2017-05-15T15:04:55-05:00 2016-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2015-07-01 251512436 MEADVILLE MEDICAL CENTER % RENATO SUNTAY MEAD 8143335000 1034 GROVE STREET MEADVILLE PA 16335 RENATO SUNTAY CFO 2017-02-02 true Brian D Todd P00422601 4178658701 2015 2021-01-29 14:40:06Z RENATO SUNTAY 751 LIBERTY STREET MEADVILLE PA 16335 289722772 false X WWW.MMCHS.ORG X 1986 PA MMC PROVIDES THE HIGHEST QUALITY HEALTHCARE SERVICES, INCLUDING INPATIENT AND OUTPATIENT SURGERIES ACUTE CARE, AND INTENSIVE CARE TO THE CRAWFORD COUNTY REGION. 12 10 1316 275 4800 3320 194856 228004 174091937 173772151 894438 77986 2278271 -14961478 177459502 159116663 0 118889 0 0 85801629 92383507 0 0 0 85443695 93024660 171245324 185527056 6214178 -26410393 214154086 197498575 124676928 153487833 89477158 44010742 X COMMUNITY HOSPITAL RESPONDING TO IDENTIFIED COMMUNITY HEALTHCARE NEEDS IN THE CRAWFORD COUNTY REGION AND PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. false false 111457744 98485651 MMC PROVIDES ACUTE CARE SERVICES TO PATIENTS. AN ACUTE CARE SETTING IS AN INSTITUTION OR MEDICAL FACILITY PROVIDING PATIENTS WITH SHORT-TERM TREATMENT FOR AN ACUTE INJURY OR ILLNESS. ACUTE CARE FACILITIES ARE BENEFICIAL TO PATIENTS WITH ACUTE CONDITIONS BECAUSE THEY ARE ABLE TO FOCUS ON GIVING QUICK, EFFICIENT CARE TO THEIR PATIENTS. SEE SCHEDULE O FOR ADDITIONAL DETAILS. SURGERY, PERIPHERAL VASCULAR SURGERY, THORACIC SURGERY, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, ORAL AND MAXILLOFACIAL SURGERY, ORTHOPEDICS, OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY, AND UROLOGY. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 36576693 45954761 MMC PROVIDES ONCOLOGY SERVICES AT THE YOLANDA G. BARCO ONCOLOGY INSTITUTE. A COMPREHENSIVE CANCER CARE PROGRAM, APPROVED BY THE AMERICAN COLLEGE OF SURGEONS, IS AVAILABLE IN MEADVILLE WITH THE LATEST TECHNOLOGY AND PHYSICIAN SPECIALISTS AVAILABLE. WE HAVE ACCESS TO RESEARCH AND THE MOST UP-TO-DATE TREATMENT PROTOCOLS. MEADVILLE MEDICAL CENTER IS A MEMBER OF THE ASSOCIATION FOR COMMUNITY CANCER CENTERS. WE BELIEVE THAT CANCER CARE IS BEST DELIVERED IN A COMMUNITY SETTING. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 17299219 24523948 MMC PERFORMS BOTH INPATIENT AND OUTPATIENT SURGERY. THE SURGERY DEPARTMENT UTILIZES THE LATEST IN SURGICAL EQUIPMENT AND TECHNIQUES IN PROVIDING BOTH INPATIENT AND OUTPATIENT CARE. THE SURGICAL TEAM CONSISTS OF SPECIALLY TRAINED NURSES AND ANESTHETISTS, GENERAL AND SPECIALTY SURGEONS AND ANESTHESIOLOGISTS. THE MMC SURGEONS REPRESENT THE AREAS OF GENERAL SURGERY, PERIPHERAL VASCULAR SURGERY, THORACIC SURGERY, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, ORAL AND MAXILLOFACIAL SURGERY, ORTHOPEDICS, OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY, AND UROLOGY. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 2220607 118889 4807791 167554263 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true X 383 0 true 1316 true true true false false false false false false false false false X 12 10 false false false false true true true true true false false true true true true true true true true true true PA X RENATO SUNTAY 8143335000 751 LIBERTY STREET MEADVILLE PA 16335 X MARK STEVENS CHAIR 1.0 0.0 X X 0 0 0 JAMES MULLEN VICE CHAIR 1.0 0.0 X X 0 0 0 JOE LEDFORD TREASURER 1.0 0.0 X X 0 0 0 ROGER WILLIS SECRETARY 1.0 0.0 X X 0 0 0 JAMES BULMAN DIRECTOR 1.0 1.0 X 0 0 0 BRIAN NAGEOTTE DIRECTOR 1.0 0.0 X 0 0 0 JOHN CHRISTIE - SEARLES DIRECTOR 1.0 1.0 X 0 0 0 NICOLA FISHER DIRECTOR 1.0 2.0 X 0 0 0 JUDY SICKLES DIRECTOR 1.0 1.0 X 0 0 0 RONALD UNICE DIRECTOR 1.0 0.0 X 650 0 0 STEPHANIE GALEY DIRECTOR 1.0 0.0 X 55880 0 0 FRANK MCLAUGHLIN DIRECTOR 1.0 42.0 X 0 406988 31234 PHILIP PANDOLPH CEO 40.0 0.0 X 518360 0 95809 RENATO SUNTAY CFO 40.0 1.0 X 524454 0 68199 DAVID SHAFFER CHIEF NURSE EXECUTIVE 40.0 0.0 X 210740 0 37379 DENISE JOHNSON MEDICAL DIRECTOR 40.0 0.0 X 355362 0 38667 CALVIN HAN PHYSICIAN 40.0 0.0 X 524840 0 41840 RANDY ZELEN PHSICIAN 40.0 0.0 X 537879 0 30948 JASON BROWN PHYSICIAN 40.0 0.0 X 596685 0 42633 ANNALIISA MCGLINN PHYSICIAN 40.0 0.0 X 600038 0 47079 HEATH FALLIN PHYSICIAN 40.0 0.0 X 748537 0 36714 4673425 406988 470502 56 false true false COMPHEALTH ASSOCIATES DALLAS TX 753972651 MEDICAL TEMPS STAFF 2178495 ASSOCIATED CLINICAL LABS ERIE PA 16501 CLINICAL LABS 1433080 MEDICAL SOLUTIONS LLC OMAHA NE 68114 TEMP MEDICAL STAFF 820910 VANTAGE HEALTHCARE LINEN MEADVILLE PA 16335 LINEN 702042 POINT SECURITY COMPANY CRANBERRY TOWNSHIP PA 16066 SECURITY 603506 53 180635 47369 228004 NET PATIENT SERVICE REVENUE 621990 168708950 168708950 PHARMACY REVENUE 446110 1834283 1834283 MANAGEMENT FEES 561000 812213 812213 CAFETERIA INCOME 722514 536892 536892 AFFILIATED ORGANIZATION RENT 532000 298321 298321 1581492 1581492 173772151 570522 570522 0 0 1522745 95201 1427544 0 1427544 4800 1422744 130003130 15242 130510908 -507778 15242 -492536 -492536 0 0 0 INHERENT CONTRIBUTION IN ACQ OF TAH 900099 2644801 2644801 INVESTMENT IN EQUITY INVESTEE 900099 465770 465770 LOSS ON EARLY RETIRE/PENSION TERM SETTLE. 