2011-05-16T08:49:47-05:00 2010-06-30 ParenteBeard LLC 46 Public Square Suite 400 WilkesBarre PA 18701 990 2009-07-01 240862246 COMMUNITY MEDICAL CENTER COMM 5709698000 1822 MULBERRY STREET SCRANTON PA 18510 James JESIKIEWICZ 5709698227 2011-05-17 1 Julius Green CPA 5708200100 2009 2016-02-24 21:20:13Z James JESIKIEWICZ 1822 MULBERRY STREET SCRANTON PA 18510 164587468 0 X www.cmchealthsys.org X 1962 PA TO BE THE LEADING PROVIDER OF QUALITY HEALTHCARE. 17 16 1681 186 24024 -15846 2010722 1826001 159129678 157699154 1650554 1218084 3361586 3446153 166152540 164189392 1863144 83497 0 70753284 74883553 0 0 99150633 91631537 171767061 166598587 -5614521 -2409195 119764889 114257571 85922073 83958852 33842816 30298719 TO BE THE LEADING PROVIDER OF QUALITY HEALTHCARE. 0 0 143531310 83497 159071775 Background and History:CMC is a tax-exempt, Pennsylvania not-for-profit corporation, which owns and operates a 297-licensed bed, acute care hospital located in the City of Scranton, County of Lackawanna, Pennsylvania. Community Medical Center Healthcare System (System) is the sole corporate member of CMC. CMC provides a broad range of acute care and specialized services. As of June 30, 2010, CMC had set up 253 of its 297 licensed beds. CMC provides comprehensive hospital services for the residents of Lackawanna County, and tertiary specialty services for residents in the surrounding six-county region. CMC, with its approximately 1,400 employees, provided care for 11,742 adult and pediatric acute inpatient discharges for the Fiscal Year Ended June 30, 2010.Opened in 1897 as the Hahnemann Hospital and School of Nursing, the Hospital was Scranton's first hospital dedicated to community service. CMC continues to provide the community with a variety of services as part of an integrated health care delivery system. This continuum of care includes preventive, ambulatory, inpatient, emergency, and long-term services. CMC is a noted regional referral center with comprehensive acute care medical services and has developed specific areas of expertise.Specialized / Regional Services, Centers of Excellence:The Northeast PA Trauma Center, designated by the Pennsylvania Trauma Systems Foundation in 1988, provides 24-hour comprehensive surgical intervention for critically injured patients. The Trauma Center is staffed continuously by an emergency physician, trauma surgeon and nurses certified in critical care, trauma, orthopaedics and the neurosciences.Cardiology services at the Hospital include the regions first Electrophysiology Lab and an Open Heart Surgery Center. CMC is also a Certified Carotid Stent Facility.Neurological Sciences at the Hospital specializes in the care of people with brain, spinal cord and sense organ disorders.Other specialized services include: a Same-Day Surgery Center, a 24 licensed bed short term Psychiatric Inpatient Unit, CT Scanner, MRI imaging, Oncology Services, Renal Dialysis, Hyperbaric Oxygen Chamber treatments, the New Steps Joint Program, Wound Care, and Stereotactic Surgery.CMC offers Emergency Medical Technician and Trauma Nurse training programs. It has an affiliation with the Scranton Temple Residency Program, an accredited provider of internal medicine residency education, by the ACGME, and the regions only Podiatric Residency Program, and accredited provider of podiatric medicine and surgery education, by the CPME.CMC also sponsors the Community Health Education Program, the region's first hospital-based and community-wide wellness and prevention program.In addition, CMC sponsors the Priority Care Program in which over 20,000 senior citizens are enrolled in the region's first hospital-based free membership plan for persons 55 and older. Priority Care provides senior citizens with a wide variety of benefits and information regarding health and wellness programs. Priority Care offers convenient access to quality services including:-Free parking in the CMC parking complex-Discounts on community education programs -Community discounts-Free newspaper for inpatients-Discounted meals in the hospital's dining room and coffee shop-Discounts in the CMC gift shop-Physician referral service-Community referrals-Members receive a personal visit by Priority Care staff during hospitalizationAffiliations:CMC is affiliated with other health care providers in ventures such as the Northeastern Pennsylvania Imaging Center, the Children's Advocacy Center, Maternal & Family Health Services, and the Ronald McDonald House of Scranton. CMC also has a connection with numerous area institutions, colleges and universities for educational and clinical programs, including, but not limited to, nursing, medical technology, physical and occupational therapy, emergency medical technicians, physician assistants, social work and healthcare administration.Medical Staff:As of June 30, 2010, the Medical Staff of CMC totaled 368 physicians. Under CMC's Medical Staff By-Laws, physicians may have one of several types of privileges