2012-05-10T11:37:56-05:00 2011-06-30 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2010-07-01 240795623 POCONO MEDICAL CENTER POCO 5704214000 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 MICHAEL A WILK 5704214000 2012-05-08 1 JULIUS GREEN CPA 2159720701 2010 2016-02-24 21:20:13Z KATHLEEN KUCK 350351586 0 X WWW.POCONOHEALTHSYSTEM.ORG X 1915 PA TO PROVIDE WORLD-CLASS HEALTHCARE CLOSE TO HOME. 11 7 1980 0 0 0 910990 6818534 247361647 261080410 4041138 5323277 443010 425098 252756785 273647319 85309 4383339 0 0 111378304 111692459 0 0 0 121307279 130994763 232770892 247070561 19985893 26576758 294455613 324292428 198115553 180125774 96340060 144166654 X THE ORGANIZATION IS COMMITTED TO THE PREVENTION AND CARE OF ILLNESS, PROMOTION OF WELLNESS, AND RESTORATION OF HEALTH IN A SPIRIT OF COLLABORATION, COMPASSION AND RESPECT. 0 0 215382220 4369339 245487630 POCONO MEDICAL CENTER (PMC) IS A 231-BED, ACUTE CARE, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN EAST STROUDSBURG, PENNSYLVANIA. WITH MORE THAN 230 PHYSICIANS, 1,888 STAFF MEMBERS, AND 473 VOLUNTEERS, OUR CHARITABLE MISSION IS TO PROVIDE SUPERIOR HEALTHCARE TO OUR COMMUNITY FOR THOSE SERVICES MOST CRITICAL TO THE COMMUNITY'S HEALTH NEEDS. PMC PROVIDES SUPERIOR CARDIAC AND CANCER CARE AT OUR ESSA HEART AND VASCULAR INSTITUTE AND DALE AND FRANCES HUGHES CANCER CENTER, AND A SUITE OF SERVICES INCLUDING SURGICAL, LABORATORY, RADIOLOGY, ALONG WITH WOMEN'S AND CHILDREN'S CARE.IN FISCAL YEAR 2011, THE MEDICAL CENTER HAD 11,982 ADMISSIONS, 5,265 OF WHICH WERE MEDICARE AND 51,906 PATIENT DAYS, 26,505 OF WHICH WERE MEDICARE. NEARLY 6,000 SURGERIES (6,124) WERE COMPLETED, AND THE MEDICAL CENTER RECEIVED 222,658 OUTPATIENT VISITS. PMC PROVIDED MORE THAN $13 MILLION ($13,498,052) IN SERVICE TO OUR COMMUNITY THIS FISCAL YEAR. THESE FUNDS TAKE THE FORM OF DIRECT PATIENT CARE, COMMUNITY HEALTH EDUCATION, PROFESSIONAL AND PATIENT EDUCATION, AND COMMUNITY PARTNERSHIPS. POCONO MEDICAL CENTER PROVIDES QUALITY, COST-EFFECTIVE, HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENTS FOR SERVICES RENDERED ARE CRITICAL TO THE OPERATION AND STABILITY OF PMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS HAVE THE SAME ABILITY TO PAY FOR VITAL MEDICAL SERVICES. TO THAT END, AS PART OF OUR CHARITABLE MISSION TO SERVE ALL MEMBERS OF THE COMMUNITY, FREE CARE, SUBSIDIZED CARE AND HEALTH ACTIVITIES, PROGRAMS AND SCREENINGS ARE AVAILABLE TO ALL COMMUNITY MEMBERS, REGARDLESS OF THEIR ABILITY TO PAY. EMERGENCY DEPARTMENTPMC PROVIDES A NUMBER OF DIRECT PATIENT CARE SERVICES TO THE UN- AND UNDERINSURED IN OUR COMMUNITY. THE EMERGENCY DEPARTMENT TYPICALLY SERVES AS THE PRINCIPAL MEANS OF HEALTHCARE FOR THESE PATIENTS. AS THE ONLY REGIONAL COMMUNITY HOSPITAL WITH A SIGNIFICANT POPULATION OF UN- AND UNDERINSURED, OUR EMERGENCY DEPARTMENT SEES IN EXCESS OF 80,000 CASES ANNUALLY. FISCAL YEAR 2011 WAS THE FIRST TIME THE ED HAD SEEN MORE THAN 89,000 VISITS (89,083), A STATISTIC THAT SPEAKS TO THE GROWING NEED FOR THIS SERVICE IN OUR AREA. IN ADDITION, PMC'S CLEMENTINE ABELOFF COMMUNITY HEALTH CENTER PROVIDES COMPREHENSIVE PEDIATRIC AND DENTAL CARE FOR OUR REGION'S UN- AND UNDERINSURED CHILDREN (SEE ADDITIONAL NARRATIVE FOR MORE DETAILS). ESSA HEART AND VASCULAR INSTITUTEPMC'S ESSA HEART AND VASCULAR INSTITUTE (HVI) PROVIDES COMPREHENSIVE CARE FOR ADDRESSING THE NUMBER ONE KILLER OF ADULTS IN OUR COUNTY, HEART DISEASE. IN FISCAL YEAR 2011, WE REACHED MANY MILESTONES AT OUR ESSA HEART AND VASCULAR INSTITUTE. OUR PROGRAM, ESTABLISHED IN 2007 CELEBRATED OUR 500TH OPEN-HEART SURGERY IN 2009 AND ANTICIPATE PERFORMING OUR 1000TH OPEN-HEART SURGERY IN FY 2012. THE HVI HAS BEEN AWARDED THE HIGHEST POSSIBLE RATING BY THE SOCIETY OF THORACIC SURGEONS FOR OVERALL QUALITY BASED ON NATIONAL DATA FROM 2009. ADDITIONALLY THE PROGRAM HAS BEEN AWARDED FULL ACCREDITATION BY THE SOCIETY OF CHEST PAIN CENTERS AS A HEART FAILURE CENTER AND A CHEST PAIN CENTER. THIS IS CONSISTENT WITH THE CONTINUED ABILITY TO EXCEED THE NATIONAL 90-MINUTE DOOR-TO-BALLOON BENCHMARK FOR TREATING HEART ATTACK PATIENTS.THE HVI TEAM AT PMC WAS ALSO NAMED IN THE 50 TOP-RATED HEART BY-PASS SURGICAL GROUPS IN THE NATION BY CONSUMER REPORTS' AS REPORTED IN THE POCONO RECORD FOR THE SECOND YEAR IN A ROW.FOR THE CONVENIENCE OF OUR PATIENTS AND TO IMPROVE OPERATIONAL EFFICIENCIES, WE HAVE CENTRALIZED OUR CARDIAC CARE SERVICES AND PROVIDE A HEART RHYTHM CENTER. THE CARDIAC CATHETERIZATION LABS, CARDIAC REHABILITATION DEPARTMENT, AND VARIOUS NON-INVASIVE CARDIAC SERVICES (SUCH AS PACEMAKER CHECKS, CARDIAC STRESS TESTING, NUCLEAR STRESS TESTING, PULMONARY REHAB, AND STRESS ECHO) WERE RELOCATED TO OFFER COMPREHENSIVE HEART CARE IN ONE LOCATION. IN ADDITION TO OFFERING MINIMALLY INVASIVE SURGICAL PROCEDURES TO TREAT HEART ARRHYTHMIAS, THE NEW HEART RHYTHM CENTER INTRODUCED A FULLY EQUIPPED ELECTROPHYSIOLOGY (EP) LAB. THE EP LAB PROVIDES ATRIAL AND VENTRICULAR NODE DIAGNOSTICS AND ABLATION, INTRA CARDIAC 3D ECHO AND 3D CARDIO CAPABILITIES, AS WELL AS BI-VENTRICULAR PACEMAKERS-SERVICES PATIENTS PREVIOUSLY NEEDED TO TRAVEL TO OTHER FACILITIES TO RECEIVE. LEVEL II NICUIN FISCAL YEAR 2010, PMC OFFICIALLY OPENED THE DOORS TO A BRAND NEW LEVEL II NEONATAL INTENSIVE CARE UNIT (NICU). STAFFED BY A HIGHLY SPECIALIZED TEAM OF NEONATOLOGISTS AND NEONATAL NURSES, OUR NICU IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE FOR NEWBORNS NEEDING ADVANCED MEDICAL CARE. ALONG WITH OUR EXPERIENCED STAFF, OUR STATE-OF-THE-ART NICU TECHNOLOGY PROVIDES THE MOST SOPHISTICATED MONITORING AND CARE FOR ANY BABY WEIGHING OVER JUST 1,000 GRAMS (2LBS, 3OZ). MOREOVER, OUR RONALD MCDONALD ROOM PROVIDES PARENTS WITH AN IDEAL ENVIRONMENT TO FACILITATE THE TRANSITION FROM NICU TO HOME. PARENTS ARE ABLE TO CARE FOR THEIR INFANTS WITH CLOSE NURSING SUPPORT, THUS EASING ANXIETY, SUPPLEMENTING THEIR EDUCATION, AND PREPARING THEM FOR SUCCESS AT HOME. PMC IS PROUD TO BE ABLE TO CONTINUE TO PROVIDE THIS SERVICE CLOSE TO HOME FOR OUR COMMUNITY MEMBERS, WHO PREVIOUSLY HAD TO TRAVEL OUT OF THE AREA TO RECEIVE THIS LEVEL OF CARE FOR THEIR BABIES. MEDICAL HOMEIN FISCAL YEAR 2011, IN OUR CONTINUAL EFFORT TO MEET AND EXCEED THE HEALTHCARE NEEDS OF OUR COMMUNITY, POCONO MEDICAL CENTER (PMC) HAS TRANSITIONED FROM OUTPATIENT, PRIMARY CARE PRACTICES TO OFFER COMPREHENSIVE MEDICAL HOMES. THIS APPROACH TOWARD PROVIDING HEALTHCARE SERVICE IS DELIVERED BY A PRIMARY