2011-05-16T11:47:38-05:00 2010-06-30 ParenteBeard LLC 46 Public Square Suite 400 WilkesBarre PA 18701 990 2009-07-01 232568288 MOUNTAIN VIEW NURSING HOME INC MOUN 5703410050 1822 MULBERRY STREET SCRANTON PA 18510 Jim Jesikiewicz 5709698227 2011-05-13 1 Julius Green CPA 5708200100 2009 2016-02-24 21:20:13Z JAMES JESIKIEWICZ 1822 MULBERRY STREET SCRANTON PA 18510 16170231 0 X mountainviewcarecenter.org X 1989 PA TO OPERATE A LONG-TERM CARE FACILITY. 6 5 270 83 0 0 985 9506 15518430 15776874 253724 152548 222508 231303 15995647 16170231 2000000 0 8917586 9639273 0 0 5648989 5663425 14566575 17302698 1429072 -1132467 14793584 13894935 7147241 7130455 7646343 6764480 TO OPERATE A LONG-TERM CARE FACILITY. 0 0 15473020 2000000 15776874 Mountain View Nursing Home, Inc. (MVCC) is a tax-exempt, Pennsylvania not for profit corporation organized under Section 501 (c) (3) of the Internal Revenue Code, which owns and operates a 180 bed long term care, skilled nursing and rehabilitation facility located in the City of Scranton, located approximately 4.5 miles from Community Medical Center (CMC). MVCC provides nursing and medical services to residents at varying levels of care, including 24 hour skilled nursing care, rehabilitative therapies, and assistance with activities of daily living.In addition to nursing and skilled nursing, services include a 24 bed unit specializing in the care of individuals with Alzheimer's Disease. The staff of this unit are specially trained to deal with dementia with emphasis on behavioral management and communication techniques. A complete range of rehabilitation therapies include physical, respiratory, occupational, and speech therapies designed to assist residents in the pursuit of health and wellness. To enhance residents' quality of life, activities are incorporated into each resident's daily routine. Activities range from an exercise program to pet therapy and are based on individual abilities and needs.Governance:Membership. The Community Medical Center Healthcare System (the System) is the sole corporate member of MVCC. The System was incorporated in 1983 as a non-stock, not for profit corporation under the laws of the Commonwealth of Pennsylvania and is a 501 (c) (3) Entity. Board of Directors. MVCC is governed by a Board of Directors (the Board), elected by the System, and consisting of six members. Subject to the powers reserved to the System, the administrative powers of MVCC are vested in the MVCC Board who have charge, control, and management of property, affairs, and funds of MVCC, and which has the power and authority to do and perform all acts and functions.Auxiliary:The MVCC Auxiliary is comprised of volunteer members who organize fundraising functions, such as flea markets, bazaars, and dinners. Proceeds are used to benefit residents through holiday parties, purchasing of activity supplies, and assistance in purchasing clothing and/or medical equipment for residents who cannot afford to purchase them.Education and ResearchMVCC has partnered with several institutions of higher learning to provide students with hands-on training in the workplace. Students from the Physician Assistant, Nursing, Dietary, Social Work, and Health Administration departments of Marywood University, The University of Scranton, Wilkes University, State University of New York, College Misericordia Georgetown University, Penn State university, Allied Medical and Technical Careers, and Career Institute of Technology obtain a rotation in a skilled care setting. MVCC is also a placement site for Scranton School Districts alternative education program.Support to the Community:MVCC participates in educating the public about skilled nursing care through participation in the Hospice Fair, which is sponsored by the VNA Hospice, is open to the public, and includes free health screenings. Annually, MVCC sponsors a health fair as a gift to the community, which offers free diagnostic testing as well as information on services available to seniors within the community. MVCC also participates in other community health fairs sponsored by organizations that provide care to seniors.Volunteer Services:In addition to the support provided by the MVCC Auxiliary, each year adult and junior volunteers provide one to one visitation with residents, and adult volunteers participate in religious services, provide entertainment, and act as chaperones to resident outings. Junior volunteers participate in an intergenerational program, through which local schools, day care centers and other junior volunteers assist in providing a more homelike environment, and assist with various activities. 