2019-06-27T16:29:45-07:00 2017-06-30 990 2016-07-01 251340370 GROVE CITY MEDICAL CENTER GROV 7244585442 631 N BROAD STREET EXT GROVE CITY PA 16127 DAVID A POLAND VP OF FINANCE AND CFO 7244585442 2019-06-27 24.154.160.42 2016 2019-02-21 02:37:17Z X Robert C Jackson Jr 631 N Broad Street Ext Grove City PA 16127 47996264 0 X www.gcmcpa.org X 1978 PA Our mission as a community hospital is to provide caring, compassionate and quality health services to you, our client. Based on a relationship of mutual trust, we commit ourselves to respond to the needs of all we serve and strive for continual improvement in the care we provide. 9 8 525 150 0 0 19729 2392 45916942 44975330 2168460 2250994 340544 441043 48445675 47669759 0 0 0 0 22229221 22615138 0 0 0 25548156 25743570 47777377 48358708 668298 -688949 48165578 49456363 4254542 5827449 43911036 43628914 Our mission as a community hospital is to provide caring, compassionate and quality health services to you, our client. Based on a relationship of mutual trust, we commit ourselves to respond to the needs of all we serve and strive for continual improvement in the care we provide. 0 0 8120839 0 8045640 Health Services are provided to the residents of Grove City, PA, and surrounding communities. The organization maintains a full service acute care hospital facility and hires or contracts for health care professionals and administrative personnel. In addition to fee for service activities, the hospital provides services to individuals at no charge through free clinics, free screenings, and education. Care is provided to patients who meet certain criteria under the Medicaid program and the hospital's financial assistance policy without charge or at amounts less than established rates. Free care for the current year at the hospital's established rates approximated $335,542. Inpatient acute care services: A total of 1,495 admissions with a total of 5,268 patient days and 760 Observation patient hours. 29453581 0 34900256 Outpatient services: Ancillary testing, emergency care, and clinic care were provided during 101,572 separate visits during the fiscal year. Services include, but are not limited to: Laboratory, Radiology, Ambulatory Surgery, Chemotherapy, and Physical Therapy. 2387082 0 2364977 Skilled Nursing Services: Long-Term, Skilled Nursing Health Care Services were provided to 387 patients for a total of 4,502 days. The average length of stay is 11.6 days per patient. 0 0 0 39961502 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 77 0 1 525 1 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 PA X DAVID A POLAND 7244585442 631 N BROAD ST EXT GROVE CITY PA 16127 TIMOTHY R BONNER CHAIRMAN 1 3 X 0 0 0 ERNEST D MAY VICE CHAIRMAN 1 3 X 0 0 0 ROGER TOWLE TREASURER 1 2 X 0 0 0 LEE ANDERSON DIRECTOR 1 2 X 0 0 0 BRADLEY A SMITH SECRETARY 1 2 X 0 0 0 RUTH LEO DIRECTOR 1 2 X 0 0 0 ROBERT A JANCART PATHOLOGIST 40 0 X 217588 0 21328 ROBERT LANDFRIED DIRECTOR 1 2 X 0 0 0 DICK STEVENSON DIRECTOR 1 2 X 0 0 0 HEATHER MOURTACOS PROXY FOR DR FERGUSON 1 2 X 0 0 0 ROBERT C JACKSON JR CEO 50 3 X 231058 0 5188 DAVID A POLAND VP OF FINANCE 50 3 X 148352 0 22370 ANTHONY BONO VP OF NURSING SERVICES 50 0 X 106772 0 19842 JOAN S MYER PHARMACIST 40 0 X 113810 0 15251 SUSAN HILDEBRAN PHARMACIST 40 0 X 109564 0 15848 JUDY FRONTAIN RN/ADMIN SUPERVISOR 40 0 X 101444 0 8450 ANNE K EARMAN DIRECTOR OF REHAB SERVICES 40 0 X 99710 0 18960 1128298 0 127237 8 0 1 0 GC ANESTHESIA & PAIN MANAGEMENT PO BOX 33058 PALM BEACH GARDENS FL 33420 ANESTHESIOLOGISTS 1802404 ASSOCIATED CLINICAL LABS 15832 COLLECTIONS CENTER DR CHICAGO IL 60693 OUTSIDE LAB SERVICES 444067 EMERGENCY RESOURCE MNGT INC 3600 FORBES AT MEYRAN AVE SUITE 10040 PITTSBURGH PA 15213 PHYSICIAN SERVICES 245641 COMPREHENSIVE PHARMACY SERVICES PO BOX 638316 CINCINNATI OH 452638316 PHARMACY MANAGEMENT SERVICES 235965 UPMC CANCER CENTER PO BOX 223270 PITTSBURGH PA 15251 PHYSICIAN SERVICES 215000 9 0 0 0 0 2392 0 0 2392 NET HEALTH SERVICES 900099 44975330 44975330 0 0 0 0 0 0 44975330 1715442 0 0 1715442 0 0 0 0 0 0 0 0 472204 0 