2012-04-06T08:33:33-04:00 2011-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2010-07-01 240802108 CHARLES COLE MEMORIAL HOSPITAL CHAR 8142749300 1001 EAST SECOND STREET COUDERSPORT PA 16915 EDWARD C PITCHFORD 2012-01-30 true Brian D Todd 4178658701 2010 2016-02-24 21:20:13Z EDWARD PITCHFORD 1001 EAST SECOND STREET COUDERSPORT PA 16915 75794561 false X http://www.charlescolehospital.com/ X 1967 PA CCMH PROVIDES EXCELLENT HEALTH CARE SERVICES BY PROVIDING INPATIENT, OUTPATIENT AND PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITY. SEE SCHEDULE O FOR MORE INFORMATION. 12 10 691 82 70457 69098 692259 350224 63883574 69567713 882589 1031244 63394 361647 65521816 71310828 0 0 0 0 29387358 30837009 19904 84000 115937 36903321 38318324 66310583 69239333 -788767 2071495 52729110 55302779 37784281 35146860 14944829 20155919 X THE PURPOSE OF CHARLES COLE MEMORIAL HOSPITAL IS TO PROVIDE EXCELLENT HEALTHCARE SERVICES, RESPONDING TO THE NEEDS OF THE COMMUNITIES WE SERVE. false false 16852645 37283295 CCMH OFFERS OUTPATIENT SERVICES, EXCEEDING 351,200 VISITS ANNUALLY THROUGHOUT THE HOSPITAL'S FOUR-COUNTY AREA AND INCLUDING IMAGING, LAB, AND REHABILITATION SERVICES. OUTPATIENT SURGERIES EXCEED 4,400 ANNUALLY. THE PATTERSON CANCER CARE CENTER OFFERS FULL SERVICE RADIATION AND MEDICAL ONCOLOGY SERVICES AND HOUSES AN AMERICAN CANCER SOCIETY PATIENT RESOURCE CENTER ONSITE. THE CANCER CENTER IS HOME TO A VARIETY OF SUPPORT GROUPS, AS WELL AS FREQUENT FREE CANCER SCREENINGS FOR THE PUBLIC. CCMH'S HOME HEALTH AND HOSPICE SERVICES ASSIST PATIENTS THROUGHOUT THE REGION, WITH A GROWING NUMBER OF REFERRALS AND LOWER INFECTION RATES AMONG STATE AND NATIONAL AVERAGES. 14710615 11299546 CHARLES COLE MEMORIAL HOSPITAL PROVIDES PRIMARY CARE TO ITS SURROUNDING COMMUNITIES. THE HOSPITAL PROVIDES PRIMARY CARE TO THE SURROUNDING COMMUNITIES IN FOUR COUNTIES AT RURAL HEALTH CENTERS (RHCS), LOCATED IN COUDERSPORT, GALETON, ULYSSES, WESTFIELD, SHINGLEHOUSE, PORT ALLEGANY, ELDRED, SMETHPORT, AND EMPORIUM. FOUR OF THOSE LOCATIONS ALSO INCLUDE WELLNESS AND REHABILITATION CENTERS, MAKING IT MORE CONVENIENT FOR PATIENTS TO RECEIVE THE CARE THEY NEED CLOSE TO HOME. ONE OUTLYING CENTER OFFERS IMAGING SERVICES, WHILE ALL RHCS PROVIDE LAB DRAWS SO PATIENTS DON'T HAVE TO DRIVE TO RECEIVE NECESSARY TESTING. SEE SCHEDULE O FOR FURTHER DETAIL. 11319571 18016788 CHARLES COLE MEMORIAL HOSPITAL OFFERS VARIOUS INPATIENT SERVICES. CCMH ADMITTED 1,980 PATIENTS LAST YEAR (5,400 ACUTE CARE DAYS) TO INPATIENT SERVICES INCLUDING MEDICAL/SURGICAL, INTENSIVE CARE AND OBSTETRICS UNITS. CCMH'S 24-HOUR EMERGENCY DEPARTMENT ADMITTED 840 PATIENTS LAST YEAR AND SAW 9,400 VISITS LAST YEAR. THE HOSPITAL'S MATERNITY UNIT WELCOMED 250 BABIES INTO THE WORLD LAST YEAR AND ALSO SUPPORTS MOTHERS-TO-BE WITH REGULAR LAMAZE AND BREASTFEEDING SUPPORT PROGRAMS AND THE HEALTHY BEGINNINGS PLUS PROGRAM FOR LOW INCOME MOTHERS. SEE SCHEDULE O FOR FURTHER DETAIL. 17456033 2968084 60338864 true true false true false false false true true true false false false true false false true false false false false false true true false true true false false true false false false false false false true true false false false false false true true false false false true 54 0 true 691 true true true false false false false true true false false false false X 12 10 false false true false true true false true true false false true true true true true true true false true true PA X RON RAPP CONTROLLER 8142745250 1001 EAST SECOND STREET COUDERSPORT PA 16915 MICHAEL E CALLAHAN 40.0 X X 173164 0 16221 JASON TRONETTI 40.0 X 313676 0 21296 CHARLES UPDEGRAFF 1.0 X X 0 0 0 RON CASKEY 1.0 X 0 0 0 REVEREND RANDALL HEADLEY 1.0 X X 0 0 0 ROBERT MARTIN 1.0 X 0 0 0 HOWARD MILLER 1.0 X 0 0 0 PAUL PRITCHARD 1.0 X X 0 0 0 ROBERT SMITH 1.0 X X 0 0 0 RUSSELL STREICH 1.0 X 0 0 0 SUSAN KEFOVER 1.0 X 0 0 0 DAVID BUCKLER 1.0 X 0 0 0 DAVID CRANDALL 1.0 X 0 0 0 JEANNE MIGLICIO 1.0 X 0 0 0 THOMAS SHAFFER 1.0 X 0 0 0 EDWARD C PITCHFORD 40.0 X 268657 0 22017 CYNTHIA L HARDESTY 40.0 X 151729 0 10421 BRADLEY F GIANNOTTI 40.0 X 897858 0 19724 CHRISTAN M CARAMIA 40.0 X 477697 0 22788 SAKET PRASAD 40.0 X 560843 0 22156 TERRANCE FOUST 40.0 X 555512 0 12837 CELSO BACKES 40.0 X 380986 0 4862 3780122 0 152322 29 false true false JAMES BARKE MD PHYSICIAN 649062 FOOT ANKLE INNOV PHYSICIAN 317136 BKD LLP AUDIT/TAX/CONSULTING 105762 3 30227 214375 105622 350224 PATIENT SERVICE REVENUE 621990 67487450 67487450 OTHER REVENUE 621990 2080263 2080263 69567713 