including Active, Courtesy, Consulting, Emergency and Temporary. As of June 30, 2010, of CMC's 227 active medical staff physicians, 79% were Board Certified.Auxiliary:The CMC Auxiliary is comprised of 99 members. Functioning with the guidance of its own advisory board, the Auxiliary has committees, each with its own responsibility for fund-raising and service. The Auxiliary assists in operating CMC's gift shop seven days a week. Allocations of funds raised by the Auxiliary are made to CMC to enhance patient services.Volunteer Services:CMC has 186 active adult and junior volunteers who volunteer their time to CMC and can be found assisting the staff in a variety of capacities in Hospital departments such as: Mail Room, Admissions, Administration, Medical Records, Surgical Services, Radiology, Laboratory, Emergency Department, Occupational Therapy, Physical Therapy, Pediatrics, and Gift Shop. Volunteers also assist at special hospital functions and at the Ronald McDonald House of Scranton. In 2010, CMC Volunteers provided almost 14,000 hours of service to CMC.Through CMC's Volunteer department, hundreds of high school and college students are provided information about healthcare to assist in career choice through tours and shadowing opportunities at the facility.Patient Origin and Service Area:The Hospital's primary service area is comprised of Lackawanna County, which accounted for 71.6% of discharges for the Fiscal Year Ended June 30, 2010. The secondary service area includes Luzerne, Monroe, Pike, Susquehanna, Wayne and Wyoming counties that accounted for 25.3% of the Hospital's discharges for the Fiscal Year Ended June 30, 2010.Support to the Community:CMC and the System provide a variety of programs to the community including the Education Program which provides numerous community services, some of which are listed below. The intent of these programs and partnerships is the improved health of the community; i.e., accident/ illness prevention or early intervention as a result of increased education.The Northeast PA Trauma Center provides emergency preparedness assistance and medical expertise to the American Red Cross Lackawanna Chapter, Lackawanna County Emergency Management Agency, and the Scranton/Wilkes-Barre International Airport. Also, Fall and Injury Prevention for the elderly is available to area senior citizens and senior organizations, as well as many age-specific prevention programs to various organizations and schools throughout the year. 143531310 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 138 0 1 1681 1 1 1 0 0 0 0 1 1 0 0 0 0 0 17 16 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X James JESIKIEWICZ 5709698227 1822 MULBERRY STREET SCRANTON PA 18510 WILLIAM E AUBREY II 10.00 X 0 0 0 Louis Denaples MD 10.00 X 168000 0 0 TIMOTHY FARRELL MD 10.00 X 16667 0 0 MELINDA C GHILARDI ESQ 10.00 X 0 0 0 ROLAND GRECO 10.00 X 0 0 0 MICHAEL KONDASH DO 10.00 X 0 21395 0 DAVID LOHIN DO FACC 10.00 X 0 0 0 EDWIN Malloy MD 10.00 X 24750 0 0 Margaret McNulty 10.00 X 0 0 0 DEBRA PELLEGRINO 10.00 X 0 0 0 BRUCE SCHOENBERG DEC'D 10.00 X 0 0 0 TOM TULANEY 10.00 X 0 0 0 JEFF JACOBSON 10.00 X X 0 0 0 Virginia McGregor 10.00 X X 0 0 0 RICHARD G FINE ESQ 10.00 X X 0 0 0 George Ginader 10.00 X X 0 0 0 John Nilsson 40.00 X X 597981 0 0 Thomas Kelly Jr 40.00 X 395458 0 0 BARBARA BOSSI 40.00 X 240896 0 13099 JOSEPH B FISNE 40.00 X 192801 0 11513 James JESIKIEWICZ 40.00 X 60447 0 13414 Dr Kahileel Shaikh 40.00 X 535050 0 32857 DR PAUL GRANET 40.00 X 369386 0 16900 Dr SHAWN TERRY 40.00 X 348168 0 14692 Dr Jose Salazar 40.00 X 332130 0 25301 DR LUIS VERA 40.00 X 281072 0 19034 3562806 21395 146810 10 0 1 0 CARDINAL HEALTH 6012 MOLLOY ROAD SYRACUSE NY 13211 PHARMACEUTICALS 7297902 OWENS AND MINOR 7437 INDUSTRIAL BLVD ALLENTOWN PA 18106 MEDICAL SURGICAL SUPPLIES 4618291 BIOMET INC AIRPORT INDUSTRIAL PARK PO BOX 587 WARSAW IN 46581 ORTHOPEDIC SURGICAL IMPLANT SUPPLIES 2779021 BOSTON SCIENTIFIC CORP ONE SCIMED PLACE MAPLE GROVE MN 55311 MEDICAL SURGICAL SUPPLIES 2083785 MEDTRONIC USA INC PO BOX 848086 DALLAS TX 75284 CARDIAC SURGICAL SUPPLIES 1873339 5 43536 155000 1393596 233869 1826001 NET PATIENT SERVICE RE 621400 157699154 157699154 157699154 1482845 1482845 244931 68351 176580 176580 176580 8700 273461 -264761 -264761 -264761 55830 43536 56264 -434 -434 MANAGEMENT FEES 561000 1393869 1370849 23020 DIETARY INCOME 722210 771793 771793 EARNINGS ON INSURANCE 900099 497412 497412 606933 1772 1004 604157 3270007 164189392 159071775 24024 3883935 83497 83497 1735026 463412 1271614 57866196 51908033 5958163 2889355 2591967 297388 8100644 7249223 851421 4292332 3835490 456842 742399 742399 116500 116500 242109 242109 21177027 15868556 5308471 323581 323581 40531395 38170849 2360546 3012444 1643733 1368711 191161 62817 128344 1659641 1659641 7373120 6435209 937911 2021585 1751539 270046 PROVISION FOR BAD DEBTS 13466985 13466985 OTHER EXPENSES 773590 773590 166598587 143531310 23067277 0 104231 124350 