2013-02-12T10:36:59-07:00 2012-06-30 990 2011-07-01 250965406 JAMESON MEMORIAL HOSPITAL JAME 7246564103 1211 Wilmington Avenue New Castle PA 161052595 James Aubel 7246564100 2013-02-11 2011 2016-02-25 16:41:14Z Steven Warner 1211 Wilmington Avenue New Castle PA 161052595 293229257 0 X jamesonhealthsystem.com X 1926 PA To provide a continuum of quality health and human services to all individuals in need who reside within our service area regardless of their ability to pay for available health and human services. 24 24 1331 272 0 0 292242 988695 266791602 267156691 1515893 817836 1546529 1596349 270146266 270559571 0 0 0 0 60734640 61475892 0 0 0 206084224 206078234 266818864 267554126 3327402 3005445 66774130 74391929 44029698 65161203 22744432 9230726 Jameson's mission is to continue as a full-service hospital including educational opportunities in nursing and other health related professions and to assist Jameson Health System in carrying out its mission. Jameson provides health and human services to all individuals regardless of their race, color, religion, creed, age, disability, sex or economic condition and promotes health by providing quality inpatient and outpatient medical care to our surrounding area. 0 0 94669998 0 118500565 Inpatient Care - Jameson Memorial Hospital provides inpatient care for all individuals in need who reside within our service area. This includes medical/surgical, skilled nursing, rehabilitation, pediatrics, womens health, critical care and psychiatric care. For Fiscal 2012, Jameson Memorial Hospital had 9,456 admissions and 43,549 associated patient days. 141891885 147306337 Outpatient Care - Jameson Memorial Hospital provides outpatient care for all individuals in need who reside within our service area. This care includes surgical care, laboratory services, radiology services, rehabilitation services, respiratory, pulmonary, emergency services, clinics and various other services. For Fiscal 2012, Jameson Memorial Hospital had 291,576 outpatient visits. 3242722 1349789 Nursing and Radiology Schools - Jameson Memorial Hospital's School of Nursing is a two year diploma program accredited by the National League for Nursing Accrediting Commission and approved by the Pennsylvania State Board of Nursing. The school prepares graduates to sit for their RN licensure exam. Since its founding in 1895, the school has educated 2,436 students. The Jameson School of Radiography program is a comprehensive 22 month course of study culminating in a certificate in radiologic technology. It provides the student with a high quality, customer service oriented competency based didactic and clinical education. The school has educated 75 students since the school's inception in 2001. 0 0 0 239804605 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 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 0 1 83 0 1 1331 1 0 0 0 0 0 0 X 24 24 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Jameson Memorial Hospital 7246564103 1211 Wilmington Avenue New Castle PA 161052595 Steven Warner 5 X 0 0 0 Louis Merryman 5 X 0 0 0 Kenneth Romig 5 X 0 0 0 Ben Huffman 5 X 0 0 0 Douglas Danko 40 X X X 0 369972 13853 James Aubel 40 X X 0 201197 8297 Angel Toca 40 X 0 327685 3409 Bienvenido Ong 40 X 0 321881 2799 Fernando Hayetian 40 X 0 293283 3051 Richard Liedke 40 X 0 215427 3111 Neil Chessin 40 X 0 164590 10981 0 1894035 45501 6 0 1 0 Advanced Anesthesia Associates PO Box 2265 Youngstown OH 44504 Anesthesia Services 3533449 Siemens Medical Solutions USA Mellon Bank Department at 40065 Atlanta GA 311920065 Information Technology 2579600 Quest Diagnostics Inc 16410 Collection Center Drive Chicago IL 60693 Laboratory Services 1396780 Center for Wound Healing 155 White Plains Road Suite 200 Tarrytown NY 10591 Hyperbaric Services 591779 BMA Pittsburgh Area Acute PO Box 13700-1131 Philadelphia PA 191911131 Dialysis Services 397987 13 0 0 0 0 871647 117048 0 988695 Inpatient Revenue 622000 118500565 118500565 0 0 Outpatient revenue 622000 147306337 