{"success":true,"data":{"_id":232647930,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Provide acute care, psychiatric and skilled nursing beds, outpatient and emergency services.","primary_activities":"Because of our Vision to focus on serving the health needs of the population, Shamokin Area Community Hospital (\"SACH\") will lead the development of a community-based service delivery system which strategically partners with other healthcare and service organizations to provide a continuum of care which is: high quality, patient/customer focused, and competitively priced.We Value our partnerships with our medical staff and employees so that SACH will become the leading hospital for Quality, Value and Service in the six surrounding counties by 2012. We will provide: SERVICE to the patient, the family, the community, the medical staff and our co-workers; COMPASSION towards those for whom we care; INTEGRITY in the delivery of our services; EXCELLENCE through continuous improvement; and KNOWLEDGE to enrich our capabilities.Shamokin Area Community Hospital participates in Medicare and Medicaid and is a licensed 70-bed healthcare facility. The Hospital provides for 10 geriatric psychiatry beds, seven intensive/cardiac care beds, 15 skilled nursing beds, and 38 medical/surgical care beds. During the fiscal year ended June 30, 2010 SACH decreased hospital acquired infections, reduced medication errors by 26%, reduced patient falls by 12.8%, established hourly patient rounds and implemented the Braden scale for skin integrity.Shamokin Area Community Hospital also offers a vast array of outpatient services, which include but are not limited to: 24-hour emergency services, imaging services (seven in-house modalities including: CT scan, MRI, mammography, ultrasound, nuclear medicine, bone densitometry and x-ray), same day surgery, cardiac rehabilitation, physical and occupational therapy, pain management, occupational medicine, laboratory services, and nutritional services. During the past fiscal year SACH received the silver award for \"Get With the Guidelines - Heart Failure\", instituted a rapid response team and establish \"time out\" in its operating rooms. Shamokin Area Community Hospital maintains an open medical staff. As a result, physician specialty clinics are offered on site and include: orthopaedic, gynecology, dermatology, general/vascular surgery, cardiology, gastroenterology, otolaryngology, and oncology/hematology services. As a community-based healthcare facility, Shamokin Area Community Hospital provides many health and medical screenings for the public at large, in addition to many health-based educational classes and support groups. The Hospital also offers the following healthcare centers for the public to access: Cardiac Rehabilitation Center, Center for Joint Replacement, Occupational Health & Wellness Center, Pain Management Center, Rehabilitation Services Center, and Women's Health Center.Shamokin Area Community Hospital offers a continuum of care from infants to the elderly and is committed to meeting the health/medical needs of the community it serves. Shamokin Area Community Hospital utilizes surplus funds to improve quality of care, expand facilities and advance education and training programs. The Hospital will strive to bring needed physician specialists to the area, purchase advanced technology and recruit skilled professionals to care for their patients.","year":2009,"name":"Shamokin Area Community Hospital","phone":"5706444200","website":"www.shamokinhospital.org","type":"990","principal_officer":"Thomas Harlow","year_formation":1991,"state_legal_domicile":"PA","total_volunteers":15,"tax_period_begin":"2009-07-01T00:00:00","tax_period_end":"2010-06-30T00:00:00","address":"4200 Hospital Road, Coal Township, PA, 178669697, USA","city":"Coal Township","state":"PA","country":"USA","zip_code":"178669697"},"Governance":{"501c determination":true,"Number of voting members":15,"Number of independent voting members":14,"Number of employees total":469,"Total Gross UBI":4424,"Net unrelated business taxable income":0,"Number of employees":469,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":true,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":true,"Consolidated audit financial statements":false,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":true,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":35415551,"Contributions":{"value":285695,"Other contributions":130158,"Fundraising revenue":31598,"Grant revenue":123939},"Program revenue":{"value":34515476,"Total revenue":34515476,"Unrelated business revenue":4424},"Investment income":{"value":303792,"Investment income total":269744,"Net investment gain":34048},"Other revenues":{"value":310588,"Other total":180177,"Net rental income":128683,"Net income from fundraising events":1728}},"Expenses":{"value":35395551,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":17911294,"Current officers":521006,"Other salaries and wages":14208233,"Pension plan contributions":265444,"Other employee benefits":1878124,"Payroll taxes":1038487},"Other expenses":{"value":17484257,"Legal":147474,"Accounting":84243,"Other services":3604112,"Advertising":105413,"Office expenses":6880354,"Occupancy":648502,"Travel":32969,"Conferences and meetings":17705,"Interest":208289,"Depreciation and depletion":2507893,"Insurance":303523,"Itemized Expenses":{"value":2943780,"VARIOUS":2943780}}},"Assets":{"value":39172205,"Non-interest bearing cash":498,"Savings and temp cash investments":5765854,"Accounts receivable":4535233,"Inventories for sale or use":477496,"Prepaid expenses deferred charges":431956,"Land, building, equipment":19929999,"Investments publicly traded":7881153,"Other assets":150016},"Liabilities":{"value":8126329,"Accounts payable, accrued":2708605,"Secured mortgages and notes payable":3872413,"Other liabilities":1545311},"Fund balance":{"value":31045876},"Form990Details":{"program_service_accomplishments":[{"description":"Because of our Vision to focus on serving the health needs of the population, Shamokin Area Community Hospital (\"SACH\") will lead the development of a community-based service delivery system which strategically partners with other healthcare and service organizations to provide a continuum of care which is: high quality, patient/customer focused, and competitively priced.We Value our partnerships with our medical staff and employees so that SACH will become the leading hospital for Quality, Value and Service in the six surrounding counties by 2012. We will provide: SERVICE to the patient, the family, the community, the medical staff and our co-workers; COMPASSION towards those for whom we care; INTEGRITY in the delivery of our services; EXCELLENCE through continuous improvement; and KNOWLEDGE to enrich our capabilities.Shamokin Area Community Hospital participates in Medicare and Medicaid and is a licensed 70-bed healthcare facility. The Hospital provides for 10 geriatric psychiatry beds, seven intensive/cardiac care beds, 15 skilled nursing beds, and 38 medical/surgical care beds. During the fiscal year ended June 30, 2010 SACH decreased hospital acquired infections, reduced medication errors by 26%, reduced patient falls by 12.8%, established hourly patient rounds and implemented the Braden scale for skin integrity.Shamokin Area Community Hospital also