157026 157026 53561 53561 0 336762 347816 -11054 -11054 -11054 3742029 1151269 3251508 821133 490521 330136 820657 820657 8000 30227 13339 -5339 -5339 0 76779 49937 26842 26842 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 129727 129727 INCOME FROM INVESTMENT IN SUBSIDIARIES 900099 92929 70457 22472 GAIN ON EXTINGUISHMENT OF DEBT 900099 128542 128542 351198 71310828 69567713 70457 1322434 0 0 0 0 977181 525078 452103 126190 126190 22797219 19561408 3235811 945978 805443 140535 4296532 3454435 842097 1693909 1425722 268187 379708 379708 115523 115523 108769 108769 0 84000 84000 99576 99576 14086375 13334942 751433 97873 2001 95872 13780208 12716773 1063435 0 0 972113 813650 158463 301693 270840 30853 0 245234 146572 98662 1180126 1056444 123682 0 2411220 2158514 252706 1028588 536046 492542 BAD DEBT 3039163 3039163 LICENSES, DUES & SUBSCRIPTIONS 299596 112125 187471 RECRUITING 140622 140622 OTHER AUXILIARY EXPENSES 31937 31937 69239333 60338864 8784532 115937 5018474 6770890 206716 71851 7106477 7510740 981423 1081698 2099925 1785764 63106763 40093165 24055090 23013598 10756526 12716424 1171705 1532975 117496 396598 1215278 422241 52729110 55302779 13430176 12962644 20292611 19534724 10229 14430 2268171 1239449 1783094 1395613 37784281 35146860 X 10850438 15669621 426591 205421 3667800 4280877 14944829 20155919 52729110 55302779 X 2071495 3139595 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 9940 9940 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I THE ORGANIZATION IS A MEMBER OF HAP, AHA, AND HCWP. $9,940 OF DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. false true 3667800 942900 329823 4280877 3616355 437150 385705 3667800 4837234 -1006344 214535 3616355 1.00000 true false 1135847 1135847 26779607 14157789 12621818 9812494 5259488 4553006 22938686 19505318 3433368 2440129 1170570 1269559 23013598 0 DUE TO THIRD PARTIES 1395613 1395613 71310828 69239333 2071495 1444493 1721486 3165979 5237474 74806025 1444493 1770102 3214595 71591430 -280602 -280602 71310828 69568551 361155 361155 69207396 31937 31937 69239333 ESCROW ACCOUNTS SCHEDULE D, PART IV, LINE 2B THE CORPORATION HAS AN ESCROW ACCOUNT FOR THEIR SKILLED NURSING FACILITY PATIENTS WHO REQUEST THE USE OF THE ACCOUNT. THIS AMOUNT IS REPORTED ON FORM 990, PART X, LINE 21. ENDOWMENT FUND SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUND WAS ESTABLISHED TO ALLOW THE HOSPITAL TO PROVIDE HEALTHCARE SERVICES TO POOR AND NEEDY PATIENTS. UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. OTHER CHANGES IN NET ASSETS SCHEDULE D, PART XI, LINE 8 DEFINED BENEFIT PENSION COSTS: AMORTIZATION OF NET LOSS 242,842 NET GAIN ARISING DURING YEAR 1,452,260 AUXILIARY NET INCOME (48,616) AUXILIARY TRANSFER TO CCMH 75,000 OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE D, PART XII, LINE 2D DEFINED BENEFIT PENSION COSTS: AMORTIZATION OF NET LOSS 242,842 NET GAIN ARISING DURING YEAR 1,452,260 AUXILIARY TRANSFER TO CCMH 75,000 OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4B RENTAL EXPENSES (347,816) SPECIAL EVENT EXPENSE (13,339) AUXILIARY SPECIAL EVENT REVENUE 38,227 AUXILIARY SALES OF INVENTORY 76,779 AUXILIARY COST OF GOODS SOLD (49,937) AUXILIARY INTEREST INCOME 74 AUXILIARY OTHER INCOME 15,410 OTHER EXPENSES INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25 SCHEDULE D, PART XIII, LINE 2D RENTAL EXPENSES 347,816 SPECIAL EVENT EXPENSES 13,339 OTHER EXPENSES INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 SCHEDULE D, PART XIII, LINE 4B OTHER AUXILIARY EXPENSES 31,937 X X true DELTA DEVELOPMENT GROUP INC GRANT WRITING false 84000 84000 PA GOLF TOURNAMENT 38227 30227 8000 4504 3379 4606 850 0 38227 30227 8000 4504 3379 4606 850 13339 -5339 FUNDRAISING ACTIVITIES SCHEDULE G, PART I, LINE 2B THE ORGANIZATION HIRED DELTA DEVELOPMENT GROUP, INC., FOR GRANT WRITING SERVICES. THE AGREEMENT PROVIDED FOR A MONTHLY FEE FOR PROFESSIONAL FUNDRAISING SERVICES AS WELL AS REIMBURSEMENT OF ADDITIONAL FUNDRAISING EXPENSES. true true X true X true X true true true false true true 631213 631213 0.00910 12553658 8223671 4329987 0.06250 13184871 8223671 4961200 0.07160 96734 23973 72761 0.00110 366055 366055 0.00530 22923622 17270015 5653607 0.08160 1092 1092 23387503 17293988 6093515 0.08800 36572374 25517659 11054715 0.15960 2 66 5940 5940 0.00010 12 156 4858 4858 0.00010 4 3956 3956 0.00010 20 540 1260 1260 3 216 447 447 41 978 16461 16461 0.00030 true 1502381 235874 21123777 20598431 525346 X true true 1 1 CHARLES COLE MEMORIAL HOSPITAL

