COMMUNITY MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY MEDICAL CENTER (EIN 24-0862246)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-10
IRS object ID: 201211319349302191
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-10T14:49:17-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PARENTEBEARD LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	46 PUBLIC SQUARE SUITE 400	AddressLine1
City	WILKESBARRE	City
State	PA	State
ZIP Code	18701	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	240862246	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl
Phone	5709698000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1822 MULBERRY STREET	AddressLine1
City	SCRANTON	City
State	PA	State
ZIP Code	18510	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ROBERT STEIGMEYER	Name
Title	PRESIDENT/CEO	Title
Phone	5709698227	Phone
Date Signed	2012-05-09	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	EDWARD A KOLLAR CPA EA	Name
Phone	5708200100	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ROBERT STEIGMEYER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1822 MULBERRY STREET	AddressLine1
City	SCRANTON	City
State	PA	State
ZIP Code	18510	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	172370968	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CMCHEALTHSYS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1962	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	TO BE THE LEADING PROVIDER OF QUALITY HEALTHCARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1657	TotalNbrEmployees
Total Nbr Volunteers	242	TotalNbrVolunteers
Total Gross UBI	24274	TotalGrossUBI
Net Unrelated Business Txbl Income	-24308	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1826001	ContributionsGrantsPriorYear
Contributions Grants Current Year	2042638	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	157699154	ProgramServiceRevenuePriorYear
Program Service Revenue CY	166373151	ProgramServiceRevenueCY
Investment Income Prior Year	1218084	InvestmentIncomePriorYear
Investment Income Current Year	862345	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3446153	OtherRevenuePriorYear
Other Revenue Current Year	2912353	OtherRevenueCurrentYear
Total Revenue Prior Year	164189392	TotalRevenuePriorYear
Total Revenue Current Year	172190487	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	83497	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	90902	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	74883553	SalariesEtcPriorYear
Salaries Etc Current Year	74864514	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	64412	TotalFundrsngExpCurrentYear
Other Expense Prior Year	91631537	OtherExpensePriorYear
Other Expenses Current Year	94385671	OtherExpensesCurrentYear
Total Expenses Prior Year	166598587	TotalExpensesPriorYear
Total Expenses Current Year	169341087	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-2409195	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2849400	RevenuesLessExpensesCY
Total Assets BOY	114257571	TotalAssetsBOY
Total Assets EOY	110672775	TotalAssetsEOY
Total Liabilities BOY	83958852	TotalLiabilitiesBOY
Total Liabilities EOY	72135151	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	30298719	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	38537624	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO BE THE LEADING PROVIDER OF QUALITY HEALTHCARE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	144404975	Expense
Grants	90902	Grants
Revenue	167922268	Revenue
Description	BACKGROUND AND HISTORY:CMC IS A TAX-EXEMPT, PENNSYLVANIA NOT-FOR-PROFIT CORPORATION, WHICH OWNS AND OPERATES A 297-LICENSED BED, ACUTE CARE HOSPITAL LOCATED IN THE CITY OF SCRANTON, COUNTY OF LACKAWANNA, PENNSYLVANIA. COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM (SYSTEM) IS THE SOLE CORPORATE MEMBER OF CMC. CMC PROVIDES A BROAD RANGE OF ACUTE CARE AND SPECIALIZED SERVICES. AS OF JUNE 30, 2011, CMC HAD SET UP 225 OF ITS 297 LICENSED BEDS. CMC PROVIDES COMPREHENSIVE HOSPITAL SERVICES FOR THE PEOPLE OF LACKAWANNA COUNTY, AND TERTIARY SPECIALTY SERVICES FOR RESIDENTS IN THE SURROUNDING SIX-COUNTY REGION. CMC, WITH ITS APPROXIMATELY 1,400 EMPLOYEES, PROVIDED CARE FOR 11,904 ADULT AND PEDIATRIC ACUTE INPATIENT DISCHARGES FOR THE FISCAL YEAR ENDED JUNE 30, 2011.OPENED IN 1897 AS THE HAHNEMANN HOSPITAL AND SCHOOL OF NURSING, THE HOSPITAL WAS SCRANTON'S FIRST HOSPITAL DEDICATED TO COMMUNITY SERVICE. CMC CONTINUES TO PROVIDE THE COMMUNITY WITH A VARIETY OF SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THIS CONTINUUM OF CARE INCLUDES PREVENTIVE, AMBULATORY, INPATIENT, AND EMERGENCY SERVICES. CMC IS A NOTED REGIONAL REFERRAL CENTER WITH COMPREHENSIVE ACUTE CARE MEDICAL SERVICES AND HAS DEVELOPED SPECIFIC AREAS OF EXPERTISE.SPECIALIZED / REGIONAL SERVICES, CENTERS OF EXCELLENCE:THE NORTHEAST PA TRAUMA CENTER, DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION IN 1988, PROVIDES 24-HOUR COMPREHENSIVE SURGICAL INTERVENTION FOR CRITICALLY INJURED PATIENTS. THE TRAUMA CENTER IS STAFFED CONTINUOUSLY BY AN EMERGENCY PHYSICIAN, TRAUMA SURGEON AND NURSES CERTIFIED IN CRITICAL CARE, TRAUMA, ORTHOPAEDICS AND THE NEUROSCIENCES.CARDIOLOGY SERVICES AT THE HOSPITAL INCLUDE THE REGION'S FIRST ELECTROPHYSIOLOGY LAB AND AN OPEN HEART SURGERY CENTER. CMC IS ALSO A CERTIFIED CAROTID STENT FACILITY.NEUROLOGICAL SCIENCES AT THE HOSPITAL SPECIALIZES IN THE CARE OF PEOPLE WITH BRAIN AND SENSE ORGAN DISORDERS.OTHER SPECIALIZED SERVICES INCLUDE: A SAME-DAY SURGERY CENTER, A 24 LICENSED BED SHORT TERM PSYCHIATRIC INPATIENT UNIT, AN ORTHOPEDIC TRAUMA CLINIC, CT SCANNER, MRI IMAGING, ONCOLOGY SERVICES, RENAL DIALYSIS, HYPERBARIC OXYGEN CHAMBER TREATMENTS, THE NEW STEPS JOINT PROGRAM, WOUND CARE, AND STEREOTACTIC SURGERY.CMC OFFERS EMERGENCY MEDICAL TECHNICIAN AND TRAUMA NURSE TRAINING PROGRAMS. IT HAS AN AFFILIATION WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION, AN ACCREDITED PROVIDER OF INTERNAL MEDICINE RESIDENCY EDUCATION, BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION, AND THE REGION'S ONLY PODIATRIC RESIDENCY PROGRAM, AND ACCREDITED PROVIDER OF PODIATRIC MEDICINE AND SURGERY EDUCATION, BY THE COUNCIL ON PODIATRIC MEDICAL EDUCATION.CMC ALSO SPONSORS THE COMMUNITY HEALTH EDUCATION PROGRAM, THE REGION'S FIRST HOSPITAL-BASED AND COMMUNITY-WIDE WELLNESS AND PREVENTION PROGRAM.IN ADDITION, CMC SPONSORS THE PRIORITY CARE PROGRAM IN WHICH OVER 20,000 SENIOR CITIZENS ARE ENROLLED IN THE REGION'S FIRST HOSPITAL-BASED FREE MEMBERSHIP PLAN FOR PERSONS 55 AND OLDER. PRIORITY CARE PROVIDES SENIOR CITIZENS WITH A WIDE VARIETY OF BENEFITS AND INFORMATION REGARDING HEALTH AND WELLNESS PROGRAMS. PRIORITY CARE OFFERS CONVENIENT ACCESS TO QUALITY SERVICES INCLUDING:FREE PARKING IN THE CMC PARKING COMPLEXCOMMUNITY DISCOUNTSDISCOUNTED MEALS IN THE HOSPITAL'S DINING ROOMDISCOUNTS IN THE CMC GIFT SHOPPHYSICIAN REFERRAL SERVICEAFFILIATIONS:CMC HAS WORKING RELATIONSHIPS WITH OTHER HEALTH CARE PROVIDERS IN VENTURES SUCH AS THE NORTHEASTERN PENNSYLVANIA IMAGING CENTER, THE CHILDREN'S ADVOCACY CENTER, MATERNAL & FAMILY HEALTH SERVICES, AND THE RONALD MCDONALD HOUSE OF SCRANTON. CMC ALSO HAS A CONNECTION WITH NUMEROUS AREA INSTITUTIONS, COLLEGES AND UNIVERSITIES FOR EDUCATIONAL AND CLINICAL PROGRAMS, INCLUDING, BUT NOT LIMITED TO, NURSING, MEDICAL TECHNOLOGY, PHYSICAL AND OCCUPATIONAL THERAPY, EMERGENCY MEDICAL TECHNICIANS, PHYSICIAN ASSISTANTS, SOCIAL WORK AND HEALTHCARE ADMINISTRATION.MEDICAL STAFF:AS OF JUNE 30, 2011, THE MEDICAL STAFF OF CMC TOTALED 379 PHYSICIANS. UNDER CMC'S MEDICAL STAFF BY-LAWS, PHYSICIANS MAY HAVE ONE OF SEVERAL TYPES OF PRIVILEGES INCLUDING ACTIVE, COURTESY, CONSULTING, EMERGENCY AND TEMPORARY. AS OF JUNE 30, 2011, OF CMC'S 245 ACTIVE MEDICAL STAFF PHYSICIANS, 80% WERE BOARD