2017-05-11T15:30:38-05:00 2016-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2015-07-01 240795623 POCONO MEDICAL CENTER POCO 5704214000 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 WILLIAM THOMA SVP FINANCE/CFO 5704214000 2017-05-11 1 JULIUS C GREEN CPA P00350393 2159720701 2015 2021-01-29 14:40:06Z JEFF SNYDER 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 306363113 0 X WWW.POCONOHEALTHSYSTEM.ORG X 1915 PA TO PROVIDE WORLD-CLASS HEALTHCARE CLOSE TO HOME. 11 9 2073 484 0 0 10040081 4595795 299235888 297970644 2715438 2758495 493868 978727 312485275 306303661 17404831 30338734 0 0 126046506 117744205 0 0 0 161652571 154408246 305103908 302491185 7381367 3812476 380866518 371857026 194110451 186081835 186756067 185775191 X OUR MISSION IS WHO WE ARE AND WHAT WE DO: TO PROVIDE WORLD CLASS CARE CLOSE TO HOME. OUR VISION IS WHAT WE AIM FOR TO BEST SERVE OUR COMMUNITY: TO BUILD A HEALTHIER COMMUNITY. 0 0 231070573 30338734 245002851 POCONO MEDICAL CENTER IS A 239-BED, ACUTE CARE, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN EAST STROUDSBURG, PA. WITH MORE THAN 275 PHYSICIANS, NEARLY 2,000 STAFF MEMBERS AND CLOSE TO 500 VOLUNTEERS, OUR ORGANIZATION'S MISSION IS TO PROVIDE WORLD-CLASS HEALTHCARE TO OUR COMMUNITY FOR THOSE SERVICES MOST CRITICAL TO THE COMMUNITY'S HEALTH NEEDS.PMC HAD 49,375 PATIENT DAYS OF STAY, 48.5% OF WHICH WERE MEDICARE. OVER 6,500 SURGERIES WERE COMPLETED, AND THE PMC RECEIVED 310,046 OUTPATIENT VISITS, INCLUDING OUR EMERGENCY DEPARTMENT (ED).PMC PROVIDED $46,971,735 IN SERVICE TO OUR COMMUNITY THIS FISCAL YEAR. THESE FUNDS TAKE THE FORM OF DIRECT PATIENT CARE, COMMUNITY HEALTH EDUCATION, PROFESSIONAL AND PATIENT EDUCATION AND COMMUNITY PARTNERSHIPS. PMC PROVIDES QUALITY, COST-EFFECTIVE HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENTS FOR SERVICES RENDERED ARE CRITICAL TO THE OPERATION AND STABILITY OF PMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS HAVE THE SAME ABILITY TO PAY FOR VITAL MEDICAL SERVICES. TO THAT END, AS PART OF OUR CHARITABLE MISSION TO SERVE ALL MEMBERS OF THE COMMUNITY, FREE CARE, SUBSIDIZED CARE AND HEALTH ACTIVITIES, PROGRAMS AND SCREENINGS ARE AVAILABLE TO ALL COMMUNITY MEMBERS, REGARDLESS OF THEIR ABILITY TO PAY. EMERGENCY DEPARTMENT PMC PROVIDES A NUMBER OF DIRECT PATIENT CARE SERVICES TO THE UNINSURED AND UNDERINSURED IN OUR COMMUNITY. THE ED TYPICALLY SERVES AS THE PRINCIPAL MEANS OF HEALTHCARE FOR THESE PATIENTS. DURING THE FY 2016 THE ED SAW 78,026 PATIENTS, OVER 9% ARE ADMITTED TO THE HOSPITAL THROUGH THE ED AND MAKE UP 61% OF OUR TOTAL ADMISSIONS. ESSA HEART AND VASCULAR INSTITUTE PMC'S ESSA HEART AND VASCULAR INSTITUTE (HVI) PROVIDES COMPREHENSIVE CARE FOR ADDRESSING THE SECOND HIGHEST CAUSE OF DEATH OF ADULTS IN OUR COUNTY, HEART DISEASE. OUR PROGRAM, ESTABLISHED IN 2007, HAS PERFORMED OVER 3,000 OPEN-HEART SURGERIES SINCE 2009. IN THE YEARS FOLLOWING THE ESSA HVI HAS RECEIVED FULL ACCREDITATION BY THE SOCIETY OF CHEST PAIN CENTER AS A HEART FAILURE CENTER AND A CHEST PAIN CENTER. FOR THE CONVENIENCE OF OUR PATIENTS AND TO IMPROVE OPERATIONAL EFFICIENCIES, WE CENTRALIZED OUR CARDIAC CARE SERVICES AND OPENED A NEW HEART RHYTHM CENTER. THE CARDIAC CATHETERIZATION LABS, CARDIAC REHABILITATION DEPARTMENT AND VARIOUS NON-INVASIVE CARDIAC SERVICES (SUCH AS PACEMAKER CHECKS, CARDIAC STRESS TESTING, NUCLEAR STRESS TESTING, PULMONARY REHAB AND STRESS ECHO) WERE RELOCATED TO OFFER COMPREHENSIVE HEART CARE IN ONE LOCATION. IN ADDITION TO OFFERING MINIMALLY INVASIVE SURGICAL PROCEDURES TO TREAT HEART ARRHYTHMIAS, OUR HEART RHYTHM CENTER PROVIDES A FULLY EQUIPPED ELECTROPHYSIOLOGY (EP) LAB. THE EP LAB PROVIDES ATRIAL AND VENTRICULAR NODE DIAGNOSTICS AND ABLATION, INTRA CARDIAC 3D ECHO AND 3D CARDIO CAPABILITIES, AS WELL AS BI-VENTRICULAR PACEMAKERS-SERVICES PATIENTS PREVIOUSLY NEEDED TO TRAVEL TO OTHER FACILITIES TO RECEIVE. 24/7 EXPERT STROKE CARE PMC JOINED THE JEFFERSON NEUROSCIENCE NETWORK, GIVING OUR PATIENTS AND PHYSICIANS ON-CALL ACCESS TO EXPERT STROKE TEAMS. JEFFERSON EXPERT TELECONSULTING IS THE REGION'S FIRST HIGH-TECH, ROBOTIC SYSTEM THAT ENABLES PHYSICIANS TO PROVIDE FASTER DIAGNOSIS AND MORE EFFECTIVE TREATMENT. LEVEL III TRAUMA CENTER OUR LEVEL III TRAUMA DESIGNATION BRINGS AN ADVANCED, LIFESAVING LEVEL OF CARE FOR SEVERELY INJURED PATIENTS, CLOSE TO HOME. THIS MILESTONE ALLOWED US TO PROVIDE QUALITY, PATIENT-CENTERED TRAUMA CARE TO THE INDIVIDUALS WHO LIVE, VISIT AND WORK IN OUR COMMUNITY. OUR COORDINATED, COMPREHENSIVE TEAM OF TRAUMA SURGEONS, ORTHOPEDIC SURGEONS, CARDIAC SURGEONS, RADIOLOGISTS, NURSES, LAB'S IMAGING TECHNICIANS AND OTHER SUPPORT STAFF ARE AVAILABLE 24 HOURS A DAY, 365 DAYS A YEAR. ADVANCED WOUND CARE OUR WOUND CARE CENTER HAS TWO HYPERBARIC OXYGEN THERAPY CHAMBERS, ENHANCING THE CENTER'S ABILITY TO CARE FOR PATIENTS WITH WOUNDS THAT DON'T HEAL AS THEY SHOULD. INSIDE THE CHAMBER, A PATIENT BREATHES PURE OXYGEN AT A PRESSURE TWO TO THREE TIMES HIGHER THAN NORMAL. THE THERAPY IS DESIGNED TO PROMOTE HEALING OF DAMAGED TISSUE. WELLNESS PROGRAMAS A FREE WELLNESS PROGRAM AT POCONO MEDICAL CENTER, PMC HEALTHY LIVING AIMS TO MOTIVATE AND INSPIRE PEOPLE TO MAKE POSITIVE CHANGES IN ORDER TO LEAD THEIR HEALTHIEST, HAPPIEST LIFE. AS A MEMBER, PEOPLE THROUGHOUT THE POCONOS ARE PROVIDED WITH LIFE-CHANGING HEALTH INFORMATION AND ACCESS TO MEDICAL SERVICES AVAILABLE THROUGH LEADING EXPERTS, FUN AND INFORMATIONAL ACTIVITIES. AT PMC WE OFFER A WIDE VARIETY OF HEALTHY LIVING PROGRAMS, INCLUDING: -EDUCATIONAL TALKS BY HEALTH CARE PROVIDERS COMMUNITY WELLNESS EVENTS -FREE HEALTH SCREENINGS -MEMBERSHIP EVENTS AND ACTIVITIES THAT ARE GEARED AT IMPROVING YOUR LIFESTYLE AND HAVING FUN -MONTHLY EMAILS ABOUT WHAT'S GOING ON IN THE COMMUNITY AND INFORMATION ON CURRENT HEALTH TOPICS.MEDICAL HOME WITH ALL SERVICES TO BE IN ONE LOCATION, OUR COMPREHENSIVE AND COORDINATED MEDICAL HOME CARES FOR PATIENTS AND FAMILIES WITH CHRONIC DISEASES AS WELL AS EXPERT SPECIALTY CARE. THIS PATIENT AND FAMILY CENTERED APPROACH PROVIDES HEALTH CARE THAT WILL ENCOMPASS THE ENTIRE SPECTRUM OF TREATMENT WITH AN EMPHASIS ON PRIMARY CARE AND PREVENTIVE MEDICINE. THIS INCLUDES AN ENDOCRINOLOGY SERVICE LINE THAT PROVIDES THE LATEST PROCEDURES AND TECHNIQUES FOR HORMONE IMBALANCES, DERMATOLOGY FOR TREATMENT OF SKIN DISORDERS, VASCULAR SURGERY, OBSTETRICS/GYNECOLOGY AND BEHAVIORAL HEALTH FOR THOSE WITH MENTAL HEALTH DISORDERS. THE POCONO HEALTH SYSTEM COMMUNITY CARE NETWORK WILL ASSIST THOSE PATIENTS THAT REQUIRE ADDITIONAL SERVICES AT HOME. IMMEDIATE CARE CENTERS ARE ASSOCIATED WITH EACH MEDICAL HOME TO PROVIDE URGENT TREATMENT WHEN NEEDED WITHOUT REQUIRING AN APPOINTMENT. PMC OPENED THE BARTONSVILLE HEALTHCARE CENTER, AS WELL AS THE NEW WEST END HEALTHCARE CENTER, LOCATED IN BROADHEADSVILLE. THESE NEW LOCATIONS PROVIDE CONVENIENT ACCESS FOR MEDICAL CARE WITH COMPREHENSIVE SERVICES INCLUDING PRIMARY CARE, ENDOCRINOLOGY, OB/GYN, BREAST CENTER INCLUDING 3D MAMMOGRAPHY, IMAGING AND A LAB.IMMEDIATE CARE CENTER DOTTED THROUGHOUT THE POCONOS, PMC'S IMMEDIATE CARE CENTERS ARE ESTABLISHED IN EAST STROUDSBURG, BARTONSVILLE, TOBYHANNA AND BROADHEADSVILLE. THEY OFFER WALK-IN MEDICAL CARE 12 HOURS A DAY, WITHOUT THE COST OF ER CO-PAYS. THESE FACILITIES ARE FULLY BACKED BY THE SERVICES AT PMC.RECENT ACCOMPLISHMENTS:-PMC RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S PRESTIGIOUS GET WITH THE GUIDELINES - STROKE SILVER QUALITY ACHIEVEMENT AWARD.