326505 0 145699 0 145699 0 0 145699 535552 0 0 0 535552 0 535552 535552 0 0 0 PHARMACY REVENUE 900099 5790 5790 0 0 289554 289554 0 0 295344 47669759 45806226 0 1861141 X 17445149 13818674 3626475 268914 268914 3632161 3632161 1268914 1010571 258343 10760 10760 71400 71400 6950619 4563543 2387076 123376 123376 895272 589032 306240 636271 634836 1435 47656 27395 20261 -35940 -35940 1503772 1503772 853619 853619 Medical Supplies 9407847 9370687 37160 0 Equipment Rental & Maintenance 1842065 1210346 631719 0 Telephone 59245 59245 0 0 Bad Debt 3245571 3245571 0 0 132037 62695 69342 48358708 39961502 8397206 0 54224 223777 1923167 725144 0 4557744 4740657 206628 123000 1111885 1146973 674972 556317 53742407 44828521 8308175 8913886 28809989 30295036 2518794 2731573 48165578 49456363 3240684 4304644 0 1013858 1522805 4254542 5827449 X 43911036 43628914 0 0 0 0 43911036 43628914 48165578 49456363 X -688949 0 0 0 0 406827 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2745 2745 0 Schedule C, Part II-B, Line 1 A portion of dues paid to Healthcare Council of Western Pennsylvania and Hospital Association of Pennsylvania are used for lobbying purposes. 0 211326 211326 0 15131652 10509747 4621905 0 2720869 2460311 260558 0 35678560 31858463 3820097 0 0 0 0 8913886 Chart Services 1861653 VNAA 376468 Tristate Investment 43712 Clinic Path Inst 18000 HC Pharmacy 254782 Other Assets 176958 2731573 0 LT Lease Obligation 655038 Estimated Insurance Obligations 867767 1522805 42502894 0 0 0 -2919070 -2919070 45421964 0 2247795 2247795 47669759 45439641 0 0 0 -2919067 -2919067 48358708 0 0 0 48358708 Schedule D, Part XI, Line 2d Rental expenses of $326,505 are netted against rental income of $472,204 on Form 990, Part VIII. The Bad Debt of ($3,245,572) was reclassed from a reduction in revenue to an expense to remain consistent with Schedule H. Schedule D, Part XI, Line 4b Investment income Schedule D, Part XII, Line 2d Rental expenses of $326,505 are netted against rental income of $472,204 on Form 990, Part VIII. The Bad Debt of ($3,245,572) was reclassed from a reduction in revenue to an expense to remain consistent with Schedule H. 1 1 X 1 X 1 X 1 1 1 0 1 1 83889 0 83889 0.002 4494333 3298053 1196280 0.0284 0 0 0 0 0 0 4578222 3298053 1280169 0.0304 28164 580 27584 0.0007 0 0 806 0 806 0.00 0 0 28970 580 28390 0.0007 0 0 4607192 3298633 1308559 0.0311 35353 35353 0.0008 0 0 35353 0 35353 0.0008 0 811423 135508 13446937 10897795 2549142 X 1 1 1 1 Grove City Medical Center 631 N Broad Street Extension Grove City PA 16127 www.gcmcpa.org 210801 X X X Skilled Nursing Unit Grove City Medical Center 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X www.gcmcpa.org 1 16 0 1 0 1 X 200 300 X X X X 1 1 X X X X 1 X www.gcmcpa.org X www.gcmcpa.org X www.gcmcpa.org X X X X X X 1 X 0 X X X 1 X 0 0 Schedule H, Part V, Section B, Line 5-Grove City Medical Center When preparing the Community Health Needs Assessment, local individuals were contacted and individual meetings were conducted to gather information relating to the community. Representatives of the following agencies were contacted for discussions: Mercer County Area Agency on Aging, Mercer County 211, Grove City YMCA, United Way, Pennsylvania Department of Health, Mercer County District Attorney, Grove City Schools, Community Health Partnership of Mercer County, Grove City Medical Center CEO, Grove City Medical Center CFO, and Grove City Medical Center Board Member. Schedule H, Part V, Section B, Line 11-Grove City Medical Center The implementation plan was approved at a board meeting on December 12, 2016. The three priority needs identified at that time included adult obesity, heart disease, and physical fitness. Over the course of this past year, Grove City Medical Center has partnered with other local groups to initiate and conduct various programs and educational seminars as well as attending various community activities to bring awareness and education to the community at large regarding these identified issues. Schedule H, Part I, Line 7 These calculations were