MEADVILLE MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MEADVILLE MEDICAL CENTER (EIN 25-1512436)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201321359349304307
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T11:08:06-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251512436EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEADVILLE MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% RENATO SUNTAYInCareOfName
Name ControlMEADNameControl
Phone8143335000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11034 GROVE STREETAddressLine1
CityMEADVILLECity
StatePAState
ZIP Code16335ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRENATO SUNTAYName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2013-04-23DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRENATO SUNTAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1751 LIBERTY STREETAddressLine1
CityMEADVILLECity
StatePAState
ZIP Code16335ZIPCode
FieldValueIRS element (for citing)
Gross Receipts192297154GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MMCHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionMEADVILLE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1358TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI66860TotalGrossUBI
Net Unrelated Business Txbl Income58949NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year343673ContributionsGrantsPriorYear
Contributions Grants Current Year248332ContributionsGrantsCurrentYear
Program Service Revenue Prior Year145375453ProgramServiceRevenuePriorYear
Program Service Revenue CY157149590ProgramServiceRevenueCY
Investment Income Prior Year2637016InvestmentIncomePriorYear
Investment Income Current Year1412482InvestmentIncomeCurrentYear
Other Revenue Prior Year1511637OtherRevenuePriorYear
Other Revenue Current Year1207222OtherRevenueCurrentYear
Total Revenue Prior Year149867779TotalRevenuePriorYear
Total Revenue Current Year160017626TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year190379GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY39347GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year71036903SalariesEtcPriorYear
Salaries Etc Current Year74179072SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year72107901OtherExpensePriorYear
Other Expenses Current Year79729488OtherExpensesCurrentYear
Total Expenses Prior Year143335183TotalExpensesPriorYear
Total Expenses Current Year153947907TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6532596RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6069719RevenuesLessExpensesCY
Total Assets BOY155494269TotalAssetsBOY
Total Assets EOY170709563TotalAssetsEOY
Total Liabilities BOY64062735TotalLiabilitiesBOY
Total Liabilities EOY98134666TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY91431534NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY72574897NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCOMMUNITY 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense64902372Expense
Revenue73309813Revenue
DescriptionMMC 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense44632007Expense
Revenue50413629Revenue
DescriptionMMC 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense16464068Expense
Revenue18596820Revenue
DescriptionMMC 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.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp13128645TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt39347TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev14829328TotalOfOtherProgramServiceRev
Total Program Service Expense139127092TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096382NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1358NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRENATO SUNTAYNamePerson
Telephone Number8143335000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1751 LIBERTY STREETAddressLine1
CityMEADVILLECity
StatePAState
ZIP Code16335ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
STEPHEN MIZNER
TREASURER1.0XX000
ERIC HOOVER
SECRETARY1.0XX000
MARK STEVENS
VICE CHAIRPERSON1.0XX000
JUDY SICKLES
CHAIRPERSON1.0XX000
DICK ASTOR
DIRECTOR1.0X000
JAMES MULLEN
DIRECTOR1.0X000
MARK STRAUSBAUGH
DIRECTOR1.0X000
DR THOMAS MITCHELL
DIRECTOR1.0X3862500
JOHN CHRISTIE-SEARLES
DIRECTOR1.0X000
ROGER WILLIS
DIRECTOR1.0X000
DR RON UNICE
DIRECTOR1.0X2838700
DR DAVID BOOTH
PRESIDENT MEDICAL STAFF1.0X000
RENATO SUNTAY
CFO40.0X297485050603
PHILIP PANDOLPH
PRESIDENT & CEO40.0X441580076203
DR NIMIT SUDAN
ONCOLOGY MEDICAL DIRECTOR40.0531914032223X
DR DENISE JOHNSON
MEDICAL DIRECTOR40.0332813027454X
DAVID P SHAFFER
CHIEF NURSE EXECUTIVE40.0156189020415X
DR ANNALIISA MCGLINN
PHYSICIAN40.0474136033345X
DR JASON BROWN
PHYSICIAN40.0483526029758X
DR KENNETH CHALLENER
PHYSICIAN40.0434004018438X
DR BARRY BITTMAN
CHIEF INNOVATION OFFICER40.0385210055963X
DR RHUNELLE MURRAY
PHYSICIAN40.0228173010448X
ANTHONY DEFAIL
FORMER PRESIDENT1223930047050X
CORY JACKSON
FORMER CFO117611029061X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5173583TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation430961TotalOtherCompensation
Number Individuals GT100 K37NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
ASSOCIATED CONTRACTOR
CONSTRUCTION1018390
ASSOCIATED CLINICAL LABS
LAB SERVICES919187
HOWE CONTRACTORS
CONSTRUCTION833438
MEDICOR ASSOCIATES
MEDICAL SERVICES818244
MEDITECH
IT SERVICES790651
FieldValueIRS element (for citing)
Number Of Contractors GT100 K32NumberOfContractorsGT100K
Related Organizations139581RelatedOrganizations
Government Grants42010GovernmentGrants
All Other Contributions66741AllOtherContributions
Total Contributions248332TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE621990151207601151207601
CAFETERIA INCOME722210521328521328
MANAGEMENT FEES561000730886730886
INCOME FROM PROGRAM RELATED INVESTMENTS900099536806536806
AFFLIATED ORGANIZATION RENT532000212190212190

