2017-05-11T08:29:36-05:00 2016-06-30 990 2015-07-01 231352202 SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET SCHU 4848840130 MAUCH CHUNK JACKSON STREETS POTTSVILLE PA 17901 EDWARD F O'DEA EXECUTIVE VP & CFO 4848840130 2017-05-11 2015 2021-01-29 14:40:06Z BRIAN A NESTER MAUCH CHUNK JACKSON STREETS POTTSVILLE PA 17901 77930787 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 16 922 22 0 0 405804 213615 85548751 76559107 281012 161686 972704 960488 87208271 77894896 2235 1338 0 0 47852907 43291831 0 0 0 42939528 43322067 90794670 86615236 -3586399 -8720340 56871043 44884267 80736498 86764977 -23865455 -41880710 X SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET'S MISSION IS TO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE AVAILABLE FOR THE SCHUYLKILL COUNTY COMMUNITY. 0 0 69437025 1338 76559107 SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON 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, CRITICAL CARE, MATERNITY, PEDIATRIC, AND BEHAVIORAL HEALTH SERVICES. THERE WERE MORE THAN 30,000 EMERGENCY DEPARTMENT VISITS.SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET PROVIDES A WIDE ARRAY OF DIAGNOSTIC AND TREATMENT PROGRAMS INCLUDING A HOSPITAL-BASED HOME HEALTH DEPARTMENT, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES, OCCUPATIONAL MEDICINE, AS WELL AS CT, MRI, MAMMOGRAPHY, ULTRASOUND, DEXA SCAN, NUCLEAR MEDICINE, AND OTHER IMAGING TECHNOLOGIES.THE MEDICAL CENTER PROVIDES MANY COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS THROUGHOUT THE YEAR AS WELL AS SCREENINGS, EVENTS, AND HEALTH FAIR PARTICIPATION. 69437025 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 55 0 1 922 1 0 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 420 SOUTH JACKSON STREET POTTSVILLE PA 17901 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 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 NARULA TRUSTEE 1.00 3.00 X 0 0 0 JUDGE JOSEPH F MCCLOSKEY TRUSTEE/CHAIRMAN EMERITUS 1.00 3.00 X 0 0 0 SYED SHAH MD TRUSTEE 1.00 3.00 X 0 0 0 TIMOTHY P 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 0 147567 21509 SUE CURRY VP NURSING/CNO 18.00 22.00 X 0 132585 25315 RICHARD BINDIE DIRECTOR OF PATHOLOGY 37.50 X 273967 0 29110 SHERRY L BURINSKY BOTTOR CRNA 37.50 X 199851 0 28139 ADAM D TOLL PATHOLOGIST 37.50 X 299880 0 30890 ELIZABETH FLANNERY CRNA 37.50 X 189641 0 27749 JESSICA L YODER CRNA 37.50 X 187896 0 27611 JOHN E SIMODEJKA FORMER PRESIDENT/CEO 18.00 22.00 X 305147 0 15896 1456382 280152 206219 22 1 1 0 THE ADVISORY BOARD COMPANY PO BOX 79461 BALTIMORE MD 21279 HOSPITAL MANAGEMENT SERVICES 2581594 INSIGHT HEALTH CORP PO BOX 847689 DALLAS TX 75284 PET SCAN & MRI SERVICE 821830 SODEXHO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 DIETARY 749338 PH ANESTHESIA ASSOC PC 420 S JACKSON ST POTTSVILLE PA 17901 ANESTHESIOLOGISTS 561095 LABORATORY CORPORATION OF AMERICA HOLDIN PO BOX 12140 BURLINGTON NC 27216 REFERENCE LAB 417378 24 213615 213615 OUTPATIENT REVENUE 621400 47397271 47397271 INPATIENT REVENUE 621400 28410496 28410496 SCHOOL OF NURSING 621400 751340 751340 76559107 148904 148904 50594 27023 23571 23571 23571 21650 8868 12782 12782 12782 MEANINGFUL USE 900099 587763 587763 CAFETERIA & VENDING 561439 292363 292363 56791 56791 936917 77894896 76559107 0 1122174 1338 1338 34619027 