2014-05-15T11:01:52-05:00 2013-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2012-07-01 251512436 MEADVILLE MEDICAL CENTER % RENATO SUNTAY MEAD 8143335000 1034 GROVE STREET Suite MEADVILLE PA 16335 RENATO SUNTAY 8143335000 2014-05-12 true Brian D Todd 4178658701 2012 2015-11-30 17:44:51Z RENATO SUNTAY 751 LIBERTY STREET MEADVILLE PA 16335 207725906 false X WWW.MMCHS.ORG X 1986 PA MEADVILLE MEDICAL CENTER PROVIDES THE HIGHEST QUALITY HEALTHCARE SERVICES, INCLUDING INPATIENT AND OUTPATIENT SURGERIES, ACUTE CARE SERVICES, AND INTENSIVE CARE SERVICES TO THE CRAWFORD COUNTY REGION. 12 9 1424 200 33233 28685 248332 234724 157149590 161332993 1412482 2526093 1207222 1048956 160017626 165142766 39347 19382 0 0 74179072 80222577 0 0 0 79729488 80819312 153947907 161061271 6069719 4081495 170709563 173866676 98134666 80141263 72574897 93725413 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 66812984 73387125 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. 40376557 44311041 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. 32972625 37452913 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. 5302349 19382 6235916 145464515 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 377 0 true 1424 true true true false false false false false false false false false X 12 9 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 STEPHEN MIZNER 1.0 1.0 X X 0 0 ERIC HOOVER 1.0 X X 0 0 MARK STEVENS 1.0 X X 0 0 JUDY SICKLES 1.0 1.0 X X 0 0 DICK ASTOR 1.0 1.0 X 0 0 JAMES MULLEN 1.0 X 0 0 MARK STRAUSBAUGH 1.0 2.0 X 0 0 DR THOMAS MITCHELL 1.0 1.0 X 41125 0 0 JOHN CHRISTIE-SEARLES 1.0 X 0 0 ROGER WILLIS 1.0 X 0 0 DR RON UNICE 1.0 X 950 0 0 DR DAVID BOOTH 1.0 X 17875 0 0 RENATO SUNTAY 40.0 5.0 X 295762 0 54581 PHILIP PANDOLPH 40.0 X 470591 0 80033 DR NIMIT SUDAN 40.0 X 298175 0 13357 DR DENISE JOHNSON 40.0 X 333330 0 28798 DAVID P SHAFFER 40.0 X 171503 0 19071 DR ANNALIISA MCGLINN 40.0 X 597006 0 37132 DR JASON BROWN 40.0 X 518116 0 31308 DR KENNETH CHALLENER 40.0 X 602650 0 18518 DR BARRY BITTMAN 40.0 X 406474 0 40008 DR CALVIN HAN 40.0 X 411980 0 30590 CORY JACKSON 0.0 X 119259 0 24139 ANTHONY DEFAIL 0.0 X 119929 0 0 4404725 0 377535 41 true true false HOWE CONTRACTORS CONSTRUCTION 1491068 ASSOCIATED CLINICAL LABS LAB SERVICES 993020 MEDITECH COMPUTER 852821 COMPHEALTH ASSOCIATES LOCUM 730977 VANTAGE HEALTHCARE LINEN LINEN SERVICES 724532 39 141956 42010 50758 234724 PATIENT SERVICE REVENUE 621990 156748584 156748584 CAFETERIA INCOME 722514 539374 539374 MANAGEMENT FEES 561000 1393141 1393141 INCOME FROM PROGRAM RELATED INVESTMENTS 900099 570314 570314 AFFLIATED ORGANIZATION RENT 532000 203235 203235 1878345 1878345 161332993 1074520 1074520 0 0 881005 146266 734739 0 734739 33233 701506 43791028 97419 42256272 180602 1534756 -83183 1451573 1451573 0 0 0 INVESTMENT IN EQUITY INVESTEE 900099 471362 471362 LOSS ON EXTINGUISHMENT OF DEBT 900099 -157145 -157145 314217 165142766 161332993 33233 3541816 X 19382 19382 0 0 0 1825151 924184 900967 263327 263327 56167986 51369878 4798108 2153613 2027286 126327 15736698 14210749 1525949 4075802 3668222 407580 0 252452 252452 296438 296438 0 0 0 16269833 14642850 1626983 0 33766319 30389686 3376633 0 0 2555437 2299894 255543 439391 395452 43939 0 268014 241213 26801 989648 890683 98965 0 10366279 9329651 1036628 1056970 951273 105697 BAD DEBT 8659004 8659004 RECRUITING 1677080 1509372 167708 