 29% MEDICARE, 30% MEDICAID, AND 9% SELF-PAY.SCHUYLKILL COUNTY HAS THREE HOSPITALS SERVING THE COUNTY. SMC-ENS AND SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET ARE BOTH LOCATED IN POTTSVILLE AND SERVE THE MAJORITY OF THE COUNTY RESIDENTS. ST. LUKE'S MINERS MEMORIAL HOSPITAL IS LOCATED IN COALDALE NEAR THE CARBON COUNTY BORDER. PART VI, LINE 5: THE BOARD OF SMC-ENS IS COMPRISED OF SIXTEEN INDIVIDUALS FROM THE SCHUYLKILL COUNTY COMMUNITY WHO ARE NOT EMPLOYED BY THE MEDICAL CENTER. THEY ARE INVOLVED IN EDUCATION, SOCIAL SERVICES, GERIATRIC SERVICES, MATERNAL/CHILD SERVICES, PRIMARY MEDICAL CARE, CRIMINAL JUSTICE, SMALL BUSINESS AND MANUFACTURING. ALL PHYSICIANS ARE ENCOURAGED TO APPLY FOR MEDICAL STAFF PRIVILEGES FOR THE MEDICAL CENTER.SMC-ENS ALSO WORKS WITH VARIOUS COMMUNITY ORGANIZATIONS TO HELP IDENTIFY COMMUNITY NEEDS AND WORK TOGETHER TO MEET THOSE NEEDS. THE MEDICAL CENTER OPENED A WOUND CARE DEPARTMENT TO HELP IN DEALING WITH THE HIGH INCIDENT OF DIABETES WITHIN THE COUNTY POPULATION. THE MEDICAL CENTER ALSO HAS A CERTIFIED DIABETES EDUCATOR AVAILABLE TO CONSULT WITH PATIENTS AND ALSO WITH PHYSICIANS WHEN THEY HAVE A PATIENT THAT IS NEWLY DIAGNOSED WITH DIABETES. THE MEDICAL CENTER HAS AN OUTPATIENT DENTAL CLINIC AVAILABLE FOR THOSE PATIENTS WITH MEDICAID OR NO INSURANCE. THIS CLINIC HAD BEEN OPENED BASED ON THE NEED FOR DENTAL CARE FOR PATIENTS WITH MEDICAID OR LACK OF INSURANCE. THE MEDICAL CENTER ALSO WORKS WITH THE COUNTY SOCIAL SERVICE AGENCIES AND CRIMINAL JUSTICE DEPARTMENT ON OUTPATIENT DRUG AND ALCOHOL ISSUES. THE COUNSELING SERVICES OF THE MEDICAL CENTER PROVIDE OUTPATIENT DRUG AND ALCOHOL COUNSELING SERVICES IN BOTH INDIVIDUAL AND GROUP SETTINGS. THE COUNSELING SERVICES DEPARTMENT ALSO PROVIDES NICOTINE CESSATION COUNSELING AS WELL AS PARTICIPATING IN A GRANT PROGRAM WITH THE SOUTHEASTERN PENNSYLVANIA REGIONAL TOBACCO PROJECT.THE EMERGENCY DEPARTMENT OF SMC-ENS IS A 24 HOUR EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE MEDICAL CENTER PARTICIPATES IN MANY INSURANCE PROGRAMS SUCH AS MEDICARE, MEDICAID, CHAMPUS, AND VA. THE MEDICAL CENTER ALSO HAS A CHARITY CARE POLICY THAT PROVIDES ASSISTANCE TO ELIGIBLE INDIVIDUALS IN PROVIDING FREE OR DISCOUNTED CARE BASED ON THEIR ABILITY TO PAY AND THE FEDERAL POVERTY GUIDELINES.SMC-ENS ALSO PROVIDES OPPORTUNITIES TO STUDENTS IN HEALTHCARE FIELDS TO GAIN EXPERIENCE WORKING IN THE HEALTH CARE ENVIRONMENT SUCH AS NURSING STUDENTS (RN AND LPN), PHARMACY STUDENTS, PHYSICIAN ASSISTANT STUDENTS, PHYSICAL THERAPY STUDENTS, RADIOLOGY TECHNICIANS AND MEDICAL ASSISTANTS. THE MEDICAL CENTER ALSO PROVIDES A VOLUNTEER PROGRAM FOR JUNIOR HIGH AND HIGH SCHOOL STUDENTS TO BECOME FAMILIAR WITH THE MEDICAL SERVICES OFFERED AND THE EDUCATIONAL OPORTUNITIES AVAILABLE WITHIN THE HEALTHCARE ENVIRONMENT.THE MEDICAL CENTER ALSO SPONSORS AND PARTICIPATES IN HEALTH FAIRS AT COMMUNITY EVENTS SUCH AS THE COUNTY FAIR, EVENTS AT THE LOCAL MALL, HEALTH SCREENINGS, BLOOD PRESSURE SCREENINGS AND CLINICS, VETERANS BREAKFAST EVENT, MEALS ON WHEELS, SKIN CANCER SCREENINGS, MAMMOGRAPHY SCREENINGS, SUPPORT GROUPS, AND LOCAL AMERICAN CANCER SOCIETY RELAY FOR LIFE.ANY EXCESS FUNDS THAT ARE