-PMC EARNED AN 'A' GRADE FOR PATIENT SAFETY FROM THE LEAPFROG GROUP, A NATIONAL NONPROFIT ORGANIZATION THAT COLLECTS DATA AND REPORTS HOSPITALS' PERFORMANCE BY ASSIGNING A TRADITIONAL LETTER GRADE.-HEALTHGRADES HAS AWARDED LABOR & DELIVERY AT PMC WITH ITS PRESTIGIOUS 5-STAR RATING FOR SUPERIOR DELIVERY OF PATIENT CARE.-HEALTHGRADES HAS AWARDED OB/GYN AT PMC WITH ITS PRESTIGIOUS 5-STAR RATING FOR EXCELLENCE IN PATIENT CARE.-PMC WAS RECOGNIZED AS ONE OF THE BEST HOSPITALS FOR 2015-2016 IN PENNSYLVANIA BY U.S. NEWS & WORLD REPORT FOR BOTH HEART FAILURE AND BYPASS SURGERY.-PMC RECEIVED THE 2016 HEALTHGRADES PATIENT SAFETY EXCELLENCE AWARD. THIS ELITE DISTINCTION PLACES PMC IN THE NATION'S TOP 10% OF ALL HOSPITALS EVALUATED FOR THEIR PERFORMANCE IN SAFEGUARDING PATIENTS FROM SERIOUS, POTENTIALLY PREVENTABLE COMPLICATIONS DURING THEIR HOSPITAL STAYS. 3534809 52885009 DALE AND FRANCES HUGHES CANCER CENTER OFFICIALLY OPENING ITS DOORS ON JUNE 18, 2012, THE NEW DALE & FRANCES HUGHES CANCER CENTER PROVIDES A FULL LINE OF STATE-OF-THE-ART CANCER TREATMENT SERVICES FOR PATIENTS IN OUR COMMUNITY, WITH A HUMAN-CENTERED APPROACH THAT EMBRACES GENUINE RESPECT AND COMPASSION FOR PATIENTS AND THEIR LOVED ONES.THE HUGHES CANCER CENTER ALSO RECEIVED A THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIATION ONCOLOGY AND WAS AWARDED THE OUTSTANDING ACHIEVEMENT AWARD OF THE COMMISSION ON CANCER FOR 2011. THE HUGHES CANCER CENTER OFFERS SOME OF THE MOST SOPHISTICATED RADIATION EQUIPMENT, FACILITIES, AND EXPERTLY TRAINED STAFF FOR CANCER TREATMENT, INCLUDING A CERTIFIED MEDICAL DOSIMETRIST, TWO RADIATION PHYSICISTS, AND A DEDICATED SURGICAL ONCOLOGIST. THE CENTER IS ONE OF THE FIRST OF 25 CANCER CENTERS IN THE COUNTRY TO USE INTENSITY MODULATED RADIATION THERAPY (IMRT) AND ONE OF THE FIRST OF 50 IN THE WORLD TO USE IMAGE-GUIDED RADIATION THERAPY (IGRT). THE HUGHES CANCER CENTER CONTINUES TO EXPLORE NEW, INNOVATIVE TREATMENTS SUCH AS USING STEREOTACTIC BODY RADIATION THERAPY FOR TREATING NON-OPERABLE LUNG CANCER-THE LEADING CANCER IN OUR COMMUNITY AND NATIONWIDE. IN ADDITION, RADIATION ONCOLOGISTS HAVE ALSO IMPLEMENTED PARTIAL BREAST IRRADIATION AS A TREATMENT PROTOCOL. PERHAPS EQUALLY AS IMPORTANT AS OUR LEADING EDGE TECHNOLOGY IS THE COMPASSION AND COMMITMENT OUR PHYSICIANS AND NURSES AT THE HUGHES CANCER CENTER BRING TO EACH AND EVERY PATIENT. TO THAT END, THE HUGHES CANCER CENTER OFFERS A VARIETY OF SUPPORT SERVICES FOR PATIENTS AND FAMILIES DEALING WITH CANCER DIAGNOSIS AND TREATMENT. OUR SUPPORT SERVICES INCLUDE A COMPLIMENTARY ALTERNATIVE MEDICINE PROGRAM, A FULL-TIME BREAST HEALTH NURSE NAVIGATOR AND THORACIC NURSE NAVIGATOR DEDICATED TO ASSISTING PATIENTS AND THEIR LOVED ONES WHO HAVE BEEN DIAGNOSED WITH BREAST AND LUNG CANCER. SURVIVORSHIP PROGRAMS, EDUCATIONAL SERVICES, SOCIAL SERVICES, COUNSELING AND GROUP SUPPORT, PASTORAL CARE, AND MORE ARE ALSO A PART OF THE SUPPORT SERVICES. IN ADDITION, FREE SCREENINGS, INCLUDING PROSTATE, BREAST, SKIN, ORAL AND COLORECTAL ARE OFFERED TO THE COMMUNITY THROUGHOUT THE YEAR.THE CULMINATION OF OUR EFFORTS TOWARDS EXCELLENCE HAS RESULTED IN THE 59,000 SQUARE-FOOT HUGHES CANCER CENTER, OPENED IN 2012, FEATURING STATE-OF-THE-ART TECHNOLOGIES, PATIENT CENTERED DESIGN AND COMPREHENSIVE CANCER CARE UNDER ONE ROOF. 1511721 82784 PMC OUTPATIENT DIAGNOSTIC LABORATORYPMC'S OUTPATIENT LABORATORY IS RECOGNIZED AS THE PRINCIPAL PROVIDER OF THE FINEST CLINICAL DIAGNOSTIC SERVICES TO OUTPATIENTS, AS WELL AS PHYSICIAN OFFICES AND NURSING HOMES IN THE AREA. IN FISCAL YEAR 2016, POCONO MEDICAL CENTER'S OUTPATIENT DIAGNOSTIC LAB VISITS TOTALED 131,659 INCLUDING NURSING HOME COLLECTIONS AND OUTPATIENT VISITS AT OUTPATIENT COLLECTION SITES.IMPROVING QUALITY, CONTINUITY OF CARE TO BETTER SERVE PATIENTS AT EVERY STAGE OF THEIR LIVES, PHS ACQUIRED THE VISITING NURSE ASSOCIATION (VNA) AND HOSPICE OF MONROE COUNTY. THIS ADDITION STRENGTHENS OUR ABILITY TO DELIVER ONGOING HEALTH CARE TO PATIENTS AND THEIR FAMILIES IN THE COMFORT OF THEIR HOMES. LEARNING INSTITUTETHE LEARNING INSTITUTE, AN OFF-SITE EDUCATIONAL FACILITY OPERATED BY PHS AND STAFFED BY PMC/NFP NURSE EDUCATORS AND HUMAN RESOURCE DEVELOPMENT TRAINING STAFF, OFFERS COURSES AND SEMINARS TO PHS EMPLOYEES AND COMMUNITY MEMBERS, INCLUDING CPR CERTIFICATION AND RE-CERTIFICATION, IN-SERVICE TRAINING, PHTLS (PRE-HOSPITAL TRAUMA LIFE SUPPORT) COURSES, PREPARED CHILDBIRTH AND BREASTFEEDING CLASSES. THE LEARNING INSTITUTE ALSO HOUSES A LOCAL NURSE-FAMILY PARTNERSHIP (NFP) PROGRAM, WHICH IS A NATIONAL, RESEARCH-BASED ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR LOW-INCOME CHILDREN AND FAMILIES.PROFESSIONAL DEVELOPMENTCONTINUING EDUCATION OPPORTUNITIESTHE CONTINUING EDUCATION PROCESS PROVIDES OPPORTUNITIES TO THE ORGANIZATION AND EMPLOYEES TO REQUEST ATTENDANCE OF OFF-SITE MEETINGS AND PROGRAMS PERTAINING TO HEALTH CARE ORGANIZATIONS AND JOB SPECIFICATIONS. AMERICAN HEART ASSOCIATION CERTIFICATION PROGRAMSAS A DESIGNATED AMERICAN HEART ASSOCIATION PROGRAM PROVIDER, POCONO HEALTH SYSTEM CERTIFIES ALL EMPLOYEES WHO ENROLL IN BLS (BASIC LIFE SUPPORT), ACLS (ADVANCED LIFE SUPPORT) AND PALS (PEDIATRIC ADVANCED LIFE SUPPORT). NURSE-FAMILY PARTNERSHIPNATIONALLY, THE NURSE-FAMILY PARTNERSHIP (NFP) IS A RESEARCH-BASED ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR LOW-INCOME CHILDREN AND FAMILIES AND CELEBRATED 14 YEARS OF SERVICE IN JULY 2016. POCONO MEDICAL CENTER'S NURSE-FAMILY PARTNERSHIP PROVIDES CRUCIAL SERVICES TO LOCAL AT-RISK NEW MOTHERS. REGISTERED NURSES WITH SPECIAL TRAINING IN PRENATAL AND INFANT CARE AS WELL AS PSYCHOSOCIAL DEVELOPMENT VISIT EXPECTANT MOTHERS IN THEIR OWN HOMES. THE VISITS BEGIN IN EARLY PREGNANCY AND CONTINUE UNTIL THE CHILD IS TWO-YEARS-OLD. HEALTHY LIFESTYLE HABITS ARE EMPHASIZED, PARENTING SKILLS ARE DEVELOPED, AND CAREER COUNSELING IS OFFERED. IN ADDITION, LIFESTYLE SKILLS SUCH AS MAKING THE HOME A SAFE PLACE FOR BABY, CONFLICT RESOLUTION, AND FISCAL RESPONSIBILITY ARE INTRODUCED THROUGH INDIVIDUAL INSTRUCTION AND GROUP ACTIVITIES. SINCE ITS INCEPTION IN AUGUST 2002, THE NURSE-FAMILY PARTNERSHIP OF MONROE COUNTRY HAS ENROLLED WELL OVER 1,000 MOMS IN THE NFP PROGRAM. DIABETES EDUCATIONCERTIFIED DIABETIC EDUCATORS, INCLUDING OUR NEW ENDOCRINOLOGY SERVICE LINE WITH DEDICATED ENDOCRINOLOGIST, REGISTERED NURSES AND DIETITIANS, CONDUCT PMC'S SUCCESS WITH THE DIABETES SELF-MANAGEMENT PROGRAM, PROVIDING OUR COMMUNITY MEMBERS WITH THE TOOLS AND KNOWLEDGE THEY NEED TO ENSURE A HEALTHY LIFESTYLE. SELF-MANAGEMENT EDUCATION IS AN ESSENTIAL PART OF DIABETES TREATMENT. COMBINED WITH MEDICAL AND NUTRITIONAL THERAPY, EDUCATION GIVES THE LEARNER THE ABILITY TO BECOME AN ACTIVE PARTICIPANT IN HIS/HER CARE. WELL-MANAGED DIABETES HAS BEEN SHOWN TO PREVENT AND/OR DELAY THE ACUTE AND CHRONIC COMPLICATIONS OF DIABETES AND REDUCE THE NUMBER AND LENGTH OF HOSPITAL ADMISSIONS. EDUCATIONAL TOPICS PROVIDED BY PMC'S SUCCESS WITH DIABETES SELF-MANAGEMENT PROGRAM INCLUDE:-OVERVIEW OF DIABETES -BEHAVIOR CHANGE STRATEGIES -BLOOD GLUCOSE LEVELS -PREVENTION, DETECTION, AND TREATMENTS OF ACUTE AND CHRONIC COMPLICATIONS -FOOT, SKIN, AND DENTAL CARE -STRESS MANAGEMENT AND PSYCHOLOGICAL ADJUSTMENT-GOAL SETTING -RISK FACTOR REDUCTION -PROBLEM SOLVING -APPROPRIATE USE OF HEALTH CARE SYSTEMS AND COMMUNITY RESOURCES COMMUNITY HEALTH AND OUTREACHTHE PMC