CARE PHYSICIAN LEADING A TEAM OF HEALTHCARE PROFESSIONALS. THE FOCUS OF THE TEAM IS TO COORDINATE WELLNESS AND PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, AND ADVANCED INFORMATION. THE MEDICAL HOME WILL ALSO ENCOURAGE EASIER ACCESS TO MEDICAL RECORDS AND STAFF. THESE TOOLS PROVIDE CAREGIVERS ACCESS TO MEDICAL RECORDS ACROSS THE HEALTH SYSTEM AND ALL OF PMC'S CARE SITES. THE PATIENT PORTAL ENABLES PATIENTS TO OBTAIN TEST RESULTS, SCHEDULE APPOINTMENTS, REQUEST PRESCRIPTION REFILLS, AND ASK CAREGIVERS QUESTIONS WITH REMOTE WEB ACCESS. THE SUCCESS OF THE EXISTING MEDICAL HOME IS LEADING THE WAY FOR AN ADDITIONAL MEDICAL HOME TO BE BUILT IN THE NEAR FUTURE.PATIENT PORTALPMC PHYSICIAN ASSOCIATES PROVIDED ACCESS TO E-CLINICAL WORKS (ECW)'S PATIENT PORTAL, A WEB-BASED TOOL THAT ENABLES PATIENTS AND PROVIDERS THE ABILITY TO COMMUNICATE SAFELY AND SECURELY VIA THE INTERNET. THE PATIENT PORTAL HAS BEEN IMPLEMENTED THROUGHOUT ALL PMC PHYSICIAN ASSOCIATES PRACTICES AND CONTINUES TO GROW IN EFFICIENCY AND POPULARITY WITH PATIENT CARE. THE ONLINE PATIENT PORTAL ENABLES PATIENTS TO BE MORE PROACTIVE IN MANAGING THEIR HEALTHCARE, GIVING THEM THE CAPABILITY TO REQUEST NEW APPOINTMENTS, VIEW THEIR APPOINTMENT HISTORY, REQUEST MEDICATION REFILLS, VIEW LAB AND DIAGNOSTIC REPORTS, UPDATE THEIR CONTACT INFORMATION, SEND EMAILS TO THE PRACTICES, REVIEW BILLING STATEMENTS, AND VIEW THEIR IMMUNIZATION CHARTS-ALL FROM THE CONVENIENCE OF THEIR COMPUTERS VIA A SECURE LOGIN TO THE ONLINE PORTAL, WHICH IS ACCESSIBLE FROM THE MYPMCDOCS.COM WEB SITE.LEVEL III TRAUMATHE LEVEL III TRAUMA DESIGNATION, BRINGING AN ADVANCED, LIFESAVING LEVEL OF CARE FOR SEVERELY INJURED PATIENTS, CLOSE TO HOME. THIS MILESTONE ALLOWS US TO PROVIDE QUALITY, PATIENT-CENTERED TRAUMA CARE TO THE INDIVIDUALS WHO LIVE, VISIT, AND WORK IN OUR COMMUNITY. OUR COORDINATED, COMPREHENSIVE TEAM OF TRAUMA SURGEONS, ORTHOPEDIC SURGEONS, CARDIAC SURGEONS, RADIOLOGISTS, NURSES, LAB'S IMAGING TECHNICIANS, AND OTHER SUPPORT STAFF ARE AVAILABLE 24 HOURS A DAY, 365 DAYS A YEAR. SPINE SURGERY PROGRAMTHE ADDITION OF A SPINE SURGERY PROGRAM IN FISCAL YEAR 2009 ALLOWS PMC TO TREAT PATIENTS WITH THE LATEST TECHNIQUES IN ALL ASPECTS OF SPINE SURGERY CARE. THE SPINE PROGRAM OFFERS COMPREHENSIVE CARE FOR THE DIAGNOSIS AND TREATMENT OF VARIOUS BACK AND SPINE CONDITIONS, INCLUDING ADULT SPINAL DEFORMITY, LUMBAR AND CERVICAL DISC ARTHROPLASTY, SCOLIOSIS, DEGENERATIVE DISC DISEASE, SPINAL STENOSIS, AND OTHER CONDITIONS. NON-SURGICAL AND SURGICAL TREATMENTS AVAILABLE INCLUDE MINIMALLY INVASIVE PROCEDURES FOR COMPLEX SPINAL CONDITIONS, SUCH AS THE INNOVATIVE X-STOP PROCEDURE. IN FY 2011, THE DEPARTMENT OF SURGERY AT POCONO MEDICAL CENTER (PMC) PERFORMED ITS FIRST ANTERIOR LUMBAR INTERBODY FUSION (ALIF) TO TREAT A PATIENT'S SEVERE BACK PAIN. THIS PAIN IS CAUSED BY NATURAL AND TRAUMATIC DEGENERATION OF THE DISC SPACE IN THE SPINE. ALIF OCCURS THROUGH A SMALL INCISION MADE IN THE ABDOMEN. THROUGH ALIF, DAMAGED SPINAL DISCS ARE REMOVED AND REPLACED WITH TEMPORARY IMPLANTS. ADVANTAGES TO ALIF ARE SIGNIFICANT AND INCLUDE LESS BLOOD LOSS, SHORTER SURGICAL TIME, AND A QUICKER RECOVERY. THE PROCEDURE IS ALSO SIGNIFICANTLY LESS PAINFUL THAN TRADITIONAL SPINAL FUSION SURGERY, AS ALIF USES IMPLANTS INSTEAD OF BONE GRAFTS FROM PATIENTS' HIPS. 3819715 0 12875940 POCONO MEDICAL CENTER (PMC) PROVIDES SUPERIOR OUTPATIENT CARE IN FISCAL YEAR 2010, PMC PROVIDED APPROXIMATELY 3,911 OUTPATIENT SURGERIES AND 220,276 OUTPATIENT VISITS.MEDICAL HOME IN OUR CONTINUAL EFFORT TO MEET AND EXCEED THE HEALTHCARE NEEDS OF OUR COMMUNITY, POCONO MEDICAL CENTER (PMC) IS TRANSITIONING FROM OUTPATIENT, PRIMARY CARE PRACTICES TO OFFER COMPREHENSIVE MEDICAL HOMES. THIS NEW APPROACH TOWARD PROVIDING HEALTHCARE SERVICE IS CHARACTERIZED BY A PRIMARY CARE PHYSICIAN LEADING A TEAM OF HEALTHCARE PROFESSIONALS. THE FOCUS OF THE TEAM IS TO COORDINATE WELLNESS AND PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, AND ADVANCED INFORMATION TECHNOLOGY. THE MEDICAL HOME WILL ALSO ENCOURAGE EASIER ACCESS TO MEDICAL RECORDS AND STAFF. THESE TOOLS PROVIDE CAREGIVERS ACCESS TO MEDICAL RECORDS ACROSS THE ENTIRE HEALTH SYSTEM. THE PATIENT PORTAL ENABLES PATIENTS TO OBTAIN TEST RESULTS, SCHEDULE APPOINTMENTS, REQUEST PRESCRIPTION REFILLS, AND ASK CAREGIVERS QUESTIONS WITH REMOTE WEB ACCESS PATIENT PORTAL. PMC PHYSICIAN ASSOCIATES RECENTLY LAUNCHED E-CLINICAL WORKS (ECW)'S PATIENT PORTAL, A WEB-BASED TOOL THAT ENABLES PATIENTS AND PROVIDERS TO COMMUNICATE SAFELY AND SECURELY VIA THE INTERNET. THE PATIENT PORTAL IS EXPECTED TO BE IMPLEMENTED THROUGHOUT ALL PMC PHYSICIAN ASSOCIATES PRACTICES BY THE END OF 2010. THE ONLINE PATIENT PORTAL ENABLES PATIENTS TO BE MORE PROACTIVE IN MANAGING THEIR HEALTHCARE. THIS GIVES THEM THE REFILLS, VIEW LAB AND DIAGNOSTIC REPORTS, UPDATE THEIR CONTACT INFORMATION, SEND EMAILS TO THE PRACTICES, REVIEW BILLING STATEMENTS, AND VIEW THEIR IMMUNIZATION CHARTS ALL FROM THE CONVENIENCE OF THEIR COMPUTERS VIA A SECURE LOGIN TO THE ONLINE PORTAL, WHICH IS ACCESSIBLE FROM THE MYPMCDOCS.COM WEBSITE. LEVEL III TRAUMA: THE LEVEL III TRAUMA DESIGNATION ALLOWS FOR AN ADVANCED, LIFESAVING LEVEL OF CARE FOR SEVERELY INJURED PATIENTS, CLOSE TO HOME. THIS SERVICE ALLOWS US TO PROVIDE QUALITY, PATIENT-CENTERED TRAUMA CARE TO THE INDIVIDUALS WHO LIVE, VISIT, AND WORK IN OUR COMMUNITY. OUR COORDINATED, COMPREHENSIVE TEAM OF TRAUMA SURGEONS, ORTHOPEDIC SURGEONS, CARDIAC SURGEONS, RADIOLOGISTS, NURSES, LAB IMAGING TECHNICIANS, AND OTHER SUPPORT STAFF ARE AVAILABLE 24 HOURS A DAY, 365 DAYS A YEAR. WE BELIEVE THAT OUR GOAL OF IMPROVING THE HEALTH AND WELLNESS WITHIN OUR COMMUNITY CANNOT BE ACHIEVED SOLELY THROUGH THE CARE WE PROVIDE WITHIN OUR FACILITIES. HOWEVER, IT'S THE PEOPLE HELPED AND THE LIVES TOUCHED BY OUR COMMUNITY PROGRAMS THAT ALSO MATTER IN KEEPING WITH THIS BELIEVE. IN FISCAL YEAR 2009, WE JOINED SPIRIT OF WOMEN, A NETWORK OF HOSPITALS AND HEALTHCARE PROVIDERS ACROSS THE UNITED STATES THAT ASCRIBE TO THE HIGHEST STANDARDS OF EXCELLENCE IN WOMEN'S EXISTING OUTREACH SUCH AS OUR "PATHWAYS TO HEALTH" MONTHLY TELEVISION SHOW, AND THRIVE TO SURVIVE BREAST CANCER OUTREACH AND SCREENING INITIATIVE OFFER MORE EDUCATIONAL HEALTH OPPORTUNITIES TO OUR COMMUNITY. THROUGH THIS VENTURE, PMC HOSTED COMMUNITY EDUCATIONAL PROGRAMS AND HEALTH SCREENINGS ON PRESSING HEALTHCARE TOPICS, INCLUDING UROGYNECOLOGY, DIABETES, HEART