offers a vast array of outpatient services, which include but are not limited to: 24-hour emergency services, imaging services (seven in-house modalities including: CT scan, MRI, mammography, ultrasound, nuclear medicine, bone densitometry and x-ray), same day surgery, cardiac rehabilitation, physical and occupational therapy, pain management, occupational medicine, laboratory services, and nutritional services. During the past fiscal year SACH received the silver award for \"Get With the Guidelines - Heart Failure\", instituted a rapid response team and establish \"time out\" in its operating rooms. Shamokin Area Community Hospital maintains an open medical staff. As a result, physician specialty clinics are offered on site and include: orthopaedic, gynecology, dermatology, general/vascular surgery, cardiology, gastroenterology, otolaryngology, and oncology/hematology services. As a community-based healthcare facility, Shamokin Area Community Hospital provides many health and medical screenings for the public at large, in addition to many health-based educational classes and support groups. The Hospital also offers the following healthcare centers for the public to access: Cardiac Rehabilitation Center, Center for Joint Replacement, Occupational Health & Wellness Center, Pain Management Center, Rehabilitation Services Center, and Women's Health Center.Shamokin Area Community Hospital offers a continuum of care from infants to the elderly and is committed to meeting the health/medical needs of the community it serves. Shamokin Area Community Hospital utilizes surplus funds to improve quality of care, expand facilities and advance education and training programs. The Hospital will strive to bring needed physician specialists to the area, purchase advanced technology and recruit skilled professionals to care for their patients.","expense":33796826,"revenue":34516175}],"program_service_revenue_detail":[{"business_code":"621110","description":"NET PATIENT SERVICE 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Church St, Annapolis, MD, 21401"},{"business_name_line1":"GMMC DBA PROVEN LABS","compensation":236911,"services_description":"CONtracted Lab SERVICES","address_line1":"PO BOX 8500","city":"PHILADELPHIA","state":"PA","zip":"19718","name":"GMMC DBA PROVEN LABS","address":"PO BOX 8500, PHILADELPHIA, PA, 19718"}],"officers_directors_key_employees":[{"title":"PRESIDENT/CEO","average_hours_per_week":40.0,"reportable_comp_from_org":186207,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"CHAIRMAN","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"DIRECTOR","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"Secretary","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"TREASURER","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"Vice-Chairman","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"DIRECTOR","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"CHIEF 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FINANCE/CFO","average_hours_per_week":40.0,"reportable_comp_from_org":123435,"reportable_comp_from_related_orgs":0,"other_compensation":0,"officer":true},{"title":"VP Patient Clinical Svcs","average_hours_per_week":40.0,"reportable_comp_from_org":115610,"reportable_comp_from_related_orgs":0,"other_compensation":0,"officer":true},{"title":"VP HUMAN RESOURCES","average_hours_per_week":40.0,"reportable_comp_from_org":95755,"reportable_comp_from_related_orgs":0,"other_compensation":0,"officer":true},{"title":"Dir of Anesthesia","average_hours_per_week":40.0,"reportable_comp_from_org":474491,"reportable_comp_from_related_orgs":0,"other_compensation":0,"highest_compensated_employee":true},{"title":"CRNA","average_hours_per_week":40.0,"reportable_comp_from_org":155185,"reportable_comp_from_related_orgs":0,"other_compensation":0,"highest_compensated_employee":true},{"title":"CRNA","average_hours_per_week":40.0,"reportable_comp_from_org":189014,"reportable_comp_from_related_orgs":0,"other_compensation":0,"highest_compensated_employee":true},{"title":"CRNA","average_hours_per_week":40.0,"reportable_comp_from_org":200761,"reportable_comp_from_related_orgs":0,"other_compensation":0,"highest_compensated_employee":true},{"title":"Pharmacist","average_hours_per_week":40.0,"reportable_comp_from_org":107135,"reportable_comp_from_related_orgs":0,"other_compensation":0,"highest_compensated_employee":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleC":{"lobbying_activities":{"volunteers":false,"paid_staff_or_management":false,"media_advertisements":false,"mailings_members":false,"publications_or_broadcast":false,"grants_other_organizations":false,"direct_contact_legislators":false,"rallies_demonstrations":false,"other_activities":true,"other_activities_amount":16639,"total_lobbying_expenditures":16639,"not_described_section_501c3":false},"supplemental_information":[{"identifier":"Part II-B, Line 1i:","form_and_line_reference":"Explanation of Other Lobbying Activities:","explanation":"The Hospital pays annual dues to HAP and AHA. A portion of the dues are used by these other organziations for lobbying purposes. The amount reported on the Hospital's return as lobbying expense is the percentage of dues used by HAP and AHA for lobbying purposes."}]},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":206811,"book_value":206811},"buildings":{"other_cost_or_other_basis":25141739,"book_value":15010539,"depreciation":10131200},"equipment":{"other_cost_or_other_basis":15338785,"book_value":4489996,"depreciation":10848789},"other_land_buildings":{"other_cost_or_other_basis":755960,"book_value":222653,"depreciation":533307},"total_book_value":19929999},"other_liabilities":{"liabilities":[{"description":"BLUE CROSS WORKING CAPITAL ADVANCE","amount":102800},{"description":"ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS","amount":512232},{"description":"OBLIGATIONS UNDER CAPITAL LEASE","amount":717279},{"description":"MEDICAL MALPRACTICE COSTS","amount":213000}],"total_liability":1545311},"net_assets_reconciliation":{"total_revenue":35415551,"total_expenses":35395551,"excess_or_deficit_for_year":20000,"net_unrealized_gains_losses_on_investments":219197,"total_adjustments":219197,"excess_or_deficit_per_financial_statements":239197},"revenue_reconciliation":{"total_revenue_audited_financial_statements":35790195,"net_unrealized_gains_investments":219197,"revenue_not_reported":219197,"revenue_subtotal":35570998,"other_revenues_not_included":-155447,"revenue_not_reported_financial_statement":-155447,"total_revenue_per_990":35415551},"expense_reconciliation":{"total_expenses_audited_financial_statements":35550998,"other_expenses_included":155447,"expenses_not_reported":155447,"expenses_subtotal":35395551,"expenses_not_reported_financial_statement":0,"total_expenses_per_990":35395551},"supplemental_information":[{"identifier":"Part X:","explanation":"THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES 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 IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2010."},{"identifier":"Part XII, Line 4b - Other Adjustments:","explanation":"Rental Expense: -101807. Special Event Expense: -53640."},{"identifier":"Part XIII, Line 2d - Other Adjustments:","explanation":"Rental Expense: 101807. Special Event Expense: 53640."