147306337 0 0 Nursing and radiology schools 611600 1349789 1349789 0 0 0 0 0 0 267156691 425747 0 0 425747 0 0 0 0 0 0 0 0 24369 0 0 0 24369 0 24369 0 0 24369 23061775 0 22669686 0 392089 0 392089 0 0 392089 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria 722210 435582 0 0 435582 Joint ventures 621400 376411 376411 0 0 Outpatient pharmacies 900099 168866 168866 0 0 591121 471267 0 119854 1571980 270559571 268173235 0 1397641 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46123437 34202787 11920650 0 1495273 1051492 443781 0 10448305 7662175 2786130 0 3408877 2490970 917907 0 0 0 0 0 89861 0 89861 0 170812 0 170812 0 60108 0 60108 0 0 0 177344 0 177344 0 3814448 3167036 647412 0 250239 0 250239 0 21311427 19513090 1798337 0 3059798 0 3059798 0 0 0 0 0 5407354 2405719 3001635 0 77308 42205 35103 0 0 0 0 0 50559 24625 25934 0 371514 226624 144890 0 0 0 0 0 2766787 1687740 1079047 0 1213710 900025 313685 0 Contractuals and bad debt 163320414 163320414 0 0 Physician fees 1549819 1519797 30022 0 Purchased services 2386732 1589906 796826 0 267554126 239804605 27749521 0 1690 1690 5738042 2698400 410000 135000 12655994 12996500 254471 206622 0 0 221465 285338 2575837 2581900 3297770 3133781 97982340 76123317 13687572 21859023 23045418 23345479 4885871 7148196 66774130 74391929 23969598 38297280 16212066 21165729 1508873 909415 2339161 4788779 44029698 65161203 X 17936982 6162528 4747450 3008198 60000 60000 22744432 9230726 66774130 74391929 X 3005445 -16519151 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 60108 60108 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 Jameson Memorial Hospital contracts with Buchanan, Ingersoll and Rooney to represent them in legislative issues. This includes direct communication and hospitality expenditures for state officials as disclosed on the Pennsylvania lobbying disclosure quarterly expense reports. 96086 0 203 2000 0 0 94289 88057 9649 380 2000 0 0 96086 92000 0 1078 5021 0 0 88057 94434 0 1566 4000 0 0 92000 0 0.64 0.36 0 0 0 491232 491232 0 63216599 47259795 15956804 0 1183314 1096413 86901 0 33091195 27767109 5324086 0 0 0 0 21859023 Beneficial interest in Jameson Healthcare Foundation 5103196 Insurance availability 2045000 7148196 Insurance availability 2045000 Workers compensation 1582110 Malpractice reserve 750000 Asset retirement liability 356863 Affiliate payables 54806 4788779 270559571 267554126 3005445 -730668 0 0 0 -16003748 -16734416 -13728971 107061814 0 0 0 0 0 107061814 177344 163320413 163497757 270559571 104056368 0 0 0 0 0 104056368 177344 163320414 163497758 267554126 SchD_P05_S00_L04 Schedule D, Part V, Line 4 The use of this endowment fund is to support advanced nursing education for recent graduates of our School of Nursing. SchD_P10_S00_L02 Schedule D, Part X, Line 2 The system and its subsidiaries qualify as a tax exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code. Accordingly, no provisions for federal and state income tax is required. The system evaluates tax recognition, measurement, presentation and disclosure of uncertain tax positions on an annual basis. Currently, the system does not have any material uncertain tax provisions. SchD_P11_S00_L08 Schedule D, Part XI, Line 8 Amount is comprised of pension liability adjustment, intercompany transfers and interest rate swap. SchD_P12_S00_L04b Schedule D, Part XII, Line 4b Contractual allowances. SchD_P13_S00_L04b Schedule D, Part XIII, Line 4b Contractual allowances. 1 1 1 X 1 X 1 0 1 1 0 0 951766 0 951766 0.0036 0 0 16006336 6893419 9112917 0.0341 0 0 0 0 0 0 0 0 16958102 6893419 10064683 0.0377 0 0 67688 0 67688 0.0003 0 0 3242722 1349789 1892933 0.0071 0 0 13131883 9275548 3856335 0.0144 0 0 0 0 0 0 0 0 15540 0 15540 0.0001 0 0 16457833 10625337 5832496 0.0219 0 0 33415935 17518756 15897179 0.0596 0 1770893 155175 21229502 22540039 -1310537 X 1 1 Jameson and UPMC Cancer Center Outpatient cancer treatment center 0.5 0 0 Lawrence County MRI Outpatient radiology center 0.505 0 0 1 1 Jameson Memorial Hospital