HEALTH, PERIPHERAL ARTERY DISEASE, PROSTATE, BREAST, AND COLON CANCER FOR THE THIRD YEAR IN A ROW. PMC IS THE RECIPIENT OF THE HEALTHGRADES DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE. THIS EXCLUSIVE AWARD PLACES THE MEDICAL CENTER WITHIN THE TOP FIVE PERCENT OF HOSPITALS IN THE NATION FOR OVERALL CLINICAL EXCELLENCE, ACCORDING TO HEALTHGRADES, A LEADING INDEPENDENT HEALTHCARE RATINGS ORGANIZATION COMPARED WITH APPROXIMATELY 5,000 OTHER HOSPITALS IN THE COUNTRY, PMC WAS RANKED AMONG THOSE WITH THE LOWEST LEVELS OF MORTALITY, MORBIDITY, AND COMPLICATIONS. DALE AND FRANCES HUGHES CANCER CENTER RECEIVED A THREE-YEAR APPROVAL WITH COMMENDATION FROM THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. ONLY ONE IN FOUR HOSPITALS HAVE ATTAINED THIS ACHIEVEMENT AND ONLY 10 PERCENT OF THOSE WHO APPLIED THIS YEAR RECEIVED THE COMMENDATION. THE HUGHES CANCER CENTER ALSO RECEIVED THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIATION ONCOLOGY IN ADDITION, REPRESENTATIVES FROM THE ADVISORY BOARD COMPANY, A WASHINGTON, D.C. BASED NATIONAL FIRM THAT ADVISES LEADING HEALTHCARE ORGANIZATIONS ON BEST PRACTICES IN RESEARCH AND PROTOCOLS, REGULARLY CONSULTS WITH THE HUGHES CANCER CENTER FOR INFORMATION ON ITS RADIATION ONCOLOGY PROGRAM TO GUIDE OTHER CANCER FACILITIES. IN ADDITION, THE PENNSYLVANIA CANCER REGISTRY PRESENTED PMC WITH ITS CERTIFICATE OF ACHIEVEMENT FOR 2007 CANCER REPORTING. THE CERTIFICATE IS AWARDED TO HOSPITALS THAT MEET THE PCR TIMELINESS STANDARD OF SUBMITTING AT LEAST 90 PERCENT OF CANCER ABSTRACTS WITHIN 180 DAYS OF DISCHARGE OR OUTPATIENT TREATMENT AS REQUIRED BY PENNSYLVANIA DEPARTMENT OF HEALTH DISEASE REPORTING REGULATIONS. PMC IS ONE OF ONLY 35 HOSPITALS IN THE COMMONWEALTH TO MEET THIS STANDARD AFTER SURVEY IN SEPTEMBER 2008 BY THE AMERICAN COLLEGE OF SURGEONS, THE DALE AND FRANCES HUGES CANCER CENTER ALSO RECEIVED A COMPREHENSIVE CANCER DESIGNATION. RECEIVING THIS DESIGNATION SIGNIFIES THE CANCER CENTER IS PART OF A SELECT GROUP OF NATIONALLY RECOGNIZED CANCER CENTERS THAT HAVE MET RIGOROUS CRITERIA IN CANCER TREATMENT, RESEARCH, AND EDUCATION. THE HUGHES CANCER CENTER OFFERS SOME OF THE MOST SOPHISTICATED RADIATION EQUIPMENT, FACILITIES AND EXPERTLY TRAINED STAFF FOR CANCER TREATMENT, INCLUDING A CERTIFIED MEDICAL DOSIMETRIST AND TWO RADIATION PHYSICISTS. THE HCC IS ONE OF THE FIRST OF 25 CANCER CENTERS IN THE COUNTRY TO USE IMAGE-GUIDED RADIATION THERAPY (IGRT). IN FY 2010, RAPID ARCH TECHNOLOGY WAS INTRODUCED AS YET ANOTHER OPTION FOR OPTIMUM RADIATION CANCER TREATMENT. THIS STATE-OF-THE-ART TECHNOLOGY IS DESIGNED TO SIMULTANEOUSLY ALTER THREE ASPECTS OF RADIATION TREATMENT DURING THERAPY. THE ROTATION SPEED OF THE MACHINE, THE SHAPE OF THE RADIATION BEAN, AND ITS ABILITY TO CONFORM TO THE SIZE OF A TUMOR, AND THE RATE AT WHICH THE DOSE IS DELIVERED. THE HUGHES CANCER CENTER CONTINUES TO EXPLORE NEW, INNOVATIVE TREATMENTS SUCH AS USING STEREOTACTIC BODY RADIATION THERAPY FOR TREATING NON-OPERABLE LUNG CANCER. IN ADDITION, RADIATION ONCOLOGISTS HAVE ALSO IMPLEMENTED PARTIAL BREAST IRRADIATION AS A TREATMENT PROTOCOL. IN 2004, POCONO MEDICAL CENTER (PMC) ENTERED INTO A PARTICIPATION AGREEMENT WITH THE JEFFERSON CANCER NETWORK TO ENHANCE THE DELIVERY OF ONCOLOGY SERVICES THROUGH THE HUGHES CANCER CENTER. THE AFFILIATION PROVIDES THE ONCOLOGY SPECIALISTS AT THE HUGHES CANCER CENTER ACCESS TO THE JEFFERSON INSTITUTIONAL REVIEW BOARD FOR RESEARCH OVERSIGHT WITH AUTOMATED ELECTRONIC SUBMISSION CAPABILITIES, ACCESS TO AN INCREASED NUMBER OF NATIONAL, CLINICAL RADIATION AND MEDICAL ONCOLOGY PROTOCOLS AND TRIALS, COLLABORATION WITH OTHER JEFFERSON NETWORK CANCER CENTERS, EXCELLENT EDUCATIONAL PROGRAMS, CONFERENCES, AND CONSULTATION OPPORTUNITIES AS A MEMBER OF THE JEFFERSON CANCER NETWORK, THE HUGHES CANCER CENTER IS PRIVY TO THE LATEST PROVEN TREATMENT PROTOCOLS, INCLUDING MEDICAL ONCOLOGY, IGRT, GENETIC COUNSELING AS WELL AS SPECIALIZED EDUCATIONAL PROGRAMS, CONFERENCE PERHAPS EQUALLY AS IMPORTANT AS OUR LEADING EDGE TECHNOLOGY IS THE COMPASSION AND COMMITMENT. OUR PHYSICIANS, NURSES, AND STAFF AT THE HUGHES CANCER CENTER BRING TO EACH AND EVERY PATIENT THE HUGHES CANCER CENTER OFFERS A VARIETY OF SUPPORT SERVICES FOR PATIENTS AND FAMILIES DEALING WITH DANCER DIAGNOSIS AND TREATMENT OUR SUPPORT SERVICES INCLUDE A COMPLIMENTARY ALTER NATIVE MEDICINE PROGRAM, A FULL-TIME BREAST HEALTH NURSE NAVIGATOR DEDICATED TO ASSISTING PATIENTS WHO HAVE BEEN DIAGNOSED WITH BREAST CANCER AND THEIR LOVED ONES, SURVIVORSHIP PROGRAMS, EDUCATIONAL SERVICES, SOCIAL SERVICES, COUNSELING AND GROUP SUPPORT, PASTORAL CARE, PALLIATIVE CARE, AND MORE. THE PMC BOARD OF DIRECTORS MADE THE UNANIMOUS COMMITMENT TO CONSTRUCT A NEW, NEARLY 60,000 SQUARE FOOT BUILDING WITH THE ESTIMATED TOTAL PROJECT COST OF $38 MILLION. THIS DECISION WAS SUPPORTED WITH THE FACT THAT CANCER IS THE LEADING CAUSE OF DEATH IN THE COUNTY AND THE INCIDENCE OF CANCER IN MONROE COUNTY IS HIGHER THAN THE STATE AND FEDERAL AVERAGE. THE CONSTRUCTION SCHEDULE IS PROJECTED TO BE TWO YEARS WITH DOORS OPEN IN 2012. 2456717 0 1990299 THE CLEMENTINE ABELOFF COMMUNITY HEALTH CENTER IS THE ONLY HEALTH CENTER OF ITS KIND IN MONROE COUNTY, PROVIDING PEDIATRIC AND DENTAL CARE FOR THE REGION'S MEDICALLY UNDERINSURED AND UNINSURED CHILDREN. THE ABELOFF CENTER IS LOCATED ADJACENT TO POCONO MEDICAL CENTER, OFFERING PATIENTS CONVENIENT ACCESS TO ADDITIONAL CARE, IF NEEDED IN FISCAL YEAR 2010, THE CENTER HAD 24,306 PEDIATRIC VISITS AND SERVED 3,553 DENTAL PATIENTS. HOUSED WITHIN THE ABELOFF COMMUNITY HEALTH CENTER IS PMC PHYSICIAN ASSOCIATES. PEDIATRICS, WHICH OFFERS PEDIATRIC CARE FROM SOME OF THE AREA'S FINEST PEDIATRICIANS TO UNDER- AND UNINSURED CHILDREN. TYPICAL SERVICES PROVIDED BY THE PRACTICE INCLUDE REGULAR PEDIATRIC WELLNESS VISITS AND CHECKUPS, IMMUNIZATION IS, HEALTH SCREENINGS, AND SOCIAL SERVICE REFERRALS. THE CENTER ALSO HOUSES AN EDUCATION/COMMUNITY OUTREACH ROOM AND CHILDREN'S RESOURCE LIBRARY. THE PRACTICE HAD 24,306 PEDIATRIC VISITS FOR FY 2010. THE VALERIE M HODGE MEMORIAL DENTAL CENTER IS ALSO LOCATED IN THE CLEMENTINE ABELOFF HEALTH CENTER AND PROVIDES PEDIATRIC DENTAL CARE TO LOCAL UN-AND UNDERINSURED CHILDREN, PROVIDING THEM WITH ACCESS TO HIGH-QUALITY DENTAL HEALTHCARE REGARDLESS OF THEIR FAMILY'S FINANCIAL STATUS. THE HODGE MEMORIAL DENTAL CENTER OFFERS PREVENTATIVE, RESTORATIVE, AND SOME SURGICAL DENTAL PROCEDURES, INCLUDING EXTRACTIONS UNDER LOCAL ANESTHESIA AS WELL AS COMPOSITE AND SLIVER FILLINGS. IN AN EMERGENCY, THE STAFF STRIVES TO SEE THE CHILD WITHIN 24 HOURS. WHEN PATIENTS PRESENT WITH SYMPTOMS THAT WARRANT FURTHER MEDICAL ATTENTION, THE DENTAL CENTER FUNCTIONS AS AN AUXILIARY SCREEN FOR OTHER HEALTH ISSUES. THIS FISCAL YEAR, THE HODGE DENTAL CENTER SERVED 3,553 PATIENTS. 