COMMUNITY HEALTH AND OUTREACH PROGRAM IS COMMITTED TO PROVIDING THE TOOLS AND SERVICES NECESSARY FOR HELPING OUR COMMUNITY MEMBERS TO ENJOY LONGER, HEALTHIER LIVES. A VARIETY OF PROGRAMS OFFER A HOST OF CRUCIAL HEALTH AND WELLNESS SERVICES CONVENIENTLY DELIVERED TO BUSINESSES, CHURCHES, OR SOCIAL GROUPS AT NO COST. THE SCREENINGS AND SERVICES INCLUDED ARE: CARDIAC RISK ASSESSMENTS, BREAST CANCER RISK, PROSTATE CANCER, SKIN CANCER, HEALTHY LUNCH AND LEARNS, HEALTH AND WELLNESS SEMINARS AND TALKS, AND SUPPORT GROUPS.WOMEN'S AND CHILDREN'S SERVICESTHE LEVEL II NICU COMPLEMENTS A HOST OF OTHER SERVICES WITHIN OUR OB-GYN SERVICE LINE, INCLUDING PERINATOLOGY FOR HIGH-RISK MOTHERS, MATERNAL-FETAL SERVICES, A MIDWIFERY PROGRAM AND A UROGYNECOLOGY PROGRAM THAT PROVIDES ADVANCED TREATMENT, INCLUDING MINIMALLY-INVASIVE SURGERY, FOR CONDITIONS SUCH AS INCONTINENCE, ABNORMAL BLEEDING AND OTHERS. PMC ALSO OFFERS DIGITAL MAMMOGRAPHY AND THE MOST TECHNOLOGICALLY - ADVANCED BREAT CANCER TREATMENTS. WE ALSO HAVE DEDICATED BREAST HEALTH NURSE NAVIGATORS TO ASSIST PATIENTS WITH A BREAST CANCER DIAGNOSIS AND THE TREATMENT PROCESS. FOUR CONVENIENTLY LOCATED PMC PHYSICIAN ASSOCIATE OB-GYN PRACTICES ARE LOCATED IN KEY AREAS THROUGHOUT THE COMMUNITY TO IMPROVE ACCESS TO CARE. 236117103 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 157 0 1 2073 1 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X WILLIAM THOMA SVP FINANCECFO 5704204912 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 W ANDREW WORTHINGTON CHAIRMAN 1.00 1.00 X X 0 0 0 ANDREW A FORTE TREASURER/CHAIR-ELECT 1.00 1.00 X X 0 0 0 R DOUGLAS OLMSTEAD SECRETARY 1.00 2.00 X X 0 0 0 JEFF SNYDER PRESIDENT/CHIEF EXECUTIVE 34.00 6.00 X X 662476 0 206340 RAJESH G BHAGAT MD DIRECTOR 1.00 2.00 X 0 0 0 CARMINE CERRA MD DIRECTOR 1.00 1.00 X 0 0 0 LYNN A COURTRIGHT DIRECTOR 1.00 1.00 X 0 0 0 THOMAS GRAYUSKI DIRECTOR 1.00 3.00 X 0 0 0 ELIZABETH KOSTER DIRECTOR 1.00 3.00 X 0 0 0 VINCENT FRANCESCANGELI MD CHIEF OF PMC MEDICAL STAFF 1.00 39.00 X 344077 0 0 RICHARD A STANESKI DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL A WILK SVP FINANCE/CFO (TERM 6/30/16) 34.00 6.00 X 426058 0 76944 STEPHEN CUNNINGHAM SVP & CHIEF DEVELOPMENT OF 40.00 2.00 X 431677 0 35270 LYNN LANSDOWNE VP OF HUMAN RESOURCES 40.00 X 251943 0 58320 WILLIAM CORS VP OF MEDICAL AFFAIRS 40.00 1.00 X 525659 0 18897 LAMONT LOUIS VP PHYSICIAN NETWORK 39.00 1.00 X 245222 0 43468 ELIZABETH WISE VP OF OPERATIONS 40.00 2.00 X 383128 0 39545 FERDINAND FEOLA VP & CHIEF INFORMATION OFFICER 40.00 X 241676 0 44058 VIRGINIA GORTYCH-BARNES PHYSICIAN ADVISOR 40.00 X 246204 0 18897 JOHN CROCKETT PHYSICIAN LIASON/RECRUITER 40.00 X 231975 0 18897 LOUIS NARDELLA CLINICAL PSYCHIATRIST 40.00 X 212169 0 18897 WILLIAM THOMA CONTROLLER 34.00 6.00 X 197978 0 18897 STACY GOETZ CANCER CENTER ADMINISTRATOR 40.00 X 183523 0 18897 KATHLEEN KUCK FORMER PRESIDENT/CEO 1.00 X 586791 0 147208 PAULETTE NISH FORMER VP & CNO 40.00 X 106500 0 13845 5277056 0 778380 95 1 1 0 EMERGENCY PHYSICIAN ASSOCIATES PO BOX 634850 CINCINNATI OH 45263 PHYSICIAN SERVICES 2866583 BOYLE CONSTRUCTION 1209 HAUSMAN ROAD SUITE B ALLENTOWN PA 18104 CONSTRUCTION 2050843 QUEST DIAGNOSTICS PO BOX 740709 ATLANTA GA 30374 LAB TESTING 1618063 DRINKER BIDDLE & REATH 600 CAMPUS DRIVE FLORHAM PARK NJ 07932 LEGAL SERVICES 1613938 METZ & ASSOCIATES TWO WOODLAND DRIVE DALLAS PA 18612 DIETARY & ENVIRONMENTAL SERVICES 1404929 47 3767179 828616 4595795 PATIENT SERVICE REVENUE 622000 295273110 295273110 OTHER REVENUE 900099 2697534 2697534 297970644 2584738 2584738 179700 179700 557824 51709 506115 506115 506115 1800 7743 -5943 -5943 -5943 TOBACCO SETTLEMENT 900099 472277 472277 PHYSICIAN GUARANTEES 900099 315 315 MISCELLANEOUS 900099 20 20 472612 306303661 297970644 0 3737222 30318934 30318934 19800 19800 3903749 2588186 1315563 87670289 58125402 29544887 3569238 2366405 1202833 16024207 10624049 5400158 6576722 4360367 2216355 759251 503383 255868 494467 327832 166635 182937 121287 61650 9938 9938 116983 77560 39423 15356763 10181535 5175228 863949 572798 291151 12663517 8395912 4267605 1686790 1118342 568448 12993781 8614877 4378904 99752 66136 33616 244134 161861 82273 5221272 3461703 1759569 14058979 9321103 4737876 8389828 5562456 2827372 MED. SUPPLIES & DRUGS 39650515 39650515 BAD DEBT EXPENSE 30581939 30581939 STATE MA ASSESSMENT 4551945 4551945 REPAIRS & MAINTENANCE 2045070 1355881 689189 4436436 3076957 1359479 302491185 236117103 66374082 0 1965 1675 17238161 1350985 36340991 35963388 853336 775705 4290684 4420006 4889595 5027232 301143861 166087241 135857223 135056620 165377380 169514436 4896847 3397757 11120336 16349222 380866518 371857026 34004466 29648251 123300000 120560000 183059 36805985 35690525 194110451 186081835 X 180472039 181029883 3320828 1577170 2963200 3168138 186756067 185775191 380866518 371857026 X 3812476 -1456204 -3337148 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 9938 0 0 9938 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO AHA AND HAP. THE PORTION OF THESE DUES USED USED TOWARDS LOBBYING WAS $9,938. 1386530 32165 80750 3661 19195 1315089 1400692 52051 64590 1623 1386530 1373626 66059 34000 4993 1400692 1385298 50340 56855 5157 1373626 1390328 32383 36000 1413 1385298 0.38000 0.62000 0.00000 1 1 1 5054066 5054066 161539931 68791974 92747957 129772454 97295267 32477187 4777410 4777410 135056620 ESTIMATED SELF-INSURANCE COSTS 18811515 ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYERS 2809670 ACCRUED PENSION OBLIGATION 2122274 INTEREST RATE SWAP AGREEMENT 3918146 ASSET RETIREMENT OBLIGATION 745641 DEFERRED COMPENSATION 7283279 35690525 X 299382349 -1456204 -3337148 -4793352 304175701 2127960 2127960 306303661 300363225 51709 51709 300311516 2179669 2179669 302491185 PART V, LINE 4: EACH FUND HAS BEEN BOARD DESIGNATED WITH A DIFFERENT PURPOSE. FUNDS ARE HELD AND DISBURSED PER THE DONOR INTENT. ALL FUNDS WERE SET UP TO BE CONSISTENT WITH THE ORGANIZATIONAL MISSION. PART X, LINE 2: THE MEDICAL CENTER HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HEALTH SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HEALTH SYSTEM FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE HEALTH SYSTEM IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -821,337. CHANGE IN INTEREST IN NET ASSETS OF POCONO HEALTH FOUNDATION -1,476,800. DEFINED BENEFIT PENSION COSTS 1,062,569. LOSS ON EXTINGUISHMENT OF DEBT -2,101,580. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -51,709. RELATED PARTY CONTRIBUTIONS NETTED IN EXPENSES 2,179,669. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 51,709. RELATED PARTY CONTRIBUTIONS NETTED IN EXPENSES PART XII, LINE 4B - OTHER ADJUSTMENTS: RELATED PARTY CONTRIBUTIONS NETTED IN EXPENSES 2,179,669. 