28592430 6026597 1703952 1407322 296630 4459798 3684244 775554 2509054 2070983 438071 451545 451545 73290 73290 5987049 3792632 2194417 44993 44993 345550 96698 248852 589673 3182 586491 3876636 1661220 2215416 433285 181199 252086 5609671 5609671 4412533 4412533 427605 427605 MEDICAL SUPPLIES 8841634 8835385 6249 BAD DEBT EXPENSE 4700267 4700267 CONTRACT PERSONNEL 4491627 3107253 1384374 NON-MEDICAL SUPPLY 662436 376519 285917 2374273 476544 1897729 86615236 69437025 17178211 0 2000 2150 5804054 2238605 7775849 6596299 1101614 1102787 418803 918372 88833791 72551659 20059418 16282132 477203 493900 9081749 5905294 12150353 11344728 56871043 44884267 41578077 14170405 209640 29079930 29161280 1500000 1500000 8368851 41933292 80736498 86764977 X -29202113 -47054644 86019 102019 5250639 5071915 -23865455 -41880710 56871043 44884267 X -8720340 -9294915 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8003 8003 0 PART II-B, LINE 1: A PORTION OF THE HOSPITAL'S DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL ASSOCIATION OF PENNSYLVANIA (HAP) ARE USED FOR LOBBYING PURPOSES. 734233 734233 50103300 40347411 9755889 37306204 31695188 5611016 690054 509060 180994 16282132 FEDERAL AGENCY OBLIGATIONS 5905294 F 5905294 INSURANCE RECOVERIES RECEIVABLE 1759315 DUE FROM AFFILIATES 4905379 INTEREST IN PERPETUAL TRUST 4680034 11344728 OBLIGATION UNDER CAPITAL LEASE 3767963 DUE TO AFFILIATES 93116 ACCRUED PENSION LIABILITY 35472490 DEFERRED REVENUE 84799 ESTIMATED MALPRACTICE LIABILITY 2514924 41933292 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 EXPENSES. 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, 0 0 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 259757 259757 0.00320 6750084 1022760 5727324 0.06990 7009841 1022760 5987081 0.07310 288 5510 52900 1800 51100 0.00060 2186516 1680724 505792 0.00620 3019066 2413036 606030 0.00740 288 5510 5258482 4095560 1162922 0.01420 288 5510 12268323 5118320 7150003 0.08730 24 203 1945 1945 0.00000 2 370 370 0.00000 26 203 2315 2315 1 1725939 1725939 21341322 22566539 -1225217 X 1 1 1 1 SCHUYLKILL MEDICAL CENTER SOUTH JACKSON STREET 420 SOUTH JACKSON STREET POTTSVILLE PA 17901 X X X SCHUYLKILL MEDICAL CENTER SOUTH JACKSON 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 X 1 X 0 0 SCHUYLKILL MEDICAL CENTER SOUTH JACKSON 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. THIS GROUP DESERVES SPECIAL RECOGNITION FOR THEIR TIRELESS OVERSIGHT AND SUPPORT OF THE CHNA PROCESS.DURING THIS CHNA PROJECT, FOURTEEN INDIVIDUALS WERE INTERVIEWED BY SSIINCLUDING REPRESENTATIVES FROM HEALTH AND SOCIAL SERVICE AGENCIES, SCHOOLDISTRICT PERSONNEL, FAITH-BASED CONGREGATION, GOVERNMENT REPRESENTATIVE,HIGHER EDUCATION AND SENIOR POPULATION.THESE INFORMATION-GATHERING EFFORTS ALLOWED THE PROJECT TEAM AND STEERINGCOMMITTEE TO GAIN A BETTER UNDERSTANDING OF THE HEALTH STATUS, HEALTH CARENEEDS, SERVICE GAPS AND BARRIERS TO CARE OF THOSE LIVING IN THE COUNTY OFSCHUYLKILL (PA), WHICH REPRESENT THE PRIMARY AND SECONDARY SERVICE AREA OFSHS. THE ADMINISTRATION OF SHS WOULD LIKE TO THANK ALL OF THOSE WHO WEREINVOLVED IN THIS PROJECT, PARTICULARLY THOSE WHO PARTICIPATED IN INTERVIEWS AND INFORMATION GATHERING. SCHUYLKILL MEDICAL CENTER SOUTH JACKSON STREET PART V, SECTION B, LINE 6A: SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET SCHUYLKILL MEDICAL CENTER SOUTH JACKSON 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 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 ALL 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 THIS ISSUE 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 LVH 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." SUCHINITIATIVES INCLUDE PROMOTING MAMMOGRAMS, FLU SHOTS, TIMELY PREGNANCY CARE AND OBESITY SCREENING, AND BUILDING AWARENESS ABOUT THE EMERGING OPIOID DRUG USE AND ABUSE ISSUES FACING OUR COMMUNITIES. SCHUYLKILL MEDICAL CENTER SOUTH JACKSON 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 GUIDLEINES FOR FINANCIAL ASSISTANCE. IF THEY DO, THEY ARE THEN GIVEN THE PROPER INFORMATION. SCHUYLKILL MEDICAL CENTER SOUTH JACKSON 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 GUIDELINES 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 - SOUTH 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 AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT SUBTRACTED OUT FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCH H, PART I, LINE 7, COLUMN (F) IS $4,700,267 PART II, COMMUNITY BUILDING ACTIVITIES: ECONOMIC DEVELOPMENT - SCHUYLKILL COUNTY CHILD DEVELOPMENT POLICY COUNCIL. CHILD DEVELOPMENT IS A DAY CARE PROGRAM IN SCHUYLKILL COUNTY THAT IS PROVIDED TO ANYONE BUT IS FOCUSED ON CHILDREN OF PARENTS WHO CANNOT AFFORD TO PAY THE FULL COST OF DAYCARE. IF THIS SERVICE WAS NOT AVAILABLE FOR THESE PARENTS, THEY WOULD NOT BE ABLE TO WORK BECAUSE THEY WOULD HAVE TO STAY HOME TO TAKE CARE OF THEIR CHILDREN. WE HAVE A CLINICAL RN CHARGE NURSE WHO ATTENDS THE MEETINGS AND IS A MEMBER OF THIS POLICY COUNCIL.COMMUNITY SUPPORT - BRIDGE HOUSE OF SCHUYLKILL COUNTY.THE BRIDGE HOUSING PROGRAM IS A TRANSITIONAL HOUSING SERVICE LOCATED ON THE GROUNDS OF THE POTTSVILLE HOUSING AUTHORITY AT LAUREL TERRACE, POTTSVILLE, PENNSYLVANIA. BRDIGE HOUSING PROVIDES COMPREHENSIVE SERVICES TO PERSONS FACING LONG-TERM HOMELESSNESS AND PROVIDES A SUPPORTIVE, SAFE ENVIRONMENT FOR ADULTS AND CHILDREN. STUDENTS FROM THE SCHOOL OF NURSING PROVIDE TALKS TO RESIDENTS ABOUT SEVERAL DIFFERENT HEALTH TOPICS INCLUDING PARENTING AND HEALTH PREVENTION.WORKFORCE DEVELOPMENT - SCHUYLKILL TRAINING & TECHNOLOGY CENTER. THE HOSPITAL PROVIDES ASSISTANCE AND GUIDANCE TO THE LPN PROGRAM AT THE TRAINING & TECHNOLOGY CENTER AND ALSO KEEPS THE ADMINISTRATION AND LPN FACULTY UP TO DATE ON HEALTH CARE RELATED INFORMATION. THIS HELPS TO ENSURE THE LPN PROGRAM HAS A BACKGROUND THAT IS UP TO DATE TO PREPARE THE STUDENTS TO ENTER THE WORKFORCE RIGHT AFTER GRADUATION. PART III, LINE 2: PATIENT ACCOUNTS WRITTEN OFF AS BAD DEBT ARE IDENTIFIED. THE COST TO PROVIDE CARE TO THESE PATIENTS IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES WRITTEN OFF AS BAD DEBT BY THE COST TO CHARGE RATIO. PART III, LINE 3: THIS AMOUNT IS THE COST TO PROVIDE CARE TO UNINSURED PATIENTS THAT DO NOT PARTICIPATE IN THE PROCESS TO DETERMINE IF THEY ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE COST IS DETERMINED USING COST TO CHARGE RATIOS. THE RATIONALE FOR INCLUDING THE COST TO PROVIDE CARE TO UNINSURED PATIENTS THAT DO NOT PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS IS THE HOSPITAL'S EXPERIENCE WITH UNINSURED PATIENTS THAT