GENERATED FROM THE OPERATIONS ARE INVESTED BACK INTO THE MEDICAL CENTER BY PURCHASING THE NECESSARY CAPITAL EQUIPMENT, FUNDING CAPITAL IMPROVEMENT PROJECTS, FUNDING NEW SERVICES, IMPROVING AND EXPANDING EXISTING SERVICES, AND ANY OTHER GENERAL IMPROVEMENTS TO PATIENT CARE. PART VI, LINE 6: ON AUGUST 1, 2008, SMC-EMS AND SMC-SJS AFFILIATED UNDER THE CONTROL OF SCHUYLKILL HEALTH SYSTEM. THE PRIMARY SERVICE AREA IS POTTSVILLE AND THE SURROUNDING COMMUNITIES IN SCHUYLKILL COUNTY. THE PURPOSE OF BOTH MEDICAL CENTERS IS TO ENGAGE IN ACTIVITIES RELATED TO THE PROMOTION OF HEALTH OF THE PEOPLE IN THE SERVICE AREA, WORK CHARITABLY TO PROMOTE COMMUNITY HEALTH EDUCATION, PREVENTION OF ILLNESS AND INJURY, AND PROVISION OF MEDICAL SERVICES TO THE DIVERSE POPULATION OF THE SERVICE AREA AND ENGAGE IN ANY AND ALL ACTIVITIES CONSISTENT WITH OR IN FURTHERANCE OF THESE PURPOSES.EACH MEDICAL CENTER OPERATES INDEPENDENTLY OF EACH OTHER BUT WORKS IN SYNC WITH EACH OTHER IN PROVIDING HEALTHCARE SERVICES TO THE RESIDENTS OF SCHUYLKILL COUNTY. BOTH MEDICAL CENTERS HAVE WORKED TO PROVIDE A CONTINUUM OF CARE SO THAT HEALTHCARE IS AVAILABLE WITHIN THE COUNTY AND RESIDENTS DO NOT HAVE TO TRAVEL OUTSIDE OF THE COUNTY FOR CARE. THE FOLLOWING SERVICES ARE AVAILABLE AT EITHER SMC-ENS OR SMC-SJS:- ACUTE CARE/MEDICAL SURGICAL SERVICES- INTENSIVE CARE SERVICES- MATERNITY SERVICES- NEWBORN SERVICES- PEDIATRICS SERVICES- ADOLESCENT, ADULT AND GERIATRIC BEHAVIORAL SERVICES- ACUTE REHAB AND TRANSITIONAL REHAB SERVICES- INPATIENT AND OUTPATIENT PHYSICAL THERAPY- INPATIENT AND OUTPATIENT DIAGNOSTIC SERVICES- HOME HEALTH SERVICES- OUTPATIENT DRUG AND ALCOHOL SERVICES- OUTPATIENT BEHAVIORAL HEALTH SERVICES- 24 HOUR EMERGENCY ROOM SERVICES- OUTPATIENT DENTAL CLINIC- INPATIENT AND OUTPATIENT SURGICAL SERVICES- COMMUNITY BENEFIT/CHARITY CARE SERVICES- ADVANCED WOUND CENTER- OUTPATIENT SURGERY CENTERSCHUYLKILL MEDICAL GROUP IS AN ORGANIZATION FORMED IN WHICH PHYSICIANS WOULD BE ABLE TO OPEN THEIR OWN PRACTICE BUT NOT INCUR ALL THE EXPENSES THAT THEY WOULD HAD THEY OPENED A PRACTICE ON THEIR OWN. THIS WAS DONE SO THAT MORE PHYSICIANS WOULD BE AVAILABLE TO THE PUBLIC IN THIS AREA. WITHOUT THIS ORGANIZATION, THESE PHYSICIANS MAY BE PRACTICING IN A DIFFERENT AREA.SCHUYLKILL HEALTH SYSTEM IS AN ORGANIZATION FORMED TO RAISE FUNDS TO PROVIDE TO BOTH SMC-ENS AND SMC-SJS. THE MONEY RAISED IN THIS ORGANIZATION IS USED TO BENEFIT THE COMMUNITY IN VARIOUS WAYS. MONEY FROM THIS ORGANIZATION IS USED TO PURCHASE EQUIPMENT TO MAKE THE PUBLIC SAFER. IT IS ALSO USED TO FUND PROJECTS THAT WILL MAKE HEALTH CARE ACCESS EASIER TO THE PUBLIC.SCHUYLKILL REHAB IS AN ORGANIZATION THAT OFFERS REHABILITATION SERVICES TO THE PUBLIC. ONE SERVICE THAT BENEFITS THE PUBLIC IS A SERIES OF DIFFERENT PROGRAMS EACH YEAR ON HEALTH CARE TOPICS. THESE PROGRAMS ARE OFFERED FREE TO THE PUBLIC.SCHUYLKILL MEDICAL MALL/DEVELOPMENT CORP IS AN ORGANIZATION THAT OWNS AND OPERATES A MEDICAL OFFICE BUILDING NEAR SMC-ENS. THIS BUILDING OFFERS AN AREA FOR PHYSICIANS TO BE ABLE TO RENT SPACE FOR THEIR PRACTICE INSTEAD OF HAVING TO PURCHASE THEIR OWN SPACE. 