900099 -19499593 -19499593 -16389022 159116663 173772151 4800 -14888292 X 118889 118889 0 0 0 1905500 698028 1207472 0 66756548 60957812 5798736 1309726 1277213 32513 17852325 16108634 1743691 4559408 4103467 455941 0 313588 313588 321793 321793 0 0 0 19540620 17586558 1954062 0 12071686 7921060 4150626 0 0 2822844 2540559 282285 411988 370789 41199 0 232193 208974 23219 1243415 1119073 124342 0 11625333 10462800 1162533 1267814 1141033 126781 MEDICAL SUPPLIES & DRUGS 29601099 29601099 BAD DEBT 8087920 8087920 PROVIDER TAX 1994758 1994758 RECRUITING 1599596 1599596 1890013 1656001 234012 185527056 167554263 17972793 0 23010922 6204095 10202098 2911932 0 0 28015451 19654982 0 0 0 0 0 0 3898655 4207895 4128955 3912667 243878019 148339677 87443307 95538342 22477722 15342334 3678825 3148812 4459550 7663982 0 0 26838601 38913534 214154086 197498575 24032244 22068161 0 0 0 0 48159705 50311105 0 0 0 0 15054097 12330253 1000000 1000000 36430882 67778314 124676928 153487833 X 84758111 36360596 0 0 4719047 7650146 89477158 44010742 214154086 197498575 X -26410393 -762438 -18293585 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15466 15466 false SCHEDULE C, PART II-B, LINE 1(I) LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO ORGANIZATIONS WHICH PARTICIPATE IN LOBBYING ACTIVITIES. THE PORTION OF THE ORGANIZATION'S TOTAL DUES ATTRIBUTABLE TO LOBBYING ARE $706 TO 340BHEALTH, $6,801 TO THE AMERICAN HOSPTIAL ASSOCIATION, AND $7,959 TO THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA. TOTAL DUES ATTRIBUTABLE TO LOBBYING ARE $15,466. 4719047 -275995 4443052 4804218 -85171 4719047 4325436 478782 4804218 4101893 223543 4325436 4287761 -185868 4101893 1.00000 true false 7271858 7271858 25913775 103836262 70407485 59342552 100059615 74178548 25881067 6796509 3753644 3042865 95538342 Due from affiliates 26866155 Other Receivables 4538625 Est amount due from 3rd partie 1226431 ACCRUED INTEREST RECEIVABLE 35017 CASH SURRENDER VALUE LIFE INS 1804254 BENEFI. INTEREST IN PERP TRUST 4443052 38913534 0 INTEREST RATE SWAP LIABILITY 619447 ESTIMATED SELF-INSURANCE COSTS 3742557 ACCRUED POSTRETIREMENT BEN LIA 10720523 ACCRUED PENSION 47143704 DUE TO THIRD PARTY PAYERS 5552083 67778314 127730078 -762438 -27497012 -28259450 155989528 3127135 3127135 159116663 176127593 79959 79959 176047634 9479422 9479422 185527056 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUND PURPOSE: THE ENDOWMENT FUNDS CONSIST OF TEN SEPARATE FUNDS HELD THROUGH PNC BANK, BANK OF AMERICA, AND MELLON BANK, OF WHICH THE PURPOSE IS TO IMPROVE THE HEALTHCARE FOR RESIDENTS OF THIS COMMUNITY. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ ( 8,087,920) BAD DEBT EXPENSE ( 6,083,688) TRANSFERS TO RELATED PARTIES ( 159,817) BOND ACQUISITION EXPENSE ( 4,769) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP (11,929,133) CHANGE IN DEFINED BENEFIT PENSION PLAN ( 1,231,685) NONRECURRING COSTS INCURRED -------------- $ (27,497,012) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 3,207,094 INHERENT CONTRIBUTION IN ACQUISITION OF TAH ( 95,201) RENTAL EXPENSES 15,242 GAIN ON SALE OF FIXED ASSETS ------------ $ 3,127,135 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 95,201 RENTAL EXPENSES ( 15,242) GAIN ON SALE OF FIXED ASSET ------------ $ 79,959 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 8,087,920 BAD DEBT EXPENSE 1,231,685 NONRECURRING COST INCURRED 159,817 BOND ACQUISITION EXPENSE ------------ $ 9,479,422 true true X true X 300. false true true true false true true 798300 798300 0.00450 24606865 18615084 5991781 0.03380 25405165 18615084 6790081 0.03830 875840 109422 766418 0.00430 1166093 194598 971495 0.00550 19278069 13111300 6166769 0.03480 231875 231874 0.00130 21551877 13415320 8136556 0.04590 46957042 32030404 14926637 0.08420 true 8087920 500000 66719217 82638768 -15919551 X true true 2 1 MEADVILLE MEDICAL CENTER 751 LIBERTY ST MEADVILLE PA 16335 WWW.MMCHS.ORG 197101 X X X PHYSICIAN PRACTICES 1 2 MEADVILLE MEDICAL CENTER 1034 GROVE ST MEADVILLE PA 16335 WWW.MMCHS.ORG 197101 X X PHYSICIAN PRACTICES 1 MEADVILLE MEDICAL CENTER 12 false false true X X X X X X X X 15 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X X true 15 false true false true X 300. 0. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3 COMMUNITY INPUT: THE RESEARCH PROCESS INCLUDED A REVIEW OF HOSPITAL AND PUBLIC HEALTH SURVEILLANCE DATA AS WELL AS THE COLLECTION OF COMMUNITY PERCEPTIONS DATA AND A COMMUNITY-WIDE SURVEY. THE SURVEY FOCUSED ON ACCESS TO HEALTH CARE, CANCER SCREENING, NUTRITION, HOUSEHOLD HAZARDS, AND BARRIERS TO HEALTH. THE RESEARCH TEAM USED FOCUS GROUPS TO COLLECT INPUT ABOUT SURVEY QUESTIONS FROM COMMUNITY LEADERS AND MEMBERS. THE FINAL SET OF QUESTIONS FOCUSED ON FIVE MAIN THEMES: GENERAL HEALTH, INSURANCE AND ACCESS TO HEALTH CARE, PHYSICAL ACTIVITY/NUTRITION, HOUSEHOLD HAZARDS, AND BARRIERS TO LEADING A HEALTHY LIFE. DURING THE SUMMER OF 2015, 1005 ADULTS IN CRAWFORD COUNTY COMPLETED THE CHNA SURVEY. TO ENSURE THAT A REPRESENTATIVE SAMPLE OF INDIVIDUALS WAS SURVEYED, THE RESEARCHERS VARIED THE TIME A AND LOCATION OF SURVEY COLLECTION. SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: MEADVILLE MEDICAL CENTER'S CHNA WAS CONDUCTED WITH ANOTHER HOSPITAL FACILITY, TITUSVILLE AREA HOSPITAL. SCHEDULE H, PART V, SECTION B, LINE 6B CHNA CONDUCTED WITH OTHER NON-HOSPITAL FACILITIES: THE CHNA REPORT WAS CONDUCTED WITH CRAWFORD HEALTH IMPROVEMENT COALITION AND ALLEGHENY COLLEGE. SCHEDULE H, PART V, SECTION B, LINE 7A HOSPITAL FACILITY'S WEBSITE: http://www.mmchs.org/Patient-Visitors/Community-Health-Needs-Assessment.as px SCHEDULE H, PART V, SECTION B, LINE 7B CHNA AVAILABLE ON OTHER WEBSITE: http://titusvillehospital.360psg.com/health-information SCHEDULE H, PART