2011-11-10T18:00:30-06:00 2010-12-31 BKD LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2010-01-01 240795456 MERCY HOSPITAL SCRANTON PA MERC 5136392800 746 Jefferson Avenue Scranton PA 185101624 DAVID A NOWISKI 2011-11-09 true 5136218300 2010 2016-02-24 21:20:13Z DAVID NOWISKI 615 ELSINORE PLACE CINCINNATI OH 45202 164536870 false 0928 X WWW.MERCYHEALTHPARTNERS.COM X 1917 PA MERCY HOSPITAL OF SCRANTON, PA EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. 16 12 1324 184 668771 0 316678 270199 151879720 163092650 1626431 1047689 123005 126332 153945834 164536870 63462 50847 0 64073003 67549468 0 0 84385888 90146439 148522353 157746754 5423481 6790116 69858443 73497315 68891695 66834265 966748 6663050 X MERCY HOSPITAL, SCRANTON, PA EXTENDS THE HEALING MISISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. MERCY HOSPITAL, SCRANTON, PA DEMONSTRATES BEHAVIORS REFLECTING OUR CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND SERVICE. TOGETHER WE COMMIT TO: COMPASSION: OUR COMMITMENT TO SERVE WITH MERCY AND TENDERNESS. EXCELLENCE: OUR COMMITMENT TO BE THE BEST IN THE QUALITY OF OUR SERVICES AND THE STEWARDSHIP OF OUR RESOURCES. HUMAN DIGNITY: OUR COMMITMENT TO VALUE THE DIVERSITY OF ALL PERSONS AND TO BE RESPECTFUL AND INCLUSIVE OF EVERYONE. JUSTICE: OUR COMMITMENT TO ACT WITH INTEGRITY, HONESTY AND TRUTHFULNESS. SACREDNESS OF LIFE: OUR COMMITMENT TO REVERENCE ALL LIFE AND CREATION. SERVICE: OUR COMMITMENT TO RESPOND TO THOSE IN NEED. false 10992071 6449831 GOVERNMENT SPONSORED MEANS-TESTED HEALTH CARE COMMUNITY BENEFITS INCLUDE UNPAID COST OF PUBLIC PROGRAMS FOR LOW-INCOME PERSONS, THE SHORTFALL CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COST OF CARING FOR PUBLIC PROGRAM BENEFICIARIES. UNPAID COST OF PUBLIC INDIGENT CARE PROGRAMS INCLUDE MEDICAID, SCHIP, AND OTHER SAFETY NET PROGRAMS, BUT DOES NOT INCLUDE MEDICARE SHORTFALL. COST IS BASED ON THE RELATIONSHIP OF COST TO CHARGES. 2100879 155747900 CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS - MERCY HOSPITAL, SCRANTON, PA CARES FOR EVERYONE WHO COMES TO US IN NEED, REGARDLESS OF ABILITY TO PAY. MEETING THE NEEDS OF PEOPLE WITH LIMITED RESOURCES HAS ALWAYS BEEN AT THE HEART OF MERCY'S MISSION. MERCY OFFERS FREE CARE TO ANYONE WITHOUT INSURANCE EARNING UP TO TWICE THE FEDERAL POVERTY GUIDELINES, SUBSTANTIAL DISCOUNTS TO THOSE EARNING UP TO FOUR TIMES THE FEDERAL GUIDELINES, AND THOSE WHO HAVE INSURANCE BUT EARN MORE CAN ALSO QUALIFY FOR DISCOUNTS. WE RECOGNIZE THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. WE OFFER ASSISTANCE AND COUNSELING IN FINDING RESOURCES THAT MAY HELP TO PAY THEIR HEALTHCARE EXPENSES. PATIENTS AND THEIR COUNSELORS REVIEW OPTIONS AND SERVE AS PATIENT ADVOCATES IN OBTAINING FINANCIAL ASSISTANCE THROUGH FEDERAL, STATE AND HOSPITAL PROGRAMS. THE NUMBER OF PERSONS SERVED IN 2010 WAS 23,869. 2055044 894919 MEDICAL RESIDENCY PROGRAM - PROVIDING BOTH OUTPATIENT AND INPATIENT PHYSICIAN LEARNING EXPERIENCES IS A VITAL COMPONENT OF ANY COMPREHENSIVE EDUCATION PROGRAM IN COMMUNITY MEDICINE. GIVEN THE SHORTAGE OF PHYSICIANS IN OUR AREA, EXPOSING MEDICAL RESIDENTS TO THE DEVELOPING LIFESTYLE OF NORTHEASTERN PENNSYLVANIA HELPS INSURE THAT THE COMMUNITY WILL HAVE A READY SUPPLY OF EXCELLENT DOCTORS FOR THE FUTURE. THE RESIDENCY PROGRAM FOCUSES ON TRAINING INTERNAL MEDICINE RESIDENTS TO BECOME PRIMARY CARE PHYSICIANS. MERCY RESIDENCY INCREASES PHYSICIAN KNOWLEDGE OF MEDICAL TREATMENTS AND EXPOSES THESE STUDENT PHYSICIANS TO A MYRIAD OF HEALTH CARE ISSUES. IN 2010 THERE WERE FOURTEEN STUDENT RESIDENTS SERVING A THREE YEAR RESIDENCY. MERCY HOSPITAL RECORDED 9,928 INPATIENT ADMISSIONS AND 177,362 OUTPATIENT VISITS WITH 56,345 PATIENT DAYS. IN ADDITION TO THE RESIDENTS PROVIDING CARE AT MERCY HOSPITAL, THE RESIDENCY PROGRAM ALSO OPERATES A CLINIC. THE SCRANTON-PRIMARY CARE CLINIC TREATS THE UNINSURED AND UNDERINSURED MEDICAID PATIENTS AND PATIENTS WITH VARIOUS OTHER INSURANCES REGARDLESS OF THEIR ABILITY TO PAY. THE CLINIC SERVED 4,043 OUTPATIENT VISITS. 