2497281 1664271 21862314 18108141 1487527 2113184 4164977 3216977 1169792 1538824 177631980 137226554 44791904 40405426 6395358 6319563 30142060 29484175 7149445 11282660 119764889 114257571 21517066 18252703 46407937 42448911 17997070 23257238 85922073 83958852 X 29524019 26040578 1018565 2540893 3300232 1717248 33842816 30298719 119764889 114257571 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11426 11426 166587161 166598587 1000000 250000 0 0 1000000 1000000 2000000 3000000 36590 11426 48016 250000 250000 500000 750000 1700302 16946 1717248 2108817 -408515 1700302 1.00000 1 0 1034837 1034837 55148272 37307947 17840325 699169 627406 71763 120735482 99291201 21444281 14220 14220 40405426 BOARD DESIGNATED FOR DEBT SERVICE 14388725 F BOARD DESIGNATED FOR CAPITAL REPLACEMENT 1996521 F SELF-INSURANCE WORKERS' COMPENSATION 5615954 F OTHER INVESTMENTS 94617 F BOND INDENTURES 7388358 F 29484175 BENEFICIAL INTEREST IN PERPETUAL TRUST 1661375 PREMIUMS/DISCOUNTS 181035 DEFERRED BOND FINANCING FEES 914951 DUE FROM SCRANTON COUNSELING CENTER 845828 DUE FROM COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM 2666977 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 5012494 11282660 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2058807 INTERCOMPANY PAYABLES 950423 ADVANCES FROM THIRD PARTIES 960611 ACCRUED LIABILITIES 19287397 23257238 164189392 166598587 -2409195 1752399 -2887301 -1134902 -3544097 166041494 1752399 1752399 164289095 -99703 -99703 164189392 169450962 3094484 3094484 166356478 242109 242109 166598587 Part V, Line 4: Description of Intended Use of Endowment Funds: INTEREST AND DIVIDENDS ARE EITHER UNRESTRICTED OR RESTRICTED TO PROVIDE SCHOLARSHIPS. Part X: Description of Uncertain Tax Positions Under FIN 48: THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN THE CONSOLIDATED FINANCIAL STATEMENTS USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD. Part XI, Line 8 - Other Adjustments: PENSION ADJUSTMENT: -2752672. VALUATION GAIN : -134629. Part XII, Line 4b - Other Adjustments: Rental Expenses: -68351. Investment Fees: 242109. ABANDONMENT OF CAPITAL PROJECTS: -273461. Part XIII, Line 2d - Other Adjustments: Rental Expenses: 68351. pension adjustment: 2752672. ABANDONMENT OF CAPITAL PROJECTS : 273461. Part XIII, Line 4b - Other Adjustments: Investment Fees: 242109. GOLF TOURNAMENT 95526 39696 55830 22000 9199 9300 12536 3229 HOLIDAY LIGHTS 3840 3840 99366 43536 55830 22000 9199 9300 12536 3229 56264 -434 1 1 1 X 1 X 1 1 1 0 0 2592 1398201 1398201 0.00910 17978 19109964 13770101 5339863 0.03490 0 20570 20508165 13770101 6738064 0.04400 10 9186 68608 16119 52489 0.00030 5 512 492742 492742 0.00320 2 627 5036008 1665036 3370972 0.02200 4 14394 24483 2500 21983 0.00010 21 24719 5621841 1683655 3938186 0.02560 21 45289 26130006 15453756 10676250 0.06960 1 5000 3490 3490 0.00000 2 24895 19415 19415 0.00010 2 220 2531 2531 0.00000 1 380 380 0.00000 6 30115 25816 25816 0.00010 1 3099025 0 47084658 49240269 -2155611 X 1 1 COMMUNITY MEDICAL CENTER

1822 MULBERRY STREET SCRANTON PA 18510

X X X TRAUMA SERVICES Part I, Line 3c: Charitable Free Care or discounts at Community Medical Center will be based solely on ability to pay and will not be abridged on the basis of age, sex, race, religion or national origin. All services, inpatient and outpatient, provided by the hospital shall be available to all individuals. Eligibility for free care is based on Federal Poverty Guidelines as established & updated annually by the Department of Health and Human Services.Eligibility for 100% Free Care will be limited to people whose family income is not more than 200% of the current poverty income guidelines as published annually by the Department of Health and Human Services. Eligibility for 60% discounted care will be limited to people whose family income is between 200-400% of the poverty income guidelines.Income Test: The person's gross income for eligibility determinations will be the lesser of the actual gross income of the applicant or family for the twelve (12) months preceding the services or four times the actual gross income of the applicant or family of the three (3) months preceding the services. Applicants are required to produce verification of income as a condition of eligibility, e.g., tax returns, pay stubs, bank statements, etc. Asset Test: The applicant can be deemed ineligible if he/she possesses either real or personal property which would enable him/her to meet his/her medical financial requirements. Assets will be considered in the eligibility requirements for all cases. Assets include, but are not limited to, cash, savings and checking accounts, certificates of deposit, treasury notes, stocks and bonds, vacation, xmas clubs, trust funds, HSA's and other negotiable paper. INDIVIDUAL ASSETS MAY NOT EXCEED $10,000. Part I, Line 7: The costing methodology used is a Ratio of Patient Care Cost to Charges from Form 990, Worksheet 2. Part I, Line 7f: For the purposes of calculating