2014-05-15T11:52:06-05:00 2013-06-30 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2012-07-01 240795436 GNADEN HUETTEN MEMORIAL HOSPITAL GNAD 6103771300 211 NORTH 12TH STREET LEHIGHTON PA 182351195 ANDREA ANDRAE 6103771300 2014-05-14 1 JULIUS C GREEN CPA JD P00350393 2159720701 2012 2015-11-30 17:44:51Z ANDREA ANDRAE 211 NORTH 12TH STREET LEHIGHTON PA 182351195 65230727 0 X WWW.BLMTN.ORG X 1947 PA OPERATES A 90 BED ACUTE CARE HOSP, A 91 BED SKILLED NURSING FACILITY & A HOME HEALTH CARE AGENCY. 17 15 911 109 0 0 769724 2021493 62451654 60537037 226573 34652 523383 2454565 63971334 65047747 941342 0 0 0 32217975 34641847 0 0 0 28065229 28287887 61224546 62929734 2746788 2118013 37902746 43142767 46659007 43224320 -8756261 -81553 X PROMOTE, MAINTAIN AND RESTORE THE GOOD HEALTH OF ALL THE PEOPLE IN THE COMMUNITIES WE SERVE THROUGH PARTNERSHIPS FOR EXCELLENCE IN HEALTHCARE SERVICE DELIVERY. 0 0 54312875 62617573 GNADEN HUETTEN MEMORIAL HOSPITAL (THE "HOSPITAL"), LOCATED IN LEHIGHTON, PENNSYLVANIA, IS A 90-BED, NOT-FOR-PROFIT GENERAL ACUTE CARE HOSPITAL SERVING THE RESIDENTS OF CARBON, SCHUYLKILL AND MONROE COUNTIES. THE HOSPITAL'S SERVICES PROVIDE BOTH INPATIENT AND OUTPATIENT CARE, INCLUDING HOME HEALTH CARE, MEDICAL/SURGICAL SERVICES, MENTAL HEALTH SERVICES AND ACUTE REHABILITATION SERVICES. THE HOSPITAL ALSO OFFERS A BROAD ARRAY OF ANCILLARY SERVICES SUCH AS RADIOLOGY, EMERGENCY, CARDIOLOGY AND REHABILITATION SERVICES.DURING THE PERIOD OF JULY 1, 2012 THROUGH JUNE 30, 2013, THE HOSPITAL HAD A TOTAL OF 3,551 ADMISSIONS AND 18,005 PATIENT DAYS. TOTAL OCCUPANCY FOR THE HOSPITAL WAS 55%. IN ADDITION, THERE WERE A TOTAL OF 19,340 EMERGENCY ROOM VISITS AND 19,005 HOME HEALTH CARE VISITS. IN ADDITION TO THE SERVICES PROVIDED AS INDICATED ABOVE, THE HOSPITAL ALSO PROVIDES LONG-TERM CARE SERVICES THROUGH AN ON-CAMPUS 91-BED SKILLED NURSING UNIT. DURING THE PERIOD OF JULY 1, 2012 THROUGH JUNE 30, 2013, THE SKILLED NURSING UNIT HAD 210 ADMISSIONS AND PATIENT DAYS OF APPROXIMATELY 32,000. TOTAL OCCUPANCY FOR THE SKILLED NURSING UNIT WAS 97%. 54312875 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 43 0 1 911 1 0 0 0 0 0 0 0 0 X 17 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X ANDREA L ANDRAE 6103777003 211 NORTH 12TH STREET LEHIGHTON PA 18235 BARBARA GREEN 1.00 3.00 X X 0 0 0 CONRAD BIEGE 1.00 3.00 X 0 0 0 JAIME MENDES 1.00 3.00 X 0 0 0 WILLIAM H FEGLEY JR 1.00 3.00 X 0 0 0 PATRICK HANLEY DO 37.00 3.00 X X 118208 0 2442 MICHAEL HARLEMAN 1.00 3.00 X X 0 0 0 WILLIAM MASON 1.00 3.00 X 0 0 0 WILLIAM MARKSON MD 1.00 3.00 X 0 0 0 SHELBA SCHEFFNER 1.00 3.00 X 0 0 0 REV ROBERT VONFRISCH 1.00 3.00 X 0 0 0 RICHARD ROTHFLEISCH MD 1.00 3.00 X 0 0 0 STEVEN SERFASS 1.00 3.00 X 0 0 0 WILLIAM KISSNER 1.00 3.00 X 0 0 0 ROBERT GROB DO 1.00 3.00 X 0 0 0 LOUIS SPORTELLI DC 1.00 3.00 X X 0 0 0 PATRICK REILLY 1.00 3.00 X 0 0 0 ANDREW E HARRIS 15.00 35.00 X X 488275 0 22572 ANDREA ANDRAE 15.00 35.00 X 0 168642 21174 DR HERBERT HOOVER 40.00 X 475239 0 9816 DR MUHAMMAD RIFAI 40.00 X 329169 0 27690 KATHLEEN R NOLL 40.00 X 343269 0 14936 DAVID P RUSSO 40.00 X 295916 0 12898 JAMES F MENAPACE 40.00 X 273015 0 26530 WALTER J BELL 40.00 X 263930 0 26342 FRANK R PENATER 40.00 X 251185 0 20489 2838206 168642 184889 34 0 1 0 REHAB CARE GROUP INC PO BOX 502096 ST LOUIS MO 63150 ADMINISTER ACUTE REHAB PROGRAM 1369795 SIEMENS MEDICAL SOLUTIONS PO BOX 7777 W3580 PHILADELPHIA PA 19175 IT SERVICES 1343740 CARDIOLOGY ASSOCIATES 1241 BLAKESLEE BLVD LEHIGHTON PA 18235 ADMINISTER CARDIOLOGY PROGRAM 1122460 MAHONING VALLEY ORTHOPEDICS 246 NORTH 6TH STREET LEHIGHTON PA 18235 ADMINISTER ORTHOPEDICS PROGRAM 170000 PENN MEDICAL GROUP PC 2175 BLAKESLEE BLVD DRIVE W LEHIGHTON PA 18235 ADMINISTER MEDICAL PRACTICE 168487 7 1947885 73608 2021493 NET PATIENT SVC REV 621990 60537037 60537037 60537037 32452 32452 214489 182980 31509 31509 31509 2200 0 2200 2200 2200 MEANINGFUL USE 622000 1884011 1884011 CAFETERIA MEALS 900099 212869 212869 INSURANCE PROCEEDS 900099 81064 81064 245112 196525 48587 2423056 65047747 62617573 0 408681 X 1275349 737913 537436 23436625 21049241 2387384 2009811 1846616 163195 5561708 5045983 515725 2358354 2127546 230808 204202 204202 101483 101483 5582 5582 6760481 4932049 1828432 196377 221 196156 2209330 1797289 412041 1061593 422589 639004 1238735 1238735 140939 120524 20415 7412 4 7408 465230 465230 2072701 2072701 1189811 1189811 BAD DEBT EXPENSE 5725896 5725896 MEDICAL SUPPLIES 3783476 3782869 607 DRUGS 1456450 1456450 MA ASSESSMENT 582024 582024 1086165 760856 325309 62929734 54312875 8616859 0 1253 1253 115386 727694 6999663 7836359 816726 667511 586292 589774 63805363 46981306 15993088 16824057 2464314 3044567 10926024 13451552 37902746 43142767 7740641 10210729 9318551 8274594 240823 221224 29358992 24517773 46659007 43224320 X -8829861 -148460 73600 66907 -8756261 -81553 37902746 43142767 X 2118013 6556695 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 5582 0 0 0 5582 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: A PORTION OF THE DUES PAID TO THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA ($5,582) WAS DETERMINED TO BE FOR LOBBYING PURPOSES. 