1 1 X 1 X 1 X 1 1 0 1 1 313065 2469 310596 0.00120 46658670 28216336 18442334 0.06840 46971735 28218805 18752930 0.06960 133138 133138 0.00050 1088791 1088791 0.00400 18422334 18422334 0.06830 390128 390128 0.00140 20034391 20034391 0.07420 67006126 28218805 38787321 0.14380 0 6877883 997293 80031816 81376300 -1344484 X 1 0 1 1 POCONO MEDICAL CENTER 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 072001 X X X LEVEL III TRAUMA CENTER POCONO MEDICAL CENTER 1 0 0 1 X X X X X X X X X 13 1 0 1 1 X WWW.POCONOHEALTHSYSTEMS.ORG/CONNECTIONS 1 14 1 WWW.POCONOHEALTHSYSTEM.ORG/CONNECTIONS 0 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X WWW.POCONOHEALTHSYSTEM.ORG X X X X X 1 X 0 X X X X 1 X 0 0 POCONO MEDICAL CENTER PART V, SECTION B, LINE 5: POCONO HEALTH SYSTEM COLLABORATED WITH THE LOCAL UNIVERSITY, EAST STROUDSBURG UNIVERSITY, THE DOCUMENT WAS PRESENTED AT THE ANNUAL MEETING AS A COMMUNITY FORUM IN ORDER TO PROVIDE AN EXCHANGE OF IDEAS ON ADDRESSING THE NEEDS OF THE COMMUNITY. SEE FURTHER DETAIL OF COMMUNITY DETAIL AT SCHEDULE H, PART VI, LINE 2. POCONO MEDICAL CENTER PART V, SECTION B, LINE 6B: POCONO HEALTH SYSTEM COLLABORATED WITH THE LOCAL UNIVERSITY, EAST STROUDSBURG UNIVERSITY. POCONO MEDICAL CENTER PART V, SECTION B, LINE 11: THE PRIORITY NEEDS IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WERE OBESITY, LACK OF PRIMARY CARE AND PREVENTIVE SERVICES, MENTAL HEALTH AND SUBSTANCE USE, AND SMOKING. THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED AS FOLLOWS:OBESITYTHE HOSPITAL IS ADDRESSING OBESITY IN THE COMMUNITY THROUGH CONTINUED HEALTH EDUCATION, INTERVENTION, AND PREVENTION BASED PROGRAMS. THEY ARE CARRYING OUT THESE PROGRAMS IN THE FOLLOWING WAYS:-COLLABORATING WITH LOCAL ORGANIZATIONS IN ENHANCING AND CONTINUING WELLNESS AND PREVENTION BASED PROGRAMS (E.G. WEIGHT MANAGEMENT, NUTRITION COUNSELING, SPEAKER BUREAUS AND HEALTHY LIVING PROGRAMS). -SPONSORING YOUTH AND ADULT PHYSICAL ACTIVITY PROGRAMS AND COLLABORATING WITH LOCAL ORGANIZATIONS TO PROMOTE PROGRAMS OFFERED IN MONROE COUNTY-UTILIZING HEALTHY LIVING PROGRAMS TO REACH SCHOOLS AND LOCAL ORGANIZATIONS WITH SKILLS AND STRATEGIES FOR ENCOURAGING HEALTHY ACTIVITIES AND PROVIDING HEALTHY MEALS.LACK OF PRIMARY CARE & PREVENTATIVE SERVICESTHE HOSPITAL IS IMPROVING ACCESS TO HEALTHCARE SERVICES THROUGH INCREASING THE PRIMARY CARE AND HEALTHCARE PROVIDER BASE IN VARIOUS LOCATIONS AND BY PROVIDING BETTER ACCESS TO CARE TO MONROE COUNTY RESIDENTS. TO IMPROVE THIS THEY ARE RECRUITING AND POSITIONING HEALTHCARE PROVIDERS IN STRATEGIC LOCATIONS, OFFERING A VARIETY OF DIFFERENT SERVICES, INCREASING ACCESS TO CARE, AND INCREASING PREVENTATIVE SERVICES THROUGH IMPLEMENTATION OF SCREENINGS AND FOLLOW-UP PROCESSES FOR ALL COMMUNITY HEALTH SCREENINGS ADMINISTERED.MENTAL HEALTH & SUBSTANCE ABUSETHE HOSPITAL IS INCREASING BEHAVIORAL HEALTH ADVOCACY AND ACCESS TO RESOURCES BY WORKING WITH SCHOOLS, LOCAL AGENCIES, AND COMMUNITY PARTNERS TO ADVOCATE AND PROMOTE BEHAVIORAL HEALTH AWARENESS TO INCREASE EARLY DETECTION AND PREVENTION EFFORTS. IN ADDITION THEY ARE INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH INCREASED POINTS OF ENTRY AND INTEGRATION OF PRIMARY CARE, AND INCREASING ACCESS TO SCREENINGS FOR EARLY DETECTION AND BEHAVIORAL HEALTH INTERVENTION. THE HOSPITAL IS WORKING WITH THE POLICY MAKERS AND REPRESENTATIVES IN ADVOCATING FOR MORE COMPREHENSIVE BEHAVIORAL HEALTH SERVICE REIMBURSEMENT.SMOKINGTHE HOSPITAL IS DECREASING THE PERCENTAGE OF MONROE COUNTY RESIDENTS WHO UTILIZE TOBACCO THROUGH PROMOTION OF AWARENESS OF SMOKING CESSATION PROGRAMS, PREVENTATIVE HEALTH SERVICES, AND SUPPORT GROUPS OFFERED. FURTHERMORE, THERE IS STRATEGIC OUTREACH AND COLLABORATION WITH LOCAL SCHOOLS AND AGENCIES IN PROVIDING HEALTH EDUCATION AND PREVENTION METHODOLOGY TO ADULTS AND YOUTH.FOR FURTHER INFORMATION ON HOW THE NEEDS ARE BEING ADDRESSED SEE WWW.POCONOHEALTHSYSTEMS.ORG/CONNECTIONS. THE HOSPITAL IS ADDRESSING ALL NEEDS IDENTIFIED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. POCONO MEDICAL CENTER PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY USED ITS ESTABLISHED FINANCIAL ASSISTANCE POLICY AND COMPARES THE MAXIMUM AMOUNT CHARGED TO FAP-ELIGIBLE INDIVIDUALS ON A PERCENTAGE OF CHARGES BASIS TO THE AVERAGE OVERALL COMMERCIAL INSURANCE PAYMENT PERCENTAGE. PART I, LINE 7: THE MEDICAL CENTER USED A COST-TO-CHARGE RATIO IN DETERMINING THE FIGURES REPORTED IN THIS TABLE. TOTAL OPERATING EXPENSES LESS BAD DEBT EXPENSES LESS NON PATIENT ACTIVITIES LESS MEDICAID PROVIDER TAXES EQUALLY COSTS RELATED TO PATIENT CARE DIVIDED BY GROSS PATIENT CHARGES. PART I, LINE 7G: A LARGE PORTION OF THE NET COMMUNITY BENEFIT EXPENSE OF $18,422,334 REPORTED ON PART I, LINE 7G, COLUMN (E) IS RELATED TO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $30,581,939. PART II, COMMUNITY BUILDING ACTIVITIES: POCONO MEDICAL CENTER PROVIDES A MYRIAD OF HEALTH SCREENINGS AND COMMUNITY PRESENTATIONS ON HEALTHY LIFESTYLES AND DISEASE AWARENESS THROUGH THE WELLNESS INSTITUTE AND THE SPIRIT OF WOMEN INITIATIVE. ACTIVITIES INCLUDE PROVIDING TRANSPORTATION FOR PATIENTS IN NEED, PROVIDING FREE SPACE FOR COMMUNITY MEETINGS, TELEVISION AND RADIO HEALTH EDUCATION PROGRAMS, AND COMMUNITY WELLNESS OUTREACH. PART III, LINE 2: TOTAL BAD DEBT EXPENSE (AT COST) WAS DETERMINED BY APPLYING THECOST-TO-CHARGE RATIO, DERIVED FROM WORKSHEET 2-RATIO OF PATIENT CARE COSTTO CHARGES TO TOTAL THE NET OF ACTUAL BAD DEBT WRITE-OFF'S AND RECOVERIESPROCESSED DURING THE 2016 FISCAL YEAR.THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLETO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY BYUTILIZING DATA FROM THE U.S. CENSUS BUREAU. THE ORGANIZATION ESTIMATED THEPERCENTAGE BY OBTAINING THE PERCENT OF THE POPULATION IN ITS SERVICE AREAFALLING BELOW THE FEDERAL POVERTY GUIDELINES. ACCORDING TO THE LATESTPUBLICIZED CENSUS DATA FOR MONROE COUNTY, PA, 13.5% OF INDIVIDUALS ARECONSIDERED TO BE IN POVERTY. PART III, LINE 3: A COST TO CHARGE RATIO WAS USED. TOTAL OPERATING EXPENSES LESS BAD DEBTEXPENSES LESS NON PATIENT ACTIVITIES LESS MEDICAID PROVIDER TAXES EQUALCOSTS RELATED TO PATIENT CARE DIVIDED BY GROSS PATIENT CHARGES. PART III, LINE 4: 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. THE FOOTNOTE READS AS FOLLOWS: "ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER 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 MEDICAL CENTER 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 COPAYMENTBALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL),THE MEDICAL CENTER RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THEPERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATESTHAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIRBILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEENTHE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BYPOLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTIONEFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS." PART III, LINE 8: THE SHORTFALL SHOULD BE TREATED AS 100% COMMUNITY BENEFIT. THE FISCAL YEAR 2016 MEDICARE COST REPORT WAS UTILIZED TO CALCULATE THE COST REPORT ON LINE 6. 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. PART VI, LINE 2: IN FISCAL YEAR 2014, POCONO HEALTH SYSTEM COLLABORATED WITH THE LOCAL UNIVERSITY AND PRESENTED A COMPREHENSIVE MONROE COUNTY HEALTH NEEDS ASSESSMENT. THIS DOCUMENT WAS PRESENTED AT THE ANNUAL MEETING AS A COMMUNITY FORUM TO PROVIDE A COMMUNICATION FLOW AND EXCHANGE OF IDEAS ON ADDRESSING THE IDENTIFIED NEEDS.INFORMATION WAS COLLECTED ON THE CURRENT STRENGTHS, CONCERNS, AND CONDITIONS OF CHILDREN, ADULTS, FAMILIES, AND THE COMMUNITY. THE ASSESSMENT IS BASED ON INFORMATION FROM MANY SOURCES, ELICITED BY MANY TECHNIQUES, AND INCLUDES OVER 50 SURVEYS OF KEY INFORMANTS, 2 FOCUS GROUPS, AND ANALYSIS OF SECONDARY DEMOGRAPHIC AND EPIDEMIOLOGICAL DATA. THIS COMMUNITY ASSESSMENT WAS DESIGNED AS A RAPID ASSESSMENT, AND IT IDENTIFIES KEY HEALTH TRENDS IN MONROE COUNTY ALONG FIVE AREAS:1) DEMOGRAPHIC TRENDS: HIGHLIGHTING THE MOST CRITICAL DEMOGRAPHIC TRENDS AFFECTING MONROE COUNTY INCLUDING OVERALL POPULATION GROWTH, SOURCES OF POPULATION GROWTH, THE COUNTY'S CHANGING DEMOGRAPHIC PROFILE, SOCIOECONOMIC PROFILE OF THE POPULATION, AND THE COUNTY'S ETHNIC AND RACIAL MAKEUP. IN THIS ANALYSIS THE ASSESSMENT COMPARES THE COUNTY WITH THE STATE AS WELL AS PEER COUNTIES IN PENNSYLVANIA. 