2663047 0 726541 WOMEN'S AND CHILDREN'S SERVICESTHE LEVEL II NICU COMPLEMENTS A HOST OF OTHER SERVICES ADDED TO OUR OB-GYN SERVICE LINE. AMONG THOSE IN FISCAL YEAR 2011 INCLUDE PERINATOLOGY SERVICES FOR HIGH-RISK MOTHERS, A NEW MIDWIFERY PROGRAM, AND A UROGYNECOLOGY PROGRAM THAT PROVIDES ADVANCED TREATMENT, INCLUDING MINIMALLY INVASIVE SURGERY, FOR CONDITIONS SUCH AS INCONTINENCE, ABNORMAL BLEEDING AND OTHERS. PMC ALSO OFFERS DIGITAL MAMMOGRAPHY AND THE MOST TECHNOLOGICALLY ADVANCES BREAST CANCER TREATMENTS. THE HUGHES CANCER CENTER HAS A DEDICATED BREAST HEALTH NURSE NAVIGATOR TO ASSIST PATIENTS WITH A BREAST CANCER DIAGNOSIS. FOUR CONVENIENTLY LOCATED PMC PHYSICIAN ASSOCIATE OB-GYN PRACTICES PLACED IN KEY LOCATIONS THROUGHOUT THE COMMUNITY TO IMPROVE ACCESS TO CARE. OUR GROWING OB-GYN SERVICE LINE IS A CLEAR DEMONSTRATION OF OUR COMMITMENT TO ANTICIPATING AND ADDRESSING THE HEALTHCARE NEEDS OF OUR COMMUNITY. PMC OUTPATIENT DIAGNOSTIC LABORATORYPOCONO MEDICAL CENTER (PMC)'S OUTPATIENT LABORATORY IS RECOGNIZED AS THE PRINCIPAL PROVIDER OF THE FINEST CLINICAL DIAGNOSTIC SERVICES TO OUTPATIENTS, AS WELL AS PHYSICIAN OFFICES AND NURSING HOMES IN THE AREA. IN FISCAL YEAR 2011, POCONO MEDICAL CENTER'S OUTPATIENT DIAGNOSTIC LAB VISITS TOTALED 20,629.COAGULATION CLINICTHE PMC ANTI-COAGULATION CLINIC ESTABLISHED IN FY 2009, CONTINUES TO OFFER A DEDICATED SITE FOR BLOOD THINNING MEDICATION TESTING. BLOOD THINNERS ARE OFTEN PRESCRIBED AFTER HEART ATTACKS TO KEEP BLOOD CLOTS FROM FORMING AND THEREBY HELP LOWER THE RISK OF ANOTHER CARDIAC EVENT. WHILE EXTREMELY EFFECTIVE, BLOOD THINNERS REQUIRE REGULAR TESTING AND CAREFUL MONITORING IN PATIENTS. CERTIFIED AND TRAINED NURSE PRACTITIONERS STAFF THE CLINIC AND WORK IN CLOSE COLLABORATION WITH THE MEDICAL DIRECTOR TO PROVIDE THESE SERVICES TO OUR PATIENTS.LEARNING INSTITUTETHE LEARNING INSTITUTE, AN OFF-SITE EDUCATIONAL FACILITY OPERATED BY PMC AND STAFFED BY PMC NURSE EDUCATORS AND HUMAN RESOURCE TRAINING STAFF, OFFERS COURSES AND SEMINARS TO PMC EMPLOYEES AND COMMUNITY MEMBERS, INCLUDING CPR CERTIFICATION AND RE-CERTIFICATION, IN-SERVICE TRAINING, AND PREPARED CHILDBIRTH AND BREASTFEEDING CLASSES. THE LEARNING INSTITUTE ALSO HOUSES A LOCAL NURSE-FAMILY PARTNERSHIP PROGRAM, WHICH IS A NATIONAL, RESEARCH-BASED ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR LOW-INCOME CHILDREN AND FAMILIES.PMC PHYSICIAN ASSOCIATES: OCCUPATIONAL MEDICINETHE GOAL OF PMC PHYSICIAN ASSOCIATES: OCCUPATIONAL MEDICINE IS TO PLACE HEALTHY INDIVIDUALS IN A SAFE AND DRUG-FREE WORKING ENVIRONMENT. TO THAT END, WE PROVIDE WORKPLACE WELLNESS PHYSICALS AS WELL AS PRE-EMPLOYMENT, RETURN TO DUTY, EXECUTIVE AND DEPARTMENT OF TRANSPORTATION (DOT) PHYSICALS FOR PMC EMPLOYEES AND VARIOUS LOCAL ORGANIZATIONS. WE ALSO PERFORM DRUG AND ALCOHOL TESTING ACCORDING TO DOT GUIDELINES. OTHER SERVICES INCLUDE: PULMONARY FUNCTION TESTING, RESPIRATORY FIT TESTING AND AUDIO TESTING ACCORDING TO OSHA STANDARDS, EKGS, PHLEBOTOMY, AND IMMUNIZATION PROGRAMS. THESE SERVICES ARE PERFORMED AT WORKSITES AS WELL AS IN OUR OFFICES IN STROUDSBURG AND TOBYHANNA, PA.PROFESSIONAL DEVELOPMENTSTAFF DEVELOPMENTPOCONO HEALTH SYSTEM IS DEDICATED TO CONTINUOUS LEARNING AND ENCOURAGES ALL EMPLOYEES TO ENGAGE IN THEIR INDIVIDUAL AND PROFESSIONAL DEVELOPMENT. EMERGING LEADERS PROGRAMTHE EMERGING LEADERS PROGRAM RECOGNIZES ABOVE AVERAGE EMPLOYEES. THE YEAR LONG PROGRAM OFFERS MONTHLY HALF DAY SESSIONS AIMING TO IMPROVE RETENTION AND OFFER DEVELOPMENT OPPORTUNITIES. TUITION REIMBURSEMENT PROGRAMTHIS PROGRAM OFFERS REIMBURSEMENT FOR TUITION AND BOOKS FOR CERTIFICATE, UNDERGRADUATE AND GRADUATE STUDIES. ALMOST HALF OF THE DEGREE PROGRAMS INCLUDED SPECIALIZE IN NURSING AND ADVANCED NURSING. APPROVED PROGRAMS ALLOW FOR FINANCIAL SUPPORT OF $2,500 - $3,000 ANNUALLY.CONTINUING EDUCATION OPPORTUNITIESTHE CONTINUING EDUCATION PROCESS PROVIDES OPPORTUNITIES TO THE ORGANIZATION AND EMPLOYEES TO REQUEST ATTENDANCE OF OFF-SITE MEETINGS AND PROGRAMS PERTAINING TO HEALTH CARE ORGANIZATIONS AND JOB SPECIFICATIONS. AMERICAN HEART ASSOCIATION CERTIFICATION PROGRAMSAS A DESIGNATED AMERICAN HEART ASSOCIATION PROGRAM PROVIDER, POCONO HEALTH SYSTEM CERTIFIES ALL EMPLOYEES WHO ENROLL IN BLS (BASIC LIFE SUPPORT), ACLS (ADVANCED LIFE SUPPORT), AND PALS (PEDIATRIC ADVANCED LIFE SUPPORT). MANAGEMENT DEVELOPMENTTWELVE TOPICS WERE OFFERED IN THE FOUNDATIONAL SERIES, INCLUDING:EFFECTIVE LEADERSHIP IN HEALTHCARE; CREATING A MORE POSITIVE WORKPLACE; MANAGING PERFORMANCE - GOAL SETTING; COUNSELING/DISCIPLINE; INTERVIEWING AND SELECTION; CULTURAL COMPETENCE IN HEALTHCARE; FINANCE IN HEALTHCARE; CUSTOMER SERVICE; MANAGING CHANGE; DEVELOPING HIGH PERFORMANCE TEAMS; A SYSTEMATIC APPROACH TO PROCESS IMPROVEMENT; AND CRUCIAL CONVERSATIONS.FIVE ADDITIONAL TOPICS WERE OFFERED IN THE ELECTIVE SERIES, INCLUDING:RESILIENCE; POSITIVE INFLUENCE; SITUATIONAL LEADERSHIP; TIME MANAGEMENT AND PRIORITIZING; COACHING; DEALING WITH CHALLENGING PERFORMANCE SITUATIONS; MANAGING GENERATIONAL DIFFERENCES; AND THE MYERS-BRIGGS TYPE INDICATOR.MANAGEMENT TUITION REIMBERSEMENT PROGRAMTHE MANAGEMENT TUITION REIMBURSEMENT PROGRAM WAS STARTED JANUARY 1, 2008 AND AIMS TO IMPROVE MANAGEMENT RETENTION, SKILLS, AND PROMOTABILITY. THE MAJORITY OF MANAGERS ARE ENROLLED IN A MBA PROGRAM WHICH IS HELD ON SITE AT PHS. NURSE-FAMILY PARTNERSHIPNATIONALLY, THE NURSE-FAMILY PARTNERSHIP IS A RESEARCH-BASED ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR LOW-INCOME CHILDREN AND FAMILIES. POCONO MEDICAL CENTER'S NURSE-FAMILY PARTNERSHIP PROVIDES CRUCIAL SERVICES TO LOCAL AT-RISK NEW MOTHERS. REGISTERED NURSES WITH SPECIAL TRAINING IN PRENATAL AND INFANT CARE AS WELL AS PSYCHOSOCIAL DEVELOPMENT VISIT EXPECTANT MOTHERS IN THEIR OWN HOMES. THE VISITS BEGIN IN EARLY PREGNANCY AND CONTINUE UNTIL THE CHILD IS TWO-YEARS-OLD. HEALTHY LIFESTYLE HABITS ARE EMPHASIZED, PARENTING SKILLS ARE DEVELOPED, AND CAREER COUNSELING IS OFFERED. IN ADDITION, LIFESTYLE SKILLS SUCH AS MAKING THE HOME A SAFE PLACE FOR BABY, CONFLICT RESOLUTION, AND FISCAL