CERTIFIED.AUXILIARY:THE CMC AUXILIARY IS COMPRISED OF 65 MEMBERS. FUNCTIONING WITH THE GUIDANCE OF ITS OWN ADVISORY BOARD, THE AUXILIARY HAS COMMITTEES, EACH WITH ITS OWN RESPONSIBILITY FOR FUND-RAISING AND SERVICE. THE AUXILIARY ASSISTS IN OPERATING CMC'S GIFT SHOP SEVEN DAYS A WEEK. ALLOCATIONS OF FUNDS RAISED BY THE AUXILIARY ARE MADE TO CMC TO ENHANCE PATIENT SERVICES.VOLUNTEER SERVICES:CMC HAS 274 ACTIVE ADULT AND JUNIOR VOLUNTEERS WHO VOLUNTEER THEIR TIME TO CMC AND CAN BE FOUND ASSISTING THE STAFF IN A VARIETY OF CAPACITIES IN HOSPITAL DEPARTMENTS SUCH AS: MAIL ROOM, MEDICAL RECORDS, SURGICAL SERVICES, EMERGENCY DEPARTMENT, AND GIFT SHOP. VOLUNTEERS ALSO ASSIST AT SPECIAL HOSPITAL FUNCTIONS. IN 2011, CMC VOLUNTEERS PROVIDED OVER 14,000 HOURS OF SERVICE TO CMC.THROUGH CMC'S VOLUNTEER DEPARTMENT, HUNDREDS OF SCHOOL AND COLLEGE STUDENTS ARE PROVIDED INFORMATION ABOUT HEALTHCARE TO ASSIST IN CAREER CHOICE THROUGH TOURS AND SHADOWING OPPORTUNITIES AT THE FACILITY.PATIENT ORIGIN AND SERVICE AREA:THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF LACKAWANNA COUNTY, WHICH ACCOUNTED FOR 71.1% OF DISCHARGES FOR THE FISCAL YEAR ENDED JUNE 30, 2011. THE SECONDARY SERVICE AREA INCLUDES LUZERNE, MONROE, PIKE, SUSQUEHANNA, WAYNE AND WYOMING COUNTIES THAT ACCOUNTED FOR 25.6% OF THE HOSPITAL'S DISCHARGES FOR THE FISCAL YEAR ENDED JUNE 30, 2011.SUPPORT TO THE COMMUNITY:CMC AND THE SYSTEM PROVIDE A VARIETY OF PROGRAMS TO THE COMMUNITY INCLUDING THE EDUCATION PROGRAM WHICH PROVIDES NUMEROUS COMMUNITY SERVICES, SOME OF WHICH ARE LISTED BELOW. THE INTENT OF THESE PROGRAMS AND PARTNERSHIPS IS THE IMPROVED HEALTH OF THE COMMUNITY; I.E., ACCIDENT/ ILLNESS PREVENTION OR EARLY INTERVENTION AS A RESULT OF INCREASED EDUCATION.THE NORTHEAST PA TRAUMA CENTER PROVIDES EMERGENCY PREPAREDNESS ASSISTANCE AND MEDICAL EXPERTISE TO THE AMERICAN RED CROSS LACKAWANNA CHAPTER, LACKAWANNA COUNTY EMERGENCY MANAGEMENT AGENCY, AND THE SCRANTON/WILKES-BARRE INTERNATIONAL AIRPORT. ALSO, FALL AND INJURY PREVENTION FOR THE ELDERLY IS AVAILABLE TO AREA SENIOR CITIZENS AND SENIOR ORGANIZATIONS, AS WELL AS MANY AGE-SPECIFIC PREVENTION PROGRAMS TO VARIOUS ORGANIZATIONS AND SCHOOLS THROUGHOUT THE YEAR.EACH YEAR OVER 500 CHILDREN UNDER THE AGE OF 18 ARE INVOLVED IN EDUCATION'S EXTENSIVE PROGRAMS TARGETING THIS AGE GROUP. TRAUMA PREVENTION PROGRAMS SUCH AS TRAUMA ROOM AND THINK FIRST TEACH KIDS IMPORTANT SAFETY INFORMATION. ASTHMA SKI DAY HELD IN CONJUNCTION WITH SNO MOUNTAIN SKI AREA AND CMC'S COMMUNITY HEALTH EDUCATION PROGRAM, EMPHASIZE THAT DESPITE ILLNESS, INDIVIDUALS CAN STILL PARTICIPATE IN HEALTHY, EVEN STRENUOUS ACTIVITIES.IN ADDITION, A POISON PREVENTION PROGRAM IS AVAILABLE ALONG WITH OTHER SUCH PROGRAMS AS REQUESTED. MANY OF THESE PROGRAMS ARE THE RESULTS OF EDUCATION'S PARTNERSHIPS WITH OTHER COMMUNITY RESOURCES; E.G., THE AMERICAN LUNG ASSOCIATION, LACKAWANNA COUNTY DRUG AND ALCOHOL COMMISSION, AND ALLIED SERVICES.THE COMMUNITY HEALTH EDUCATION PROGRAM CONDUCTS A WIDE VARIETY OF HEALTH LIFESTYLE PROGRAMS, FREE OR AT MINIMAL COST, WHICH ARE DESIGNED TO 'PRACTICALLY' ASSIST AN INDIVIDUAL IN THEIR QUEST TO LEAD A HEALTHY AND PRODUCTIVE LIFE. SOME OF THE AREAS OF CONCENTRATION INCLUDE: SMOKING CESSATION, FIRST AID, CPR, AND WEIGHT WATCHERS SESSIONS THAT ARE OPEN TO THE PUBLIC AS WELL AS EMPLOYEES AND FAMILY.PUBLIC / COMMUNITY HEALTH EDUCATION LECTURES: LAST YEAR APPROXIMATELY 400 PEOPLE ATTENDED THESE SESSIONS WHICH ARE FREE TO THE PUBLIC. A SAMPLING OF THE TOPICS INCLUDED THE FOLLOWING: ALZHEIMER'S PROGRAM FOR CAREGIVERS, MENTAL HEALTH ISSUES, END OF LIFE ISSUES, BREAST CANCER AWARENESS, AND COLON CANCER AWARENESS.HEALTH FAIRS / SCREENING PROGRAMS: EDUCATION IN PARTNERSHIP WITH OTHER COMMUNITY RESOURCES, PROVIDES HEALTH FAIRS AND SCREENINGS TO THE COMMUNITY AND LOCAL BUSINESS/INDUSTRY FREE OR AT MINIMAL COST. ABOUT 8,000 INDIVIDUALS PARTICIPATED IN THESE PROGRAMS, WHICH INCLUDED: CARBON MONOXIDE SCREENINGS, CHOLESTEROL/BLOOD PRESSURE SCREENINGS, AND DIABETIC SCREENINGS.THE SYSTEM PROVIDES MONTHLY MEETING PLACES FREE OF CHARGE TO MANY COMMUNITY SELF-HELP GROUPS WHICH INCLUDE: DIABETES SUPPORT GROUP, CROHNS & COLITIS SUPPORT GROUP, BETTER BREATHER'S CLUB, AND NAMI SUPPORT GROUP MEETINGS.CMC'S FACILITIES ARE MADE AVAILABLE TO OTHER COMMUNITY GROUPS UPON REQUEST AND AVAILABILITY; E.G., THE HILL NEIGHBORHOOD ASSOCIATION, AND THE EAST SCRANTON BUSINESS ASSOCIATION.	Description
Total Program Service Expense	144404975	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	144	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1657	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	JAMES JESIKIEWICZ	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5709698227	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1822 MULBERRY STREET	AddressLine1
City	SCRANTON	City
State	PA	State
ZIP Code	18510	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
WILLIAM AUBREY
DIRECTOR	10.00	X	0	0	0
LOUIS DENAPLES MD
DIRECTOR	10.00	X	0	0	0
FRANK EPIFANO
DIRECTOR	10.00	X	0	0	0
TIMOTHY FARRELL MD
DIRECTOR	10.00	X	0	0	0
RICHARD G FINE ESQ
DIRECTOR	10.00	X	0	0	0
ROLAND GRECO
DIRECTOR	10.00	X	0	0	0
MICHAEL KONDASH DO
DIRECTOR	10.00	X	0	0	0
DAVID LOHIN DO FACC
DIRECTOR	10.00	X	0	0	0
BRIAN MOTT MD
PRESIDENT OF MEDICAL STAFF	10.00	X	0	0	0
DEBRA PELLEGRINO
DIRECTOR	10.00	X	0	0	0
TOM TULANEY
DIRECTOR	10.00	X	0	0	0
JEFF JACOBSON
CHAIRMAN	10.00	X	0	0	0	X
VIRGINIA MCGREGOR
VICE CHAIRMAN	10.00	X	0	0	0	X
MELINDA C GHILARDI ESQ
SECRETARY	10.00	X	0	0	0	X
GEORGE GINADER
TREASURER	10.00	X	0	0	0	X
ROBERT STEIGMEYER
PRESIDENT & CEO	40.00	X	582555	0	17348	X
JOHN SKURKA
INTERIM CFO	40.00		436224	0	0	X
BARBARA BOSSI
VP NURSING SERVICES	40.00		268589	0	18146	X
SEAN MCANDREW
VP INFORMATION SERVICES	40.00		150357	0	6412	X
WENDY WILSON
VP PUBLIC RELATIONS	40.00		96769	0	8081	X
DR KAHILEEL SHAIKH
TRAUMA MD	40.00		236705	0	15871		X
MICHELLE BOYLE
CRN	40.00		296800	0	21002		X
JOHN DITCHKUS
CRN	40.00		244967	0	22501		X
ROSE SADOWSKI
CRN	40.00		242944	0	16947		X
MARK TRENTLY
CRN	40.00		241665	0	15279		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2797575	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	141587	TotalOtherCompensation
Number Individuals GT100 K	9	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CARDINAL HEALTH
6012 MOLLOY ROAD	SYRACUSE	NY	13211	PHARMACEUTICALS	6753174
OWENS AND MINOR
7437 INDUSTRIAL BLVD	ALLENTOWN	PA	18106	MEDICAL SURGICAL SUPPLIES	5990805
BIOMET INC
PO BOX 587	WARSAW	IN	46581	ORTHOPEDIC SURGICAL IMPLANT SUPPLIES	3316601
BOSTON SCIENTIFIC CORP
ONE SCIMED PLACE	MAPLE GROVE	MN	55311	MEDICAL SURGICAL SUPPLIES	2904443
SYNTHES
PO BOX 8538662	PHILADELPHIA	PA	19171	MEDICAL SURGICAL SUPPLIES	1434757

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	134	NumberOfContractorsGT100K
Fundraising Events	39519	FundraisingEvents
Related Organizations	578205	RelatedOrganizations
Government Grants	996375	GovernmentGrants
All Other Contributions	428539	AllOtherContributions
Total Contributions	2042638	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE RE	Description
Business Code	621400	BusinessCode
Total Revenue Column	166373151	TotalRevenueColumn
Related Or Exempt Function Income	166373151	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	166373151	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	888985	TotalRevenueColumn
Exclusion	$888,985	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	19341	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	65489	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-46148	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-46148	TotalRevenueColumn
Exclusion	-$46,148	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	40750	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	67390	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-26640	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-26640	TotalRevenueColumn