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column3940779TotalRevenueColumn
Related Or Exempt Function Income3940779RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue157149590TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column979761TotalRevenueColumn
Exclusion$979,761ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real888768Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real143763Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real745005Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column745005TotalRevenueColumn
Unrelated Business Revenue58463UnrelatedBusinessRevenue
Exclusion$686,542ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities32538552Securities
Other29934Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities32067802Securities
Other67963Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities470750Securities
Other-38029Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column432721TotalRevenueColumn
Exclusion$432,721ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINVESTMENT IN EQUITY INVESTEEDescription
Business Code900099BusinessCode
Total Revenue Column462217TotalRevenueColumn
Unrelated Business Revenue8397UnrelatedBusinessRevenue
Exclusion$453,820ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue462217TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column160017626TotalRevenueColumn
Related Or Exempt Function Income157149590RelatedOrExemptFunctionIncome
Unrelated Business Revenue66860UnrelatedBusinessRevenue
Exclusion$2,552,844ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total39347Total
Program Services39347ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2033891Total
Program Services1168020ProgramServices
Management And General865871ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total1417652Total
Management And General1417652ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total51468380Total
Program Services48085295ProgramServices
Management And General3383085ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1611577Total
Program Services1566339ProgramServices
Management And General45238ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13794022Total
Program Services12473317ProgramServices
Management And General1320705ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3853550Total
Program Services3468195ProgramServices
Management And General385355ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total194805Total
Management And General194805ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total203413Total
Management And General203413ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

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Total14074335Total
Program Services12666902ProgramServices
Management And General1407433ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total34329132Total
Program Services30896219ProgramServices
Management And General3432913ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2525428Total
Program Services2272886ProgramServices
Management And General252542ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total380114Total
Program Services342103ProgramServices
Management And General38011ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total220099Total
Program Services198089ProgramServices
Management And General22010ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total874890Total
Program Services787401ProgramServices
Management And General87489ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10447987Total
Program Services9399385ProgramServices
Management And General1048602ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1568897Total
Program Services1412007ProgramServices
Management And General156890ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT79289947928994
RECRUITING20118971810707201190
PROVIDER TAX13553511355351
LICENSES, DUES, SUBSCRIPTION49938044944249938

All Other Expenses AllOtherExpenses

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Total3114766Total
Program Services2807093ProgramServices
Management And General307673ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total153947907Total
Program Services139127092ProgramServices
Management And General14820815ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY905909BOY
EOY4245493EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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BOY9617355BOY
EOY8825549EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

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BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

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BOY13950550BOY
EOY15854722EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY14458BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

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BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

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BOY3735769BOY
EOY3888399EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