}]},"ScheduleG":{"fundraising_events":{"event1":{"name":"CRAB FEST PICNIC","gross_receipts":23722,"charitable_contributions":9009,"gross_revenue":14713,"rent_facility_costs":550,"food_and_beverage":14713,"entertainment":1851,"other_direct_expenses":5904},"event2":{"name":"Golf Tournament","gross_receipts":38092,"charitable_contributions":22589,"gross_revenue":15503,"noncash_prizes":1980,"rent_facility_costs":5404,"food_and_beverage":3810,"other_direct_expenses":6932},"other_events":{"gross_receipts":25152,"gross_revenue":25152,"rent_facility_costs":4771,"food_and_beverage":2805,"other_direct_expenses":4920,"event_count":2},"total":{"gross_receipts":86966,"charitable_contributions":31598,"gross_revenue":55368,"noncash_prizes":1980,"rent_facility_costs":10725,"food_and_beverage":21328,"entertainment":1851,"other_direct_expenses":17756},"direct_expense_summary":53640,"net_income_summary":1728}},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_other":true,"free_care_other_percentage":250.0,"fpg_reference_discounted_care":false,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":false},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":1271195,"reimbursed_by_medicare":14801503,"cost_of_care_reimbursed_by_medicare":14196513,"medicare_surplus_or_shortfall":604990,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"activities_or_programs":1,"persons_served":133,"total_community_benefit_expense":70832,"net_community_benefit_expense":70832,"total_expense_percentage":0.0022},"unreimbursed_medicaid":{"activities_or_programs":2,"persons_served":3740,"total_community_benefit_expense":1804086,"net_community_benefit_expense":1804086,"total_expense_percentage":0.0554},"total_financial_assistance":{"activities_or_programs":3,"persons_served":3873,"total_community_benefit_expense":1874918,"net_community_benefit_expense":1874918,"total_expense_percentage":0.0576},"community_health_services":{"activities_or_programs":120,"persons_served":166,"total_community_benefit_expense":60287,"direct_offsetting_revenue":13162,"net_community_benefit_expense":47125,"total_expense_percentage":0.0014},"total_other_benefits":{"activities_or_programs":120,"persons_served":166,"total_community_benefit_expense":60287,"direct_offsetting_revenue":13162,"net_community_benefit_expense":47125,"total_expense_percentage":0.0014},"total_community_benefits":{"activities_or_programs":123,"persons_served":4039,"total_community_benefit_expense":1935205,"direct_offsetting_revenue":13162,"net_community_benefit_expense":1922043,"total_expense_percentage":0.059}},"hospital_facilities":[{"business_name_line1":"Shamokin Area Community Hospital","address_line1":"4200 Hospital Road","city":"Coal Township","state":"PA","zip":"17866","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"other_description":"Nursing Facility & IP Gero Psych Unit","name":"Shamokin Area Community Hospital","address":"4200 Hospital Road, Coal Township, PA, 17866"}],"part_vi_explanations":{"bad_debt_footnote":"Part III, Line 4: Bad Debt at Cost = ((Total OP Expense - Provision for Uncollectible Accounts ) / Total Charges) X Provision for Uncollectible AccountsThe provision for doubtful collections is adjusted monthly based on a review of accounts receivable aging, historical write-off percentages and actual bad debt write-offs.","community_building_activities":"Part VI, Line 5: SACH promotes the health of the community it serves by coordinating and conducting community education for many segments of society. Programs have been presented for children, senior citizens, disease prevention and health care workers. SACH regularly provides CPR and first aid training to the community. This training includes not only health care workers but lifeguards, local companies, school districts and emergency medical personnel. Without this training many of these individuals would need to travel long distances to obtain the CPR and first aid training needed to perform their jobs.SACH has focused on the health education of children. SACH has directed its attention toward school aged children by presenting programs such as Stress and the Adolescent, Self-Esteem Disorder and the Our Community Program to students from grade 6 though grade 12. The Hospital also worked with younger children where it presented its \"Glitterbugs\" program which helps elementary school level children learn the importance of hand hygiene and proper hand washing techniques.Since SACH has a significant elderly population it has also directed it attention toward educating seniors about life style choices and disease management. Over the past year SACH has worked with various local nursing homes to educate residents on the Arthritis Foundation's Aquatic Therapy Pain Management program and attending health fairs. Disease prevention programs included blood pressure screenings, prostate cancer screenings, diabetic education, glaucoma screenings, colorectal cancer education and held a hunter's health screening.SACH recognizes the value of community education and its role in the community. SACH works to educate the community to help them experience a healthier lifestyle. Without SACH providing these community education program the community would not have such opportunities to learn about improving their individual health.","community_information":"Part VI, Line 4: Community Served as follows:Community Served Zip Code Population* MHI** % Below Poverty LevelShamokin 17872 8,009 $ 20,173 24.2%Coal Township 17866 10,628 $ 26,547 11.9%Kulpmont 17834 2,985 $ 29,263 9.8% Mount Carmel 17851 6,390 $ 22,168 18.2%Elysburg 17824 2,067 $ 43,222 9.0%Treverton 17881 2,010 $ 32,013 8.6%Sunbury 17801 10,610 $ 25,893 18.1%*- From the 2000 Census data**- Median Household IncomeShamokin Area Community Hospital (SACH) serves the communities listed above. The demographics of each community are listed. This geographic service area is located in rural central Pennsylvania specifically in eastern Northumberland County. The population is aging and is predominantly covered by Medicare. Medicare makes up 78% of the SACH inpatient volumes while Medicare accounts for 40.2% of its outpatient volumes. 4.7% and 12.2 % of the SACH inpatient volumes and outpatient volumes respectively are from patients covered by Medical Assistance. SACH also cared for uninsured patients who made up 1.7% of its inpatient care and 5.1% of its outpatient care. Of the communities served by SACH, one, Shamokin, is a federally-designated medically underserved area. Both Sunbury Community Hospital and Geisinger Medical Center serve the same communities as SACH.","debt_collection_policy":"Part III, Line 9b: The Patient Accounts Manager ensures all reasonable efforts were made to assist the patient with the bill prior to write-off and collection efforts.","income_based_criteria":"Part I, Line 3c: Discounted care is based on income and family size above 250% Federal Poverty Guidelines.","needs_assessment":"Part VI, Line 2: Shamokin Area Community Hospital is a participating partner in Action Health, whose mission states: \"ACTION Health is a collaborative partnership in the Central Susquehanna River Valley that provides community health & wellness outreach and education.