PROVIDER TAX 1355351 1355351 LICENSES, DUES & SUBSCRIPTIONS 576774 519097 57677 2290322 2061288 229034 161061271 145464515 15596756 0 4245493 5795077 8825549 4204076 0 0 15854722 18265331 0 0 0 0 0 0 3888399 3798804 2244467 1849580 188297454 120345413 68163039 67952041 35973236 36412152 2687848 2805747 3016610 3378640 0 0 25810200 29405228 170709563 173866676 16272676 15752802 0 0 29268 29206 28217246 28756627 0 0 0 0 7686524 7713558 0 0 45928952 27889070 98134666 80141263 X 68473004 89399977 0 0 4101893 4325436 72574897 93725413 170709563 173866676 X 4081495 -165535 17234556 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 16480 16480 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1(I) THE ORGANIZATION PAYS DUES TO ORGANIZATIONS WHICH PARTICIPATE IN LOBBYING ACTIVITIES. THE PORTION OF THE ORGANIZATION'S TOTAL DUES ATTRIBUTABLE TO LOBBYING ARE $6,999 TO THE AMERICAN HOSPITAL ASSOCIATION AND $9,481 TO THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA. TOTAL DUES ATTRIBUTABLE TO LOBBYING ARE $16,480. 4101893 223543 4325436 4287761 -185868 4101893 3701073 586688 4287761 3451045 250028 3701073 4279934 148544 -977433 3451045 1.00000 true false 7097083 7097083 97193095 59664248 37528847 0 0 0 78324734 57446742 20877992 5682542 3234423 2448119 67952041 EST AMT DUE FROM THIRD PARTIES 397041 CASH SURRENDER VALUE LIFE INS 1796147 ACCRUED INTEREST RECEIVABLE 240923 DUE FROM AFFILIATES 17486436 BENEF. INTEREST IN PERP TRUST 4325436 OTHER RECEIVABLES 5159245 29405228 0 ESTIMATED SELF-INSURANCE COSTS 2843022 ACCRUED POSTRETIREMENT BEN LIA 2923622 ACCRUED PENSION 21211964 INTEREST RATE SWAP LIABILITY 910462 27889070 173782232 -165535 8575552 8410017 165372215 -229449 -229449 165142766 152631716 229449 229449 152402267 8659004 8659004 161061271 ENDOWMENT FUND PURPOSE SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS CONSIST OF TEN SEPARATE FUNDS HELD THROUGH PNC BANK, BANK OF AMERICA, NATIONAL CITY BANK, AND MELLON BANK, OF WHICH THE PURPOSE IS TO IMPROVE THE HEALTHCARE FOR RESIDENTS OF THIS COMMUNITY. UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 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. AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE D, PART XI, LINE 2D $( 8,659,004) BAD DEBT EXPENSE 6,963,358 CURTAILMENT GAIN ( 243,767) TRANSFERS TO RELATED PARTIES 390,760 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 9,900,662 CHANGE IN DEFINED BENEFIT PENSION PLAN 223,543 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST ----------- $ 8,575,552 AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 SCHEDULE D, PART XI, LINE 4B $( 83,183) LOSS ON SALE OF FIXED ASSETS ( 146,266) RENTAL EXPENSES ------------- $( 229,449) AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25 SCHEDULE D, PART XII, LINE 2D $ 83,183 LOSS ON SALE OF FIXED ASSETS 146,266 RENTAL EXPENSES ------------ $ 229,449 AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4B $ 8,659,004 BAD DEBT EXPENSE true true X true X true X true true true true false 5391002 3345672 2045330 0.01340 20034217 13979821 6054396 0.03970 25425219 17325493 8099726 0.05310 1032117 76888 955229 0.00630 5378660 3525081 1853579 0.01220 19382 19382 0.00010 6430159 3601969 2828190 0.01860 31855378 20927462 10927916 0.07170 true 8659004 300000 60839576 72626418 -11786842 X true true 2 1 MEADVILLE MEDICAL CENTER

751 LIBERTY ST MEADVILLE PA 16335