V, SECTION B, LINE 7D OTHER METHODS OF PROVIDING THE CHNA TO THE PUBLIC: OTHER METHODS IN WHICH MEADVILLE MEDICAL CENTER MADE ITS CHNA WIDELY AVAILABLE TO THE PUBLIC INCLUDED ITS ANNUAL MEETING OF THE CRAWFORD (COUNTY) HEALTH IMPROVEMENT COALITION, TELEVISING THE RESULTS OF THE REPORT ON LOCAL TELEVISION AND BROADCASTING THE RESULTS OF THE REPORT ON LOCAL RADIO STATIONS. SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING IDENTIFIED NEEDS: MEADVILLE MEDICAL CENTER FINALIZED AN IMPLEMENTATION PLAN IN RESPONSE TO THE MOST RECENTLY CONDUCTED CHNA. THE NEEDS IDENTIFIED WERE: -ADDRESS CHRONIC ILLNESSES -IMPROVE ACCESS TO CANCER SCREENINGS IN CRAWFORD COUNTY -IMPROVE ACCESS TO PRIMARY HEALTH CARE SERVICES -IMPROVE HEALTH AWARENESS AND HEALTH LITERACY -REDUCE THE DEATH RATE FROM COLON CANCER THROUGH AN INCREASE IN EARLY DETECTION PROCEDURES WITH THE RECRUITMENT OF ADDITIONAL GASTROINTESTINAL PHYSICIAN RESOURCES. THE FULL IMPLEMENTATION PLAN IS ATTACHED TO DETAIL THE CURRENT STRATEGY TO ADDRESS THESE IDENTIFIED NEEDS. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, & 16C FAP, FAP APPLICATION, AND PLS WEBSITE: http://www.mmchs.org/Patient-Visitors/Billing-Insurance/Financial-Assistan ce.aspx SCHEDULE H, PART V, SECTION B, LINE 20E OTHER METHODS OF PUBLICIZING FINANCIAL ASSISTANCE POLICY: THE BILLING INVOICE OFFERS A PHONE NUMBER TO CALL FOR EXPLANATION OF THE FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART V, SECTION B, LINE 22D MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: MEADVILLE MEDICAL CENTER USES THE "LOOK BACK METHOD" AS DEFINED IN section 501 (r) (5) (b) (1) of the Internal Revenue Code. MMC will limit amounts charged for emergency or other medically necessary care provided to individuals eligible for assistance under this policy to not more than AGB. MMC will update the AGB annually. For Calendar Year 2015, the AGB discount for MMC is 67%. The AGB will be updated annually within 120 days of MMCHSs fiscal year end. SCHEDULE H, PART V 501(R) FAILURE DISCLOSURE: DURING PREPARATION OF THE FORM 990, THE ORGANIZATION DISCOVERED THAT THE FULL FINANCIAL ASSISTANCE POLICY (FAP) WAS NOT POSTED TO THE WEBSITE AS REQUIRED UNDER IRS 501(R) REGULATIONS. THE ORGANIZATION IMMEDIATELY TOOK ACTIONS TO ADD THE FAP TO THE WEBSITE AND IT WAS POSTED BEFORE FILING OF THE FORM 990. THERE WERE NO FAP-ELIGIBLE INDIVIDUALS THAT PAID MORE THAN AGB, AND THEREFORE NO CORRECTIONS NECESSARY. 5 YOLANDA G BARCO ONCOLOGY CENTER 16792 CONNEAUT LAKE ROAD MEADVILLE PA 16335 ONCOLOGY CENTER MIND BODY WELLNESS CENTER 18201 CONNEAUT LAKE ROAD MEADVILLE PA 16335 WELLNESS CENTER MEADVILLE DERMATOLOGY AND SKIN SURGERY I INSTITUTE 149 N MAIN ST MEADVILLE PA 16335 DERMATOLOGY MEADVILLE PAIN MANAGEMENT 1015 GROVE ST MEADVILLE PA 16335 PAIN MANAGEMENT MEADVILLE SPORTS MEDICINE ONE VERNON PLACE MEADVILLE PA 16335 SPORTS MEDICINE, WORKPLACE HEALTH, LAB, RADIOLOGY SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $8,087,920. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1, 3, AND 6. OTHER IRS WORKSHEETS USED THE HOSPITAL'S COST ACCOUNTING SYSTEM, WHICH INCLUDED ALL PATIENT SEGMENTS. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: LINE 2 REPORTS BAD DEBT EXPENSE FROM THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY FOR LINE 3 WAS DETERMINED USING A MONTHLY AVERAGE OF PATIENTS ATTRIBUTABLE TO CHARITY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HEALTH SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: 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. COST ACCOUNTING WAS USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: FOR UNINSURED PATIENTS ELIGIBLE FOR DISCOUNTS FROM BILLED TO CHARGES, A MEDICAL ASSISTANCE APPLICATION CAN BE COMPLETED. ONCE COMPLETED, IT WILL BE REVIEWED FOR ELIGIBILITY. A CONTRACT FOR PAYMENT CAN BE NEGOTIATED WITH THE FACILITY'S COLLECTIONS PERSONNEL. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: MEADVILLE MEDICAL CENTER COMPLETES A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT ON A REGULAR BASIS TO DETERMINE HEALTH CARE NEEDS. THE MOST RECENT PREVIOUS ASSESSMENT WAS COMPLETED IN 2016. MEADVILLE MEDICAL CENTER WORKS WITH MANY COMMUNITY PARTNERS INCLUDING; HEALTH AND HUMAN SERVICE PROVIDERS, EDUCATION, GOVERNMENT, FAITH, LAW ENFORCEMENT, AND OTHER INTERESTED PARTIES IN COMPLETING THE ASSESSMENT OF THE COMMUNITY HEALTH NEEDS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ELIGIBILITY FOR FINANCIAL ASSISTANCE IS REVIEWED ACCORDING TO THE U.S. GOVERNMENT'S FEDERAL POVERTY GUIDELINES MEADVILLE MEDICAL CENTER (MMC) OFFERS A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS TO MEET THE NEEDS OF PATIENTS. PROGRAMS APPLY ONLY TO MEADVILLE MEDICAL CENTER HOSPITAL CHARGES. PATIENTS WILL RECEIVE A SEPARATE BILL FROM EACH INDEPENDENT PRACTITIONER, OR GROUPS OF PRACTITIONERS, FOR CARE, TREATMENT, OR SERVICES PROVIDED. THE MEADVILLE MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM DOES NOT APPLY TO THESE CHARGES. IN ADDITION TO THE MEADVILLE MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAMS, PATIENTS MAY ALSO BE ELIGIBLE FOR PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. APPLYING FOR SUCH PROGRAMS MAY BE REQUIRED PRIOR TO APPLYING FOR A MEADVILLE MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM. MEADVILLE MEDICAL CENTER WILL ASSIST PATIENTS WITH STATE FUNDED PUBLIC PROGRAMS AND THE ENROLLMENT PROCESS. THE MEADVILLE MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAMS INCLUDE FOUR PROGRAMS: 1. UNINSURED FINANCIAL ASSISTANCE - AVAILABLE TO UNINSURED PATIENTS, OFFERS FREE CARE OR DISCOUNTED CARE BASED ON FAMILY SIZE AND INCOME ACCORDING TO THE ELIGIBILITY CRITERIA. 