2) EPIDEMIOLOGICAL PROFILE: PROVIDING AN EPIDEMIOLOGICAL ASSESSMENT OF MONROE COUNTY, USING THE FOCUS AREAS IDENTIFIED IN HEALTHY PEOPLE 2020. IN THIS ANALYSIS THE ASSESSMENT COMPARES THE COUNTY WITH THE STATE AS WELL AS PEER COUNTIES IN PENNSYLVANIA. 3) KEY INFORMANTS: IDENTIFIES AND ANALYZES THE PERCEIVED NEEDS OF KEY INFORMANTS IN THE COUNTY WITH REGARD TO ISSUES THAT AFFECT THE HEALTH AND WELL-BEING OF THE COUNTY RESIDENTS.4) FOCUS GROUPS: A QUALITATIVE ANALYSIS OF THE PERCEIVED NEEDS OF KEY INFORMANTS IN THE COUNTY WITH REGARD TO ISSUES THAT AFFECT THE HEALTH AND WELL-BEING OF THE COUNTY RESIDENTS. 5) SUMMARY OF FINDINGS: PROVIDES A LIST OF THE FINDINGS OF THE VARIOUS DATA SOURCES.EPIDEMIOLOGICAL AND DEMOGRAPHIC DATA THAT WERE COLLECTED AND ANALYZED FOR THE COUNTY ARE EXTRACTED FROM THE FOLLOWING SOURCES:-UNITED STATES CENSUS BUREAU-PA DEPARTMENT OF HEALTH: HEALTHY PEOPLE 2020 OBJECTIVES-PA DEPARTMENT OF HEALTH: BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM-PA DEPARTMENT OF HEALTH: ANALYSIS OF CANCER INCIDENCE IN PENNSYLVANIA COUNTIES-PA DEPT. OF PUBLIC WELFARE-PA CENTER FOR RURAL PENNSYLVANIAKEY INFORMANT SURVEYSWEB-BASED SURVEYS WERE SENT TO KEY INFORMANTS IN 125 INSTITUTIONS IN THE COUNTY. THESE KEY INFORMANTS REPRESENTED THE: A) BUSINESS SECTOR, B) THE GOVERNMENT SECTOR, C) THE NONPROFIT SECTOR, D) THE EDUCATIONAL SECTOR AND E) FAITH-BASED ORGANIZATIONS. FOCUS GROUPSTWO FOCUS GROUPS WITH 10 COMMUNITY REPRESENTATIVES WERE CONVENED IN THE FALL OF 2014. THE FOCUS GROUPS ASKED PARTICIPANTS TO DISCUSS THE STRENGTHS AND WEAKNESSES IN MONROE COUNTY THROUGH THE COMMUNITY HEALTH FRAMEWORK MODEL. THE RESULTS OF THE FOCUS GROUPS ARE PRESENTED IN THE REPORT BUT THEY WERE ALSO USED TO PREPARE THE KEY INFORMANT SURVEY.DATA ANALYSISTHE ASSESSMENT ORGANIZED ITS DATA COLLECTION TO CONFORM WITH THE ROBERT WOOD JOHNSON FOUNDATION'S COUNTY HEALTH RANKINGS FRAMEWORK, AND THE DEMOGRAPHIC AND EPIDEMIOLOGIC USED VARIOUS GEOGRAPHIC AREAS OF MONROE COUNTY TO ORGANIZE AND COMPARE DATA. THE ANALYSIS ALSO COMPARED MONROE COUNTY WITH TWO COMPARATIVE VALUES OR GROUPS-PEER GROUP COUNTIES AND THE STATE. THIS ALLOWED THE ASSESSMENT TO COMPARE MONROE COUNTY TO THE STATE AVERAGE AS WELL AS THREE PEER COUNTIES WITHIN PENNSYLVANIA WITH REGARD TO KEY EPIDEMIOLOGIC AND DEMOGRAPHIC DATA. PEER COUNTIES WERE SELECTED BY IDENTIFYING COUNTIES SHARING SIMILAR COMMUNITY HEALTH-RELATED FACTORS. THE FOLLOWING FOUR FACTORS WERE USED TO DEFINE THE COUNTIES: A) POPULATION SIZE; B) POVERTY, C) MEDIAN AGE AND D) POPULATION DENSITY. FOR THE PURPOSES OF THIS STUDY MONROE WAS COMPARED TO: A) BUTLER COUNTY, B) CUMBERLAND COUNTY, C) DAUPHIN COUNTY, D) PENNSYLVANIA AND E) THE U.S.THE DATA WAS ANALYZED USING BASIC DESCRIPTIVE STATISTICS TO IDENTIFY TRENDS AND TO COMPARE MONROE WITH THE COMPARISON GROUP. SUMMARY OF FINDINGSTHE FINDINGS OF THE ASSESSMENT SHOWS THAT MONROE COUNTY'S POPULATION HAS EXPERIENCED AMONG THE GREATEST POPULATION GROWTH IN THE STATE, AND THIS GROWTH HAS QUICKLY INCREASED THE COUNTY'S RACIAL AND ETHNIC DIVERSITY. THE COUNTY HAS HIGH LEVELS OF POVERTY THAT TEND TO BE CONCENTRATED IN CERTAIN AREAS OF THE COUNTY AND IT HAS NOT SEEN RAPID INCREASE IN HOUSEHOLD INCOMES.THE COUNTY HAS LOWER THAN EXPECTED NUMBER OF PHYSICIANS. IT ALSO HAS LOWER RATES OF MOST CANCERS WITH THE EXCEPTION OF LUNG CANCER AND HIGHER THAN EXPECTED RATES OF SMOKING AND HEAVY DRINKING. MONROE COUNTY HAS HIGH LEVELS OF WOMEN RECEIVING NO PRE-NATAL CARE. THE COUNTY ALSO HAS SLIGHTLY HIGHER RATE OF SUICIDE. THE PRIMARY DATA COLLECTED THROUGH THE SURVEYS AND FOCUS GROUPS CONFIRMS MANY OF THESE FINDINGS, BUT ALSO HIGHLIGHTS THE GAP IN BEHAVIORAL HEALTH SERVICES AND PREVENTION SERVICES.THE FINDINGS OF THE INDIVIDUAL SECTIONS ARE HIGHLY INTERRELATED. MANY OF THE OUTCOMES AND SOCIAL/BEHAVIORAL FACTORS HAVE THEIR FOUNDATIONS IN SYSTEMIC FACTORS. THE QUALITATIVE AND QUANTITATIVE DATA SHOWS THAT CERTAIN THEMES AND FACTORS WERE IDENTIFIED WITH GREATEST FREQUENCY, AND CAN BE ORGANIZED IN THREE GENERAL CATEGORIES.OUTCOMES - POOR OUTCOMES IN:-CANCER-ORAL HEALTH-MATERNAL HEALTH-VIOLENCESOCIAL AND BEHAVIORAL FACTORS - RISKY BEHAVIOR WITH REGARD TO:-SUBSTANCE ABUSE-ALCOHOLISM-SMOKING-POOR NUTRITIONSYSTEMIC FACTORS:-LACK OF PRIMARY CARE (INCLUDING DENTAL CARE)-LACK OF BEHAVIORAL HEALTH-LACK OF PREVENTIVE SERVICES-POOR TRANSPORTATION-LIMITED BUILT ENVIRONMENTBY CROSS-TABULATING THESE THREE SETS OF INDICATORS AND USING THE ESTABLISHED CORRELATIONS FOUND IN THE LITERATURE BETWEEN THE SYSTEMIC FACTORS AND THE IDENTIFIED OUTCOMES AND OBSERVED BEHAVIORS, IT BECOMES APPARENT THAT THE FIVE SYSTEMIC FACTORS IDENTIFIED ARE HIGHLY INTERRELATED WITH THE OUTCOME INDICATORS THAT WERE IDENTIFIED. ACCORDING TO THIS LOGIC, INTERVENTIONS IN THE COMMUNITY THAT ADDRESS THE KNOWN SYSTEMIC FACTORS MAY EFFECTIVELY ADDRESS THE MORE SPECIFIC CRITICAL HEALTH OUTCOMES. FOR EXAMPLE, THE LACK OF PREVENTIVE HEALTH SERVICES IS A ROOT CAUSE OF ALL THE SPECIFIC HEALTH AND BEHAVIORAL OUTCOMES IDENTIFIED-NO PRE-NATAL CARE, MENTAL ILLNESS, CANCER, POOR NUTRITION, ETC. MONROE COUNTY POSSESSES THE QUALITIES AND THE ASSETS REQUIRED TO ENHANCE THE HEALTH AND WELL-BEING OF ITS RESIDENTS, AND TO IMPROVE ITS ALREADY GOOD QUALITY OF LIFE. THE HEALTH AND WELLNESS ASSETS OF THE COUNTY ARE A CRITICAL COMPONENT OF AN OVERALL COMMUNITY DEVELOPMENT PROCESS. THE BARRIERS TO HEALTH AND WELL-BEING THAT THE RESIDENTS OF MONROE COUNTY FACE ARE VARIED AND AFFECT EVERY SEGMENT OF THE COMMUNITY. THE COUNTY'S RESIDENTS REPORT GOOD QUALITY CARE AND DON'T HIGHLIGHT AN ACUTE SHORTAGE OF MEDICAL CARE. HOWEVER THE DATA SHOWS A NEED OF PROGRAMS THAT FOCUS ON PRIMARY CARE, PREVENTION AND BEHAVIORAL HEALTH ISSUES. ANY BROAD INITIATIVE LOOKING TO ENHANCE THE COUNTY'S QUALITY OF LIFE MUST BE PREDICATED ON THE AVAILABILITY OF PRIMARY CARE, ACCESS TO DISEASE PREVENTION AND HEALTH PROMOTION PROGRAMS, AND SYSTEMS CONDUCIVE TO SOCIAL WELLNESS.THE HEALTH AND WELLNESS OF MONROE COUNTY RESIDENTS IS BEING AFFECTED DETRIMENTALLY BY A SYSTEMIC LACK OF:-OVERALL PRIMARY CARE.-PROJECTS AND PROGRAMS THAT STRENGTHEN MATERNAL HEALTH CARE.-INITIATIVES IMPROVING ACCESS TO BEHAVIORAL HEALTH PROGRAMS.-PROGRAMS PROMOTING HEALTHY ATTITUDES AND PRACTICES (SPECIALLY TARGETING SMOKING, DRINKING AND NUTRITION).-PROGRAMS ENSURING ACCESS TO THE BASIC DENTAL CARE.THE HEALTH AND WELLNESS OF MONROE COUNTY RESIDENTS WOULD IMPROVE SIGNIFICANTLY THROUGH INITIATIVES THAT:-PROVIDE RESIDENTS WITH INFORMATION AND KNOWLEDGE REQUIRED TO ATTAIN THE HIGHEST LEVEL OF HEALTH AND WELLNESS.-ENCOURAGE THE CREATION AND SUPPORT THE MAINTENANCE OF INFORMATION AND REFERRAL SYSTEMS FOR CONSUMERS.-PROMOTE POLICY CHANGES AND STRENGTHEN PROGRAMS THAT WILL IMPROVE ACCESS TO INFORMATION AND PRIMARY, SECONDARY, AND TERTIARY PREVENTION PROGRAMS.-ASSIST SAFETY-NET PROVIDERS WHO OFFER SERVICES TO HIGH-RISK, UNDERSERVED PEOPLE AND TO THE DISADVANTAGED IN THE COMMUNITY.