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BOY1849005BOY
EOY2244467EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis180549906LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec112386867LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY66472809BOY
EOY68163039EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY32615271BOY
EOY35973236EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2729740BOY
EOY2687848EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2668630BOY
EOY3016610EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY15625BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY20919148BOY
EOY25810200EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY155494269BOY
EOY170709563EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15289552BOY
EOY16272676EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY26216BOY
EOY29268EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY20889005BOY
EOY28217246EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8568285BOY
EOY7686524EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19289677BOY
EOY45928952EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY64062735BOY
EOY98134666EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY87143773BOY
EOY68473004EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4287761BOY
EOY4101893EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY91431534BOY
EOY72574897EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY155494269BOY
EOY170709563EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6069719ReconcilationRevenueExpenses
Reconcilation Other Changes-24926356ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$16,076OtherActivitiesAmount
Total Lobbying Expenditures IIB16076TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1(I)ReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO ORGANIZATIONS WHICH PARTICIPATE IN LOBBYING ACTIVITIES. THE PORTION OF THE ORGANIZATION'S TOTAL DUES ATTRIBUTABLE TO LOBBYING ARE $ 7,039 TO THE AMERICAN HOSPITAL ASSOCIATION AND $ 9,037 TO THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA. TOTAL DUES ATTRIBUTABLE TO LOBBYING ARE $ 16,076.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance4287761BeginningOfYearBalance
Investment Earnings Or Losses-185868InvestmentEarningsOrLosses
End Of Year Balance4101893EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3701073BeginningOfYearBalance
Investment Earnings Or Losses586688InvestmentEarningsOrLosses
End Of Year Balance4287761EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3451045BeginningOfYearBalance
Investment Earnings Or Losses250028InvestmentEarningsOrLosses
End Of Year Balance3701073EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4279934BeginningOfYearBalance
Contributions148544Contributions
Investment Earnings Or Losses-977433InvestmentEarningsOrLosses
End Of Year Balance3451045EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7052923OtherCostOrOtherBasis
Book Value7052923BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis93834564OtherCostOrOtherBasis
Depreciation56015462Depreciation
Book Value37819102BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis73317505OtherCostOrOtherBasis
Depreciation53339251Depreciation
Book Value19978254BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6344914OtherCostOrOtherBasis
Depreciation3032154Depreciation
Book Value3312760BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings68163039TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
CASH SURRENDER VALUE LIFE INS1790310
ACCRUED INTEREST RECEIVABLE282943
DUE FROM AFFILIATES13279314
BENEF. INTEREST IN PERP TRUST4101893
OTHER RECEIVABLES6355740
FieldValueIRS element (for citing)
Total Book Value Other Assets25810200TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ESTIMATED SELF-INSURANCE COSTS$2,938,559
ACCR POSTRETIREMENT BEN LIABILITY$3,047,137
ACCRUED PENSION$38,033,219
INTEREST RATE SWAP LIABILITY$1,301,222
THIRD PARTY RATE ADJUSTMENTS$608,815
FieldValueIRS element (for citing)
Total Of Amounts45928952TotalOfAmounts
Total Revenue160017626TotalRevenue
Total Expenses153947907TotalExpenses
Excess Or Deficit For Year6069719ExcessOrDeficitForYear
Net Unrealized GL On Investments-176224NetUnrealizedGLOnInvestments
Other-$24,750,132OtherAmount
Total Adjustments-24926356TotalAdjustments
Excess Or Deficit Per FS-18856637ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt127344068TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-176224NetUnrealizedGainsInvestments
Other Revenues-32679126OtherRevenues
Revenue Not Rptd F990-32855350RevenueNotRptdF990
Revenue Subtotal160199418RevenueSubtotal
Other Revenues Not Included-181792OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-181792RevenueNotRptdOnFinStmt
Total Revenue Per Form990160017626TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt146200705TotExpensesEtcAuditedFinclStmt
Other Expenses Included181792OtherExpensesIncluded
Expenses Not Rptd F990181792ExpensesNotRptdF990
Expenses Subtotal146018913ExpensesSubtotal
Other Expenses Not Included7928994OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt7928994ExpensesNotRptdOnFinStmt
Total Expenses Per Form990153947907TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUND PURPOSESCHEDULE D, PART V, LINE 4THE 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 POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT 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.
OTHER CHANGES IN NET ASSETSSCHEDULE D, PART XI, LINE 8($ 467,761) CHANGE IN FV OF INT RATE SWAP AGREEMENTS ( 24,123,761) CHANGE IN DEFINED BENEFIT PENSION PLANS ( 185,868) CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 27,258 TRANSFER FROM MMC FOUNDATION -------------- ($ 24,750,132)
OTHER AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XII, LINE 2D($ 467,761) CHANGE IN FV OF INT RATE SWAP AGREEMENTS ( 24,123,761) CHANGE IN DEFINED BENEFIT PENSION PLANS ( 185,868) CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 27,258 TRANSFER FROM MMC FOUNDATION ( 7,928,994) BAD DEBT EXPENSE -------------- ($ 32,679,126)
OTHER AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4B($ 143,763) RENTAL EXPENSES RELATED TO RENTAL INCOME ( 38,029) LOSS ON DISPOSAL OF FIXED ASSETS -------------- ($ 181,792)
OTHER AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25SCHEDULE D, PART XIII, LINE 2D$ 143,763 RENTAL EXPENSES RELATED TO RENTAL INCOME 38,029 LOSS ON DISPOSAL OF FIXED ASSETS -------------- $ 181,792
OTHER AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1SCHEDULE D, PART XIII, LINE 4B$ 7,928,994 BAD DEBT EXPENSE

