2011-03-15T12:05:43-04:00 2010-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2009-07-01 240802108 CHARLES COLE MEMORIAL HOSPITAL CHAR 8142749300 1001 EAST SECOND STREET COUDERSPORT PA 16915 EDWARD PITCHFORD 2010-01-07 true Brian D Todd 4178658701 2009 2016-02-24 21:20:13Z EDWARD PITCHFORD 1001 EAST SECOND STREET COUDERSPORT PA 16915 69452002 false X http://www.charlescolehospital.com/ X 1967 PA THE PURPOSE OF CHARLES COLE MEMORIAL HOSPITAL IS TO PROVIDE EXCELLENT HEALTHCARE SERVICES, RESPONDING TO THE NEEDS OF THE COMMUNITIES WE SERVE. 13 8 685 65 73131 71775 976043 692259 60590802 63883574 -197348 882589 4610 63394 61374107 65521816 0 0 0 0 27483500 29387358 0 54904 56082 34188602 36868321 61672102 66310583 -297995 -788767 53913783 52729110 36337133 37784281 17576650 14944829 SEE SCHEDULE O. false false 12825232 16761321 CHARLES COLE MEMORIAL HOSPITAL OFFERS VARIOUS INPATIENT SERVICES. CCMH ADMITTED 2,900 PATIENTS LAST YEAR (5,600 ACUTE CARE DAYS) TO INPATIENT SERVICES INCLUDING MEDICAL/SURGICAL, INTENSIVE CARE AND OBSTETRICS UNITS. CCMH'S 24-HOUR EMERGENCY DEPARTMENT ADMITTED 960 PATIENTS LAST YEAR AND SAW 9,300 VISITS LAST YEAR. THE HOSPITAL'S MATERNITY UNIT WELCOMED 250 BABIES INTO THE WORLD LAST YEAR AND ALSO SUPPORTS MOTHERS-TO-BE WITH REGULAR LAMAZE AND BREASTFEEDING SUPPORT PROGRAMS AND THE HEALTHY BEGINNINGS PLUS PROGRAM FOR LOW INCOME MOTHERS. INPATIENT SATISFACTION RANKS IN THE TOP 6% ACROSS THE NATION. SEE SCHEDULE O FOR FURTHER DETAIL. 18838098 31165357 CHARLES COLE MEMORIAL HOSPITAL OFFERS VARIOUS OUTPATIENT SERVICES. OUTPATIENT SERVICES EXCEED 348,400 VISITS ANNUALLY. SERVICES ARE OFFERED THROUGHOUT THE HOSPITAL'S FOUR-COUNTY AREA AND INCLUDE IMAGING, LAB, AND REHABILITATION SERVICES. OUTPATIENT SURGERIES EXCEED 3,900 ANNUALLY. THE PATTERSON CANCER CARE CENTER OFFERS FULL SERVICE RADIATION AND MEDICAL ONCOLOGY SERVICES AND HOUSES AN AMERICAN CANCER SOCIETY PATIENT RESOURCE CENTER ONSITE. THE CANCER CENTER IS HOME TO A VARIETY OF SUPPORT GROUPS, AS WELL AS FREQUENT FREE CANCER SCREENINGS FOR THE PUBLIC. SEE SCHEDULE O FOR FURTHER DETAIL. 11432812 6835807 CHARLES COLE MEMORIAL HOSPITAL PROVIDES PRIMARY CARE TO ITS SURROUNDING COMMUNITIES. THE HOSPITAL PROVIDES PRIMARY CARE TO THE SURROUNDING COMMUNITIES IN FOUR COUNTIES AT RURAL HEALTH CENTERS (RHCS), LOCATED IN COUDERSPORT, GALETON, ULYSSES, WESTFIELD, SHINGLEHOUSE, PORT ALLEGANY, ELDRED, SMETHPORT, AND EMPORIUM. FOUR OF THOSE LOCATIONS ALSO INCLUDE WELLNESS AND REHABILITATION CENTERS, MAKING IT MORE CONVENIENT FOR PATIENTS TO RECEIVE THE CARE THEY NEED CLOSE TO HOME. SEE SCHEDULE O FOR FURTHER DETAIL. 14852936 9121089 57949078 true true false true false false false false true true false true false false false false false true true false true false false true false false false false false false true true false false false false false true true false false true 51 0 true 685 true true true false false false false true true false false false 13 8 false false false false true true true true true false false true true true true true true true true true true PA X RON RAPP CONTROLLER 8142749300 1001 EAST SECOND STREET COUDERSPORT PA 16915 MICHAEL E CALLAHAN 40.0 X X 192147 0 6916 EDWARD C PITCHFORD 40.0 X X 276386 0 9821 JASON TRONETTI 40.0 X 323750 0 8702 SETH P SHIFRIN 40.0 X 246798 0 9726 CHARLES UPDEGRAFF 1.0 X X 0 0 0 RON CASKEY 1.0 X 0 0 0 REVEREND RANDALL HEADLEY 1.0 X X 0 0 0 ROBERT MARTIN 1.0 X 0 0 0 HOWARD MILLER 1.0 X 0 0 0 PAUL PRITCHARD 1.0 X X 0 0 0 ROBERT SMITH 1.0 X X 0 0 0 RUSSELL STREICH 1.0 X 0 0 0 SUSAN KEFOVER 1.0 X 0 0 0 CYNTHIA L HARDESTY 40.0 X 178216 0 5550 BRADLEY F GIANNOTTI 40.0 X 880972 0 7252 CHRISTAN M CARAMIA 40.0 X 605350 0 9877 SAKET PRASAD 40.0 X 626106 0 9376 TERRANCE FOUST 40.0 X 478444 0 9274 FRANK HORN 16.0 X 284679 0 7518 4092848 0 84012 34 false true false JAMES BARKE MD PO BOX 110 SHINGLEHOUSE PA 16748 PHYSICIAN 586282 CELSO L BACKES MD 1001 E 2ND ST COUDERSPORT PA 16915 PHYSICIAN 212758 FOOT ANKLE INNOV 2960 PERMISSION DR ERIE PA 16509 PHYSICIAN 198490 BKD LLP PO BOX 1190 SPRINGFIELD MO 65801 AUDITING & TAX PREP 122871 ENERGY TECH PO BOX 804 COUDERSPORT PA 16915 HEATING CONTRACTOR 115927 6 27805 394751 