2019-05-13T14:32:06-05:00 2018-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-07-01 251512436 MEADVILLE MEDICAL CENTER % RENATO SUNTAY MEAD 8143335000 1034 GROVE STREET MEADVILLE PA 16335 RENATO SUNTAY CFO 8143335000 2019-04-30 true Brian D Todd P00422601 4178658701 167.68.126.162 43032920191335000010 2019-05-13 P 0754179D018E36E1FC32FE9048A529C5B14E6748 9ED1AFD43ECA266599EA2022F4AABFE45DA09571 2017 2019-02-21 02:37:17Z PHILIP PANDOLPH 751 LIBERTY STREET MEADVILLE PA 16335 231756752 false X WWW.MMCHS.ORG X 1986 PA MMC PROVIDES THE HIGHEST QUALITY HEALTHCARE SERVICES, INCLUDING INPATIENT AND OUTPATIENT SURGERIES ACUTE CARE, AND INTENSIVE CARE TO THE CRAWFORD COUNTY REGION. 11 11 1570 250 -184186 -36039 225566 276078 199288185 206741877 565312 520143 -2483600 2206179 197595463 209744277 130069 104889 0 0 99008162 103352647 0 0 0 100057487 104763523 199195718 208221059 -1600255 1523218 229283712 220033522 185015253 176030244 44268459 44003278 X YOUR INDEPENDENT COMMUNITY HEALTH SYSTEM IS DEDICATED TO PROVIDING HIGH QUALITY, INNOVATIVE AND AFFORDABLE HEALTHCARE FOR THE WELL-BEING OF OUR COMMUNITY. false false 84270543 104889 99442302 MMC PROVIDES ACUTE CARE SERVICES TO PATIENTS. AN ACUTE CARE SETTING IS AN INSTITUTION OR MEDICAL FACILITY PROVIDING PATIENTS WITH SHORT-TERM TREATMENT FOR AN ACUTE INJURY OR ILLNESS. ACUTE CARE FACILITIES ARE BENEFICIAL TO PATIENTS WITH ACUTE CONDITIONS BECAUSE THEY ARE ABLE TO FOCUS ON GIVING QUICK, EFFICIENT CARE TO THEIR PATIENTS. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 24817509 50300685 MMC PROVIDES ONCOLOGY SERVICES AT THE YOLANDA G. BARCO ONCOLOGY INSTITUTE. A COMPREHENSIVE CANCER CARE PROGRAM, APPROVED BY THE AMERICAN COLLEGE OF SURGEONS, IS AVAILABLE IN MEADVILLE WITH THE LATEST TECHNOLOGY AND PHYSICIAN SPECIALISTS AVAILABLE. WE HAVE ACCESS TO RESEARCH AND THE MOST UP-TO-DATE TREATMENT PROTOCOLS. MEADVILLE MEDICAL CENTER IS A MEMBER OF THE ASSOCIATION FOR COMMUNITY CANCER CENTERS. WE BELIEVE THAT CANCER CARE IS BEST DELIVERED IN A COMMUNITY SETTING. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 14949395 22704108 MMC PERFORMS BOTH INPATIENT AND OUTPATIENT SURGERY. THE SURGERY DEPARTMENT UTILIZES THE LATEST IN SURGICAL EQUIPMENT AND TECHNIQUES IN PROVIDING BOTH INPATIENT AND OUTPATIENT CARE. THE SURGICAL TEAM CONSISTS OF SPECIALLY TRAINED NURSES AND ANESTHETISTS, GENERAL AND SPECIALTY SURGEONS AND ANESTHESIOLOGISTS. THE MMC SURGEONS REPRESENT THE AREAS OF GENERAL SURGERY, PERIPHERAL VASCULAR SURGERY, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, ORAL AND MAXILLOFACIAL SURGERY, ORTHOPEDICS, OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY, AND UROLOGY. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 64132565 34294782 188170012 true true false true false false false false false false true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true X 423 0 true 1570 true true true false false false false false false false false false X 11 11 false false false false true true true true true false false true true true true true true true true true true PA X RENATO SUNTAY 8143335000 751 LIBERTY STREET MEADVILLE PA 16335 X MARK STEVENS CHAIR 1.0 0.0 X X 0 0 0 JAMES MULLEN VICE CHAIR 1.0 0.0 X X 0 0 0 JOE LEDFORD TREASURER 1.0 0.0 X X 0 0 0 ROGER WILLIS SECRETARY 1.0 0.0 X X 0 0 0 JAMES BULMAN DIRECTOR 1.0 2.0 X 0 0 0 BRIAN NAGEOTTE DIRECTOR 1.0 0.0 X 0 0 0 JOHN CHRISTIE-SEARLES DIRECTOR END 09/17 1.0 1.0 X 0 0 0 NICOLA FISHER DIRECTOR 1.0 2.0 X 0 0 0 JUDY SICKLES DIRECTOR END 09/17 1.0 1.0 X 0 0 0 STEPHANIE GALEY DIRECTOR END 09/17 1.0 0.0 X 74656 0 0 KEVIN KRAELING DIRECTOR 1.0 0.0 X 0 0 0 JODI MAXFIELD PRES. MEDICAL STAFF BEG 9/17 1.0 0.0 X X 0 0 0 CRAIG MULLEN DIRECTOR BEG 09/17 1.0 3.0 X 0 0 0 TIM GEIBEL DIRECTOR BEG 09/17 1.0 0.0 X 0 0 0 PHILIP PANDOLPH CEO 40.0 2.0 X 730088 0 95792 RENATO SUNTAY CFO 40.0 3.0 X 406211 0 72687 MARYANN HEWSTON CHIEF NURSE EXECUTIVE 40.0 0.0 X 229591 0 33154 DENISE JOHNSON MEDICAL DIRECTOR 40.0 0.0 X 383378 0 44335 CALVIN HAN PHYSICIAN 40.0 0.0 X 551151 0 46686 HAKEEM SAM PHYSICIAN 40.0 0.0 X 664300 0 51720 JASON BROWN PHYSICIAN 40.0 0.0 X 584433 0 51286 ANNALIISA MCGLINN PHYSICIAN 40.0 0.0 X 522142 0 51940 HEATH FALLIN PHYSICIAN 40.0 0.0 X 691160 0 45892 4837110 0 493492 80 false true false ASSOCIATED CLINICAL LABORATORIES 1526 PEACH ST ERIE NE 16501 CLINICAL LABS 2213534 EMCARE 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 MEDICAL PROFESSIONAL 1588885 HOWE CONTRACTORS 7045 DUTCH HILL ROAD MEADVILLE PA 16335 CONSTRUCTION 1171226 ADVANCED ICU CARE INC ONE CITYPLACE DR STE 570 ST LOUIS MO 63141 MEDICAL PROFESSIONAL 1144150 MEDICAL SOLUTIONS LLC 1010 N 102ND ST STE 300 OMAHA NE 68114 MEDICAL STAFFING 937891 68 233140 42938 276078 NET PATIENT SERVICE REVENUE 621990 202899503 202899503 PHARMACY REVENUE 446110 499399 499399 AFFILIATED ORGANIZATION RENT 532000 245934 245934 CAFETERIA INCOME 722514 548822 548822 MANAGEMENT FEES 561000 753324 753324 1794895 1794895 206741877 243229 243229 120554 120554 0 1391954 390266 1001688 0 1001688 -184186 1185874 21701087 77482 21576217 45992 124870 31490 156360 156360 0 0 0 0 0 0 