1211 Wilmington Avenue New Castle PA 161052595

X X X 2 Jameson Memorial Hospital

1000 South Mercer Street New Castle PA 16101

X X Jameson Memorial Hospital 1 1 1 150 1 200 1 X X X 1 1 X X X 1 X 1 X X X 1 X 0 0 Jameson Memorial Hospital 2 1 1 150 1 200 1 X X X 1 1 X X X 1 X 1 X X X 1 X 0 0 8 Jameson & UPMC Cancer Center

2602 Wilmington Road New Castle PA 16105

Outpatient cancer treatment facility. Lawrence County MRI

2526 Wilmington Road New Castle PA 16105

Outpatient radiology center. Jameson Rehabilitation Center of Neshannock

3410 Wilmington Road New Castle PA 16105

Outpatient rehabilitation center. Jameson Diagnostic Services

2520 Wilmington Road New Castle PA 16105

Diagnostic center. Jameson Diagnostics at Mayzon

3124 Wilmington Road New Castle PA 16105

Diagnostic center. Jameson Community Health Center - New Wilmington

138 South Market Street New Wilmington PA 16142

Diagnostic center. Jameson Community Health Center - Mohawk

341 Mohawk School Road New Castle PA 16102

Diagnostic center. Jameson Community Health Center - Shenango

2655 Ellwood Road New Castle PA 16101

Diagnostic center. SchH_P01_S00_L07 Schedule H, Part I, Line 7 We used patient care costs to charge ratios. SchH_P01_S00_L072f Schedule H, Part I, Line 7, Column f $5,762,477.07 SchH_P03_S0A_L04 Schedule H, Part III, Section A, Line 4 We used patient care costs to charge ratios. Bad debt expense at cost was derived from worksheet 2. The provision for bad debts footnote is as follows and is located on page 8 of the audited financials: The System provides for an allowance against accounts receivable that could become uncollectible by establishing an allowance to reduce the carrying value of such receivables to their net estimated net realizable value. The System estimates this allowance based on the aging of its accounts receivable by hospital, its historical collection experience, and other relevant factors. A significant portion of the System's provision for doubtful accounts relates to self-pay patients, as well as co-payments and deductibles owed to it by patients with insurance. SchH_P03_S0B_L08 Schedule H, Part III, Section B, Line 8 As part of public charity, Jameson and other organizations provide an open door policy for all care. All patients are provided medical care without regard to their ability to pay or insurance coverage. Due to economic conditions and the population that Jameson serves, bad debt expense continues to increase at a rate much faster than inflation. We must consider all expenses in our budgeting process in our ability to remain financially solvent. Bad debt, due to its growth, and Medicare shortfalls have required Jameson as well as all hospitals to focus more of our time and capabilities to preserve our profitability. SchH_P03_S0C_L09b Schedule H, Part III, Section C, Line 9b Hospital charity care information is available at all registration areas and the Business Office. Our first patient statement informs the patient that charity care or assistance in finding low cost or no cost insurance is available by contacting the facility's Business Office. We also attempt to visit all inpatients and short stay patients to offer assistance with completing a Medical Assistance application or charity care application. SchH_P05_S0B_L19 Schedule H, Part V, Section B, Line 19 There is a 50% discount given to patients without insurance upon payment of account. SchH_P06_S00_L02 Schedule H, Part VI, Line 2 Jameson Memorial Hospital annually reviews a market study that reviews the diagnosis and services that the constituents of Lawrence County have used and what services that they cannot get in our county to evaluate future needs. We participate with the Lawrence County Chamber of Commerce on the annual community assessment to review the socio-economic needs of the community. These studies are then put into action through our internal strategic planning process to ensure we continue to develop our continuum to serve the community. We interview our entire Board membership to develop an understanding of issues that the business leaders of our community feel would enhance the community both socially and medically. From these groups, we have also developed focus groups to help develop and implement action plans to coordinate the activities of the System to serve the community needs. We have developed programs with our school districts to promote the health and welfare of our children. These programs have focused on self-image, healthy eating, exercise programs and personal development. We have identified preventative care as a need for our elderly and economically challenged community. We then developed free screening programs that are provided in conjunction with schools, churches and other community based agencies. Annually we interview a large portion of our medical staff to gather their opinions on current community health and needs in both physician recruitment and healthcare. This data is also