73600 6693 66907 86624 13024 73600 84311 15994 12024 1657 86624 636097 41098 -414 592470 84311 1022053 -39694 346262 636097 1.00000 0 0 477770 477770 26353457 17462822 8890635 381903 344868 37035 35148375 28308323 6840052 1443858 865293 578565 16824057 DUE FROM PALMERTON HOSPITAL 6418348 BENEFICIAL INTEREST IN PERPETUAL TRUST 66907 DEFERRED FINANCING COSTS, NET 151278 PHYSICIAN INCOME GUARANTEES 642093 THIRD PARTY RECEIVABLE 703316 INSURANCE RECOVERIES RECEIVABLE 5469610 13451552 OBLIGATIONS UNDER CAPITAL LEASES 1489712 BLUE CROSS WORKING CAPITAL ADVANCE 304227 PENSION LIABILITY 16327460 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 6313203 DEFERRED GIFT ANNUITIES PAYABLE 83171 24517773 X 66061526 830799 830799 65230727 -182980 -182980 65047747 57386818 182980 182980 57203838 5725896 5725896 62929734 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TERM ENDOWMENT FUNDS ARE USED FOR THE PURCHASE OF PLANT AND EQUIPMENT TO FURTHER THE MISSION OF THE ORGANIZATION. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: GNADEN HUETTEN MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS EXEMPT INCOME UNDER SECTION 501(A) OF THE CODE. THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE FINANCIAL STATEMENTS USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD. THE HOSPITAL'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR 2010, 2011, AND 2012 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: PENSION LIABILITY ADJUSTMENT 6,563,388. VALUATION GAIN -6,693. BAD DEBT -5,725,896. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -182,980. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 182,980. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 5,725,896. 1 1 X 1 X 1 X 1 0 0 203449 99286 104163 0.00180 7698667 5578021 2120646 0.03710 7902116 5677307 2224809 0.03890 227912 227912 0.00400 9064 9064 0.00020 5096712 3926681 1170031 0.02050 5333688 3926681 1407007 0.02470 13235804 9603988 3631816 0.06360 0 1834635 183463 17513994 18950139 -1436145 X 1 0 1 1 GNADEN HUETTEN MEMORIAL HOSPITAL INC

211 NORTH 12TH STREET LEHIGHTON PA 18235

X X X SKILLED NURSING FACILITY GNADEN HUETTEN MEMORIAL HOSPITAL INC 2 1 X X X X X X X X X 12 1 0 1 X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X X 1 0 1 X 0 0 PART I, LINE 7G: WHILE WE ARE AWARE THAT EACH HOSPITAL IS REQUIRED TO STAND ALONE WITH REGARD TO THEIR COMMUNITY BENEFIT REPORTING, THE TWO HOSPITALS OF BLUE MOUNTAIN FUNCTION IN TANDEM TO DRIVE COMMUNITY BENEFIT STRATEGY. SUBSIDIZED HEALTH SERVICES INCLUDED UNDER SCHEDULE H FOR THE PALMERTON HOSPITAL ARE THE ADULT DAY SERVICES PROGRAM AND THE EMERGENCY DEPARTMENT. ADULT DAY SERVICES OF THE BLUE MOUNTAIN HEALTH SYSTEM OFFERS AN ALTERNATIVE TO NURSING CARE WHILE PROVIDING RESPITE FOR THOSE CARING FOR SOMEONE AT HOME. THE PROGRAM OFFERS A WARM, FRIENDLY ATMOSPHERE AND THE OPPORTUNITY FOR SENIORS TO DEVELOP FRIENDSHIPS WHILE PARTICIPATING IN ACTIVITIES THEY ENJOY. OUR EXPERIENCED STAFF INCLUDES REGISTERED NURSES, LICENSED PRACTICAL NURSES, CERTIFIED THERAPEUTIC RECREATION SPECIALISTS AND CERTIFIED NURSE AIDES. THE PALMERTON HOSPITAL PROVIDED SUBSIDIES OF APPROXIMATELY $334,000 TO THE ADULT DAY SERVICES CENTER DURING FY2013.THE EMERGENCY DEPARTMENT LOCATED AT PALMERTON HOSPITAL PROVIDES AROUND-THE-CLOCK EMERGENCY SERVICES TO THE SURROUNDING COMMUNITIES WITHIN CARBON COUNTY. CARE IS PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. DURING FY2013, THE PALMERTON EMERGENCY DEPARTMENT SAW 11,395 PATIENTS WITH A SUBSIDIZED COST TO PROVIDE THESE SERVICES OF $883,000 OF WHICH $168,000 IS INCLUDED IN THE MEDICAID SHORTFALL.SUBSIDIZED HEALTH SERVICES INCLUDED UNDER SCHEDULE H FOR THE GNADEN HUETTEN MEMORIAL HOSPITAL ARE THE FAMILY PLANNING CLINIC AND THE EMERGENCY DEPARTMENT. THE NATIONAL FAMILY PLANNING PROGRAM, ALSO KNOWN AS TITLE X (TEN) OF THE PUBLIC HEALTH SERVICE ACT, WAS ESTABLISHED IN 1970 TO ENSURE THAT NO AMERICAN WOMAN WOULD BE DENIED ACCESS TO FAMILY PLANNING ASSISTANCE BECAUSE OF HER ECONOMIC CONDITION. FOR MORE THAN THREE DECADES, TITLE X HAS BEEN AN INTEGRAL COMPONENT OF OUR NATION'S PUBLIC HEALTH CARE SYSTEM, PROVIDING HIGH QUALITY FAMILY PLANNING SERVICES AND OTHER PREVENTIVE HEALTH CARE TO LOW-INCOME OR UNINSURED INDIVIDUALS WHO MAY OTHERWISE LACK ACCESS TO HEALTH CARE. MATERNAL AND FAMILY HEALTH SERVICES ADMINISTERS THE PROGRAM THROUGH A NETWORK OF DIRECT AND CONTRACT SERVICE PROVIDERS. IN ADDITION TO DIRECT SITES, THE NETWORK SYSTEM INCLUDES HOSPITALS, PLANNED PARENTHOOD AFFILIATES, COMMUNITY HEALTH CENTERS AND PHYSICIAN GROUPS. THE GNADEN HUETTEN MEMORIAL HOSPITAL PROVIDED SUBSIDIES OF APPROXIMATELY $60,000 TO OUR FAMILY PLANNING CLINIC DURING FY2013.THE EMERGENCY DEPARTMENT LOCATED AT GNADEN HUETTEN MEMORIAL HOSPITAL PROVIDES AROUND-THE-CLOCK EMERGENCY SERVICES TO THE SURROUNDING COMMUNITIES WITHIN CARBON COUNTY. CARE IS PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. DURING FY2013, THE GNADEN HUETTEN MEMORIAL HOSPITAL EMERGENCY DEPARTMENT SAW 19,318 PATIENTS WITH A SUBSIDIZED COST TO PROVIDE THESE SERVICES OF $1,901,414 OF WHICH $791,444 IS INCLUDED IN THE MEDICAID SHORTFALL. PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED OUT FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCH H, PART I, LINE 7, COLUMN (F) IS $5,725,896. PART II: COMMUNITY OUTREACH PROGRAMS-PROVIDES MORE THAN 2000 INFLUENZA VACCINES TO COMMUNITY RESIDENTS IN PARTNERSHIP WITH THE PA DEPARTMENT OF HEALTH AND THE CARBON COUNTY EMERGENCY MANAGEMENT AGENCY.