0 0 0 INSURANCE PROCEEDS 900099 604021 604021 INVESTMENT IN EQUITY INVESTEE 900099 600470 600470 1204491 209744277 206741877 -184186 2910508 104889 104889 0 0 0 2146238 765114 1381124 0 76516770 69874673 6642097 4350063 4015086 334977 15164715 13705135 1459580 5174861 4657375 517486 0 308252 308252 418595 418595 0 0 0 20324244 18291819 2032425 0 12818727 8304655 4514072 0 0 2873740 2586366 287374 400185 360166 40019 0 342632 308369 34263 6035061 5431555 603506 0 12063029 10856726 1206303 1862165 1675948 186217 MEDICAL SUPPLIES & DRUGS 32320674 32320674 BAD DEBT 10769049 10769049 PROVIDER TAX 1994758 1994758 RECRUITING 1458196 1450861 7335 774216 696794 77422 208221059 188170012 20051047 0 21102477 14308237 21419599 29581499 0 0 23209568 19014777 0 0 0 0 0 0 4118865 3793037 1966263 2320889 253637278 170907927 90216885 82729351 7233827 7908028 3476177 3677797 6156819 7478546 0 0 50383232 49221361 229283712 220033522 31123538 33277644 0 0 0 0 70439237 70614272 0 0 0 0 19723937 18765996 2994450 2994861 60734091 50377471 185015253 176030244 X 36148040 35571042 0 0 8120419 8432236 44268459 44003278 229283712 220033522 X 1523218 57098 -1845497 X false true X true true true X false false false false false false false false true 16469 16469 false SCHEDULE C, PART II-B, LINE 1(I) LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO ORGANIZATIONS WHICH PARTICIPATE IN LOBBYING ACTIVITIES. THE PORTION OF THE ORGANIZATION'S TOTAL DUES ATTRIBUTABLE TO LOBBYING ARE $7,351 TO THE AMERICAN HOSPITAL ASSOCIATION AND $9,118 TO THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA. TOTAL DUES ATTRIBUTABLE TO LOBBYING ARE $16,469. 7336420 7336420 25913775 108703060 79791721 54825114 106287322 87178380 19108942 5396701 3937826 1458875 82729351 Due from affiliates 35481898 Other Receivables 5665919 EST AMTS DUE FROM 3RD PARTIES 1388403 Cash Surrender Value 1809533 Benefi. Interest in Perp Trust 4875608 49221361 0 ESTIMATED SELF-INSURANCE COSTS 3918849 ACCRUED POST-RETIREMENT BEN LIABILITY 7453555 ACCRUED PENSION 36396164 DUE TO THIRD PARTY PAYERS 2608903 50377471 200032086 -10070967 -10070967 210103053 -358776 -358776 209744277 197874986 358776 358776 197516210 10704849 10704849 208221059 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ 633,882 CHANGE IN INTEREST OF TAHC 64,200 PENSION EXPENSE (10,769,049) BAD DEBT EXPENSE -------------- $ (10,070,967) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 31,490 GAIN ON SALE OF FIXED ASSETS (390,266) RENTAL EXPENSES ------------ $ (358,776) SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 390,266 RENTAL EXPENSES (31,490) GAIN ON SALE OF FIXED ASSETS ----------- $ 358,776 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 10,769,049 BAD DEBT EXPENSE (64,200) PENSION EXPENSE -------------- $ 10,704,849 true true X true X 300. false true true true false false 731655 731655 0.00370 29669015 26338126 3330889 0.01690 30400670 26338126 4062544 0.02060 1288279 101661 1186618 0.00600 835279 347798 487481 0.00250 30837441 21870609 8966832 0.04540 273139 273139 0.00140 33234138 22320068 10914070 0.05530 63634808 48658194 14976614 0.07590 true 10769049 600000 79565189 90873251 -11308062 X true true 2 1 MEADVILLE MEDICAL CENTER 751 LIBERTY ST MEADVILLE PA 16335 WWW.MMCHS.ORG 197101 X X X PHYSICIAN PRACTICES 1 2 MEADVILLE MEDICAL CENTER 1034 GROVE ST MEADVILLE PA 16335 WWW.MMCHS.ORG 197101 X X PHYSICIAN PRACTICES 1 FACILITY REPORTING GROUP #1 12 false false true X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X X true 15 false true false true X 300. 0. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: THE RESEARCH PROCESS INCLUDED A REVIEW OF HOSPITAL AND PUBLIC HEALTH SURVEILLANCE DATA AS WELL AS THE COLLECTION OF COMMUNITY PERCEPTIONS DATA AND A COMMUNITY-WIDE SURVEY. THE SURVEY FOCUSED ON ACCESS TO HEALTH CARE, CANCER SCREENING, NUTRITION, HOUSEHOLD HAZARDS, AND BARRIERS TO HEALTH. THE RESEARCH TEAM USED FOCUS GROUPS TO COLLECT INPUT ABOUT SURVEY QUESTIONS FROM COMMUNITY LEADERS AND MEMBERS. THE FINAL SET OF QUESTIONS FOCUSED ON FIVE MAIN THEMES: GENERAL HEALTH, INSURANCE AND ACCESS TO HEALTH CARE, PHYSICAL ACTIVITY/NUTRITION, HOUSEHOLD HAZARDS, AND BARRIERS TO LEADING A HEALTHY LIFE. DURING THE SUMMER OF 2015, 1005 ADULTS IN CRAWFORD COUNTY COMPLETED THE CHNA SURVEY. TO ENSURE THAT A REPRESENTATIVE SAMPLE OF INDIVIDUALS WAS SURVEYED, THE RESEARCHERS VARIED THE TIME AND LOCATION OF SURVEY COLLECTION. SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES: MEADVILLE MEDICAL CENTER'S CHNA WAS CONDUCTED WITH ANOTHER HOSPITAL FACILITY, TITUSVILLE AREA HOSPITAL. SCHEDULE H, PART V, SECTION B, LINE 6B CHNA CONDUCTED WITH OTHER NON-HOSPITAL FACILITIES: THE CHNA REPORT WAS CONDUCTED WITH CRAWFORD HEALTH IMPROVEMENT COALITION AND ALLEGHENY COLLEGE. SCHEDULE H, PART V, SECTION B, LINE 7A HOSPITAL FACILITY'S WEBSITE: http://www.mmchs.org/Patient-Visitors/Community-Health-Needs-Assessment.as px SCHEDULE H, PART V, SECTION B, LINE 7B CHNA AVAILABLE ON OTHER WEBSITE: https://www.titusvillehospital.org/Patient-Visitors/Community-Health-Needs -Assessment.aspx SCHEDULE H, PART V, SECTION B, LINE 