2. SELF-PAY DISCOUNT - AVAILABLE TO UNINSURED PATIENTS, OFFERS A 40% DISCOUNT, NO APPLICATION NECESSARY, DOES NOT APPLY TO MEDICARE, MEDICAID, BCBS AND OTHER INSURANCE/THIRD PARTY PAYER DEDUCTIBLE AND CO-INSURANCE AMOUNTS. 3. CATASTROPHIC DISCOUNT - AVAILABLE TO UNINSURED AND INSURED PATIENTS, LIMITS THE OUT-OF-POCKET COSTS WHEN MEDICAL DEBTS SPECIFIC TO MEDICAL CARE AT MEADVILLE MEDICAL CENTER EXCEED 25% OF THE PATIENT'S FAMILY GROSS INCOME. 4. PAYMENT PLAN PROGRAM - AVAILABLE TO UNINSURED AND INSURED PATIENTS, ASSISTS PATIENTS WITH THEIR FINANCIAL OBLIGATIONS BY ESTABLISHING PAYMENT ARRANGEMENTS. TO QUALIFY FOR FREE SERVICES (100% FINANCIAL ASSISTANCE) THE PATIENT'S HOUSEHOLD INCOME MUST BE AT OR BELOW 300% OF THE CURRENT FEDERAL POVERTY GUIDELINES. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: MEADVILLE MEDICAL CENTER SERVES ANY PERSON IN NEED OF SERVICE, THE MAJORITY OF WHICH RESIDE IN CENTRAL AND WESTERN CRAWFORD COUNTY IN NORTHWESTERN PENNSYLVANIA, PRIMARILY A RURAL AREA. THE POPULATION OF THE PRIMARILY RURAL SERVICE AREA WAS 76,460. THE AREA HAS A HIGH RATE OF POVERTY, LOWER MEDIAN AND HOUSEHOLD INCOME, AND HIGHER RATE OF MEDICAL ASSISTANCE ELIGIBILITY THAN THE SURROUNDING AREAS AND THE STATE AND NATION AS A WHOLE. THE UNIQUE NEEDS OF THE COMMUNITY ARE CONSIDERED IN ALL PLANNING. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: MEADVILLE MEDICAL CENTER TAKES THE LEADERSHIP POSITION IN COMMUNITY BUILDING ACTIVITIES THAT PROMOTE HEALTH IN THE AREAS WE SERVE. WE ARE AN ACTIVE PARTICIPANT IN THE CRAWFORD (COUNTY) HEALTH IMPROVEMENT COALITION THAT ASSESSES NEEDS IN A ONGOING BASIS AND INITIATES NEEDED INTERVENTIONS, MOST RECENTLY FREE FLU SHOTS TO ELDERLY AND LOW INCOME PERSONS. MEADVILLE MEDICAL CENTER SUPPORTS FINANCIALLY AND OPERATIONALLY THE MEADVILLE AREA FREE CLINIC WHICH PROVIDES PRIMARY CARE FOR PERSONS WITH NO HEALTH INSURANCE, MEDICARE OR MEDICAL ASSISTANCE. THE FREE CLINIC IS ALSO SUPPORTED BY THE UNITED WAY COMMUNITY FUND DRIVE AND WAS STARTED TO MEET A COMMUNITY NEED AS DETERMINED IN A PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT. SURPLUS FUNDS ARE INVESTED IN REPLACEMENT EQUIPMENT, NEW AND IMPROVED FACILITIES AND SERVICES TO THE COMMUNITY. TWO RECENT FACILITY IMPROVEMENTS HAVE BEEN COMPLETED TO MEET COMMUNITY NEEDS; THE YOLANDA G. BARCO ONCOLOGY INSTITUTE AND THE SURGERY CENTER AT GROVE TO ADDRESS GROWING NEED FOR ONCOLOGY SERVICES AND INCREASES IN OUTPATIENT SURGERY. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: THE PRIMARY PURPOSE OF THE HEALTH SYSTEM IS TO PROVIDE MEDICAL SERVICES TO THE LOCAL AND SURROUNDING COMMUNITIES THROUGH THE OPERATIONS OF THE MEDICAL CENTER, CHS, MPS AND HCC. THE MEDICAL CENTER IS A SOLE COMMUNITY HOSPITAL LOCATED IN MEADVILLE, PENNSYLVANIA, AND PROVIDES PRIMARY ACUTE CARE MEDICAL SERVICES. COMMUNITY HEALTH SERVICES PROVIDES VARIOUS OUTPATIENT SERVICES, SOME OF WHICH ARE FUNDED THROUGH GOVERNMENTAL GRANTS. MEADVILLE PHYSICIANS SERVICES IS COMPRISED OF PHYSICIAN PRACTICES LOCATED WITHIN CRAWFORD COUNTY, PENNSYLVANIA. HOME CARE CONNECTIONS HOLDS THE EQUITY INVESTMENT IN VANTAGE HOLDING COMPANY, LLC. THE MEADVILLE MEDICAL CENTER FOUNDATION WAS ESTABLISHED TO RECEIVE, ADMINISTER AND DISTRIBUTE FUNDS AND PROPERTY FOR THE BENEFIT AND SUPPORT OF THE HEALTH SYSTEM. MEADVILLE HOUSING CORPORATION IS A FOR-PROFIT COMPANY THAT RENTS RESIDENTIAL LIVING ACCOMMODATIONS AT TWO HOUSING SITES, BOTH OF WHICH ARE IN OR NEAR MEADVILLE, PENNSYLVANIA. NEEDS ARE ASSESSED AND PLANNING IS CONDUCTED CENTRALLY WITHIN THE ORGANIZATION WITH THE PARTICIPATION OF AFFILIATES. THE MEADVILLE HEALTH CENTER WAS OPENED TO ADDRESS GROWING NEED FOR MEDICAL CARE FOR PERSONS COVERED BY MEDICAL ASSISTANCE IN CENTRAL CRAWFORD COUNTY. true MEADVILLE AREA RECREATION AUTHORITY 800 THURSTON RD MEADVILLE PA 16335 251463554 501(C)(3) 30000 SUPPORT CITY OF MEADVILLE 894 DIAMOND PARK MEADVILLE PA 16335 999999999 GOVT 75000 SUPPORT 2 FORM 990, SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANT FUNDS: THE ORGANIZATION DONATES TO CHARITABLE ORGANIZATIONS THAT RELATE TO THE ORGANIZATION'S HEALTH CARE MISSION. THESE DONATIONS ARE APPROVED THROUGH ADMINISTRATION ON A CASE BY CASE BASIS. FORM 990, SCHEDULE I, PART II, COLUMN B, LINE 2 MISSING EIN: CITY OF MEADVILLE FAILED TO PROVIDE AN EIN TO MEADVILLE MEDICAL CENTER. 99-9999999 HAS BEEN ENTERED IN COLUMN B TO ALLOW FOR THE E-FILING OF THE FORM 990. X true true X X X false true false false false false false true false FRANK MCLAUGHLIN DIRECTOR 0 406672 0 0 0 316 0 14479 0 16755 0 438222 0 0 PHILIP PANDOLPH CEO 444085 0 72450 0 1825 0 65533 0 30276 0 614169 0 0 0 RENATO SUNTAY CFO 475796 0 46819 0 1839 0 47379 0 20820 0 592653 0 0 0 DAVID SHAFFER CHIEF NURSE EXECUTIVE 189127 0 20520 0 1093 0 17030 0 20349 0 248119 0 0 0 DENISE JOHNSON MEDICAL DIRECTOR 319769 0 35143 0 450 0 14575 0 24092 0 394029 0 0 0 CALVIN HAN PHYSICIAN 484570 0 40000 0 270 0 13250 0 28590 0 566680 0 0 0 RANDY ZELEN PHSICIAN 532053 0 3846 0 1980 0 13250 0 17698 0 568827 0 0 0 JASON BROWN PHYSICIAN 556409 0 40000 0 276 0 14575 0 28058 0 639318 0 0 0 ANNALIISA MCGLINN PHYSICIAN 521126 0 78462 0 450 0 14575 0 32504 0 647117 0 0 0 HEATH FALLIN PHYSICIAN 