\" A component of this mission is to also assess the health needs of the communities in the region. This was accomplished in 2009/2010 through the \"Rural Pennsylvania Counts: An Assessment of Need in Central Pennsylvania\" project. Conducted in 2009, with results presented in September 2010, the project was developed to assess the health and human service needs in our 5-county service region, which includes Columbia, Montour, Northumberland, Snyder and Union counties.This collaborative partnership allows Shamokin Area Community Hospital to utilize the information obtained through the needs assessment to help identify gaps and opportunities for better health care delivery within the communities we serve. In addition, Shamokin Area Community Hospital will benefit from future community needs \"reassessments\" through Action Health to continue guiding appropriate planning for our Hospital while addressing the changing needs in our community.","other_information":"Part VI, Line 6: All of the governing body of SACH resides in its primary service area. None of the board of directors are employees or contractors of the Hospital. The only exception would be one board member who provides the Hospital's property insurance policy indirectly through the Hospital's main insurance broker.SACH maintains an open medical staff. All qualified physicians are welcome to apply for admitting privileges. Any physician who meets the qualifications and agrees to abide by the medical staff bylaws may be granted privileges.All surplus funds are reinvested in the operations of the Hospital. Over the past 10 years SACH has used any surplus funds to complete the following projects/initiatives:-New emergency department-Constructed a new medical/surgical unit.-Added 3 new operating rooms along with 2 endoscopy rooms in a new surgical suite.-Constructed a new Laboratory within the Hospital-Created a Women's Health Center with digital mammography, digital ultrasound, nuclear medicine, CT Scanning and MRI.-Added components of an electronic health record.SACH operates a high quality, low cost health care facility where the patients in its rural service area, who are predominantly elderly, are able to access care in their community. SACH is a very efficient community hospital as evidenced by its Full-Time Equivalents per Adjusted Occupied Bed of 3.2. This efficiency along with its careful purchasing practices has allowed SACH to operate a very cost effective community hospital. The result of this cost effectiveness has been lower reimbursement rates for insurer and in-turn lower health insurance rates for members of the community.Also, Shamokin Area Community Hospital is a significant participant in many community activities and charitable events. We provide some direct and/or indirect (in-kind) funding and support for such functions as the American Cancer Society \"Relay for Life\", American Heart Association \"Heart Walk\", various local Health Fairs, Anthracite Heritage Days, and many other community, educational and health related activities. These functions are consistent with the mission, vision and values of the Hospital, and reflect our true \"partnership\" with the community we serve.PART VI, LINE 8: N/A","patient_education_assistance":"Part VI, Line 3: All uninsured and underinsured inpatients receive a visit from the Social Services department during their hospital stay. The Social Workers will review with the patient the options available including applying for Medical Assistance, applying for Charity Care from the Hospital, or accessing any other federal, state or local governmental programs available to assist the payer for the patient's care.All uninsured and underinsured outpatients are provided with the \"Notice of Financial Aid\". This form advises the patient to contact the Patient Accounting department if seeking financial assistance for the health care provided. The Patient Account Analysts work with all patients who seek financial assistance by providing the financial assistance options available to them. These options include medical assistance, charity care and other federal, state and local governmental assistance programs. SACH also has its charity care program information detailed on is web site.","percent_of_total_expense":"Part I, Line 7f: 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 $2,804,932.","subsidized_health_services":"Part I, Line 7g: THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED."}},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"form_990_of_other_organizations":true,"written_employment_contract":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":true,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"business_name_line1":"Thomas R Harlow","base_compensation_filing_org":173206,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":13001,"other_compensation_related_orgs":0,"total_compensation_filing_org":186207,"total_compensation_related_orgs":0,"name":"Thomas R Harlow"},{"business_name_line1":"LLEWELYN WILLIAMS MD","base_compensation_filing_org":448501,"bonus_filing_org":25990,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":474491,"total_compensation_related_orgs":0,"name":"LLEWELYN WILLIAMS MD"},{"business_name_line1":"PENNY YENCHICK","base_compensation_filing_org":155185,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":155185,"total_compensation_related_orgs":0,"name":"PENNY YENCHICK"},{"business_name_line1":"JOANN SASSani","base_compensation_filing_org":189014,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":189014,"total_compensation_related_orgs":0,"name":"JOANN SASSani"},{"business_name_line1":"LISA RAWA","base_compensation_filing_org":200761,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":200761,"total_compensation_related_orgs":0,"name":"LISA RAWA"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 5","explanation":"Dr. Llewelyn Williams, Anesthesiologist receives a Professional Fee Collection Incentive from the Pain Clinic. Dr. Williams receives 90% of receipts collected above $125,000. In FYE 10 he received $25,990.47 in three equal payments (01/29/10, 02/12/10, 04/09/10)."}]},"ScheduleM":{"policies":{"any_property_that_must_be_held":false,"review_process_unusual_noncash_gifts":false,"third_parties_used":false},"noncash_contributions":{"securities_publicly_traded":{"reported":true,"revenue_reported_on_990":42817,"contribution_count":1,"method_of_determining_revenues":"stock sales price"}}},"ScheduleR":{"tax_exempt_organizations":[{"ein":232745301,"business_name_line1":"LOWER ANTHRACITE HEALTH CORPORATION","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)(3)","public_charity_status":"3","legal_domicile_state":"PA","address_line1":"4200 HOSPITAL ROAD","city":"COAL TOWNSHIP","state":"PA","zip":"17866","name":"LOWER ANTHRACITE HEALTH CORPORATION","address":"4200 HOSPITAL ROAD, COAL TOWNSHIP, PA, 17866"},{"ein":232745308,"business_name_line1":"NORTHUMBERLAND HEALTH SERVICES INC","primary_activities":"PROVIDE AMBULATORY, MEDICAL, AND RELATED SERVICES","exempt_code_section":"501(C)(3)","public_charity_status":"3","legal_domicile_state":"PA","address_line1":"4200 HOSPITAL ROAD","city":"COAL TOWNSHIP","state":"PA","zip":"17866","name":"NORTHUMBERLAND HEALTH SERVICES INC","address":"4200 HOSPITAL ROAD, COAL TOWNSHIP, PA, 17866"}],"transaction_flags":{"gift_grant_or_capital_contribution_from_other_org":false,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":false,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":false,"sharing_of_paid_employees":false,"reimbursement_paid_by_other_org":false,"reimbursement_paid_to_other_org":false,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false}},"source_xml":"201111329349303571_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Provide