7D OTHER METHODS OF PROVIDING THE CHNA TO THE PUBLIC: OTHER METHODS IN WHICH MEADVILLE MEDICAL CENTER MADE ITS CHNA WIDELY AVAILABLE TO THE PUBLIC INCLUDED ITS ANNUAL MEETING OF THE CRAWFORD (COUNTY) HEALTH IMPROVEMENT COALITION, TELEVISING THE RESULTS OF THE REPORT ON LOCAL TELEVISION AND BROADCASTING THE RESULTS OF THE REPORT ON LOCAL RADIO STATIONS. SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING IDENTIFIED NEEDS: MEADVILLE MEDICAL CENTER FINALIZED AN IMPLEMENTATION PLAN IN RESPONSE TO THE MOST RECENTLY CONDUCTED CHNA. THE NEEDS IDENTIFIED WERE: -ADDRESS CHRONIC ILLNESSES -IMPROVE ACCESS TO CANCER SCREENINGS IN CRAWFORD COUNTY -IMPROVE ACCESS TO PRIMARY HEALTH CARE SERVICES -IMPROVE HEALTH AWARENESS AND HEALTH LITERACY -REDUCE THE DEATH RATE FROM COLON CANCER THROUGH AN INCREASE IN EARLY DETECTION PROCEDURES WITH THE RECRUITMENT OF ADDITIONAL GASTROINTESTINAL PHYSICIAN RESOURCES. THE FULL IMPLEMENTATION PLAN IS ATTACHED TO DETAIL THE CURRENT STRATEGY TO ADDRESS THESE IDENTIFIED NEEDS. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, & 16C FAP, FAP APPLICATION, AND PLS WEBSITE: http://www.mmchs.org/Patient-Visitors/Billing-Insurance/Financial-Assistan ce.aspx SCHEDULE H, PART V, SECTION B, LINE 20E OTHER METHODS OF PUBLICIZING FINANCIAL ASSISTANCE POLICY: THE BILLING INVOICE OFFERS A PHONE NUMBER TO CALL FOR EXPLANATION OF THE FINANCIAL ASSISTANCE POLICY. 12 YOLANDA G BARCO ONCOLOGY CENTER 16792 CONNEAUT LAKE ROAD MEADVILLE PA 16335 ONCOLOGY CENTER MIND BODY WELLNESS CENTER 18201 CONNEAUT LAKE ROAD MEADVILLE PA 16335 WELLNESS CENTER MEADVILLE DERMATOLOGY AND SKIN SURGERY INSTITUTE 149 N MAIN ST MEADVILLE PA 16335 DERMATOLOGY MEADVILLE PAIN MANAGEMENT 1015 GROVE ST MEADVILLE PA 16335 PAIN MANAGEMENT MEADVILLE SPORTS MEDICINE ONE VERNON PLACE MEADVILLE PA 16335 SPORTS MEDICINE, WORKPLACE HEALTH, LAB, RADIOLOGY CONNEAUT VALLEY HEALTH CENTER 906 WASHINGTON ST CONNEAUTVILLE PA 16406 FAMILY MEDICINE CAMBRIDGE SPRINGS HEALTH CENTER 118 RAILROAD ST CAMBRIDGE PA 16403 FAMILY MEDICINE CONNEAUT LAKE HEALTH CENTER 10926 PA-18 CONNEAUT LAKE PA 16316 FAMILY MEDICINE MEADVILLE COMMUNITY HEALTH 747 TERRACE ST MEADVILLE PA 16335 FAMILY MEDICINE SAEGERTOWN MEDICAL ASSOCIATES 707 ERIE ST SAEGERTOWN PA 16433 FAMILY MEDICINE VALLEY DENTAL CENTER 906 WASHINGTON STREET CONNEAUTVILLE PA 16406 DENTAL SERVICES ALDEN PRIMARY CARE 640 ALDEN ST MEADVILLE PA 16335 FAMILY MEDICINE SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $10,769,049. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1, 3, AND 6. OTHER IRS WORKSHEETS USED THE HOSPITAL'S COST ACCOUNTING SYSTEM, WHICH INCLUDED ALL PATIENT SEGMENTS. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: LINE 2 REPORTS BAD DEBT EXPENSE FROM THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY FOR LINE 3 WAS DETERMINED USING A MONTHLY AVERAGE OF PATIENTS ATTRIBUTABLE TO CHARITY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: Accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectability of accounts receivable, the Health System analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for uncollectible accounts. For receivables associated with services provided to patients who have third-party coverage, the Health System analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Health System records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for uncollectible accounts. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: 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. COST ACCOUNTING WAS USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: FOR UNINSURED PATIENTS ELIGIBLE FOR DISCOUNTS FROM BILLED TO CHARGES, A MEDICAL ASSISTANCE APPLICATION CAN BE COMPLETED. ONCE COMPLETED, IT WILL BE REVIEWED FOR ELIGIBILITY. A CONTRACT FOR PAYMENT CAN BE NEGOTIATED WITH THE FACILITY'S COLLECTIONS PERSONNEL. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: MEADVILLE MEDICAL CENTER COMPLETES A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT ON A REGULAR BASIS TO DETERMINE HEALTH CARE NEEDS. THE MOST RECENT PREVIOUS ASSESSMENT WAS COMPLETED IN 2016. MEADVILLE MEDICAL CENTER WORKS WITH MANY COMMUNITY PARTNERS INCLUDING; HEALTH AND HUMAN SERVICE PROVIDERS, EDUCATION, GOVERNMENT, FAITH, LAW ENFORCEMENT, AND OTHER INTERESTED PARTIES IN COMPLETING THE ASSESSMENT OF THE COMMUNITY HEALTH NEEDS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ELIGIBILITY FOR FINANCIAL ASSISTANCE IS REVIEWED ACCORDING TO THE U.S. GOVERNMENT'S FEDERAL POVERTY GUIDELINES. MEADVILLE MEDICAL CENTER (MMC) OFFERS A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS TO MEET THE NEEDS OF PATIENTS. PROGRAMS APPLY ONLY TO MEADVILLE MEDICAL CENTER HOSPITAL CHARGES. PATIENTS WILL RECEIVE A SEPARATE BILL FROM EACH INDEPENDENT PRACTITIONER, OR GROUPS OF PRACTITIONERS, FOR CARE, TREATMENT, OR SERVICES PROVIDED. THE MEADVILLE MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM DOES NOT APPLY TO THESE CHARGES. IN ADDITION TO THE MEADVILLE MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAMS, PATIENTS MAY ALSO BE ELIGIBLE FOR PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. APPLYING FOR SUCH PROGRAMS MAY BE REQUIRED PRIOR TO APPLYING FOR A MEADVILLE MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM. MEADVILLE MEDICAL CENTER WILL ASSIST PATIENTS WITH STATE FUNDED PUBLIC PROGRAMS AND THE ENROLLMENT PROCESS. THE MEADVILLE MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAMS INCLUDE FOUR PROGRAMS: 1. UNINSURED FINANCIAL ASSISTANCE - AVAILABLE TO UNINSURED PATIENTS, OFFERS FREE CARE OR DISCOUNTED CARE BASED ON FAMILY SIZE AND INCOME ACCORDING TO THE ELIGIBILITY CRITERIA. 