1001 EAST 2ND STREET COUDERSPORT PA 16915

X X X X CHARLES COLE MEMORIAL HOSPITAL 1 10 PORT ALLEGANY HEALTH CENTER

45 PINE STREET PORT ALLEGANY PA 16743

RURAL HEALTH CENTER REHABILITATION LAB SERVICES, RADIOLOGY SHINGLEHOUSE HEALTH CENTER

128 LYONS STREET SHINGLEHOUSE PA 16748

RURAL HEALTH CENTER LAB SERVICES ELDRED HEALTH CENTER

139 MAIN STREET ELDRED PA 16371

RURAL HEALTH CENTER LAB SERVICES EMPORIUM HEALTH CENTER

SIZERVILLE ROAD EMPORIUM PA 15834

RURAL HEALTH CENTER LAB SERVICES GALETON HEALTH CENTER

30 RIVER STREET GALETON PA 16922

RURAL HEALTH CENTER LAB SERVICES WESTFIELD RURAL HEALTH CLINIC

222 CHURCH STREET WESTFIELD PA 16950

RURAL HEALTH CENTER LAB SERVICES HEWITT MANOR

111 WEST HONEOYE STREET SHINGLEHOUSE PA 16748

REHABILITATION SMETHPORT HEALTH CENTER

83 MARVIN STREET SMETHPORT PA 16749

RURAL HEALTH CENTER LAB SERVICES NORTHERN POTTER HEALTH CENTER

511 ACADEMY STREET ULYSSES PA 16948

RURAL HEALTH CENTER LAB SERVICES CENTRAL POTTER HEALTH CENTER

46 ELK STREET COUDERSPORT PA 16915

RURAL HEALTH CENTER LAB SERVICES PART I, LINE 7G: SEVERAL RURAL HEALTH CLINICS WERE INCLUDED IN THE COMPUTATION OF SUBSIDIZED HEALTH SERVICES ON LINE 7G. CCMH PROVIDES PRIMARY CARE TO THE SURROUNDING COUNTIES AT THESE RURAL HEALTH CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. CCMH CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. PART III, LINE 4: THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, WHICH IS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT OR THIRD-PARTY PAYER. LINE 2 WAS DETERMINED BY TAKING THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TIMES THE RATIO OF PATIENT CARE COST TO CHARGES FROM WORKSHEET 2, LINE 11. LINE 3 WAS DETERMINED BY TAKING THE BAD DEBT EXPENSE AT COST (LINE 2) TIMES THE PERCENT OF PERSONS BELOW THE POVERTY LEVEL FOR 2008 BASED ON US CENSUS BUREAU DATA. PART III, LINE 8: MEDICARE DATA COMPUTED USING THE MEDICARE COST REPORT FILED WITH CMS WAS UTILIZED FOR THE COMPUTATIONS IN PART III, SECTION B. MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT, AS CCMH IS CLASSIFIED AS A CRITICAL ACCESS HOSPITAL. THIS CLASSIFICATION SHOWS THAT CCMH IS IN A MEDICALLY UNDERSERVED AREA AND AT A HEALTH PROFESSIONAL SHORTAGE AREA. THIS DEMONSTRATES THAT CCMH IS THE ONLY REASONABLE SOURCE OF HOSPITAL CARE AVAILABLE TO MEDICARE BENEFICIARIES IN OUR SERVICE AREA, AND LIKEWISE TREATS ALL BENEFICIARIES IN OUR SERVICE AREA THAT PRESENT THEMSELVES FOR CARE, DESPITE KNOWING WE WILL GENERALLY LOSE MONEY CARING FOR MEDICARE PATIENTS. ADDITIONALLY, SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. PART III, LINE 9B: EFFORTS ARE MADE TO IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY CARE IN ACCORDANCE WITH THE HOSPITAL'S CHARITY CARE POLICY OR THE PHYSICIAN NETWORK SLIDING FEE SCALE PRIOR TO THE STATEMENT PROCESS WHEN POSSIBLE. PART V, SECTION B, LINE 19D: ALL PATIENTS REGARDLESS OF ABILITY TO PAY ARE BILLED THE SAME AMOUNT FOR THEIR SERVICES. FOR CUSTOMERS THAT HAVE NO INSURANCE (SELF-PAY) WE OFFER 40% DISCOUNT IF BILL IS PAID WITHIN 2 WEEKS. PART V, SECTION B, LINE 21: ALL PATIENTS ARE CHARGED THE SAME REGARDLESS OF PAYOR. NEEDS ASSESSMENT: CHARLES COLE MEMORIAL HOSPITAL ENGAGED OKLAHOMA STATE UNIVERSITY IN COMPLETING A SERVICE AREA (4 COUNTIES) COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE PROCESS BEGINNING IN JANUARY 2010 AND CONCLUDING IN MARCH 2010 WHEN CHARLES COLE MEMORIAL HOSPITAL RECEIVED OUTCOMES FROM THE SURVEY. SURVEYS WERE CONDUCTED BY TELEPHONE BY OKLAHOMA STATE UNIVERSITY. QUESTIONS WERE DETERMINED AT THE RECOMMENDATION OF OKLAHOMA STATE UNIVERSITY AND REVISED, AS DEEMED NECESARY, BY CCMH. A TOTAL OF 200 PHONE SURVEYS WERE COMPLETED AND 48 ONLINE SURVEYS WERE SUBMITTED FROM ALL SERVICE AREA ZIP CODES. RESULTS WERE TALLIED AND ANALYZED BY OKLAHOMA STATE UNIVERSITY AND THEN PRESENTED TO CCMH AND A GROUP OF APPROXIMATELY 100 INDIVIDUALS FROM OUR COMMUNITY BENEFIT ADVISORY COMMITTEES (NOW KNOWN AS CORPORATE ADVISORS), CCMH PUBLIC RELATIONS COMMITTEE (A BOARD OF DIRECTOR'S SUB-COMMITTEE AND NOW KNOWN AS THE COMMUNITY RELATIONS COMMITTEE), CCMH LEADERSHIP AND CCMH BOARD OF DIRECTORS. IN ADDITION TO THE RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, CCMH DETERMINES HEALTHCARE NEEDS OF THE COMMUNITIES WHICH WE SERVE THROUGH SURVEYS OF OUR COMMUNITY BENEFIT ADVISORY