the percentage in Schedule H, Part I, line 1, column (f), $1,501,637 was removed from the amount on Form 990, Part IX, line 25, column (A). Part III, Line 4: CMC accounts for discounts as a reduction of net patient revenue and therefore discounts are not reflected in Bad Debt Expense. Payments on patient accounts are treated as Bad Debt Recoveries which also reduce Bad Debt Expense. CMC does not attempt to determine an amount that reasonably could be attributable to patients who would likely qualify for financial assistance under its charity care policy if sufficient information had been available to make a determination of their eligibility. CMC's audited financial statements do not include a footnote on Bad Debt Expense. Bad Debt Expense is shown as a separate line item of expenses on the statement of operations, and the provision for uncollectable accounts is disclosed in the net patient accounts receivable line on the statement of financial position. Part III, Line 8: Medicare costs were taken directly from the Medicare Cost Report. CMC uses the accrual method of accounting. Part III, Line 9b: All patients are provided with free and below cost care guidelines via notices and signs at time of service. Uninsured inpatients are qualified for charity or Medicaid where applicable. Outpatients are screened for elective services. Hospital pre-collection and collection agencies also provide information to patients about qualification for uncompensated care. Part VI, Line 2: Community Medical Center regularly participates in comprehensive community health needs assessments to identify far-reaching health needs faced by the population served by the Hospital for community benefit purposes.Assessment results are evaluated over time and serve as the basis to develop new or expanded plans to address services in response to need. Additionally, CMC develops programs and services to address community health needs and makes investments in initiatives that align with the Hospital's core mission.Beyond that focus are programs and services that benefit every resident and support the far reaching goal of a healthier community.Those healthy community goals have served as a catalyst for a collaborative community approach CMC has been instrumental in establishing in order to access the healthcare needs, health status, and quality of life indicators of residents living in the Lackawanna County and Luzerne County communities. The Hospital is a charter member of Healthy Northeast Pennsylvania Initiative (HNPI), an alliance among member regional healthcare organizations and the Pennsylvania Department of Health. The goal of the organization is to assess and address the community health needs, increase regional healthcare programs and services, and facilitate awareness, education and wellness for residents of Northeast Pennsylvania. A founding member of HNPI, CMC Executive Vice President Barbara Bossi currently serves on its steering committee. In addition to CMC, other regional healthcare providers in the consortium include Allied Services, Blue Cross of NEPA, Geisinger Health System, Mercy Health Partners, Moses Taylor Hospital and Wyoming Valley Healthcare System. Assessment surveys were done in 1997 and 2003, with the most recent survey completed in 2009 in coordination with Tripp Umbach, a national marketing research and consulting firm.The study's main objective was to complete a comprehensive assessment of the healthcare access needs, health status, and quality of life indicators of residents living in the Lackawanna County and Luzerne County communities. More specifically, the project goals were: - To obtain statistically valid information on the health status and socioeconomic/environmental factors related to health of residents of the counties Healthy Northeast Pennsylvania Initiative (HNPI) serves. - To supplement the general population survey data that is currently available to HNPI as an organization. - To assure that community members, including those of broad racial, ethnic, cultural and linguistic minority groups, are the primary participants in the needs assessment survey process. In addition, educators, health-related professionals, media representatives, local government, human service organizations, institutes of higher learning, religious institutions and the private sector are all engaged at some level of the survey process. - To develop accurate comparisons to the state and national baselines of health measures, utilizing the most current validated data available. - To utilize data obtained from the assessment to address the identified health needs of the HNPI service area. - To provide HNPI with appropriate data comparisons, on like survey questions, to the 1997-98 and 2003-04 community health needs assessments' household survey data. These data comparisons will allow HNPI to discover both positive and negative community health trends. - To complete a comprehensive community health needs