-PARTICIPATES IN MORE THAN 25 COMMUNITY HEALTH FAIRS PROVIDING A VARIETY OF SCREENINGS EMS, L.B. MORRIS ELEMENTARY SCHOOL, THE VILLAGE AT PALMERTON, CARBON COUNTY FAIR, WEST END FAIR, PALMERTON COMMUNITY FESTIVAL, LEHIGHTON LIONESS AND LIONS CLUB, PALMERTON LIONS CLUB, PALMER ELEMENTARY SCHOOL, LEHIGHTON RECREATION SENIOR FAIR, REP. DOYLE HEFFLEY SENIOR FAIR, WEATHERLY SCHOOL DISTRICT WELLNESS FAIR, PLEASANT VALLEY ACADEMIC HEALTH FAIR, 24TH ANNUAL CHILDREN'S HEALTH FAIR, WEST END PHYSICAL THERAPY HEALTH FAIR.-HOSTS FIVE HEALTH SUPPORT GROUPS IN THE COMMUNITY: BREAST CANCER, WEIGHT LOSS/BARIATRIC SURGERY, ADULT DAY CAREGIVER, THE SUMMIT CAREGIVER, DIABETES AND OTHER SPECIALTY SUPPORT PROGRAMMING SUCH AS 6-WEEK BEREAVEMENT WORKSHOP.-BLUE MOUNTAIN HEALTH SYSTEM'S FAMILY PLANNING PROGRAM PROVIDES MEN, WOMEN AND TEENS WITH THE INFORMATION AND REPRODUCTIVE HEALTHCARE SERVICES THEY NEED TO STAY HEALTHY, PROVIDES FREE AND LOW-COST CONTRACEPTION, PREGNANCY TESTING, PELVIC EXAMS AND TESTING FOR SEXUALLY TRANSMITTED DISEASES.-OFFERS FREE DIAGNOSTIC MAMMOGRAMS AND ULTRASOUNDS TO WOMEN AND MEN WHO ARE UNDER OR NON-INSURED.-BMHS ADULT DAY CARE PROVIDES AN ALTERNATIVE TO NURSING CARE WHILE PROVIDING RESPITE FOR THOSE CARING FOR SOMEONE IN THEIR HOME.-PROVIDES A PHYSICIAN MEDICAL DIRECTOR FOR THE LOCAL ALS/BLS SERVICES IN THE SURROUNDING COMMUNITIES.-PROVIDES THE HEALTH SMILES, HAPPY KIDS DENTAL VAN, PROVIDES PREVENTATIVE AND RESTORATIVE DENTAL CARE TO UNDER AND NON-INSURED CHILDREN WITHIN CARBON COUNTY AND THE SURROUNDING AREAS.-HOSTS "LADIES NIGHT OUT", AN EDUCATIONAL EVENT FOR MORE THAN 200 PARTICIPANTS IN REGARDS TO AWARENESS ABOUT FEMALE CANCERS, ESPECIALLY BREAST CANCER.-SUPPORTS LOCAL COMMUNITY GROUPS, EX. AMERICAN CANCER SOCIETY TELETHON, RELAY FOR LIFE, LIGHT THE NIGHT, AMERICAN LUNG ASSOCIATION, AMERICAN HEART ASSOCIATION, AND ALZHEIMER'S ASSOCIATION.-VARIOUS STAFF MEMBERS PARTICIPATE IN LOCAL CIVIC ORGANIZATION SUCH AS CARBON COUNTY INTERAGENCY COUNCIL, CARBON COUNTY SAFE KIDS COALITION, AMERICAN CANCER SOCIETY, LEHIGHTON ROTARY, JIM THORPE ROTARY, LEHIGHTON LIONESS AND LIONS CLUBS, PALMERTON LIONS AND LIONESS CLUB, CARBON COUNTY CHAMBER OF COMMERCE AND PALMERTON CHAMBER OF COMMERCE. PART III, LINE 4: ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES. THE TOTAL AMOUNT OF BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 WAS ESTIMATED BASED ON A PERCENTAGE OF TOTAL ADJUSTED PATIENT COST TO TOTAL ADJUSTED PATIENT CHARGES. THE TOTAL ADJUSTED PATIENT COSTS WAS CALCULATED AS FOLLOWS: TOTAL OPERATING EXPENSES AS REPORTED IN THE AUDITED FINANCIAL STATEMENTS LESS BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES, NON PATIENT-CARE ACTIVITIES, AND NET COMMUNITY BENEFIT EXPENSE. TOTAL ADJUSTED OPERATING EXPENSES WERE APPROXIMATELY $56,015,000 FOR FY2013. TOTAL ADJUSTED PATIENT CHARGES WAS CALCULATED AS FOLLOWS: GROSS PATIENT CHARGES LESS GROSS CHARGES FOR COMMUNITY BENEFIT PROGRAMS. TOTAL ADJUSTED PATIENT CHARGES WERE APPROXIMATELY $156,335,000 FOR FY2013. MANAGEMENT DETERMINED APPROXIMATELY 10% OF THE TOTAL BAD DEBT EXPENSE REPORTED ON LINE 2 WAS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. MANAGEMENT CONSIDERED THIS TO BE REASONABLE BASED ON HISTORICAL ANALYSIS OF BAD DEBT EXPENSE. PART III, LINE 8: NONE OF THE MEDICARE SHORTFALL REPORTED IN LINE 8 WAS TREATED AS A COMMUNITY BENEFIT. AMOUNTS REPORTED ON LINE 6 WERE OBTAINED FROM THE MEDICARE COST REPORT. GNADEN HUETTEN MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 3: THE CHNA INCLUDED THREE SEPARATE DATA COLLECTION STRATEGIES: AN ANALYSIS OF EXISTING SECONDARY DATA AND EXISTING COMMUNITY HEALTH MEASURES; A FOCUS GROUP CONDUCTED ON NOVEMBER 15, 2012 DURING A REGULARLY SCHEDULED MEETING OF THE CARBON COUNTY INTERAGENCY COUNCIL; AND KEY INFORMANT SURVEYS AND INTERVIEWS. IN-HOUSE AT BMHS, A COMMUNITY BENEFIT PLAN STEERING COMMITTEE WAS FORMED AND PROVIDED INPUT PRIOR TO THE NEEDS ASSESSMENT. THE COMMITTEE WAS COMPOSED OF SENIOR MANAGEMENT AND DEPARTMENT HEADS WITHIN THE HEALTH SYSTEM. THE CARBON COUNTY INTERAGENCY COUNCIL IS COMPOSED OF LEADERSHIP FROM NUMEROUS AGENCIES AND ORGANIZATIONS, REPRESENTING MATERNAL AND CHILD HEALTH, ELDER CARE, BEHAVIORAL HEALTH, COUNTY INFRASTRUCTURE, HEALTHCARE PROVIDERS AND SOCIAL SERVICES. THE FOCUS GROUP WAS CONDUCTED WITH THESE MEMBERS. ADDITIONALLY, A REPORT ON THE FINDINGS WAS GIVEN AT THE MARCH 21, 2013 MEETING. KEY INFORMANTS FROM THE FOLLOWING COMMUNITY WORKPLACES/ PROFESSIONAL FIELDS WERE SURVEYED: FAMILY PRACTICE, COUNTY SCHOOL DISTRICTS, A COMMUNITY COLLEGE, DEPARTMENT OF HEALTH, AND AN INTERMEDIATE UNIT. GNADEN HUETTEN MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED HEALTH PROBLEMS OUR COMMUNITIES FACE AND BARRIERS THAT KEEP RESIDENTS OF OUR COMMUNITIES FROM BEING HEALTHY. THE PRIORITY AREAS OF NEEDS WERE CLEARLY IDENTIFIED THROUGHOUT THE SURVEY TO BE: DRUG, ALCOHOL, AND TOBACCO USE, MENTAL HEALTH, OBESITY, DENTAL NEEDS, AND CHRONIC ILLNESSES. THESE NEEDS ARE CURRENTLY BEING ADDRESSES AS PART OF THE IMPLEMENTATION PLAN. FURTHER IN THE PLAN TO ADDRESS THESE NEEDS, WE ARE ASSISTING WITH LOWERING THE FOLLOWING BARRIERS: LACK OF HEALTH CARE INSURANCE OR UNDERINSURANCE, ACCESS TO COMMUNITY SERVICES, LACK OF PREVENTION SERVICES AND/OR EDUCATION, POOR DIET, AND DENIAL BY PARENTS REGARDING CHILDREN'S ISSUES. THE HOSPITAL CONTINUES TO WORK ACROSS MANY OF THE OTHER IDENTIFIED NEEDS. AS THE NEEDS THAT WERE IDENTIFIED ARE NOT MUTUALLY EXCLUSIVE FROM ONE ANOTHER, IT IS THE HOSPITAL'S HOPE THAT BY ADEQUATELY ADDRESSING THE ABOVE NEEDS AND