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense695762TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense695762NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense19780576TotalCommunityBenefitExpense
Direct Offsetting Revenue13780513DirectOffsettingRevenue
Net Community Benefit Expense6000063NetCommunityBenefitExpense
Percent Of Total Expense0.04110PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense20476338TotalCommunityBenefitExpense
Direct Offsetting Revenue13780513DirectOffsettingRevenue
Net Community Benefit Expense6695825NetCommunityBenefitExpense
Percent Of Total Expense0.04590PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense830350TotalCommunityBenefitExpense
Direct Offsetting Revenue125040DirectOffsettingRevenue
Net Community Benefit Expense705310NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1297664TotalCommunityBenefitExpense
Direct Offsetting Revenue960438DirectOffsettingRevenue
Net Community Benefit Expense337226NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5084601TotalCommunityBenefitExpense
Direct Offsetting Revenue3650150DirectOffsettingRevenue
Net Community Benefit Expense1434451NetCommunityBenefitExpense
Percent Of Total Expense0.00980PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense213027TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense213027NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7425642TotalCommunityBenefitExpense
Direct Offsetting Revenue4735628DirectOffsettingRevenue
Net Community Benefit Expense2690014NetCommunityBenefitExpense
Percent Of Total Expense0.01840PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense27901980TotalCommunityBenefitExpense
Direct Offsetting Revenue18516141DirectOffsettingRevenue
Net Community Benefit Expense9385839NetCommunityBenefitExpense
Percent Of Total Expense0.06430PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$7,928,994BadDebtExpenseAmount
Amount Attributable To744000AmountAttributableTo
Amount Reimbursed By Medicare59876655AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare74700982CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-14824327MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOther
MEADVILLE MEDICAL CENTER
1751 LIBERTY STMEADVILLEPA16335XXXXPHYSICIAN PRACTICES
MEADVILLE MEDICAL CENTER
21034 GROVE STMEADVILLEPA16335XXXPHYSICIAN PRACTICES