X X X X PHYSICIAN PRACTICES 1 2 MEADVILLE MEDICAL CENTER

1034 GROVE ST MEADVILLE PA 16335

X X X PHYSICIAN PRACTICES 1 MEADVILLE MEDICAL CENTER 1 true X X X X X X X X X 12 true true true X X X X X X X X X X X true false true true 200. true 300. true X X X X true true X X X X X true false X true X false false 3 MIND BODY WELLNESS CENTER

18201 CONNEAUT LAKE ROAD MEADVILLE PA 16335

WELLNESS CENTER YOLANDA G BARCO ONCOLOGY CENTER

16792 CONNEAUT LAKE ROAD MEADVILLE PA 16335

ONCOLOGY CENTER WELLNESS EXTENSION

11031 PERRY HIGHWAY MEADVILLE PA 16335

WELLNESS CENTER PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7, COLUMN F TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 ($161,061,271) WAS REDUCED BY BAD DEBT EXPENSE ($8,659,004). COSTING METHODOLOGY SCHEDULE H, PART I, LINE 7 THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 3 AND 6. OTHER IRS WORKSHEETS USED THE HOSPITAL'S COST ACCOUNTING SYSTEM, WHICH INCLUDED ALL PATIENT SEGMENTS. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 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: THE HEALTH SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. LINE 2 REPORTS BAD DEBT EXPENSE FROM THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. 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. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B, LINE 8 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. COLLECTION POLICY SCHEDULE H, PART III, SECTION C, LINE 9B 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. COMMUNITY INPUT SCHEDULE H, PART V, SECTION B, LINE 3 THERE WERE FOCUS GROUPS WITH INTERESTED PARTIES TO DEVELOP THE HOSPICE HOUSE, ONE OF THE TOP PRIORITIES WAS THE UNDERUTILIZATION OF HOSPICE IN OUR SERVICE AREA. SEPARATELY THERE WERE SEVERAL FOCUS GROUPS WITH MANY PEOPLE TO DEVELOP THE MEADVILLE DENTAL CENTER THAT PROVIDES NEEDED DENTAL SERVICES TO LOW INCOME RESIDENTS OF THE HOSPITALS' SERVICE AREA. THREE FOCUS GROUPS HAVE BEEN HELD AND ADDITIONAL MEETINGS MAY BE PLANNED TO REVIEW PROGRESS AND FURTHER PLANS. USERS' COMMENTS ARE SOLICITED, HAVE BEEN RECEIVED AND THE CONCERNS ADDRESSED. CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES SCHEDULE H, PART V, SECTION B, LINE 4 MEADVILLE MEDICAL CENTER'S CHNA WAS CONDUCTED WITH ANOTHER HOSPITAL FACILITY, TITUSVILLE AREA HOSPITAL. OTHER METHODS OF PROVIDING THE CHNA TO THE PUBLIC SCHEDULE H, PART V, SECTION B, LINE 5 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. IMPLEMENTATION STRATEGY SCHEDULE H, PART V, SECTION B, LINE 6 IN RESPONSE TO THE RESULTS OF MEADVILLE MEDICAL CENTER'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY IS ATTACHED. WHILE MEADVILLE MEDICAL CENTER HAS TAKEN ACTION WITH RESPECT TO THE NEEDS IDENTIFIED IN ITS CHNA AND HAS REVIEWED THESE NEEDS AND THE RESPONSES TO THE NEEDS WITH THE BOARD, THE BOARD DID NOT FORMALLY APPROVE THE IMPLEMENTATION STRATEGY. MEADVILLE MEDICAL CENTER'S LEADERSHIP TEAM JUST DISCOVERED THIS IN MAY, 2014 WHEN COMPLETING THE JUNE 30, 2013 FORM 990. THE WRITTEN IMPLEMENTATION STRATEGY WILL BE TAKEN BEFORE THE BOARD IN THE NEXT SCHEDULED BOARD MEETING TO BE FORMALLY APPROVED. MEADVILLE MEDICAL CENTER HAS IMPLEMENTED ADDITIONAL MONITORING PROCEDURES TO MAKE SURE ALL FUTURE STEPS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE COMPLETED IN THE APPROPRIATE TIME FRAMES. BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS SCHEDULE H, PART