BARRIERS, THE OTHER NEEDS AND BARRIERS WILL BE INDRECTLY IMPACTED AS WELL. THE NEEDS THAT WERE IDENTIFIED BUT ARE NOT CURRENTLY BEING ADDRESSED ARE: SPECIALTY SERVICES, DOCTORS THAT ACCEPT MA, AND NEEDS NOT MET AT HOME (ELEMENTARY LEVEL-MEDICAL CARE). THE BARRIERS THAT ARE NOT CURRENTLY BEING ADDRESSED ARE: CULTURAL HABITS, ACCESS TO JOBS, POVERTY, AND LACK OF SUPPORT SYSTEMS. GNADEN HUETTEN MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 20D: THE AMOUNTS CHARGED WERE IN ACCORDANCE WITH THE HOSPITAL'S OVERALL FINANCIAL ASSISTANCE POLICY. PART VI, LINE 2: THE HOSPITALS OF THE BLUE MOUNTAIN HEALTH SYSTEM CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT, AUGUST 2012 - JANUARY 2013 AND DEVELOPED AN IMPLEMENTATION PLAN WITH STRATEGIES TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. THE PROCESS, CONDUCTED BY EASTCENTRAL PA AREA HEALTH EDUCATION CENTER (ECPA AHEC), USED PRIMARY AND SECONDARY SURVEY DATA, KEY INFORMANT SURVEYS AND INTERVIEWS, AND A FOCUS GROUP TO IDENTIFY AND PRIORITIZE HEALTH PROBLEMS AND RISK FACTORS IN THE CARBON COUNTY SERVICE AREA. AFTER ANALYZING THIS DATA AND MAPPING EXISTING INTERNAL AND COMMUNITY BASED RESOURCES, BMHS DEVELOPED AN IMPLEMENTATION PLAN WITH EVIDENCE BASED STRATEGIES. THE IMPLEMENTATION PLAN WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AT THE ANNUAL STRATEGIC PLANNING RETREAT ON JULY 20, 2013. THE FINAL APPROVED VERSION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN IS AVAILABLE TO THE PUBLIC ON THE HEALTH SYSTEM'S WEBSITE. WITH THE COLLABORATION AFFORDED BY BMHS LEADERSHIP AND KEY COMMUNITY PARTNERS, THE GOALS, OBJECTIVES AND OUTCOME MEASURES DEFINED FOR THE IMPLEMENTATION PLAN WILL REVIEWED ON AN ANNUAL BASIS FOR THE IMPROVEMENT AND POSITIVE IMPACT OF THE IDENTIFIED/PERCEIVED HEALTH NEEDS OF THE COMMUNITY.POST-ASSESSMENT MEETINGS WERE HELD WITH BOTH THE BLUE MOUNTAIN HEALTH SYSTEM'S COMMUNITY BENEFIT PLAN STEERING COMMITTEE AND THE CARBON COUNTY INTERAGENCY COUNCIL TO REPORT THE FINDINGS AND GAIN FURTHER INPUT AND ASSISTANCE WITH THE PRIORITIZATION OF HEALTH NEEDSIDENTIFIED, PRIORITIZED/RANKED COMMUNITY HEALTH NEEDSO DRUG, ALCOHOL AND TOBACCO USE (ACROSS ALL AGES)O MENTAL HEALTHO OBESITY (INCLUDING CHILDREN)O DENTAL NEEDSO CHRONIC ILLNESSES, ESPECIALLY CARDIAC AND PULMONARY DISEASE, DIABETES, HYPERTENSION, CANCER AND STROKE.BARRIERS TO GOOD HEALTH O LACK OF HEALTH INSURANCE OR UNDERINSURANCE.O BARRIERS TO ACCESS TO COMMUNITY SERVICESO LACK OF PREVENTION SERVICES AND/OR EDUCATIONO POOR DIETO DENIAL BY PARENTS REGARDING CHILDREN'S HEALTH ISSUES PART VI, LINE 3: IN ACCORDANCE WITH PENNSYLVANIA STATE REPORTING REQUIREMENTS, THE BLUE MOUNTAIN HEALTH SYSTEM'S CHARITY CARE EXPENSE IS REPORTED BASED UPON COSTS VERSUS CHARGES. CHARITY CARE INCLUDES THE HEALTH SYSTEM'S TRADITIONAL INPATIENT AND EMERGENCY SERVICES, AS WELL AS THE CARE PROVIDED AS PART OF EXTERNAL EDUCATIONAL PROGRAMS AND SERVICES SUCH AS THROUGH OUR FAMILY PLANNING PROGRAM.MORE PEOPLE WERE SERVED THROUGH THE HOSPITAL'S CHARITABLE CARE AND FINANCIAL ASSISTANCE PROGRAMS IN VIRTUALLY ALL CATEGORIES, AS FOLLOWS:- GNADEN HUETTEN MEMORIAL HOSPITAL CHARITABLE CARE PATIENTS- PALMERTON HOSPITAL CHARITABLE CARE PATIENTS- BLUE MOUNTAIN HEALTH SYSTEM'S "HEALTHY SMILES, HAPPY KIDS" DENTAL VAN - 1,417 SERVED IN FY 2012SIGNAGE IS VISIBLE IN ALL BLUE MOUNTAIN HEALTH SYSTEM POINTS OF REGISTRATION IN ORDER TO CREATE AWARENESS OF THE FINANCIAL ASSISTANCE PROGRAM. AT A MINIMUM, SIGNAGE IS POSTED IN ALL PATIENT INTAKE AREAS, INCLUDING, BUT NOT LIMITED TO, EMERGENCY DEPARTMENT, AND THE ADMISSION/PATIENT REGISTRATION AREA.IN RECENT YEARS, THE HEALTH SYSTEM HAS EXPANDED THE NUMBER OF FINANCIAL COUNSELORS AVAILABLE TO ASSIST PATIENTS. A KEY GOAL IS TO IDENTIFY COMMUNITY MEMBERS IN NEED SOONER. COUNSELORS PROACTIVELY SEEK OUT PATIENTS PRIOR TO TREATMENT IN AN EFFORT TO CONNECT THEM WITH PUBLIC INSURANCE PROGRAMS AS APPROPRIATE OR TO ENCOURAGE THEM TO COMPLETE AN ASSISTANCE APPLICATION. THE RESULT IS MORE CHARITY CARE AND LESS REPORTED AS BAD DEBT; MOST IMPORTANTLY, COMMUNITY MEMBERS ARE PROVIDED WITH THE SUPPORT TO ACCESS THE MEDICAL CARE THEY NEED. PART VI, LINE 4: THE MEDIAN INCOME OF HOUSEHOLDS IN CARBON COUNTY WAS $47,283. 74 PERCENT OF THE HOUSEHOLDS RECEIVED EARNINGS AND 25 PERCENT RECEIVED RETIREMENT INCOME OTHER THAN SOCIAL SECURITY. THIRTY-NINE PERCENT OF THE HOUSEHOLDS RECEIVED SOCIAL SECURITY. THE AVERAGE INCOME FROM SOCIAL SECURITY WAS $15,428.ACCORDING TO THE BUREAU OF LABOR STATISTICS, CARBON COUNTY SHOWS A RELATIVELY HIGH RATE OF UNEMPLOYMENT- 10.2 PERCENT- COMPARED TO THE MID-ATLANTIC REGION AND THE NATION AS A WHOLE.THE CARBON COUNTY CHILD & FAMILY COLLABORATIVE'S 2009-10 "STATE OF THE CHILD & FAMILY IN CARBON COUNTY" REPORT STATES THAT THE AREA'S CHILDREN ARE AT MODERATE-HIGH RISK OF SCHOOL FAILURE DUE TO THE FOLLOWING FACTORS: 42.3 PERCENT LIVE IN HOUSEHOLDS EARNING LESS THAN 200 PERCENT OF POVERTY; 10.8 PERCENT LIVE IN FAMILIES WHOSE MOTHER EARNED LESS THAN A HIGH SCHOOL DIPLOMA; AND 11 PERCENT OF CHILDREN UNDER THE AGE OF 5 LIVING BELOW POVERTY LEVEL ARE OF A SINGLE MOTHER HOUSEHOL. FURTHERMORE, ACCORDING TO A 2010 DRUG AND ALCOHOL SURVEY, 27 OUR OF 3,000 6TH TO 11TH GRADERS IN CARBON COUNTY HAD ALCOHOL WITHIN THE LAST 30 DAYS, WITH 20 PERCENT HAVING BEEN GIVEN TO THEM BY PARENTS OR FAMILY MEMBERS.OVERALL, CARBON COUNTY RANKS 49TH (OF 67 COUNTIES) IN HEALTH OUTCOMES RELATED