RESPONSIBILITY ARE INTRODUCED THROUGH INDIVIDUAL INSTRUCTION AND GROUP ACTIVITIES. SINCE ITS INCEPTION IN AUGUST 2002, THE NURSE-FAMILY PARTNERSHIP OF MONROE COUNTRY HAS ENROLLED 638 MOMS, AND 460 BABIES HAVE BEEN BORN TO NFP MOTHERS. DIABETES EDUCATIONCERTIFIED DIABETIC EDUCATORS, REGISTERED NURSES AND DIETITIANS CONDUCT POCONO MEDICAL CENTER'S SUCCESS WITH DIABETES SELF-MANAGEMENT PROGRAM, PROVIDING OUR COMMUNITY MEMBERS WITH THE TOOLS AND KNOWLEDGE THEY NEED TO ENSURE A HEALTHY LIFESTYLE. SELF-MANAGEMENT EDUCATION IS AN ESSENTIAL PART OF DIABETES TREATMENT. COMBINED WITH MEDICAL AND NUTRITIONAL THERAPY, EDUCATION GIVES THE LEARNER THE ABILITY TO BECOME AN ACTIVE PARTICIPANT IN HIS/HER CARE. WELL-MANAGED DIABETES HAS BEEN SHOWN TO PREVENT AND/OR DELAY THE ACUTE AND CHRONIC COMPLICATIONS OF DIABETES AND REDUCE THE NUMBER AND LENGTH OF HOSPITAL ADMISSIONS. EDUCATIONAL TOPICS PROVIDED BY PMC'S SUCCESS WITH DIABETES SELF-MANAGEMENT PROGRAM INCLUDE:- OVERVIEW OF DIABETES - STRESS MANAGEMENT AND PSYCHOLOGICAL ADJUSTMENT- BLOOD GLUCOSE LEVELS - PREVENTION, DETECTION, AND TREATMENTS OF ACUTE AND CHRONIC COMPLICATIONS - FOOT, SKIN, AND DENTAL CARE - BEHAVIOR CHANGE STRATEGIES - GOAL SETTING - RISK FACTOR REDUCTION - PROBLEM SOLVING - APPROPRIATE USE OF HEALTH CARE SYSTEMS AND COMMUNITY RESOURCES. WELLNESS INSTITUTETHE POCONO MEDICAL CENTER WELLNESS INSTITUTE IS COMMITTED TO PROVIDING THE TOOLS AND SERVICES NECESSARY FOR HELPING OUR COMMUNITY MEMBERS TO ENJOY LONGER, HEALTHIER LIVES. A VARIETY OF PROGRAMS OFFER A HOST OF CRUCIAL HEALTH AND WELLNESS SERVICES CONVENIENTLY DELIVERED TO BUSINESSES, CHURCHES, OR SOCIAL GROUPS AT NO COST. THE SCREENINGS AND SERVICES INCLUDED ARE: CARDIAC RISK ASSESSMENTS, BREAST CANCER RISK, PROSTATE CANCER, SKIN CANCER, HEALTHY LUNCH AND LEARNS, HEALTH AND WELLNESS SEMINARS AND TALKS, AND SUPPORT GROUPS. 2663047 726541 224321699 1 1 0 1 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 1 104 0 1 1980 1 0 0 0 0 0 0 0 0 0 0 X 11 7 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X MICHAEL A WILK CFO 5704214000 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 KATHLEEN KUCK 40.00 X X 621529 0 342943 GARY S OLSON 1.00 X X 0 0 0 W ANDREW WORTHINGTON 1.00 X X 0 0 0 R DOUGLAS OLMSTEAD 1.00 X X 0 0 0 CHARLES M HANNIG 1.00 X X 0 0 0 JOSEPH B CONAHAN MD 1.00 X 0 0 0 DARELL T COVINGTON MD 1.00 X 0 0 0 PHILIP H HOSBACH 1.00 X 0 0 0 VINCENT FRANCESCANGELI MD 1.00 X 0 0 0 JONATHAN GOLDNER DO 1.00 X 0 0 0 RFRANK J RUSHEN 1.00 X 0 0 0 SUZANNE VIECHNICKI 1.00 X 0 0 0 ED WALSH 1.00 X 0 0 0 DOUGLAS YOUNG MD 1.00 X 0 0 0 MICHAEL WILK 40.00 X 337507 0 68248 STEPHEN CUNNINGHAM 40.00 X 262331 0 42082 LYNN LANSDOWNE 40.00 X 228155 0 51418 PAULETTE NISH 40.00 X 209168 0 31790 JOE FISNE 40.00 X 168351 0 1117 SUSAN LABUS 40.00 X 166924 0 31229 NICHE ZAMA 40.00 X 967030 0 6666 HOWARD KATZ 40.00 X 547485 0 32531 SUSHEER DIBAGH GANDOTRA 40.00 X 332324 0 32431 CHARLES HERMAN 40.00 X 472974 0 21555 MANEESH AILAWADI 40.00 X 424158 0 1622 HOWARD DAVIS 40.00 X 331334 0 12551 5069270 0 676183 70 1 1 0 QUEST DIAGNOSTICS NICHOLAS INSTITUTE COLLECTIONS CEN CHICAGO IL 606932436 LAB TESTING 1501570 EWING COLE FEDERAL RESERVE BANK BUILDING 100 PHILADELPHIA PA 191061590 ARCHITECTURAL DESIGN/CONSTRUCTION 1040958 METZ & ASSOCIATES TWO WOODLAND DRIVE DALLAS PA 18612 DIETARY SERVICE 950856 HCSC LAUNDRY PO BOX 25092 LEHIGH VALLEY PA 180025092 LAUNDRY SERVICE 684459 TURNER CONSTRUCTION 1835 MARKET STREET 21ST FLOOR PHILADELPHIA PA 19104 CONSTRUCTION 501077 138 659743 6158791 6818534 PATIENT SERVICE REVENU 900099 259692637 259692637 OTHER REVENUE 900099 1387773 1387773 261080410 4671853 4671853 469396 44298 425098 425098 425098 77311393 76659969 651424 651424 651424 273647319 261080410 0 5748375 4369339 4369339 14000 14000 4988196 4988196 80070063 71262356 8807707 7036744 6262702 774042 13147359 11701150 1446209 6450097 5740586 709511 760318 676683 83635 159427 141890 17537 320189 284968 35221 11282316 10041261 1241055 261621 232843 28778 49541745 44092153 5449592 681404 606450 74954 2523571 2245978 277593 153548 136658 16890 400447 356398 44049 5018108 4466116 551992 13960790 12425103 1535687 4018539 3576500 442039 BAD DEBT 30891193 30891193 MISCELLANEOUS 9730087 8659777 1070310 LICENSE, DUES, & SUBSCR 1291460 1149399 142061 247070561 224321699 22748862 0 29161291 5561111 31965 133630 25157054 28752899 1040197 855793 2869276 4001784 6860064 4366168 259637527 152871435 98163572 106766092 127429572 160716220 1170237 6863744 2572385 6274987 294455613 324292428 25838175 24195816 106495000 104820000 1464749 1176496 64317629 49933462 198115553 180125774 X 93786002 135902791 533790 6090950 2020268 2172913 96340060 144166654 294455613 324292428 X 26576758 21249836 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 15581 0 1 66000 81581 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE ORGANIZATION PAYS DUES TO AHA AND HAP. A PORTION OF THESE DUES WERE USED TOWARDS LOBBYING. THE ORGANIZATION ALSO INCURRED LOBBYING EXPENSES FROM SOLE COMMUNITY CONSULTANTS REGARDING LEGISLATION FOR HOSPITAL'S SOLE COMMUNITY STATUS. IN ADDITION, THERE WAS DIRECT CONTACT WITH LEGISLATORS, THEIR STAFF, GOVERNMENT OFFICALS OR A LEGISLATIVE BODY 1374030 51498 33510 1690 1390328 1379858 23494 23100 6222 1374030 1399693 21620 22960 18495 1379858 0.32000 0.68000 0.00000 1 1 1 2778761 2778761 93652187 41054531 52597656 150010463 111816904 38193559 13196116 13196116 106766092 ESTIMATED INSURANCE LIABILITY 15568054 EST AMOUNT DUE TO 3RD PARTY PAYOR 12478732 PENSION PLAN PAYABLE 15149620 INTEREST RATE SWAP AGREEMENT 2120066 ASSET RETIREMENT OBLIGATION 781399 DEFERRED COMPENSATION 3137365 DUE TO AFFILIATE 698226 49933462 273647319 247070561 26576758 1787902 19461934 21249836 47826594 294640957 1787902 19481627 21269529 273371428 320189 -44298 275891 273647319 246814363 63991 63991 246750372 320189 320189 247070561 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN FV OF INTEREST RATE SWAP 1,007,272. CHANGE IN NET ASSETS OF POCONO HEALTH FOUNDATION 5,693,507. DEFINED BENEFIT PENSION COSTS 12,780,848. PLEDGE ALLOWANCE ADJUSTMENT -19,693. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 1,007,272. CHANGE IN INTEREST IN NET ASSETS OF POCONO HEALTH FOUNDATION 5,693,507. DEFINED BENEFIT PENSION COSTS 12,780,848. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -44,298. PART XIII, LINE 2D - OTHER ADJUSTMENTS: PLEDGE ALLOWANCE ADJUSTMENT 19,693. RENTAL EXPENSES 44,298. 1 1 X 1 X 1 X 1 1 0 1 1 639685 46641 593044 0.00240 33747507 18564608 15182899 0.06150 34387192 18611249 15775943 0.06390 37786 37786 0.00020 181752 181752 0.00070 6456815 6456815 0.02610 228140 228140 0.00090 6904493 6904493 0.02790 41291685 18611249 22680436 0.09180 570 570 0.00000 15938 15938 0.00010 18390 18390 0.00010 223566 223566 0.00090 258464 258464 0.00110 0 8538326 964831 73377649 67240378 6137271 X 1 0 4 1 POCONO MEDICAL CENTER