Exclusion	-$26,640	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	49421	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	39519	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	47602	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	1819	TotalRevenueColumn
Exclusion	$1,819	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
MANAGEMENT FEES	561000	1572116	1548679	23437
DIETARY INCOME	722210	761754			$761,754
PURCHASE/VHA REBATES	900099	211727			$211,727

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	411085	TotalRevenueColumn
Related Or Exempt Function Income	438	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	837	UnrelatedBusinessRevenue
Exclusion	$409,810	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2956682	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	172190487	TotalRevenueColumn
Related Or Exempt Function Income	167922268	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	24274	UnrelatedBusinessRevenue
Exclusion	$2,201,307	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	90902	Total
Program Services	90902	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1584481	Total
Program Services	286735	ProgramServices
Management And General	1297746	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	58828342	Total
Program Services	52411593	ProgramServices
Management And General	6369814	ManagementAndGeneral
Fundraising	46935	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3361251	Total
Program Services	2962183	ProgramServices
Management And General	399068	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6779779	Total
Program Services	5978372	ProgramServices
Management And General	801407	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4310661	Total
Program Services	3789408	ProgramServices
Management And General	517715	ManagementAndGeneral
Fundraising	3538	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	820243	Total
Management And General	820243	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	129400	Total
Management And General	129400	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	1554	Total
Program Services	1554	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	175498	Total
Management And General	175498	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	20068588	Total
Program Services	14000885	ProgramServices
Management And General	6067703	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	455537	Total
Management And General	446218	ManagementAndGeneral
Fundraising	9319	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	41858642	Total
Program Services	39250081	ProgramServices
Management And General	2603941	ManagementAndGeneral
Fundraising	4620	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3434119	Total
Program Services	2727968	ProgramServices
Management And General	706151	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	215348	Total
Program Services	59254	ProgramServices
Management And General	156094	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1459261	Total
Program Services	1459261	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6689651	Total
Program Services	5928685	ProgramServices
Management And General	760966	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3115641	Total
Program Services	2821089	ProgramServices
Management And General	294552	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT EXPENSE	12637005	12637005
MEDICAID MODERNIZATION	3093000		3093000
OTHER EXPENSES	232184		232184

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	169341087	Total
Program Services	144404975	ProgramServices
Management And General	24871700	ManagementAndGeneral
Fundraising	64412	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	124350	BOY
EOY	144639	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1664271	BOY
EOY	1198524	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	18108141	BOY
EOY	16704295	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2113184	BOY
EOY	2209505	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3216977	BOY
EOY	3326607	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1538824	BOY
EOY	1546721	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	180823905	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	142484424	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	40405426	BOY
EOY	38339481	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	6319563	BOY
EOY	6821559	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	29484175	BOY
EOY	29057839	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	11282660	BOY
EOY	11323605	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	114257571	BOY
EOY	110672775	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	18252703	BOY
EOY	16859367	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	42448911	BOY
EOY	38278090	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	23257238	BOY
EOY	16997694	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	83958852	BOY
EOY	72135151	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	26040578	BOY
EOY	33943615	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2540893	BOY
EOY	2557573	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1717248	BOY
EOY	2036436	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	30298719	BOY
EOY	38537624	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	114257571	BOY
EOY	110672775	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	2849400	ReconcilationRevenueExpenses
Reconcilation Other Changes	5389505	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	1554	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	1554	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	169339533	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	169341087	FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	2000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$3,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus1	11426	CurrentYearMinus1
Current Year	1554	CurrentYear
Total	12980	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	500000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$750,000	GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1717248	BeginningOfYearBalance
Investment Earnings Or Losses	402937	InvestmentEarningsOrLosses
Grants Or Scholarships	29451	GrantsOrScholarships
Other Expenditures	40761	OtherExpenditures
Administrative Expenses	13537	AdministrativeExpenses
End Of Year Balance	2036436	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1700302	BeginningOfYearBalance
Investment Earnings Or Losses	16946	InvestmentEarningsOrLosses
End Of Year Balance	1717248	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2108817	BeginningOfYearBalance
Investment Earnings Or Losses	-408515	InvestmentEarningsOrLosses
End Of Year Balance	1700302	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1034837	OtherCostOrOtherBasis
Book Value	1034837	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	55600989	OtherCostOrOtherBasis
Depreciation	38819388	Depreciation
Book Value	16781601	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	981867	OtherCostOrOtherBasis
Depreciation	665553	Depreciation
Book Value	316314	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	123052692	OtherCostOrOtherBasis
Depreciation	102999483	Depreciation
Book Value	20053209	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	153520	OtherCostOrOtherBasis
Book Value	153520	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	38339481	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (6 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
BOARD DESIGNATED FOR DEBT SERVICE	15952096	F
BOARD DESIGNATED FOR CAPITAL REPLACEMENT	1953509	F