TO MORTALITY, MORBIDITY, HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS AND PHYSICAL ENVIRONMENT. OF PARTICULAR INTEREST IS THE CATEGORY OF HEALTH BEHAVIORS (TOBACCO USE, OBESITY, PHYSICAL INACTIVITY, EXCESSIVE DRINKING, MOTRO VEHICLE CRASH DEATH RATE, SEXUALLY TRANSMITTED INFECTIONS AND TEEN BIRTH RATE) WHERE THE COUNTY RANKS 63/37. A MEASURE OF ACCESS TO CARE RELATES TO THE PRIMARY CARE PROVIDER RATE, OR THE POPULATION TO PRIMARY PHYSICIAN RATIO. THE NATIONAL BENCHMARK FOR POPULATION TO PRIMARY PHYSICIAN RATIO IS 631:1. IN PENNSYLVANIA, THAT RATIO IS 838:1, AND IN CARBON COUNTY THE RAIOS IS 2121:1, ALMOST THREE TIMES THE RATIO OF THE STATE AS A WHOLE. PART VI, LINE 5: THE MEDICAL STAFF OF THE BLUE MOUNTAIN HEALTH SYSTEM IS AN OPEN MEDICAL STAFF ALLOWING SUBMISSIONS FOR PRIVILEGES AND CREDENTIALING FROM ANY INTERESTED PHYSICIAN OR SURGEON. THE BOARD OF DIRECTORS IS COMPRISED OF 17 INDIVIDUALS FROM VARIOUS COMMUNITY ORGANIZATIONS SUCH AS FINANCIAL INSTITUTIONS, TELECOMMUNICATION, RECREATION, AND REPRESENTATION FROM THE MEDICAL STAFF. OF THE 17 MEMBERS OF THE BOARD OF DIRECTORS, 13 RESIDE IMMEDIATELY WITHIN THE PRIMARY SERVICE AREA OF THE HEALTH SYSTEM. ALL OF THE BOARD MEMBERS ARE INDEPENDENT, WITH THE EXCEPTION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, WHO IS EMPLOYED DIRECTLY BY THE HEALTH SYSTEM.BLUE MOUNTAIN HEALTH EDUCATION PROGRAMMING-PROVIDES MORE THAN 30 EDUCATIONAL PROGRAMS AND SCREENINGS NATIONAL CHOLESTEROL MONTH DINNER & LECTURE PROGRAM, WEIGHT LOSS SURGERY, AARP DRIVING CLASS, LUNG CANCER EDUCATION, DIABETES EDUCATION, STRESS/STROKE SCREENINGS, CARBON COUNTY DOMESTIC VIOLENCE, FAMILY CAREGIVER TRAINING NIGHT, CARBON COUNTY DRUG & ALCOHOL PROGRAM; LOOK GOOD... FEEL BETTER WITH AMERICAN CANCER SOCIETY; NEW TO MEDICARE CO-SPONSORED WITH CARBON COUNTY AREA AGENCY ON AGING; HEART HEALTH FAIR; AMERICAN HEART MONTH LUNCH 'N LEARN; LET'S TALK ABOUT WOUND CARE AND ADULT DAY SERVICE; CARBON COUNTY SAFE KIDS AND SENATOR YUDICHAK COMMUNITY SAFETY DAY; PANTHER VALLEY CAREER DAY; SAFE KIDS CAR SEAT CHECK; MENTAL HEALTH DEPRESSION OUTREACH ASSESSMENTS.-SERVES AS A MEDICAL TRAINING/CLINICAL EDUCATION SITE FOR AREA COLLEGES AND SCHOOLS SUCH AS CEDAR CREST COLLEGE, WILKES UNIVERSITY, KING'S COLLEGE, KUTZTOWN UNIVERSITY, DESALES UNIVERSITY, MARYWOOD UNIVERSITY, UNIVERSITY OF SCRANTON, LEHIGH CARBON COMMUNITY COLLEGE, LINCOLN TECHNICAL INSTITUTE, NORTHAMPTON AREA COMMUNITY COLLEGE, PENNSYLVANIA STATE UNIVERSITY, JOHNSON SCHOOL OF TECHNOLOGY AND PENNSYLVANIA COLLEGE OF OSTEOPATHIC MEDICINE.-PROVIDE CPR/BLS/ACLS/PALS TRAINING TO COMMUNITY ORGANIZATIONS SUCH AS AMBULANCE/EMS, FIRE, POLICE, TEACHERS.-PROVIDES "BLUE MOUNTAIN VIEWS" A COMMUNITY NEWSLETTER AND "HEALTH IMAGES" A HEALTH SYSTEM HOSTED TELEVISION PROGRAM FEATURING A VARIETY OF HEALTH AND WELLNESS INFORMATION AND EDUCATION.-HOSTS NEW SEASONS, A PROGRAM FOR ADULTS AGE 65 AND OLDER THAT OFFERS EXERCISE AND WELLNESS PROGRAMS SUCH AS YOGA AND LOW-IMPACT AEROBICS, NEW SEASONS HEARING AID BATTERY BANK, AND THE NEW SEASONS ANNUAL HEALTH & INFORMATION FAIR PART VI, LINE 6: THE HOSPITALS OF THE BLUE MOUNTAIN HEALTH SYSTEM ARE REGIONAL PROVIDERS OF HEALTH CARE SERVICES TO THE PEOPLE LIVING IN CARBON COUNTY AND PARTS OF MONROE, LEHIGH, NORTHAMPTON AND SCHUYLKILL COUNTIES. BLUE MOUNTAIN HEALTH SYSTEM INCLUDES PALMERTON HOSPITAL, A 70-BED COMMUNITY HOSPITAL LOCATED IN PALMERTON; GNADEN HUETTEN MEMORIAL HOSPITAL, A 90-BED COMMUNITY HOSPITAL; THE SUMMIT AT BLUE MOUNTAIN, A 91-BED NURSING AND REHABILITATION CENTER, BOTH LOCATED IN LEHIGHTON AND AN ADULT DAY SERVICE CENTER IN PALMERTON. COMBINED, THESE FACILITIES HAVE BEEN SERVING THE FAMILIES OF OUR AREA FOR MORE THAN 150 YEARS. THE HOSPITALS OF THE BLUE MOUNTAIN HEALTH SYSTEM ARE FULLY ACCREDITED BY THE JOINT COMMISSION. DIAGNOSTIC OUTPATIENT SERVICES, INCLUDING ACUTE REHABILIATION, MAMMOGRAPHY, ULTRASOUND, CARDIAC REHABILITATION AND THE CLINICAL LABORATORY ARE ALSO ACCREDITED BY THEIR RESPECTIVE NATIONAL PROFESSIONAL ORGANIZATIONS. IMPLEMENTATION PLAN PART VI BLUE MOUNTAIN HEALTH SYSTEM HAS ADOPTED THE FOLLOWING IMPLEMENTATION DETAILS TO SUPPORT ITS COMMUNITY HEALTH NEEDS ASSESSMENT. DRUG, ALCOHOL, AND TOBACCO USEGOAL: PRECLUDE OR REDUCE THE NEGATIVE IMPACT OF ALCOHOL, TOBACCO AND OTHER DRUG (ATOD) USE ON THE RESIDENTS OF CARBON COUNTY AND SURROUNDING COMMUNITIES.OBJECTIVE: IMPROVE THE HEALTH SYSTEMS CAPACITY TO EFFECTIVELY ADDRESS ATOD ISSUES STRATEGY 1: CREATE A COMPREHENSIVE ATOD INTERNAL AND EXTERNAL PREVENTION, INTERVENTION AND TREATMENT PLAN FOR THE BLUE MOUNTAIN HEALTH SYSTEM (BMHS) ACTION STEPS AND METRICS:-IDENTIFY KEY PERSONNEL AND CREATE A SYSTEM WIDE ATOD TASK FORCE. EVIDENCED BY THE CREATION OF THE TASK FORCE INVITATION LIST BY SR. MGT. AND HUMAN RESOURCES.-CONVENE TASK FORCE MEETINGS AND BEGIN THE ATOD STRATEGIC PLANNING PROCESS.EVIDENCED BY THE TASK FORCE MEETING MINUTES AND ULTIMATELY THE ATOD PLAN.