206 EAST BROWN STREET EAST STROUDSBURG PA 18301

X X X 2 DALE & FRANCES HUGHES CANCER CENTER

231 EAST BROWN STREET EAST STROUDSBURG PA 18301

CANCER TREATMENT CENTER 3 ABLEOFF CLINIC

200 EAST BROWN STREET EAST STROUDSBURG PA 18301

CHILDREN'S MEDICAL & DENTAL CLINIC 4 OUTPATIENT DIAGNOSTIC CENTER

500 PLAZA COURT SUITE D ROUTE 447 EAST STROUDSBURG PA 18301

OUTPATIENT LABORATORY OPTIONAL SECTION - NOT COMPLETED 1 0 0 0 0 0 0 0 0 0 0 0 PART II: POCONO MEDICAL CENTER PROVIDES A MYRIAD OF HEALTH SCREENINGS AND COMMUNITY PRESENTATIONS ON HEALTHY LIFESTYLES AND DISEASE AWARENESS THROUGH THE WELLNESS INSTITUTE AND THE SPIRIT OF WOMEN INITIATIVE. THE WELLNESS DEPARTMENT WORKS WITH THE VARIOUS LOCAL SOCIAL SERVICE AGENCIES TO HOST PUBLIC WELLNESS AWARENESS EVENTS THROUGHOUT THE YEAR. PART III, LINE 4: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THE FOOTNOTE READS AS FOLLOWS: "THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, WHICH IS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYORS 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 UNCOLLECTIBLE BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT."THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY BY UTILIZING DATA FROM THE U.S CENSUS BUREAU. THE ORGANIZATION ESTIMATED THE PERCENTAGE BY OBTAINING THE PERCENT OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES. ACCORDING TO THE LATEST PUBLICIZED CENSUS DATA FOR MONROE COUNTY, PA, 11.3% OF INDIVIDUALS ARE CONSIDERED TO BE IN POVERTY. PART III, LINE 8: THERE IS NO SHORTFALL TO BE TREATED AS COMMUNITY BENEFIT FOR OUR CURRENT YEAR. THE FISCAL YEAR 2011 MEDICARE COST REPORT WAS UTILIZED TO CALCULATE THE COST REPORTED ON LINE 6. 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 VI, LINE 2: OVERVIEWPHS CONTRACTED EAST STROUDSBURG UNIVERSITY'S DEPARTMENT OF HEALTH STUDIES IN SEPTEMBER 2010 AT A COST OF $5,500 TO PERFORM A "COMMUNITY HEALTH NEEDS ASSESSMENT" OF MONROE COUNTY RESIDENTS. HOWEVER, PHS' PLANNING DEPARTMENT WAS TAKING VARIOUS STEPS TO PLAN FOR THIS PROJECT AT LEAST A YEAR PRIOR TO THIS OFFICIAL DATE DUE TO THEIR INVOLVEMENT IN THE STRATEGIC PLANNING PROCESS. THE "COMMUNITY HEALTH NEEDS ASSESSMENT" WAS DIRECTED BY POCONO HEALTH SYSTEM (PHS) AS PART OF ITS CONTINUED MANDATE TO ADDRESS THE HEALTH CONCERNS OF THE RESIDENTS OF MONROE COUNTY. THE REPORT REPRESENTED PHS' FIRST COMPREHENSIVE COMMUNITY ASSESSMENT AND IT WILL BE USED TO GUIDE THE NEW STRATEGIC PLAN AND MAP ITS FUTURE RESPONSES TO THE NEEDS OF THE COUNTY. INFORMATION WAS COLLECTED ON THE CURRENT STRENGTHS, CONCERNS, AND CONDITIONS OF CHILDREN, ADULTS, FAMILIES, AND THE COMMUNITY. THE ASSESSMENT IS BASED ON INFORMATION FROM MANY SOURCES, ELICITED BY MANY TECHNIQUES, AND INCLUDES OVER 50 SURVEYS OF KEY INFORMANTS, 2 FOCUS GROUPS, AND ANALYSIS OF SECONDARY DEMOGRAPHIC AND EPIDEMIOLOGICAL DATA. THE ASSESSMENT ORGANIZED ITS DATA COLLECTION TO CONFORM WITH THE ROBERT WOOD JOHNSON FOUNDATION'S COUNTY HEALTH RANKINGS FRAMEWORK. PHS ALSO LEARNED THROUGH THE ASSESSMENT THAT OUR OWN STRATEGIC PLAN BASED ON THE HEALTH NEEDS OF THE COMMUNITY WAS CLOSELY MATCHING UP WITH THE SUMMARY OF FINDINGS.IMPACTTHE REPORT WAS SHARED WITH THE COMMUNITY IN A PUBLIC MEETING WITH THE SUPPORT OF A PANEL CONSISTING OF MEMBERS FROM GOVERNMENT, EDUCATION, HUMAN SERVICES, LAW ENFORCEMENT, TRANSPORTATION, BEHAVIORAL HEALTH, FAITH-BASED, AND BUSINESS COMMUNITIES. THE PANEL CAME TOGETHER ON OCTOBER 12, 2011 AND DISCUSSED THEIR THOUGHTS BASED ON THE FINDINGS TO OVER 75 MEMBERS OF THE COMMUNITY. MANY SECTORS OF THE POPULATION WERE REPRESENTED INCLUDING THE LOCAL, STATE, AND FEDERAL GOVERNMENT, PUBLIC, PRIVATE, AND HIGHER EDUCATION, HUMAN SERVICES, LAW ENFORCEMENT, TRANSPORTATION, BEHAVIORAL HEALTH, FAITH-BASED, BUSINESS, PHS LEADERSHIP AND STAFF MEMBERS, AS WELL AS PHS BOARD OF DIRECTORS. THE MEDIA INCLUDING THE POCONO RECORD AND CHANNEL 13 ALSO COVERED THE EVENT. COMMUNITY HEALTH CONNECTIONS IS ONGOING WITH MEETINGS SCHEDULED THROUGHOUT 2012 AS WE SEEK TO ENGAGE THE COMMUNITY AND WORK COLLABORATIVELY TO ADDRESS BEHAVIORAL HEALTH AND WELLNESS ISSUES.LESSONS LEARNED AND FUTURE GOALSA COPY OF THE REPORT, PREVIOUS POWERPOINT PRESENTATIONS, AND INFORMATION ABOUT THE INITIATIVE HAS BEEN POSTED TO THE PHS WEB SITE. WE HAVE ALSO ENGAGED MEMBERS OF THE COMMUNITY THROUGH SOCIAL MEDIA. AT THE MEETING ON JANUARY 25, 2012, MEMBERS OF THE COMMUNITY IN ATTENDANCE WERE BROKEN UP INTO TWO WORKING GROUPS (BEHAVIORAL HEALTH AND WELLNESS) AND THEY ARE LOOKING AT THE RESULTS OF THE HEALTH ASSESSMENT AND THEN WORKING COLLABORATIVELY TO FIND POSSIBLE SOLUTIONS. ANOTHER IMPORTANT GOAL THAT EMERGED THROUGH THIS INITIATIVE IS THE NEED FOR COMMUNITY ORGANIZATIONS TO PARTNER AND COLLABORATE ON GRANT OPPORTUNITIES. SINCE THE INCEPTION OF THIS PROJECT, THREE SUBMITTED GRANT OPPORTUNITIES HAVE COME TO FRUITION. THE WORKING GROUPS HAVE ABOUT 25 MEMBERS EACH REPRESENTING VARIOUS SECTORS OF THE COMMUNITY. EACH WORKING GROUP HAS TWO PHS OFFICIALS WHO WILL REPORT PROGRESS TO THE STEERING COMMITTEE WHICH INCLUDES MEMBERS FROM THE OCTOBER 12 PANEL AS WELL AS PHS LEADERSHIP. THE WORKING GROUPS WILL MEET AT THE HOSPITAL EVERY OTHER MONTH WHICH BEGAN IN MARCH AND THEN THE STEERING COMMITTEE MEETS THE OPPOSITE MONTH. PART VI, LINE 3: PATIENT WHO EXPRESS A NEED FOR FINANCIAL ASSISTANCE ARE INITIALLY OFFERED A DISCOUNT OF CHARGES AND/OR A PAYMENT PLAN ONCE A DETERMINATION HAS BEEN MADE THAT A PATIENT IS UNINSURED. THEY ARE PROVIDED A COPY OF THE CHARITY POLICY AS WELL AS AN APPLICATION FOR FINANCIAL ASSISTANCE. PMCS CHARITY POLICY IS POSTED IN INPATIENT AND OUTPATIENT AREAS AND ON THE WEBSITE. NOTICE IS ALSO PROVIDED IN THE PATIENTS' BILLS AND TO LOCAL SOCIAL SERVICE AGENCIES. PMC REVIEWS COMPLETED APPLICATIONS AGAINST ELIGIBILITY CRITERIA SET FORTH IN THE POLICY. ALL PRE-REGISTRATION, REGISTRATION, BUSINESS OFFICE AND PATIENT FINANCIAL SERVICES STAFF RECEIVED TRAINING AS TO THE POLICY. PART VI, LINE 4: POCONO MEDICAL