269703 692259 PATIENT SERVICE REVENUE 621990 63148468 63148468 OTHER REVENUE 621990 735106 735106 63883574 162767 162767 62449 62449 0 374649 423797 -49148 -49148 -49148 4092854 3432434 3047 660420 -3047 657373 657373 7920 27805 11449 -3529 -3529 0 49320 59459 -10139 -10139 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 11200 11200 INCOME FROM INVESTMENT IN SUBSIDIARIES 621500 115010 73131 41879 126210 65521816 63883574 73131 872852 0 0 0 0 1258013 788040 469973 141775 141775 21297601 18019322 3278279 715645 601893 113752 4293156 3563782 729374 1681168 1394082 287086 272402 272402 92399 92399 133821 133821 0 54904 54904 55016 55016 13581842 13048988 532854 83945 547 83398 13334688 12182694 1151994 0 0 955139 816467 138672 309840 272845 36995 0 238522 120411 118111 1248233 1143065 105168 0 2503862 2292904 210958 1065618 607890 457728 DUES & SUBSCRIPTIONS 259183 91113 168070 PROVISION FOR BAD DEBTS 2732633 2732633 OTHER FUNDRAISING EXPENSES 1178 1178 66310583 57949078 8305423 56082 4084541 5018474 316465 206716 7508068 7106477 845679 981423 2001805 2099925 65211491 41156401 25483447 24055090 10758111 10756526 1437522 1171705 60945 117496 1417200 1215278 53913783 52729110 6680112 6738312 21010498 20292611 2731447 2268171 5915076 8485187 36337133 37784281 X 13508602 10850438 451693 426591 3616355 3667800 17576650 14944829 53913783 52729110 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 9698 9698 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I THE ORGANIZATION IS A MEMBER OF HAP, AHA, AND HCWP. $9,698 OF DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 3616355 437150 385705 3667800 4837234 -1006344 214535 3616355 1.00000 true false 0 1136374 1136374 420907 27083873 13590664 13914116 10125621 5130616 4995005 24490970 21282527 3208443 1953746 1152594 801152 24055090 0 PENSION BENEFIT OBLIGATION 6702093 DUE TO 3RD PARTIES 1783094 8485187 65521816 66310583 -788767 277382 -2123560 -1846178 -2634945 64110884 277382 -2097974 -1820592 65931476 -409660 -409660 65521816 66745829 435246 435246 66310583 66310583 FIN 48 DISCLOSURE SCHEDULE D, PART X, LINE 2 THE ORGANIZATION ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. BECAUSE NO MATERIAL UNCERTAIN TAX POSITIONS WERE IDENTIFIED, A DISCLOSURE WAS NOT INCLUDED IN THE FOOTNOTES TO THE FINANCIAL STATEMENTS. ENDOWMENT FUND SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUND WAS ESTABLISHED TO ALLOW THE HOSPITAL TO PROVIDE HEALTHCARE SERVICES TO POOR AND NEEDY PATIENTS. OTHER CHANGES IN NET ASSETS SCHEDULE D, PART XI, LINE 8 DEFINED BENEFIT PENSION COSTS: AMORTIZATION OF NET LOSS 175,178 NET LOSS ARISING DURING YEAR (2,273,152) AUXILIARY SPECIAL EVENT REVENUE (35,725) AUXILIARY SALES OF INVENTORY (49,320) AUXILIARY COST OF GOODS SOLD 59,459 OTHER AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VII, LINE 12 SCHEDULE D, PART XII, LINE 2D DEFINED BENEFIT PENSION COSTS: AMORTIZATION OF NET LOSS 175,178 NET LOSS ARISING DURING YEAR (2,273,152) OTHER AMOUNTS INCLUDED ON FORM 990, PART VII, LINE 12, BUT NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4B RENTAL EXPENSES (423,797) SPECIAL EVENT EXPENSE (11,449) AUXILIARY SPECIAL EVENT REVENUE 35,725 AUXILIARY SALES OF INVENTORY 49,320 AUXILIARY COST OF GOODS SOLD (59,459) OTHER AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25 SCHEDULE D, PART XIII, LINE 2D SPECIAL EVENT EXPENSES 11,449 RENTAL EXPENSES 423,797 X X true AUMAN WEIS ENTERPRISES GRANT WRITING false 40945 19904 21041 DELTA DEVELOPMENT GROUP INC GRANT WRITING false 35000 40945 54904 21041 PA GOLF TOURNAMENT 35725 27805 7920 2245 1555 3239 3857 553 0 35725 27805 7920 2245 1555 3239 3857 553 11449 -3529 true true true X true X true true true false true true 515388 515388 0.00780 12831335 8249525 4581810 0.06910 13346723 8249525 5097198 0.07690 187812 32587 155225 0.00230 315313 1690 313623 0.00470 18891594 13643574 5248020 0.07920 1128 1128 19395847 13677851 5717996 0.08620 32742570 21927376 10815194 0.16310 1 75 150 150 5 170 4451 4451 0.00010 4 3956 3956 0.00010 11 80 6199 6199 0.00010 5 156 2167 2167 26 481 16923 16923 0.00030 false 1373695 209488 20565863 22594859 -2028996 X true true CHARLES COLE MEMORIAL HOSPITAL