- DISSEMINATE THE PLAN, SEEK LEADERSHIP APPROVAL AND BEGIN THE IMPLEMENTATION OF THE STRATEGIES CONTAINED THEREIN. EVIDENCED BY THE ADOPTION OF THE ATOD PLAN BY THE BOD AND THE ROLL OUT OF INITIAL PROJECTS/PROGRAMS CONTAINED IN THE PLAN.STRATEGY 2: EDUCATE AND TRAIN BMHS PERSONNEL ON THE LOCAL ATOD PROBLEM AND BUILD ATOD ASSESSMENT, INTERVENTION AND REFERRAL CAPACITIES SYSTEM WIDE ACTION STEPS AND METRICS:-DEVELOP BASIC ATOD 101 CURRICULUM TO TRAIN STAFF. EVIDENCED BY THE PRESENCE AND ROLL OUT OF AN ATOD COMPETENCY FOR BMHS STAFF -PARTNER WITH CMP D&A AND OTHERS TO SECURE TRAINING ON THE PA CLIENT PLACEMENT CRITERIA (PCPC). TRACK THE NUMBER OF PCPC TRAINED STAFF ADDED TO THE STAFF COMPLIMENT OVER THE NEXT THREE YEARS. -PARTNER WITH CMP D&A AND OTHERS TO SECURE SPECIALIZED ATOD TRAINING AND/OR MATERIALS. DOCUMENTATION OF AT LEAST ONE SPECIAL ATOD TRAINING EVENT SPONSORED OR SUPPORTED BY BMHS.OBJECTIVE 2: INCREASE THE NUMBER OF HEALTHCARE PROVIDERS WHO DO BRIEF INTERVENTIONS WITH THEIR PATIENTS WHO USE TOBACCO AND WHO ARE AWARE OF LOCAL CESSATION RESOURCES AND HOW TO REFER TO THOSE SERVICESSTRATEGY: EDUCATE PROVIDERS REGARDING HOW TO DO A BRIEF INTERVENTION WITH PATIENTS WHO USE TOBACCO AND ARRAY OF SERVICES AVAILABLE TO SUPPORT TOBACCO USERS WHO ARE READY TO QUITACTION STEP AND METRICS: WORK WITH TOBACCO FREE NORTHEAST AND EASTCENTRAL AHEC TO SCHEDULE BRIEF INTERVENTION TRAININGS FOR HEALTH CARE PROVIDERS. INCLUDE INFORMATION ON LOCAL CESSATION SERVICES AVAILABLE; QUITLINE AND HOW TO ACCESS; FAX TO QUIT AND HOW IT IS UTILIZED; AND PHARMACOTHERAPY OPTIONS. SCHEDULE A MINIMUM OF THREE TRAININGS EACH YEAR AT VARIOUS TIMES AND LOCATIONS CONVENIENT FOR PROVIDERS TO ATTEND AND EACH HOSPITAL DEPARTMENT AND OUTPATIENT OFFICE WILL BE REQUIRED TO HAVE AT LEAST ONE STAFF MEMBER ATTEND A TRAINING.MENTAL HEALTHGOAL: IMPROVE THE MENTAL HEALTH OF THE RESIDENTS OF CARBON COUNTY AND ITS SURROUNDING COMMUNITIES BY REMOVING OBSTACLES (REAL OR PERCEIVED) THAT PREVENT ACCESS TO PREVENTION, INTERVENTION AND TREATMENT SERVICES.OBJECTIVE 1: EXPAND THE CONTINUUM OF CARE FOR RESIDENTS WHO ARE SEEKING TREATMENT FOR BEHAVIORAL HEALTH CARE SERVICES STRATEGY: ADD AN OUTPATIENT LEVEL OF CARE (LOC) TO THE EXISTING BMHS CONTINUUM OF CARE. ACTION STEP AND METRIC: RECRUIT ONE ADDITIONAL PSYCHIATRIST OVER THE NEXT THREE YEARS. EVIDENCED BY THE HIRING OF THE PHYSICIAN WHO WILL STAFF THE OP LOC.OBJECTIVE 2: PROVIDE COMMUNITY EDUCATION OR SUPPORT PROGRAMS OR SERVICES TO THE COMMUNITY FREE OF CHARGE.STRATEGY: PROVIDE SPACE FOR MEETINGS AND/OR ASSIGN STAFF TO FACILITATE OR CONSULT WITH COMMUNITY GROUPS/ORGANIZATIONS IN AN EFFORT TO PROVIDE EDUCATION AND SUPPORT SERVICES FOR INDIVIDUALS OR FAMILY MEMBERS WHO ARE AFFECTED BY MENTAL ILLNESS. ACTION STEPS AND METRICS:-CONTINUE TO SUPPLY MEETING SPACE AND SUPPORT FOR THE "SURVIVORS OF SUICIDE" SUPPORT GROUPS. EVIDENCED BY "SURVIVORS OF SUICIDE" GROUPS HELD AT GHMH CAMPUS.-CONTINUE TO SUPPLY STAFF AND OTHER RESOURCES TO CONDUCT COMMUNITY BASED "DEPRESSION SCREENINGS" AS SCHEDULED. EVIDENCED BY "DEPRESSION SCREENING" SESSIONS HELD AT VARIOUS LOCATIONS AROUND THE COUNTY. -CONTINUE TO SUPPLY, ON AN AD HOC BASIS, STAFF AND RESOURCES NEEDED TO CONDUCT OTHER TYPES OF INTERVENTION PROGRAMS OR SERVICES AS IDENTIFIED. EVIDENCED BY OTHER EDUCATIONAL OR SUPPORT GROUPS BEING HELD ANNUALLY.OBJECTIVE 3: REMOVE FINANCIAL OBSTACLES WHENEVER POSSIBLE AND EVALUATE ALL CONSUMERS FOR ADMISSIONS TO ALL LEVELS OF SERVICE REGARDLESS OF THEIR ABILITY TO PAYSTRATEGY: OFFER FINANCIAL COUNSELING TO ALL CLIENTS WITH MENTAL HEALTH ISSUES AND WHEN POSSIBLE PROVIDE FULL OR PARTIAL REDUCTIONS IN CHARGES FOR THESE SERVICES. ACTION STEPS AND METRICS:-OFFER FINANCIAL COUNSELING TO ALL NON OR UNDERINSURED PATIENTS TO DETERMINE IF THERE ARE OTHER PAYERS WHO CAN BE ACCESSED OR TO ESTABLISH A PAYMENT PLANS OPTION IF APPROPRIATE. EVIDENCED BY DOCUMENTATION OF REFERRALS TO FINANCIAL COUNSELING BY THE FINANCE OFFICE. -ASSIST PATIENTS IN THE APPLICATION PROCESS FOR BOTH MEDICAID AND FINANCIAL ASSISTANCE. EVIDENCED BY DOCUMENTATION OF MEDICAID APPLICATIONS AND APPLICATION FOR PATIENT FINANCIAL ASSISTANCE.-GRANT FINANCIAL ASSISTANCE TO CERTAIN NON-EMERGENT, UNINSURED PATIENTS IDENTIFIED BY THE CRISIS WORKERS. EVIDENCED BY NON-INSURED REGISTRATIONS INTO OUR ACUTE PARTIAL HOSPITALIZATION PROGRAM.DENTAL HEALTHGOAL: CONTINUE TO PROVIDE DENTAL HEALTH SERVICES FOR UNINSURED AND UNDERINSURED CHILDREN IN CARBON COUNTY AND ITS SURROUNDING COMMUNITIES.OBJECTIVE 1: IMPROVE THE DENTAL HEALTH FOR LOW INCOME CHILDREN BY PROVIDING THEM WITH A MOBILE DENTAL HOME.STRATEGY: DEPLOY THE BMHS HEALTHY SMILES HAPPY KIDS MOBILE DENTAL VAN TO THE FIVE CARBON COUNTY SCHOOL DISTRICTS, THE TAMAQUA AREA SCHOOL DISTRICT AND THE CARBON & SCHUYLKILL COUNTY HEAD START PROGRAMS.ACTION STEPS AND METRICS:-PROVIDE ANNUAL DEPT. OF HEALTH (DOH) MANDATED DENTAL EXAMS TO ALL GRADE LEVEL APPROPRIATE STUDENTS AS REQUESTED BY THE SCHOOL DISTRICT. TRACK AND REPORT THE TOTAL # OF CHILDREN ACCESSING A DOH MANDATED EXAM ON THE HSHK DENTAL VAN.-PROVIDE BI-ANNUAL CHECK-UPS, CLEANINGS, AND WHEN NECESSARY RESTORATION SERVICES. TRACK AND REPORT THE TOTAL NUMBER OF CHILDREN BY SERVICE PROVIDED. -PROVIDE REFERRAL SERVICES TO PEDIATRIC SPECIALIST OR HIGHER LEVEL OF CARE WHEN CLEANING OR RESTORATION CAN NOT BE ACCOMPLISHED ON THE VAN. TRACK AND REPORT THE TOTAL NUMBER OF CHILDREN WHO WERE REFERRED TO A OTHER LEVELS OF CARE. OBJECTIVE 2: ENSURE THE FUTURE SUSTAINABILITY OF THE HSHK DENTAL VAN. STRATEGY: HOLD MEETINGS AND ENGAGE THE CARBON COUNTY CORPORATE COMMUNITY, COMMUNITY GROUPS AND OTHER INDIVIDUALS WITH WEALTH IN ANNUALLY FUNDRAISING EFFORTS.ACTION STEPS AND METRICS: -IDENTIFY KEY PARTNERS TO BE INVITED TO THE TABLE AND HOLD MEETINGS. EVIDENCED BY THE MINUTES OF THESE SPECIAL MEETINGS.