2. SELF-PAY DISCOUNT - AVAILABLE TO UNINSURED PATIENTS, OFFERS A 40% DISCOUNT, NO APPLICATION NECESSARY, DOES NOT APPLY TO MEDICARE, MEDICAID, BCBS AND OTHER INSURANCE/THIRD PARTY PAYER DEDUCTIBLE AND CO-INSURANCE AMOUNTS. 3. CATASTROPHIC DISCOUNT - AVAILABLE TO UNINSURED AND INSURED PATIENTS, LIMITS THE OUT-OF-POCKET COSTS WHEN MEDICAL DEBTS SPECIFIC TO MEDICAL CARE AT MEADVILLE MEDICAL CENTER EXCEED 25% OF THE PATIENT'S FAMILY GROSS INCOME. 4. PAYMENT PLAN PROGRAM - AVAILABLE TO UNINSURED AND INSURED PATIENTS, ASSISTS PATIENTS WITH THEIR FINANCIAL OBLIGATIONS BY ESTABLISHING PAYMENT ARRANGEMENTS. TO QUALIFY FOR FREE SERVICES (100% FINANCIAL ASSISTANCE) THE PATIENT'S HOUSEHOLD INCOME MUST BE AT OR BELOW 300% OF THE CURRENT FEDERAL POVERTY GUIDELINES. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: MEADVILLE MEDICAL CENTER SERVES ANY PERSON IN NEED OF SERVICE, THE MAJORITY OF WHICH RESIDE IN CENTRAL AND WESTERN CRAWFORD COUNTY IN NORTHWESTERN PENNSYLVANIA, PRIMARILY A RURAL AREA. THE POPULATION OF THE PRIMARILY RURAL SERVICE AREA WAS 76,460. THE AREA HAS A HIGH RATE OF POVERTY, LOWER MEDIAN AND HOUSEHOLD INCOME, AND HIGHER RATE OF MEDICAL ASSISTANCE ELIGIBILITY THAN THE SURROUNDING AREAS AND THE STATE AND NATION AS A WHOLE. THE UNIQUE NEEDS OF THE COMMUNITY ARE CONSIDERED IN ALL PLANNING. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: MEADVILLE MEDICAL CENTER TAKES THE LEADERSHIP POSITION IN COMMUNITY BUILDING ACTIVITIES THAT PROMOTE HEALTH IN THE AREAS WE SERVE. WE ARE AN ACTIVE PARTICIPANT IN THE CRAWFORD (COUNTY) HEALTH IMPROVEMENT COALITION THAT ASSESSES NEEDS IN A ONGOING BASIS AND INITIATES NEEDED INTERVENTIONS, MOST RECENTLY FREE FLU SHOTS TO ELDERLY AND LOW INCOME PERSONS. MEADVILLE MEDICAL CENTER SUPPORTS FINANCIALLY AND OPERATIONALLY THE MEADVILLE AREA FREE CLINIC WHICH PROVIDES PRIMARY CARE FOR PERSONS WITH NO HEALTH INSURANCE, MEDICARE OR MEDICAL ASSISTANCE. THE FREE CLINIC IS ALSO SUPPORTED BY THE UNITED WAY COMMUNITY FUND DRIVE AND WAS STARTED TO MEET A COMMUNITY NEED AS DETERMINED IN A PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT. SURPLUS FUNDS ARE INVESTED IN REPLACEMENT EQUIPMENT, NEW AND IMPROVED FACILITIES AND SERVICES TO THE COMMUNITY. TWO RECENT FACILITY IMPROVEMENTS HAVE BEEN COMPLETED TO MEET COMMUNITY NEEDS; THE YOLANDA G. BARCO ONCOLOGY INSTITUTE AND THE SURGERY CENTER AT GROVE TO ADDRESS GROWING NEED FOR ONCOLOGY SERVICES AND INCREASES IN OUTPATIENT SURGERY. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: THE PRIMARY PURPOSE OF THE HEALTH SYSTEM IS TO PROVIDE MEDICAL SERVICES TO THE LOCAL AND SURROUNDING COMMUNITIES THROUGH THE OPERATIONS OF THE MEDICAL CENTER, CHS, MPS AND HCC. THE MEDICAL CENTER IS A SOLE COMMUNITY HOSPITAL LOCATED IN MEADVILLE, PENNSYLVANIA, AND PROVIDES PRIMARY ACUTE CARE MEDICAL SERVICES. COMMUNITY HEALTH SERVICES PROVIDES VARIOUS OUTPATIENT SERVICES, SOME OF WHICH ARE FUNDED THROUGH GOVERNMENTAL GRANTS. MEADVILLE PHYSICIANS SERVICES IS COMPRISED OF PHYSICIAN PRACTICES LOCATED WITHIN CRAWFORD COUNTY, PENNSYLVANIA. HOME CARE CONNECTIONS HOLDS THE EQUITY INVESTMENT IN VANTAGE HOLDING COMPANY, LLC. THE MEADVILLE MEDICAL CENTER FOUNDATION WAS ESTABLISHED TO RECEIVE, ADMINISTER AND DISTRIBUTE FUNDS AND PROPERTY FOR THE BENEFIT AND SUPPORT OF THE HEALTH SYSTEM. MEADVILLE HOUSING CORPORATION IS A FOR-PROFIT COMPANY THAT RENTS RESIDENTIAL LIVING ACCOMMODATIONS AT TWO HOUSING SITES, BOTH OF WHICH ARE IN OR NEAR MEADVILLE, PENNSYLVANIA. NEEDS ARE ASSESSED AND PLANNING IS CONDUCTED CENTRALLY WITHIN THE ORGANIZATION WITH THE PARTICIPATION OF AFFILIATES. THE MEADVILLE HEALTH CENTER WAS OPENED TO ADDRESS GROWING NEED FOR MEDICAL CARE FOR PERSONS COVERED BY MEDICAL ASSISTANCE IN CENTRAL CRAWFORD COUNTY. TITUSVILLE AREA HEALTH CENTER, INC. AND AFFILIATES (HEALTH CENTER) CONSISTS OF TITUSVILLE AREA HEALTH CENTER, INC. (PARENT), TITUSVILLE AREA HOSPITAL (HOSPITAL), THE TITUSVILLE AREA HEALTH CENTER FOUNDATION (FOUNDATION) AND TITUSVILLE AREA HEALTH SERVICES, INC. (HEALTH SERVICES). THE HOSPITAL PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN TITUSVILLE, PENNSYLVANIA, AND THE SURROUNDING AREA. THE FOUNDATION WAS ESTABLISHED TO RECEIVE, ADMINISTER AND DISTRIBUTE FUNDS AND PROPERTY FOR THE BENEFIT AND SUPPORT OF THE HEALTH CENTER AND AFFILIATES. HEALTH SERVICES OPERATES SEPARATELY FROM THE HOSPITAL OFFERING MULTISPECIALTY FAMILY MEDICINE PEDIATRICS TO PATIENTS IN TITUSVILLE, PENNSYLVANIA, AND THE SURROUNDING AREA. true DISPENSARY OF HOPE LLC 2700 BRICK CHURCH PIKE NASHVILLE TN 37207 581716804 501(C)(3) 7500 SUPPORT CITY OF MEADVILLE 894 DIAMOND PARK MEADVILLE PA 16335 999999999 GOVT 85000 SUPPORT 2 FORM 990, SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANT FUNDS: THE ORGANIZATION DONATES TO CHARITABLE ORGANIZATIONS THAT RELATE TO THE ORGANIZATION'S HEALTH CARE MISSION. THESE DONATIONS ARE APPROVED THROUGH ADMINISTRATION ON A CASE BY CASE BASIS. FORM 990, SCHEDULE I, PART II, COLUMN B, LINE 2 MISSING EIN: CITY OF MEADVILLE FAILED TO PROVIDE AN EIN TO MEADVILLE MEDICAL CENTER. 