1001 EAST 2ND STREET COUDERSPORT PA 16915

X X X X ELDRED HEALTH CENTER

139 MAIN STREET ELDRED PA 16371

RURAL HEALTH CENTER EMPORIUM HEALTH CENTER

SIZERVILLE ROAD EMPORIUM PA 15834

RURAL HEALTH CENTER REHABILITATION WELLNESS GALETON HEALTH CENTER

30 RIVER STREET GALETON PA 16922

RURAL HEALTH CENTER PORT ALLEGANY HEALTH CENTER

45 PINE STREET PORT ALLEGANY PA 16743

RURAL HEALTH CENTER REHABILITATION WELLNESS, RADIOLOGY SMETHPORT HEALTH CENTER

83 MARVIN STREET SMETHPORT PA 16749

RURAL HEALTH CENTER REHABILITATION WELLNESS SHINGLEHOUSE HEALTH CENTER

128 LYONS STREET SHINGLEHOUSE PA 16748

RURAL HEALTH CENTER NORTHERN POTTER HEALTH CENTER

511 ACADEMY STREET ULYSSES PA 16948

RURAL HEALTH CENTER WESTFIELD RURAL HEALTH CLINIC

222 CHURCH STREET SHINGLEHOUSE PA 16950

RURAL HEALTH CENTER HEWITT MANOR

111 WEST HONEOYE STREET SHINGLEHOUSE PA 16748

REHABILITATION SEVERAL RURAL HEALTH CLINICS WERE INCLUDED IN THE COMPUTATION OF SUBSIDIZED HEALTH SERVICES ON LINE 7G. CCMH PROVIDES PRIMARY CARE TO THE SURROUNDING COUNTIES AT THESE RURAL HEALTH CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. CCMH CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, WHICH IS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT OR THIRD-PARTY PAYER. LINE 2 WAS DETERMINED BY TAKING THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TIMES THE RATIO OF PATIENT CARE COST TO CHARGES FROM WORKSHEET 2, LINE 11. LINE 3 WAS DETERMINED BY TAKING THE BAD DEBT EXPENSE AT COST (LINE 2) TIMES THE PERCENT OF PERSONS BELOW THE POVERTY LEVEL FOR 2008 BASED ON US CENSUS BUREAU DATA. MEDICARE DATA COMPUTED USING THE MEDICARE COST REPORT FILED WITH CMS WAS UTILIZED FOR THE COMPUTATIONS IN PART III, SECTION B. MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT, AS CCMH IS CLASSIFIED AS A CRITICAL ACCESS HOSPITAL. THIS CLASSIFICATION SHOWS THAT CCMH IS IN A MEDICALLY UNDERSERVED AREA AND AT A HEALTH PROFESSIONAL SHORTAGE AREA. THIS DEMONSTRATES THAT CCMH IS THE ONLY REASONABLE SOURCE OF HOSPITAL CARE AVAILABLE TO MEDICARE BENEFICIARIES IN OUR SERVICE AREA, AND LIKEWISE TREATS ALL BENEFICIARIES IN OUR SERVICE AREA THAT PRESENT THEMSELVES FOR CARE, DESPITE KNOWING WE WILL GENERALLY LOSE MONEY CARING FOR MEDICARE PATIENTS. ADDITIONALLY, SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. EFFORTS ARE MADE TO IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY CARE IN ACCORDANCE WITH THE HOSPITAL'S CHARITY CARE POLICY OR THE PHYSICIAN NETWORK SLIDING FEE SCALE PRIOR TO THE STATEMENT PROCESS WHEN POSSIBLE. CHARLES COLE MEMORIAL HOSPITAL ENGAGED OKLAHOMA STATE UNIVERSITY IN COMPLETING A SERVICE AREA (4 COUNTIES) COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE PROCESS BEGINNING IN JANUARY 2010 AND CONCLUDING IN MARCH 2010 WHEN CHARLES COLE MEMORIAL HOSPITAL RECEIVED OUTCOMES FROM THE SURVEY. SURVEYS WERE CONDUCTED BY TELEPHONE BY OKLAHOMA STATE UNIVERSITY. QUESTIONS WERE DETERMINED AT THE RECOMMENDATION OF OKLAHOMA STATE UNIVERSITY AND REVISED, AS DEEMED NECESARY, BY CCMH. A TOTAL OF 200 PHONE SURVEYS WERE COMPLETED AND 48 ONLINE SURVEYS WERE SUBMITTED FROM ALL SERVICE AREA ZIP CODES. RESULTS WERE TALLIED AND ANALYZED BY OKLAHOMA STATE UNIVERSITY AND THEN PRESENTED TO CCMH AND A GROUP OF APPROXIMATELY 100 INDIVIDUALS FROM OUR COMMUNITY BENEFIT ADVISORY COMMITTEES (NOW KNOWN AS CORPORATE ADVISORS), CCMH PUBLIC RELATIONS COMMITTEE (A BOARD OF DIRECTOR'S SUB-COMMITTEE AND NOW KNOWN AS THE COMMUNITY RELATIONS COMMITTEE), CCMH