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
MEADVILLE MEDICAL CENTER
1truetrue200.true300.falsetruetrueXXXXXtruefalseXXXtrueXfalsefalse
MEADVILLE MEDICAL CENTER
2truetrue200.true300.falsetruetrueXXXXXtruefalseXXXtrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MIND BODY WELLNESS CENTER
18201 CONNEAUT LAKE ROADMEADVILLEPA16335WELLNESS CENTER
YOLANDA G BARCO ONCOLOGY CENTER
16792 CONNEAUT LAKE ROADMEADVILLEPA16335ONCOLOGY CENTER
WELLNESS EXTENSION
11031 PERRY HIGHWAYMEADVILLEPA16335WELLNESS CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I, LINE 7, COLUMN FTO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 ($153,947,907) WAS REDUCED BY BAD DEBT EXPENSE ($7,928,994).
COSTING METHODOLOGYSCHEDULE H, PART I, LINE 7GTHE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. OTHER IRS WORKSHEETS USED THE HOSPITAL'S COST ACCOUNTING SYSTEM, WHICH INCLUDED ALL PATIENT SEGMENTS.
BAD DEBT EXPENSESCHEDULE H, PART III, SECTION A, LINE 4THE 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 BENEFITSCHEDULE H, PART III, SECTION B, LINE 8SERVING 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 POLICYSCHEDULE H, PART III, SECTION C, LINE 9BFOR 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. BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS SCHEDULE H, PART V, SECTION B, LINE 11 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 POLICYSCHEDULE H, PART V, SECTION B, LINE 13GTHE BILLING INVOICE OFFERS A PHONE NUMBER TO CALL FOR EXPLANATION OF THE FINANCIAL ASSISTANCE POLICY.
OTHER METHODS FOR DETERMINING MAXIMUM AMOUNTS CHARGED FOR EMERGENCY CARESCHEDULE H, PART V, SECTION B, LINE 19DALL PATIENTS ARE CHARGED THE SAME AMOUNT FOR THE SAME SERVICE/TREATMENT, WITHOUT REGARD TO PAYOR COVERAGE. AS SUCH, THE MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE.
NEEDS ASSESSMENTSCHEDULE H, PART VI, LINE 2MEADVILLE 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 2002-3 AND THE LATEST ASSESSMENT IS CURRENTLY UNDERWAY AND WILL BE COMPLETED IN 2013. 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 ASSISTANCESCHEDULE H, PART VI, LINE 3ELIGIBILITY 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 INFORMATIONSCHEDULE H, PART VI, LINE 4MEADVILLE 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 HEALTHSCHEDULE H, PART VI, LINE 5MEADVILLE 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 SYSTEMSCHEDULE H, PART VI, LINE 6THE 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, PCS, CCSG 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. PRIMARY CARE SERVICES OF CRAWFORD COUNTY IS COMPRISED OF FOUR PHYSICIAN PRACTICES LOCATED WITHIN CRAWFORD COUNTY, PENNSYLVANIA. CRAWFORD COUNTY SUB-SPECIALISTS GROUP OPERATES PHYSICIAN SPECIALTY PRACTICES IN MEADVILLE. 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANTHONY DEFAIL
183508052759098766303393501311501270980000
RENATO SUNTAY
255555040920010100358220147810348088000
PHILIP PANDOLPH
357899077875058060535570226460517783000
CORY JACKSON
1172880250073085020205590146672000
DR NIMIT SUDAN
426377010529702400110250211980564137000
DR DENISE JOHNSON
2839070485380368098000176540360267000
DR ANNALIISA MCGLINN
4488360250000300098000235450507481000
DR JASON BROWN
4232560600000270098000199580513284000
DR KENNETH CHALLENER
43360800039609800086380452442000
DR BARRY BITTMAN
352270031650012900400730158900441173000
DR RHUNELLE MURRAY
21927608727017002287081610238621000
DAVID P SHAFFER
1432940124200475063260140890176604000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SOCIAL CLUB DUESSCHEDULE J, PART I, LINE 1ATHE 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, $1,199, IS THE AMOUNT INCLUDED IN THE PRESIDENT/CEO'S 2011 W-2.
TRAVEL FOR COMPANIONSSCHEDULE J, PART I, LINE 1ASPOUSES 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. EDUCATION SEMINARS. ANY ADDITIONAL COST INCURRED BY THE ORGANIZATION RELATED TO SPOUSAL TRAVEL IS REIMBURSED BY THE BOARD MEMBER.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BTHE FOLLOWING SCHEDULED 457(F) CONTRIBUTIONS WERE MADE ON BEHALF OF MEADVILLE MEDICAL CENTER EMPLOYEES: $ 43,757 PHILIP PANDOLPH 28,577 RENATO SUNTAY ADDITIONALLY, ANTHONY DEFAIL RECEIVED A 457(F) PAYOUT IN THE AMOUNT OF $983,507. THIS IS INCLUDED IN SCHEDULE J, COLUMN B(III).
NON-FIXED PAYMENTSSCHEDULE J, PART I, LINE 7THE 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
PA ECONOMIC DEVELOPMENT FINANCING AUTHORITY
232899801708693AC02006-06-2910260000CANCER CARE CENTER CONSTRUCTIONfalsefalsefalse
CRAWFORD COUNTY HOSPITAL AUTHORITY
2515351642008-08-2910000000GROVE ST. SURGERY CENTER ADDITIONfalsefalsefalse
CRAWFORD COUNTY HOSPITAL AUTHORITY
2515351642011-03-2510000000CAPITAL EQUIPMENT SERIES OF 2011falsefalsefalse
CRAWFORD COUNTY HOSPITAL AUTHORITY
2515351642011-03-254719759CAPITAL EQUIPMENT SERIES OF 2012falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00108233170002169600010606357002008falsefalsetruetrue
001000000000000010000000002009falsefalsetruetrue
001000000000037373009962627002012falsefalsetruetrue
0047197590000004719759002012falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
0
truetruefalsefalse0falsefalse
FIRST NATIONAL
falsetruetruefalse0falsefalse15.truefalse
FIRST NIAGARA
falsetruetruefalse0falsefalse5.truefalse
FIRST NIAGARA
falsetruetruefalse0falsefalse5.truefalse
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
TOTAL PROCEEDS OF ISSUESCHEDULE K, PART II, LINE 3TOTAL PROCEEDS OF THE ISSUE REPORTED IN PART II VARY FROM ISSUE PRICE REPORTED IN PART I DUE TO INVESTMENT EARNINGS INCLUDED IN PART II, LINE 3.
QUALIFIED HEDGESCHEDULE K, PART IV, LINE 3, COLUMN CA QUALIFIED HEDGE WAS ENTERED INTO WITH RESPECT TO ONLY $2,300,000 OF THE TOTAL ISSUE PRICE THROUGH AN INTEREST RATE SWAP.