COMMITTEE MEMBERS, INDIVIDUAL RECOMMENDATIONS, BOARD OF DIRECTORS RECOMMENDATIONS, COMMUNITY EVENT SATISFACTION SURVEYS, AND LOCAL AND STATE HEALTHCARE TRENDS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE PATIENT FINANCIAL COUNSELOR CONTACTS SELF-PAY PATIENTS/GUARANTORS TO DISCUSS PAYMENT ARRANGEMENTS. IF THEY ARE UNABLE TO PAY - SHE EXPLAINS THE PROCESS OF APPLYING FOR CHARITY WHICH INCLUDES APPLYING FOR PA MEDICAL ASISSTANCE FIRST AND IF THEY ARE DENIED OR HAVE A PORTION TO PAY, THEN THEY CAN APPLY FOR CHARITY. THE CHARITY APPLICATION IS ON THE BACK OF OUR SELF-PAY STATEMENTS. ALSO, THE HOSPITAL OWNED PHYSICIAN PRACTICES ARE AWARE OF THIS PROGRAM AND REFER PATIENTS/GUARANTORS TO THE PATIENT FINANCIAL COUNSELOR. COMMUNITY INFORMATION: CCMH SERVES PATIENTS MAINLY FROM POTTER, MCKEAN, TIOGA, CAMERON AND ELK COUNTIES IN NORTHCENTRAL PA. ALL OF THE COUNTIES THAT WE SERVE ARE CONSIDERED RURAL AND MOUNTAINOUS. CAMERON COUNTY CURRENTLY HAS THE HIGHEST UNEMPLOYMENT RATE IN THE STATE AND ALL OF THE COUNTIES SERVED ARE BATTLING THE EFFECTS OF THE ECONOMY AND JOB LOSS. OUR POPULATION IS ALSO AGING AS THE AREA OFFERS LITTLE FOR A YOUNGER DEMOGRAPHIC IN THE WAY OF EMPLOYMENT, EDUCATION AND CULTURE. PROMOTION OF COMMUNITY HEALTH: THE MISSION OF CHARLES COLE MEMORIAL HOSPITAL INDICATES THAT THE HOSPITAL RESPONDS TO THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES AND IS LARGELY DEPENDENT ON PROVIDING SERVICES AND CARE TO THOSE INDIVIDUALS WHO MAY NOT HAVE THE RESOURCES TO BE AWARE OF, ABLE TO PAY FOR, OR HAVE THE EDUCATION/KNOWLEDGE ABOUT CARE, PROGRAMS AND SERVICES THAT ARE AVAILABLE TO THEM. THROUGH VARIOUS ACTIVITIES CHARLES COLE REACHES OUT TO OUR COMMUNITIES TO EDUCATE, IMPROVE HEALTH, PREVENT AND TREAT DISEASE AND SUPPORT INDIVIDUALS AND GROUPS. CHARLES COLE, IN COOPERATION WITH COMMUNITY BASED GROUPS SUCH AS ROTARY, PROVIDE FIVE COMPREHENSIVE BLOOD ANALYSIS ANNUALLY. COMPREHENSIVE BLOOD ANALYSIS SCREENINGS ARE PROVIDED IN FIVE RURAL COMMUNITIES: GALETON, SMETHPORT, PORT ALLEGANY, SHINGLEHOUSE AND COUDERSPORT. CBA'S SCREEN OVER 30 OF THE MOST COMMON BLOOD TESTS THAT DETECT HEALTH ISSUES SUCH AS CORONARY HEART DISEASE, LIVER DISEASE, KIDNEY DISEASE, CANCER, THYROID DISEASE, DIABETES, ANEMIA, BONE DISEASE AND RESPIRATORY DISEASE. THESE SCREENINGS ARE PROVIDED AT A FRACTION OF THE COST OF HAVING THESE TESTS PERFORMED THROUGH A FAMILY PHYSICIAN. ALL PARTICIPANTS AND THEIR PRIMARY MEDICAL PROVIDER ARE SENT THE RESULTS AND PROVIDERS FOLLOW-UP WITH INDIVIDUALS WHOSE SCREENING RESULTS INDICATE ABNORMALITIES. FOR MANY INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED AND LIKELY WOULD NOT SEEK MEDICAL CARE UNTIL IT WAS EMERGENT, THESE EVENTS PROVIDE AN AVENUE TO MONITOR THEIR HEALTH AND DETECT POTENTIAL ISSUES BEFORE THEY BECOME EMERGENT. IN ADDITION, THE LOCAL CO-SPONSORS RECEIVE A PORTION OF THE PROCEEDS FROM THESE EVENTS AND UTILIZE THE FUNDS TO PROVIDE SCHOLARSHIPS AND SUPPORT TO LOCAL STUDENTS AND PROJECTS TO BENEFIT THE COMMUNITY. ANNUALLY, CHARLES COLE PARTNERS WITH THE AREA AGENCY ON AGING AND THE PENNSYLVANIA DEPARTMENT OF HEALTH TO ADMINISTER SEASON INFLUENZA AND PNEUMOCCOCAL VACCINE TO COUNTY SENIORS, THE INDIGENT, THE HOUSE-BOUND AND THE UNINSURED AT NO COST. FY2010 800 NO-COST INFLUENZA VACCINES AND 123 PNEUMOCOCCAL VACCINES WERE ADMINISTERED THROUGH 9 CLINICS IN 7 COMMUNITIES. IN MANY CASES THE UNDERSERVED POPULATIONS ARE MORE LIKELY TO BECOME ILL AND POTENTIALLY FACE EMERGENT HEALTH NEEDS FROM VACCINE-PREVENTABLE DISEASE. BY PROVIDING CLINICS AT COUNTY SENIOR CENTERS AND IN RURAL COMMUNITY SETTINGS MANY INDIVIDUALS WHO WOULD LIKELY NOT RECEIVE THESE COMMON VACCINES CAN BE IMMUNIZED AT NO COST AND IN CLOSE PROXIMITY TO THEIR HOMES. IN ADDITION, WITH THE OUTBREAK OF THE H1N1 INFLUENZA VIRUS IN THE FALL OF 2009, CCMH ADMINISTERED APPROXIMATELY 5500 DOSES OF H1N1 VACCINE TO ANY INDIVIDUAL WHO MET CRITERIA. ALSO IN CONJUNCTION WITH THE AREA AGENCY ON AGING, CHARLES COLE PROVIDES NO-COST EDUCATION TO COUNTY SENIOR CENTERS. IN FY 2010, CCMH PROVIDED 7 HEALTH EDUCATION PROGRAMS, EACH PRESENTED AT 4 SENIOR CENTERS FOR A TOTAL OF 30+ SESSIONS. TOPICS INCLUDED IMMUNIZATIONS, OSTEOPOROSIS, HEEL SCREENINGS, WINTER SKIN & FOOT CARE, THE DIABETIC FOOT & GOUT, INCONTINENCE AND GASTROINTESTINAL ISSUES IN SENIORS. FINALLY, AS AN ON-GOING EFFORT TO PROVIDE