99-9999999 HAS BEEN ENTERED IN COLUMN B TO ALLOW FOR THE E-FILING OF THE FORM 990. X X X X false true false false false false false true false PHILIP PANDOLPH CEO 478246 0 249497 0 2345 0 61208 0 34584 0 825880 0 0 0 RENATO SUNTAY CFO 303078 0 101199 0 1934 0 49119 0 23568 0 478898 0 0 0 MARYANN HEWSTON CHIEF NURSE EXECUTIVE 210334 0 18412 0 845 0 9084 0 24070 0 262745 0 0 0 DENISE JOHNSON MEDICAL DIRECTOR 348279 0 34409 0 690 0 14850 0 29485 0 427713 0 0 0 CALVIN HAN PHYSICIAN 510852 0 40000 0 299 0 14850 0 31836 0 597837 0 0 0 HAKEEM SAM PHYSICIAN 638850 0 25000 0 450 0 13500 0 38220 0 716020 0 0 0 JASON BROWN PHYSICIAN 544133 0 40000 0 300 0 35086 0 16200 0 635719 0 0 0 ANNALIISA MCGLINN PHYSICIAN 481692 0 40000 0 450 0 16200 0 35740 0 574082 0 0 0 HEATH FALLIN PHYSICIAN 592567 0 98078 0 515 0 13500 0 32392 0 737052 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING SCHEDULED 457(F) CONTRIBUTIONS WERE MADE ON BEHALF OF MEADVILLE MEDICAL CENTER EMPLOYEES: $ 55,808 PHILIP PANDOLPH $ 34,269 RENATO SUNTAY SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: ALL ADMINISTRATIVE STAFF ARE ELIGIBLE TO RECEIVE, AT THE EMPLOYER'S DISCRETION, AN ANNUAL INCENTIVE BONUS AT THE END OF EACH FISCAL YEAR. THE MAXIMUM OPPORTUNITY FOR THE PARTICIPANTS AND AMOUNTS AWARDED ARE DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BASED UPON THE ACCOMPLISHMENT OF SPECIFIC PERFORMANCE GOALS AND CRITERIA ESTABLISHED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD. PHYSICIANS HAVE THE POTENTIAL TO RECEIVE A QUARTERLY BONUS BASED ON WORK RELATIVE VALUE UNITS AS COMPUTED USING CMS RBRVS METHODOLOGY AND MUTUALLY AGREED UPON QUALITY METRICS. A CRAWFORD COUNTY HOSPITAL AUTHORITY 251535164 225004000 2016-11-16 74524579 2016 DEBT REFI & CAPITAL FUNDS false false false A 0 0 74630397 0 0 0 1490492 6536100 0 16053919 50435068 0 2018 true false true true A false false false false 0 false false false true A false true false false false false 0 false 0 false true A true SCHEDULE K, PART II, LINE 3 TOTAL PROCEEDS OF ISSUE: ISSUE PRICE OF $74,524,579 REPORTED ON PART I, LINE A DOES NOT AGREE TO TOTAL PROCEEDS OF ISSUE OF $74,630,397 REPORTED ON PART II, LINE 3 DUE TO THE INCLUSION OF INVESTMENT INCOME ON PROCEEDS DURING THE PROJECT PERIOD. FORM 990, PART I, LINE 6 VOLUNTEERS: MEADVILLE MEDICAL CENTER VOLUNTEERS DONATED OVER 40,000 HOURS IN THE PAST YEAR ASSISTING IN VARIOUS AREAS THROUGHOUT THE FACILITY. DUTIES INCLUDE BUT ARE NOT LIMITED TO TASKS SUCH AS TRANSPORTING AND ESCORTING PATIENTS, DELIVERING FLOWERS AND MAIL, PERFORMING CLERICAL DUTIES, ASSISTING IN THE COFFEE & GIFT SHOPS, HANDING OUT BEEPERS IN THE SURGICAL FAMILY WAITING AREA AND MANNING THE INFORMATION DESKS, TO NAME A FEW. WE RECOGNIZE OUR VOLUNTEERS WITH VARIOUS ACTIVITIES THROUGHOUT VOLUNTEER WEEK INCLUDING A RECEPTION AND RECOGNITION GIFT, IN ADDITION TO A YEARLY CHRISTMAS RECEPTION. WE RECOGNIZE THE DEDICATION AND IMPORTANCE OF OUR VOLUNTEERS, AND READILY WELCOME NEW ADDITIONS TO OUR VOLUNTEER WORKFORCE. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACTIVITY #1: INPATIENT ACUTE CARE IS THE SYSTEM OF CARE RESERVED AND PROVIDED FOR PATIENTS WHOSE MEDICAL CONDITIONS NECESSITATE THEIR STAY IN A HOSPITAL OR TREATMENT FACILITY WHILE UNDERGOING TREATMENT. PATIENTS SUFFERING FROM DISEASE OR RECOVERING FROM INJURY OR INVASIVE SURGERY TYPICALLY MAKE UP THE LARGEST GROUP OF INPATIENT ACUTE PATIENTS. CONDITIONS UNDER THIS GROUP INCLUDE WOUND CARE, AMPUTEE SERVICES, STROKES AND OTHER TRAUMATIC BRAIN INJURIES, ARTHRITIS AND CANCER. INPATIENT CARE CAN BE QUITE EXPENSIVE FOR PATIENTS. THE FUNDING IS PROVIDED BOTH BY PATIENTS' INSURANCE POLICIES AS WELL AS GOVERNMENT SUBSIDY TO THE CENTER'S BUDGET. FORM 990, PART III, LINE 4B PROGRAM SERVICE ACTIVITY #2: AT THE ONCOLOGY INSTITUTE, MEADVILLE MEDICAL CENTER IS COMMITTED TO YOUR TOTAL CARE AND SUPPORT. OUR TEAM OF HEALTH CARE PROFESSIONALS ARE EXPERTS IN COUNSELING AND EDUCATING PATIENTS, HELPING THEM UNDERSTAND AND COPE WITH THEIR ILLNESS AND THE TREATMENTS. WE ENCOURAGE PATIENTS TO PARTICIPATE AS MUCH AS POSSIBLE IN THEIR ON-GOING CARE. CARE IS COORDINATED BY AN INTERDISCIPLINARY TEAM OF PROFESSIONALS. THIS TEAM INCLUDES THE FAMILY PHYSICIAN, SURGEONS, MEDICAL AND RADIATION ONCOLOGISTS, NURSES, SOCIAL WORKERS, A FINANCIAL NAVIGATOR, AND OTHER SUPPORT STAFF. CANCER CARE CONFERENCES ARE HELD ON A WEEKLY BASIS AS A FORMALIZED REVIEW AND DISCUSSION. THIS OFFERS AN OPPORTUNITY FOR MULTI-DISCIPLINARY STAFF TO COMMUNICATE IN REFERENCE TO PATIENTS TREATMENT WHILE FOCUSING ON EXISTING OR POTENTIAL CARE CONCERNS FOR PATIENTS WHO ARE UNDERGOING TREATMENT. OUR PHYSCIANS SPECIALIZING IN THE CARE OF CANCER ARE BOARD