622732 0 125355 0 450 0 13250 0 23464 0 785251 0 0 0 SCHEDULE J, PART I, LINE 1A SOCIAL CLUB DUES: THE ORGANIZATION PAYS SOCIAL CLUB DUES FOR THE PRESIDENT/CEO ONLY. THE POLICY REGARDING PAYMENT OF THE DUES IS WRITTEN INTO HIS CONTRACT. THE CONTRACT STATES THAT DUES TO PROFESSIONAL ASSOCIATIONS AND SOCIETIES AND TO SUCH SERVICE ORGANIZATIONS AND CLUBS OF WHICH HE IS A MEMBER WILL BE PAID SUBJECT TO THE APPROVAL OF THE CHAIRMAN OF THE BOARD AS BEING IN THE BEST INTERESTS OF THE EMPLOYER OR A SUBSIDIARY. THE DUES ARE PAID TO MEADVILLE COUNTRY CLUB AND THE IROQUOIS CLUB. ANY FEES THAT ARE NOT DIRECTLY RELATED TO THE BUSINESS OF THE HOSPITAL ARE THE RESPONSIBILITY OF THE PRESIDENT/CEO. THE PORTION OF DUES RELATED TO PERSONAL USE, $1,375, IS THE AMOUNT INCLUDED IN THE PRESIDENT/CEO'S 2015 W-2. SCHEDULE J, PART I, LINE 1A TRAVEL FOR COMPANIONS: SPOUSES OCCASIONALLY TRAVEL WITH BOARD MEMBERS TO ATTEND CONTINUING EDUCATION SEMINARS. ANY ADDITIONAL COST INCURRED BY THE ORGANIZATION RELATED TO SPOUSAL TRAVEL IS REIMBURSED BY THE BOARD MEMBER. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING SCHEDULED 457(F) CONTRIBUTIONS WERE MADE ON BEHALF OF MEADVILLE MEDICAL CENTER EMPLOYEES: $ 50,958 PHILIP PANDOLPH $ 32,804 RENATO SUNTAY SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: ALL ADMINISTRATIVE STAFF ARE ELIGIBLE TO RECEIVE, AT THE EMPLOYER'S DISCRETION, AN ANNUAL INCENTIVE BONUS AT THE END OF EACH FISCAL YEAR. THE MAXIMUM OPPORTUNITY FOR THE PARTICIPANTS AND AMOUNTS AWARDED ARE DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BASED UPON THE ACCOMPLISHMENT OF SPECIFIC PERFORMANCE GOALS AND CRITERIA ESTABLISHED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD. PHYSICIANS HAVE THE POTENTIAL TO RECEIVE A QUARTERLY BONUS BASED ON WORK RELATIVE VALUE UNITS AS COMPUTED USING CMS RBRVS METHODOLOGY AND MUTUALLY AGREED UPON QUALITY METRICS. THE QUARTERLY BONUS IS LIMITED AND SHALL NOT EXCEED 50% OF THE PROFITABILITY OF THE PRACTICE. A CRAWFORD COUNTY HOSPITAL AUTHORITY 251535164 2012-08-01 6850000 YGBOI 2006 BOND REFINANCING false false false B CRAWFORD COUNTY HOSPITAL AUTHORITY 251535164 2008-08-29 10000000 GROVE ST. SURGERY CENTER ADDITION false false false C CRAWFORD COUNTY HOSPITAL AUTHORITY 251535164 2011-03-24 10000000 CAPITAL EQUIPMENT SERIES OF 2011 false false false D CRAWFORD COUNTY HOSPITAL AUTHORITY 251535164 2011-03-25 4719759 CAPITAL EQUIPMENT SERIES OF 2012 false false false A 0 0 6850000 0 0 0 0 0 0 6850000 0 0 2012 true false true true B 0 0 10000000 0 0 0 0 0 0 10000000 0 0 2009 false false true true C 0 0 10000000 0 0 0 37373 0 0 9962927 0 0 2012 false false true true D 0 0 4719759 0 0 0 0 0 0 4719759 0 0 2012 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false true false true false 0 false 0 false true B false false true false true true FIRST NATIONAL 15. true false false 0 false true C false false true false true true FIRST NIAGARA 5. true false false 0 false true D false false true false true true FIRST NIAGARA 5. true false false 0 false true A true B true C true D true SCHEDULE K, PART IV, LINE 4, COLUMN C QUALIFIED HEDGE: A QUALIFIED HEDGE WAS ENTERED INTO WITH RESPECT TO ONLY $2,300,000 OF THE TOTAL ISSUE PRICE THROUGH AN INTEREST RATE SWAP. A CRAWFORD COUNTY HOSPITAL AUTHORITY 251535164 2012-12-31 5000000 CAPITAL EQUIPMENT SERIES OF 2012/2 false false false B CRAWFORD COUNTY HOSPITAL AUTHORITY 251535164 2013-12-30 7000000 CAPITAL EQUIPMENT SERIES 2013A false false false C CRAWFORD COUNTY HOSPITAL AUTHORITY 251535164 2014-12-15 10000000 CAPITAL EQUIPMENT SERIES 2014A false false false D CRAWFORD COUNTY HOSPITAL AUTHORITY 251535164 2015-09-29 3500000 TAH ACQUISTION SERIES 2015A false false false A 0 0 5000000 0 0 0 0 0 0 5000000 0 0 2013 false false true true B 0 0 7000000 0 0 0 0 0 0 6998972 0 1028 false false false C 0 0 10000000 0 0 0 0 0 0 8210218 1789782 0 2016 false false true true D 0 0 3500000 0 0 0 0 0 3500000 0 0 0 2015 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false true false true true PNC EQUIPMENT FINANC 5. true false false 0 false true B false true false false true false 0 false 0 false true C false true false false true true LAUREL CAPITAL 10. true false false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true FORM 990, PART I, LINE 6 VOLUNTEERS: MEADVILLE MEDICAL CENTER VOLUNTEERS DONATED OVER 40,000 HOURS IN THE PAST YEAR ASSISTING IN VARIOUS AREAS THROUGHOUT THE FACILITY. DUTIES INCLUDE BUT ARE NOT LIMITED TO TASKS SUCH AS TRANSPORTING AND ESCORTING PATIENTS, DELIVERING FLOWERS AND MAIL, PERFORMING CLERICAL DUTIES, ASSISTING IN THE COFFEE & GIFT SHOPS, HANDING OUT BEEPERS IN THE SURGICAL FAMILY WAITING AREA AND MANNING THE INFORMATION DESKS, TO NAME A FEW. WE RECOGNIZE OUR VOLUNTEERS WITH VARIOUS ACTIVITIES THROUGHOUT VOLUNTEER WEEK INCLUDING A RECEPTION AND RECOGNITION GIFT, IN ADDITION TO A YEARLY CHRISTMAS RECEPTION. WE RECOGNIZE THE DEDICATION AND IMPORTANCE OF OUR VOLUNTEERS, AND READILY WELCOME NEW ADDITIONS TO OUR VOLUNTEER WORKFORCE. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACTIVITY #1: INPATIENT ACUTE CARE IS THE SYSTEM OF CARE RESERVED AND PROVIDED FOR PATIENTS WHOSE MEDICAL CONDITIONS NECESSITATE THEIR STAY IN A HOSPITAL OR TREATMENT FACILITY WHILE UNDERGOING TREATMENT. PATIENTS SUFFERING FROM DISEASE OR RECOVERING FROM INJURY OR INVASIVE SURGERY TYPICALLY MAKE UP THE LARGEST GROUP OF INPATIENT ACUTE PATIENTS. CONDITIONS UNDER THIS GROUP INCLUDE WOUND CARE, AMPUTEE SERVICES, STROKES AND OTHER TRAUMATIC BRAIN INJURIES, ARTHRITIS AND CANCER. INPATIENT CARE CAN BE QUITE EXPENSIVE FOR PATIENTS. THE FUNDING IS PROVIDED BOTH BY PATIENTS' INSURANCE POLICIES AS WELL AS GOVERNMENT SUBSIDY TO THE CENTER'S BUDGET. FORM 990, PART III, LINE 4B PROGRAM SERVICE ACTIVITY #2: AT THE ONCOLOGY INSTITUTE, MEADVILLE MEDICAL CENTER IS COMMITTED TO YOUR TOTAL CARE AND SUPPORT. OUR TEAM OF HEALTH CARE PROFESSIONALS ARE EXPERIENCED IN COUNSELING AND EDUCATING PATIENTS, HELPING THEM UNDERSTAND AND COPE WITH THEIR ILLNESS AND ITS TREATMENT. WE ENCOURAGE PATIENTS TO PARTICIPATE AS MUCH AS POSSIBLE IN THEIR ON-GOING CARE. YOUR CARE IS COORDINATED BY AN INTERDISCIPLINARY TEAM OF PROFESSIONALS INCLUDING YOUR FAMILY PHYSICIAN, SURGEONS, MEDICAL AND RADIATION ONCOLOGISTS, NURSES, SOCIAL WORKERS AND OTHER SUPPORT STAFF. CANCER CARE CONFERENCES ARE HELD ON A WEEKLY BASIS AS A FORMALIZED REVIEW AND DISCUSSION OF ALL CANCER PATIENTS. THIS IS AN OPPORTUNITY FOR PHYSICIANS TO GET INPUT FROM OTHER PHYSICIANS ON THE TREATMENT OF CANCER PATIENTS. OUR PHYSICIANS SPECIALIZING IN THE CARE OF CANCER ARE BOARD CERTIFIED MEDICAL ONCOLOGISTS AND BOARD CERTIFIED RADIATION ONCOLOGISTS. THE NEW CANCER CENTER EMPLOYS TWO ONCOLOGIST/HEMATOLOGISTS AND A RADIATION ONCOLOGIST, A PHYSICIST AND A MULTI-DISCIPLINARY TEAM CONSISTING OF REGISTERED NURSES CERTIFIED IN ONCOLOGY; A CLINICAL PROTOCOL NURSE; CERTIFIED MEDICAL DOSIMETRISTS; REGISTERED RADIATION THERAPISTS; A TUMOR REGISTRAR; LABORATORY TECHNICIANS; A PHARMACIST; AND PHARMACY TECHNICIANS. THE NURSING STAFF WORKING WITH CANCER PATIENTS HAS EXTENSIVE SPECIALIZED TRAINING. REGISTERED NURSES HAVE BEEN TRAINED AND ARE CERTIFIED IN THE ADMINISTRATION OF CHEMOTHERAPY. DIAGNOSTIC SERVICES STATE-OF-THE-ART DIAGNOSTIC SERVICES SUCH AS CT SCANNING AND PET SCANNING ARE AVAILABLE ON SITE TO HELP DETECT CANCER IN ITS EARLIEST STAGES AND/OR DIAGNOSE THE EXTENT OF THE CANCER. ANOTHER ASSET TO THE DEPARTMENT IS ACCESS TO THE MAMMOTOME PROCEDURE. THE MAMMOTOME ENHANCES A WOMEN'S ALTERNATIVE FOR A CHANCE OF LESS INVASIVE BREAST BIOPSIES. WITH THE MAMMOTOME, BREAST BIOPSIES ARE LESS INVASIVE AND MOST PATIENTS MAY RETURN TO THEIR REGULAR ROUTINE POST-PROCEDURE. THE TRILOGY STEREOTACTIC SYSTEM FROM VARIAN MEDICAL SYSTEMS IS THE MOST ADVANCED, SOPHISTICATED MACHINE OF ITS TYPE IN THE WORLD. AS THE LEADING IMAGE-GUIDED RADIOTHERAPY (IGRT) SYSTEM, TRILOGY MARKS THE BEGINNING OF A NEW GENERATION OF CANCER CARE. RADIOTHERAPY CAN BE USED TO TREAT MORE DIFFERENT TYPES OF CANCER, WHICH MEANS THAT MORE PATIENTS CAN BE SPARED THE INVASIVE TECHNIQUES OF SURGERY AND/OR CHEMOTHERAPY. MEADVILLE MEDICAL CENTER AND OUR PHYSICIANS RECOGNIZE THE IMPORTANCE OF EARLY DETECTION IN CANCER CARE. TO SUPPLEMENT YOUR ANNUAL PHYSICAL EXAMINATION WE OFFER PROGRAMS SUCH AS LOW COST MAMMOGRAPHY, PERIODIC FREE SCREENINGS FOR CANCERS SUCH AS PROSTATE AND SKIN, AND SPECIAL EDUCATIONAL PROGRAM AND/OR MATERIAL ON MANY TYPES OF CANCER. IN ADDITION TO PROVIDING THE HIGHEST QUALITY MEDICAL CARE, THE PROFESSIONAL SUPPORT STAFF IS PREPARED TO DEAL WITH THE PHYSICAL, PSYCHOLOGICAL AND SOCIAL CONSEQUENCES THAT MAY ARISE AS THE RESULT OF CANCER OR ITS TREATMENT. ARRANGEMENTS CAN BE MADE THROUGH MEADVILLE MEDICAL CENTER TO PROVIDE SOCIAL WORKERS AND PASTORAL CARE STAFF FOR INDIVIDUAL COUNSELING, EMOTIONAL SUPPORT AND INFORMATION ON AVAILABLE RESOURCES FOR CANCER PATIENTS. THERAPEUTIC DIETICIANS PROVIDE PRIVATE CONSULTATION TO ASSIST WITH SPECIAL NUTRITIONAL NEEDS. PHARMACISTS, LABORATORY TECHNICIANS, AND OTHERS ARE ALSO AVAILABLE TO ASSIST IN PROVIDING THE TOTAL CARE OF OUR PATIENTS AND THEIR FAMILIES. A WHOLE-PERSON APPROACH AT THE HEART OF THE WHOLE-PERSON APPROACH TO HEALTH AND WELLNESS, THE YOLANDA G. BARCO ONCOLOGY INSTITUTE PROVIDES COORDINATED COUNSELING AND NUTRITION CONSULTATIONS AS WELL AS STRESS REDUCTION OPPORTUNITIES IN THE FORM OF ART AND MUSIC RECREATION THERAPY. AN INNOVATIVE KEYBOARD PROGRAM KNOWN AS THE CLAVINOVA CONNECTION, DEVELOPED BY YAMAHA, ALLOWS PATIENTS WITH NO MUSICAL EXPERIENCE TO SIMPLY FOLLOW KEYBOARD LIGHTS FOR SPECIALLY ARRANGED MUSICAL COMPOSITIONS. THIS MUSICAL "DIVERSION" WILL HELP THEM RELAX AND, AS RECENT RESEARCH SUGGESTS, REVERSE THE DNA SWITCHES THAT LITERALLY TURN ON THE HUMAN STRESS RESPONSE. ALSO AVAILABLE ARE SERVICES THAT PROMOTE "WHOLE BODY HEALING" - MASSAGE THERAPY, TAI CHI, YOGA, EXERCISE CLASSES, MEDITATION, MUSIC THERAPY, ACUPUNCTURE, NUTRITIONAL COUNSELING, PAIN MANAGEMENT AND SUPPORT GROUPS. DOCTORS SAY THESE LIFESTYLE, BEHAVIOR, DIET, AND OVERALL WELLNESS PROGRAMS WILL HELP PATIENTS BE MORE PRO-ACTIVE IN THEIR HEALTH AND RECOVERY. FORM 990, PART III, LINE 4C PROGRAM SERVICE ACTIVITY #3: OVER 70 PERCENT OF SURGERIES ARE DONE ON AN OUTPATIENT BASIS; AND OUTPATIENT SURGERY REMAINS A CONVENIENT, COST-SAVING ALTERNATIVE TO HOSPITAL ADMISSION FOR PATIENTS UNDERGOING CERTAIN PROCEDURES. THESE PATIENTS ARE PROVIDED WITH QUALITY CARE AND SAFETY, PLUS THE AVAILABILITY OF COMPLETE HOSPITAL FACILITIES AND SERVICES IF NEEDED. IN RECENT YEARS THE TREND IS MINIMALLY INVASIVE SURGERY WHICH HELPS PATIENTS TO RECOVER MUCH FASTER, SUFFER LESS PAIN AND RETURN TO WORK MORE QUICKLY. THE HOSPITAL RECENTLY ADDED THE SURGERY CENTER AT GROVE, A NEW WING AT THE GROVE STREET FACILITY THAT BRINGS ALL OUTPATIENT SURGERY AND PROCEDURES TO ONE CONVENIENT, PATIENT- AND FAMILY-FRIENDLY LOCATION