acute care, psychiatric and skilled nursing beds, outpatient and emergency services.","primary_activities":"Because of our vision to focus on serving the health needs of the population, shamokin area community hospital (\"sach\") will lead the development of a community-based service delivery system which strategically partners with other healthcare and service organizations to provide a continuum of care which is: high quality, patient/customer focused, and competitively priced.we value our partnerships with our medical staff and employees so that sach will become the leading hospital for quality, value and service in the six surrounding counties by 2012. We will provide: service to the patient, the family, the community, the medical staff and our co-workers; compassion towards those for whom we care; integrity in the delivery of our services; excellence through continuous improvement; and knowledge to enrich our capabilities.shamokin area community hospital participates in medicare and medicaid and is a licensed 70-bed healthcare facility. The hospital provides for 10 geriatric psychiatry beds, seven intensive/cardiac care beds, 15 skilled nursing beds, and 38 medical/surgical care beds. Shamokin area community hospital also offers a vast array of outpatient services, which include but are not limited to: 24-hour emergency services, imaging services (seven in-house modalities including: ct scan, mri, mammography, ultrasound, nuclear medicine, bone densitometry and x-ray), same day surgery, cardiac rehabilitation, physical and occupational therapy, pain management, occupational medicine, laboratory services, and nutritional services. Shamokin area community hospital maintains an open medical staff. As a result, physician specialty clinics are offered on site and include: orthopaedic, gynecology, dermatology, general/vascular surgery, cardiology, gastroenterology, otolaryngology, and oncology/hematology services. As a community-based healthcare facility, shamokin area community hospital provides many health and medical screenings for the public at large, in addition to many health-based educational classes and support groups. The hospital also offers the following healthcare centers for the public to access: cardiac rehabilitation center, center for joint replacement, occupational health & wellness center, pain management center, rehabilitation services center, and women's health center.shamokin area community hospital offers a continuum of care from infants to the elderly and is committed to meeting the health/medical needs of the community it serves. Shamokin area community hospital utilizes surplus funds to improve quality of care, expand facilities and advance education and training programs. The hospital will strive to bring needed physician specialists to the area, purchase advanced technology and recruit skilled professionals to care for their patients.","year":2010,"name":"SHAMOKIN AREA COMMUNITY HOSPITAL","phone":"5706444200","website":"WWW.SHAMOKINHOSPITAL.ORG","type":"990","principal_officer":"RANDY MORRIS","year_formation":1991,"state_legal_domicile":"PA","total_volunteers":0,"tax_period_begin":"2010-07-01T00:00:00","tax_period_end":"2011-06-30T00:00:00","address":"4200 HOSPITAL ROAD, COAL TOWNSHIP, PA, 178669697, USA","city":"COAL TOWNSHIP","state":"PA","country":"USA","zip_code":"178669697"},"Governance":{"501c3 determination":true,"Number of voting members":14,"Number of independent voting members":13,"Number of employees total":467,"Total Gross UBI":4930,"Net unrelated business taxable income":0,"Number of employees":467,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":true,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":true,"Consolidated audit financial statements":false,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":true,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":36212947,"Contributions":{"value":97504,"Other contributions":31750,"Fundraising revenue":24338,"Grant revenue":41416},"Program revenue":{"value":35572456,"Total revenue":35572456,"Unrelated business revenue":4930},"Investment income":{"value":281035,"Investment income total":252048,"Net investment gain":28987},"Other revenues":{"value":261952,"Other total":186102,"Net rental income":76718,"Net income from fundraising events":-868}},"Expenses":{"value":36794176,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":19031089,"Current officers":535125,"Other salaries and wages":15087415,"Pension plan contributions":261197,"Other employee benefits":2044226,"Payroll taxes":1103126},"Other expenses":{"value":17763087,"Legal":163373,"Accounting":70371,"Other services":3387844,"Advertising":52505,"Office expenses":7498284,"Occupancy":628618,"Travel":41669,"Conferences and meetings":19455,"Interest":184666,"Depreciation and depletion":2306862,"Insurance":453215,"Itemized Expenses":{"value":2952977,"VARIOUS":2952977},"All other expenses":3248}},"Assets":{"value":37987577,"Non-interest bearing cash":547,"Savings and temp cash investments":5851886,"Accounts receivable":4500168,"Inventories for sale or use":556337,"Prepaid expenses deferred charges":317645,"Land, building, equipment":18648052,"Investments publicly traded":7976588,"Other assets":136354},"Liabilities":{"value":7071933,"Accounts payable, accrued":2782219,"Secured mortgages and notes payable":3564753,"Other liabilities":724961},"Fund balance":{"value":30915644},"Form990Details":{"program_service_accomplishments":[{"description":"BECAUSE OF OUR VISION TO FOCUS ON SERVING THE HEALTH NEEDS OF THE POPULATION, SHAMOKIN AREA COMMUNITY HOSPITAL (\"SACH\") WILL LEAD THE DEVELOPMENT OF A COMMUNITY-BASED SERVICE DELIVERY SYSTEM WHICH STRATEGICALLY PARTNERS WITH OTHER HEALTHCARE AND SERVICE ORGANIZATIONS TO PROVIDE A CONTINUUM OF CARE WHICH IS: HIGH QUALITY, PATIENT/CUSTOMER FOCUSED, AND COMPETITIVELY PRICED.WE VALUE OUR PARTNERSHIPS WITH OUR MEDICAL STAFF AND EMPLOYEES SO THAT SACH WILL BECOME THE LEADING HOSPITAL FOR QUALITY, VALUE AND SERVICE IN THE SIX SURROUNDING COUNTIES BY 2012. WE WILL PROVIDE: SERVICE TO THE PATIENT, THE FAMILY, THE COMMUNITY, THE MEDICAL STAFF AND OUR CO-WORKERS; COMPASSION TOWARDS THOSE FOR WHOM WE CARE; INTEGRITY IN THE DELIVERY OF OUR SERVICES; EXCELLENCE THROUGH CONTINUOUS IMPROVEMENT; AND KNOWLEDGE TO ENRICH OUR CAPABILITIES.SHAMOKIN AREA COMMUNITY HOSPITAL PARTICIPATES IN MEDICARE AND MEDICAID AND IS A LICENSED 70-BED HEALTHCARE FACILITY. THE HOSPITAL PROVIDES FOR 10 GERIATRIC PSYCHIATRY BEDS, SEVEN INTENSIVE/CARDIAC CARE BEDS, 15 SKILLED NURSING BEDS, AND 38 MEDICAL/SURGICAL CARE BEDS. SHAMOKIN AREA COMMUNITY HOSPITAL ALSO OFFERS A VAST ARRAY OF OUTPATIENT SERVICES, WHICH INCLUDE BUT ARE NOT LIMITED TO: 24-HOUR EMERGENCY SERVICES, IMAGING SERVICES (SEVEN IN-HOUSE MODALITIES INCLUDING: CT SCAN, MRI, MAMMOGRAPHY, ULTRASOUND, NUCLEAR MEDICINE, BONE DENSITOMETRY AND X-RAY), SAME DAY SURGERY, CARDIAC REHABILITATION, PHYSICAL AND OCCUPATIONAL THERAPY, PAIN MANAGEMENT, OCCUPATIONAL MEDICINE, LABORATORY SERVICES, AND NUTRITIONAL SERVICES. SHAMOKIN AREA COMMUNITY HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF. AS A RESULT, PHYSICIAN SPECIALTY CLINICS ARE OFFERED ON SITE AND