SELF-INSURANCE WORKERS' COMPENSATION	3426174	F
OTHER INVESTMENTS	87798	F
BOND INDENTURES	5488147	F
ENDOWMENT FUNDS	2150115	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	29057839	TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
BENEFICIAL INTEREST IN PERPETUAL TRUST	1900000
PREMIUMS/DISCOUNTS	160199
DEFERRED BOND FINANCING FEES	805459
DUE FROM SCRANTON COUNSELING CENTER	757547
DUE FROM COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM	2508854
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	5191546

Field	Value	IRS element (for citing)
Total Book Value Other Assets	11323605	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$1,749,598
INTERCOMPANY PAYABLES	$1,314,129
ADVANCES FROM THIRD PARTIES	$910,611
ACCRUED LIABILITIES	$13,023,356

Field	Value	IRS element (for citing)
Total Of Amounts	16997694	TotalOfAmounts
Total Revenue	172190487	TotalRevenue
Total Expenses	169341087	TotalExpenses
Excess Or Deficit For Year	2849400	ExcessOrDeficitForYear
Net Unrealized GL On Investments	3850817	NetUnrealizedGLOnInvestments
Other	$1,538,688	OtherAmount
Total Adjustments	5389505	TotalAdjustments
Excess Or Deficit Per FS	8238905	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	181219983	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	3850817	NetUnrealizedGainsInvestments
Other Revenues	5288688	OtherRevenues
Revenue Not Rptd F990	9139505	RevenueNotRptdF990
Revenue Subtotal	172080478	RevenueSubtotal
Investment Expenses Not Included	175498	InvestmentExpensesNotIncluded
Other Revenues Not Included	-65489	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	110009	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	172190487	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	172981078	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	3815489	OtherExpensesIncluded
Expenses Not Rptd F990	3815489	ExpensesNotRptdF990
Expenses Subtotal	169165589	ExpensesSubtotal
Investment Expenses Not Included2	175498	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	175498	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	169341087	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	INTEREST AND DIVIDENDS ARE EITHER UNRESTRICTED OR RESTRICTED TO PROVIDE SCHOLARSHIPS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2011 AND 2010. THE SYSTEM'S FEDERAL RETURNS OF ORGANIZATIONS EXEMPT FROM INCOME TAXES FOR THE YEARS ENDED JUNE 30, 2009, 2010, AND 2011 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		PENSION ADJUSTMENT 5,276,389. VALUATION GAIN 12,299. SELF-INSURANCE ADJUSTMENT -3,750,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		PENSION LIABILITY ADJUSTMENT 5,276,389. VALUATION GAIN 12,299.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -65,489.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 65,489. SELF-INSURANCE ADJUSTMENT 3,750,000.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	85100	GrossReceiptsEvent1
Charitable Contributions Event1	35679	CharitableContributionsEvent1
Gross Revenue Event1	49421	GrossRevenueEvent1
Non Cash Prizes Event1	29991	NonCashPrizesEvent1
Rent Facility Costs Event1	7137	RentFacilityCostsEvent1
Food And Beverage Event1	8603	FoodAndBeverageEvent1
Other Direct Expenses Event1	1871	OtherDirectExpensesEvent1
Name Of Event2	HOLIDAY LIGHTS	NameOfEvent2
Gross Receipts Event2	3840	GrossReceiptsEvent2
Charitable Contributions Event2	3840	CharitableContributionsEvent2
Gross Receipts Total	88940	GrossReceiptsTotal
Charitable Contributions Total	39519	CharitableContributionsTotal
Gross Revenue Total Events	49421	GrossRevenueTotalEvents
Non Cash Prizes Total Events	29991	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	7137	RentFacilityCostsTotalEvents
Food And Beverage Total Events	8603	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	1871	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	47602	DirectExpenseSummaryEvents
Net Income Summary	1819	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	2828	PersonsServed
Total Community Benefit Expense	1695473	TotalCommunityBenefitExpense
Net Community Benefit Expense	1695473	NetCommunityBenefitExpense
Percent Of Total Expense	0.01080	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	17917	PersonsServed
Total Community Benefit Expense	19427961	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17037446	DirectOffsettingRevenue
Net Community Benefit Expense	2390515	NetCommunityBenefitExpense
Percent Of Total Expense	0.01530	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	20745	PersonsServed
Total Community Benefit Expense	21123434	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17037446	DirectOffsettingRevenue
Net Community Benefit Expense	4085988	NetCommunityBenefitExpense
Percent Of Total Expense	0.02610	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	8632	PersonsServed
Total Community Benefit Expense	73075	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17268	DirectOffsettingRevenue
Net Community Benefit Expense	55807	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	3036	PersonsServed
Total Community Benefit Expense	3232179	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1022916	DirectOffsettingRevenue
Net Community Benefit Expense	2209263	NetCommunityBenefitExpense
Percent Of Total Expense	0.01410	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	1384	PersonsServed
Total Community Benefit Expense	2538534	TotalCommunityBenefitExpense
Direct Offsetting Revenue	771461	DirectOffsettingRevenue
Net Community Benefit Expense	1767073	NetCommunityBenefitExpense
Percent Of Total Expense	0.01130	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	350	PersonsServed
Total Community Benefit Expense	29637	TotalCommunityBenefitExpense
Net Community Benefit Expense	29637	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Persons Served	13402	PersonsServed
Total Community Benefit Expense	5873425	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1811645	DirectOffsettingRevenue
Net Community Benefit Expense	4061780	NetCommunityBenefitExpense
Percent Of Total Expense	0.02600	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Persons Served	34147	PersonsServed
Total Community Benefit Expense	26996859	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18849091	DirectOffsettingRevenue
Net Community Benefit Expense	8147768	NetCommunityBenefitExpense
Percent Of Total Expense	0.05210	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	2500	PersonsServed
Total Community Building Expense	101470	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	101470	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	275	PersonsServed
Total Community Building Expense	4119	TotalCommunityBuildingExpense
Net Community Building Expense	4119	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	669	TotalCommunityBuildingExpense
Net Community Building Expense	669	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	2775	PersonsServed
Total Community Building Expense	106258	TotalCommunityBuildingExpense
Net Community Building Expense	106258	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$2,658,258	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	52337801	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	54846666	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2508865	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1822 MULBERRY STREET	AddressLine1
City	SCRANTON	City
State	PA	State