FULL-SPECTRUM CANCER CARE TO INDIVIDUALS IN RURAL NORTHCENTRAL PENNSYLVANIA, THE PATTERSON CANCER CARE CENTER PHYSICIANS AND STAFF PROVIDED APPROXIMATELY 170 NO-COST CANCER SCREENINGS. SCREENINGS INCLUDED SCREENINGS FOR PROSTATE, COLORECTAL AND SKIN CANCER. SCREENINGS WERE PERFORMED BY ONCOLOGY PHYSICIANS WHO SPECIALIZE IN THE DETECTION, DIAGNOSIS AND TREATMENT OF CANCER. INDIVIDUALS PARTICIPATING IN THESE SCREENINGS WERE BOTH MALE AND FEMALE, ADULT AND SENIOR AND UNINSURED/UNDERINSURED. IN ADDITION TO THE SCREENINGS, PARTICIPANTS WERE ALSO EDUCATED ON HEALTHY HABITS TO REDUCE RISK OF CANCER AND SIGNS AND SYMPTOMS OF CANCER. ALONG WITH MANY OTHER PROGRAMS SUCH AS SUPPORT GROUPS, SPEAKER'S BUREAU, WORKFORCE DEVELOPMENT, ECONOMIC SUPPORT, COMMUNITY LEADERSHIP, PARTNERSHIPS WITH LOCAL CIVIC, GOVERNMENT, SCHOOL DISTRICTS AND COMMUNITY GROUPS, CHARLES COLE MEMORIAL HOSPITAL CONTINUES EFFORTS TO ASSURE THAT HEALTHCARE, IN ALL FORMS, IS ACCESSIBLE AND AVAILABLE TO THOSE WHO MAY OTHERWISE GO WITHOUT. OTHER INFORMATION: CCMH PROVIDES THE COMMUNITY WITH SPACE FOR EVENTS, MEETINGS AND PROGRAMS SUCH AS SUPPORT GROUPS AND YOUTH SPORTS. CCMH'S EMPLOYEE GIVING CLUB, HEART OF COLE, HAS A DESIGNATED GROUP THAT FOCUSES ON COMMUNITY CONNECTIONS. THE GROUP ANNUALLY UTILIZES APPROXIMATELY $10,000 ON COMMUNITY CONNECTIONS INCLUDING DONATIONS, IN FY09 SPECIFICALLY TO SERVE INDIVIDUALS AND FAMILIES THROUGH MONETARY AND NON-PERISHABLE FOOD DONATIONS TO LOCAL FOOD BANKS AND TO PURCHASE OF HEALTHCARE-RELATED ITEMS TO BE USED AS GIVE-AWAYS AT COMMUNITY EVENTS. CHARLES COLE STRIVES TO LIVE UP TO ITS NON-PROFIT MISSION EVERY DAY, PROVIDING EXCELLENT HEALTHCARE SERVICES TO OUR AREA AND LISTENING AND RESPONDING TO THE COMMUNITIES WE SERVE. IN AN EFFORT TO PLAN FOR THE UNIQUE NEEDS OF COMMUNITIES IN THE SERVICE AREA, FIVE COMMUNITY BENEFIT ADVISORY COMMITTEES WERE ESTABLISHED AS A MAJOR INITIATIVE TO DEEPEN AND STRENGTHEN ITS CONNECTION WITH THE COMMUNITY AND TO LINK COMMUNITY BENEFIT ACTIVITIES TO STRATEGIC AND OPERATIONAL PLANS. THE ROLE OF THE COMMITTEES IS TO IDENTIFY THE NEEDS AND CONCERNS OF THE COMMUNITY, ADVISE ABOUT THE BEST WAY TO PARTNER WITH THE COMMUNITY, AID IN THE DEVELOPMENT OF MEANINGFUL COMMUNITY PROGRAMS AND ACTIVITIES, AND PROMOTE IMPROVED COMMUNICATIONS BETWEEN THE HOSPITAL AND THE COMMUNITY. THE HOSPITAL PROVIDES DEDICATED ADMINISTRATIVE TIME TO PLANNING AND CONDUCTING FIVE CBAC MEETINGS IN THE COMMUNITIES WE SERVE THREE TIMES PER YEAR. CCMH REACHED THE GOAL OF DOUBLING PARTICIPATION/MEMBERS OF THE CBAC GROUPS FROM 50 INDIVIDUALS TO 100 INDIVIDUALS. LASTLY, CCMH OFTEN PARTNERS WITH FUNDING FOUNDATIONS TO PROVIDE HEALTH SPECIFIC IMPROVEMENT INITIATIVES IN THE COMMUNITIES WHICH WE SERVE. AS AN EXAMPLE, CCMH, WITH FUNDING FROM THE GEORGE A. & MARGARET MEE FOUNDATION, PROVIDED COMPREHENSIVE NO-COST PHYSICALS TO THE UNINSURED AND UNDER INSURED POPULATION IN CAMERON COUNTY. IN ADDITION A FAMILY FITNESS PROGRAM WAS OFFERED IN CAMERON COUNTY GEARED TO EDUCATE YOUTH AND THEIR PARENTS ON THE IMPORTANCE OF GOOD HEALTH. THE FAMILY FITNESS CHALLENGE INCLUDES EXERCISE, EDUCATION, HEALTHY EATING, HEALTH INDICATOR GATHERING AND MONITORING. FINALLY, VISION TESTING EQUIPMENT AND NO-COST SCREENINGS WERE PROVIDED THROUGH CCMH BY A LOCAL OPHTHEMOLOGIST TO RESIDENTS MEETING CRITERIA IN CAMERON COUNTY. THIS IS JUST ONE EXAMPLE OF PARTNERSHIPS IN WHICH CCMH IS CLOSELY INVOLVED THAT PROMOTE HEALTH AND ADDRESS COMMUNITY NEEDS. X X X X X false false false false false false false false false MICHAEL E CALLAHAN 172316 0 0 0 848 0 3878 0 12343 0 189385 0 0 0 EDWARD C PITCHFORD 238630 0 0 0 30027 0 6113 0 15904 0 290674 0 0 0 JASON TRONETTI 196958 0 116555 0 163 0 6087 0 15209 0 334972 0 0 0 CYNTHIA L HARDESTY 133912 0 0 0 17817 0 3813 0 6608 0 162150 0 0 0 BRADLEY F GIANNOTTI 881458 0 0 0 16400 0 4515 0 15209 0 917582 0 0 0 CHRISTAN M CARAMIA 477332 0 0 0 365 0 5979 0 16809 0 500485 0 0 0 SAKET PRASAD 543795 0 0 0 17048 0 6052 0 16104 0 582999 0 0 0 TERRANCE FOUST 555013 0 0 0 499 0 6050 0 6787 0 568349 0 0 0 CELSO BACKES 376003 0 0 0 4983 0 4862 0 0 0 385848 0 0 0 BONUS SCHEDULE J, PART I, LINE 7 NO DIRECTORS EARNED A BONUS FOR PARTICIPATING IN THE EXECUTIVE TEAM INCENTIVE COMPENSATION PROGRAM. EACH PARTICIPANT HAD AN ESTABLISHED TARGET TOTAL COMPENSATION BASED ON INDUSTRY SURVEYS AND THE INCENTIVE