INCLUDE: ORTHOPAEDIC, GYNECOLOGY, DERMATOLOGY, GENERAL/VASCULAR SURGERY, CARDIOLOGY, GASTROENTEROLOGY, OTOLARYNGOLOGY, AND ONCOLOGY/HEMATOLOGY SERVICES. AS A COMMUNITY-BASED HEALTHCARE FACILITY, SHAMOKIN AREA COMMUNITY HOSPITAL PROVIDES MANY HEALTH AND MEDICAL SCREENINGS FOR THE PUBLIC AT LARGE, IN ADDITION TO MANY HEALTH-BASED EDUCATIONAL CLASSES AND SUPPORT GROUPS. THE HOSPITAL ALSO OFFERS THE FOLLOWING HEALTHCARE CENTERS FOR THE PUBLIC TO ACCESS: CARDIAC REHABILITATION CENTER, CENTER FOR JOINT REPLACEMENT, OCCUPATIONAL HEALTH & WELLNESS CENTER, PAIN MANAGEMENT CENTER, REHABILITATION SERVICES CENTER, AND WOMEN'S HEALTH CENTER.SHAMOKIN AREA COMMUNITY HOSPITAL OFFERS A CONTINUUM OF CARE FROM INFANTS TO THE ELDERLY AND IS COMMITTED TO MEETING THE HEALTH/MEDICAL NEEDS OF THE COMMUNITY IT SERVES. SHAMOKIN AREA COMMUNITY HOSPITAL UTILIZES SURPLUS FUNDS TO IMPROVE QUALITY OF CARE, EXPAND FACILITIES AND ADVANCE EDUCATION AND TRAINING PROGRAMS. THE HOSPITAL WILL STRIVE TO BRING NEEDED PHYSICIAN SPECIALISTS TO THE AREA, PURCHASE ADVANCED TECHNOLOGY AND RECRUIT SKILLED PROFESSIONALS TO CARE FOR THEIR PATIENTS.","expense":34540931,"revenue":35574141}],"program_service_revenue_detail":[{"business_code":"621110","description":"NET PATIENT SERVICE RE","total_revenue":35572456,"related_or_exempt_function_income":35572456}],"functional_expense_allocations":{"current_officers_directors":{"management_and_general":535125,"total":535125},"other_salaries_and_wages":{"program_services":14717552,"management_and_general":369863,"total":15087415},"pension_plan_contributions":{"program_services":254923,"management_and_general":6274,"total":261197},"other_employee_benefits":{"program_services":1995122,"management_and_general":49104,"total":2044226},"payroll_taxes":{"program_services":1076628,"management_and_general":26498,"total":1103126},"legal_fees":{"management_and_general":163373,"total":163373},"accounting_fees":{"management_and_general":70371,"total":70371},"other_service_fees":{"program_services":3265704,"management_and_general":122140,"total":3387844},"advertising":{"program_services":46823,"management_and_general":5682,"total":52505},"office_expenses":{"program_services":6948119,"management_and_general":518509,"fundraising":31656,"total":7498284},"occupancy":{"program_services":628618,"total":628618},"travel":{"program_services":40831,"management_and_general":838,"total":41669},"conferences_meetings":{"program_services":18167,"management_and_general":1288,"total":19455},"interest":{"program_services":184666,"total":184666},"depreciation_depletion":{"program_services":2306862,"total":2306862},"insurance":{"program_services":126758,"management_and_general":326457,"total":453215},"all_other_expenses":{"management_and_general":3248,"total":3248}},"fundraising_and_gaming_summary":{"gross_income_fundraising_events":27856,"fundraising_direct_expenses":28724},"tax_and_disclosure_flags":{"activities_conducted_through_partnership":false,"foreign_financial_account":false,"backup_withholding_compliance":true,"employment_tax_returns_filed":true,"lobbying_activities":true,"deductible_non_cash_contributions":false,"deductible_contributions_of_art":false,"method_of_accounting_accrual":true,"schedule_o_part_iii":true,"schedule_o_part_vi":true,"schedule_o_part_xi":true},"principal_officer_detail":{"person_name":"RANDY MORRIS","address_line1":"100 NORTH ACADEMY AVENUE","city":"DANVILLE","state":"PA","zip":"17822"},"audit_financial_statement_detail":{"financial_statement_attached":true,"accountant_compile_or_review":false,"audited_financial_statement_separate":true,"federal_grant_audit_required":false},"related_party_due_diligence":{"officer_entity_with_business_relationship":false,"officer_mailing_address":false,"related_entity":true,"related_org_controlled_entity":false,"compensation_from_other_sources":false,"excess_benefit_transaction":false,"annual_disclosure_covered_persons":true},"grant_due_diligence":{"grants_to_organizations":false,"grants_to_individuals":false,"more_than_5000_to_organizations":false,"more_than_5000_to_individuals":false},"books_are_in_care_of":{"person_name":"RANDY MORRIS","phone":"5702149156","address_line1":"100 NORTH ACADEMY AVENUE","city":"DANVILLE","state":"PA","zip":"17822"},"contractor_compensation":[{"business_name_line1":"GEISINGER CLINIC","compensation":1018485,"services_description":"ER SERVICES","address_line1":"100 NORTH ACADEMY AVENUE","city":"DANVILLE","state":"PA","zip":"17822","name":"GEISINGER CLINIC","address":"100 NORTH ACADEMY AVENUE, DANVILLE, PA, 17822"},{"business_name_line1":"GMMC DBA PROVEN LABS","compensation":282557,"services_description":"CONTRACTED LAB SERVICES","address_line1":"PO BOX 8500","city":"PHILADELPHIA","state":"PA","zip":"19718","name":"GMMC DBA PROVEN LABS","address":"PO BOX 8500, PHILADELPHIA, PA, 19718"},{"business_name_line1":"GEISINGER MEDICAL LABS","compensation":250390,"services_description":"CONTRACTED LAB SERVICES","address_line1":"101 NORTH ACADEMY AVENUE","city":"DANVILLE","state":"PA","zip":"17822","name":"GEISINGER MEDICAL LABS","address":"101 NORTH ACADEMY AVENUE, DANVILLE, PA, 17822"},{"business_name_line1":"MIG","compensation":238543,"services_description":"CONTRACTED RADIOLOGY SERVICES","address_line1":"SUITE 124 3 CHURCH ST","city":"ANNAPOLIS","state":"MD","zip":"21401","name":"MIG","address":"SUITE 124 3 CHURCH ST, ANNAPOLIS, MD, 21401"},{"business_name_line1":"PARIS COMPANY - HEALTHCARE WILLIAMSPORT","compensation":195730,"services_description":"LINEN AND UNIFORMS","address_line1":"67 HOOVER AVENUE","city":"DUBOISTOWN","state":"PA","zip":"15801","name":"PARIS COMPANY - HEALTHCARE WILLIAMSPORT","address":"67 HOOVER AVENUE, DUBOISTOWN, PA, 15801"}],"officers_directors_key_employees":[{"title":"PRESIDENT/CEO","average_hours_per_week":40.0,"reportable_comp_from_org":178874,"reportable_comp_from_related_orgs":0,"other_compensation":35141,"individual_trustee_or_director":true,"officer":true},{"title":"CHAIRMAN","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"VICE-CHAIRMAN","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"SECRETARY","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"TREASURER","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"CHIEF OF STAFF","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"DIRECTOR","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"DIRECTOR","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"DIRECTOR","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"DIRECTOR","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"DIRECTOR","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"DIRECTOR","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"DIRECTOR","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"DIRECTOR","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"CFO/VP OF FINANCE","average_hours_per_week":40.0,"reportable_comp_from_org":124117,"reportable_comp_from_related_orgs":0,"other_compensation":28547,"officer":true},{"title":"VP PATIENT SERVICES","average_hours_per_week":40.0,"reportable_comp_from_org":110773,"reportable_comp_from_related_orgs":0,"other_compensation":25478,"officer":true},{"title":"DIR OF