completed using the Ratio of Patient Care Costs to Charges. Schedule H, Part I, Line 7, Column f The applicable Bad Debt Expense that was eliminated is $3,245,571. Schedule H, Part II Grove City Medical Center provides training for the staff within the facility in an effort to best serve the community's needs. Schedule H, Part III, Section A, Line 4 From the Audited Statements - "Accounts receivable are reduced by an allowance for doubtful 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 doubtful 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 doubtful 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 doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and co-payments 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 co-payment balances due for which third-party coverage exists for part of the bill), the Health System records a 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 doubtful accounts." Schedule H, Part III, Section B, Line 8 Serving patients with government health benefits, such as Medicare, is an important 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. The Medicare Cost Report is used to determine allowable Medicare costs. Schedule H, Part III, Section C, Line 9b Accounts which qualify for financial assistance are identified via note entry that follows the patient for subsequent accounts. Patients are instructed to contact the Business Office if they receive a statement after receiving notification of financial assistance eligibility. Schedule H, Part VI, Line 2 Grove City Medical Center began conducting its community health needs assessment in April, 2015 and completed it in May, 2016. The assessment included an analysis of outpatient discharge data by zip code to determine the Medical Center's community. The geographic area of the defined community based on this analysis covered most of Mercer County and parts of Butler, Lawrence, and Venango counties. The Medical Center then gathered a significant amount of data related to the community, such as population and demographics, socioeconomic characteristics, leading causes of death and other health outcomes and factors. The assessment also described other health care resources in the community and an estimate for demand for physician services. To gain input from the community the Medical Center distributed a community health survey and conducted key informant interviews, which targeted individuals with expertise in public health and individuals with knowledge about primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups. After all of the data and input was gathered and analyzed the Medical Center prioritized the needs. The following list represents the top needs in order: obesity, heart disease, cancer, children in poverty, physical inactivity, and mental health. Schedule H, Part VI, Line 3 Grove City Medical Center posts notices in the Registration areas that notify the patients of our financial policies. The patients are encouraged to ask for the details of the programs we offer. Patients are also encouraged to contact the billing office to review payment plans or applications for federal programs or Grove City Medical Center's financial assistance program. Schedule H, Part VI, Line 4 In the Medical Center's community health needs assessment a considerable amount of information about the community was gathered. As mentioned above, the Medical Center defined its community as covering most of Mercer County and parts of Butler, Lawrence, and Venango counties. The estimated 2015 population of the Medical Center's community identified was approximately 57,500. The Medical Center's community has a fairly small minority population with over 90% of the population being Caucasian. The average household income in this community is less than statewide or national averages. Unemployment rate in the counties of the Medical Center's community reached 5 year highs in 2010 and 2011, but have since reduced to rates below the state or national unemployment rates. The leading causes of death in all counties are heart