PROGRAM COMPRISED APPROXIMATELY 10% OF THE TARGETED TOTAL COMPENSATION. THE BONUS WAS BASED ON OVERALL PERFORMANCE. JASON TRONETTI'S BONUS WAS CALCULATED BY RVU'S BASED ON PRODUCTIVITY AND AN ESTABLISHED FORMULA. COLE CARE COMMON BOARD MEMBERS 6276659 RENT, DIVIDENDS, SERVICES false EDMOND HARDESTY HUSBAND OF C. HARDESTY 126190 EMPLOYEE OF HOSPITAL false ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 CHARLES COLE MEMORIAL HOSPITAL IS A FULL SERVICE, COMPREHENSIVE HEALTH SYSTEM, SERVING POTTER, MCKEAN, CAMERON, AND TIOGA COUNTIES IN RURAL, NORTH CENTRAL PA AND PORTIONS OF NEW YORK STATE AND IS THE ONLY HOSPITAL IN POTTER COUNTY (COUDERSPORT, PA). CCMH IS A CRITICAL ACCESS HOSPITAL PROVIDING PRIMARY, EMERGENCY, AND SPECIALTY CARE, AS WELL AS REHABILITATION AND WELLNESS SERVICES TO PATIENTS WITHIN A 50-MILE RADIUS. CHARLES COLE STRIVES TO LIVE UP TO ITS NON-PROFIT MISSION EVERY DAY, PROVIDING EXCELLENT HEALTHCARE SERVICES TO OUR AREA AND LISTENING AND RESPONDING TO THE COMMUNITIES WE SERVE. IN AN EFFORT TO PLAN FOR THE UNIQUE NEEDS OF COMMUNITIES IN THE SERVICE AREA, FIVE COMMUNITY BENEFIT ADVISORY COMMITTEES WERE ESTABLISHED AS A MAJOR INITIATIVE TO DEEPEN AND STRENGTHEN OUR CONNECTION WITH THE COMMUNITY AND TO LINK COMMUNITY BENEFIT ACTIVITIES TO STRATEGIC AND OPERATIONAL PLANS. THE ROLE OF THE COMMITTEES ARE TO IDENTIFY THE NEEDS AND CONCERNS OF THE COMMUNITY, ADVISE ABOUT THE BEST WAY TO PARTNER WITH THE COMMUNITY, AID IN THE DEVELOPMENT OF MEANINGFUL COMMUNITY PROGRAMS AND ACTIVITIES, AND PROMOTE IMPROVED COMMUNICATIONS BETWEEN THE HOSPITAL AND THE COMMUNITY. THE HOSPITAL PROVIDES DEDICATED ADMINISTRATIVE TIME TO PLANNING AND CONDUCTING FIVE CBAC MEETINGS IN THE COMMUNITIES WE SERVE THREE TIMES PER YEAR. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4 LINE 4B IN ADDITION TO THE FAMILY AND INTERNAL MEDICINE SERVICES AT RHCS, PHYSICIAN PRACTICES ALSO PROVIDE SPECIALTY CARE INCLUDING PEDIATRICS, GASTROENTEROLOGY, ORTHOPEDICS, PHYSIATRY, SURGERY, PODIATRY, OBSTETRICS/GYNECOLOGY AND ONCOLOGY. COLLECTIVELY, PHYSICIAN PRACTICES REPORTED 94,400 PATIENT VISITS LAST YEAR. LINE 4C INPATIENT SATISFACTION RANKS IN THE TOP 6% IN OUR OB SERVICES AND TOP 16% IN OUR IP SERVICES ACROSS THE NATION. IN ADDITION TO THE HOSPITAL'S ACUTE CARE FLOORS, CHARLES COLE CARES FOR PATIENTS IN ITS 49-BED LONG TERM CARE UNIT WHICH REPORTED 15,600 DAYS LAST YEAR. A 10-BED INPATIENT GERIATRIC BEHAVIORAL HEALTH UNIT ADMITTED 200 PATIENTS LAST YEAR. LINE 4D THE ORGANIZATION ALSO OFFERS CARDIO-PULMONARY SERVICES, CLINICAL SERVICES, CLINICS, AND CORPORATE SERVICES. SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS IN JULY 2010. SIGNIFICANT CHANGES ARE AS FOLLOWS: FUNCTIONS AND QUALIFICATIONS FOR MEMBERS WERE ADDED. THEY INCLUDE THE PROMOTION OF THE PROGRAMS AND GOALS OF THE HOSPITAL, THE EDUCATION OF PUBLIC CONTACTS ON HEALTH CARE ISSUES AND SERVICES AVAILABLE THROUGH THE HOSPITAL, PROVIDING A LINK BETWEEN THE HOSPITAL AND OTHER INSTITUTIONS AND COMMUNITITES, ATTENDENCE OF REGULAR MEETINGS, PROVIDING SPECIAL ASSISTANCE ON PROJECTS OR ISSUES WHEN REQUESTED, PARTICIPATING IN FUNDRAISING EFFORTS TO BENEFIT HOSPITAL PROGRAMS, AND BEING A CITIZEN IN GOOD STANDING. NEW MEMBERS (ADVISORS), AFTER BEING NOMINATED BY THE EXECUTIVE COMMITTEE, ARE NOW ELECTED BY A TWO THIRDS VOTE OF VOTING MEMBERS AT A MEETING AT WHICH QUORUM IS PRESENT. AN ACTIVE ADVISOR SERVES A FIVE YEAR TERM, WITH NO LIMIT TO THE NUMBER OF TERMS HE OR SHE MAY SERVE. AN HONORARY ADVISOR MAY BE ELECTED BY THE ACTIVE ADVISORS AND SERVES FOR LIFE, IN RECOGNITION OF DISTINGUISHED ACHIEVEMENT OR FAITHFUL SERVICE TO THE HOSPITAL. NO ADVISOR SHOULD BE AN EMPLOYEE OF THE HOSPITAL OR ITS AFFILIATES, OR HAVE ANY VESTED RIGHT OR INTEREST IN THE HOSPITAL'S ASSETS, FUNCTIONS, AFFAIRS, OR FRANCHISES. THE NUMBER OF ADVISORS SHOULD BE AT LEAST 50 BUT NOT MORE THAN 100, EXCLUSIVE OF HONORARY ADVISORS. HONORARY ADVISORS MAY ATTEND ALL MEETINGS BUT ARE NOT ENTITLED TO VOTE ON ANY MATTERS. MEMBERS OF THE BOARD OF DIRECTORS MAY REMOVE (BY MAJORITY VOTE) ANY ADVISOR WHO IS DECLARED OF UNSOUND MIND, IS CONVICTED OF A FELONY, FAILS TO MEET ATTENDANCE REQUIREMENTS WITHOUT DUE CAUSE, FAILS TO FULFILL THEIR RESPONSIBILITIES AS ADVISOR, COMMITS FRAUDULENT OR DISHONEST ACTS, OR PERFORMS BEHAVIOR THAT IS DISRUPTIVE TO THE HOSPITAL OR REFLECTS