CERTIFIED MEDICAL ONCOLOGISTS/HEMATOLOGISTS AND BOARD CERTIFIED RADIATION ONCOLOGISTS. THE YOLANDA G. BARCO ONCOLOGY INSTITUTE EMPLOYS FOUR FULL TIME AND TWO PART TIME ONCOLOGIST/HEMATOLOGISTS, ONE PHYSICIAN ASSISTANT, AND TWO FULL TIME RADIATION ONCOLOGISTS. PATIENTS AT THE YOLANDA G. BARCO ONCOLOGY INSTITUTE ARE CARED FOR BY A MULTI-DISCIPLINARY TEAM CONSISTING OF REGISTERED NURSES WHO ARE CERTIFIED IN ONCOLOGY: NURSE NAVIGATORS, PHYSCISTS, MEDICAL DOSIMETRISTS, REGISTERED RADIATION THERAPISTS, A TUMOR REGISTRAR; LABORATORY TECHNICIANS, PHARMACISTS SPECIALIZING IN ONCOLOGY ALONG WITH PHARMACY TECHNICIANS, A SOCIAL WORKER AND FINANCIAL NAVIGATOR, A TRANSPORTATION SPECIALIST, AND A VARIETY OF CLERICAL AND SUPPORT STAFF. MEADVILLE MEDICAL CENTER PROVIDES STATE-OF-THE-ART DIAGNOSTIC FACILITIES. COMPUTERIZED TOMOGRAPHY (CT) SCANNING AND PET SCANNING T ECHNOLOGY ARE AVAILABLE TO HELP DETECT CANCER IN ITS EARLIEST STAGES AND/OR DIAGNOSE THE EXTENT OF THE CANCER. DIGITAL SERVICES ARE PROVIDED FOR SCREEENING AND DIAGNOSTIC MAMMOGRAPHY, BREAST ULTRASOUND, AS WELL AS SAME DAY ULTRASOUND GUIDED BREAST PROCEDURES. MAMMOGRAPHY AND ULTRASOUND AT MMC FACILITIES ARE ACCREDITED BY THE ACR. A BREAST NURSE NAVIGATOR IS BASED AT YOLANDA G. BARCO ONCOLOGY INSTITUTE TO ASSIST PATIENTS THROUGH BREAST BIOPSIES AND TREATMENT PROCESSES. MMC IS PROUD TO OFFER 3D TOMOSYNTHESIS WHICH IS ALSO KNOW AS 3D MAMMOGRAPHY. 3D TOMOSYNTHESIS IS MORE SENSITIVE IN DETECTING INVASIVE CANCERS THAT MAY BE MISSED BY TRADITIONAL MAMMOGRAPHY. THIS TYPE OF TESTING REDUCES THE NEED FOR PATIENTS TO COME BACK FOR REPEAT OR ADDITIONAL IMAGES. THE TRILOGY STEREOTACTIC SYSTEM FROM VARIAN MEDICAL SYSTEMS IS AN ADVANCED, SOPHISTICATED RADIATION DELIVERY MACHINE. AS A LEADING IMAGE-GUIDED RADIOTHERAPY (IGRT) SYSTEM, TRILOGY MARKS THE BEGINNING OF A NEW GENERATION OF CANCER CARE. RADIOTHERAPY CAN BE USED TO TREAT MANY DIFFERENT TYPES OF CANCER, WHICH MEANS THAT SOME PATIENTS CAN BE SPARED THE INVASIVE TECHNIQUES OF SURGERY AND/OR CHEMOTHERAPY. MEADVILLE MEDICAL CENTER AND OUR PHYSICIANS RECOGNIZE THE IMPORTANCE OF EARLY DETECTION IN CANCER CARE. TO SUPPLEMENT YOUR ANNUAL PHYSICAL EXAMINATION WE OFFER PROGRAMS SUCH AS LOW COST MAMMOGRAPHY, PERIODIC FREE SCREENINGS FOR CANCERS SUCH AS PROSTATE AND SKIN, AND SPECIAL EDUCATIONAL PROGRAM AND/OR MATERIAL ON MANY TYPES OF CANCER. IN ADDITION TO PROVIDING THE HIGHEST QUALITY MEDICAL CARE, THE PROFESSIONAL SUPPORT STAFF IS PREPARED TO DEAL WITH THE PHYSICAL, PSYCHOLOGICAL AND SOCIAL CONSEQUENCES THAT MAY ARISE AS THE RESULT OF CANCER OR ITS TREATMENT. A SOCIAL WORKER AND FINANCIAL NAVIGATOR WORK ALONG WITH NURSE NAVIGATORS TO PROVIDE GUIDANCE AND ASSIST PATINIENTS UPON INITIAL CONSULTATION AT YOLANDA G. BARCO ONCOLOGY INSTITUTE AND THROUGHOUT THEIR JOURNEY. ARRANGEMENTS CAN BE MADE THROUGH MEADVILLE MEDICAL CENTER TO PROVIDE PSYCHO-SOCIAL, NUTRITIONAL, AND PASTORAL CARE FOR PATIENTS. THERAPEUTIC DIETICIANS PROVIDE PRIVATE CONSULTATION TO ASSIST WITH SPECIAL NUTRITIONAL NEEDS. PHARMACISTS, LABORATORY TECHNICIANS, AND OTHERS ARE ALSO AVAILABLE TO ASSIST IN PROVIDING THE TOTAL CARE OF OUR PATIENTS AND THEIR FAMILIES. AT THE HEART OF THE WHOLE-PERSON APPROACH TO HEALTH AND WELLNESS, THE YOLANDA G. BARCO ONCOLOGY INSTITUTE PROVIDES COORDINATED CONSULTATIONS FOR COUNSELING AS WELL AS STRESS REDUCTION OPPORTUNITIES IN THE FORM OF ART OR CRAFTS. AN INNOVATIVE KEYBOARD KNOWN AS THE CLAVINOVA, DEVELOPED BY YAMAHA, ALLOWS PATIENTS WITH NO MUSICAL EXPERIENCE TO SIMPLY FOLLOW KEYBOARD LIGHTS FOR SPECIALLY ARRANGED MUSICAL COMPOSITIONS. THIS MUSICAL "DIVERSION" WILL HELP THEM RELAX AND, AS ONGOING RESEARCH SUGGESTS, REVERSE THE DNA SWITCHES THAT LITERALLY TURN ON THE HUMAN STRESS RESPONSE. ALSO AVAILABLE ARE SERVICES THAT PROMOTE "WHOLE BODY HEALING" - MASSAGE THERAPY, YOGA, EXERCISE CLASSES, MEDITATION, MUSIC THERAPY, NUTRITIONAL COUNSELING, PAIN MANAGEMENT AND SUPPORT GROUPS. DOCTORS SAY THESE LIFESTYLE, BEHAVIOR, DIET, AND OVERALL WELLNESS PROGRAMS WILL HELP PATIENTS BE MORE PRO-ACTIVE IN THEIR CANCER JOURNEY AND SURVIVORSHIP. FORM 990, PART III, LINE 4C PROGRAM SERVICE ACTIVITY #3: OVER 70 PERCENT OF SURGERIES ARE DONE ON AN OUTPATIENT BASIS; AND OUTPATIENT SURGERY REMAINS A CONVENIENT, COST-SAVING ALTERNATIVE TO HOSPITAL ADMISSION FOR PATIENTS UNDERGOING CERTAIN PROCEDURES. THESE PATIENTS ARE PROVIDED WITH QUALITY CARE AND SAFETY, PLUS THE AVAILABILITY OF COMPLETE HOSPITAL FACILITIES AND SERVICES IF NEEDED. IN RECENT YEARS THE TREND IS MINIMALLY INVASIVE SURGERY WHICH HELPS PATIENTS TO RECOVER MUCH FASTER, SUFFER LESS PAIN AND RETURN TO WORK MORE QUICKLY. THE HOSPITAL RECENTLY ADDED THE SURGERY CENTER AT GROVE, A NEW WING AT THE GROVE STREET FACILITY THAT BRINGS ALL OUTPATIENT SURGERY AND PROCEDURES TO ONE CONVENIENT, PATIENT- AND FAMILY-FRIENDLY LOCATION ON ONE FLOOR. MOST FREQUENT SURGICAL CASES PERFORMED AT MMC ARE: ORTHOPEDIC -TOTAL HIP REPLACEMENT -TOTAL KNEE REPLACEMENT -JOINT REPLACEMENT -CERVICAL DISCECTOMY WITH FUSION -LUMBAR LAMINECTOMY WITH FUSION (LAPAROSCOPIC, OPEN, AND INNER BODY) -BACK IMPLANT FOR LUMBAR SPINAL FUSION -SHOULDER REPAIR (ARTHROSCOPIC AND OPEN) -KNEE ARTHROSCOPY -HIP AND ANKLE FRACTURES -CARPAL TUNNEL RELEASE -GANGLION CYST EXCISION EAR NOSE THROAT -MYRINGOTOMY -TONSIL AND ADENOID REMOVAL -ADENOIDECTOMY -TONSILLECTOMY -SEPTOPLASTY -THYROIDECTOMY -UVULOPALATOPHARYNGOPLASTY (TO ENLARGE THE LARYNX FOR SNORING/OBSTRUCTION) EYE SURGERY -CATARACT EXTRACTION WITH INTRAOCULAR L -IMPLANT -TEAR DUCT PROBING AND IRRIGATION -BLEPHAROPLASTY GENERAL SURGERY -LAPAROSCOPIC PROCEDURES (GALL BLADDER, HERNIA, APPENDECTOMY) -OPEN PROCEDURES (GALL BLADDER, HERNIA, APPENDECTOMY) -BREAST BIOPSY -MASTECTOMY -HEMORRHOIDECTOMY OB-GYN -HYSTERECTOMY -ABDOMINAL/VAGINAL (OPEN AND LAPAROSCOPIC ASSISTED) -D & C -ENDOMETRIAL ABLATION -HYSTEROSCOPY -LAPAROSCOPIC TUBAL OCCLUSION -C-SECTION -COLD CONE BIOPSY OF CERVIX VASCULAR SURGERY -INSERTION OF TOTALLY IMPLANTABLE VASC ACCE PLASTIC SURGERY -BREAST REDUCTION -BREAST AUGMENTATION -LIPOSUCTION -LASER THERAPY OF BIRTHMARKS AND PORT WINE STRAINS -RHINOPLASTY PODIATRY -BUNIONECTOMY -HAMMERTOE CORRECTION -ANKLE STABILIZATION UROLOGY -LITHOTRON -ESWL -LASER LITHOTRIPSY -CYSTOSCOPY -VASECTOMY -DIAGNOSTIC LAPAROSCOPY -TURP, TURBT FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICE ACTIVITIES: MMC OPERATES AN INTENSIVE CARE UNIT. THE INTENSIVE CARE UNIT AT MEADVILLE MEDICAL CENTER IS A 12-BED INTENSIVE CARE UNIT THAT SUPPORTS THE CARDIAC, SURGICAL, AND MEDICAL INTENSIVE CARE PATIENTS. IN ADDITION, A 16-BED TELEMETRY STEP-DOWN NURSING UNIT IS LOCATED ADJACENT TO THE ICU. PATIENTS WITH CARDIAC PROBLEMS ARE MONITORED FROM THEIR ROOMS; WITH THE MOST SOPHISTICATED MONITORING EQUIPMENT AVAILABLE. PHYSICIANS ADMIT THOSE PATIENTS TO THE INTENSIVE CARE UNIT (ICU) WHOM THEY FEEL REQUIRE SPECIALIZED NURSING CARE AFTER SURGERY, AN ILLNESS, OR SOME OTHER SERIOUS MEDICAL CONDITION. AN ICU IS DESIGNED TO PROVIDE 24-HOUR CONCENTRATED MEDICAL AND NURSING CARE TO HELP BRING THE SERIOUSLY ILL PATIENT THROUGH THE CRITICAL PERIOD OF RECOVERY. PATIENTS IN THE ICU ARE TRANSFERRED TO A REGULAR NURSING UNIT WHEN THEIR PHYSICIANS FEEL THAT THE CRITICAL STAGE OF ILLNESS HAS PASSED. THE INTENSIVE CARE UNIT AT MEADVILLE MEDICAL CENTER IS A 12-BED INTENSIVE CARE UNIT THAT SUPPORTS THE CARDIAC, SURGICAL AND MEDICAL INTENSIVE CARE PATIENTS. IN ADDITION, A 16-BED TELEMETRY STEP-DOWN NURSING UNIT IS LOCATED ADJACENT TO THE ICU. PATIENTS WITH CARDIAC PROBLEMS ARE MONITORED FROM THEIR ROOMS; WITH THE MOST SOPHISTICATED MONITORING EQUIPMENT AVAILABLE. IN THE ICU, CONSTANT OBSERVATION AND INDIVIDUALIZED NURSING CARE ARE PROVIDED TO ASSURE THAT THE PATIENT IS COMFORTABLE AND RECEIVES THE BEST IN SKILLED NURSING CARE. THE HIGHLY SKILLED NURSING PERSONNEL WHO STAFF OUR UNIT ARE CERTIFIED CRITICAL CARE REGISTERED NURSES, AND THEY UTILIZE THE LATEST MONITORING AND LIFE-SAVING EQUIPMENT. THIS ATTENTIVE STAFF OF PROFESSIONAL NURSES ENSURES THAT ALL PATIENTS ARE CLOSELY OBSERVED, AND CARED FOR, 24 HOURS A DAY. THE ORGANIZATION ALSO PROVIDES A VARIETY OF OTHER SERVICES, INCLUDING THE FOLLOWING: -MIND BODY WELLNESS CENTER -20 BED INPATIENT PSYCHIATRIC UNIT -22 BED INPATIENT DRUG AND ALCOHOL UNIT -32 SKILLED NURSING UNIT -11 BED REHAB UNIT ADDITIONALLY, THE ORGANIZATION DONATES TO CHARITABLE ORGANIZATIONS. FORM 990, PART V, LINE 2A W-2'S FILED: MEADVILLE MEDICAL CENTER ALSO FILES W-2'S FOR ONE OF ITS RELATED ORGANIZATIONS, MEADVILLE MEDICAL CENTER FOUNDATION. THE TOTAL NUMBER OF W-2'S FILED INCLUDES THESE W-2'S. THE COMPENSATION, EMPLOYEE BENEFITS AND PAYROLL TAXES AMOUNTS ARE THEN ALLOCATED TO THE ORGANIZATION FOR THE AMOUNT THAT REPRESENTS WORK PERFORMED FOR THE ORGANIZATION. THEREFORE, THE AMOUNT REPORTED ON PART IX INCLUDES ONLY THOSE AMOUNTS ALLOCATED TO WORK PERFORMED DIRECTLY FOR MEADVILLE MEDICAL CENTER. THE HIGHEST PAID EMPLOYEES ARE DETERMINED BY THE WORK PERFORMED FOR EACH ORGANIZATION. THEREFORE, THE FIVE HIGHEST PAID EMPLOYEES LISTED ON PART VII AND SCHEDULE J ARE THOSE EMPLOYEES WHO WORK DIRECTLY FOR MEADVILLE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7B MEMBERS: MEMBERS ARE ELECTED BY THE MEMBERS OF THE CORPORATION, SERVE A TERM OF FIVE YEARS, AND MAY SERVE AN UNLIMITED NUMBER OF TERMS. MEMBERS HAVE SUCH POWERS AND DUTIES AS ARE SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW OF 1988 (NPCL). PART OF THE RESPONSIBILITY OF THE MEMBERS IS TO ELECT THE DIRECTORS AT THEIR ANNUAL MEETING AFTER NOMINATION HAS BEEN COMPLETED. THE BOARD OF DIRECTORS HAS THE AUTHORITY TO ADOPT, AMEND, AND REPEAL ANY ARTICLE AND/OR BYLAW SUBJECT TO THE POWER OF THE MEMBERS TO CHANGE SUCH AUCTION. THE MEMBERS RETAIN THE EXCLUSIVE RIGHT TO ADOPT, AMEND, AND REPEAL ANY BYLAW OR ARTICLE ON ANY SUBJECT ENUMERATED IN SECTION 5504(B) OF THE NPCL. ANY PERSON WHO HAS SERVED AS A MEMBER OF THIS CORPORATION MAY, IN THE DISCRETION OF THE BOARD OF DIRECTORS, BE ELECTED TO THE STATUS OF A MEMBER EMERITUS. ALL MEMBERS EMERITUS SHALL HAVE THE RIGHT TO PARTICIPATE IN THE AFFAIRS OF THE CORPORATION IN THE SAME MANNER AS MEMBERS OF THE CORPORATION AS DEFINED IN ARTICLE III OF THE BYLAWS, BUT SHALL NOT BE SUBJECT TO THE FOLLOWING PROVISIONS OF ARTICLE III OF THE BYLAWS. (A) RE-ELECTION ON