ON ONE FLOOR. MOST FREQUENT SURGICAL CASES PERFORMED AT MMC ARE: ORTHOPEDIC -TOTAL HIP REPLACEMENT -TOTAL KNEE REPLACEMENT -JOINT REPLACEMENT -CERVICAL DISCECTOMY WITH FUSION -LUMBAR LAMINECTOMY WITH FUSION (LAPAROSCOPIC, OPEN, AND INNER BODY) -BACK IMPLANT FOR LUMBAR SPINAL FUSION -SHOULDER REPAIR (ARTHROSCOPIC AND OPEN) -KNEE ARTHROSCOPY -HIP AND ANKLE FRACTURES -CARPAL TUNNEL RELEASE -GANGLION CYST EXCISION EAR NOSE THROAT -MYRINGOTOMY -TONSIL AND ADENOID REMOVAL -ADENOIDECTOMY -TONSILLECTOMY -SEPTOPLASTY -THYROIDECTOMY -UVULOPALATOPHARYNGOPLASTY (TO ENLARGE THE LARYNX FOR SNORING/OBSTRUCTION) EYE SURGERY -CATARACT EXTRACTION WITH INTRAOCULAR LENS -IMPLANT -TEAR DUCT PROBING AND IRRIGATION -BLEPHAROPLASTY GENERAL SURGERY -LAPAROSCOPIC PROCEDURES (GALL BLADDER, HERNIA, APPENDECTOMY) -OPEN PROCEDURES (GALL BLADDER, HERNIA, APPENDECTOMY) -BREAST BIOPSY -MASTECTOMY -HEMORRHOIDECTOMY OB-GYN -HYSTERECTOMY -ABDOMINAL/VAGINAL (OPEN AND LAPAROSCOPIC ASSISTED) -D & C -ENDOMETRIAL ABLATION -HYSTEROSCOPY -LAPAROSCOPIC TUBAL OCCLUSION -C-SECTION -COLD CONE BIOPSY OF CERVIX VASCULAR SURGERY -INSERTION OF TOTALLY IMPLANTABLE VASC ACCE PLASTIC SURGERY -BREAST REDUCTION -BREAST AUGMENTATION -LIPOSUCTION -LASER THERAPY OF BIRTHMARKS AND PORT WINE STRAINS -RHINOPLASTY PODIATRY -BUNIONECTOMY -HAMMERTOE CORRECTION -ANKLE STABILIZATION UROLOGY -LITHOTRON -ESWL -LASER LITHOTRIPSY -CYSTOSCOPY -VASECTOMY -DIAGNOSTIC LAPAROSCOPY -TURP, TURBT FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICE ACTIVITIES: MMC OPERATES AN INTENSIVE CARE UNIT. THE INTENSIVE CARE UNIT AT MEADVILLE MEDICAL CENTER IS A 12-BED INTENSIVE CARE UNIT THAT SUPPORTS THE CARDIAC, SURGICAL, AND MEDICAL INTENSIVE CARE PATIENTS. IN ADDITION, A 16-BED TELEMETRY STEP-DOWN NURSING UNIT IS LOCATED ADJACENT TO THE ICU. PATIENTS WITH CARDIAC PROBLEMS ARE MONITORED FROM THEIR ROOMS; WITH THE MOST SOPHISTICATED MONITORING EQUIPMENT AVAILABLE. PHYSICIANS ADMIT THOSE PATIENTS TO THE INTENSIVE CARE UNIT (ICU) WHOM THEY FEEL REQUIRE SPECIALIZED NURSING CARE AFTER SURGERY, AN ILLNESS, OR SOME OTHER SERIOUS MEDICAL CONDITION. AN ICU IS DESIGNED TO PROVIDE 24-HOUR CONCENTRATED MEDICAL AND NURSING CARE TO HELP BRING THE SERIOUSLY ILL PATIENT THROUGH THE CRITICAL PERIOD OF RECOVERY. PATIENTS IN THE ICU ARE TRANSFERRED TO A REGULAR NURSING UNIT WHEN THEIR PHYSICIANS FEEL THAT THE CRITICAL STAGE OF ILLNESS HAS PASSED. THE INTENSIVE CARE UNIT AT MEADVILLE MEDICAL CENTER IS A 12-BED INTENSIVE CARE UNIT THAT SUPPORTS THE CARDIAC, SURGICAL AND MEDICAL INTENSIVE CARE PATIENTS. IN ADDITION, A 16-BED TELEMETRY STEP-DOWN NURSING UNIT IS LOCATED ADJACENT TO THE ICU. PATIENTS WITH CARDIAC PROBLEMS ARE MONITORED FROM THEIR ROOMS; WITH THE MOST SOPHISTICATED MONITORING EQUIPMENT AVAILABLE. IN THE ICU, CONSTANT OBSERVATION AND INDIVIDUALIZED NURSING CARE ARE PROVIDED TO ASSURE THAT THE PATIENT IS COMFORTABLE AND RECEIVES THE BEST IN SKILLED NURSING CARE. THE HIGHLY SKILLED NURSING PERSONNEL WHO STAFF OUR UNIT ARE CERTIFIED CRITICAL CARE REGISTERED NURSES, AND THEY UTILIZE THE LATEST MONITORING AND LIFE-SAVING EQUIPMENT. THIS ATTENTIVE STAFF OF PROFESSIONAL NURSES ENSURES THAT ALL PATIENTS ARE CLOSELY OBSERVED, AND CARED FOR, 24 HOURS A DAY. THE ORGANIZATION ALSO PROVIDES A VARIETY OF OTHER SERVICES, INCLUDING THE FOLLOWING: -MIND BODY WELLNESS CENTER -20 BED INPATIENT PSYCHIATRIC UNIT -22 BED INPATIENT DRUG AND ALCOHOL UNIT -32 SKILLED NURSING UNIT -11 BED REHAB UNIT ADDITIONALLY, THE ORGANIZATION DONATES TO CHARITABLE ORGANIZATIONS. FORM 990, PART V, LINE 2A W-2'S FILED: MEADVILLE MEDICAL CENTER ALSO FILES W-2'S FOR ONE OF ITS RELATED ORGANIZATIONS, MEADVILLE MEDICAL CENTER FOUNDATION. THE TOTAL NUMBER OF W-2'S FILED INCLUDES THESE W-2'S. THE COMPENSATION, EMPLOYEE BENEFITS AND PAYROLL TAXES AMOUNTS ARE THEN ALLOCATED TO THE ORGANIZATION FOR THE AMOUNT THAT REPRESENTS WORK PERFORMED FOR THE ORGANIZATION. THEREFORE, THE AMOUNT REPORTED ON PART IX INCLUDES ONLY THOSE AMOUNTS ALLOCATED TO WORK PERFORMED DIRECTLY FOR MEADVILLE MEDICAL CENTER. THE HIGHEST PAID EMPLOYEES ARE DETERMINED BY THE WORK PERFORMED FOR EACH ORGANIZATION. THEREFORE, THE FIVE HIGHEST PAID EMPLOYEES LISTED ON PART VII AND SCHEDULE J ARE THOSE EMPLOYEES WHO WORK DIRECTLY FOR MEADVILLE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B MEMBERS: MEMBERS ARE ELECTED BY THE MEMBERS OF THE CORPORATION, SERVE A TERM OF FIVE YEARS, AND MAY SERVE AN UNLIMITED NUMBER OF TERMS. MEMBERS HAVE SUCH POWERS AND DUTIES AS ARE SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW OF 1988 (NPCL). PART OF THE RESPONSIBILITY OF THE MEMBERS IS TO ELECT THE DIRECTORS AT THEIR ANNUAL MEETING AFTER NOMINATION HAS BEEN COMPLETED. THE BOARD OF DIRECTORS HAS THE AUTHORITY TO ADOPT, AMEND, AND REPEAL ANY ARTICLE AND/OR BYLAW SUBJECT TO THE POWER OF THE MEMBERS TO CHANGE SUCH AUCTION. THE MEMBERS RETAIN THE EXCLUSIVE RIGHT TO ADOPT, AMEND, AND REPEAL ANY BYLAW OR ARTICLE ON ANY SUBJECT ENUMERATED IN SECTION 5504(B) OF THE NPCL. ANY PERSON WHO HAS SERVED AS A MEMBER OF THIS CORPORATION MAY, IN THE DISCRETION OF THE BOARD OF DIRECTORS, BE ELECTED TO THE STATUS OF A MEMBER EMERITUS. ALL MEMBERS EMERITUS SHALL HAVE THE RIGHT TO PARTICIPATE IN THE AFFAIRS OF THE CORPORATION IN THE SAME MANNER AS MEMBERS OF THE CORPORATION AS DEFINED IN ARTICLE III OF THE BYLAWS, BUT SHALL NOT BE SUBJECT TO THE FOLLOWING PROVISIONS OF ARTICLE III OF THE BYLAWS. (A) RE-ELECTION ON A