ADVERSELY ON THE HOSPITAL. STANDING COMMITTEES ARE ALL CONSIDERED BOARD COMMITTEES AND INCLUDE EXECUTIVE, PERFORMANCE EXCELLENCE, COMMUNITY BENEFIT COUNCIL, QUALITY AND SAFETY COUNCIL, AND FINANCE COMMITTEES. THE EXECUTIVE COMMITTE NOW OVERSEES THE AUDIT, CORPORATE COMPLIANCE, COMPENSATION, AND NOMINATING FUNCTIONS, AND MUST MEET AT LEAST ANNUALLY WITH THE MEDICAL STAFF EXECUTIVE COMMITTEE AND PRESIDENT/CEO. THE BYLAWS NO LONGER INCLUDE THE OPTION FOR MEMBERS OF THE CORPORATION TO AMEND THE BYLAWS BY PROPOSED RECOMMENDATION BY AT LEAST 25% OF THE CORPORATION MEMBERSHIP, THEN VOTE AT A SPECIAL MEMBERSHIP MEETING. THE BYLAWS MAY ONLY BE AMENDED BY A TWO THIRDS VOTE OF THE BOARD OF DIRECTORS. MEMBERS FORM 990, PART VI, SECTION A, LINES 6 & 7A The members of the corporation, the Charles Cole Memorial Hospital, shall be known as Community Benefit Advisors ("Advisors"), whose functions and qualifications shall include the following: (a) promote the programs, goals and objectives of Charles Cole Memorial Hospital; (b) educate their public contacts, both on health care issues and on services and programs available through Charles Cole Memorial Hospital, and seek their services when necessary and appropriate; (c) provide an important link between Charles Cole Memorial Hospital, the other institutions and businesses which they represent, and the communities served by the Hospital; (d) attend regular meetings, to share information on activities and take appropriate action to support and guide Charles Cole Memorial Hospital; (e) provide special assistance on projects and issues when requested; (f) participate in fundraising efforts to benefit patient care programs for Charles Cole Memorial Hospital; and (g) be a citizen in good standing, as determined by the Executive Committee of the Board, in a community served by the Hospital. The members shall be divided into two classes: (a) Active Advisors (b) Honorary Advisors The Advisors shall annually elect: (a) Successors to the Board of Directors whose terms expire. (b) Honorary Directors and Honorary Advisors. Upon nomination by the Executive Committee per section 5.2.2.(e) of these bylaws, all Advisors shall be elected by a two thirds vote of the members present and voting at a duly called meeting of the members which a quorum is present. (a) An Active Advisor of Charles Cole Memorial Hospital shall be a member for a term of five (5) years after his election, or until his earlier resignation. There is no limit on the number of terms an Advisor can serve. (b) An Honorary Advisor may be elected by the Active Advisors and shall serve for life, in recognition of meritorious or faithful service to Charles Cole Memorial Hospital or in recognition of distinguished achievement. (c) Each Advisor owes a duty of undivided and unqualified loyalty to the organization. Advisors may not use their positions to profit personally or to assist others in profiting in any way at the expense of the organization. (d) Advisors shall avoid all conflicts of interest and the appearance of any conflict of interest. A conflict of interest occurs in any situation in which one is potentially not able to remain impartial or maintain objectivity in choosing between the interests of the organization and one's personal interests or the interests of third parties. To avoid the appearance of a conflict of interest, an Advisor shall not participate in the making of any decision or recommendation concerning a matter which may result in any benefit or financial gain, either directly or indirectly, to the Advisor or a member of his/her immediate family. In addition, full disclosure of the pertinent facts regarding the potential conflict of interest should be provided by the Advisor. (e) No Advisor shall have any vested right, interest or privilege of, in, or to the assets, functions, affairs or franchises of the Corporation or any such right, interest or privilege which may be transferable or inheritable, or which shall continue if his membership ceases. No Advisor shall be an employee of the Hospital or any of its affiliates. (f) Advisors shall include representatives from various economic, social and occupational groups broadly representative of the demographic characteristics of the communities served by the Hospital, and shall all have an interest in and