ZIP Code	18510	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	TRAUMA SERVICES	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: CHARITABLE FREE CARE OR DISCOUNTS AT COMMUNITY MEDICAL CENTER WILL BE BASED SOLELY ON ABILITY TO PAY AND WILL NOT BE ABRIDGED ON THE BASIS OF AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN. ALL SERVICES, INPATIENT AND OUTPATIENT, PROVIDED BY THE HOSPITAL SHALL BE AVAILABLE TO ALL INDIVIDUALS. ELIGIBILITY FOR FREE CARE IS BASED ON FEDERAL POVERTY GUIDELINES AS ESTABLISHED & UPDATED ANNUALLY BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES.ELIGIBILITY FOR 100% FREE CARE WILL BE LIMITED TO PEOPLE WHOSE FAMILY INCOME IS NOT MORE THAN 200% OF THE CURRENT POVERTY INCOME GUIDELINES AS PUBLISHED ANNUALLY BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. ELIGIBILITY FOR 60% DISCOUNTED CARE WILL BE LIMITED TO PEOPLE WHOSE FAMILY INCOME IS BETWEEN 200-400% OF THE POVERTY INCOME GUIDELINES.INCOME TEST: THE PERSON'S GROSS INCOME FOR ELIGIBILITY DETERMINATIONS WILL BE THE LESSER OF THE ACTUAL GROSS INCOME OF THE APPLICANT OR FAMILY FOR THE TWELVE (12) MONTHS PRECEDING THE SERVICES OR FOUR TIMES THE ACTUAL GROSS INCOME OF THE APPLICANT OR FAMILY OF THE THREE (3) MONTHS PRECEDING THE SERVICES. APPLICANTS ARE REQUIRED TO PRODUCE VERIFICATION OF INCOME AS A CONDITION OF ELIGIBILITY, E.G., TAX RETURNS, PAY STUBS, BANK STATEMENTS, ETC. ASSET TEST: THE APPLICANT CAN BE DEEMED INELIGIBLE IF HE/SHE POSSESSES EITHER REAL OR PERSONAL PROPERTY WHICH WOULD ENABLE HIM/HER TO MEET HIS/HER MEDICAL FINANCIAL REQUIREMENTS. ASSETS WILL BE CONSIDERED IN THE ELIGIBILITY REQUIREMENTS FOR ALL CASES. ASSETS INCLUDE, BUT ARE NOT LIMITED TO, CASH, SAVINGS AND CHECKING ACCOUNTS, CERTIFICATES OF DEPOSIT, TREASURY NOTES, STOCKS AND BONDS, VACATION, XMAS CLUBS, TRUST FUNDS, HSA'S AND OTHER NEGOTIABLE PAPER. INDIVIDUAL ASSETS MAY NOT EXCEED $10,000.
PART I, LINE 7: THE COSTING METHODOLOGY USED IS A RATIO OF PATIENT CARE COST TO CHARGES FROM FORM 990, WORKSHEET 2.
PART I, L7 COL(F): FOR THE PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 1, COLUMN (F), $12,637,005 WAS REMOVED FROM THE AMOUNT ON FORM 990, PART IX, LINE 25, COLUMN (A).
PART II: AS PART OF CMC'S EFFORTS TO BETTER THE HEALTH OF THE REGIONS WE SERVE, THE HOSPITAL IS ENGAGED IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES THAT INCLUDE ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, COALITION BUILDING AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. THESE INITIATIVES -- WHILE NOT DIRECTLY RELATED TO COMMUNITY HEALTH IMPROVEMENT -- HAVE A SIGNIFICANT (ALBEIT INDIRECT) EFFECT ON THE POPULATION CMC SERVES AND BROADLY AFFECT THE HEALTH AND WELL-BEING OF THE COMMUNITY. ALL OF THE FOLLOWING ENDEAVORS BENEFIT THE COMMUNITY MORE THAN THEY BENEFIT THE HOSPITAL. THE ACTIVITIES ARE NOT PROVIDED FOR MARKETING, TO INCREASE REFERRALS OF PATIENTS WITH THIRD PARTY INSURANCE COVERAGE, IN FULFILLMENT OF REGULATORY REQUIREMENTS OR CURRENT STANDARD OF CARE, OR TO BENEFIT PERSONS AFFILIATED WITH THE ORGANIZATION. MOST PROGRAMS MEET COMMUNITY BENEFIT OBJECTIVES AS NOTED BELOW.ACCORDING TO THE HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE (HNPI) -- AN ALLIANCE AMONG MEMBER REGIONAL HEALTHCARE ORGANIZATIONS (INCLUDING CMC) AND THE PENNSYLVANIA DEPARTMENT OF HEALTH - FOUR OF THE REGION'S TOP FIVE CRITICAL HEALTH NEEDS ARE EMPLOYMENT; ACCESS TO CARE; MENTAL HEALTH; AND CHRONIC DISEASE/OBESITY.CMC'S COMMUNITY BUILDING ACTIVITIES ADDRESS ALL FOUR OF THOSE NEEDS. CMC'S ECONOMIC DEVELOPMENT ENDEAVORS INCLUDE MEMBERSHIP TO THE GREATER SCRANTON CHAMBER OF COMMERCE, WHOSE MISSION IS TO CREATE AND RETAIN JOBS FOR LACKAWANNA COUNTY, A REGION WHOSE INHABITANTS LIVE BELOW FEDERAL POVERTY GUIDELINES, ACCORDING TO THE U.S. CENSUS. COMPOUNDING THE ECONOMIC CHALLENGES OF LOWER SALARIES AND JOBLESSNESS, LACKAWANNA COUNTY RESIDENTS ARE TWICE AS LIKELY TO NOT HAVE HEALTH INSURANCE AS LUZERNE COUNTY RESIDENTS, WHICH INHIBITS THEIR ABILITY TO PROCURE MUCH-NEEDED, QUALITY HEALTHCARE. MORE JOBS MEAN BETTER MEDICAL INSURANCE OPTIONS FOR RESIDENTS. ACCESS TO HEALTHCARE IS IMPROVED AS FINANCIAL BARRIERS TO ACCESS ARE REDUCED OR ELIMINATED.CMC ALSO ENGAGES IN COMMUNITY SUPPORT PROGRAMS, WHICH INCLUDES CMC STAFFERS SERVING ON REGIONAL BOARDS SUCH AS THE AMERICAN RED CROSS AS WELL AS THE SCRANTON CHAPTER OF THE RED CROSS BLOOD COMMITTEE, WHICH MEET TO DISCUSS AND PLANS FOR THE EMERGENCY BLOOD NEEDS OF THE ENTIRE COMMUNITY, INCLUDING OTHER REGIONAL HOSPITALS AND EMERGENCY HEALTHCARE PROVIDERS. IN ADDITION, CMC'S COALITION BUILDING PROGRAMS ENHANCE COLLABORATIVE PARTNERSHIPS IN ORDER TO IMPROVE THE HEALTH AND SAFETY OF THE COMMUNITIES WE SERVE. ALL OF THESE PROGRAMS IMPROVE ACCESS TO HEALTH CARE FOR VULNERABLE AND UNDERSERVED PERSONS.INSTANCES INCLUDE CMC STAFF SERVING AS A MEMBER OF THE LACKAWANNA COUNTY CRIMINAL JUSTICE ADVISORY BOARD, WHICH PROVIDES INPUT ON MENTAL/BEHAVIORAL HEALTH SERVICES TO THOSE IN THE CRIMINAL JUSTICE SYSTEM AS WELL AS THE SUICIDE PREVENTION TASK FORCE, WHICH DEVELOPS EDUCATIONAL STRATEGIES FOR THE PREVENTION AND TREATMENT OF SUICIDAL INDIVIDUALS. ADDITIONAL COALITION BUILDING ACTIVITIES -- INCLUDING BOARD MEMBERSHIPS AND JOINT VENTURES -- INVOLVE THE MATURE DRIVERS TASK FORCE, WHICH IS COMMITTED TO MAKING SENIOR CITIZENS MORE RESPONSIBLE DRIVERS IN ORDER TO PREVENT TRAUMATIC INJURIES TO THEMSELVES AND OTHERS; THE ALLIED SERVICES HOME HEALTH COMMUNITY ADVISORY COMMITTEE, WHICH FOCUSES ON PATIENT SAFETY, CORE MEASURES AND QUALITY OF CARE FOR HOME-BOUND PATIENTS OF REGIONAL HEALTHCARE FACILITY ALLIED SERVICES; AND THE MENTAL HEALTH AND CRISIS PREVENTION TASK FORCES WHICH ASSIST IN THE TRAINING OF LOCAL AND STATE POLICE FORCES ON MENTAL HEALTH-RELATED TOPICS, PRIMARILY HOW TO POSITIVELY RESPOND TO A MENTAL HEALTH CALL IN ORDER TO INSURE PATIENT SAFETY FOR THOSE VULNERABLE TO MENTAL HEALTH DISTRESS. THE CRISIS PREVENTION TASK FORCE WAS FORMED AS A RESULT OF A MENTALLY DISTRESSED COMMUNITY INDIVIDUAL WHO WAS SHOT AND KILLED IN 2008 BY LOCAL POLICE RESPONDING TO A CRISIS CALL. IT WAS LATER DETERMINED THE VICTIM HAD STOPPED TAKING HER ANTI-PSYCHOTIC MEDICATION AND THAT EMERGENCY RESPONDENTS WERE UNPREPARED IN DEALING WITH MENTALLY VULNERABLE INDIVIDUALS IN HER SITUATION. BECAUSE OF THAT TRAGEDY, A NUMBER OF MENTAL HEALTH ORGANIZATIONS - INCLUDING CMC - CAME TOGETHER IN ORDER TO EDUCATE AND INFORM POLICE AND EMERGENCY RESPONDENTS IN HOW TO DEAL WITH THOSE SITUATIONS TO AVERT FURTHER TRAGEDY. IN REGARDS TO COMMUNITY HEALTH IMPROVEMENT ADVOCACY, A CMC EMPLOYEE SERVES AS COMMUNITY HEALTH EDUCATION COORDINATOR AND FIELD REPRESENTATIVE FOR THE AMERICAN HEART ASSOCIATION. IN THIS POSITION, SHE SERVES IN AN EXECUTIVE FUNCTION AND IS A CRUCIAL PART OF THE GRASSROOTS EFFORTS OF THE AMERICAN HEART ASSOCIATION WHOSE MISSION IS THE PREVENTION OF HEART DISEASE, STROKE, OBESITY, AND THE IMPORTANCE OF NUTRITION AND EXERCISE IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THE WORK OF THE AMERICAN HEART ASSOCIATION HAS YIELDED IMPROVEMENTS IN THE REDUCTION OF DEATH CAUSED BY CARDIOVASCULAR DISEASE.
PART III, LINE 4: CMC ACCOUNTS FOR DISCOUNTS AS A REDUCTION OF NET PATIENT REVENUE AND THEREFORE DISCOUNTS ARE NOT REFLECTED IN BAD DEBT EXPENSE. PAYMENTS ON PATIENT ACCOUNTS ARE TREATED AS BAD DEBT RECOVERIES WHICH ALSO REDUCE BAD DEBT EXPENSE. CMC DOES NOT ATTEMPT TO DETERMINE AN AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER ITS CHARITY CARE POLICY IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY. CMC'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT EXPENSE. BAD DEBT EXPENSE IS SHOWN AS A SEPARATE LINE ITEM OF EXPENSES ON THE STATEMENT OF OPERATIONS, AND THE PROVISION FOR UNCOLLECTABLE ACCOUNTS IS DISCLOSED IN THE NET PATIENT ACCOUNTS RECEIVABLE LINE ON THE STATEMENT OF FINANCIAL POSITION. BAD DEBT EXPENSE IS DETERMINED USING A RATIO OF COSTS TO CHARGES.
PART III, LINE 8: MEDICARE COSTS WERE TAKEN DIRECTLY FROM THE MEDICARE COST REPORT. CMC USES THE ACCRUAL METHOD OF ACCOUNTING. THE UNPAID COST OF TREATING MEDICARE PATIENTS THAT THE HOSPITAL ABSORBS ALLEVIATES THE GOVERNMENT'S BURDEN AND HELPS THE COMMUNITY AT LARGE BY OFFERING MEDICAL TREATMENT FOR THOSE IN NEED WHO CANNOT PAY FOR IT OTHERWISE.