112641740 50847 OTHER PROGRAM SERVICES 112641740 50847 127789734 true true false true false false false false false true false false true true true false true false false false false false false false false true false true false true false false false false false false false true false false false false true true false false false false true 106 0 true 1324 true true true false false false false false false false false false X 16 12 false false false false true true true true true false false true true true true true true false false true true PA X SCOTT SCHITTER 5136390173 615 ELSINORE PLACE CINCINNATI OH 45202 X GERARD MARITATO 40 X 219672 0 27838 PAUL DUBIEL 40 X 239283 0 23418 ANTHONY SAUTER 40 X 329299 0 34418 GERARD NEALON 40 X 420947 0 23228 ANTHONY YANNI MD 40 X 276427 0 17209 STEPHEN H FRANKO III 1 X 0 277019 38052 KEVIN COOK 1 X X 0 339984 24010 SR MAYON SYLVAIN RSM 1 X 0 0 0 NATALIE G SOLFANELLI 1 X 0 0 0 JOHN M STARCHER JR 1 X X 0 934158 149846 HENRY J SALLUSTI 1 X 0 0 0 JUDGE TERRENCE R NEALON 1 X 0 0 0 JAMES B MILESKI 1 X 0 0 0 ELIZABETH KULKARNI 1 X 0 0 0 MATTHEW E HAGGERTY ESQ 1 X X 0 0 0 JEREMIAH W EAGEN MD 1 X 48975 0 0 CHRISTOPHER J DRESSEL JR MD 1 X 33000 0 0 MARY JANE K DIMATTIO PHD 1 X 0 0 0 SR MARY HELEN NUGENT RSM 1 X 0 0 0 ROBERT J KNOWLES JR 1 X X 0 0 0 JAMES CLEMENTE 1 X X 0 0 0 MARK MITCHELL 1 X 0 0 0 PATRICIA IHNAT 40 X 244755 0 5103 1812358 1551161 343122 30 false true false METZ AND ASSOCIATES TWO WOODLAND DRIVE DALLAS PA 18612 FOOD SERVICE 868525 HCSC LAUNDRY 2171 28TH STREET ALLENTOWN PA 18103 LAUNDRY SERVICE 491875 SUMMIT PERFUSION SERVICES INC 602 HANPTON RD CLARKS SUMMIT PA 18411 PERFUSION SERVICES 479345 PLD ASSOCIATES 292 SCOTT STREET WILKESBARRE PA 18702 HVAC SERVICES 333247 SIEMENS MEDICAL SOLUTIONS PO BOX 121102 DALLAS TX 75312 TECHNICAL SERVICES 328724 18 0 0 0 97584 162615 10000 0 270199 NET PATIENT SERVICE REVENUE 621990 156822751 156153980 668771 0 BLUE CROSS SUPPORT 621990 3200000 3200000 0 RENTAL INCOME FROM AFFILIATES 531120 2238975 2238975 0 0 INCOME FROM JOINT VENTURES 900099 790819 790819 0 0 40105 40105 0 0 163092650 251938 0 0 251938 0 0 0 0 0 0 0 0 0 0 0 0 0 0 787035 8716 787035 8716 795751 0 0 795751 0 0 0 0 0 0 0 125340 125340 0 0 125340 MEDICAL RECORDS 900099 992 0 0 992 0 0 0 0 992 164536870 162423879 668771 1174021 50847 50847 0 0 0 375611 300489 75122 0 53640487 42912389 10728098 1912098 1529678 382420 7628365 6102692 1525673 3992907 3194326 798581 0 223617 223617 271346 271346 0 0 0 26383550 21106840 5276710 0 34566203 27652962 6913241 0 0 6340354 5072283 1268071 521408 417126 104282 0 0 2095107 1676086 419021 0 5810780 4648624 1162156 2389136 1911309 477827 BAD DEBT EXPENSE 9890662 9890662 REAL ESTATE AND OTHER TAXES 646646 517317 129329 1007630 806104 201526 0 157746754 127789734 29957020 0 0 350 350 7607092 4560444 12534720 18531718 4544211 3918586 736381 503970 157819677 130859961 27890984 26959716 12479674 13862574 0 0 4065031 5159957 69858443 73497315 16042051 18351209 3200000 3069255 2214674 46580389 46268382 68891695 66834265 X 966748 6663050 966748 6663050 69858443 73497315 X 6790116 -1093814 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 true false false true 0 false true 14101 true 0 false false 14101 false 0 LOBBYING ACTIVITIES SCHEDULE C,PART II-B,LINE 1F LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED. 2264181 2264181 77187109 66135598 11051511 1123934 628363 495571 23890203 19994727 3895476 53354250 44101273 9252977 26959716 MISCELLANEOUS RECEIVABLES 195680 OTHER RECEIVABLES - PHYSICIANS 25986 OTHER RECEIVABLES - MTH 6120 INVESTMENT IN HCC 565796 INVESTMENT IN CANCER CENTER 355628 INVESTMENT IN MSO 150000 INVESTMENT IN CATH LAB 197590 INVESTMENT IN IMAGING CENTER 2639485 GOODWILL 1025391 INVESTMENT IN NORTHEAST RADIATION ONCOLOGY -1719 5159957 0 NOTES PAYABLE TO AFFILIATE 31986915 ACCURED PENSION 14281467 46268382 164536870 157746754 6790116 0 0 6790116 0 0 0 0 0 0 0 0 0 0 0 0 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE COMPANY [CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES] COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2010 AND 2009, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2010 OR 2009. true true X true X true X true true false true true 23869 2100879 0 2100879 0.01420 0 16362 10992071 6449831 4542240 0.03070 0 0 0 0 0 0.00000 0 40231 13092950 6449831 6643119 0.04490 0 6973 225950 0 225950 0.00150 0 659 2779718 894919 1884799 0.01270 0 7239 151528 95486 56042 0.00040 0 53 426328 0 426328 0.00290 0 487 98172 0 98172 0.00070 0 15411 3681696 990405 2691291 0.01820 0 55642 16774646 7440236 9334410 0.06310 0 0.00000 0 0.00000 280 2064 0 2064 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 280 2064 0 2064 0.00000 false 2519264 317129 80205427 76459001 3746426 X true true NORTHEAST RADIATION ONCOLOGY CENTER CANCER TREATMENT AND CANCER RESEARCH 0.5 0 0.5 MERCY CARDIOVASCULAR CATH LAB OUTPATIENT DIAGNOSTIC CARDIAC CATHETERIZATION LAB 0.3 0.16 0.54 LACKAWANNA SURGERY CENTER AMBULATORY SURGERY CENTER 0.5884 0 0.4116 1 1 MERCY HOSPITAL OF SCRANTON