used as we develop our strategic plan for the current year as well as the three to five year plan. SchH_P06_S00_L03 Schedule H, Part VI, Line 3 Hospital charity care information is available at all registration areas and the Business Office. Our first patient statement informs the patient that charity care or assistance in finding low cost or no cost insurance is available to contacting the facility Business Office. We also attempt to visit all inpatients and short stay patients to offer assistance with completing a Medical Assistance application or charity care application. SchH_P06_S00_L04 Schedule H, Part VI, Line 4 Jameson services a population in Western Pennsylvania which is known to be one of the most aged populations in the country. 18.5% of the population in Lawrence County is over the age of 65. This is above the state average of 15.3% according to the 2008 Census Bureau statistics. Currently over 53% of Jameson's revenue is generated by this segment of our community. The number of persons in Lawrence County below the poverty level, according to the 2007 Census Bureau statistics is 14.3%. The state averge is 11.6%. Due to Jameson serving both a high percentage of Medicare and Medical Assistance patients and the corresponding revenue accounting for 68% of our revenues, makes the losses experienced in treating these patients a financial hardship for this organization and others in the surrounding area. X X X X X 0 1 0 0 0 0 0 0 0 Douglas Danko 0 324359 0 15000 0 30613 0 9800 0 4053 0 383825 0 373650 James Aubel 0 192238 0 4250 0 4708 0 7869 0 429 0 209494 0 203282 Angel Toca 0 327271 0 0 0 414 0 0 0 3409 0 331094 0 326418 Bienvenido Ong 0 321881 0 0 0 0 0 0 0 2799 0 324680 0 325238 Fernando Hayetian 0 293103 0 0 0 180 0 0 0 3051 0 296334 0 250161 Richard Liedke 0 214239 0 0 0 1188 0 0 0 3111 0 218538 0 218538 Neil Chessin 0 153115 0 7000 0 4474 0 6573 0 4409 0 175571 0 168612 SchJ_P01_S00_L04 Schedule J, Part I, Line 4 Douglas Danko - Supplemental non qualified retirement plan $29839.03; James Aubel - Supplemental non qualified retirement plan $3934.34; Neil Chessin - Supplemental non qualified retirement plan $3286.45 Variable Rate Hospital Revenue Bonds Series 2007 251517206 643434EH2 2007-06-29 20270000 Pay costs of currently refunding outstanding debt 0 1 0 20270000 0 20270000 0 0 19952317 297219 0 20464 0 0 0 2007 1 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The Board authorized a resolution to allow the Officers of Jameson Health System to review the 990 and subsequently approve it for filing. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Board members are surveyed annually. The surveys are reviewed by management and any discrepancies and or concerns are reviewed and discussed with senior management and legal counsel. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The Board employs compensation consultants to review job descriptions and duties which are compared to similar positions in the local area within the healthcare industry. Ranges of salaries are gathered and used by the Board to determine compensation. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 All of the current financial statements and policies are available for review by the public in person within the Administrative Offices or online through Guidestar and NRMSIR distribution methods. The Health System also holds an annual meeting which is open to the general public. F990_P11_S00_L05 Form 990, Part XI, Line 5 Unrealized losses - $730667.51; Pension liability - $11639881.00; Intercompany transfers - $3933796.73; PNC interest rate swap - $530070.06; Change in beneficial interest - $217326.14; Restricted donations - $2060.81; Capital contributions - $100000.00 Jameson Health System Inc 1211 Wilmington Avenue New Castle PA 161052595 251536036 Management services PA 501(c)(3) 11c N/A 0 Jameson Healthcare Foundation 1211 Wilmington Avenue New Castle PA 161052595 251536037 Fundraising/support PA 501(c)(3) 11c N/A 0 Jameson Health Services Inc 1211 Wilmington Avenue New Castle PA 161052595 030486993 Facilities PA 501(c)(3) 11c N/A 0 Jameson Medical Care Inc 1211 Wilmington Avenue New Castle PA 161052595 260462696 Healthcare professionals PA 501(c)(3) 9 N/A 0 Childrens Advocacy Center of Lawrence County 1211 Wilmington Avenue New Castle PA 161052595 251581304 Child abuse prevention and treatment PA 501(c)(3) 7 N/A 0 Jameson Care Center Inc 1211 Wilmington Avenue New Castle PA 161052595 232871396 Skilled nursing facility PA 501(c)(3) 9 N/A 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 1 Jameson Health System Inc o 1138000 Costs. Jameson Healthcare Foundation j 228942 Costs. Jameson Healthcare Foundation q 189424 Costs. Jameson Healthcare Foundation r 29500 Cash. Jameson Health Services Inc o 2095898 Costs. Jameson Medical Care Inc q 2027975 Costs. Childrens Advocacy Center of Lawrence County c 100000 Cash. Jameson Care Center Inc c 350000 Cash. Jameson Care Center Inc n 118581 Costs.