DO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROGRAM. WHEN THE HOSPITAL EVALUATES UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE, THE MOST COMMON FINDING IS THAT UNINSURED PATIENTS HAVE INCOME LESS THAN 400% OF THE FEDERAL POVERTY GUIDELINE AND QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL BELIEVES THAT UNINSURED PEOPLE WHO CHOOSE NOT TO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS AND HAVE THEIR ACCOUNTS WRITTEN OFF AS BAD DEBT, HAVE INCOME THAT WOULD QUALIFY FOR THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM. PART III, LINE 4: ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT 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 DOUBTFULL ACCOUNTS. PART III, LINE 8: THE HOSPITAL USES THE COST-TO-CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE 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 NEEDSASSESSMENT (CHNA) WAS CONDUCTED TO IDENTIFY SIGNIFICANT HEALTH ISSUES ANDNEEDS, AS WELL AS TO PROVIDE CRITICAL INFORMATION TO SHS AND OTHERS IN APOSITION 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 AREAS: - EVALUATION OF THE 2013 SHS CHNA - DEMOGRAPHICS & SOCIO-ECONOMIC INDICATORS - ACCESS TO QUALITY HEALTH CARE - CHRONIC DISEASE - HEALTHY ENVIRONMENT - HEALTHY MOTHERS, BABIES AND 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 CENTERS FOR DISEASE CONTROL, HEALTHY PEOPLE 2020, AND COUNTY HEALTH RANKINGS, AS WELL AS A NUMBER OF OTHER REPORTS AND PUBLICATIONS. DATA WERE COLLECTED FOR SHS, ALTHOUGH SOMESELECTED NATIONAL DATA IS INCLUDED WHERE LOCAL/REGIONAL DATA WAS NOT AVAILABLE. DEMOGRAPHIC DATA WERE COLLECTED FROM THE NIELSEN/CLARITASDEMOGRAPHIC DATABASE. PRIMARY QUALITATIVE DATA COLLECTED SPECIFICALLY FOR THIS ASSESSMENT INCLUDED A TOTAL OF 14 IN-DEPTH INTERVIEWS. IN ADDITION TOGATHERING INPUT FROM STAKEHOLDER INTERVIEWS, INPUT AND GUIDANCE ALSO CAMEFROM SHS AND COMMUNITY REPRESENTATIVES WHO SERVED ON THE SHS STEERINGCOMMITTEE.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 THE 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 PARTNERSWILL ADDRESS THE MOST SIGNIFICANT NEEDS THROUGH 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-SJS 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%.19% OF THE POPULATION IS INSURED BY MEDICAID. 42% OF THAT NUMBER ARE UNDER THE AGE OF 18, 13% ARE OVER THE AGE OF 65, AND 18% ARE DISABLED. MORE THAN 50% 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-SJS WERE 41% MEDICARE, 24% MEDICAID, AND 3% SELF-PAY. EMERGENCY PATIENTS AT SMC-SJS ARE 14% MEDICARE, 25% MEDICAID, AND 11% SELF-PAY.SCHUYLKILL COUNTY HAS THREE HOSPITALS SERVING THE COUNTY. SMC-SJS AND SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN 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-SJS 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-SJS ALSO WORKS WITH VARIOUS COMMUNITY ORGANIZATIONS TO HELP IDENTIFY COMMUNITY NEEDS AND WORK TOGETHER TO MEET THOSE NEEDS. THE MEDICAL CENTER HAS INPATIENT ADOLESCENT AND ADULT BEHAVIORAL HEALTH SERVICES AVAILABLE TO THE RESIDENTS OF SCHUYLKILL COUNTY. THIS ALLOWS COUNTY RESIDENTS TO OBTAIN NECESSARY INPATIENT CARE WITHIN THE COUNTY WITHOUT REQUIRING FAMILIES TO TRAVEL OUTSIDE OF THE COUNTY. 