assessment which not only reaches minority/underserved populations but also addresses a wide variety of community health topics including, but not limited to: access to care, chronic disease prevalence, preventive health, health status, access to community programs and services, quality of life indicators, and healthy lifestyle behaviors. Research steps included: community leader interviews; socioeconomic profiles; secondary data (i.e. socioeconomic data and demographic projections from Nielsen Claritas and the U.S. Census Bureau, and health prevalence data from the BRFSS, CDC, and HRSA); focus groups; and household surveys. Based upon the data gathered through this research methodology, Tripp Umbach identified five community health areas of need that are considered priorities for Lackawanna and Luzerne Counties. Listed in alphabetical order, the top five priority areas are: - Access to Care- Chronic Disease/Obesity- Employment - Mental Health- Substance AbuseOnce this latest Needs Assessment was completed, its findings were formally presented to the CMC Board of Directors and to CMC's CEO and President.It is also currently available online.Based on what was identified as priorities through the assessment's findings, CMC's CEO and its Board of Directors then committed hospital resources in order to provide these much-needed services to the community. Based on the submitted priority of needs, for example, hospital administrators determined that in order to better serve the health needs of the community by battling obesity and chronic disease, a Preventive Medicine and Nutrition Clinic should be established at the hospital and it was. Also, the high incidence of diabetes in the region has led to a part-time Diabetes Educator position at the hospital and an additional part-time; RN position is solely devoted to community health screenings, educational outreach efforts and a variety of support groups such as smoking cessation and weight loss.In addition, the documented need for mental health services has assured CMC's continued commitment to our in-patient, behavioral unit which is the only behavioral unit located in the city of Scranton. And finally, CMC's mission is to provide access to care for all of the residents of our community which remains apparent in our continued commitment to charity care. Part VI, Line 3: Community Medical Center informs and educates its patients about their eligibility for assistance under federal, state or local government programs and availability of charity care programs in the following manner.- CMC posts a summary copy of its charity care policy and financial contact information at all points of patient access which includes its Admissions areas, Emergency Room and Outpatient Registration areas.- All notices of availability of free care are available in both English and Spanish.- CMC also provides notices of availability of financial assistance and free care on the hospital's website, at all registration areas, in CMC's financial counselor office as well as during all phases of the post discharge collection follow-up processes.Additionally, CMC also retains two (2) independent services on site which are located in in-house and in our facility's Emergency Room to provide financial counseling and assistance for uninsured or underinsured patients regarding their eligibility for government programs and/or available charity care programs offered through CMC. Part VI, Line 4: Community Medical Center is a leading provider of quality healthcare services in Northeastern Pennsylvania. A not-for-profit, 300-bed hospital located in Scranton, Pa., CMC primarily serves all of Lackawanna County with Luzerne, Monroe, Pike, Susquehanna, Wayne and Wyoming counties serving as secondary markets.CMC offers a complete continuum of educational, diagnostic, therapeutic and rehabilitative services and programs, including the region's only Level II Trauma Center and in-patient behavioral unit. The hospital employs 1,300 people.There are two other hospitals located in Scranton and serving Lackawanna County: Mercy Hospital, a Catholic, non-profit, and Moses Taylor Hospital, also a non-profit. According to the 2010 Claritas Census, the official population count for Lackawanna County was 214,437. The city of Scranton, which serves as Lackawanna County's seat and has designated Distressed City Status since 1992, had a total population of 76,089 in 2010, according to the United States Census Bureau. Scranton is the largest principal city in the Scranton/Wilkes-Barre metropolitan area, making it Pennsylvania's sixth-most populous city after Philadelphia, Pittsburgh, Allentown, Erie and Reading. The U.S. Department of Health and Human Resources has designated Lackawanna County as a Medically Underserved Area/Population due to: too few primary care providers, high infant mortality, high poverty and/or high elderly population.Nearly one of six Scranton residents is living below the poverty level according