-DEVELOP A COMMUNITY DRIVEN FUNDRAISING PLAN TO NET THE VAN AN ADDITIONAL OPERATING REVENUES. EVIDENCED BY THE PRESENCE OF A PLAN AND ADDITIONAL FUNDS RAISED.CHRONIC ILLNESSGOAL 1: TO IMPROVE THE HEALTH OF CARBON COUNTY AND ITS SURROUNDING COMMUNITIES BY CREATING A COMPREHENSIVE MENU OF SERVICES DESIGNED TO PRECLUDE OR REDUCE THE INCIDENCE OF CHRONIC DISEASE OR ILLNESSES.OBJECTIVE 1: PROVIDE EDUCATION, SCREENING AND COMMUNITY SUPPORT SERVICES THAT ADDRESS VARIOUS CHRONIC DISEASES AND ILLNESSES THAT AFFECT THE BMHS SERVICE AREA. STRATEGY 1: EDUCATE THE COMMUNITY BY PROVIDING ACCESS TO THE LATEST MEDICAL INFORMATION ON CHRONIC DISEASES AND ILLNESSES BY PROVIDING THEM WITH ACCESS TO LECTURES AND EDUCATIONAL MATERIALS ON THE PREVENTION, EARLY DETECTION AND TREATMENTS AVAILABLE. ACTION STEPS AND METRICS:-OBESITY-PROMOTE HEALTHY LIFESTYLE FROM CHILDHOOD THROUGH OLD AGE THROUGH EDUCATION OF ASSOCIATED RISK FACTORS, ADOPTION OF HEALTHY EATING HABITS, AND BENEFITS OF EXERCISE. -DIABETES-PROMOTE SELF MANAGEMENT OF DIABETES THROUGH EDUCATION TO PROMOTE HEALTHY EATING AND PHYSICAL ACTIVITY, UNDERSTANDING OF HYPOGLYCEMIC MEDICATIONS, AND KNOWLEDGE OF COMPLICATIONS ASSOCIATED WITH DIABETES.-HEART DISEASE-PROVIDE EDUCATION TO THE COMMUNITY ON THE PREVENTION OF HEART DISEASE, AND PROMOTION OF A HEALTHY LIFESTYLE THROUGH FREE BP AND CHOLESTEROL SCREENINGS AT HEALTH FAIRS, SENIOR CENTERS, SHOPPING MALLS.-METRIC IS TO RECORD THE TYPES OF LECTURES, THE NUMBER OF LECTURES, THE NUMBER OF PERSONS AND BASIC DEMOGRAPHICS OF THOSE WHO ATTEND EDUCATIONAL OFFERINGS.STRATEGY 2: PROVIDE ACCESS TO THE ALL TYPES OF SCREENING AND INTERVENTIONAL SUPPORT SERVICES THAT WILL ASSIST INDIVIDUALS IN DETERMINING THEIR LEVEL OF RISK AND READINESS TO CHANGE AT RISK BEHAVIORS. ACTION STEPS AND METRICS:-PARTICIPATE IN AND/OR SPONSOR EVENTS THAT PROMOTE WELLNESS: ANNUAL GREAT AMERICAN SMOKE OUT, THE BMHS 5K RUNS AND LOCAL CANCER "RELAY FOR LIFE" EVENTS. -PROVIDE BLOOD PRESSURE, GLUCOSE, CHOLESTEROL AND BODY MASS INDEX SCREENINGS AT VARIOUS COMMUNITY HEALTH FAIRS AS WELL AS PROVIDE HOSPITAL BASED DIABETIC EDUCATION AND BARIATRIC SUPPORT GROUPS SERVICES TO THOSE MOST AT RISK.-PROVIDE FREE PHENOMENA AND INFLUENZA INOCULATION CLINICS AT VARIOUS LOCATIONS ACROSS THE COUNTY FOR THE UN AND UNDER INSURED AS WELL AS OLDER ADULTS AND OTHER AT RISK GROUPS.-METRIC IS TO RECORD THE NUMBER OF SCREENING EVENTS, IMMUNIZATION CLINICS OR CHRONIC DISEASE SUPPORT GROUPS HELD, AS WELL AS THE NUMBER OF PERSONS AND BASIC DEMOGRAPHICS OF THOSE WHO PARTICIPATED.OBJECTIVE 2: IMPROVE THE HEALTH OF NON OR UNDER INSURED WOMEN RESIDENTS OF CARBON COUNTY AND ITS SURROUNDING COMMUNITIES BY PROVIDING THEM WITH A COMPREHENSIVE CANCER EDUCATION, PREVENTION, EARLY INTERVENTION, SUPPORT AND ADVOCACY PROGRAMS.STRATEGY 1: PROVIDE WOMEN FROM THE BMHS SERVICE AREA WITH UP-TO-DATE INFORMATION ABOUT WOMEN'S CANCER PREVENTION, EARLY DETECTION, ADVOCACY, AND SUPPORT SERVICES.ACTION STEPS AND METRICS:-USE THE "PINK PACK PAL" PROJECT TO PROVIDE NO WOMEN WITH CALENDAR STICKERS & OTHER EDUCATIONAL MATERIALS ON SELF BREAST EXAM. EVIDENCED BY 2500 PAL PACKS CREATED AND DISTRIBUTED THROUGHOUT THE BMHS SERVICE AREA.-PROVIDE THROUGHOUT THE YEAR UP-TO-DATE INFORMATION/EDUCATION PROGRAMS ON WOMEN'S CANCER ISSUES IN VARIOUS SM. AND LG. GROUP FORMATS. EVIDENCED BY THE NUMBER OF ED. GROUPS PROVIDED AND TRACKED BY THE BMHS COMMUNITY EDUCATION SPECIALIST.-HOLD ANNUAL LADIES NIGHT OUT CANCER INFORMATION/NETWORKING EVENT. EVIDENCED BY THE DOCUMENTATION OF WOMEN ATTENDING THE LADIES NIGHT OUT PROGRAM.STRATEGY 2: AUTHORIZE SCREENING MAMMOGRAMS AND DIAGNOSTIC ULTRASOUND STUDIES FOR NO LESS THAN 65 NON OR UNDER INSURED WOMEN THROUGH THE EXISTING "VOUCHER PROGRAM" ADMINISTERED BY THE BMHS IMAGING DEPARTMENT. ACTION STEPS AND METRICS:-SUBMIT GRANT APPLICATIONS TO HELP DEFRAY COST ABSORBED BY BMHS AND FOUNDATION RADIOLOGY. EVIDENCED BY OCTOBER 2013 GRANT SUBMISSION TO VARIOUS FUNDING SOURCES.-DETERMINE THE NUMBER OF FREE MAMMOGRAMS AND ULTRASOUND STUDIES THAT CAN BE PROVIDED ANNUALLY. EVIDENCED BY NUMBER OF WOMEN RECEIVING THE FREE MAMMOGRAM OR ULTRASOUND SERVICE ANNUALLY.GOAL 2: IMPROVE THE HEALTH OF THE NON OR UNDERINSURED RESIDENTS OF CARBON COUNTY AND ITS SURROUNDING COMMUNITIES WHO HAVE CHRONIC ILLNESSES BY INCREASING THEIR ACCESS TO PRIMARY & SPECIALTY CARE PHYSICIANS THAT ACCEPT MEDICARE AND MEDICAID.OBJECTIVE: INCREASE ACCESS TO PRIMARY & SPECIALTY CARE PHYSICIANS IN THE BMHS SERVICE AREA.STRATEGY 1: ACTIVELY RECRUIT AND PLACE PRIMARY AND SPECIALTY CARE PHYSICIANS IN BMHS SERVICE AREA.ACTION STEPS AND METRICS: -IDENTIFY SERVICE AREA LOCATIONS THAT HAVE A SHORTAGE OF PRIMARY CARE PHYSICIANS. COMPLETE MARKET ANALYSIS BASED UPON POPULATION TO IDENTIFY THE LOCATION FOR ADDITIONAL PRIMARY AND SPECIALTY CARE PHYSICIANS.-HIRE RECRUITMENT FIRMS TO ASSIST IN SOURCING CANDIDATES. BMHS WILL HIRE CONTINGENCY AND RETAINED SEARCH FIRMS TO ASSIST IN RECRUITMENT.-INTERVIEW QUALIFIED CANDIDATES AND OFFER EMPLOYMENT TO ACCEPTABLE PHYSICIANS. BMHS WILL DOCUMENT THE NUMBER OF RESUMES RECEIVED, CANDIDATES INTERVIEWED, OFFERS MADE AND NUMBER OF ACCEPTANCES.STRATEGY 2: CONTINUE TO SUPPORT THE EAST CENTRAL AREA HEALTH EDUCATION CENTER AND THEIR MISSION TO PROMOTE PRIMARY AND FAMILY MEDICINE IN RURAL COMMUNITIES AS A VIABLE CAREER CHOOSE FOR MEDICAL STUDENTS IN THEIR CHARGE.ACTION STEPS AND METRICS:-PROVIDE ECAHEC WITH ACCESS TO THE HEALTH SYSTEM'S "PALMERTON HOUSE" TO BE USE FOR MEDICAL STUDENT RENT FREE HOUSING DURING THEIR RURAL MEDICINE ROTATIONS. EVIDENCED BY THE SIGNED FACILITY USE AGREEMENT.