commitment to further the health and well-being of the citizens of the Hospital's service area. (g) The Secretary of the Board shall act as liaison to the Community Benefit Advisors. The number of Advisors shall not be less than fifty (50) nor more than one hundred (100), exclusive of Honorary Advisors. Every Active Advisor shall be entitled to one (1) vote at any meeting of the Advisors in which a vote is taken for any election or on any matter or transaction. In the case of voting for the election of Directors, each Advisor must cast one (1) vote for each position to be filled or the ballot will be void as it pertains to the election of Directors. Voting for Directors shall be by written ballot by First Class Mail, postmarked no later than twenty (20) days prior to the date selected for the Annual meeting. Every Advisor shall be entitled in returning his ballot for the annual election of Directors, to direct that his vote be withheld from one (1) or more of the candidates submitted by the Nominating Committee and any such Advisor may, on his ballot, may set forth the name of any person for whom he wishes to record his vote for a Director of the Corporation. Results of the election process will be announced at the annual meeting of the Advisors. Honorary Advisors shall receive notices of and may attend all meetings of the Advisors but shall not be entitled to vote on any matter. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE 990 IS THEN REVIEWED BY THE ACCOUNTING DEPARTMENT AND THE CONTROLLER. IT IS THEN PRESENTED TO THE AUDIT / COMP COMMITTEE FOR REVIEW. AFTER THE AUDIT / COMP COMMITTEE HAS REVIEWED, A FULL COPY IS DISTRIBUTED TO THE BOARD OF DIRECTORS and THE COMMITTEE WILL REPORT THEIR REVIEW OF FORM 990 TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO THE CEO'S FINAL SIGNATURE. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS; BOARD COMMITTEES; MANAGEMENT EMPLOYEES; AND MEDICAL STAFF WITH ADMINISTRATIVE RESPONSIBILITIES ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. THE LEVELS AT WHICH ACTUAL CONFLICTS ARE REVIEWED ARE THE COMPLIANCE OFFICER AND AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. RESTRICTIONS INCLUDE: A MEMBER OF THE BOARD/BOARD COMMITTEE MUST DISCLOSE THE EXISTENCE OF HIS/HER FINANCIAL INTEREST. A VOTING MEMBER OF ANY COMMITTEE WHOSE SCOPE OF RESPONSIBILITIES INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE HOSPITAL FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. PHYSICIANS WHO RECEIVE COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE HOSPITAL, WHETHER AS EMPLOYEES OR INDEPENDENT CONTRACTORS, ARE PRECLUDED FROM MEMBERSHIP ON ANY COMMITTEE WHOSE PRIMARY SCOPE OF RESPONSIBILITIES INCLUDES COMPENSATION MATTERS. A MANAGEMENT EMPLOYEE, OR A MEDICAL STAFF MEMBER WITH ADMINISTRATIVE RESPONSIBILITIES MUST DISCLOSE TO THE SENIOR LEADER THE EXISTENCE OF THE FINANCIAL INTEREST AND ALL RELATED MATERIAL FACTS. COMPENSATION DETERMINATION FORM 990, PART VI, SECTION B, LINE 15A A REVIEW WAS CONDUCTED IN AUGUST 2010 FOR PRESIDENT & CEO EDWARD PITCHFORD BY 3C COMPENSATION CONSULTING CONSORTIUM, LLC, LOCATED IN PITTSBURGH, PENNSYLVANIA. THE BOARD WOULD HAVE TO APPROVE ANY INCREASE RECOMMENDED BY THE AUDIT/COMPENSATION COMMITTEE. DOCUMENT AVAILABILITY FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS CAN BE VIEWED ONSITE THROUGH A WRITTEN REQUEST TO THE ORGANIZATION'S CORPORATE COMPLIANCE OFFICER. REQUESTS FOR FINANCIAL STATEMENTS AND 990'S ARE FORWARDED TO THE FINANCE / ACCOUNTING DEPARTMENT AND ARE OPEN FOR PUBLIC INSPECTION. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAINS ON INVESTMENTS 1,444,493 AMORTIZATION OF NET LOSS 242,842 NET GAIN ARISING DURING YEAR 1,452,260 OTHER AUXILIARY (77,729) --------------- TOTAL OTHER CHANGES 3,061,866 HENDORN INC DBA COLE MANOR 1001 EAST SECOND STREET COUDERSPORT PA 16915 231972659 RESIDENT CARE PA 501(C)(3) 11A I NA HAMOTCOLE VENTURES INC 1001 EAST SECOND STREET COUDERSPORT PA 16915 273172100 REAL ESTATE PA 501(C)(3) 11A I NA COLE CARE INC 1001 EAST 2ND STREET COUDERSPORT PA 16915 251497347 DURABLE MED EQUIP PA NA C CORPORATION 7699947 932148 1.00000 true false false false false true false false true true true true true true true true true false COLE CARE INC A 193661 COLE CARE INC L 6029196 COLE CARE INC K 53802 HENDORN INC K 276854 HENDORN INC L 54900