to the American Community Survey, a branch of the U.S. Census. Compared to Pennsylvania's median household income of $47,913, the average earnings for Lackawanna County residents -- $41,594 -- is significantly less than the state average and well below the national median household income of $50,007, according to the American Community Survey. Compounding the economic challenges of lower salaries, Lackawanna County residents are twice as likely to not have health insurance as Luzerne County residents. The Institute for Public Policy & Economic Development Indicators Report for 2009 shows a two to one ratio for this statistic, reporting that 10.6% of the residents in Lackawanna County and 5.2% of residents in Luzerne County are without health insurance.Lackawanna County inhabitants are also older compared to the rest of the state and nation. While 15.2 percent of the state of Pennsylvania population is aged sixty-five and older, Lackawanna County's rate is 18.6% percent. The national rate is 12.8 percent, according to the U.S. Census Bureau. Education is also lacking in the region. Only 19.5% of residents age 25 and older within Lackawanna County holds a Bachelor's degree or higher. By comparison, 25.6% of the Pennsylvania population age 25 and older has a Bachelor's degree or higher and 27% of this age group in the U.S. has a Bachelor's degree or higher.And while the region is primarily white, the region is experiencing an influx of minorities. Claritas Census estimates for 2009 show the study area population is predominately self-defined as White/Caucasian in Lackawanna County (94.5%). However, the region's Hispanic population increased from 1,999 to 7,531. The Asian population grew from 823 to 2,269, and the black population grew from 2,304 to 4,150.According to the Mobilizing Action Toward Community Health (MATCH) project, Lackawanna County ranks 51st out of the 67 Pennsylvania counties in overall health status. MATCH is collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute.According to the health rankings developed by MATCH, Lackawanna and Luzerne Counties do not compare well to state and national averages for many of the key community health indicators evaluated.The Behavioral Risk Factor Surveillance System reports that the top five most prevalent chronic diseases in Lackawanna and Luzerne Counties are blood pressure problems, cholesterol problems, arthritis, heart problems, and respiratory problems (such as asthma, chronic lung disease, emphysema, and chronic bronchitis) with the region scoring higher than the national average for all those listed. According to Center for Disease Control data from 2010, the region's incidence of diabetes is also getting worse. A recent federal study placed Pennsylvania in a 15-state "diabetes belt," with almost 27 percent of people 65 and older diagnosed with diabetes in the region. Blood pressure problems reported within the study region are higher than both the state and national averages with 36.2 percent for Lackawanna County versus 28.1 for the state of Pennsylvania and 27.5 for the United States. Concurrently, compared to 2008 BRFSS state (21.3%) and national (18.3%) averages, a higher percentage of survey respondents smoke cigarettes in Lackawanna and Luzerne Counties (23.0%). The Institute for Public Policy & Economic Development Indicators Report for 2009 shows increasing drug possession and drug sale/manufacturing offenses within the region and the percentage of binge drinkers is also higher than the national average (15.5 for the U.S. versus 17.6 for Lackawanna County). Between 2000 and 2008, the number of DUI offenses within Lackawanna and Luzerne Counties also increased by 44.1%.Since 1997, the percentage of household survey respondents reporting emotional and mental health concerns has also increased significantly in the region. Another indicator of emotional and mental health concerns is the suicide rate. Both Lackawanna and Luzerne Counties have higher prevalence rates for suicide than Pennsylvania State averages, according to the Institute for Public Policy & Economic Development Indicators Report for 2009. Part VI, Line 5: As part of CMC's efforts to better the health of the regions we serve, the hospital is engaged in a variety of community building activities that include economic development, community support, coalition building and community health improvement advocacy. These initiatives -- while not directly related to community health improvement -- have a significant (albeit indirect) effect on the population CMC serves and broadly affect the health and well-being of the community. All of the following endeavors benefit the community more than they benefit the hospital. The activities are not provided for marketing, to increase referrals of patients with third party insurance coverage, in fulfillment of regulatory requirements or current standard of care, or to benefit persons affiliated with the organization. Most programs