V, SECTION B, LINE 12 CHARGE AMOUNTS ARE SET BASED ON EITHER THE HIGHEST FEE SCHEDULE REIMBURSEMENT AMOUNT OR ON COST. FOR PROCEDURES AND VISITS, THE CHARGE AMOUNT WILL BE 150% OF THE HIGHEST FEE SCHEDULE REIMBURSEMENT AMOUNT FOR THE CPT4 OR HCPC LEVEL II CODE, ROUNDED UP TO THE NEXT WHOLE DOLLAR. THE CHARGE AMOUNT FOR SUPPLIES IS BASED ON COST. IF THE COST IS LESS THAN $25.00, THE CHARGE AMOUNT WILL BE SET AT 400% OF THE COST. COST LESS THAN $1,000.00, THE CHARGE AMOUNT WILL BE SET AT 300% OF THE COST. COST GREATER THAN $1,000.00, THE CHARGE AMOUNT WILL BE SET AT 200% OF THE COST. NOTABLE EXCEPTION IS WHEN AN ITEM HAS A CPT4 OR HCPC LEVEL II CODE AND THE HIGHEST FEE SCHEDULE REIMBURSEMENT FOR THAT CODE IS GREATER THAN THE CHARGE AMOUNT CALCULATED BASED ON COST. WHEN THIS OCCURS, THE CHARGE AMOUNT WILL BE 150% OF THE HIGHEST FEE SCHEDULE REIMBURSEMENT AMOUNT FOR THE CPT4 OR HCPC LEVEL II CODE. ALL CHARGE AMOUNTS ARE ROUNDED UP TO THE NEXT WHOLE DOLLAR. THIS METHODOLOGY APPLIES FOR ALL SUPPLIES EXCEPT THE LINE ITEMS FROM THE M&S SUPPLY DEPARTMENT. THE CHARGE AMOUNT FOR SUPPLY LINE ITEMS FROM M&S SUPPLY ARE SET BY THE M&S SUPPLY DEPARTMENT. IF THE SUPPLY ITEM HAS A CPT4 OR HCPC LEVEL II CODE, THE CHARGE AMOUNT IS REVIEWED TO ASSURE IT IS ABOVE OUR HIGHEST FEE SCHEDULE AMOUNT. IF IT ISN'T, THEN M&S SUPPLY DEPARTMENT IS ASKED TO SET THE CHARGE AMOUNT AT 150% OF THE HIGHEST FEE SCHEDULE REIMBURSEMENT AMOUNT FOR THE CPT4 OR HCPC LEVEL II CODE, ROUNDED UP TO THE NEXT WHOLE DOLLAR. THE CHARGE AMOUNT FOR DRUGS IS SET BY THE PHARMACY. IF THE DRUG HAS A CPT4 OR HCPC LEVEL II CODE, THE CHARGE AMOUNT IS REVIEWED TO ASSURE IT IS ABOVE OUR HIGHEST FEE SCHEDULE AMOUNT. IF IT ISN'T, THEN PHARMACY IS ASKED TO SET THE CHARGE AMOUNT AT 150% OF THE HIGHEST FEE SCHEDULE REIMBURSEMENT AMOUNT FOR THE CPT4 OR HCPC LEVEL II CODE, ROUNDED UP TO THE NEXT WHOLE DOLLAR. OTHER METHODS OF PUBLICIZING FINANCIAL ASSISTANCE POLICY SCHEDULE H, PART V, SECTION B, LINE 14G THE BILLING INVOICE OFFERS A PHONE NUMBER TO CALL FOR EXPLANATION OF THE FINANCIAL ASSISTANCE POLICY. OTHER METHODS FOR DETERMINING MAXIMUM AMOUNTS CHARGED FOR EMERGENCY CARE SCHEDULE H, PART V, SECTION B, LINE 20D THE LOWEST DISCOUNT AVAILABLE TO FAP-ELIGIBLE INDIVIDUALS IS 50% WHICH THE ORGANIZATION HAS DETERMINED TO BE LARGER THAN THE AMOUNTS GENERALLY BILLED TO SELF-PAY AND UNINSURED INDIVIDUALS. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 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 2012 AND THE LATEST ASSESSMENT IS CURRENTLY UNDERWAY AND WILL BE COMPLETED IN 2015. 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. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 ELIGIBILITY FOR FINANCIAL ASSISTANCE IS REVIEWED ACCORDING TO THE U.S. GOVERNMENT'S FEDERAL POVERTY 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 200% OF THE CURRENT FEDERAL POVERTY GUIDELINES. TO QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE, YOUR HOUSEHOLD INCOME MUST BE BETWEEN 200% TO 300% OF THE FEDERAL POVERTY GUIDELINES. IF PATIENTS RECEIVE PARTIAL FINANCIAL ASSISTANCE, PATIENTS ARE STILL RESPONSIBLE FOR PAYING THEIR PORTION OF THE BILL. HOWEVER, MMC IS COMMITTED TO WORKING WITH PATIENTS TO DEVELOP PAYMENT TERMS THAT ARE APPROPRIATE BASED ON THEIR INCOME AND ABILITY TO PAY. IF MMC ESTABLISHES A PAYMENT PLAN FOR PATIENTS, MMC WILL NOT CHARGE INTEREST ON THE ACCOUNT BALANCE WHILE PATIENTS MAKE THE PAYMENTS. PATIENTS WHO ARE AT OR BELOW THE 200% GUIDELINE ARE RESPONSIBLE FOR THE FIRST $200.00 OF CHARGES, THEN A FULL WRITE-OFF OF CHARGES. FOR PATIENTS WHO EXCEED THE 200% GUIDELINE, BUT HAVE INCOME LESS THAN THE 300% GUIDELINE, ARE RESPONSIBLE FOR THE FIRST $200.00, THEN A SLIDING SCALE WILL BE USED TO DETERMINE THE PERCENT REDUCTION OF CHARGES THAT WILL APPLY. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 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. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 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. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 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. CRAWFORD COUNTY. true MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 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. X true true X X X X X false true false false false false false true false RENATO SUNTAY 252291 0 42375 0 1096 0 39598 0 14983 0 350343 0 0 0 PHILIP PANDOLPH 377797 0 85748 0 7046 0 57786 0 22247 0 550624 0 0 0 CORY JACKSON 114180 0 4961 0 118 0 3614 0 20525 0 143398 0 0 0 DR NIMIT SUDAN 199255 0 69718 0 29202 0 3923 0 9434 0 311532 0 0 0 DR DENISE JOHNSON 284161 0 46883 0 2286 0 10000 0 18798 0 362128 0 0 0 DR ANNALIISA MCGLINN 506706 0 90000 0 300 0 11250 0 25882 0 634138 0 0 0 DR JASON BROWN 440346 0 77500 0 270 0 11250 0 20058 0 549424 0 0 0 DR KENNETH CHALLENER 602208 0 0 442 0 10000 0 8518 0 621168 0 0 0 DR BARRY BITTMAN 373860 0 30638 0 1976 0 24000 0 16008 0 446482 0 0 0 DR CALVIN HAN 391959 0 20000 0 21 0 10000 0 20590 0 442570 0 0 0 DAVID P SHAFFER 159303 0 11619 0 581 0 4715 0 14356 0 190574 0 0 0 ANTHONY DEFAIL 0 0 0 0 119929 0 0 0 0 0 119929 0 0 0 SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A 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, $1,325, IS THE AMOUNT INCLUDED IN THE PRESIDENT/CEO'S 2012 W-2. TRAVEL FOR COMPANIONS SCHEDULE J, PART I, LINE 1A 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. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B THE FOLLOWING SCHEDULED 457(F) CONTRIBUTIONS WERE MADE ON BEHALF OF MEADVILLE MEDICAL CENTER EMPLOYEES: $ 46,536 PHILIP PANDOLPH 29,598 RENATO SUNTAY NON-FIXED PAYMENTS SCHEDULE J, PART I, LINE 7 THE CEO/PRESIDENT, CFO, MEDICAL DIRECTORS, AND DR. BARRY BITTMAN 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 9962627 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 QUALIFIED HEDGE SCHEDULE K, PART IV, LINE 3, COLUMN C 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 2012-12-21 5000000 CAPITAL EQUIPMENT SERIES OF 2012/2 false false false A 0 0 5000000 0 0 0 0 0 0 5000000 0 0 2013 false false true true A 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 A true VOLUNTEERS FORM 990, PART I, LINE 6 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. PROGRAM SERVICE ACTIVITY #1 FORM 990, PART III, LINE 4A 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 PROGRAM SERVICE ACTIVITY #2 FORM 990, PART III, LINE 4B 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. PROGRAM SERVICE ACTIVITY #3 FORM 990, PART III, LINE 4C 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. OTHER PROGRAM SERVICE ACTIVITIES FORM 990, PART III, LINE 4D 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: -WELLNESS EXTENSION -MIND BODY WELLNESS CENTER -20 BED INPATIENT PSYCHIATRIC UNIT -14 BED INPATIENT DRUG AND ALCOHOL UNIT -32 SKILLED NURSING UNIT -9 BED REHAB UNIT -32 SKILLED NURSING UNIT -9 BED REHAB UNIT ADDITIONALLY, THE ORGANIZATION DONATES TO CHARITABLE ORGANIZATIONS. W-2'S FILED FORM 990, PART V, LINE 2A MEADVILLE MEDICAL CENTER FILES W-2'S FOR TWO OF ITS RELATED ORGANIZATIONS, MEADVILLE MEDICAL CENTER FOUNDATION AND MEADVILLE PHYSICIANS SERVICES. THE ORGANIZATION ALSO FILED THE W-2 FOR ONE OF CONNEAUT VALLEY HEALTH CENTER'S HIGHEST COMPENSATED EMPLOYEES, HUMBERTO DORTA. 