LEADERSHIP AND CCMH BOARD OF DIRECTORS. IN ADDITION TO THE RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, CCMH DETERMINES HEALTHCARE NEEDS OF THE COMMUNITIES WHICH WE SERVE THROUGH SURVEYS OF OUR COMMUNITY BENEFIT ADVISORY COMMITTEE MEMBERS, INDIVIDUAL RECOMMENDATIONS, BOARD OF DIRECTORS RECOMMENDATIONS, COMMUNITY EVENT SATISFACTION SURVEYS, AND LOCAL AND STATE HEALTHCARE TRENDS. THE PATIENT FINANCIAL COUNSELOR CONTACTS SELF-PAY PATIENTS/GUARANTORS TO DISCUSS PAYMENT ARRANGEMENTS. IF THEY ARE UNABLE TO PAY - SHE EXPLAINS THE PROCESS OF APPLYING FOR CHARITY WHICH INCLUDES APPLYING FOR PA MEDICAL ASISSTANCE FIRST AND IF THEY ARE DENIED OR HAVE A PORTION TO PAY, THEN THEY CAN APPLY FOR CHARITY. THE CHARITY APPLICATION IS ON THE BACK OF OUR SELF-PAY STATEMENTS. ALSO, THE HOSPITAL OWNED PHYSICIAN PRACTICES ARE AWARE OF THIS PROGRAM AND REFER PATIENTS/GUARANTORS TO THE PATIENT FINANCIAL COUNSELOR. CCMH SERVES PATIENTS MAINLY FROM POTTER, MCKEAN, TIOGA, CAMERON AND ELK COUNTIES IN NORTHCENTRAL PA. ALL OF THE COUNTIES THAT WE SERVE ARE CONSIDERED RURAL AND MOUNTAINOUS. CAMERON COUNTY CURRENTLY HAS THE HIGHEST UNEMPLOYMENT RATE IN THE STATE AND ALL OF THE COUNTIES SERVED ARE BATTLING THE EFFECTS OF THE ECONOMY AND JOB LOSS. OUR POPULATION IS ALSO AGING AS THE AREA OFFERS LITTLE FOR A YOUNGER DEMOGRAPHIC IN THE WAY OF EMPLOYMENT, EDUCATION AND CULTURE. THE MISSION OF CHARLES COLE MEMORIAL HOSPITAL INDICATES THAT THE HOSPITAL RESPONDS TO THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES AND IS LARGELY DEPENDENT ON PROVIDING SERVICES AND CARE TO THOSE INDIVIDUALS WHO MAY NOT HAVE THE RESOURCES TO BE AWARE OF, ABLE TO PAY FOR, OR HAVE THE EDUCATION/KNOWLEDGE ABOUT CARE, PROGRAMS AND SERVICES THAT ARE AVAILABLE TO THEM. THROUGH VARIOUS ACTIVITIES CHARLES COLE REACHES OUT TO OUR COMMUNITIES TO EDUCATE, IMPROVE HEALTH, PREVENT AND TREAT DISEASE AND SUPPORT INDIVIDUALS AND GROUPS. CHARLES COLE, IN COOPERATION WITH COMMUNITY BASED GROUPS SUCH AS ROTARY, PROVIDE FIVE COMPREHENSIVE BLOOD ANALYSIS ANNUALLY. COMPREHENSIVE BLOOD ANALYSIS SCREENINGS ARE PROVIDED IN FIVE RURAL COMMUNITIES: GALETON, SMETHPORT, PORT ALLEGANY, SHINGLEHOUSE AND COUDERSPORT. CBA'S SCREEN OVER 30 OF THE MOST COMMON BLOOD TESTS THAT DETECT HEALTH ISSUES SUCH AS CORONARY HEART DISEASE, LIVER DISEASE, KIDNEY DISEASE, CANCER, THYROID DISEASE, DIABETES, ANEMIA, BONE DISEASE AND RESPIRATORY DISEASE. THESE SCREENINGS ARE PROVIDED AT A FRACTION OF THE COST OF HAVING THESE TESTS PERFORMED THROUGH A FAMILY PHYSICIAN. ALL PARTICIPANTS AND THEIR PRIMARY MEDICAL PROVIDER ARE SENT THE RESULTS AND PROVIDERS FOLLOW-UP WITH INDIVIDUALS WHOSE SCREENING RESULTS INDICATE ABNORMALITIES. FOR MANY INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED AND LIKELY WOULD NOT SEEK MEDICAL CARE UNTIL IT WAS EMERGENT, THESE EVENTS PROVIDE AN AVENUE TO MONITOR THEIR HEALTH AND DETECT POTENTIAL ISSUES BEFORE THEY BECOME EMERGENT. IN ADDITION, THE LOCAL CO-SPONSORS RECEIVE A PORTION OF THE PROCEEDS FROM THESE EVENTS AND UTILIZE THE FUNDS TO PROVIDE SCHOLARSHIPS AND SUPPORT TO LOCAL STUDENTS AND PROJECTS TO BENEFIT THE COMMUNITY. ANNUALLY, CHARLES COLE PARTNERS WITH THE AREA AGENCY ON AGING AND THE PENNSYLVANIA DEPARTMENT OF HEALTH TO ADMINISTER SEASON INFLUENZA AND PNEUMOCCOCAL VACCINE TO COUNTY SENIORS, THE INDIGENT, THE HOUSE-BOUND AND THE UNINSURED AT NO COST. FY2010 800 NO-COST INFLUENZA VACCINES AND 123 PNEUMOCOCCAL VACCINES WERE ADMINISTERED THROUGH 