ANESTHESIA","average_hours_per_week":40.0,"reportable_comp_from_org":378567,"reportable_comp_from_related_orgs":0,"other_compensation":61080,"highest_compensated_employee":true},{"title":"PHYSICIAN","average_hours_per_week":40.0,"reportable_comp_from_org":110661,"reportable_comp_from_related_orgs":0,"other_compensation":25452,"highest_compensated_employee":true},{"title":"CRNA","average_hours_per_week":40.0,"reportable_comp_from_org":184175,"reportable_comp_from_related_orgs":0,"other_compensation":42360,"highest_compensated_employee":true},{"title":"CRNA","average_hours_per_week":40.0,"reportable_comp_from_org":187574,"reportable_comp_from_related_orgs":0,"other_compensation":43142,"highest_compensated_employee":true},{"title":"PHARMACIST","average_hours_per_week":40.0,"reportable_comp_from_org":106668,"reportable_comp_from_related_orgs":0,"other_compensation":23919,"highest_compensated_employee":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleC":{"lobbying_activities":{"volunteers":false,"paid_staff_or_management":false,"media_advertisements":false,"mailings_members":false,"publications_or_broadcast":false,"grants_other_organizations":false,"direct_contact_legislators":false,"rallies_demonstrations":false,"other_activities":true,"other_activities_amount":3533,"total_lobbying_expenditures":3533,"not_described_section_501c3":false},"supplemental_information":[{"identifier":"EXPLANATION OF OTHER LOBBYING ACTIVITIES:","form_and_line_reference":"PART II-B, LINE 1I:","explanation":"THE HOSPITAL PAYS ANNUAL DUES TO HAP AND AHA. A PORTION OF THE DUES ARE USED BY THESE OTHER ORGANZIATIONS FOR LOBBYING PURPOSES. THE AMOUNT REPORTED ON THE HOSPITAL'S RETURN AS LOBBYING EXPENSE IS THE PERCENTAGE OF DUES USED BY HAP AND AHA FOR LOBBYING PURPOSES."}]},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":206811,"book_value":206811},"buildings":{"other_cost_or_other_basis":25152809,"book_value":14160602,"depreciation":10992207},"equipment":{"other_cost_or_other_basis":15159494,"book_value":4104894,"depreciation":11054600},"other_land_buildings":{"other_cost_or_other_basis":755960,"book_value":175745,"depreciation":580215},"total_book_value":18648052},"other_liabilities":{"liabilities":[{"description":"BLUE CROSS WORKING CAPITAL ADVANCE","amount":102800},{"description":"ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS","amount":40317},{"description":"OBLIGATIONS UNDER CAPITAL LEASE","amount":386844},{"description":"MEDICAL MALPRACTICE COSTS","amount":195000}],"total_liability":724961},"net_assets_reconciliation":{"total_revenue":36212947,"total_expenses":36794176,"excess_or_deficit_for_year":-581229,"net_unrealized_gains_losses_on_investments":450997,"total_adjustments":450997,"excess_or_deficit_per_financial_statements":-130232},"revenue_reconciliation":{"total_revenue_audited_financial_statements":36804714,"net_unrealized_gains_investments":450997,"revenue_not_reported":450997,"revenue_subtotal":36353717,"other_revenues_not_included":-140770,"revenue_not_reported_financial_statement":-140770,"total_revenue_per_990":36212947},"expense_reconciliation":{"total_expenses_audited_financial_statements":36934946,"other_expenses_included":140770,"expenses_not_reported":140770,"expenses_subtotal":36794176,"expenses_not_reported_financial_statement":0,"total_expenses_per_990":36794176},"supplemental_information":[{"identifier":"DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:","explanation":"THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES 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 IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2011. THE FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2011, 2010, AND 2009 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE."},{"identifier":"PART XII, LINE 4B - OTHER ADJUSTMENTS:","explanation":"RENTAL EXPENSE -112,046. FUNDRAISING EVENT EXPENSE -28,724."},{"identifier":"PART XIII, LINE 2D - OTHER ADJUSTMENTS:","explanation":"RENTAL EXPENSE 112,046. FUNDRAISING EVENT EXPENSE 28,724."}]},"ScheduleG":{"fundraising_events":{"event1":{"name":"GOLF TOURNAMENT","gross_receipts":41445,"charitable_contributions":24338,"gross_revenue":17107,"noncash_prizes":1920,"rent_facility_costs":6046,"food_and_beverage":5871,"other_direct_expenses":9323},"event2":{"name":"CASINO NIGHT","gross_receipts":7909,"gross_revenue":7909,"noncash_prizes":855,"rent_facility_costs":2300,"food_and_beverage":1060,"other_direct_expenses":965},"other_events":{"gross_receipts":2840,"gross_revenue":2840,"other_direct_expenses":384,"event_count":1},"total":{"gross_receipts":52194,"charitable_contributions":24338,"gross_revenue":27856,"noncash_prizes":2775,"rent_facility_costs":8346,"food_and_beverage":6931,"other_direct_expenses":10672},"direct_expense_summary":28724,"net_income_summary":-868}},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_other":true,"free_care_other_percentage":250.0,"fpg_reference_discounted_care":false,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":false},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":1204582,"reimbursed_by_medicare":14595928,"cost_of_care_reimbursed_by_medicare":14549525,"medicare_surplus_or_shortfall":46403,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":90372,"net_community_benefit_expense":90372,"total_expense_percentage":0.0027},"unreimbursed_medicaid":{"total_community_benefit_expense":1261515,"net_community_benefit_expense":1261515,"total_expense_percentage":0.0372},"total_financial_assistance":{"total_community_benefit_expense":1351887,"net_community_benefit_expense":1351887,"total_expense_percentage":0.0399},"total_community_benefits":{"total_community_benefit_expense":1351887,"net_community_benefit_expense":1351887,"total_expense_percentage":0.0399}},"community_building":{"community_support":{"activities_or_programs":170,"total_community_benefit_expense":25718,"direct_offsetting_revenue":16840,"net_community_benefit_expense":8878,"total_expense_percentage":0.0003},"total_community_building_activities":{"activities_or_programs":170,"total_community_benefit_expense":25718,"direct_offsetting_revenue":16840,"net_community_benefit_expense":8878,"total_expense_percentage":0.0003}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"SHAMOKIN AREA COMMUNITY HOSPITAL","address_line1":"4200 HOSPITAL ROAD","city":"COAL TOWNSHIP","state":"PA","zip":"17866","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"other_description":"NURSING FACILITY & IP GERO PSYCH UNIT","name":"SHAMOKIN AREA COMMUNITY HOSPITAL","address":"4200 HOSPITAL ROAD, COAL TOWNSHIP, PA, 17866"}],"facility_policies":[{"business_name_line1":"SHAMOKIN AREA COMMUNITY HOSPITAL","facility_number":1,"name":"SHAMOKIN AREA COMMUNITY HOSPITAL"}],"supplemental_information":[{"explanation":"PART I, LINE 3C: DISCOUNTED CARE IS BASED ON FAMILY SIZE AND INCOME ABOVE 250% FEDERAL POVERTY GUIDELINES."},{"explanation":"PART I, LINE 7G: THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED."},{"explanation":"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 $2,839,093."