disease, cancer, ischemic heart disease, and lung disease. Rates are significantly higher than national averages in these areas as well as several others. Each of the four counties is higher than national benchmarks in several health behaviors, including adult smoking, adult obesity, excessive drinking, motor vehicle crash death rate, and sexually transmitted infections. The ratio of population to primary care physicians is much higher in each of the four counties than national benchmarks. X 0 1 X X 0 0 0 0 0 0 0 0 0 ROBERT C JACKSON JR CEO 231058 0 0 0 0 0 0 0 5188 0 236246 0 0 0 ROBERT A JANCART PATHOLOGIST 217588 0 0 0 0 0 0 0 21328 0 238916 0 0 0 DAVID A POLAND VP OF FINANCE 148352 0 0 0 0 0 0 0 22370 0 170722 0 0 0 Schedule J, Part I, Line 1a Grove City Medical Center pays the annual dues for the CEO's membership at the area country club which was not listed as taxable on the W-2. He has a social membership that is used only for business purposes. Schedule J, Part I, Line 1b The organization does not have a written policy regarding payment or reimbursement of the social club dues. However, substantiation is required prior to payment or reimbursement. The payment requests are reviewed and approved by a separate person. Form 990, Header, Line B Schedule H, Part V, question 18 was answered incorrectly on the original 990 filing. This amended return corrects that response. Form 990, Part VI, Section A, Line 6 The parent company (Grove City Health System) is considered a member who has the power to control decisions regarding bylaw amendments, mergers or consolidations, dissolution, and distribution of assets. Form 990, Part VI, Section A, Line 7a The parent company (Grove City Health System) is considered a member who has the power to control decisions regarding bylaw amendments, mergers or consolidations, dissolution, and distribution of assets. Form 990, Part VI, Section A, Line 7b The parent company (Grove City Health System) is considered a member who has the power to control decisions regarding bylaw amendments, mergers or consolidations, dissolution, and distribution of assets. Form 990, Part VI, Section B, Line 11b The final Form 990 is reviewed by management. A copy of the return is provided to three finance committee members (who are also voting board members) for review prior to filing. A copy is made available to the other board members upon request. Form 990, Part VI, Section B, Line 12c Grove City Medical Center annually requires its board members, officers, and key employees to complete a conflict of interest form. During board meetings, if an interested party has a conflict, he or she abstains from voting. Form 990, Part VI, Section B, Line 15 Grove City Medical Center's Board of Directors annually reviews and approves the compensation of the CEO. Comparability data is compiled by the Human Resources Department and given to the Board of Directors to review. Form 990, Part VI, Section C, Line 19 At this time, Grove City Medical Center does not make its governing documents, conflict of interest policy and financial statements available to the general public since it is not required to do so under current laws. Form 990, Part IX, Line 11g This includes Purchased Services, Physician Fees, MA Assessment Fees, Collection/Billing Fees, and Physician Guarantees. Form 990, Part XI, Line 9 Grove City Medical Center experienced a change in unrealized gains on other than trading securities in the amount of $1,489,388. Grove City Medical Center also recognized an equity transfer to related companies in the amount of ($1,082,561). WOLF CREEK MEDICAL ASSOCIATES 631 N BROAD ST EXT GROVE CITY PA 16127 320070802 HEALTHCARE PA 501(c)(3) 9 Grove City Health System 0 GROVE CITY HEALTH SYSTEM FOUNDATION 631 N BROAD ST EXT GROVE CITY PA 16127 320070803 FUNDRAISING PA 501(c)(3) 7 Grove City Health System 0 GROVE CITY HEALTH SYSTEM 631 N BROAD ST EXT GROVE CITY PA 16127 320070801 HEALTHCARE PA 501(c)(3) 11b II N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 We filed and received the first time extension.