9 CLINICS IN 7 COMMUNITIES. IN MANY CASES THE UNDERSERVED POPULATIONS ARE MORE LIKELY TO BECOME ILL AND POTENTIALLY FACE EMERGENT HEALTH NEEDS FROM VACCINE-PREVENTABLE DISEASE. BY PROVIDING CLINICS AT COUNTY SENIOR CENTERS AND IN RURAL COMMUNITY SETTINGS MANY INDIVIDUALS WHO WOULD LIKELY NOT RECEIVE THESE COMMON VACCINES CAN BE IMMUNIZED AT NO COST AND IN CLOSE PROXIMITY TO THEIR HOMES. IN ADDITION, WITH THE OUTBREAK OF THE H1N1 INFLUENZA VIRUS IN THE FALL OF 2009, CCMH ADMINISTERED APPROXIMATELY 5500 DOSES OF H1N1 VACCINE TO ANY INDIVIDUAL WHO MET CRITERIA. ALSO IN CONJUNCTION WITH THE AREA AGENCY ON AGING, CHARLES COLE PROVIDES NO-COST EDUCATION TO COUNTY SENIOR CENTERS. IN FY 2010, CCMH PROVIDED 7 HEALTH EDUCATION PROGRAMS, EACH PRESENTED AT 4 SENIOR CENTERS FOR A TOTAL OF 30+ SESSIONS. TOPICS INCLUDED IMMUNIZATIONS, OSTEOPOROSIS, HEEL SCREENINGS, WINTER SKIN & FOOT CARE, THE DIABETIC FOOT & GOUT, INCONTINENCE AND GASTROINTESTINAL ISSUES IN SENIORS. FINALLY, AS AN ON-GOING EFFORT TO PROVIDE FULL-SPECTRUM CANCER CARE TO INDIVIDUALS IN RURAL NORTHCENTRAL PENNSYLVANIA, THE PATTERSON CANCER CARE CENTER PHYSICIANS AND STAFF PROVIDED APPROXIMATELY 170 NO-COST CANCER SCREENINGS. SCREENINGS INCLUDED SCREENINGS FOR PROSTATE, COLORECTAL AND SKIN CANCER. SCREENINGS WERE PERFORMED BY ONCOLOGY PHYSICIANS WHO SPECIALIZE IN THE DETECTION, DIAGNOSIS AND TREATMENT OF CANCER. INDIVIDUALS PARTICIPATING IN THESE SCREENINGS WERE BOTH MALE AND FEMALE, ADULT AND SENIOR AND UNINSURED/UNDERINSURED. IN ADDITION TO THE SCREENINGS, PARTICIPANTS WERE ALSO EDUCATED ON HEALTHY HABITS TO REDUCE RISK OF CANCER AND SIGNS AND SYMPTOMS OF CANCER. ALONG WITH MANY OTHER PROGRAMS SUCH AS SUPPORT GROUPS, SPEAKER'S BUREAU, WORKFORCE DEVELOPMENT, ECONOMIC SUPPORT, COMMUNITY LEADERSHIP, PARTNERSHIPS WITH LOCAL CIVIC, GOVERNMENT, SCHOOL DISTRICTS AND COMMUNITY GROUPS, CHARLES COLE MEMORIAL HOSPITAL CONTINUES EFFORTS TO ASSURE THAT HEALTHCARE, IN ALL FORMS, IS ACCESSIBLE AND AVAILABLE TO THOSE WHO MAY OTHERWISE GO WITHOUT. CCMH PROVIDES THE COMMUNITY WITH SPACE FOR EVENTS, MEETINGS AND PROGRAMS SUCH AS SUPPORT GROUPS AND YOUTH SPORTS. CCMH'S EMPLOYEE GIVING CLUB, HEART OF COLE, HAS A DESIGNATED GROUP THAT FOCUSES ON COMMUNITY CONNECTIONS. THE GROUP ANNUALLY UTILIZES APPROXIMATELY $10,000 ON COMMUNITY CONNECTIONS INCLUDING DONATIONS, IN FY09 SPECIFICALLY TO SERVE INDIVIDUALS AND FAMILIES THROUGH MONETARY AND NON-PERISHABLE FOOD DONATIONS TO LOCAL FOOD BANKS AND TO PURCHASE OF HEALTHCARE-RELATED ITEMS TO BE USED AS GIVE-AWAYS AT COMMUNITY EVENTS. CHARLES COLE STRIVES TO LIVE UP TO ITS NON-PROFIT MISSION EVERY DAY, PROVIDING EXCELLENT HEALTHCARE SERVICES TO OUR AREA AND LISTENING AND RESPONDING TO THE COMMUNITIES WE SERVE. IN AN EFFORT TO PLAN FOR THE UNIQUE NEEDS OF COMMUNITIES IN THE SERVICE AREA, FIVE COMMUNITY BENEFIT ADVISORY COMMITTEES WERE ESTABLISHED AS A MAJOR INITIATIVE TO DEEPEN AND STRENGTHEN ITS CONNECTION WITH THE COMMUNITY AND TO LINK COMMUNITY BENEFIT ACTIVITIES TO STRATEGIC AND OPERATIONAL PLANS. THE ROLE OF THE COMMITTEES IS TO IDENTIFY THE NEEDS AND CONCERNS OF THE COMMUNITY, ADVISE ABOUT THE BEST WAY TO PARTNER WITH THE COMMUNITY, AID IN THE DEVELOPMENT OF MEANINGFUL COMMUNITY PROGRAMS AND ACTIVITIES, AND PROMOTE IMPROVED COMMUNICATIONS BETWEEN THE HOSPITAL AND THE COMMUNITY. THE HOSPITAL PROVIDES DEDICATED ADMINISTRATIVE TIME TO PLANNING AND CONDUCTING FIVE CBAC MEETINGS IN THE COMMUNITIES WE SERVE THREE TIMES PER YEAR. CCMH