15473020 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 21 0 1 270 1 0 0 0 0 0 0 0 0 0 0 0 6 5 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 X SIDNEY PREJEAN 0.50 X 0 0 0 WILLIAM J BURKAVAGE 0.50 X 0 0 0 GEORGE GINADER 0.50 X 0 0 0 LETHA WELLS REINHEIMER 0.50 X 0 0 0 John Nilsson 0.50 X X 0 578481 0 DAVID HAWK 0.50 X X 0 0 0 Thomas Kelly Jr 0.50 X 0 380349 0 BARBARA BOSSI 0.50 X 0 240896 13099 Joseph Fisne 0.50 X 0 192801 11513 james jesikiewicz 0.50 X 0 60447 13414 William Kammerer 40.00 X 114706 0 10208 114706 1452974 48234 1 0 1 0 COMMUNITY MEDICAL CENTER 1822 MULBERRY STREET SCRANTON PA 18510 THERAPY SERVICES 896173 1 9506 9506 NET PATIENT SERVICE RE 623000 15776874 15776874 15776874 152548 152548 Gift Shop 453220 139647 139647 BEAUTY SHOP 812900 38894 38894 CABLE TV & LINEN 900099 33515 33515 19247 19247 231303 16170231 15776874 0 383851 2000000 2000000 7783047 7249346 533701 229095 219077 10018 1056027 1011388 44639 571104 531303 39801 1944 1944 13356 13356 11226 11226 1237963 1132376 105587 28868 28868 402357 265403 136954 344228 344228 14594 7032 7562 257857 257857 598181 598181 37965 37965 Patient supplies 1363944 1363944 NURSING HOME ASSESSMENT 1342590 1342590 bad debt expense 6333 6333 donations 1250 1250 licenses 769 769 17302698 15473020 1829678 0 850 5341186 4397812 1461679 1331178 125847 112540 17220 33063 12669734 9679201 3195625 2990533 3856034 4239566 795993 789393 14793584 13894935 1636725 1989352 5422063 5041089 88453 100014 7147241 7130455 X 7646343 6764480 7646343 6764480 14793584 13894935 X 0 1 1 X 0 X 4370 4715 1105 985 3247 14422 12400607 13858331 15042416 15518430 15776874 72596658 12404977 13863046 15043521 15519415 15780121 72611080 0 0 0 72611080 538210 589814 259495 253724 152548 1793791 538210 589814 259495 253724 152548 1793791 83695 139469 228510 222508 231303 905485 13026882 14592329 15531526 15995647 16163972 75310356 0.96420 0.94080 0.02380 0.02490 X 8271147 6581037 1690110 4398587 3098164 1300423 2990533 TRUST HELD FUNDS 688161 DEFERRED EXPENSES 47375 BOND DISCOUNT 53857 789393 LONG-TERM INSURANCE 100014 100014 16170231 17302698 -1132467 250604 250604 -881863 16409609 250604 250604 16159005 11226 11226 16170231 17291472 0 17291472 11226 11226 17302698 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 XII, Line 4b - Other Adjustments: INVESTMENT MANGEMENT FEES INCLUDED IN INVESTMENT INCOME : 11226. Part XIII, Line 4b - Other Adjustments: INVESTMENT MANAGEMENT FEES INCLUDED IN INVESTMENT INCOME : 11226. 0 Community Medical Center Healthcare System 1822 Mulberry Street Scranton PA 18510 232279376 501(c)(3) 2000000 cash general support to affiliated entity 1 X X 1 1 X X X X 0 0 0 0 0 0 0 0 0 John Nilsson 0 552000 0 0 0 26481 0 0 0 0 0 578481 0 0 Thomas Kelly Jr 0 360000 0 0 0 20349 0 0 0 0 0 380349 0 0 BARBARA BOSSI 0 240896 0 0 0 0 0 10640 0 2459 0 253995 0 0 Joseph Fisne 0 192801 0 0 0 0 0 9178 0 2335 0 204314 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. 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 CENTER 1822 MULBERRY STREET SCRANTON PA 18510 240862246 HOSPITAL BASED HEALTHCARE SERVICES PA 501(C)(3) 170(B)(1)(A)(III) N/A COMMUNITY MEDICAL CARE INC 1822 MULBERRY STREET SCRANTON PA 18510 232429776 PHYSICIAN PRACTICES PA 501(C)(3) 170(B)(1)(A)(III) N/A COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM 1822 MULBERRY STREET SCRANTON PA 18510 232279376 SUPPORTS 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 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 MEDICAL DIMENSIONS INC J 15000