Schedule L IRS990ScheduleL

FieldValueIRS element (for citing)
Total Balance Due0TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonCRAWFORD COUNTY SUB-SPECIALISTS GRONamePerson
FieldValueIRS element (for citing)
RelationshipSEE PART V.Relationship
Amount Of Transaction205021AmountOfTransaction
Description Of TransactionCOMMON BOARD MEMBERSDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONSIdentifier
Return ReferenceSCHEDULE L, PART IV, COLUMN BReturnReference
ExplanationDIRECTORS MARK STRAUSBAUGH AND THOMAS MITCHELL ARE ALSO DIRECTORS ON THE BOARD OF CRAWFORD COUNTY SUB-SPECIALISTS GROUP (CCSG), A RELATED TAXABLE ENTITY. THE ORGANIZATION RECEIVED $70,227 IN RENT FROM CCSG AND RECEIVED $134,794 IN MANAGEMENT FEES FROM CCSG. TOTAL TRANSACTIONS WITH CCSG DURING FISCAL YEAR ENDING 6/30/2012 WERE $205,021.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
VOLUNTEERSFORM 990, PART I, LINE 6MEADVILLE 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 #1FORM 990, PART III, LINE 4AOVER 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 #2FORM 990, PART III, LINE 4BINPATIENT 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 #3FORM 990, PART III, LINE 4CAT 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 ACTIVITIESFORM 990, PART III, LINE 4DMMC 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 FILEDFORM 990, PART V, LINE 2AMEADVILLE MEDICAL CENTER FILES W-2'S FOR THREE OF ITS RELATED ORGANIZATIONS, PRIMARY CARE SERVICES, MEADVILLE MEDICAL CENTER FOUNDATION, AND CRAWFORD COUNTY SUB-SPECIALISTS GROUP. 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.
MEMBERSFORM 990, PART VI, SECTION A, LINES 6, 7A, & 7BMEMBERS 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 990FORM 990, PART VI, SECTION B, LINE 11BTHE 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 POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE 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 REVIEWFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE 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 DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19UPON REQUEST, PHOTOCOPIES OF GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PICKUP BY THE REQUESTING PERSON.
FORMER EMPLOYEESFORM 990, PART VII, SECTION AANTHONY DEFAIL SERVED AS PRESIDENT OF THE ORGANIZATION UNTIL JANUARY 1, 2011. CORY JACKSON SERVED AS INTERIM CFO IN 2010 AND RETURNED TO HIS PREVIOUS ROLE AS CONTROLLER AFTER A NEW CFO WAS HIRED.
HOURS WORKED FOR RELATED ORGANIZATIONSFORM 990, PART VII, SECTION A, COLUMN BIN ADDITION TO SERVING MEADVILLE MEDICAL CENTER, THE FOLLOWING OFFICERS AND DIRECTORS ALSO SERVED ON BOARDS OF RELATED ORGANIZATIONS. DIRECTOR MARK STRAUSBAUGH SERVED FOR AN AVERAGE OF 1 HOUR PER WEEK ON THE BOARDS OF MEADVILLE MEDICAL CENTER FOUNDATION, PRIMARY CARE SUPPORT SERVICES, PRIMARY CARE SERVICES OF CRAWFORD COUNTY, AND CRAWFORD COUNTY SUB-SPECIALISTS GROUP. DIRECTOR