PART III, LINE 9B: ALL PATIENTS ARE PROVIDED WITH FREE AND BELOW COST CARE GUIDELINES VIA NOTICES AND SIGNS AT TIME OF SERVICE. UNINSURED INPATIENTS ARE QUALIFIED FOR CHARITY OR MEDICAID WHERE APPLICABLE. OUTPATIENTS ARE SCREENED FOR ELECTIVE SERVICES. HOSPITAL PRE-COLLECTION AND COLLECTION AGENCIES ALSO PROVIDE INFORMATION TO PATIENTS ABOUT QUALIFICATION FOR UNCOMPENSATED CARE. IF PATIENTS APPLY FOR CHARITY CARE AND ARE APPROVED, THE EXPENSES RELATED TO THE COST OF PATIENT CARE ARE RECOGNIZED AS CHARITY CARE. IF PATIENTS DO NOT APPLY FOR CHARITY OR IF PATIENTS APPLY FOR CHARITY CARE AND ARE NOT APPROVED, THE EXPENSES RELATED TO THE COST OF PATIENT CARE ARE RECOGNIZED AS BAD DEBT. CMC DOES NOT COLLECTION PRACTICES RELATED TO PATIENTS WHO WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE BUT DID NOT QUALIFY.
PART VI, LINE 2: COMMUNITY MEDICAL CENTER REGULARLY PARTICIPATES IN COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS TO IDENTIFY FAR-REACHING HEALTH NEEDS FACED BY THE POPULATION SERVED BY THE HOSPITAL FOR COMMUNITY BENEFIT PURPOSES.ASSESSMENT RESULTS ARE EVALUATED OVER TIME AND SERVE AS THE BASIS TO DEVELOP NEW OR EXPANDED PLANS TO ADDRESS SERVICES IN RESPONSE TO NEED. ADDITIONALLY, CMC DEVELOPS PROGRAMS AND SERVICES TO ADDRESS COMMUNITY HEALTH NEEDS AND MAKES INVESTMENTS IN INITIATIVES THAT ALIGN WITH THE HOSPITAL'S CORE MISSION.BEYOND THAT FOCUS ARE PROGRAMS AND SERVICES THAT BENEFIT EVERY RESIDENT AND SUPPORT THE FAR REACHING GOAL OF A HEALTHIER COMMUNITY.THOSE HEALTHY COMMUNITY GOALS HAVE SERVED AS A CATALYST FOR A COLLABORATIVE COMMUNITY APPROACH CMC HAS BEEN INSTRUMENTAL IN ESTABLISHING IN ORDER TO ACCESS THE HEALTHCARE NEEDS, HEALTH STATUS, AND QUALITY OF LIFE INDICATORS OF RESIDENTS LIVING IN THE LACKAWANNA COUNTY AND LUZERNE COUNTY COMMUNITIES. THE HOSPITAL IS A CHARTER MEMBER OF HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE (HNPI), AN ALLIANCE AMONG MEMBER REGIONAL HEALTHCARE ORGANIZATIONS AND THE PENNSYLVANIA DEPARTMENT OF HEALTH. THE GOAL OF THE ORGANIZATION IS TO ASSESS AND ADDRESS THE COMMUNITY HEALTH NEEDS, INCREASE REGIONAL HEALTHCARE PROGRAMS AND SERVICES, AND FACILITATE AWARENESS, EDUCATION AND WELLNESS FOR RESIDENTS OF NORTHEAST PENNSYLVANIA. A CMC EMPLOYEE CURRENTLY SERVES ON ITS STEERING COMMITTEE. IN ADDITION TO CMC, OTHER REGIONAL HEALTHCARE PROVIDERS IN THE CONSORTIUM INCLUDE ALLIED SERVICES, BLUE CROSS OF NEPA, GEISINGER HEALTH SYSTEM, MERCY HEALTH PARTNERS, MOSES TAYLOR HOSPITAL AND WYOMING VALLEY HEALTHCARE SYSTEM. ASSESSMENT SURVEYS WERE DONE IN 1997 AND 2003, WITH THE MOST RECENT SURVEY COMPLETED IN 2009 IN COORDINATION WITH TRIPP UMBACH, A NATIONAL MARKETING RESEARCH AND CONSULTING FIRM.THE STUDY'S MAIN OBJECTIVE WAS TO COMPLETE A COMPREHENSIVE ASSESSMENT OF THE HEALTHCARE ACCESS NEEDS, HEALTH STATUS, AND QUALITY OF LIFE INDICATORS OF RESIDENTS LIVING IN THE LACKAWANNA COUNTY AND LUZERNE COUNTY COMMUNITIES. MORE SPECIFICALLY, THE PROJECT GOALS WERE: - TO OBTAIN STATISTICALLY VALID INFORMATION ON THE HEALTH STATUS AND SOCIOECONOMIC/ENVIRONMENTAL FACTORS RELATED TO HEALTH OF RESIDENTS OF THE COUNTIES HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE (HNPI) SERVES. - TO SUPPLEMENT THE GENERAL POPULATION SURVEY DATA THAT IS CURRENTLY AVAILABLE TO HNPI AS AN ORGANIZATION. - TO ASSURE THAT COMMUNITY MEMBERS, INCLUDING THOSE OF BROAD RACIAL, ETHNIC, CULTURAL AND LINGUISTIC MINORITY GROUPS, ARE THE PRIMARY PARTICIPANTS IN THE NEEDS ASSESSMENT SURVEY PROCESS. IN ADDITION, EDUCATORS, HEALTH-RELATED PROFESSIONALS, MEDIA REPRESENTATIVES, LOCAL GOVERNMENT, HUMAN SERVICE ORGANIZATIONS, INSTITUTES OF HIGHER LEARNING, RELIGIOUS INSTITUTIONS AND THE PRIVATE SECTOR ARE ALL ENGAGED AT SOME LEVEL OF THE SURVEY PROCESS. - TO DEVELOP ACCURATE COMPARISONS TO THE STATE AND NATIONAL BASELINES OF HEALTH MEASURES, UTILIZING THE MOST CURRENT VALIDATED DATA AVAILABLE. - TO UTILIZE DATA OBTAINED FROM THE ASSESSMENT TO ADDRESS THE IDENTIFIED HEALTH NEEDS OF THE HNPI SERVICE AREA. - TO PROVIDE HNPI WITH APPROPRIATE DATA COMPARISONS, ON LIKE SURVEY QUESTIONS, TO THE 1997-98 AND 2003-04 COMMUNITY HEALTH NEEDS ASSESSMENTS' HOUSEHOLD SURVEY DATA. THESE DATA COMPARISONS WILL ALLOW HNPI TO DISCOVER BOTH POSITIVE AND NEGATIVE COMMUNITY HEALTH TRENDS. - TO COMPLETE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH NOT ONLY REACHES MINORITY/UNDERSERVED POPULATIONS BUT ALSO ADDRESSES A WIDE VARIETY OF COMMUNITY HEALTH TOPICS INCLUDING, BUT NOT LIMITED TO: ACCESS TO CARE, CHRONIC DISEASE PREVALENCE, PREVENTIVE HEALTH, HEALTH STATUS, ACCESS TO COMMUNITY PROGRAMS AND SERVICES, QUALITY OF LIFE INDICATORS, AND HEALTHY LIFESTYLE BEHAVIORS. RESEARCH STEPS INCLUDED: COMMUNITY LEADER INTERVIEWS; SOCIOECONOMIC PROFILES; SECONDARY DATA (I.E. SOCIOECONOMIC DATA AND DEMOGRAPHIC PROJECTIONS FROM NIELSEN CLARITAS AND THE U.S. CENSUS BUREAU, AND HEALTH PREVALENCE DATA FROM THE BRFSS, CDC, AND HRSA); FOCUS GROUPS; AND HOUSEHOLD SURVEYS. BASED UPON THE DATA GATHERED THROUGH THIS RESEARCH METHODOLOGY, TRIPP UMBACH IDENTIFIED FIVE COMMUNITY HEALTH AREAS OF NEED THAT ARE CONSIDERED PRIORITIES FOR LACKAWANNA AND LUZERNE COUNTIES. LISTED IN ALPHABETICAL ORDER, THE TOP FIVE PRIORITY AREAS ARE: - ACCESS TO CARE- CHRONIC DISEASE/OBESITY- EMPLOYMENT - MENTAL HEALTH- SUBSTANCE ABUSEONCE THIS LATEST NEEDS ASSESSMENT WAS COMPLETED, ITS FINDINGS WERE FORMALLY PRESENTED TO THE CMC BOARD OF DIRECTORS AND TO CMC'S CEO AND PRESIDENT.IT IS ALSO CURRENTLY AVAILABLE ONLINE.BASED ON WHAT WAS IDENTIFIED AS PRIORITIES THROUGH THE ASSESSMENT'S FINDINGS, CMC'S CEO AND ITS BOARD OF DIRECTORS THEN COMMITTED HOSPITAL RESOURCES IN ORDER TO PROVIDE THESE MUCH-NEEDED SERVICES TO THE COMMUNITY. BASED ON THE SUBMITTED PRIORITY OF NEEDS, FOR EXAMPLE, HOSPITAL ADMINISTRATORS DETERMINED THAT IN ORDER TO BETTER SERVE THE HEALTH NEEDS OF THE COMMUNITY BY BATTLING OBESITY AND CHRONIC DISEASE, A PREVENTIVE MEDICINE AND NUTRITION CLINIC SHOULD BE ESTABLISHED AT THE HOSPITAL AND IT WAS. ALSO, THE HIGH INCIDENCE OF DIABETES IN THE REGION HAS LED TO A PART-TIME DIABETES EDUCATOR POSITION AT THE HOSPITAL AND AN ADDITIONAL PART-TIME RN POSITION IS SOLELY DEVOTED TO COMMUNITY HEALTH SCREENINGS, EDUCATIONAL OUTREACH EFFORTS AND A VARIETY OF SUPPORT GROUPS SUCH AS SMOKING CESSATION AND WEIGHT LOSS.IN ADDITION, THE DOCUMENTED NEED FOR MENTAL HEALTH SERVICES HAS ASSURED CMC'S CONTINUED COMMITMENT TO OUR IN-PATIENT, BEHAVIORAL UNIT WHICH IS THE ONLY BEHAVIORAL UNIT LOCATED IN THE CITY OF SCRANTON. AND FINALLY, CMC'S MISSION IS TO PROVIDE ACCESS TO CARE FOR ALL OF THE RESIDENTS OF OUR COMMUNITY WHICH REMAINS APPARENT IN OUR CONTINUED COMMITMENT TO CHARITY CARE.
PART VI, LINE 3: COMMUNITY MEDICAL CENTER INFORMS AND EDUCATES ITS PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS AND AVAILABILITY OF CHARITY CARE PROGRAMS IN THE FOLLOWING MANNER.- CMC POSTS A SUMMARY COPY OF ITS CHARITY CARE POLICY AND FINANCIAL CONTACT INFORMATION AT ALL POINTS OF PATIENT ACCESS WHICH INCLUDES ITS ADMISSIONS AREAS, EMERGENCY ROOM AND OUTPATIENT REGISTRATION AREAS.- ALL NOTICES OF AVAILABILITY OF FREE CARE ARE AVAILABLE IN BOTH ENGLISH AND SPANISH.- CMC ALSO PROVIDES NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE AND FREE CARE ON THE HOSPITAL'S WEBSITE, AT ALL REGISTRATION AREAS, IN CMC'S FINANCIAL COUNSELOR OFFICE AS WELL AS DURING ALL PHASES OF THE POST DISCHARGE COLLECTION FOLLOW-UP PROCESSES.ADDITIONALLY, CMC ALSO RETAINS TWO (2) INDEPENDENT SERVICES ON SITE WHICH ARE LOCATED IN IN-HOUSE AND IN OUR FACILITY'S EMERGENCY ROOM TO PROVIDE FINANCIAL COUNSELING AND ASSISTANCE FOR UNINSURED OR UNDERINSURED PATIENTS REGARDING THEIR ELIGIBILITY FOR GOVERNMENT PROGRAMS AND/OR AVAILABLE CHARITY CARE PROGRAMS OFFERED THROUGH CMC.