meet community benefit objectives as noted below.According to the Healthy Northeast Pennsylvania Initiative (HNPI) -- an alliance among member regional healthcare organizations (including CMC) and the Pennsylvania Department of Health - four of the region's top five critical health needs are employment; access to care; mental health; and chronic disease/obesity.CMC's community building activities address all four of those needs. CMC's Economic Development endeavors include membership to the Greater Scranton Chamber of Commerce, whose mission is to create and retain jobs for Lackawanna County, a region whose inhabitants live below federal poverty guidelines, according to the U.S. Census. Compounding the economic challenges of lower salaries and joblessness, Lackawanna County residents are twice as likely to not have health insurance as Luzerne County residents, which inhibits their ability to procure much-needed, quality healthcare. More jobs mean better medical insurance options for residents. Access to healthcare is improved as financial barriers to access are reduced or eliminated.CMC also engages in Community Support programs, which includes CMC staffers serving on regional boards such as the American Red Cross as well as the Scranton Chapter of the Red Cross Blood Committee, which meet to discuss and plans for the emergency blood needs of the entire community, including other regional hospitals and emergency healthcare providers. In addition, CMC's Coalition Building Programs enhance collaborative partnerships in order to improve the health and safety of the communities we serve. All of these programs improve access to health care for vulnerable and underserved persons.Instances include CMC staff serving as a member of the Lackawanna County Criminal Justice Advisory Board, which provides input on mental/behavioral health services to those in the criminal justice system as well as the Suicide Prevention Task Force, which develops educational strategies for the prevention and treatment of suicidal individuals. Additional Coalition Building activities -- including board memberships and joint ventures -- involve the Mature Drivers Task Force, which is committed to making senior citizens more responsible drivers in order to prevent traumatic injuries to themselves and others; the Allied Services Home Health Community Advisory Committee, which focuses on patient safety, core measures and quality of care for home-bound patients of regional healthcare facility Allied Services; and the Mental Health and Crisis Prevention Task forces which assist in the training of local and state police forces on mental health-related topics, primarily how to positively respond to a mental health call in order to insure patient safety for those vulnerable to mental health distress. The Crisis Prevention Task Force was formed as a result of a mentally distressed community individual who was shot and killed in 2008 by local police responding to a crisis call. It was later determined the victim had stopped taking her anti-psychotic medication and that emergency respondents were unprepared in dealing with mentally vulnerable individuals in her situation. Because of that tragedy, a number of mental health organizations - including CMC - came together in order to educate and inform police and emergency respondents in how to deal with those situations to avert further tragedy. In regards to Community Health Improvement Advocacy, CMC employee Sharyn Wozniak serves as Community Health Education Coordinator and Field Representative for the American Heart Association. In this position, she serves in an executive function and is a crucial part of the grassroots efforts of the American Heart Association whose mission is the prevention of heart disease, stroke, obesity, and the importance of nutrition and exercise in order to improve the health of the communities we serve. The work of the American Heart Association has yielded improvements in the reduction of death caused by cardiovascular disease. Part VI, Line 6: Community Medical Center operates an Emergency Room and Level II Trauma Center that is open to all of our community regardless of their ability to pay; CMC has an open medical staff and offers privileges to all qualified physicians in the area; CMC has a governing board comprised of independent citizens representative of the community; CMC works with other affiliated and clinically affiliated staff and their facilities to provide medical or scientific research programs; Participates in Medicaid/Medicare and other government sponsored health care programs; CMC's board of directors is made up residents of the community we serve and volunteer their time solely due to their concern for hospital and the community it serves; Engages in the training and education of health care professionals. Part VI, Line 7: In addition to Community Medical Center's 300-bed, in-patient hospital, CMC also operates Mountain View Care Center, providing short term rehabilitation, skilled nursing, and long term care to the communities we serve. Also, CMC's Abington Physical Therapy and Green Ridge Physical Therapy are outpatient physical rehabilitation facilities the hospital operates. 