-PROMOTE PROGRAMS THAT ENCOURAGE PREVENTION AMONG HIGH-RISK, UNDERSERVED AND/OR DISADVANTAGED COMMUNITIES. PART VI, LINE 3: PATIENTS WHO EXPRESS A NEED FOR FINANCIAL ASSISTANCE ARE INITIALLY OFFERED A DISCOUNT OF CHARGES AND/OR A PAYMENT PLAN. ONCE A DETERMINATION HAS BEEN MADE THAT A PATIENT IS UNINSURED, THEY ARE PROVIDED A COPY OF THE CHARITY POLICY AS WELL AS AN APPLICATION FOR FINANCIAL ASSISTANCE. PMC'S CHARITY POLICY IS POSTED IN INPATIENT AND OUTPATIENT AREAS AND ON THE PHS WEB SITE. A NOTICE IS ALSO PROVIDED IN THE PATIENTS' BILLS AND TO LOCAL SOCIAL SERVICE AGENCIES. PMC REVIEWS COMPLETED APPLICATIONS AGAINST ELIGIBILITY CRITERIA SET FORTH IN THE POLICY. ALL PRE-REGISTRATION, REGISTRATION, BUSINESS OFFICE AND PATIENT FINANCIAL SERVICES STAFF RECEIVE TRAINING AS TO THE POLICY. PART VI, LINE 4: POCONO MEDICAL CENTER PRIMARILY SERVES MONROE COUNTY, PENNSYLVANIA AND ADJACENT AREAS. MONROE COUNTY IS 608.5 SQUARE MILES. THE COUNTY BORDERS THE STATE OF NEW JERSEY. ACCORDING TO THE 2013 U.S. CENSUS BUREAU, THE ESTIMATED POPULATION FOR FISCAL YEAR 2014 IN MONROE COUNTY WAS 167,148 WITH A RACIAL MIX OF 68.9 PERCENT WHITE, 14.8 PERCENT BLACK, 14.2 PERCENT HISPANIC OR LATINO AND THE REMAINING 2 PERCENT WAS ALL OTHER RACES. A LITTLE OVER 89 PERCENT OF MONROE COUNTY RESIDENTS POSSESS A HIGH SCHOOL DIPLOMA, A LITTLE OVER 23 PERCENT OF THE POPULATION HAVING A BACHELOR'S DEGREE OR HIGHER. THE UNEMPLOYMENT RATE FOR MONROE COUNTY SURPASSES THE STATE AVERAGE OF 6.9 PERCENT WITH A RATE OF 8.7 PERCENT, BUT IS ONLY SLIGHTLY OVER THE NATIONAL AVERAGE OF 7.5 PERCENT. PART VI, LINE 5: AS AN ORGANIZATION DEEPLY ROOTED IN SERVING THE COMMUNITY, WE TAKE SERIOUSLY OUR RESPONSIBILITY TO ADDRESS THEIR DIVERSE AND CHALLENGING HEALTHCARE NEEDS. IN THE LAST FISCAL YEAR ALONE, WE PROVIDED MORE THAN $35.5 MILLION IN SERVICE TO OUR COMMUNITY. THESE SERVICES INCLUDED DIRECT PATIENT CARE, MEDICAL ASSISTANCE SHORTFALL, CHARITY CARE AT COST, BAD DEBT EXPENSE AT COST, COMMUNITY EDUCATION AND PREVENTION, COMMUNITY PARTNERSHIPS AND SUPPORT, PROFESSIONAL AND PATIENT EDUCATION, AND FINANCIAL SUPPORT TO THE MONROE COUNTY FAMILY HEALTH CENTER, THE COMMONWEALTH MEDICAL COLLEGE, AND OUR AUXILIARY. BY TAKING CARE OF OUR COMMUNITY THROUGH HEALTH EDUCATION, PREVENTION, AND SCREENINGS, WE ARE ABLE TO FULFILL OUR MISSION OF DELIVERING WORLD-CLASS CARE, CLOSE TO HOME - A SYMBIOTIC RELATIONSHIP WE CONSIDER PRICELESS. AS A MEMBER OF THE NATIONAL SPIRIT OF WOMEN NETWORK, WE PROVIDE HEALTH PROMOTION OPPORTUNITIES THROUGH EDUCATIONAL PROGRAMS AND EVENTS. WE BELIEVE THAT HEALTHY LIFESTYLES EDUCATION BEGINS EARLY IN LIFE AND THIS YEAR LAUNCHED OUR SPIRIT GIRLS PROGRAM AS AN EXTENSION OF SPIRIT OF WOMEN TO ENCOURAGE HEALTHY LIFESTYLES AND PROMOTE SELF-ESTEEM FOR EIGHTH-GRADE GIRLS LIVING IN MONROE COUNTY. WE ALSO CLOSELY PARTNER WITH THE GREATER POCONO CHAMBER OF COMMERCE TO OFFER A HEALTH PROGRAM TO NEW MEMBERS AND SHARES INFORMATION REGULARLY TO HELP FOSTER HEALTHY WORKPLACES. GIVEN THE COMMUNITY HIGH UTILIZATION OF CRITICAL SERVICES, WE CLOSELY PARTNER WITH THE AMERICAN RED CROSS TO OFFER BLOOD DRIVES MONTHLY TO ENSURE AN ADEQUATE SUPPLY TO MEET THE HEALTHCARE NEEDS OF PATIENTS. IN AN EFFORT TO INCREASE DONORS, WE ENGAGE COMMUNITY PARTNERS TO HELP SPREAD THE WORD. WE ALSO WORK WITH CHANNEL 13 BLUE RIDGE CABLE TO OFFER PATHWAYS TO HEALTHY LIVING WHICH IS AN INTERACTIVE MONTHLY HEALTH EDUCATION SHOW. FOR THE PAST TWO YEARS, WE HAVE PARTNERED WITH POCONO ALLIANCE TO OBTAIN A GRANT FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH TO OFFER FREE INFLUENZA IMMUNIZATIONS TO HIGH RISK AND SENIOR POPULATIONS. THIS HAS RESULTED IN OVER A THOUSAND OF INDIVIDUALS VACCINATED. THROUGH THE DALE AND FRANCES HUGHES CANCER CENTER, WELLNESS INSTITUTE, SPIRIT OF WOMEN, AND OTHERS, WE OFFER FREE HEALTH SCREENINGS AND RISK ASSESSMENTS TO COMMUNITY RESIDENTS THROUGHOUT THE YEAR. THESE INCLUDE BREAST, PROSTATE, COLON, SKIN, PERIPHERAL ARTERY DISEASE, CARDIAC, AMONG OTHERS. WE ALSO OFFER A SPEAKER'S BUREAU PROGRAM WHICH SENDS HEALTH PROFESSIONALS INTO THE COMMUNITY TO SPEAK TO STUDENTS, RESIDENTS, AND OTHERS ON A MYRIAD OF HEALTH MATTERS. WE ROUTINELY ATTEND EVENTS IN THE COMMUNITY TO SHARE HEALTH INFORMATION AND PROVIDE SCREENINGS AND RISK ASSESSMENTS. WE PROVIDE PROFESSIONAL HEALTH COURSES AT OUR LEARNING INSTITUTE FOR HEALTH PROFESSIONALS AND FIRST RESPONDERS IN THE COMMUNITY. WE ALSO FEATURE VARIOUS SUPPORT GROUPS, EDUCATION CLASSES, AMONG OTHER OPPORTUNITIES TO ENGAGE OUR COMMUNITY IN THEIR HEALTH. ONE OF OUR MAJOR COMMUNITY INITIATIVES IS CALLED COMMUNITY HEALTH CONNECTIONS. THIS EFFORT DEVELOPED AFTER THE MONROE COUNTY HEALTH NEEDS ASSESSMENT RESULTS WERE REVEALED TO THE COMMUNITY IN OCTOBER 2011. A STEERING COMMITTEE COMPRISED OF BUSINESS, GOVERNMENT, LAW ENFORCEMENT, EDUCATION, AMONG OTHERS WAS FORMED AND THEY DECIDED IT WAS BEST TO FOCUS ON BEHAVIORAL HEALTH AND WELLNESS ISSUES. WE THEN ENGAGED THE COMMUNITY BY INVITING THOSE INTERESTED TO BECOME A PART OF THE BEHAVIORAL HEALTH AND WELLNESS WORKING GROUPS. THESE GROUPS HAVE MET THROUGHOUT THE YEAR AND SHARED IDEAS AND STRATEGIES TO HELP IMPROVE THE HEALTH OF MONROE COUNTY. THE BEHAVIORAL HEALTH GROUP WORKED WITH THE GREATER POCONO CHAMBER OF COMMERCE'S LEADERSHIP POCONO PROGRAM TO LEARN MORE ABOUT THE PROVIDERS AND SYSTEM IN PLACE AND ALSO HAVE COLLABORATED ON THE NATIONAL DEPRESSION SCREENING DAY, NATIONAL SUICIDE SURVIVOR'S DAY, AND THE DEVELOPMENT OF A SCHOOL RESOURCE OFFICERS EDUCATION PROGRAM. THE WELLNESS GROUP FIRST IDENTIFIED EXISTING COMMUNITY RESOURCES AND ACCESSIBILITY/AWARENESS OF THE OBESITY ISSUE. THEY DETERMINED THAT THERE WAS A LACK OF INFRASTRUCTURE TO ENGAGE, ENROLL, EDUCATE, NOTIFY INDIVIDUALS OF COMMUNITY EVENTS, AND TRACK PARTICIPATION/OUTCOMES. WE HAVE ALSO SERVED AS THE MEDICAL SERVICE PROVIDER TO LARGE-SCALE EVENTS INCLUDING THE RED CROSS RUN FOR THE RED POCONO MARATHON. CARL WILGUS, RESIDENT/CEO, POCONO MOUNTAINS VISITORS BUREAU HAD COMMENTED THAT: "KNOWING THAT WE HAD THE BACK-UP OF POCONO MEDICAL CENTER AS WELL AS THE SAFETY NET OF THE ENTIRE POCONO HEALTH SYSTEM MEANT KNOWING THAT OUR ATHLETES WOULD RECEIVE TOP-NOTCH MEDICAL ATTENTION DELIVERED WITH HOMETOWN CARE." PART VI, LINE 6: POCONO MEDICAL CENTER (THE "MEDICAL CENTER") IS A NOT-FOR-PROFIT, ACUTE-CARE HOSPITAL AFFILIATED WITH POCONO HEALTH SYSTEM (THE "HEALTH SYSTEM"). THE HEALTH SYSTEM IS A NOT-FOR-PROFIT CORPORATION WHOSE PURPOSE IS TO SUPPORT PROGRAMMATICALLY AND FINANCIALLY THE ACTIVITIES OF THE MEDICAL CENTER AND OTHER ENTITIES IT CONTROLS. THE HEALTH SYSTEM'S OPERATIONS AND PRIMARY SERVICE AREA INCLUDES STROUDSBURG, PENNSYLVANIA, AND SURROUNDING COMMUNITIES IN MONROE COUNTY, PENNSYLVANIA. ALL REVENUES GENERATED BY THE SYSTEM ARE RELATED TO THE DELIVERY OF HEALTH CARE SERVICES. THE HEALTH SYSTEM HAS CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDE THE ACCOUNTS AND TRANSACTIONS OF POCONO HEALTH SYSTEM, THE CONTROLLING PARENT, AND ITS AFFILIATES, THE MEDICAL CENTER, FAMILY CARE CENTERS, INC., POCONO HEALTHCARE PARTNERS, POCONO HEALTH FOUNDATION, POCONO AMBULATORY SERVICES, INC., POCONO VNA-HOSPICE, AND POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE, LP. POCONO MEDICAL CENTER IS NOT AFFILIATED WITH ANOTHER HEALTHCARE SYSTEM.FAMILY CARE CENTERS, INC. (DBA POCONO HEALTHCARE MANAGEMENT) OPERATES SEVERAL PHYSICIAN PRACTICES, INCLUDING, BUT NOT LIMITED TO FAMILY MEDICINE, HEMATOLOGY AND ONCOLOGY, INTERNAL MEDICINE AND OBSTETRICS AND GYNECOLOGY. POCONO HEALTH FOUNDATION PROVIDES SUPPORT AND FUNDRAISING FOR PMC AND ITS' AFFILIATES. POCONO