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 IS THE ONLY FACILITY IN THE COUNTY WITH A MATERNITY DEPARTMENT AND NEWBORN NURSERY. THIS ALLOWS COUNTY RESIDENTS TO REMAIN IN THE COUNTY FOR MATERNITY CARE. MORE THAN 50% OF THE BIRTHS EACH YEAR ARE MEDICAID.THE EMERGENCY DEPARTMENT OF SMC-SJS 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-SJS 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 OPPORTUNITIES 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-SJS AND SMC-ENS 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-SJS OR SMC-ENS:- 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-SJS AND SMC-ENS. 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. X X X X X 0 0 0 0 0 0 0 0 0 DIANE BORIS VP FINANCE 0 147567 0 0 0 0 0 4509 0 17000 0 169076 0 0 SUE CURRY VP NURSING/CNO 0 132585 0 0 0 0 0 4094 0 21221 0 157900 0 0 RICHARD BINDIE DIRECTOR OF PATHOLOGY 273967 0 0 0 0 0 7950 0 21160 0 303077 0 0 0 SHERRY L BURINSKY BOTTOR CRNA 199851 0 0 0 0 0 6097 0 22042 0 227990 0 0 0 ADAM D TOLL PATHOLOGIST 299880 0 0 0 0 0 7950 0 22940 0 330770 0 0 0 ELIZABETH FLANNERY CRNA 189641 0 0 0 0 0 5832 0 21917 0 217390 0 0 0 JESSICA L YODER CRNA 187896 0 0 0 0 0 5738 0 21873 0 215507 0 0 0 JOHN E SIMODEJKA FORMER PRESIDENT/CEO 305111 0 0 0 36 0 0 0 15896 0 321043 0 0 0 A CITY OF POTTSVILLE HOSPITAL AUTHORITY 232289554 738431AD7 2014-04-01 29282673 REFUNDING OF 1998 BONDS, REFUNDING OF USDA LOAN, CAPITAL PROJECTS 0 0 0 A 29282673 2976552 585653 5018970 20701550 2013 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 3 THE MEDICAL CENTER HAS DELEGATED MANAGEMENT DUTIES OVER THE FOLLOWING SERVICES: * DIETARY AND HOUSEKEEPING TO SODEXHO INC. AND AFFILIATES, * BIOMED TO ARAMARK, * REHAB CARE TO SOUTH TRU, 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 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE AND CONTROLLER. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE 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 AND 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 990'S 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 ORGANIZATION 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 COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. THIS PROCESS IS USED FOR THE FOLLOWING POSITIONS: PRESIDENT/CEO, VICE PRESIDENT OF OPERATIONS/COO, VICE PRESIDENT OF NURSING/CNO, AND VICE PRESIDENT OF FINANCE/CFO. THIS REVIEW AND APPROVAL PROCESS IS DOCUMENTED VIA COMMITTEE 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 XI, LINE 9: CHANGE IN TEMPORARILY RESTRICTED FUNDS 38,415. PENSION LIABILITY ADJUSTMENT -9,459,986. TRANSFERS TO AFFILIATES 305,284. CHANGE IN PERMANENTLY RESTRICTED FUNDS -178,724. MISCELLANEOUS ADJUSTMENT 96. 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 MEDICAL CENTER - EAST NORWEGIAN STREET 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 230880420 OPERATES A HOSPITAL PROVIDING INPATIENT, OUTPATIENT, & EMERGENCY SERVICES PA 501(C)(3) LINE 3 SCHUYLKILL HEALTH SYSTEM 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 HEALTH SYSTEM 420 SOUTH JACKSON STREET POTTSVILLE PA 17901 262990543 TO SUPPORT, PROMOTE, ADVANCE & ENHANCE QUALITY OF LIFE OF SCHUYLKILL COUNTY PA 501(C)(3) LINE 11B, II N/A 0 SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP EAST NORWEGIAN TREMONT STREETS POTTSVILLE PA 17901 232514813 RENTAL PA N/A 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 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 1