-PROVIDE SUPPORT FOR THE ECAHEC MISSION BY ENCOURAGING HEALTH SYSTEM EMPLOYEES TO BECOME ACTIVE MEMBERS OF THEIR BOD. EVIDENCED BY SENIOR MANAGEMENT PARTICIPATION AS BOARD MEMBERS. X 1 1 X X X X 0 0 0 0 0 0 0 1 0 ANDREW E HARRIS 352017 0 122500 0 13758 0 0 0 22572 0 510847 0 0 0 ANDREA ANDRAE 0 142441 0 26201 0 0 0 0 0 21174 0 189816 0 0 DR HERBERT HOOVER 475239 0 0 0 0 0 0 0 9816 0 485055 0 0 0 DR MUHAMMAD RIFAI 329169 0 0 0 0 0 0 0 27690 0 356859 0 0 0 KATHLEEN R NOLL 343269 0 0 0 0 0 0 0 14936 0 358205 0 0 0 DAVID P RUSSO 295916 0 0 0 0 0 0 0 12898 0 308814 0 0 0 JAMES F MENAPACE 273015 0 0 0 0 0 0 0 26530 0 299545 0 0 0 WALTER J BELL 263930 0 0 0 0 0 0 0 26342 0 290272 0 0 0 FRANK R PENATER 251185 0 0 0 0 0 0 0 20489 0 271674 0 0 0 PART I, LINE 1A THE ORGANIZATION INCLUDED $1,168 OF CLUB DUES IN PRESIDENT/CEO ANDREW HARRIS' REPORTABLE INCOME IN HIS 2012 W-2. THIS AMOUNT WAS INCLUDED AS TAXABLE INCOME FOR MR. HARRIS. PART I, LINE 7 THE BONUS PROGRAM AT THE BLUE MOUNTAIN HEALTH SYSTEM IS BASED ON FIVE DEFINED PILLARS OF SUCCESS. THESE 5 PILLARS INCLUDE FINANCE, QUALITY, SERVICE, PEOPLE AND GROWTH. ALL EMPLOYEES OF THE HEALTH SYSTEM PARTICIPATE IN THE BONUS PROGRAM. THE BONUS PAYMENT IS DETERMINED BASED ON SPECIFIED CRITERIA FOR EACH OF THE 5 PILLARS INDICATED ABOVE ON A FISCAL YEAR BASIS. THE CRITERIA IS PREDETERMINED AND HAS BEEN ESTABLISHED BY SENIOR MANAGEMENT AND APPROVED BY THE BOARD OF DIRECTORS OF THE BLUE MOUNTAIN HEALTH SYSTEM. DURING THE 2013 FISCAL YEAR, ALL EMPLOYEES RECEIVED A BONUS AS THE SYSTEM SUCCESSFULLY MET CERTAIN CRITERIA OF THE 5 PILLARS OF SUCCESS. THE BONUSES ARE REPORTED ON THEIR 2012 W-2S. A CARBON COUNTY HOSPITAL AUTHORITY 232280834 140868EN6 2012-02-23 6306819 CURRENT REFUNDING OF THE 1999 REVENUE BONDS 0 0 0 A 6000000 1341565 126068 41940 6138811 2012 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 1 0 0 0 0 A 0 PART III LINE 9, PART IV LINE 7 AND PART V WHILE THE HOSPITAL DOES NOT HAVE FORMAL WRITTEN PROCEDURES, THEY WORK CONTINOUSLY WITH A BOND CONSULTANT TO ENSURE THEY ARE IN COMPLIANCE. THE HOSPITAL IS CONSIDERING WRITTEN PROCEDURES FOR A FUTURE YEAR. FORM 990, PART VI, SECTION B, LINE 11 THE BLUE MOUNTAIN HEALTH SYSTEM (BMHS) STAFF COMMUNICATED TO THE FINANCE COMMITTEE OF THE BOARD THAT THE FORMS 990 WERE PREPARED BY PARENTEBEARD LLC AS WELL AS COMMUNICATING THE GENERAL TYPES OF INFORMATION CONTAINED IN THE FILING. THE BOARD IS PROVIDED THE DETAILS TO ACCESS TEH 990 THROUGH A SECURED BOARD "PORTAL" PRIOR TO ISSUANCE. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT STATEMENT MUST BE SIGNED OFF ON AN ANNUAL BASIS BY ALL GOVERNING BODY MEMBERS, OFFICERS, AND KEY EMPLOYEES. THIS PROCESS IS MONITORED BY THE ADMINISTRATIVE ASSISTANT TO THE PRESIDENT/CEO. A CONFLICT WOULD BE ANY DIRECT OR INDIRECT FINANCIAL INTEREST. ANY CONFLICTS NOTED WOULD BE COMMUNICATED TO THE COMPLIANCE COMMITTEE. THERE WERE NO CONFLICTS DISCLOSED THIS YEAR. FORM 990, PART VI, SECTION B, LINE 15 SENIOR MANAGEMENT SALARIES ARE DETERMINED BY THE EXECUTIVE COMMITTEE USING MARKET VALUES OBTAINED. HUMAN RESOURCES PARTICIPATE IN VARIOUS SALARY SURVEYS TO DETERMINE THE CORRECT SALARY RANGE. THE APPALACHIAN HOSPITAL HUMAN RESOURCE SOCIETY CONDUCTS AN ANNUAL SALARY SURVEY FOR ALL POSITIONS. IN ADDITION, THE HOSPITAL ASSOCIATION OF PENNSYLVANIA CONDUCTS AN ANNUAL SURVEY WITH YAFFE ASSOCIATES FOR SENIOR MANAGEMENT EMPLOYEES. THE MARKET DATA IS ANALYZED BY HUMAN RESOURCES AND THE GOAL IS TO PAY AT THE 50 PERCENTILE. SALARIES OF OTHER EMPLOYEES ARE RECOMMENDED BY HUMAN RESOURCES AND APPROVED BY THE PRESIDENT AND CEO. THE EXECUTIVE COMMITTEE OF THE BOARD SERVES AS THE COMPENSATION COMMITTEE AND APPROVES RECOMMENDATIONS FOR SALARY INCREASES. THE EXECUTIVE COMMITTEE APPROVES INCREASES FOR THE CEO. REVIEW AND APPROVAL PROCESS IS DOCUMENTED. SENIOR MANAGEMENT HAS RECEIVED THE SAME GENERAL INCREASES AS THE STAFF EMPLOYEES RECEIVED. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, PART VI, SECTION C, LINE 19: UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. OTHER FEES FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,079,184. MANAGEMENT AND GENERAL EXPENSES 451,683. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,530,867. OUTSIDE PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 566,981. MANAGEMENT AND GENERAL EXPENSES 1,350,154. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,917,135. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,285,884. MANAGEMENT AND GENERAL EXPENSES 26,595. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,312,479. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT 6,563,388. VALUATION LOSS -6,693. BLUE MOUNTAIN HEALTH SYSTEM INC 211 NORTH 12TH STREET LEHIGHTON PA 182351195 201311316 MAINTAINS AN INTEGRATED HEALTH CARE SYSTEM. PA 501(C)(3) 11A N/A 0 CMS MEDICAL CARE CORPORATION 211 NORTH 12TH STREET LEHIGHTON PA 182351195 232473899 OWNS AND OPERATES AMBULATORY CARE CENTERS IN VARIOUS COMMUNITIES PA 501(C)(3) 3 GNADEN HUETTEN MEMORIAL HOSPITAL 1 THE PALMERTON HOSPITAL 135 LAFAYETTE AVENUE PALMERTON PA 18071 235562316 OPERATES AN ACUTE CARE HOSP, PROVIDNG INPATIENT, OUTPATIENT & EMERGENCY CARE PA 501(C)(3) 3 BLUE MOUNTAIN HEALTH SYSTEM INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 CMS MEDICAL CARE CORPORATION O 6478132 CASH