THOMAS MITCHELL, MD, SERVED FOR AN AVERAGE OF 1 HOUR PER WEEK ON THE BOARDS OF PRIMARY CARE SUPPORT SERVICES, PRIMARY CARE SERVICES OF CRAWFORD COUNTY, AND CRAWFORD COUNTY SUB-SPECIALISTS GROUP. FORMER OFFICER ANTHONY DEFAIL SERVED FOR AN AVERAGE OF 1 HOUR PER WEEK ON THE BOARD OF MEADVILLE HOUSING CORPORATION. DIRECTOR DICK ASTOR SERVED FOR AN AVERAGE OF 1 HOUR PER WEEK ON THE BOARD OF MEADVILLE MEDICAL CENTER FOUNDATION. DIRECTOR STEPHEN P MIZNER AND OFFICER RENATO SUNTAY EACH SERVED FOR AN AVERAGE OF 1 HOUR PER WEEK ON THE BOARD OF HOSPICE OF CRAWFORD COUNTY.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5($ 467,761) CHANGE IN FV OF INT RATE SWAP AGREEMENTS ( 24,123,761) CHANGE IN DEFINED BENEFIT PENSION PLANS ( 185,868) CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 27,258 TRANSFER FROM MMC FOUNDATION ( 176,224) NET UNREALIZED LOSSES -------------- ($ 24,926,356)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MEADVILLE MEDICAL CENTER FOUNDATION
1034 GROVE STREETMEADVILLEPA16335251681342SUPPORTPA501(C)(3)7MMCtrue
HOSPICE OF CRAWFORD COUNTY INC
1034 GROVE STREETMEADVILLEPA16335251480565HOSPICEPA501(C)(3)7MMCtrue
CONNEAUT VALLEY HEALTH CENTER
1034 GROVE STREETMEADVILLEPA16335251490887HEALTH CENTERPA501(C)(3)3MMCtrue
PRIMARY CARE SUPPORT SERVICES INC
1034 GROVE STREETMEADVILLEPA16335251602132PHYS. OFFICESPA501(C)(3)9MMCtrue
PRIMARY CARE SERVICES OF CRAWFORD COUNTY
1034 GROVE STREETMEADVILLEPA16335251602133PHYS. OFFICESPA501(C)(3)9MMCtrue
COMMUNITY HEALTH SERVICES INC
1034 GROVE STREETMEADVILLEPA16335251490886PHYS. OFFICESPA501(C)(3)9MMCtrue
MEADVILLE MEDICAL CENTER AUXILIARY
751 LIBERTY STREETMEADVILLEPA16335251512834SUPPORTPA501(C)(3)11A IMMCtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
CRAWFORD COUNTY SUB-SPECIALISTS GROUP
751 LIBERTY STREETMEADVILLEPA16335205306787HEALTH CAREPAMMCC CORP24735187505321.00000
HOME CARE CONNECTIONS INC
751 LIBERTY STREETMEADVILLEPA16335251605314HOLDING COMPANYPAMMCC CORP30519525673141.00000
MEADVILLE HOUSING CORPORATION
934 B STREETMEADVILLEPA16335250657800HOUSINGPAMMCC CORP92939024173850.60980
KING WINSLOW TRUST
C/O PNC 620 LIBERTY AVEPITTSBURGHPA15222256196092TRUSTPAMMCTRUST-8559722350501.00000
LOUISA PERRY TRUST
C/O BANK OF AMERICA 777 MAIN STHARTFORDCT06115066031521TRUSTPAMMCTRUST-335999361881.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
PRIMARY CARE SERVICES OF CRAWFORD COUNTY
A89506FMV
MEADVILLE MEDICAL CENTER FOUNDATION
A5385FMV
CRAWFORD COUNTY SUB-SPECIALISTS GROUP
A70227FMV
HOSPICE OF CRAWFORD COUNTY
A11176FMV
PRIMARY CARE SUPPORT SERVICES
A6096FMV
CONNEAUT VALLEY HEALTH CENTER
A29800FMV
KING WINSLOW TRUST
B95573FMV
PRIMARY CARE SERVICES OF CRAWFORD COUNTY
K121700FMV
COMMUNITY HEALTH SERVICES
K474393FMV
CRAWFORD COUNTY SUB-SPECIALISTS GROUP
K134794FMV
CRAWFORD COUNTY SUB-SPECIALISTS GROUP
L533483FMV
COMMUNITY HEALTH SERVICES
O232192FMV

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