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 THESE ORGANIZATIONS FOR THE AMOUNTS THAT REPRESENT WORK PERFORMED FOR THESE ORGANIZATIONS. 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. MEMBERS FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B 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. REVIEW OF THE FORM 990 FORM 990, PART VI, SECTION B, LINE 11B 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. MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C 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. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B 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. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, PHOTOCOPIES OF GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PICKUP BY THE REQUESTING PERSON. FORMER EMPLOYEES FORM 990, PART VII, SECTION A CORY JACKSON SERVED AS INTERIM CFO IN 2010 AND RETURNED TO HIS PREVIOUS ROLE AS CONTROLLER AFTER A NEW CFO WAS HIRED. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G, COLUMN A THE BREAKOUT FOR OTHER FEES FOR SERVICES IS AS FOLLOWS: $ 1,322,703 PHYSICIAN FEES 2,760,175 OTHER PURCHASED SERVICES 5,359,490 MEDICAL PURCHASED SERVICES 6,827,465 NON-MEDICAL PURCHASED SERVICES ------------ $ 16,269,833 TOTAL OTHER FEES FOR SERVICES OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 $ 390,760 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 9,900,662 CHANGE IN DEFINED BENEFIT PENSION PLAN 223,543 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST (243,767) TRANSFERS TO RELATED PARTIES 6,963,358 CURTAILMENT GAIN ----------- $ 17,234,556 PHYSICIAN COMPENSATION FORM 990, PART VII, SECTION A DR. KENNETH CHALLENER RECEIVED $120,000 IN CALENDAR YEAR 2012 FOR A MEDICAL DIRECTOR FEE THAT WAS PERFORMED IN A PRIOR YEAR. THIS AMOUNT IS INCLUDED IN THE REPORTABLE COMPENSATION ON FORM 990 PART VII, SECTION A IN COLUMN (D) AS IT WAS INCLUDED IN TAXABLE COMPENSATION ON HIS 2012 FORM W-2. 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 HOME CARE CONNECTIONS INC 751 LIBERTY STREET MEADVILLE PA 16335 251605314 HOLDING COMPANY PA MMC C CORP -23684 2596053 1.00000 true MEADVILLE HOUSING CORPORATION 934 B STREET MEADVILLE PA 16335 250657800 HOUSING PA MMC C CORP 999218 2501287 0.60980 true CHARITABLE TRUST 256196092 TRUST PA MMC TRUST 148895 2383945 1.00000 true CHARITABLE TRUST 066031521 TRUST PA MMC TRUST 28896 965084 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 158934 FMV MEADVILLE MEDICAL CENTER FOUNDATION A 5385 FMV HOSPICE OF CRAWFORD COUNTY A 11176 FMV CONNEAUT VALLEY HEALTH CENTER A 27740 FMV CHARITABLE TRUST C 99485 FMV MEADVILLE PHYSICIANS SERVICES L 555358 FMV COMMUNITY HEALTH SERVICES L 837783 FMV MEADVILLE PHYSICIANS SERVICES M 584192 FMV COMMUNITY HEALTH SERVICES P 251201 FMV COMMUNITY HEALTH SERVICES K 5036 FMV COMMUNITY HEALTH SERVICES R 62475 FMV HOSPICE OF CRAWFORD COUNTY R 61335 FMV MEADVILLE MEDICAL CENTER FOUNDATION R 119957 FMV