0 CITY OF POTTSVILLE 401 NORTH CENTRE STREET POTTSVILLE PA 179011330 236001906 12573 THE CITY OF POTTSVILLE USED THE MONEY TO PURCHASE A NEW POLICE VEHICLE. 0 0 0 0 0 0 0 0 0 DIANE BORIS VP FINANCE 147567 0 0 0 0 0 4509 0 17000 0 169076 0 0 0 SUE CURRY VP NURSING/CNO 132585 0 0 0 0 0 4094 0 21221 0 157900 0 0 0 SAJJAD MALIK PATHOLOGIST 300242 0 0 0 0 0 7950 0 22098 0 330290 0 0 0 JOHN RUSSO PATHOLOGIST 274760 0 0 0 0 0 7950 0 20500 0 303210 0 0 0 BRIAN PAUL PHARMACIST 128714 0 0 0 0 0 3953 0 18324 0 150991 0 0 0 JOHN E SIMODEJKA FORMER PRESIDENT/CEO (TO 8/14) 0 305147 0 0 0 0 0 0 0 15896 0 321043 0 0 PART I, LINE 3 A RELATED ORGANIZATION, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET, USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION FOR THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD. A CITY OF POTTSVILLE HOSPITAL AUTHORITY 232289554 738431AE5 2016-05-01 20000000 CONSTRUCT, RENOVATE AND EQUIP FACILITIES 0 0 0 A 20000000 1050000 400000 18550000 2016 0 0 0 1 A 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 3 THE HOSPITAL HAS DELEGATED MANAGEMENT DUTIES OVER THE FOLLOWING SERVICES: * DIETARY SERVICES & HOUSEKEEPING TO SODEXHO INC. AND AFFILIATES, * REHABILITATION TO REHAB CARE GROUP INC., * WOUND CARE TO ACCELECARE, * BEHAVIORAL HEALTH UNITS TO HORIZON HEALTH, AND * IT TO TRUBRIDEGE CIO IN ADDITION, THE INTERIM PRESIDENT AND CEO, MARC LORY, AND THE INTERIM CFO, JUDY PEEK-LEE, ARE EMPLOYEES OF THE ADVISORY BOARD. PAYMENT FOR THEIR SERVICES IS PAID DIRECTLY TO THE ADVISORY BOARD. ADVISORY BOARD ALSO PROVIDED REVENUE CYCLE CONSULTING AND TURN AROUND TEAM CONSULTING SERVICES DURING THE YEAR. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS SCHUYLKILL HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER, SCHUYLKILL HEALTH SYSTEM INC., HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE CORPORATE MEMBER, SCHUYLKILL HEALTH SYSTEM INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE PROCESS TO REVIEW THE 990S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE & CONTROLLER. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE LVHN EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER. ALL COMPENSATION DISCLOSURES ARE REVIEWED BY THE DIRECTOR, COMPENSATION-HUMAN RESOURCES. DRAFT 3 OF THE RETURNS IS REVIEWED TOGETHER WITH THE PRESIDENT & CEO, THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, THE VICE PRESIDENT, FINANCE & CONTROLLER AND THE DIRECTOR, TAX. FINAL RETURNS ARE REVIEWED WITH THE LVHN BOARD LEADERSHIP GROUP (THE BOARD CHAIR AND THREE VICE CHAIRS). COPIES OF ALL 990S ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, KEY EMPLOYEE, DIRECTOR, OR TRUSTEE WITH BOARD DELEGATED AUTHORITY IS REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THESE STATEMENTS ARE REVIEWED BY THE PRESIDENT/CEO'S ADMINISTRATIVE ASSISTANT AND ANY CONFLICTS ARE REPORTED TO THE PRESIDENT/CEO. THE STATEMENTS ARE KEPT ON FILE IN THE PRESIDENT/CEO'S OFFICE AFTER REVIEW. BOARD MEMBERS ARE EXPECTED TO RECUSE THEMSELVES FROM TAKING ANY ACTION OR EVEN DISCUSSING ISSUES OF RELATED PARTIES. IF THEY VIOLATE THESE RULES, THEY ARE REMOVED FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, THE HOSPITAL CONTRACTS WITH YAFFE AND COMPANY, AN INDEPENDENT CONSULTANT, TO