AMBULATORY SERVICES, INC. PROVIDES OUTPATIENT SERVICES TO PATIENTS THROUGH A LIMITED PARTNERSHIP INTEREST IN POCONO AMBULATORY SURGERY CENTER (PASC). POCONO HEALTHCARE PARTNERS PROVIDES OUTPATIENT DIAGNOSTIC RADIOLOGY AND WOMEN'S HEALTHCARE SERVICES. POCONO HEALTH SYSTEM WAS FORMED TO SUPPORT THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES OF PMC, MAINTAIN A HEALTHCARE SYSTEM, AND TO CARRY ON SUCH ACTIVITIES.POCONO VNA-HOSPICE ("VNA") IS A PA NON-PROFIT CORPORATION, THE SOLE MEMBER OF WHICH IS THE PARENT. VNA HAS BEEN THE ONLY NON-PROFIT HOME HEALTH AND HOSPICE AGENCY BASED IN MONROE COUNTY SINCE 1950. VNA SERVICES ALL OF MONROE COUNTY, PA AND PROVIDES LIMITED SERVICES TO PORTIONS OF NORTHAMPTON, CARBON, LUZERNE, LACKAWANNA, PIKE, AND WAYNE COUNTIES IN PENNSYLVANIA.POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE, LP IS LIMITED INVESTMENT PARTNERSHIP OF WHICH POCONO HEALTH SYSTEM OWNS THE MAJORITY 83.5%. PART VI, LINE 7, REPORTS FILED WITH STATES PA 1 FAMILY CARE CENTERS INC 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 232349341 501(C)(3) 29454398 GENERAL EXPENSES - RELATED ORGANIZATION SHERMAN THEATER 524 MAIN STREET STROUDSBURG PA 18360 222663390 501(C)(3) 7500 TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. POCONO MOUNTAINS COMM CHALLENGE PO BOX 962 STROUDSBURG PA 18360 232682341 501(C)(3) 10000 TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. AMERICAN RED CROSS OF THE POCONOS 401 PARK AVENUE STROUDSBURG PA 18360 240810457 501(C)(3) 6000 TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. POCONO INTERNATIONAL RACEWAY PO BOX 500 LONG POND PA 18334 240862525 501(C)(3) 15000 TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. WEST END FAIR ASSOCIATION PO BOX 115 GILBERT PA 18331 236443006 501(C)(3) 6000 TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. POCONO HERITAGE FOUNDATION 3329 MOUNTAIN VIEW DRIVE TANNERSVILLE PA 18372 810716527 501(C)(3) 10000 TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. MONROE COUNTY TREASURER ONE QUAKER PLAZA STROUDSBURG PA 18360 246000734 501(C)(3) 10000 TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. POCONO TOWNSHIP PO BOX 197 TANNERSVILLE PA 18372 246001526 501(C)(3) 10000 TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. BOROUGH OF EAST STROUDSBURG PO BOX 303 EAST STROUDSBURG PA 18301 246000588 501(C)(3) 15000 TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. PHOENIX FIRE & ENGINE 700 SARAH STREET STROUDSBURG PA 18360 232534338 501(C)(3) 5000 TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE LP 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 472125419 770036 TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. 11 1 NURSING SCHOLARSHIP 6 19800 PART I, LINE 2: POCONO MEDICAL CENTER IS A RELATED ORGANIZATION OF FAMILY CARE CENTERS, INC. AND HAS SHARED FINANCIAL REPORTING FUNCTIONS. AS A RESULT, THE MEDICAL CENTER IS ABLE TO MONITOR THE USE OF THESE GRANT FUNDS. FUNDS AND GRANTS ARE ALSO PROVIDED TO OTHER ORGANIZATIONS THAT ARE CHARITABLE IN NATURE AND ARE REQUIRED TO USE THEIR FUNDS FOR CHARITABLE PURPOSES. X 0 0 X X X X 1 1 0 0 0 0 0 1 0 JEFF SNYDER PRESIDENT/CHIEF EXECUTIVE 420130 0 183469 0 58877 0 187443 0 18897 0 868816 0 58877 0 VINCENT FRANCESCANGELI MD CHIEF OF PMC MEDICAL STAFF 267349 0 76728 0 0 0 0 0 0 0 344077 0 0 0 MICHAEL A WILK SVP FINANCE/CFO (TERM 6/30/16) 307833 0 69161 0 49064 0 58047 0 18897 0 503002 0 49064 0 STEPHEN CUNNINGHAM SVP & CHIEF DEVELOPMENT OF 291233 0 0 0 140444 0 35030 0 240 0 466947 0 140444 0 LYNN LANSDOWNE VP OF HUMAN RESOURCES 204972 0 46971 0 0 0 39423 0 18897 0 310263 0 0 0 WILLIAM CORS VP OF MEDICAL AFFAIRS 354763 0 74611 0 96285 0 0 0 18897 0 544556 0 42742 0 LAMONT LOUIS VP PHYSICIAN NETWORK 205921 0 39301 0 0 0 26000 0 17468 0 288690 0 0 0 ELIZABETH WISE VP OF OPERATIONS 383128 0 0 0 0 0 32000 0 7545 0 422673 0 0 0 FERDINAND FEOLA VP & CHIEF INFORMATION OFFICER 205463 0 36213 0 0 0 25161 0 18897 0 285734 0 0 0 VIRGINIA GORTYCH-BARNES PHYSICIAN ADVISOR 246204 0 0 0 0 0 0 0 18897 0 265101 0 0 0 JOHN CROCKETT PHYSICIAN LIASON/RECRUITER 231975 0 0 0 0 0 0 0 18897 0 250872 0 0 0 LOUIS NARDELLA CLINICAL PSYCHIATRIST 212169 0 0 0 0 0 0 0 18897 0 231066 0 0 0 WILLIAM THOMA CONTROLLER 197978 0 0 0 0 0 0 0 18897 0 216875 0 0 0 STACY GOETZ CANCER CENTER ADMINISTRATOR 183523 0 0 0 0 0 0 0 18897 0 202420 0 0 0 KATHLEEN KUCK FORMER PRESIDENT/CEO 0 0 0 0 586791 0 139663 0 7545 0 733999 0 0 0 PAULETTE NISH FORMER VP & CNO 0 0 0 0 106500 0 13845 0 0 0 120345 0 0 0 PART I, LINE 1A SOME TOP EXECUTIVES TOOK ADVANTAGE OF THIS BENEFIT. LTD IS A TAXABLE BENEFIT AND A TAX GROSS UP WAS PROVIDED TO ASSIST THE EMPLOYEE WITH THEIR PERSONAL INCOME TAX LIABILITY. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION IN CALENDAR YEAR 2015: KATHLEEN KUCK, FORMER PRESIDENT/CEO - $581,929 PAULETTE NISH, FORMER VP & CNO - $106,500 THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F)SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF POCONO MEDICAL CENTER, BUT DID NOT RECEIVE A DISTRIBUTION IN CALENDAR YEAR 2015: LYNNE LANSDOWNE, VP OF HUMAN RESOURCES THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F)SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF POCONO MEDICAL CENTER AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2015: JEFF SNYDER - PRESIDENT/CEO - $58,877 MICHAEL WILK, SVP FINANCE/CFO - $49,064 WILLIAM CORS, VP OF MEDICAL AFFAIRS - $42,742 STEPHEN CUNNINGHAM, SVP & CHIEF DEVELOPMENT OFFICER - $140,444 PART I, LINE 7 INCENTIVE COMPENSATION IS PAID BASED ON THE FOLLOWING FOUR PERFORMANCE CRITERIA: 1) INCREASE IN THE SERVICES AVAILABLE TO THE COMMUNITY, 2) IMPROVEMENT IN CUSTOMER SATISFACTION AND QUALITY OF SERVICE PROVIDED, 3) STABLE FINANCIAL RATIOS, AND 4) IMPROVING EMPLOYEE SATISFACTION. PHYSICIANS RECEIVE NON-FIXED BONUS AND INCENTIVE COMPENSATION BASED ON THEIR RESPECTIVE CONTRACT. INCENTIVES ARE EITHER BASED ON A PERCENTAGE OF PAYMENTS RECEIVED ABOVE REQUIRED EXPENSE COVERAGE THRESHOLD OR RELATIVE VALUE UNIT (RVU) THRESHOLD. A MONROE COUNTY HOSPITAL AUTHORITY 232928969 610773EV1 2007-06-27 64095688 REFUND '03 BONDS, CONSTRUCTION 0 0 0 B MONROE COUNTY HOSPITAL AUTHORITY 232928969 610773FL2 2012-04-17 69064469 REFUND '02 BONDS, FUND CAPITAL PROJECTS 0 0 0 C MONROE COUNTY HOSPITAL AUTHORITY 232928969 610773EL3 2003-09-24 34120100 FINANCE CONSTRUCTION 1 0 0 A 4175000 64095688 5574860 775335 297600 22590044 35370384 2008 0 1 1 1 B 8035000 69064469 764960 32484568 35814941 2012 1 0 0 1 C 35000000 34120100 3412010 540200 30167890 2008 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 1 B 0 0 0 0 1 1 PNC BANK 8.700000000000 0 0 0 0 1 C 1 0 0 0 0 1 A 1 B 1 C 1 BOND C THE INFORMATION FOR BOND C REPRESENTS THE 2003 BONDS. THE SERIES 2007 BONDS WERE USED TO ADVANCE REFUND THE 2003 BONDS. AT JUNE 30, 2012, THE UNPAID BALANCE OF THE 2003 BONDS OF $35,000,000 IS NOT CONSIDERED AN OBLIGATION OF THE MEDICAL CENTER, AND THEREFORE, IS NOT INCLUDED IN THE FINANCIAL STATEMENTS. HOWEVER, SINCE THIS BOND IS STILL OUTSTANDING AS OF JUNE 30, 2012, IT HAS BEEN INCLUDED ON SCHEDULE K. THE BALANCE IN THE ESCROW ACCOUNT BEING MAINTAINED FOR 2003 DEBT PURPOSES AT JUNE 30, 2012 WAS $35,607,636. DENISE CUNNINGHAM WIFE OF STEPHEN CUNNINGHAM, SVP & CHIEF DEVELOPMENT OFFICER 65781 THE AMOUNT REPORTED HERE REPRESENTS COMPENSATION EARNED FOR PROVIDING SERVICES AS AN EMPLOYEE OF THE MEDICAL CENTER FOR 2015 AS REPORTED ON THE W-2. 