CENTER PRIMARILY SERVES MONROE COUNTY, PENNSYLVANIA AND ADJACENT AREAS. MONROE COUNTY IS 6,085 SQUARE MILES WITH 2,277 PERSONS PER SQUARE MILE. THE COUNTY BORDERS THE STATE OF NEW JERSEY. ACCORDING TO THE US CENSUS BUREAU, THE ESTIMATED POPULATION FOR FY10 IN MONROE COUNTY WAS 166,355 WITH A RACIAL MIX OF 84 PERCENT WHITE (12.7 PERCENT REPORTING BOTH WHITE AND HISPANIC ORIGIN), 12 PERCENT BLACK, AND THE REMAINING 4 PERCENT COMPRISED OF ASIAN, AMERICAN INDIAN, AND ALASKA NATIVE. ALMOST 84 PERCENT OF MONROE COUNTY RESIDENTS POSSESS A HIGH SCHOOL DIPLOMA, A LITTLE OVER 20 PERCENT OF THE POPULATION HAVING A BACHELOR'S DEGREE OR HIGHER. THE UNEMPLOYMENT RATE FOR MONROE COUNTY SURPASSES THE STATE AVERAGE OF 9 PERCENT WITH A RATE OF 9.8 PERCENTS, BUT IS ONLY SLIGHTLY OVER THE NATIONAL AVERAGE OF 9.6 PERCENT. PART VI, LINE 6: POCONO MEDICAL CENTER EMPLOYEES PARTICIPATE IN MANY COMMUNITY INITIATIVES THAT FOCUS ON THE IMPROVEMENT ON THE OVERALL WELL-BEING OF THE COMMUNITY. THIS PARTICIPATION INCLUDES VOLUNTEERING FOR EVENTS, TIME, AND EXPERTISE DEDICATED TO SERVICE ON A VARIETY OF NON-PROFIT BOARD OF DIRECTORS, AND ALLOWING COMMUNITY PARTNERS TO HOST EVENTS USING THE HOSPITAL VENUE. PART VI, LINE 7: POCONO MEDICAL CENTER (THE "MEDICAL CENTER") IS A NOT-FOR-PROFIT, ACUTE-CARE HOSPITAL AFFILIATED WITH POCONO HEALTH SYSTEM (THE "HEALTH SYSTEM"). THE HEALTH SYSTEM IS A NOT-FOR-PROFIT CORPORATION WHOSE PURPOSE IS TO SUPPORT PROGRAMMATICALLY AND FINANCIALLY THE ACTIVITIES OF THE MEDICAL CENTER AND OTHER ENTITIES IT CONTROLS. THE HEALTH SYSTEM'S OPERATIONS AND PRIMARY SERVICE ARE INCLUDES STROUDSBURG, PENNSYLVANIA, AND SURROUNDING COMMUNITIES IN MONROE COUNTY, PENNSYLVANIA. ALL REVENUES GENERATED BY THE SYSTEM ARE RELATED TO THE DELIVERY OF HEALTH CARE SERVICES. THE HEALTH SYSTEM HAS CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDE THE ACCOUNTS AND TRANSACTIONS OF POCONO HEALTH SYSTEM, THE CONTROLLING PARENT, AND ITS AFFILIATES, THE MEDICAL CENTER, FAMILY CARE CENTERS, INC, POCONO HEALTHCARE PARTNERS, POCONO HEALTH FOUNDATION AND POCONO AMBULATORY SERVICES, INC. POCONO MEDICAL CENTER IS NOT AFFILIATED WITH ANOTHER HEALTHCARE SYSTEM. REPORTS FILED WITH STATES PART VI, LINE 7 PA 1 MONROE COUNTY FAMILY HEALTH CENTER 175 EAST BROWN STREET SUITE 204 EAST STROUDSBURG PA 18301 320235612 501(C)(3) 201000 CASH CONTRIBUTIONS TO A RELATED HEALTH CLINIC EASTBURG COMMUNITY ALLIANCE ONE WASHINGTON STREET EAST STROUDSBURG PA 18301 600000879 501(C)(3) 5000 CASH AMERICAN FREEDOM FESTIVAL SPONSORSHIP POCONO MOUNTAINS COMMUNITY CHALLENGE FUNCH PO BOX 962 STROUDSBURG PA 18360 232682341 501(C)(3) 6000 CASH POCONO MOUNTAINS COMMUNITY FUNDRAISER SPONSORSHIP FAMILY CARE CENTERS 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 232349341 501(C)(3) 4148391 CASH GENERAL EXPENSES POCONO AMBULATORY SERVICES INC 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 232611474 501(C)(3) 5368 CASH GENERAL EXPENSES 3 0 SCHOLARSHIPS 4 14000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SCHOLARSHIPS ARE AWARDED TO DESERVING INDIVIDUALS THAT MEET SPECIFIC REQUIREMENTS AND SHOW PROOF OF ACADEMIC EXCELLENCE. ONCE REQUIREMENTS ARE MET THERE IS NO ADDITIONAL FOLLOW-UP. X X X X 0 1 0 0 0 0 0 1 0 KATHLEEN KUCK 418580 0 193185 0 9764 0 329398 0 13545 0 964472 0 0 0 MICHAEL WILK 272969 0 55688 0 8850 0 52480 0 15768 0 405755 0 1 0 STEPHEN CUNNINGHAM 210608 0 41382 0 10341 0 39431 0 2651 0 304413 0 0 0 LYNN LANSDOWNE 187891 0 37999 0 2265 0 26326 0 25092 0 279573 0 0 0 PAULETTE NISH 165842 0 32098 0 11228 0 28449 0 3341 0 240958 0 1940 0 JOE FISNE 168041 0 0 0 310 0 0 0 1117 0 169468 0 0 0 SUSAN LABUS 143497 0 0 0 23427 0 22646 0 8583 0 198153 0 0 0 NICHE ZAMA 967030 0 0 0 0 0 0 0 6666 0 973696 0 0 0 HOWARD KATZ 473898 0 73587 0 0 0 17100 0 15431 0 580016 0 0 0 SUSHEER DIBAGH GANDOTRA 195071 0 137253 0 0 0 17000 0 15431 0 364755 0 0 0 CHARLES HERMAN 335636 0 125253 0 12085 0 7150 0 14405 0 494529 0 0 0 MANEESH AILAWADI 424158 0 0 0 0 0 0 0 1622 0 425780 0 0 0 HOWARD DAVIS 226238 0 0 0 105096 0 7194 0 5357 0 343885 0 91834 0 PART I, LINE 4B THE FOLLOWING DISTRIBUTIONS WERE MADE FROM A 457(F) NONQUALIFIED RETIREMENT PLAN SPONSORED BY THE POCONO MEDICAL CENTER: HOWARD DAVIS - $91,844 CHARLES HERMAN - $12,085 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN SPONSORED BY THE POCONO MEDICAL CENTER: KATHLEEN KUCK - $329,398 MICHAEL WILK - $7,194 HOWARD DAVIS - $52,480 STEVEN CUNNINGHAM - $39,431 LYNN LANSDOWNE - $26,326 PAULETTE NISH - $28,449 SUSAN LABUS - $22,646 SUSHEER DILBAGH GANDOTRA - $17,100 CHARLES HERMAN - $17,000 MANEESH AILIAWADI - $7,150 PART I, LINE 7 INCENTIVE COMPENSATION IS PAID BASED ON THE FOLLOWING FOUR PERFORMANCE CRITERIA: 1. INCREASE IN THE SERVICES AVAILABLE TO THE COMMUNITY, 2. IMPROVEMENT IN CUSTOMER SATISFACTION AND QUALITY OF SERVICE PROVIDED, 3. STABLE FINANCIAL RATIOS, AND 4. IMPROVING EMPLOYEE SATISFACTION. PHYSICIANS RECEIVE NON-FIXED BONUS AND INCENTIVE COMPENSATION BASED ON THEIR RESPECTIVE CONTRACT. INCENTIVES ARE EITHER BASED ON A PERCENTAGE OF PAYMENTS RECEIVED ABOVE REQUIRED EXPENSE COVERAGE THRESHOLD OR RELATIVE VALUE UNIT (RVU) THRESHOLD. MONROE COUNTY HOSPITAL AUTHORITY 232928969 610773EV1 2007-06-27 64095688 REFUND '03 BONDS, CONSTRUCTION 0 0 0 MONROE COUNTY HOSPITAL AUTHORITY 232928969 610773EL3 2003-09-24 34120100 FINANCE CONSTRUCTION OF 100K OF ADDITION 1 0 0 540000 64095688 5574860 951052 35832999 269744 22590044 2008 0 1 1 1 35000000 34120100 3412010 540200 30167890 2008 0 0 1 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 1 JP MORGAN 0 0 0 1 0 0 0 0 0 PIMS PROPERTIES LP V. FRANCESCANGELI, J, GOLDNER, AND D. COVINGTON ARE ALL OWNERS OF PIMS. 159480 RENT OF CLINIC OFFICE SPACE 0 DENISE CUNNINGHAM WIFE OF S. CUNNINGHAM 54247 EMPLOYEE 0 0 FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING BOARD MEMBERS HAVE A BUSINESS RELATIONSHIP: 1. VINCENT FRANCESCANGELI, JONATHAN GOLDNER, AND DARELL COVINGTON 2. JOSEPH CONAHAN AND FRANK RUSHEN 3. JOSEPH CONAHAN AND DOUGLAS YOUNG FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS POCONO HEALTH SYSTEM (PHS), A PENNSYLVANIA NONPROFIT CORPORATION FORM 990, PART VI, SECTION A, LINE 7A POCONO HEALTH SYSTEM, THE SOLE MEMBER OF THE CORPORATION, ELECTS / APPOINTS THE BOARD MEMBERS OF POCONO MEDICAL CENTER (PMC). FORM 990, PART VI, SECTION A, LINE 7B IN ADDITION TO ALL MATTERS REQUIRED BY LAW OR BY OTHER PROVISIONS OF THE BYLAWS TO BE SUBMITTED TO A VOTE