PART VI, LINE 4: COMMUNITY MEDICAL CENTER IS A LEADING PROVIDER OF QUALITY HEALTHCARE SERVICES IN NORTHEASTERN PENNSYLVANIA. A NOT-FOR-PROFIT, 297-BED HOSPITAL LOCATED IN SCRANTON, PA., CMC PRIMARILY SERVES ALL OF LACKAWANNA COUNTY WITH LUZERNE, MONROE, PIKE, SUSQUEHANNA, WAYNE AND WYOMING COUNTIES SERVING AS SECONDARY MARKETS.CMC OFFERS A COMPLETE CONTINUUM OF EDUCATIONAL, DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE SERVICES AND PROGRAMS, INCLUDING THE REGION'S ONLY LEVEL II TRAUMA CENTER AND IN-PATIENT BEHAVIORAL UNIT. THE HOSPITAL EMPLOYS APPROXIMATELY 1,400 PEOPLE.THERE ARE TWO OTHER HOSPITALS LOCATED IN SCRANTON AND SERVING LACKAWANNA COUNTY: MERCY HOSPITAL, A CATHOLIC, NON-PROFIT, AND MOSES TAYLOR HOSPITAL, ALSO A NON-PROFIT. ACCORDING TO THE 2010 CLARITAS CENSUS, THE OFFICIAL POPULATION COUNT FOR LACKAWANNA COUNTY WAS 214,437. THE CITY OF SCRANTON, WHICH SERVES AS LACKAWANNA COUNTY'S SEAT AND HAS DESIGNATED DISTRESSED CITY STATUS SINCE 1992, HAD A TOTAL POPULATION OF 76,089 IN 2010, ACCORDING TO THE UNITED STATES CENSUS BUREAU. SCRANTON IS THE LARGEST PRINCIPAL CITY IN THE SCRANTON/WILKES-BARRE METROPOLITAN AREA, MAKING IT PENNSYLVANIA'S SIXTH-MOST POPULOUS CITY AFTER PHILADELPHIA, PITTSBURGH, ALLENTOWN, ERIE AND READING. THE U.S. DEPARTMENT OF HEALTH AND HUMAN RESOURCES HAS DESIGNATED LACKAWANNA COUNTY AS A MEDICALLY UNDERSERVED AREA/POPULATION DUE TO: TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY AND/OR HIGH ELDERLY POPULATION.NEARLY ONE OF SIX SCRANTON RESIDENTS IS LIVING BELOW THE POVERTY LEVEL ACCORDING TO THE AMERICAN COMMUNITY SURVEY, A BRANCH OF THE U.S. CENSUS. COMPARED TO PENNSYLVANIA'S MEDIAN HOUSEHOLD INCOME OF $47,913, THE AVERAGE EARNINGS FOR LACKAWANNA COUNTY RESIDENTS -- $41,594 -- IS SIGNIFICANTLY LESS THAN THE STATE AVERAGE AND WELL BELOW THE NATIONAL MEDIAN HOUSEHOLD INCOME OF $50,007, ACCORDING TO THE AMERICAN COMMUNITY SURVEY. COMPOUNDING THE ECONOMIC CHALLENGES OF LOWER SALARIES, LACKAWANNA COUNTY RESIDENTS ARE TWICE AS LIKELY TO NOT HAVE HEALTH INSURANCE AS LUZERNE COUNTY RESIDENTS. THE INSTITUTE FOR PUBLIC POLICY & ECONOMIC DEVELOPMENT INDICATORS REPORT FOR 2009 SHOWS A TWO TO ONE RATIO FOR THIS STATISTIC, REPORTING THAT 10.6% OF THE RESIDENTS IN LACKAWANNA COUNTY AND 5.2% OF RESIDENTS IN LUZERNE COUNTY ARE WITHOUT HEALTH INSURANCE.LACKAWANNA COUNTY INHABITANTS ARE ALSO OLDER COMPARED TO THE REST OF THE STATE AND NATION. WHILE 15.2 PERCENT OF THE STATE OF PENNSYLVANIA POPULATION IS AGED SIXTY-FIVE AND OLDER, LACKAWANNA COUNTY'S RATE IS 18.6% PERCENT. THE NATIONAL RATE IS 12.8 PERCENT, ACCORDING TO THE U.S. CENSUS BUREAU. EDUCATION IS ALSO LACKING IN THE REGION. ONLY 19.5% OF RESIDENTS AGE 25 AND OLDER WITHIN LACKAWANNA COUNTY HOLDS A BACHELOR'S DEGREE OR HIGHER. BY COMPARISON, 25.6% OF THE PENNSYLVANIA POPULATION AGE 25 AND OLDER HAS A BACHELOR'S DEGREE OR HIGHER AND 27% OF THIS AGE GROUP IN THE U.S. HAS A BACHELOR'S DEGREE OR HIGHER.AND WHILE THE REGION IS PRIMARILY WHITE, THE REGION IS EXPERIENCING AN INFLUX OF MINORITIES. CLARITAS CENSUS ESTIMATES FOR 2009 SHOW THE STUDY AREA POPULATION IS PREDOMINATELY SELF-DEFINED AS WHITE/CAUCASIAN IN LACKAWANNA COUNTY (94.5%). HOWEVER, THE REGION'S HISPANIC POPULATION INCREASED FROM 1,999 TO 7,531. THE ASIAN POPULATION GREW FROM 823 TO 2,269, AND THE BLACK POPULATION GREW FROM 2,304 TO 4,150.ACCORDING TO THE MOBILIZING ACTION TOWARD COMMUNITY HEALTH (MATCH) PROJECT, LACKAWANNA COUNTY RANKS 51ST OUT OF THE 67 PENNSYLVANIA COUNTIES IN OVERALL HEALTH STATUS. MATCH IS COLLABORATION BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE.ACCORDING TO THE HEALTH RANKINGS DEVELOPED BY MATCH, LACKAWANNA AND LUZERNE COUNTIES DO NOT COMPARE WELL TO STATE AND NATIONAL AVERAGES FOR MANY OF THE KEY COMMUNITY HEALTH INDICATORS EVALUATED.THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORTS THAT THE TOP FIVE MOST PREVALENT CHRONIC DISEASES IN LACKAWANNA AND LUZERNE COUNTIES ARE BLOOD PRESSURE PROBLEMS, CHOLESTEROL PROBLEMS, ARTHRITIS, HEART PROBLEMS, AND RESPIRATORY PROBLEMS (SUCH AS ASTHMA, CHRONIC LUNG DISEASE, EMPHYSEMA, AND CHRONIC BRONCHITIS) WITH THE REGION SCORING HIGHER THAN THE NATIONAL AVERAGE FOR ALL THOSE LISTED. ACCORDING TO CENTER FOR DISEASE CONTROL DATA FROM 2010, THE REGION'S INCIDENCE OF DIABETES IS ALSO GETTING WORSE. A RECENT FEDERAL STUDY PLACED PENNSYLVANIA IN A 15-STATE "DIABETES BELT," WITH ALMOST 27 PERCENT OF PEOPLE 65 AND OLDER DIAGNOSED WITH DIABETES IN THE REGION. BLOOD PRESSURE PROBLEMS REPORTED WITHIN THE STUDY REGION ARE HIGHER THAN BOTH THE STATE AND NATIONAL AVERAGES WITH 36.2 PERCENT FOR LACKAWANNA COUNTY VERSUS 28.1 FOR THE STATE OF PENNSYLVANIA AND 27.5 FOR THE UNITED STATES. CONCURRENTLY, COMPARED TO 2008 BRFSS STATE (21.3%) AND NATIONAL (18.3%) AVERAGES, A HIGHER PERCENTAGE OF SURVEY RESPONDENTS SMOKE CIGARETTES IN LACKAWANNA AND LUZERNE COUNTIES (23.0%). THE INSTITUTE FOR PUBLIC POLICY & ECONOMIC DEVELOPMENT INDICATORS REPORT FOR 2009 SHOWS INCREASING DRUG POSSESSION AND DRUG SALE/MANUFACTURING OFFENSES WITHIN THE REGION AND THE PERCENTAGE OF BINGE DRINKERS IS ALSO HIGHER THAN THE NATIONAL AVERAGE (15.5 FOR THE U.S. VERSUS 17.6 FOR LACKAWANNA COUNTY). BETWEEN 2000 AND 2008, THE NUMBER OF DUI OFFENSES WITHIN LACKAWANNA AND LUZERNE COUNTIES ALSO INCREASED BY 44.1%.SINCE 1997, THE PERCENTAGE OF HOUSEHOLD SURVEY RESPONDENTS REPORTING EMOTIONAL AND MENTAL HEALTH CONCERNS HAS ALSO INCREASED SIGNIFICANTLY IN THE REGION. ANOTHER INDICATOR OF EMOTIONAL AND MENTAL HEALTH CONCERNS IS THE SUICIDE RATE. BOTH LACKAWANNA AND LUZERNE COUNTIES HAVE HIGHER PREVALENCE RATES FOR SUICIDE THAN PENNSYLVANIA STATE AVERAGES, ACCORDING TO THE INSTITUTE FOR PUBLIC POLICY & ECONOMIC DEVELOPMENT INDICATORS REPORT FOR 2009.
PART VI, LINE 6: COMMUNITY MEDICAL CENTER OPERATES AN EMERGENCY ROOM AND LEVEL II TRAUMA CENTER THAT IS OPEN TO ALL OF OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY; CMC HAS AN OPEN MEDICAL STAFF AND OFFERS PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE AREA; CMC HAS A GOVERNING BOARD COMPRISED OF INDEPENDENT CITIZENS REPRESENTATIVE OF THE COMMUNITY; CMC WORKS WITH OTHER AFFILIATED AND CLINICALLY AFFILIATED STAFF AND THEIR FACILITIES TO PROVIDE MEDICAL OR SCIENTIFIC RESEARCH PROGRAMS; PARTICIPATES IN MEDICAID/MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH CARE PROGRAMS; CMC'S BOARD OF DIRECTORS IS MADE UP RESIDENTS OF THE COMMUNITY WE SERVE AND VOLUNTEER THEIR TIME SOLELY DUE TO THEIR CONCERN FOR HOSPITAL AND THE COMMUNITY IT SERVES; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS.
PART VI, LINE 7: IN ADDITION TO COMMUNITY MEDICAL CENTER'S 297-BED, IN-PATIENT HOSPITAL, CMC ALSO OPERATES MOUNTAIN VIEW CARE CENTER, PROVIDING SHORT TERM REHABILITATION, SKILLED NURSING, AND LONG TERM CARE TO THE COMMUNITIES WE SERVE. ALSO, CMC'S ABINGTON PHYSICAL THERAPY AND GREEN RIDGE PHYSICAL THERAPY ARE OUTPATIENT PHYSICAL REHABILITATION FACILITIES THE HOSPITAL OPERATES.