MAKE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE, A SUB-COMMITTEE OF THE BOARD, BASED ON MARKET AND INDUSTRY DATA TO ENSURE THAT COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. THIS PROCESS IS USED FOR THE FOLLOWING POSITIONS: PRESIDENT/CEO, VICE PRESIDENT OF OPERATION/COO, VICE PRESIDENT OF NURSING/CNO, VICE PRESIDENT OF POST ACUTE SERVICES, VICE PRESIDENT OF CLINICAL AND SUPPORT SERVICES, AND THE VICE PRESIDENT OF FINANCE/CFO. REVIEW AND APPROVAL IS DOCUMENTED IN THE BOARD AND COMMITTEE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 18 ANOTHER'S WEBSITE - GUIDESTAR. UPON REQUEST - PRINTED COPIES WITH SENIOR MANAGEMENT AND MARKETING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR : PROGRAM SERVICE EXPENSES 1,591,580. MANAGEMENT AND GENERAL EXPENSES 652,787. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,244,367. PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 616,609. MANAGEMENT AND GENERAL EXPENSES 176,775. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 793,384. PHYSICIAN FEES : PROGRAM SERVICE EXPENSES 1,612,375. MANAGEMENT AND GENERAL EXPENSES 264,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,876,525. REFERRED MEDICAL SERVICES : PROGRAM SERVICE EXPENSES 218,423. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 218,423. CONSULTING FEES : PROGRAM SERVICE EXPENSES 250,093. MANAGEMENT AND GENERAL EXPENSES 1,459,076. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,709,169. MAINTENANCE SERVICE CONTRACTS : PROGRAM SERVICE EXPENSES 549,719. MANAGEMENT AND GENERAL EXPENSES 597,677. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,147,396. FORM 990, PART XI, LINE 9: NET TRANSFER FROM AFFILIATES 795,410. NET ASSETS RELEASED FROM RESTRICTIONS 7,591. PERMANENT RESTRICTED NET ASSETS VALUATION LOSS -16,365. RELEASED FROM RESTRICTED 14,895. SCHUYLKILL HEALTH SYSTEM 420 SOUTH JACKSON STREET POTTSVILLE PA 17901 262990543 TO SUPPORT, PROMOTE, ADVANCE & ENHANCE QUALITY OF LIFE OF SCHUYLKILL CNTY PA 501(C)(3) LINE 11B, II N/A 0 SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 232866006 TO SUPPORT AND PROMOTE THE PURPOSES OF AFFILIATED ENTITIES PA 501(C)(3) LINE 9 SCHUYLKILL HEALTH SYSTEM 0 SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET MAUCH CHUNK JACKSON STREETS POTTSVILLE PA 17901 231352202 OPERATES A HOSPITAL PROVIDING INPATIENT, OUTPATIENT & EMERGENCY SVCS PA 501(C)(3) LINE 3 SCHUYLKILL HEALTH SYSTEM 0 SCHUYLKILL REHABILITATION CENTER INC 420 SOUTH JACKSON STREET POTTSVILLE PA 17901 232440891 OPERATES A COMPREHENSIVE REHABILITATION FACILITY PA 501(C)(3) LINE 3 SCHUYLKILL HEALTH SYSTEM 0 SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP EAST NORWEGIAN TREMONT STREETS POTTSVILLE PA 17901 232514813 RENTAL PA N/A INVESTMENT 57302 278531 0 0 0.30910 SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 232432417 PURSUES, IMPLEMENTS, & FURTHERS THE ACTIVITIES & PURPOSES OF THE SYSTEM PA SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET C 38940 426656 1.00000 0 SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION 420 SOUTH JACKSON STREET POTTSVILLE PA 17901 232931821 CONDOMINIUM ASSOCIATION PA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0