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS POCONO HEALTH SYSTEM (PHS), A PENNSYLVANIA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A POCONO HEALTH SYSTEM, THE SOLE MEMBER OF THE CORPORATION, ELECTS/APPOINTS THE BOARD MEMBERS OF POCONO MEDICAL CENTER (PMC). FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING WAS NOTED IN SECTION 4-07 OF THE ORGANIZATION'S BYLAWS: "IN ADDITION TO ALL MATTERS REQUIRED BY LAW OR BY OTHER PROVISIONS OF THE BYLAWS TO BE SUBMITTED TO A VOTE OF THE SOLE MEMBER, THE SOLE MEMBER IS EMPOWERED TO INITIATE AND IMPLEMENT ANY OF THE FOLLOWING ACTIONS WITH RESPECT TO THE CORPORATION AND IF ANY SUCH ACTION IS OTHERWISE INITIATED BY THE CORPORATION, SUCH ACTION WILL NOT BECOME EFFECTIVE UNLESS APPROVED BY THE SOLE MEMBER: (A) TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THIS CORPORATION OR ANY SUBSIDIARY CORPORATION; (B) TO DISSOLVE, REORGANIZE, DIVIDE, CONVERT, LIQUIDATE OR WIND-UP ANY SUBSIDIARY CORPORATION OR CONSOLIDATE OR MERGE THIS CORPORATION WITH ANY OTHER CORPORATION OR ENTITY; (C) TO ANNUALLY APPROVE ALL CAPITAL AND OPERATING BUDGETS FOR THIS CORPORATION; (D) TO ANNUALLY APPROVE THE STRATEGIC AND OPERATING PLANS OR ANY CHANGES THERETO OF THIS CORPORATION; (E) TO APPROVE ANY UNBUDGETED EXPENSE ITEM OF THIS CORPORATION IN EXCESS OF FIVE HUNDRED THOUSAND ($500,000.00) DOLLARS; (F) TO RECEIVE, REVIEW, AND APPROVE FINANCIAL AND OPERATING REPORTS FROM THIS CORPORATION ON AT LEAST A QUARTERLY BASIS; (G) TO APPROVE ANY NEW LINE(S) OF BUSINESS AND/OR MATERIAL CHANGES IN EXISTING SERVICES AND/OR PARTICIPATION BY THIS CORPORATION WITH ANY OTHER ENTITY WHERE LICENSURE BY THE COMMONWEALTH OF PENNSYLVANIA IS REQUIRED AS A PRECONDITION FOR ANY SUCH ACTION, BUSINESS, SERVICE, OR PARTICIPATION; (H) TO APPROVE THE INCURRENCE OF INDEBTEDNESS BY THIS CORPORATION; (I) TO APPROVE THE AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION; (J) TO SPECIFY THE NUMBER OF AND TO ELECT OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS OF THIS CORPORATION; (K) TO APPROVE THE ELECTION OR REMOVAL OF THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THIS CORPORATION; (L) TO REQUIRE EACH DIRECTOR OF THIS CORPORATION AND THE PRESIDENT, EACH VICE PRESIDENT, AND ALL KEY MANAGEMENT PERSONNEL OF THIS CORPORATION TO ANNUALLY SUBMIT TO THE BOARD OF DIRECTORS OF THIS CORPORATION A CONFLICT OF INTEREST STATEMENT IN FORM FIRST APPROVED BY THE BOARD OF DIRECTORS OF THE SOLE MEMBER; (M) TO ANNUALLY EVALUATE THE PERFORMANCE OF THIS CORPORATION'S BOARD OF DIRECTORS IN OVERSEEING THE MANAGEMENT AND PERFORMANCE OF THIS CORPORATION; (N) TO REQUIRE THAT THIS CORPORATION'S GOVERNANCE, DELIBERATIONS, AND ACTIONS ARE ORIENTED TO COMMUNITY SERVICE." FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION HAS AN EXTENSIVE 990 REVIEW PROCESS. THE 990 IS FIRST REVIEWED BY THE ACCOUNTING DEPARTMENT AND THE CFO. AFTER ANY NECESSARY CHANGES ARE MADE, A REVIEW IS PERFORMED BY THE CORPORATE COMPLIANCE OFFICER, THE FINANCE COMMITTEE, AND THE CEO. AFTER ALL CHANGES ARE MADE, THE FINAL COPY IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO ISSUANCE FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, BOARD MEMBERS AND KEY MANAGEMENT PERSONNEL ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. ALL FORMS ARE SUBMITTED TO AND REVIEWED BY THE CORPORATE COMPLIANCE OFFICER OF POCONO HEALTH SYSTEM. INTERESTED PERSONS HAVE A CONTINUING OBLIGATION TO DISCLOSE, THROUGH A WRITTEN DESCRIPTION, THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST HE/SHE MAY HAVE. THE AUDIT AND COMPLIANCE COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE AUDIT AND COMPLIANCE COMMITTEE SHALL MAKE A FINDING AS TO WHETHER A CONFLICT OF INTEREST INDEED EXISTS, AND SHALL FORWARD THAT FINDING TO THE BOARD OF DIRECTORS FOR DISCUSSION AND VOTE. ONLY DISINTERESTED DIRECTORS MAY VOTE TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE SUBJECT INTERESTED PERSON MAY NOT BE PRESENT WHEN THIS VOTE IS TAKEN. FOR ALL IDENTIFIED CONFLICTS, THE INTERESTED PERSONS ARE REQUIRED TO LEAVE THE ROOM WHILE THE RELATED MATTERS ARE DISCUSSED AND VOTED ON. FORM 990, PART VI, SECTION B, LINE 15 ONCE EVERY THREE YEARS, OR SOONER IF NECESSARY, COMPENSATION REVIEWS ARE CONDUCTED FOR THE CEO AND TOP MANAGEMENT. THE COMPENSATION COMMITTEE RECOMMENDS TO THE BOARD THE COMPENSATION OF THE PRESIDENT AND CEO AND COMPENSATION RANGES FOR THE VICE PRESIDENTS. THE CEO SHALL THEN SET THE COMPENSATION OF THE VICE PRESIDENTS WITHIN THE APPROVED RANGES. IN MAKING RECOMMENDATIONS TO THE BOARD ON COMPENSATION AND COMPENSATION RANGES, THE COMPENSATION COMMITTEE RELIES ON REPORTS FROM AN INDEPENDENT COMPENSATION CONSULTANT SELECTED BY THE COMMITTEE. TO ASSURE INDEPENDENCE, THE CONSULTANT SHALL PERFORM NO OTHER SERVICES FOR PMC. THE CONSULTANT WAS MOST RECENTLY USED IN APRIL 2014. THE COMMITTEE REPORTS ITS DECISIONS TO THE BOARD AT ITS NEXT EXECUTIVE SESSION, AT WHICH TIME THE BOARD SHALL EITHER RATIFY THE DECISION OR SEND IT BACK TO THE COMMITTEE FOR FURTHER DELIBERATION. ONCE A FINAL DECISION IS REACHED, THE BOARD CHAIRMAN INFORMS THE CEO OF THE DECISIONS OF THE COMMITTEE AND RATIFICATION BY THE BOARD REGARDING THE CEO'S SALARY AND THE SALARY RANGES FOR THE VICE PRESIDENTS. MINUTES OF THE COMMITTEE AND THE EXECUTIVE SESSION PORTION OF THE BOARD ARE PREPARED AND RETAINED IN THE ADMINISTRATION OFFICES AND CONTAIN SUFFICIENT INFORMATION TO SUBSTANTIATE THE DELIBERATION AND DECISION. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL RESULTS ARE PUBLISHED IN THE ANNUAL REPORT, A COPY OF WHICH IS DISTRIBUTED IN A VARIETY OF PUBLIC FORUMS AND WOULD OTHERWISE BE PROVIDED UPON REQUEST. THE CONFLICT OF INTEREST POLICY WOULD BE AVAILABLE FOR VIEWING IN THE BUSINESS OR ADMINISTRATIVE OFFICES OF PMC UPON REQUEST TO ENSURE THE MOST CURRENT COPY IS ALWAYS THE ONE BEING MADE AVAILABLE. THE GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -821,337. CHANGE IN INTEREST IN NET ASSETS OF POCONO HEALTH FOUNDATION -1,476,800. LOSS ON EXTINGUISHMENT OF DEBT -2,101,580. DEFINED BENEFIT PENSION COSTS 1,062,569. POCONO HEALTH SYSTEM 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 232336285 SUPPORT PMC PA 501(C)(3) LINE 11B, II N/A 0 FAMILY CARE CENTERS INC 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 232349341 HEALTHCARE PA 501(C)(3) LINE 3 POCONO HEALTH SYSTEM 0 POCONO HEALTH FOUNDATION 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 232516451 SUPPORT PA 501(C)(3) LINE 11A, I POCONO HEALTH SYSTEM 0 POCONO HEALTHCARE PARTNERS 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 233014006 HEALTHCARE PA 501(C)(3) LINE 3 POCONO HEALTH SYSTEM 0 POCONO AMBULATORY SERVICES INC 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 232611474 HEALTHCARE PA 501(C)(3) LINE 3 POCONO HEALTH SYSTEM 0 POCONO HEALTH SYSTEM MED PROFESSIONAL LIAB SELF-INSUR TRUST 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 206560453 SELF-INSURANCE PA 501(C)(3) LINE 11A, I POCONO HEALTH SYSTEM 0 POCONO VNA-HOSPICE 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 232535297 HEALTHCARE PA 501(C)(3) LINE 9 POCONO HEALTH SYSTEM 0 POCONO AMBULATORY SURGERY CENTER LTD ONE STORM STREET STROUDSBURG PA 18360 232611442 SURGERY PA N/A POCONO HEALTH SYSTEM INVEST COLLAB LP 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 472125419 INVESTMENTS PA N/A 0 1 1 0 0 0 0 0 1 0 0 1 1 1 1 1 0 1 0