COMMUNITY MEDICAL CENTER IS AFFILIATED WITH MOUNTAIN VIEW NUSING HOME, INC., COMMUNITY MEDICAL CARE, INC., COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM, MEDICAL DIMENSIONS, INC., AND COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST. MOUNTAIN VIEW NURSING HOME, INC. IS A LONG-TERM CARE FACILITY. COMMUNITY MEDICAL CARE, INC. PROVIDES PHYSICIAN SERVICES TO THE AFFILIATED ORGANIZATIONS. COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM IS THE PARENT ORGANIZATION AND SUPPORTS THE ACTIVITIES OF THE AFFILIATED ORGANIZATIONS. MEDICAL DIMENSIONS, INC. IS A REAL ESTATE HOLDING COMPANY. COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST PROVIDES PROFESSIONAL LIABILITY SELF-INSURANCE FOR COMMUNITY MEDICAL CENTER AND THE AFFILIATED ORGANIZATIONS.	AFFILIATED HEALTH CARE SYSTEM	FORM 990, SCHEDULE H, PART VI, LINE 6:

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
HEALTHY NEPA INITIATIVE
100 ABINGTON EXECUTIVE PARK	CLARKS SUMMIT	PA	18411	331030272	501(C)(3)	10000	ASSISTANCE PROVIDED AS CHARITABLE SUPPORT.
AMERICAN CANCER SOCIETY
CANCER ACTION NETWORK 712 S KEYSER	TAYLOR	PA	18517	251798733	501(C)(3)	5100	ASSISTANCE PROVIDED AS CHARITABLE SUPPORT.	AVENUE
THE COMMONWEALTH MEDICAL COLLEGE
150 N WASHINGTON AVENUE	SCRANTON	PA	18503	260812968	501(C)(3)	20500	ASSISTANCE PROVIDED AS CHARITABLE SUPPORT.

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: CMC MAINTAINS CONTACT WITH THE ORGANIZARTIONS TO ENSURE GRANT MONIES ARE PROPERLY UTILIZED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT STEIGMEYER
447555	0	135000	0	0	0	7356	0	9992	0	599903	0	0	0
JOHN SKURKA
436224	0	0	0	0	0	0	0	0	0	436224	0	0	0
BARBARA BOSSI
233635	0	34954	0	0	0	11385	0	6761	0	286735	0	0	0
SEAN MCANDREW
129510	0	20847	0	0	0	2606	0	3806	0	156769	0	0	0
DR KAHILEEL SHAIKH
236705	0	0	0	0	0	11009	0	4862	0	252576	0	0	0
MICHELLE BOYLE
296800	0	0	0	0	0	13342	0	7660	0	317802	0	0	0
JOHN DITCHKUS
244967	0	0	0	0	0	13574	0	8927	0	267468	0	0	0
ROSE SADOWSKI
242944	0	0	0	0	0	13380	0	3567	0	259891	0	0	0
MARK TRENTLY
241665	0	0	0	0	0	13145	0	2134	0	256944	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	HOUSING ALLOWANCES ARE PAID DIRECTLY TO ECG MANAGEMENT CONSULTANTS ON BEHALF OF THE CFO.
PART III	JOHN SKURKA, INTERIM CFO OF COMMUNITY MEDICAL CENTER RECEIVES COMPENSATION FOR SERVICES RENDERED IN CAPACITY AS AN OFFICER FROM ECG MANAGEMENT CONSULTANTS, AN UNRELATED ORGANIZATION. TOTAL COMPENSATION INCLUDING BENEFITS PAID TO ECG MANAGEMENT CONSULTANTS FOR THE YEAR WAS $436,224.	SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	LOUIS DENAPLES MD	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	BOARD MEMBER	Relationship
Amount Of Transaction	531186	AmountOfTransaction
Description Of Transaction	DR. DENAPLES' COMPANY, EMERGENCY SERVICES, PC, PROVIDES MEDICAL AND EMERGENCY ROOM SERVICES TO COMMUNITY MEDICAL CENTER. COMMUNITY MEDICAL CENTER ALSO PAYS A STIPEND TO EMERGENCY SERVICES, PC FOR THE SERVICES PROVIDED BY DR. LOUIS DENAPLES AS A MEDICAL DIRECTOR IN THE HOSPITAL.	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3	THE ORGANIZATION DELEGATES RESPONSIBILITY TO AN OUTSIDE MANAGEMENT COMPANY, ECG MANAGEMENT CONSULTANTS FOR THEIR CFO JOB FUNCTION. THE ORGANIZATION DELINEATES THE RESPONSIBILITIES IN THE MANAGEMENT AGREEMENT AND REPORTS TO THE BOARD OF DIRECTORS COMPLIANCE WITH THE DELEGATED DUTIES.
FORM 990, PART VI, SECTION B, LINE 11	AS OF FEBRUARY 1, 2012, COMMUNITY MEDICAL CENTER (CMC) AND ITS RELATED ENTITIES (COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM, COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM PROFESSIONAL LIABILITY SELF-INSURANCE TRUST, COMMUNITY MEDICAL CARE, INC., MEDICAL DIMENSIONS, INC. AND MOUNTAIN VIEW NURSING HOME., INC.) MERGED WITH GEISINGER HEALTH SYSTEM. PRIOR TO FILING THE 2010 FORM 990, GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTORS APPOINTED NEW OFFICERS AND A NEW BOARD OF DIRECTORS FOR CMC AND ALL RELATED ENTITIES. THE NEWLY APPOINTED OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN WAS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR FISCAL YEAR-ENDED JUNE 30, 2011.
	EACH YEAR IN JANUARY, THE CONFLICT OF INTEREST POLICY ALONG WITH A CONFLICT OF INTEREST STATEMENT IS SENT TO ALL BOARD MEMBERS AND OFFICERS FOR THEIR REVIEW AND COMPLETION. AFTER ALL STATEMENTS ARE RECEIVED BACK, EACH ONE IS RECORDED INTO A SUMMARY WHICH IS PRESENTED AT THE BOARD OF DIRECTORS MEETING IN MARCH/APRIL. IT IS COMMUNITY MEDICAL CENTER POLICY THAT BOARD MEMBERS, SENIOR MANAGEMENT TEAM LEADERS AND INFLUENTIAL PERSONS MUST BE FREE FROM CONFLICTS OF INTEREST THAT COULD ADVERSELY INFLUENCE THEIR JUDGMENT, OBJECTIVITY OR LOYALTY TO THE COMPANY IN CONDUCTING HOSPITAL BUSINESS ACTIVITIES AND ASSIGNMENTS. COMMUNITY MEDICAL CENTER RECOGNIZES THAT EMPLOYEES MAY TAKE PART IN LEGITIMATE FINANCIAL, BUSINESS, CHARITABLE AND OTHER ACTIVITIES, BUT ANY POTENTIAL CONFLICT OF INTEREST RAISED BY THOSE ACTIVITIES MUST BE DISCLOSED PROMPTLY TO THE BOARD OF DIRECTORS. THE BOARD ALSO CONDUCTS PERIODIC REVIEWS WHICH INCLUDE THE FOLLOWING SUBJECTS: -WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE BASED ON COMPETENT SURVEY INFORMATION AND ARE THE RESULT OF ARM'S LENGTH BARGAINING; -WHETHER ACQUISITIONS OR PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT, IMPERMISSABLE PRIVATE BENEFITS, OR IN AN EXCESS BENEFIT TRANSACTION; -WHETHER PARTNERSHIP OR JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO THE CORPORATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENT FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT, OR IN AN EXCESS BENEFIT TRANSACTION; AND - WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND ARRANGEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT, OR IN AN EXCESS BENEFIT TRANSACTION.	FORM 990, PART VI, SECTION B, LINE 12C
	THE BOARD OF DIRECTORS MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE FOR THE PURPOSE OF REVIEWING THE PERFORMANCE AND COMPENSATION OF THE EXECUTIVES. THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD UTILIZES INFORMATION FROM EXTERNAL THIRD PARTIES TO VALIDATE THAT THE COMPENSATION FOR EXECUTIVES IS APPROPRIATE OR FAIR MARKET VALUE. DURING FISCAL YEAR ENDED 06/30/11, COMMUNITY MEDICAL CENTER HAD ENGAGED AN OUTSIDE MANAGEMENT COMPANY TO PROVIDE THE CHIEF FINANCIAL OFFICER. PRIOR TO ENGAGING THIS FIRM, PROPOSALS FROM OTHER FIRMS WERE EVALUATED. THIS EVALUATION HELPED TO CONFIRM THE FAIR MARKET VALUE FOR CONTRACTING FOR CFO POSITION.	FORM 990, PART VI, SECTION B, LINE 15
	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 3,850,817. PENSION ADJUSTMENT 5,276,389. VALUATION GAIN 12,299. SELF-INSURANCE ADJUSTMENT -3,750,000. TOTAL TO FORM 990, PART XI, LINE 5: 5,389,505.	FORM 990, PART XI, LINE 5:
	THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR OVERSIGHT DURING THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.	FORM 990, PART XI, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
COMMUNITY MEDICAL CARE INC
1822 MULBERRY STREET	SCRANTON	PA	18510	232429776	PHYSICIANS PRACTICES	PA	501(C)(3)	170(B)(1)(A)(III)	COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM	0
MOUNTAIN VIEW NURSING HOME INC
1822 MULBERRY STREET	SCRANTON	PA	18510	232568288	LONG TERM CARE FACILITY	PA	501(C)(3)	509(A)(2)	COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM	0
COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM
1822 MULBERRY STREET	SCRANTON	PA	18510	232279376	SUPPORT ACTIVITIES OF CMC AND AFFILIATES	PA	501(C)(3)	509(A)(3) TYPE 1		0	N/A
MEDICAL DIMENSIONS INC
1822 MULBERRY STREET	SCRANTON	PA	18510	232369788	REAL ESTATE HOLDING COMPANY FOR THE HEALTHCARE SYSTEM	PA	501(C)(2)	N/A	COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM	0
COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM MEDICAL PROF LIAB SELF INSURANCE
1800 MULBERRY STREET	SCRANTON	PA	18510	046990600	SELF INSURANCE FOR AFFILIATES	PA	501(C)(3)	509(A)(3) TYPE 1	COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM	0
NORTHEAST CANCER CENTER INC
1822 MULBERRY STREET	SCRANTON	PA	18510	201687320	PROVIDES RADIATION ONCOLOGY SERVICES TO CANCER PATIENTS	PA	501(C)(3)	170(B)(1)(A)(III)		0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	MEDICAL DIMENSIONS INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	J	TransactionType
Amount Involved	392000	AmountInvolved
Method Of Amt Determination	CASH PAID	MethodOfAmtDetermination