REACHED THE GOAL OF DOUBLING PARTICIPATION/MEMBERS OF THE CBAC GROUPS FROM 50 INDIVIDUALS TO 100 INDIVIDUALS. LASTLY, CCMH OFTEN PARTNERS WITH FUNDING FOUNDATIONS TO PROVIDE HEALTH SPECIFIC IMPROVEMENT INITIATIVES IN THE COMMUNITIES WHICH WE SERVE. AS AN EXAMPLE, CCMH, WITH FUNDING FROM THE GEORGE A. & MARGARET MEE FOUNDATION, PROVIDED COMPREHENSIVE NO-COST PHYSICALS TO THE UNINSURED AND UNDER INSURED POPULATION IN CAMERON COUNTY. IN ADDITION A FAMILY FITNESS PROGRAM WAS OFFERED IN CAMERON COUNTY GEARED TO EDUCATE YOUTH AND THEIR PARENTS ON THE IMPORTANCE OF GOOD HEALTH. THE FAMILY FITNESS CHALLENGE INCLUDES EXERCISE, EDUCATION, HEALTHY EATING, HEALTH INDICATOR GATHERING AND MONITORING. FINALLY, VISION TESTING EQUIPMENT AND NO-COST SCREENINGS WERE PROVIDED THROUGH CCMH BY A LOCAL OPHTHEMOLOGIST TO RESIDENTS MEETING CRITERIA IN CAMERON COUNTY. THIS IS JUST ONE EXAMPLE OF PARTNERSHIPS IN WHICH CCMH IS CLOSELY INVOLVED THAT PROMOTE HEALTH AND ADDRESS COMMUNITY NEEDS. X X X X false false false false false false false true false MICHAEL E CALLAHAN 191232 0 0 0 915 0 4417 0 2499 0 199063 0 EDWARD C PITCHFORD 270304 0 0 0 6082 0 6040 0 3781 0 286207 0 JASON TRONETTI 323602 0 0 0 148 0 6101 0 2601 0 332452 0 CYNTHIA L HARDESTY 164197 0 9500 0 4519 0 4282 0 1268 0 183766 0 BRADLEY F GIANNOTTI 879972 0 0 0 1000 0 4532 0 2720 0 888224 0 CHRISTAN M CARAMIA 604972 0 0 0 378 0 6027 0 3850 0 615227 0 SETH P SHIFRIN 246636 0 0 0 162 0 6066 0 3660 0 256524 0 SAKET PRASAD 625558 0 0 0 548 0 5880 0 3496 0 635482 0 TERRANCE FOUST 477982 0 0 0 462 0 6102 0 3172 0 487718 0 FRANK HORN 283339 0 0 0 1340 0 5124 0 2394 0 292197 0 BONUS SCHEDULE J, PART I, LINE 7 CYNTHIA HARDESTY RECEIVED A $9,500 BONUS FOR PARTICIPATING IN THE EXECUTIVE TEAM INCENTIVE COMPENSATION PROGRAM. EACH PARTICIPANT HAD AN ESTABLISHED TARGET TOTAL COMPENSATION BASED ON INDUSTRY SURVEYS AND THE INCENTIVE PROGRAM COMPRISED APPROXIMATELY 10% OF THE TARGETED TOTAL COMPENSATION. THE BONUS WAS BASED ON OVERALL PERFORMANCE. COLE CARE COMMON BOARD MEMBERS 5245200 RENT, DIVIDENDS, SERVICES false EDMOND HARDESTY HUSBAND OF C. HARDESTY 141775 EMPLOYEE OF HOSPITAL false CITIZEN'S NORTHERN BANK C. UPDEGRAFF - VP/COO 109572 BANKING false ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 CHARLES COLE MEMORIAL HOSPITAL IS A FULL SERVICE, COMPREHENSIVE HEALTH SYSTEM, SERVING POTTER, MCKEAN, CAMERON, AND TIOGA COUNTIES IN RURAL, NORTH CENTRAL PA AND PORTIONS OF NEW YORK STATE AND IS THE ONLY HOSPITAL IN POTTER COUNTY (COUDERSPORT, PA). CCMH IS A CRITICAL ACCESS HOSPITAL PROVIDING PRIMARY, EMERGENCY, AND SPECIALTY CARE, AS WELL AS REHABILITATION AND WELLNESS SERVICES TO PATIENTS WITHIN A 50-MILE RADIUS. CHARLES COLE STRIVES TO LIVE UP TO ITS NON-PROFIT MISSION EVERY DAY, PROVIDING EXCELLENT HEALTHCARE SERVICES TO OUR AREA AND LISTENING AND RESPONDING TO THE COMMUNITIES WE SERVE. IN AN EFFORT TO PLAN FOR THE UNIQUE NEEDS OF COMMUNITIES IN THE SERVICE AREA, FIVE COMMUNITY BENEFIT ADVISORY COMMITTEES WERE ESTABLISHED AS A MAJOR INITIATIVE TO DEEPEN AND STRENGTHEN OUR CONNECTION WITH THE COMMUNITY AND TO LINK COMMUNITY BENEFIT ACTIVITIES TO STRATEGIC AND OPERATIONAL PLANS. THE ROLE OF THE COMMITTEES ARE TO IDENTIFY THE NEEDS AND CONCERNS OF THE COMMUNITY, ADVISE ABOUT THE BEST WAY TO PARTNER WITH THE COMMUNITY, AID IN THE DEVELOPMENT OF MEANINGFUL COMMUNITY PROGRAMS AND ACTIVITIES, AND PROMOTE IMPROVED COMMUNICATIONS BETWEEN THE HOSPITAL AND THE COMMUNITY. THE HOSPITAL PROVIDES DEDICATED ADMINISTRATIVE TIME TO PLANNING AND CONDUCTING FIVE CBAC MEETINGS IN THE COMMUNITIES WE SERVE THREE TIMES PER YEAR. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A, 4B, 4C, & 4D LINE 4A IN ADDITION TO THE HOSPITAL'S ACUTE CARE FLOORS, CHARLES COLE CARES FOR PATIENTS IN ITS 49-BED LONG TERM CARE UNIT WHICH REPORTED 14,600 DAYS LAST YEAR. A 10-BED INPATIENT GERIATRIC BEHAVIORAL HEALTH UNIT ADMITTED 200 PATIENTS LAST YEAR. LINE 4B CCMH'S HOME HEALTH AND HOSPICE SERVICES ASSIST PATIENTS THROUGHOUT THE REGION, WITH A GROWING NUMBER OF REFERRALS AND LOWER INFECTION RATES AMONG STATE AND NATIONAL AVERAGES. LINE 4C ONE OUTLYING CENTER OFFERS IMAGING SERVICES, WHILE ALL RHCS PROVIDE LAB DRAWS SO PATIENTS DON'T HAVE TO DRIVE TO RECEIVE NECESSARY TESTING. IN ADDITION TO THE FAMILY AND INTERNAL MEDICINE SERVICES AT RHCS, PHYSICIAN PRACTICES ALSO PROVIDE SPECIALTY CARE INCLUDING PEDIATRICS, GASTROENTEROLOGY, ORTHOPEDICS, PHYSIATRY, SURGERY, PODIATRY, OBSTETRICS/GYNECOLOGY AND ONCOLOGY. COLLECTIVELY, PHYSICIAN PRACTICES REPORTED 74,000 PATIENT VISITS LAST YEAR. LINE 4D THE ORGANIZATION ALSO OFFERS CARDIO-PULMONARY SERVICES, CLINICAL SERVICES, CLINICS, AND CORPORATE SERVICES. MEMBERS FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B THE MEMBERS ARE DIVIDED INTO TWO CLASSES - ACTIVE AND HONORARY. ACTIVE MEMBERS RETAIN MEMBERSHIP IN THE CORPORATION FOR LIFE OR UNTIL THEY RESIGN. ANY ADULT PERSON WHO IS A RESIDENT OF THE CORPORATION'S SERVICE AREA, AS DEFINED IN THE MOST RECENT REVISION OF THE HOSPITAL'S LONG RANGE STRATEGIC PLAN, IS ELIGIBLE FOR MEMBERSHIP IN THE CORPORATION UPON PAYMENT TO THE CORPORATION OF AN ANNUAL MEMBERSHIP CONTRIBUTION IN THE AMOUNT OF FIVE ($5.00) DOLLARS. TO BE A MEMBER IN GOOD STANDING ENTITLED TO VOTE FOR DIRECTORS AT THE ANNUAL MEETING OF THE CORPORATION, A MEMBER MUST HAVE PAID HIS DUES NINETY (90) DAYS PRIOR TO THE ANNUAL MEETING DATE, BE SUBJECT TO AND IN COMPLIANCE WITH THE MEMBER CONFLICT OF INTEREST PROVISIONS AND POLICIES AND NOT POSSESS ANY SUCH MEMBER CONFLICT OF INTEREST IN ANY MATTER SUBJECT TO VOTE. ANY ADULT PERSON ADMITTED TO CHARLES COLE MEMORIAL HOSPITAL AS A PATIENT AUTOMATICALLY BECOMES A MEMBER OF THE CORPORATION ENTITLED TO THE VOTING PRIVILEGES OF AN ACTIVE MEMBER. THE TERM OF ANY PATIENT'S MEMBERSHIP IN THE CORPORATION BEGINS AS OF THE DATE OF THE FIRST ANNUAL MEETING FOLLOWING THE PATIENT'S CONFINEMENT AND ENDS ON THE DAY FOLLOWING THE NEXT SUCCEEDING ANNUAL MEETING DATE. THE NUMBER OF ACTIVE MEMBERS IS UNLIMITED. EVERY ACTIVE MEMBER IS ENTITLED TO ONE VOTE AT ANY MEETING OF THE MEMBERS IN WHICH A VOTE IS TAKEN FOR ANY ELECTION OR ON ANY MATTER OR TRANSACTION. IN THE CASE OF VOTING FOR THE ELECTION OF DIRECTORS, EACH MEMBER MUST CAST ONE VOTE FOR EACH POSITION TO BE FILLED OR THE BALLOT WILL BE VOID AS IT PERTAINS TO THE ELECTION OF DIRECTORS. AN ANNUAL MEETING OF THE MEMBERS SHALL BE HELD EVERY YEAR ON A DATE BETWEEN SEPTEMBER 15 AND OCTOBER 15 FOR THE PURPOSE OF CONFIRMING THE ELECTION OF DIRECTORS, REPORTING ON THE AFFAIRS OF CORPORATION, AND TRANSACTING SUCH OTHER BUSINESS AS MAY PROPERLY COME BEFORE THE MEETING. THE MEMBERS ANNUALLY ELECT: (A) SUCCESSORS TO THE BOARD OF DIRECTORS WHOSE TERMS EXPIRE. (B) HONORARY MEMBERS AND HONORARY DIRECTORS. THE FOLLOWING MATTERS ARE AUTHORIZED ONLY AFTER RECOMMENDATION BY THE BOARD AND UPON APPROVAL OF THE MEMBERS: (A) CERTAIN PROVISIONS IN AND AMENDMENTS TO THE BYLAWS. (B) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION OR LEGAL ENTITY. (C) ANY CHANGE IN THE ARTICLES OF INCORPORATION. (D) ANY OTHER MATTERS REQUIRED BY THE LAW TO BE SUBMITTED TO THE MEMBERSHIP OR WHICH THE BOARD DETERMINES BY RESOLUTION TO SUBMIT. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11A THE 990 WILL BE REVIEWED BY THE ACCOUNTING DEPARTMENT AND THE CONTROLLER. IT WILL THEN BE PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW. AFTER THE FINANCE COMMITTEE HAS REVIEWED, THE FORM 990 WILL BE PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO THE CEO'S FINAL SIGNATURE. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED AS PART OF THE CORPORATE COMPLIANCE PROGRAM. INCLUDED IN THIS PROGRAM ARE A HOTLINE AND A COMPLIANCE OFFICER WHO MONITORS AND ADDRESSES ANY CONFLICTS. ALL OUTCOMES ARE REPORTED TO THE CORPORATE COMPLIANCE COMMITTEE AND RESOLVED. THE COMMITTEE MEETS QUARTERLY AND REPORTS ANNUALLY TO THE BOARD OF DIRECTORS. MEMBERS OF THE ORGANIZATION MAY NOT USE THEIR POSITIONS TO PROFIT PERSONALLY OR TO ASSIST OTHERS IN PROFITING IN ANY WAY AT THE EXPENSE OF THE ORGANIZATION. MEMBERS SHALL AVOID ALL CONFLICTS OF INTEREST AND THE APPEARANCE OF ANY CONFLICT OF INTEREST. TO AVOID THE APPEARANCE OF A CONFLICT OF INTEREST, A MEMBER SHALL NOT PARTICIPATE IN THE MAKING OF ANY DECISION OR RECOMMENDATION CONCERNING A MATTER WHICH MAY RESULT IN ANY BENEFIT OR FINANCIAL GAIN, EITHER DIRECTLY OR INDIRECTLY, TO THE MEMBER OR A MEMBER OF HIS/HER IMMEDIATE FAMILY. IN ADDITION, FULL DISCLOSURE OF THE PERTINENT FACTS REGARDING THE POTENTIAL CONFLICT OF INTEREST SHOULD BE PROVIDED BY THE MEMBER. COMPENSATION DETERMINATION FORM 990, PART VI, SECTION B, LINES 15A & 15B A REVIEW WAS CONDUCTED IN OCTOBER 2007 FOR PRESIDENT & CEO EDWARD PITCHFORD'S ORIGINAL EMPLOYMENT AGREEMENT BY 3C COMPENSATION CONSULTING CONSORTIUM, LLC, LOCATED IN PITTSBURGH, PENNSYLVANIA. SINCE OCTOBER 2007, THERE HAVE BEEN NO INCREASES. THE BOARD WOULD HAVE TO APPROVE ANY INCREASE RECOMMENDED BY THE COMPENSATION COMMITTEE. A REVIEW WAS CONDUCTED IN JULY 2008 FOR VICE PRESIDENT & CNE CYNTHIA HARDESTY BY THE SAME COMPANY. THE CEO APPROVES ANY INCREASES FOR THE CNE. DOCUMENT AVAILABILITY FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS CAN BE VIEWED ONSITE THROUGH A WRITTEN REQUEST TO THE ORGANIZATION'S CORPORATE COMPLIANCE OFFICER. REQUESTS FOR FINANCIAL STATEMENTS AND 990'S ARE FORWARDED TO THE FINANCE / ACCOUNTING DEPARTMENT AND ARE OPEN FOR PUBLIC INSPECTION. FINANCIAL STATEMENTS FORM 990, PART XI, LINES 2A-2C THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED ON A CONSOLIDATED BASIS WITH THE RELATED ORGANIZATIONS. THE ORGANIZATION HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. FUNDRAISING ACTIVITIES SCHEDULE G, PART I, LINE 2B THE ORGANIZATION HIRED DELTA DEVELOPMENT GROUP, INC., FOR GRANT WRITING SERVICES. THE AGREEMENT PROVIDED FOR A MONTHLY FEE FOR PROFESSIONAL FUNDRAISING SERVICES AS WELL AS REIMBURSEMENT OF ADDITIONAL FUNDRAISING EXPENSES. HENDORN INC DBA COLE MANOR 1001 EAST SECOND STREET COUDERSPORT PA 16915 231972659 RESIDENT CARE PA 501(C)(3) 11A I NA COLE CARE INC 1001 EAST 2ND STREET COUDERSPORT PA 16915 251497347 DURABLE MED EQUIP PA NA C CORPORATION 6688681 900401 1.00000 true false false false false false false false true false true true true true true true true false COLE CARE INC A 211230 COLE CARE INC N 4847711 HENDORN INC K 286107 COLE CARE INC K 55495 HENDORN INC L 60120 COLE CARE INC L 146448 HENDORN INC Q 75000