1 Northeast Cancer Center 334 Jefferson Avenue ScrantON PA 18510 201687320 501(c)(3) 26585 CASH ASSISTANCE PROVIDED AS CHARITABLE SUPPORT THE COMMONWEALTH MEDICAL COLLEGE 150 NORTH WASHINGTON AVENUE SCRANTON PA 18503 260812968 501(c)(3) 20000 CASH ASSISTANCE PROVIDED AS CHARITABLE SUPPORT X X 1 1 X X X X 0 0 0 0 0 0 0 0 0 Louis Denaples MD 168000 0 0 0 0 0 0 0 0 0 168000 0 0 0 John Nilsson 552000 0 0 0 45981 0 0 0 0 0 597981 0 0 0 Thomas Kelly Jr 360000 0 0 0 35458 0 0 0 0 0 395458 0 0 0 BARBARA BOSSI 240896 0 0 0 0 0 10640 0 2459 0 253995 0 0 0 JOSEPH B FISNE 192801 0 0 0 0 0 9178 0 2335 0 204314 0 0 0 Dr Kahileel Shaikh 535050 0 0 0 0 0 21412 0 11445 0 567907 0 0 0 DR PAUL GRANET 369386 0 0 0 0 0 5452 0 11448 0 386286 0 0 0 Dr SHAWN TERRY 348168 0 0 0 0 0 3510 0 11182 0 362860 0 0 0 Dr Jose Salazar 332130 0 0 0 0 0 14582 0 10719 0 357431 0 0 0 DR LUIS VERA 281072 0 0 0 0 0 8598 0 10436 0 300106 0 0 0 Part I, Line 1a TRAVEL FOR COMPANIONS AND HOUSING ALLOWANCES ARE PAID DIRECTLY TO QUORUM HEALTH RESOURCES ON BEHALF OF THE CEO AND CFO. Supplemental Information Part III John Nilsson, Interim President & CEO of Community Medical Center receives compensation for services rendered in capacity as an officer from Quorum Health Resources, an unrelated organization. Total compensation including benefits paid to Quorum Health Resources for the year was $578,481. Thomas Kelly Jr., Interim CFO of Community Medical Center receives compensation for services rendered in capacity as an officer from Quorum Health Resources, an unrelated organization. Total compensation including benefits paid to Quorum Health Resources for the year was $380,349. LOUIS DENAPLES MD BOARD MEMBER 484565 DR. DENAPLES' COMPANY, EMERGENCY SERVICES, PC, PROVIDES MEDICAL AND EMERGENCY ROOM SERVICES TO COMMUNITY MEDICAL CENTER. COMMUNITY MEDICAL CENTER ALSO PAYS A STIPEND TO EMERGENCY SERVICES, PC FOR THE SERVICES PROVIDED BY DR. LOUIS DENAPLES AS A MEDICAL DIRECTOR IN THE HOSPITAL. 0 Form 990, Part VI, Section A, line 3 The Organization delegates responsibility to an outside management company Quorum Health Resources for their CEO and CFO job functions. The organization delineates the responsibilities in the management agreements and reports to the Board of Directors compliance with the delegated duties. Form 990, Part VI, Section B, line 11 THE FINANCE STAFF REVIEWS ALL FORMS BEFORE FILING WITH IRS. FOR THE 2009 YEAR, THE 990 WILL BE PRESENTED TO THE BOARD BEFORE FILING. Form 990, Part VI, Section B, line 12c Each year in January, the Conflict of Interest Policy along with a Conflict of Interest Statement is sent to all Board Members for their review and completion. After all statements are received back, each one is recorded into a summary which is presented at the Board of Directors meeting in March/April. Form 990, Part VI, Section B, line 15 The Board of Directors maintains an Executive Compensation Committee for the purpose of reviewing the performance and compensation of the Executives. The Executive Compensation Committee of the Board utilizes information from external third parties to validate that the compensation for executives is appropriate or fair market value. During fiscal year 2010 Community Medical Center had engaged a company to provide the Chief Executive Officer and Chief Financial Officer. Prior to engaging this firm, proposals from other firms were evaluated. This evaluation helped to confirm the fair market value for contracting for these two senior executives. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, Line 2c: THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR OVERSIGHT DURING THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. COMMUNITY MEDICAL CARE INC 1822 MULBERRY STREET SCRANTON PA 18510 232429776 PHYSICIANS PRACTICES PA 501(C)(3) 170(B)(1)(a)(III) N/A MOUNTAIN VIEW NURSING HOME INC 1822 MULBERRY STREET SCRANTON PA 18510 232568288 LONG TERM CARE FACILITY PA 501(C)(3) 509(A)(2) N/A COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM 1822 MULBERRY STREET SCRANTON PA 18510 232279376 SUPPORT ACTIVITIES OF CMC AND AFFILIATES PA 501(C)(3) 509(A)(3) TYPE 1 N/A MEDICAL DIMENSIONS INC 1822 MULBERRY STREET SCRANTON PA 18510 232369788 REAL ESTATE HOLDING COMPANY FOR THE HEALTHCARE SYSTEM PA 501(C)(2) N/A N/A COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM MEDICAL PROF LIAB SELF INSURANCE 1800 MULBERRY STREET SCRANTON PA 18510 046990600 SELF INSURANCE FOR AFFILIATES PA 501(C)(3) 509(A)(3) TYPE 1 N/A Northeast Cancer Center Inc 1822 MULBERRY STREET SCRANTON PA 18510 201687320 Provides radiation oncology services to cancer patients PA 501(C)(3) 170(B)(1)(a)(III) N/A 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 Medical Dimensions Inc J 392000