746 JEFFERSON AVENUE SCRANTON PA 18510

X X X X MERCY HOSPITAL OF SCRANTON 1 9 MERCY ABINGTON OUTPATIENT CENTER

102 NORTH ABINGTON ROAD CLARKS SUMMIT PA 18411

OUTPATIENT CLINIC OUTPATIENT CENTER AT KEYSER AVENUE

1785 NORTH KEYSER AVENUE SCRANTON PA 18508

OUTPATIENT CLINIC NORTHEAST RADIATION ONCOLOGY CENTER

1110 MEADE STREET DUNMORE PA 18512

JOINT VENTURE RADIATION THERAPY ADVANCED IMAGING SPECIALISTS

1000 MEADE STREET DUMORE PA 18512

JOINT VENTURE IMAGING CENTER LACKAWANNA SURGERY CENTER

415 ADAMS AVENUE SCRANTON PA 18503

JOINT VENTURE SURGERY CENTER WOUND CARE CENTER AT MERCY HOSPITAL

802 JEFFERSON AVENUE SCRANTON PA 18510

WOUND CARE SERVICES MERCY HOME HEALTH

746 JEFFERSON AVENUE SCRANTON PA 18510

HOME HEALTH CARE MERCY HOSPICE

746 JEFFERSON AVENUE SCRANTON PA 18510

HOSPICE CARE MERCY SKILLED NURSING UNIT

746 JEFFERSON AVENUE SCRANTON PA 18510

HOSPITAL BASED NURSING FACILITY Community benefit report prepared by related organization Schedule H, Part I, Line 6a CATHOLIC HEALTH PARTNERS Subsidized Health Services Schedule H, Part I, Line 7g AMOUNTS INCLUDED IN SUBSIZED HEALTH SERVICES, LINE 7G, WERE GENERATED BY THE PRIMARY CARE CLINIC AND IT'S AIDS OUTREACH PROGRAM WHICH PROVIDES MEDICAL PROFESSIONAL SERVICES TO THE UNDERSERVED IN THE GREATER SCRANTON COMMUNITY. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 9,890,662 Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 COST OF CHARITY CARE AND THE COST RELATED TO MEDICAID PATIENTS WERE DETERMINED USING THE AGGREGATE COST TO CHARGE METHODOLOGY, (TOTAL COST LESS BAD DEBT)/TOTAL REVENUES, REQUIRED BY CATHOLIC HEALTH PARTNERS TO STANDARDIZE OUR CALCULATION OF COMMUNITY BENEFIT AMOUNTS AND INCLUDES BOTH INPATIENTS AND OUTPATIENTS FOR TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PLANS. FOR SUBSIDIZED SERVICES THE HOSPITAL'S COST ACCOUNTING SYSTEM IS USED TO DETERMINE COST RELATED TO THE SPECIFIC SERVICE EXCLUDING TRADITIONAL MEDICAID AND MEDICAID MANAGED CARE PATIENTS. COSTS FOR CHARITY AND BAD DEBT ACCOUNTS ARE DEDUCTED USING A RATIO OF COST TO CHARGE SPECIFIC TO THAT SUBSIDIZED SERVICE. COSTS FOR OTHER PROGRAMS REFLECT THE DIRECT AND INDIRECT COSTS OF PROVIDING THOSE PROGRAMS. Community Building Activities Schedule H, Part II MERCY HOSPITAL, SCRANTON, PROVIDES COMMUNITY SUPPORT BY ASSISTING IN DISASTER PREPAREDNESS. PREPARING FOR DISASTERS IS AN IMPORTANT ROLE FOR THE HOSPITAL TO ASSURE THE SAFETY AND HEALTH OF COMMUNITY RESIDENTS IN THE EVENT OF A DISASTER. PERSONNEL HAVE DESIGNATED ROLES FOR RESPONSE TO THE COMMUNITY IN THE EVENT OF A DISASTER. THE HOSPITAL PROVIDED A COMMUNITY SERVICE IN OFFERING FLU SHOTS TO THE FAMILIES OF EMPLOYEES. MERCY HOSPITAL ADVOCATES FOR IMPROVING ACCESS TO HEALTH SERVICES FOR ALL RESIDENTS OF THE COMMUNITY, ESPECIALLY THE POOR AND UNDERSERVED. MERCY INITIATED A PROCESS FOR A COLLABORATIVE EFFORT WITH OTHER HOSPITALS AND SOCIAL SERVICE AGENCIES TO CREATE A MEDICAL HOME. MERCY HOSPITAL IS ACTIVELY RECRUITING PHYSICIANS TO ADDRESS THE PENDING SHORTAGE OF PRIMARY CARE PHYSICIANS IN THE COMMUNITY. AN APPROPRIATE SUPPLY OF PHYSICIANS IS NECESSARY TO ENSURE THAT RESIDENTS HAVE ACCESS TO ADEQUATE AND TIMELY DIAGNOSES AND TREATMENT FOR ALL HEALTH CONDITIONS. Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 MERCY HOSPITAL, SCRANTON'S BAD DEBT EXPENSES ARE NOT INCLUDED IN COMMUNITY BENEFIT. THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT IS CLASSIFIED AS AN OPERATING EXPENSE. THIS TREATMENT IS CONSISTENT WITH THE HFMA PRINCIPLES AND PRACTICES BOARD STATEMENT NO. 15 AND WITH THE AICPA AUDIT AND ACCOUNTING GUIDE FOR HEALTH CARE ORGANIZATIONS. AN AGGREGATE COST TO CHARGE RATIO WAS USED TO PROVIDE BAD DEBT AT COST FOR PART III, LINE 2. REMAINING BALANCES FOR PATIENTS THAT WE KNOW ARE ELIGIBLE FOR CHARITY CARE POLICIES ARE WRITTEN OFF TO CHARITY CARE. PATIENTS WHO MIGHT BE ELIGIBLE FOR CHARITY CARE BUT ARE UNKNOWN TO US ARE WRITTEN OFF TO BAD DEBT AND THEREFORE NOT INCLUDED IN CHARITY CARE. THE ESTIMATED AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY REPORTED ON PART III, LINE 3 WAS DETERMINED AS FOLLOWS: REVIEWED DOLLAR AMOUNTS FOR TOTAL REFERRED FOR ASSISTANCE, APPROVED FOR ASSISTANCE AND APPLICATIONS DENIED BECAUSE OF INCOMPLETE INFORMATION; DEVELOPED THE PERCENTAGE OF APPROVED APPLICATIONS TO COMPLETED APPLICATIONS AND THEN APPLIED PERCENTAGE TO THOSE APPLICATIONS THAT WERE INCOMPLETE. THIS PROVIDED AN ESTIMATED AMOUNT OF THOSE APPLICATIONS THAT WERE INCOMPLETE THAT WOULD HAVE QUALIFIED FOR ASSISTANCE IF THE APPLICATION HAS BEEN COMPLETED. THE DOLLAR AMOUNT OF CHARITY CARE ACTUALLY WRITTEN OFF REPRESENTS THOSE THAT WERE APPROVED. TO CALCULATE THE FULL ESTIMATED AMOUNT OF CHARITY CARE, A CALCULATION WAS DONE TO DETERMINE WHAT 100% OF CHARITY WOULD BE FOR THE TOTAL OF THE APPROVED APPLICATIONS AND THE ESTIMATED AMOUNT FOR THOSE APPLICATIONS THAT WERE INCOMPLETE BUT WOULD HAVE BEEN APPROVED IF COMPLETED. THE DIFFERENCE BETWEEN THIS ESTIMATED TOTAL AMOUNT AND THE ACTUAL WRITE-OFF AMOUNT FOR CHARITY CARE WAS THEN APPLIED TO THE RATIO COST-OF-CHARGES USED FOR CHARITY CARE AT COST. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 MEDICARE SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. THE HOSPITAL HAD A MEDICARE SURPLUS. THE AMOUNTS ON PART III, LINE 6 WERE GENERATED BY THE MEDICARE COST REPORT WHICH UTILIZES A DEPARTMENT COST TO CHARGE METHODOLOGY. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL ASSISTANCE DURING THEIR HOSPITAL STAY AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. PATIENT ACCOUNTS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CHARITY CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL. Needs assessment. Schedule H, Part VI, Line 2 MERCY HOSPITAL, SCRANTON, AS PART OF THE HEALTHY NORTHEAST INITIATIVE, PARTICIPATES IN THE BI-COUNTY NEEDS ASSESSMENT DONE PERIODICALLY. REVIEW OF DATA FROM EMERGENCY ROOM PERSONNEL ALSO PROVIDES INFORMATION FOR DETERMINING NEEDS TO BE ADDRESSED. REQUESTS FROM AREA AGENCIES FOR SERVICES ALSO INDICATE NEEDS. CURRENTLY, WE WORK WITH THE LEAHY CLINIC AT THE UNIVERSITY OF SCRANTON TO RESPOND TO THE NEEDS OF THEIR CLIENTS. THE STAFF IN THE CLINICAL AREAS OF MERCY HOSPITAL, SCRANTON, PA PARTICIPATE IN COLLABORATIVE EFFORTS TO RESPOND TO NEEDS IDENTIFIED BY SERVICE-LINE ORGANIZATIONS (AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, ETC.) THE HOSPITAL RECOGNIZED THAT LOW-INCOME CHILDREN WERE NOT GETTING PROPER VACCINATIONS AND INITIATED A HEALTHY KIDS IMMUNIZATION PROGRAM WITH 15 SITES THROUGHOUT THE COMMUNITY TO ASSURE THAT PRE-SCHOOL CHILDREN'S NEEDS WERE MET. THE HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. WE INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF OUR ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. WE RECOGNIZE THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION AND HEALTH INSURANCE RATES; AND PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS. THE HOSPITAL HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT AND HAS A COMMUNITY BENEFITS COMMITTEE THAT MEETS PERIODICALLY TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAM Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IS POSTED ON THE INTERNET AT THE FOLLOWING WEBSITE: WWW.MERCYHEALTHPARTNERS.COM. OUR WEBSITE PROVIDES ONLINE ACCESS FOR PATIENTS TO ASSIST IN APPLYING FOR FINANCIAL ASSISTANCE, INCLUDING CHARITY CARE DISCOUNTS. OUR TELEPHONE NUMBER CAN BE FOUND ON THE WEBSITE TO ASSIST THOSE WHO WANT TO APPLY. THE HOSPITAL POSTS ITS CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSION AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO VISIT. THE HOSPITAL PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED ON PATIENT STATEMENTS. WHEN CONTACTED, THE HOSPITAL DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATIONS FOR SUCH PROGRAMS, WHERE APPLICABLE. THE HOSPITAL ELIGIBILITY LINK PROGRAM (HELP) IS A FREE REFERRAL SERVICE PROVIDED BY THE HOSPITAL. THE PURPOSE OF HELP IS TO ASSIST PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. HELP REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: A) EXPLORE ELIGIBILITY UNDER PUBLIC ASSISTANCE PROGRAMS; B) FILE APPLICATIONS ON PATIENT'S BEHALF; C) SCHEDULE AND ATTEND APPOINTMENTS; D) PROVIDE TRANSPORTATION WHEN NECESSARY; E) PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGH HELP, PATIENTS AND THEIR COUNSELORS LOOK AT WHAT OPTIONS ARE AVAILABLE. THE HOSPITAL UNDERSTANDS THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. HELP IS HERE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. HELP IS AN EXTENSION OF HOSPITAL'S MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY WITH EMPHASIS ON THE POOR AND UNDERSERVED. MEETING THE NEEDS OF THOSE WITH LIMITED RESOURCES HAS ALWAYS BEEN THE HEART OF OUR MISSION. Community information. Schedule H, Part VI, Line 4 MERCY HOSPITAL OF SCRANTON REACHES OUT TO PEOPLE LIVING IN OUR PRIMARY SERVICE AREA OF LACKAWANNA AND LUZERNE COUNTIES SPECIFICALLY, AND ALSO SERVES THE SURROUNDING COUNTIES OF WYOMING, WAYNE AND SUSQUEHANNA. LACKAWANNA COUNTY HAS ONE OF THE HIGHEST PERCENTAGES OF ELDERLY PERSONS IN THE UNITED STATES. BECAUSE OF MEDICAL ADVANCEMENT, THIS GROUP IS LIVING LONGER, AND MANAGING A LONGER LIST OF CHRONIC HEALTH CONDITIONS. OUR COMMUNITY IS CHANGING AND WE ALSO SERVE A GROWING UNINSURED AND UNDER INSURED POPULATION. ECONOMIC REALITIES MEAN THAT EVEN THOSE WITH INSURANCE ARE ASSUMING AN INCREASING SHARE OF COSTS THROUGH HIGHER RATES, DEDUCTIBLES AND CO-PAYS. MERCY HOSPITAL'S EMERGENCY DEPARTMENT TREATS INCREASING NUMBERS OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. THE SCRANTON AREA CONTINUES TO FACE MANY ECONOMIC CHALLENGES. WE OPERATE IN A COMPETITIVE HEALTHCARE MARKET WITH TWO ADDITIONAL ACUTE CARE PROVIDERS WITHIN ONE MILE. MERCY HOSPITAL OF SCRANTON ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES WE OFFER. OUR CARDIAC CARE PROGRAM WAS RECOGNIZED BY THOMSON HEALTHCARE (FORMERLY SOLUCIENT) AS ONE OF THE TOP 100 HOSPITALS IN THE UNITED STATES FOR CARDIAC CARE FOR THE PAST FOUR YEARS. WE ARE ALSO A REGIONAL LEADER IN CANCER CARE AND ORTHOPAEDICS. OUR HIP AND KNEE ORTHOPAEDIC INSTITUTE POSITIVELY IMPACTS PATIENT CARE BEFORE, DURING AND AFTER JOINT REPLACEMENT SURGERY. WE HAVE FOUR COMMUNITY BASED OUTPATIENT CENTERS WHICH PROVIDE FIRST-RATE ACCESSIBLE CARE. THESE ARE LOCATED AT MERCY HOSPITAL, THE MERCY OUTPATIENT CENTER AT KEYSER AVENUE, SCRANTON, MERCY SPECIAL CARE HOSPITAL, NANTICOKE, PA AND THE MERCY ABINGTON OUTPATIENT CENTER, CLARKS GREEN, PA. THESE CENTERS ALSO SERVE AREA NURSING HOMES WITH FLEXIBLE SCHEDULING AND FAST SERVICE. OUR OUTPATIENT WOUND CARE CENTERS HAVE LONG-STANDING EXPERIENCE AND HAVE CONDUCTED EXTENSIVE RESEARCH. THIS LEVEL OF EXCELLENCE ESPECIALLY BENEFITS OUR DIABETIC POPULATION. MERCY WOUND CARE EDUCATES PATIENTS TO ACTIVELY PARTICIPATE IN THEIR CARE, REQUESTING THEIR DOCTOR TO CHECK THEIR FEET AND OTHER EXTREMITIES, LESSENING THE NEED FOR MORE AGGRESSIVE INTERVENTION AND POSSIBLE AMPUTATION. THE PRINCIPAL FOCUS OF DISEASE PREVENTION AND MANAGEMENT AT MERCY HOSPITAL OF SCRANTON IS COMMUNITY AND PROFESSIONAL MEDICAL EDUCATION, WITH STRONG EMPHASIS ON PATIENT COMPLIANCE. THERE ARE PROGRAMS IN PLACE FOR DIABETES, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), CARDIAC REHAB (MAINTENANCE/SECONDARY PREVENTION), CONGESTIVE HEART FAILURE (CHF), AND END STAGE CARDIAC DISEASE. EDUCATION COVERS MEDICATION, DIET, INTENSITY OF EXERCISE, AND TROUBLE SHOOTING (KNOWING WHEN TO CALL THE DOCTOR). EDUCATION AND COMPLIANCE INCLUDE SCHEDULED CLASSES AND SUPPORTIVE FOLLOW-UP PHONE CALLS. OUR COMPREHENSIVE APPROACH ALSO INCLUDES LECTURES ON CARDIOVASCULAR RISK FACTORS FOR SENIOR CITIZENS, QUARTERLY SCREENING FOR BLOOD PRESSURE, CHOLESTEROL AND BLOOD GLUCOSE LEVELS, HEART HEALTHY EDUCATION AIMED AT THE MIDDLE SCHOOL POPULATION AND GENERAL HEALTH LECTURES FOR SENIORS. MERCY HOSPITAL OF SCRANTON ALSO PROVIDES A HEALTHY KIDS IMMUNIZATION PROGRAM IN COOPERATION WITH THE COMMONWEALTH OF PENNSYLVANIA. THE STATE PROVIDES THE VACCINES. MERCY HEALTHCARE FOUNDATION PROVIDES NEEDED SUPPLIES, AND MERCY HOSPITAL OF SCRANTON PROVIDES THE PERSONNEL TO ADMINISTER THE PROGRAM AND VACCINATE THE CHILDREN. THE HEALTHY NORTHEAST INITIATIVE IS AN INTENSELY COLLABORATIVE COMMUNITY PROGRAM WITH ALL HEALTH CARE FACILITIES IN THE AREA PARTICIPATING. THE MAJOR AREA HOSPITALS SUPPORT THE HEALTHY NORTHEAST INITIATIVE PROGRAM WITH A $10,000 ANNUAL CONTRIBUTION PER FACILITY. MERCY'S OTHER PARTNERS IN THIS ENDEAVOR INCLUDE THE UNIVERSITY OF SCRANTON, KING'S COLLEGE AND BLUE CROSS. THE ORGANIZATION'S OBJECTIVE IS TO IMPROVE THE HEALTH OF OUR REGION. HEALTHY NORTHEAST INITIATIVE IS RECOGNIZED BY THE COMMONWEALTH OF PENNSYLVANIA AS THE HEALTH IMPROVEMENT PARTNER FOR LACKAWANNA AND LUZERNE COUNTIES. CURRENTLY, THE ORGANIZATION'S PRIMARY FOCUS IS THE REVIEW AND DISTRIBUTION OF GRANT DOLLARS. THIS COLLABORATIVE EFFORT OFFERS A COMMUNITY-BASED COMPREHENSIVE APPROACH TO CARE SOLUTIONS FOR THE UNINSURED. THE SCRANTON-TEMPLE RESIDENCY PROGRAM (STRP) IS A COLLABORATIVE PROGRAM BETWEEN MERCY HOSPITAL OF SCRANTON AND MOSES TAYLOR HOSPITAL. IT OFFERS PHYSICIAN RESIDENCY EXPERIENCES TO STUDENT PHYSICIANS FROM TEMPLE UNIVERSITY AND IS A ROTATION FOR INTERNAL MEDICINE. STRP ALSO ADMINISTERS THE SCRANTON TEMPLE HEALTH CENTER WHICH IS COMPRISED OF TWO HEALTHCARE CLINICS. EACH HOSPITAL OPERATES ONE OF THE CLINICS. STRP PHYSICIANS TRAIN AT BOTH HOSPITALS. THE CLINICS TREAT THE UNINSURED, THE UNDERINSURED, MEDICAID PATIENTS AND PATIENTS WITH VARIOUS OTHER INSURANCES REGARDLESS OF THEIR ABILITY TO PAY. STRP IS ANOTHER EXAMPLE OF COLLABORATION PRIMARILY TO TRAIN NEW PHYSICIANS BUT ALSO TO CARE FOR THOSE IN NEED. NATIONALLY, ACUTE CARE MEDICINE OPERATES WITHIN STRINGENT ECONOMIC AND REGULATORY PARAMETERS. AS WE CONTINUE CARING FOR OUR POPULATION IN CHALLENGING FINANCIAL TIMES, RESOURCES ARE LIMITED. WITHIN THE MISSION AND CORE VALUES OF MERCY, AND THROUGH PLANNING, NEEDS ASSESSMENT AND OPEN INTERACTIONS WITH OUR COMMUNITY, WE ARE ABLE TO TRANSLATE MUCH OF THE WORK OF OUR PERSONNEL DIRECTLY INTO COMMUNITY BENEFIT. MERCY'S NURSING STAFF, WORKING WITH ACUTE PATIENTS IN CARDIAC REHABILITATION, OPEN THEIR EXPERTISE TO THE COMMUNITY, EDUCATING THEM ON HOW TO KEEP THEIR HEARTS HEALTHY. MERCY'S DIABETIC EDUCATORS, TOGETHER WITH OUR DIETICIANS