OF THE SOLE MEMBER, THE SOLE MEMBER IS EMPOWERED TO INITIATE AND IMPLEMENT ANY OF THE FOLLOWING ACTIONS WITH RESPECT TO THE CORPORATION AND IF ANY SUCH ACTION IS OTHERWISE INITIATED BY THE CORPORATION, SUCH ACTION WILL NOT BECOME EFFECTIVE UNLESS APPROVED BY THE SOLE MEMBER: (A) TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THIS CORPORATION OR ANY SUBSIDIARY CORPORATION; (B) TO DISSOLVE, REORGANIZE, DIVIDE, CONVERT, LIQUIDATE OR WIND-UP ANY SUBSIDIARY CORPORATION OR CONSOLIDATE OR MERGE THIS CORPORATION WITH ANY OTHER CORPORATION OR ENTITY; (C) TO ANNUALLY APPROVE ALL CAPITAL AND OPERATING BUDGETS FOR THIS CORPORATION; (D) TO ANNUALLY APPROVE THE STRATEGIC AND OPERATING PLANS OR ANY CHANGES THERETO OF THIS CORPORATION; (E) TO APPROVE ANY UNBUDGETED EXPENSE ITEM OF THIS CORPORATION IN EXCESS OF FIVE HUNDRED THOUSAND ($500,000.00) DOLLARS; (F) TO RECEIVE, REVIEW, AND APPROVE FINANCIAL AND OPERATING REPORTS FROM THIS CORPORATION ON AT LEAST A QUARTERLY BASIS; (G) TO APPROVE ANY NEW LINE(S) OF BUSINESS AND/OR MATERIAL CHANGES IN EXISTING SERVICES AND/OR PARTICIPATION BY THIS CORPORATION WITH ANY OTHER ENTITY WHERE LICENSURE BY THE COMMONWEALTH OF PENNSYLVANIA IS REQUIRED AS A PRECONDITION FOR ANY SUCH ACTION, BUSINESS, SERVICE, OR PARTICIPATION; (H) TO APPROVE THE INCURRENCE OF INDEBTEDNESS BY THIS CORPORATION; (I) TO APPROVE THE AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION; (J) TO SPECIFY THE NUMBER OF AND TO ELECT OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS OF THIS CORPORATION; (K) TO APPROVE THE ELECTION OR REMOVAL OF THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THIS CORPORATION; (L) TO REQUIRE EACH DIRECTOR OF THIS CORPORATION AND THE PRESIDENT, EACH VICE PRESIDENT, AND ALL KEY MANAGEMENT PERSONNEL OF THIS CORPORATION TO ANNUALLY SUBMIT TO THE BOARD OF DIRECTORS OF THIS CORPORATION A CONFLICT OF INTEREST STATEMENT IN FORM FIRST APPROVED BY THE BOARD OF DIRECTORS OF THE SOLE MEMBER; (M) TO ANNUALLY EVALUATE THE PERFORMANCE OF THIS CORPORATION'S BOARD OF DIRECTORS IN OVERSEEING THE MANAGEMENT AND PERFORMANCE OF THIS CORPORATION; (N) TO REQUIRE THAT THIS CORPORATION'S GOVERNANCE, DELIBERATIONS, AND ACTIONS ARE ORIENTED TO COMMUNITY SERVICE. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION HAS AN EXTENSIVE 990 REVIEW PROCESS. THE 990 IS FIRST REVIEWED BY THE ACCOUNTING DEPARTMENT AND THE CFO. AFTER ANY NECESSARY CHANGES ARE MADE, A REVIEW IS PERFORMED BY THE CORPORATE COMPLIANCE OFFICER, THE FINANCE COMMITTEE, AND THE CEO. AFTER ALL CHANGES ARE MADE, THE FINAL COPY IS PROVIDED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, BOARD MEMBERS AND KEY MANAGEMENT PERSONNEL ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. ALL FORMS ARE SUBMITTED TO THE CORPORATE COMPLIANCE OFFICER OF POCONO HEALTH SYSTEM. INTERESTED PERSONS HAVE A CONTINUING OBLIGATION TO DISCLOSE, THROUGH A WRITTEN DESCRIPTION, THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST HE/SHE MAY HAVE. THE AUDIT AND COMPLIANCE COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE AUDIT AND COMPLIANCE COMMITTEE SHALL MAKE A FINDING AS TO WHETHER A CONFLICT OF INTEREST INDEED EXISTS, AND SHALL FORWARD THAT FINDING TO THE BOARD OF DIRECTORS FOR DISCUSSION AND VOTE. ONLY DISINTERESTED DIRECTORS MAY VOTE TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE SUBJECT INTERESTED PERSON MAY NOT BE PRESENT WHEN THIS VOTE IS TAKEN. FOR ALL IDENTIFIED CONFLICTS, THE INTERESTED PERSONS ARE REQUIRED TO LEAVE THE ROOM WHILE THE RELATED MATTERS ARE DISCUSSED AND VOTED ON. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE RECOMMENDS TO THE BOARD THE COMPENSATION OF THE PRESIDENT AND CEO AND COMPENSATION RANGES FOR THE VICE PRESIDENTS. THE CEO SHALL THEN SET THE COMPENSATION OF THE VICE PRESIDENTS WITHIN THE APPROVED RANGES. IN MAKING RECOMMENDATIONS TO THE BOARD ON COMPENSATION AND COMPENSATION RANGES, THE COMPENSATION COMMITTEE RELIES ON REPORTS FROM AN INDEPENDENT COMPENSATION CONSULTANT SELECTED BY THE COMMITTEE. TO ASSURE INDEPENDENCE, THE CONSULTANT SHALL PERFORM NO OTHER SERVICES FOR PMC. THE CONSULTANT WAS MOST RECENTLY USED IN 2009. THE COMMITTEE REPORTS ITS DECISIONS TO THE BOARD AT ITS NEXT EXECUTIVE SESSION, AT WHICH TIME THE BOARD SHALL EITHER RATIFY THE DECISION OR SEND IT BACK TO THE COMMITTEE FOR FURTHER DELIBERATION. ONCE A FINAL DECISION IS REACHED, THE BOARD CHAIRMAN INFORMS THE CEO OF THE DECISIONS OF THE COMMITTEE AND RATIFICATION BY THE BOARD REGARDING THE CEO'S SALARY AND THE SALARY RANGES FOR THE VICE PRESIDENTS. MINUTES OF THE COMMITTEE AND THE EXECUTIVE SESSION PORTION OF THE BOARD ARE PREPARED AND RETAINED IN THE ADMINISTRATION OFFICES AND CONTAIN SUFFICIENT INFORMATION TO SUBSTANTIATE THE DELIBERATION AND DECISION. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL RESULTS ARE PUBLISHED IN THE ANNUAL REPORT, A COPY OF WHICH IS DISTRIBUTED IN A VARIETY OF PUBLIC FORUMS AND WOULD OTHERWISE BE PROVIDED UPON REQUEST. THE CONFLICT OF INTEREST POLICY WOULD BE AVAILABLE FOR VIEWING IN THE BUSINESS OR ADMINISTRATIVE OFFICES OF PMC UPON REQUEST TO ENSURE THE MOST CURRENT COPY IS ALWAYS THE ONE BEING MADE AVAILABLE. THE GOVERNING DOCUMENTS ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,787,902. CHANGE IN FV OF INTEREST RATE SWAP 1,007,272. CHANGE IN NET ASSETS OF POCONO HEALTH FOUNDATION 5,693,507. DEFINED BENEFIT PENSION COSTS 12,780,848. PLEDGE ALLOWANCE ADJUSTMENT -19,693. TOTAL TO FORM 990, PART XI, LINE 5: 21,249,836. POCONO HEALTH SYSTEM 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 232336285 SUPPORT PMC PA 501(C)(3) LINE 11A, I 0 FAMILY CARE CENTERS 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 232349341 HEALTHCARE PA 501(C)(3) LINE 3 0 POCONO HEALTH FOUNDATION 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 232516451 SUPPORT PMC PA 501(C)(3) LINE 11A, I 0 POCONO HEALTHCARE PARTNERS 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 233014006 HEALTHCARE PA 501(C)(3) LINE 3 0 POCONO AMBULATORY SERVICES 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 232611474 HEALTHCARE PA 501(C)(3) LINE 3 0 POCONO HEALTH SYSTEM MEDICAL PROFESSIONAL SELF-INSURANCE TRUST 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 206560453 SELF INSURANCE PA 501(C)(3) LINE 11A, I 0 POCONO AMBULATORY SURGICAL CENTER LIMITED 206 EAST BROWN STREET EAST STROUDSBURG PA 18360 232611442 SURGERY PA N/A 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0