FIVE-YEAR BASIS UNDER SECTION 3.1 OF THE BYLAWS. MEMBERS EMERITUS SHALL CONTINUE IN PERPETUITY DURING THEIR LIFETIME, OR UNTIL THEIR SPECIFIC RESIGNATION. (B) SECTION 3.4(A), WHICH PROVIDES FOR REMOVAL IN THE EVENT OF FAILURE TO ATTEND FOUR CONSECUTIVE MEETINGS WITHOUT A JUSTIFIABLE EXCUSE. MEMBERS EMERITUS WILL NOT BE REQUIRED TO ATTEND MEETINGS IN ORDER TO MAINTAIN THEIR STATUS. MEMBERS EMERITUS ARE NOT ENTITLED TO VOTE AND ARE NOT COUNTED FOR THE PURPOSE OF DETERMINING A QUORUM UNDER ARTICLE IV, SECTION 4.3 OF THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF MEADVILLE MEDICAL CENTER. THE 990 IS INITIALLY INTERNALLY REVIEWED IN-DEPTH BY THE CEO, CFO, AND CONTROLLER. AFTER CHANGES ARE MADE FROM THIS REVIEW, THE 990 IS PLACED ON A WEB PORTAL WHERE EACH BOARD MEMBER HAS THE OPPORTUNITY TO REVIEW AND ASK QUESTIONS OR SUGGEST CHANGES BEFORE FILING. AFTER ALL QUESTIONS AND SUGGESTIONS ARE CONSIDERED, THE FORM 990 IS ELECTRONICALLY FILED. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION HAS AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. ANY ACTUAL OR POTENTIAL CONFLICTS ARE EVALUATED AND DEEMED TO EITHER MAKE THE INTERESTED PERSON DISQUALIFIED OR INELIGIBLE TO SERVE. THROUGHOUT THE YEAR, EACH AFFECTED PERSON IS ALSO OBLIGATED TO FILE A SUPPLEMENTARY DISCLOSURE STATEMENT IF THERE IS A CHANGE IN CIRCUMSTANCES WHICH COULD CREATE CONFLICT. DETERMINATION OF ACTUAL CONFLICT WILL BE CONDUCTED BY THE BOARD OF DIRECTORS. ANY DIRECTOR, OFFICER OR DISQUALIFIED PERSON WHO IS DEEMED BY THE BOARD TO BE DISQUALIFIED BECAUSE OF AN ACTUAL OR APPARENT CONFLICT OF INTEREST ON ANY MATTER (I) SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, (II) SHALL ABSTAIN FROM VOTING (ALTHOUGH UPON INVITATION OF THE CHAIRMAN, HE OR SHE MAY PARTICIPATE IN BOARD DISCUSSIONS) AND (III) SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHEN PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE EFFECT ON THE QUORUM. AN INDIVIDUAL WHO HAS A RELATIONSHIP WITH AN ENTITY THAT IN THE BOARD'S VIEW MAKES IT DIFFICULT OR IMPOSSIBLE FOR THAT INDIVIDUAL OR ANY OF THE REMAINING DIRECTORS TO DISCHARGE HIS OR HER RESPONSIBILITIES MAY BE DECLARED INELIGIBLE TO SERVE AND SHALL EITHER RESIGN OR MAY BE REMOVED BY A MAJORITY VOTE OF ALL REMAINING DIRECTORS IN OFFICE. FORM 990,PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW: THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEADVILLE MEDICAL CENTER (MMC), WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, YAFFE & COMPANY, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS IN MEETING MINUTES AND REPORTS ITS DECISIONS TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: UPON REQUEST, PHOTOCOPIES OF GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PICKUP BY THE REQUESTING PERSON. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO BOARD MEMBER IS COMPENSATED FOR THEIR DUTIES AS BOARD MEMBERS. STEPHANIE GALEY IS COMPENSATED AS A CONTRACTED MEDICAL DIRECTOR FOR ORTHOPEDIC ASSOCIATES OF MEADVILLE. FRANK MCLAUGHLIN IS COMPENSATED FOR HIS ROLE AS A PHYSICIAN AT CONNEAUT VALLEY HEALTH CENTER. RON UNICE RECEIVES A 1099 FOR SERVICES UNRELATED TO HIS ROLE AS A BOARD MEMBER. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES BREAKOUT: $ 17,766,168 PURCHASED SERVICES 1,774,452 PHYSICIAN PROFESSIONAL FEES ------------ $ 19,540,620 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ (11,929,133) CHANGE IN DEFINED BENEFIT PENSION PLAN ( 6,083,688) TRANSFERS TO RELATED PARTIES ( 275,995) CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST ( 4,769) CHANGE IN INTEREST RATE SWAP -------------- $ (18,293,585) MEADVILLE MEDICAL CENTER FOUNDATION 1034 GROVE STREET MEADVILLE PA 16335 251681342 SUPPORT PA 501(C)(3) 7 MMC true HOSPICE OF CRAWFORD COUNTY INC 1034 GROVE STREET MEADVILLE PA 16335 251480565 HOSPICE PA 501(C)(3) 7 MMC true CONNEAUT VALLEY HEALTH CENTER 1034 GROVE STREET MEADVILLE PA 16335 251490887 HEALTH CENTER PA 501(C)(3) 3 MMC true MEADVILLE PHYSICIANS SERVICES 751 LIBERTY STREET MEADVILLE PA 16335 251602133 PHYS. OFFICES PA 501(C)(3) 9 MMC true COMMUNITY HEALTH SERVICES INC 1034 GROVE STREET MEADVILLE PA 16335 251490886 PHYS. OFFICES PA 501(C)(3) 9 MMC true MEADVILLE MEDICAL CENTER AUXILIARY 751 LIBERTY STREET MEADVILLE PA 16335 251512834 SUPPORT PA 501(C)(3) 11A I MMC true FRENCH CREEK INTERNAL MEDICINE 751 LIBERTY STREET MEADVILLE PA 16335 471870077 PHYS. OFFICES PA 501(C)(3) 9 MPS true HOME CARE CONNECTIONS INC 751 LIBERTY STREET MEADVILLE PA 16335 251605314 HOLDING COMPA PA MMC C CORP 1751959 3356070 1.00000 true MEADVILLE HOUSING CORPORATION 934 B STREET MEADVILLE PA 16335 250657800 HOUSING PA MMC C CORP 1070081 3230722 0.60980 true CHARITABLE TRUST 256196092 TRUST PA MMC TRUST -115170 2530803 1.00000 true CHARITABLE TRUST 066031521 TRUST PA MMC TRUST -60691 941367 1.00000 true true false true false false false false false true true true true true true true true false true false MEADVILLE PHYSICIANS SERVICES A 199482 FMV MEADVILLE MEDICAL CENTER FOUNDATION A 9075 FMV CONNEAUT VALLEY HEALTH CENTER A 16530 FMV COMMUNITY HEALTH SERVICES A 40912 FMV CHARITABLE TRUST C 115281 FMV MEADVILLE PHYSICIANS SERVICES L 265525 FMV COMMUNITY HEALTH SERVICES L 444167 FMV COMMUNITY HEALTH SERVICES P 243579 FMV FRENCH CREEK INTERNAL MEDICINE A 32322 FMV COMMUNITY HEALTH SERVICES R 111782 FMV MEADVILLE PHYSICIAN SERVICES R 5640137 FMV MEADVILLE MEDICAL CENTER FOUNDATION R 331769 FMV