AND DOCTORS, CREATE INTERACTIVE EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC, SHARING SOLID CLINICAL INFORMATION ABOUT THE RIGHT WAY TO EAT AND EXERCISE AND HOW TO AVOID DIABETES. MERCY HOSPITAL OF SCRANTON IS A TRANSPARENT HEALTHCARE ORGANIZATION, THE STRUCTURE OF WHICH DIRECTLY REFLECTS COMMUNITY NEED. ALTHOUGH THERE IS NO COMMUNITY BENEFIT DEPARTMENT AT MERCY, SERVING THE COMMUNITY IS CENTRAL TO THE MISSION OF THE ORGANIZATION. MERCY PERSONNEL SPEND MANY HOURS FULFILLING THIS FOCUSED ASPECT OF THAT MISSION. Promotion of community health Schedule H, Part VI, Line 5 MERCY HOSPITAL OF SCRANTON IS A TAX-EXEMPT HEALTHCARE ORGANIZATION THAT DELIVERS UNIFORM MEDICAL CARE TO ALL PERSONS ARRIVING AT OUR DOORS. WE DELIVER THIS CARE WITHOUT REGARD TO AN INDIVIDUAL'S ABILITY TO PAY FOR SERVICES. MERCY HOSPITAL OF SCRANTON'S MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS. THE MAJORITY OF OUR GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY THE HOSPITAL. MERCY HOSPITAL OF SCRANTON, IN COOPERATION WITH AFFILIATES AND PARTNERS, CONDUCTS RESEARCH FROM TIME TO TIME AND OFFERS THIS RESEARCH, ESPECIALLY IN THE AREAS OF CARDIOVASCULAR, ONCOLOGICAL SERVICES AND WOUND CARE, FOR PUBLIC SCRUTINY AND SCIENTIFIC ADVANCEMENT. MERCY HOSPITAL OF SCRANTON ACTIVELY CONDUCTS PROFESSIONAL AND PUBLIC EDUCATION THROUGH A VARIETY OF VENUES INCLUDING CONTINUING MEDICAL EDUCATION, COMMUNITY HEALTH FORUMS, THE SCRANTON TEMPLE RESIDENCY PROGRAM, WELLNESS FAIRS AND IN-HOUSE EDUCATION. MERCY HOSPITAL OF SCRANTON ACCEPTS MEDICARE, MEDICAID, CHAMPUS, TRICARE AND OTHER GOVERNMENT SPONSORED HEALTH CARE REIMBURSEMENT PROGRAMS. Affiliated health care system Schedule H, Part VI, Line 6 MERCY HOSPITAL, SCRANTON, PA IS AFFILIATED WITH THE FOLLOWING HEALTHCARE ENTITIES: MERCY HEALTH PARTNERS NORTHEAST REGION INC. (PARENT COMPANY); MERCY HOSPITAL OF NANTICOKE D/B/A MERCY SPECIAL CARE HOSPITAL; MERCY MED-CARE INC.; MERCY COMMUNITY CARE CORPORATION, AND MERCY HEALTHCARE FOUNDATION, INC. ALL ARE PENNSYLVANIA NON-PROFIT CORPORATIONS. THE HOSPITAL IS SPONSORED BY THE RELIGIOUS SISTERS OF MERCY AND HAS BEEN AN INTEGRAL PART OF NORTHEASTERN PENNSYLVANIA FOR MANY YEARS. IT IS AN ACUTE-CARE HOSPITAL WITH APPROXIMATELY 230 LICENSED BEDS. MERCY HEALTH PARTNERS, NORTHEAST REGION COMMUNITY BENEFIT FOR 2010 IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $11.4 MILLION. BENEFITS TO THE BROADER COMMUNITY $3.5 MILLION. UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $5.6 MILLION. COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $2.3 MILLION. SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $0.1 MILLION. COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE LESS BAD DEBT: 5.6 PERCENT. MERCY HOSPITAL, SCRANTON, PA IS A MEMBER OF CATHOLIC HEALTH PARTNERS (CHP). CHP IS THE CONTINUATION OF THE HEALTH MINISTRY STARTED MORE THAN 150 YEARS AGO BY OUR CO-SPONSORING CONGREGATIONS: THE SISTERS OF MERCY, REGIONAL COMMUNITY OF CINCINNATI (OH); THE MID-ATLANTIC COMMUNITY, MERION STATION, PA; THE SISTERS OF THE HUMILITY OF MARY; THE FRANCISCAN SISTERS OF THE POOR; AND COVENANT HEALTH SYSTEMS. OUR SYSTEM OF REGIONAL HEALTH CARE PROVIDERS SERVES LOCAL HEALTH NEEDS IN COMMUNITIES IN OHIO, INDIANA, KENTUCKY, PENNSYLVANIA AND TENNESSEE. CHP IS FOCUSED ON IMPROVING THE HEALTH OF COMMUNITIES WE SERVE BY PROVIDING INTEGRATED HEALTH SERVICES THROUGH FACILITIES THAT INCLUDE ACUTE CARE HOSPITALS, LONG-TERM CARE RESIDENCES, HOUSING SITES FOR THE ELDERLY, HOME HEALTH AGENCIES, HOSPICE PROGRAMS, OUTREACH SERVICES AND WELLNESS CENTERS. OUR HOSPITALS INCLUDE FOUR CRITICAL ACCESS FACILITIES OFFERING ESSENTIAL HEALTH SERVICES THAT WOULD OTHERWISE NOT EXIST IN THOSE COMMUNITIES. WE CARE FOR EVERYONE WHO COMES TO US, REGARDLESS OF THEIR ABILITY TO PAY. AS WE HAVE DONE FOR DECADES, WE PROVIDE EXTENSIVE SERVICES TO THE BROADER COMMUNITY, WITH EMPHASIS ON SERVICES FOR PERSONS WHO ARE POOR AND UNDER-SERVED. CHP'S HOME OFFICE PROVIDES SERVICES AND SUPPORT TO THE ENTIRE SYSTEM, INCLUDING BUT NOT LIMITED TO: PROVIDING GOVERNANCE, MANAGEMENT OVERSIGHT, STRATEGIC LEADERSHIP, FOCUSING RESOURCES TO ASSURE THE HEALING MISSION, PROVIDING ACCESS TO LOWER COST DEBT FINANCING TO SUPPORT OPERATIONS, IMPROVING CLINICAL OUTCOMES AND REDUCING OPERATING COSTS. SYSTEM-WIDE COMMUNITY BENEFIT FOR 2010 PER THE AUDIT FOOTNOTE IS AS FOLLOWS: TOTAL 2010 COMMUNITY BENEFIT: $ 365.1 MILLION. BENEFITS TO THE BROADER COMMUNITY $ 77.1 MILLION. UNREIMBURSED CARE FOR THOSE WHO ARE POOR AND QUALIFY FOR MEDICAID $ 131.7 MILLION. COST OF CARE FOR THOSE WHO COULD NOT AFFORD TO PAY $ 123.2 MILLION. SUPPORT FOR OTHER PROGRAMS FOR THOSE WHO ARE POOR $ 33.1 MILLION. COMMUNITY BENEFIT AS PERCENT OF TOTAL EXPENSE: 8.5 PERCENT. COMMUNITY BENEFIT REPORT PART VI, LINE 6A, 6B