A FIVE-YEAR BASIS UNDER SECTION 3.1 OF THE BYLAWS. MEMBERS EMERITUS SHALL CONTINUE IN PERPETUITY DURING THEIR LIFETIME, OR UNTIL THEIR SPECIFIC RESIGNATION. (B) SECTION 3.4(A), WHICH PROVIDES FOR REMOVAL IN THE EVENT OF FAILURE TO ATTEND FOUR CONSECUTIVE MEETINGS WITHOUT A JUSTIFIABLE EXCUSE. MEMBERS EMERITUS WILL NOT BE REQUIRED TO ATTEND MEETINGS IN ORDER TO MAINTAIN THEIR STATUS. MEMBERS EMERITUS ARE NOT ENTITLED TO VOTE AND ARE NOT COUNTED FOR THE PURPOSE OF DETERMINING A QUORUM UNDER ARTICLE IV, SECTION 4.3 OF THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF MEADVILLE MEDICAL CENTER. THE 990 IS INITIALLY INTERNALLY REVIEWED IN-DEPTH BY THE CEO, CFO, AND CONTROLLER. AFTER CHANGES ARE MADE FROM THIS REVIEW, THE 990 IS PLACED ON A WEB PORTAL WHERE EACH BOARD MEMBER HAS THE OPPORTUNITY TO REVIEW AND ASK QUESTIONS OR SUGGEST CHANGES BEFORE FILING. AFTER ALL QUESTIONS AND SUGGESTIONS ARE CONSIDERED, THE FORM 990 IS ELECTRONICALLY FILED. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION HAS AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. ANY ACTUAL OR POTENTIAL CONFLICTS ARE EVALUATED AND DEEMED TO EITHER MAKE THE INTERESTED PERSON DISQUALIFIED OR INELIGIBLE TO SERVE. THROUGHOUT THE YEAR, EACH AFFECTED PERSON IS ALSO OBLIGATED TO FILE A SUPPLEMENTARY DISCLOSURE STATEMENT IF THERE IS A CHANGE IN CIRCUMSTANCES WHICH COULD CREATE CONFLICT. DETERMINATION OF ACTUAL CONFLICT WILL BE CONDUCTED BY THE BOARD OF DIRECTORS. ANY DIRECTOR, OFFICER OR DISQUALIFIED PERSON WHO IS DEEMED BY THE BOARD TO BE DISQUALIFIED BECAUSE OF AN ACTUAL OR APPARENT CONFLICT OF INTEREST ON ANY MATTER (I) SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, (II) SHALL ABSTAIN FROM VOTING (ALTHOUGH UPON INVITATION OF THE CHAIRMAN, HE OR SHE MAY PARTICIPATE IN BOARD DISCUSSIONS) AND (III) SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHEN PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE EFFECT ON THE QUORUM. AN INDIVIDUAL WHO HAS A RELATIONSHIP WITH AN ENTITY THAT IN THE BOARD'S VIEW MAKES IT DIFFICULT OR IMPOSSIBLE FOR THAT INDIVIDUAL OR ANY OF THE REMAINING DIRECTORS TO DISCHARGE HIS OR HER RESPONSIBILITIES MAY BE DECLARED INELIGIBLE TO SERVE AND SHALL EITHER RESIGN OR MAY BE REMOVED BY A MAJORITY VOTE OF ALL REMAINING DIRECTORS IN OFFICE. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW: THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEADVILLE MEDICAL CENTER (MMC), WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, MERCER, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS IN MEETING MINUTES AND REPORTS ITS DECISIONS TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: UPON REQUEST, PHOTOCOPIES OF GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PICKUP BY THE REQUESTING PERSON. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO BOARD MEMBER IS COMPENSATED FOR THEIR DUTIES AS BOARD MEMBERS. STEPHANIE GALEY IS COMPENSATED AS A MEDICAL DIRECTOR FOR ORTHOPEDIC ASSOCIATES OF MEADVILLE. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 3,456,648 CHANGE IN DEFINED BENEFIT PENSION PLAN 771,737 CHANGE IN INTEREST OF TITUSVILLE AREA HEALTH CENTER 173,962 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST (6,247,844) TRANSFERS TO RELATED PARTIES ------------- $ (1,845,497) MEADVILLE MEDICAL CENTER FOUNDATION 1034 GROVE STREET MEADVILLE PA 16335 251681342 SUPPORT PA 501(C)(3) 7 MMC true HOSPICE OF CRAWFORD COUNTY INC 1034 GROVE STREET MEADVILLE PA 16335 251480565 HOSPICE PA 501(C)(3) 7 MMC true CONNEAUT VALLEY HEALTH CENTER 1034 GROVE STREET MEADVILLE PA 16335 251490887 HEALTH CENTER PA 501(C)(3) 3 MMC true MEADVILLE PHYSICIANS SERVICES 751 LIBERTY STREET MEADVILLE PA 16335 251602133 PHYS. OFFICES PA 501(C)(3) 10 MMC true COMMUNITY HEALTH SERVICES INC 1034 GROVE STREET MEADVILLE PA 16335 251490886 PHYS. OFFICES PA 501(C)(3) 10 MMC true MEADVILLE MEDICAL CENTER AUXILIARY 751 LIBERTY STREET MEADVILLE PA 16335 251512834 SUPPORT PA 501(C)(3) 12A I MMC true FRENCH CREEK INTERNAL MEDICINE 751 LIBERTY STREET MEADVILLE PA 16335 471870077 PHYS. OFFICES PA 501(C)(3) 10 MPS true HOME CARE CONNECTIONS INC 751 LIBERTY STREET MEADVILLE PA 16335 251605314 HOLDING COMPANY PA MMC C CORP 6760548 4118748 1.00000 true MEADVILLE HOUSING CORPORATION 934 B STREET MEADVILLE PA 16335 250657800 HOUSING PA MMC C CORP 1119073 3273094 0.60980 true CHARITABLE TRUST 256196092 TRUST PA MMC TRUST 84052 2783066 1.00000 true CHARITABLE TRUST 066031521 TRUST PA MMC TRUST 45967 1024505 1.00000 true true false true false false false false false false true true true false false true true false true false FRENCH CREEK INTERNAL MEDICINE A 32322 FMV MEADVILLE PHYSICIANS SERVICES A 148256 FMV MEADVILLE MEDICAL CENTER FOUNDATION A 10920 FMV HOSPICE OF CRAWFORD COUNTY A 24700 FMV COMMUNITY HEALTH SERVICES A 29736 FMV CHARITABLE TRUST C 110915 FMV MEADVILLE PHYSICIANS SERVICES L 177678 FMV TITUSVILLE AREA HEALTH CENTER L 292397 FMV COMMUNITY HEALTH SERVICES L 239268 FMV COMMUNITY HEALTH SERVICES P 257616 FMV COMMUNITY HEALTH SERVICES R 1267331 FMV MEADVILLE PHYSICIAN SERVICES R 4861010 FMV MEADVILLE MEDICAL CENTER FOUNDATION R 114503 FMV