DESCRIPTION THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED BY CATHOLIC HEALTH PARTNERS (CHP), A RELATED TAX-EXEMPT ORGANIZATION. A COPY OF THE COMMUNITY BENEFIT REPORT CAN BE FOUND ON CHP'S WEB SITE AT WWW.HEALTH-PARTNERS.ORG. COMMUNITY BENEFIT REPORT FILING PART VI, LINE 7 THE HOSPITAL IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT IN ANY STATE. true X Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 DONATIONS ARE PROVIDED TO LOCAL TAX-EXEMPT ORGANIZATIONS BASED UPON REQUESTS RECEIVED FROM THE ORGANIZATIONS. MANAGEMENT REVIEWS ALL REQUESTS FOR DONATIONS AND APPROVES REQUESTS DEEMED WORTHY. NO RESTRICTIONS ARE PLACED ON THE DONATIONS AND MONITORING THE USE OF THE DONATION IS NOT A REQUIREMENT TO QUALIFY FOR A DONATION. true true false false false false false true false GERARD MARITATO 206464 0 4200 0 9008 0 6342 0 21496 0 247510 0 0 0 PAUL DUBIEL 225629 0 4200 0 9454 0 6937 0 16481 0 262701 0 0 0 ANTHONY SAUTER 314457 0 4200 0 10642 0 12250 0 22168 0 363717 0 0 0 GERARD NEALON 409319 0 4200 0 7428 0 7350 0 15878 0 444175 0 0 0 ANTHONY YANNI MD 125993 0 25596 0 124838 0 0 0 17209 0 293636 0 0 0 STEPHEN H FRANKO III 0 216852 0 34236 0 25931 0 17150 0 20902 0 315071 0 0 KEVIN COOK 0 285875 0 50202 0 3907 0 6102 0 17908 0 363994 0 0 JOHN M STARCHER JR 0 500356 0 184208 0 249594 0 123176 0 26670 0 1084004 0 0 PATRICIA IHNAT 244755 0 0 0 0 0 0 0 5103 0 249858 0 0 0 Severance or change-of-control payment Schedule J, Part I, Line 4a SEVERANCE BENEFITS CONSISTING OF CONTINUATION OF BASE SALARY AND INSURANCE BENEFITS WERE PROVIDED TO LISTED INDIVIDUALS FOR SPECIFIED PERIODS. THE LISTED INDIVIDUALS EXECUTED RELEASES AND WAIVERS OF CLAIMS IN EXCHANGE FOR THE SEVERANCE BENEFITS. SALARY CONTINUATION AMOUNTS PROVIDED DURING THE YEAR TO LISTED INDIVIDUALS WERE AS FOLLOWS: ANTHONY YANNI, M.D. $122,123. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b THE CHP SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTIVELY, VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMINATION, PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JOHN M. STARCHER JR. $224,469. Non-fixed payments Schedule J, Part I, Line 7 FOR LISTED OFFICERS AND KEY EMPLOYEES, THE ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION. THE ORGANIZATION'S BOARD OF TRUSTEES ESTABLISHES OBJECTIVE THRESHOLDS FOR QUALITY, COMMUNITY BENEFIT, HUMAN POTENTIAL, AND FINANCIAL PERFORMANCE WHICH MUST BE ACHIEVED FOR INCENTIVES TO BE AWARDED. THE BOARD ALSO ESTABLISHES THRESHOLD, TARGET AND MAXIMUM LEVELS FOR INCENTIVE AWARDS. WITHIN THESE ESTABLISHED PARAMETERS, THE INCENTIVE COMPENSATION FOR THE LISTED INDIVIDUALS IS DETERMINED BY THE CEO AND DISCLOSED TO THE BOARD. THE BOARD MAY AUTHORIZE MODIFIED INCENTIVE AWARDS WHEN APPROPRIATE IN ITS JUDGMENT. FOR PHYSICIANS, THE NON-FIXED PAYMENT IS AN INCENTIVE PAYMENT. THE PHYSICIAN IS ELIGIBLE FOR A MAXIMUM OF $2,400 PER QUARTER BASED ON FOUR PERFORMANCE PARAMETERS ESTABLISHED IN THE CONTRACT. THE INCENTIVE IS DETERMINED AND DISTRIBUTED BASED ON THE PHYSICIAN ACHIEVING ANY ONE OF THE FOUR AREAS OF MEASUREMENT FOR GROUP AND INDIVIDUAL INCENTIVES. CEO COMPENSATION SCHEDULE J, PART I, LINE 3 THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY MERCY HEALTH PARTNERS - NORTHEAST REGION (MHP), A RELATED TAX-EXEMPT ORGANIZATION. MHP UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE WHEN DETERMINING THE CEO'S COMPENSATION. THE CHP RETENTION PLAN SCHEDULE J, PART I, LINE 4B THE CHP RETENTION PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST AND CEASE TO RECEIVE CREDITS AFTER 5 YEARS OF PLAN PARTICIPATION PROVIDED THEY REMAIN EMPLOYED. VESTING AND CESSATION OF CREDITS OCCUR EARLIER FOR DEATH OR TOTAL DISABILITY WHILE EMPLOYED, INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION, OR, FOR CERTAIN PARTICIPANTS, UPON BEING OFFERED A SPECIFIED PROMOTION. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS UPON VESTING. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: JOHN M. STARCHER JR. $0. MERCY CARDIOVASCULAR CATH LAB CHRISTOPHER DRESSEL, JR, MD (BOARD MEMBER) HAS A REPORTABLE OWNERSHIP INTEREST 825000 INDEPENDENT CONTRACTOR false Description of other program services Form 990, Part III, Line 4d OTHER PROGRAM SERVICES Classes of members or stockholders Form 990, Part VI, Section A, Line 6 MERCY HEALTH PARTNERS - NORTHEAST REGION, INC. IS THE SOLE MEMBER OF MERCY HOSPITAL, SCRANTON, PA. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a SECTION 4 (B)MATTERS AFFECTING ANY SUBSIDIARY REQUIRING CATHOLIC HEALTH PARTNERS (CHP) APPROVAL BY ACTION OF CHP'S GOVERNING BOARD. THE CHP GOVERNING BOARD SHALL HAVE THE FINAL AUTHORITY, FOR AND ON BEHALF OF CHP, TO ACT ON ALL OF THE FOLLOWING MATTERS (AFTER RECEIVING A RECOMMENDATION OF THE GOVERNING BOARD OF THE SUBSIDIARY AFFECTED BY SUCH ACTION), AND NO ACTION TAKEN WITH RESPECT TO ANY OF THESE MATTERS SHALL BE EFFECTIVE UNLESS APPROVED BY THE CHP GOVERNING BOARD:(II)TO FIX THE NUMBER OF AND TO ELECT THE MEMBERS OF THE GOVERNING BOARD OF THE FIRST TIER SUBSIDIARY AND TO ESTABLISH THE CRITERIA FOR THEIR SELECTION OR ELECTION/RE-ELECTION. SECTION 4 (D)MATTERS AFFECTING SECOND TIER SUBSIDIARIES REQUIRING FIRST TIER SUBSIDIARY APPROVAL BY ACTION OF ITS GOVERNING BOARD. EXCEPT WHERE SUCH AUTHORITY HAS BEEN RESERVED TO CHP, THE GOVERNING BOARD OF THE FIRST TIER SUBSIDIARY SHALL HAVE THE FINAL AUTHORITY, FOR AND ON BEHALF OF THE FIRST TIER SUBSIDIARY, TO ACT ON THE FOLLOWING MATTERS, EITHER ON ITS OWN MOTION OR AFTER RECEIVING A RECOMMENDATION OF THE GOVERNING BOARD OF THE SECOND TIER SUBSIDIARY AFFECTED BY SUCH ACTION, AND NO ACTION TAKEN WITH RESPECT TO ANY OF THESE MATTERS SHALL BE EFFECTIVE UNLESS APPROVED BY THE GOVERNING BOARD OF THE FIRST TIER SUBSIDIARY: (IV)TO FIX THE NUMBER OF AND TO ELECT THE MEMBERS OF THE GOVERNING BOARD OF ANY SECOND TIER SUBSIDIARY AND TO ESTABLISH THE CRITERIA FOR THEIR SELECTION OR ELECTION/RE-ELECTION. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b CERTAIN MATTERS REQUIRE APPROVAL OF THE CATHOLIC HEALTH PARTNERS CORPORATE MEMBER, CATHOLIC HEALTH PARTNERS GOVERNING BODY, OR CATHOLIC HEALTH PARTNERS CHIEF EXECUTIVE OFFICER. THE REGULATIONS OF THE ORGANIZATION DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE FORM 990 IS PREPARED BY CHP'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. Conflict of interest policy Form 990, Part VI, Section B, Line 12c ALL BOARD MEMBERS ARE COVERED BY THE CATHOLIC HEALTH PARTNERS (CHP) CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY CHP CORPORATE COMPLIANCE OFFICER. AT THE BEGINNING OF EACH BOARD MEETING ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. BOARD MEMBERS DETERMINED TO HAVE A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISION-MAKING FOR THE TRANSACTION IN WHICH THE CONFLICT EXISTS. Public Disclosure Form 990, Part VI, Section C, Line 19 MERCY HOSPITAL, SCRANTON, PA'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND ARTICLES OF INCORPORATION ARE AVAILABLE UPON REQUEST. CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE AT THE CATHOLIC HEALTH PARTNERS WEB SITE. AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS BY LISTED PERSONS FORM 990 PART VII SECTION A COLUMN (B) JAMES CLEMENTE 3 ROBERT J. KNOWLES, JR. 2 SR. MARY HELEN NUGENT, RSM 2 MARY JANE K. DIMATTIO, PH.D. 2 CHRISTOPHER J. DRESSEL, JR. M.D. 2 JEREMIAH W. EAGEN, M.D. 2 MATTHEW E. HAGGERTY, ESQUIRE 2 ELIZABETH KULKARNI 2 JAMES B. MILESKI 2 JUDGE TERRENCE R. NEALON 2 HENRY J. SALLUSTI 2 NATALIE G. SOLFANELLI 2 SR. MAYON SYLVAIN, RSM 2 MARK T. MITCHELL 3 KEVIN COOK 49 STEPHEN H. FRANKO III 49 JOHN M. STARCHER, JR. 50 Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 422912; PENSION ADJUSTMENT - -1136944; INTERCOMPANY TRANSACTIONS - -379782; MERCY GROUP PRACTICE LLC 746 JEFFERSON AVE SCRANTON PA 18510 261119810 PHYS SRVC PA -356942 539290 NA CATHOLIC HEALTH PARTNERS 615 ELSINORE PLACE CINCINNATI OH 45202 311161086 HEALTHCARE SYSTEM PARENT OH 501(C)(3) 11 - Type III - FI NA CATHOLIC HEALTHCARE PARTNERS FOUNDATION 615 ELSINORE PLACE CINCINNATI OH 45202 201072726 FUNDRAISING OH 501(C)(3) 7 CATHOLIC HEALTH PARTNERS CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT 615 ELSINORE PLACE CINCINNATI OH 45202 208943658 HUD PARENT OH 501(C)(3) 9 CATHOLIC HEALTH PARTNERS CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST 615 ELSINORE PLACE CINCINNATI OH 45202 316046304 RETIREMENT TRUST OH 501(C)(3) 8 CATHOLIC HEALTH PARTNERS SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST 615 ELSINORE PLACE CINCINNATI OH 45202 310990309 TRUST ADMINISTRATION OH 501(C)(3) 11 - Type I CATHOLIC HEALTH PARTNERS COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM 3700 KOLBE ROAD LORAIN OH 44053 270071694 REGIONAL PARENT OH 501(C)(3) 11 - Type II CATHOLIC HEALTH PARTNERS COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER 3700 KOLBE ROAD LORAIN OH 44053 340714704 HOSPITAL OH 501(C)(3) 3 COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM ALLEN MEDICAL CENTER 200 WEST LORAIN ST OBERLIN OH 44074 340864230 HOSPITAL OH 501(C)(3) 3 COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION 3700 KOLBE ROAD LORAIN OH 44053 341504558 FOUNDATION OH 501(C)(3) 11 - Type III - FI COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS 3700 KOLBE ROAD LORAIN OH 44053 341268828 MEDICAL OFFICE RENTAL OH 501(C)(3) 9 COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER ALLEN MEDICAL CENTER FOUNDATION 200 WEST LORAIN ST OBERLIN OH 44074 341675592 FOUNDATION OH 501(C)(3) 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