},{"explanation":"PART II: SACH PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES BY COORDINATING AND CONDUCTING COMMUNITY EDUCATION FOR MANY SEGMENTS OF SOCIETY. PROGRAMS HAVE BEEN PRESENTED FOR CHILDREN, SENIOR CITIZENS, DISEASE PREVENTION AND HEALTH CARE WORKERS. SACH REGULARLY PROVIDES CPR AND FIRST AID TRAINING TO THE COMMUNITY. THIS TRAINING INCLUDES NOT ONLY HEALTH CARE WORKERS BUT LIFEGUARDS, LOCAL COMPANIES, SCHOOL DISTRICTS AND EMERGENCY MEDICAL PERSONNEL. WITHOUT THIS TRAINING MANY OF THESE INDIVIDUALS WOULD NEED TO TRAVEL LONG DISTANCES TO OBTAIN THE CPR AND FIRST AID TRAINING NEEDED TO PERFORM THEIR JOBS.SACH HAS FOCUSED ON THE HEALTH EDUCATION OF CHILDREN. SACH HAS DIRECTED ITS ATTENTION TOWARD SCHOOL AGED CHILDREN BY PRESENTING PROGRAMS SUCH AS STRESS AND THE ADOLESCENT, SELF-ESTEEM DISORDER AND THE OUR COMMUNITY PROGRAM TO STUDENTS FROM GRADE 6 THOUGH GRADE 12. THE HOSPITAL ALSO WORKED WITH YOUNGER CHILDREN WHERE IT PRESENTED ITS \"GLITTERBUGS\" PROGRAM WHICH HELPS ELEMENTARY SCHOOL LEVEL CHILDREN LEARN THE IMPORTANCE OF HAND HYGIENE AND PROPER HAND WASHING TECHNIQUES.SINCE SACH HAS A SIGNIFICANT ELDERLY POPULATION IT HAS ALSO DIRECTED IT ATTENTION TOWARD EDUCATING SENIORS ABOUT LIFE STYLE CHOICES AND DISEASE MANAGEMENT. OVER THE PAST YEAR SACH HAS WORKED WITH VARIOUS LOCAL NURSING HOMES TO EDUCATE RESIDENTS ON THE ARTHRITIS FOUNDATION'S AQUATIC THERAPY PAIN MANAGEMENT PROGRAM AND ATTENDING HEALTH FAIRS. DISEASE PREVENTION PROGRAMS INCLUDED BLOOD PRESSURE SCREENINGS, PROSTATE CANCER SCREENINGS, DIABETIC EDUCATION, GLAUCOMA SCREENINGS, COLORECTAL CANCER EDUCATION AND HELD A HUNTER'S HEALTH SCREENING.SACH RECOGNIZES THE VALUE OF COMMUNITY EDUCATION AND ITS ROLE IN THE COMMUNITY. SACH WORKS TO EDUCATE THE COMMUNITY TO HELP THEM EXPERIENCE A HEALTHIER LIFESTYLE. WITHOUT SACH PROVIDING THESE COMMUNITY EDUCATION PROGRAM THE COMMUNITY WOULD NOT HAVE SUCH OPPORTUNITIES TO LEARN ABOUT IMPROVING THEIR INDIVIDUAL HEALTH."},{"explanation":"PART III, LINE 4: BAD DEBT AT COST = ((TOTAL OP EXPENSE - PROVISION FOR UNCOLLECTIBLE ACCOUNTS ) / TOTAL CHARGES) X PROVISION FOR UNCOLLECTIBLE ACCOUNTSTHE PROVISION FOR DOUBTFUL COLLECTIONS IS ADJUSTED MONTHLY BASED ON A REVIEW OF ACCOUNTS RECEIVABLE AGING, HISTORICAL WRITE-OFF PERCENTAGES AND ACTUAL BAD DEBT WRITE-OFFS."},{"explanation":"PART III, LINE 9B: THE PATIENT ACCOUNTS MANAGER ENSURES ALL REASONABLE EFFORTS WERE MADE TO ASSIST THE PATIENT WITH THE BILL PRIOR TO WRITE-OFF AND COLLECTION EFFORTS."},{"explanation":"PART VI, LINE 2: SHAMOKIN AREA COMMUNITY HOSPITAL IS A PARTICIPATING PARTNER IN ACTION HEALTH, WHOSE MISSION STATES: \"ACTION HEALTH IS A COLLABORATIVE PARTNERSHIP IN THE CENTRAL SUSQUEHANNA RIVER VALLEY THAT PROVIDES COMMUNITY HEALTH & WELLNESS OUTREACH AND EDUCATION.\" A COMPONENT OF THIS MISSION IS TO ALSO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES IN THE REGION. THIS WAS ACCOMPLISHED IN 2009/2010 THROUGH THE \"RURAL PENNSYLVANIA COUNTS: AN ASSESSMENT OF NEED IN CENTRAL PENNSYLVANIA\" PROJECT. CONDUCTED IN 2009, WITH RESULTS PRESENTED IN SEPTEMBER 2010, THE PROJECT WAS DEVELOPED TO ASSESS THE HEALTH AND HUMAN SERVICE NEEDS IN OUR 5-COUNTY SERVICE REGION, WHICH INCLUDES COLUMBIA, MONTOUR, NORTHUMBERLAND, SNYDER AND UNION COUNTIES.THIS COLLABORATIVE PARTNERSHIP ALLOWS SHAMOKIN AREA COMMUNITY HOSPITAL TO UTILIZE THE INFORMATION OBTAINED THROUGH THE NEEDS ASSESSMENT TO HELP IDENTIFY GAPS AND OPPORTUNITIES FOR BETTER HEALTH CARE DELIVERY WITHIN THE COMMUNITIES WE SERVE. IN ADDITION, SHAMOKIN AREA COMMUNITY HOSPITAL WILL BENEFIT FROM FUTURE COMMUNITY NEEDS \"REASSESSMENTS\" THROUGH ACTION HEALTH TO CONTINUE GUIDING APPROPRIATE PLANNING FOR OUR HOSPITAL WHILE ADDRESSING THE CHANGING NEEDS IN OUR COMMUNITY."},{"explanation":"PART VI, LINE 3: ALL UNINSURED AND UNDERINSURED INPATIENTS RECEIVE A VISIT FROM THE SOCIAL SERVICES DEPARTMENT DURING THEIR HOSPITAL STAY. THE SOCIAL WORKERS WILL REVIEW WITH THE PATIENT THE OPTIONS AVAILABLE INCLUDING APPLYING FOR MEDICAL ASSISTANCE, APPLYING FOR CHARITY CARE FROM THE HOSPITAL, OR ACCESSING ANY OTHER FEDERAL, STATE OR LOCAL GOVERNMENTAL PROGRAMS AVAILABLE TO ASSIST THE PAYER FOR THE PATIENT'S CARE.ALL UNINSURED AND UNDERINSURED OUTPATIENTS ARE PROVIDED WITH THE \"NOTICE OF FINANCIAL AID\". THIS FORM ADVISES THE PATIENT TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT IF SEEKING FINANCIAL ASSISTANCE FOR THE HEALTH CARE PROVIDED. THE PATIENT ACCOUNT ANALYSTS WORK WITH ALL PATIENTS WHO SEEK FINANCIAL ASSISTANCE BY PROVIDING THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO THEM. THESE OPTIONS INCLUDE MEDICAL ASSISTANCE, CHARITY CARE AND OTHER FEDERAL, STATE AND LOCAL GOVERNMENTAL ASSISTANCE PROGRAMS. SACH ALSO HAS ITS CHARITY CARE PROGRAM INFORMATION DETAILED ON IS WEB SITE."},{"explanation":"PART VI, LINE 4: COMMUNITY SERVED AS FOLLOWS:COMMUNITY SERVED ZIP CODE POPULATION* MHI** % BELOW POVERTY LEVELSHAMOKIN 17872 8,009 $ 20,173 24.2%COAL TOWNSHIP 17866 10,628 $ 26,547 11.9%KULPMONT 17834 2,985 $ 29,263 9.8% MOUNT CARMEL 17851 6,390 $ 22,168 18.2%ELYSBURG 17824 2,067 $ 43,222 9.0%TREVERTON 17881 2,010 $ 32,013 8.6%SUNBURY 17801 10,610 $ 25,893 18.1%*- FROM THE 2000 CENSUS DATA**- MEDIAN HOUSEHOLD INCOMESHAMOKIN AREA COMMUNITY HOSPITAL (SACH) SERVES THE COMMUNITIES LISTED ABOVE. THE DEMOGRAPHICS OF EACH COMMUNITY ARE LISTED. THIS GEOGRAPHIC SERVICE AREA IS LOCATED IN RURAL CENTRAL PENNSYLVANIA SPECIFICALLY IN EASTERN NORTHUMBERLAND COUNTY. THE POPULATION IS AGING AND IS PREDOMINANTLY COVERED BY MEDICARE. MEDICARE MAKES UP 79% OF THE SACH INPATIENT VOLUMES WHILE MEDICARE ACCOUNTS FOR 41% OF ITS OUTPATIENT VOLUMES. 4.1% AND 12.5% OF THE SACH INPATIENT VOLUMES AND OUTPATIENT VOLUMES RESPECTIVELY ARE FROM PATIENTS COVERED BY MEDICAL ASSISTANCE. SACH ALSO CARED FOR UNINSURED PATIENTS WHO MADE UP 1.7% OF ITS INPATIENT CARE AND 4.7% OF ITS OUTPATIENT CARE. OF THE COMMUNITIES SERVED BY SACH, ONE, SHAMOKIN, IS A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. BOTH SUNBURY COMMUNITY HOSPITAL AND GEISINGER MEDICAL CENTER SERVE THE SAME COMMUNITIES AS SACH."},{"explanation":"PART VI, LINE 6: ALL OF THE GOVERNING BODY OF SACH RESIDES IN ITS PRIMARY SERVICE AREA. NONE OF THE BOARD OF DIRECTORS ARE EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. THE ONLY EXCEPTION WOULD BE ONE BOARD MEMBER WHO PROVIDES THE HOSPITAL'S PROPERTY INSURANCE POLICY INDIRECTLY THROUGH THE HOSPITAL'S MAIN INSURANCE BROKER.SACH MAINTAINS AN OPEN MEDICAL STAFF. ALL QUALIFIED PHYSICIANS ARE WELCOME TO APPLY FOR ADMITTING PRIVILEGES. ANY PHYSICIAN WHO MEETS THE QUALIFICATIONS AND AGREES TO ABIDE BY THE MEDICAL STAFF BYLAWS MAY BE GRANTED PRIVILEGES.ALL SURPLUS FUNDS ARE REINVESTED IN THE OPERATIONS OF THE HOSPITAL. OVER THE PAST 10 YEARS SACH HAS USED ANY SURPLUS FUNDS TO COMPLETE THE FOLLOWING PROJECTS/INITIATIVES:-NEW EMERGENCY DEPARTMENT-CONSTRUCTED A NEW MEDICAL/SURGICAL UNIT.-ADDED 3 NEW OPERATING ROOMS ALONG WITH 2 ENDOSCOPY ROOMS IN A NEW SURGICAL SUITE.-CONSTRUCTED A NEW LABORATORY WITHIN THE HOSPITAL-CREATED A WOMEN'S HEALTH CENTER WITH DIGITAL MAMMOGRAPHY, DIGITAL ULTRASOUND, NUCLEAR MEDICINE, CT SCANNING AND MRI.-ADDED COMPONENTS OF AN ELECTRONIC HEALTH RECORD.SACH OPERATES A HIGH QUALITY, LOW COST HEALTH CARE FACILITY WHERE THE PATIENTS IN ITS RURAL SERVICE AREA, WHO ARE PREDOMINANTLY ELDERLY, ARE ABLE TO ACCESS CARE IN THEIR COMMUNITY. SACH IS A VERY EFFICIENT COMMUNITY HOSPITAL AS EVIDENCED BY ITS FULL-TIME EQUIVALENTS PER ADJUSTED OCCUPIED BED OF 3.2. THIS EFFICIENCY ALONG WITH ITS CAREFUL PURCHASING PRACTICES HAS ALLOWED SACH TO OPERATE A VERY COST EFFECTIVE COMMUNITY HOSPITAL. THE RESULT OF THIS COST EFFECTIVENESS HAS BEEN LOWER REIMBURSEMENT RATES FOR INSURER AND IN-TURN LOWER HEALTH INSURANCE RATES FOR MEMBERS OF THE COMMUNITY.ALSO, SHAMOKIN AREA COMMUNITY HOSPITAL IS A SIGNIFICANT PARTICIPANT IN MANY COMMUNITY ACTIVITIES AND CHARITABLE EVENTS. WE PROVIDE SOME DIRECT AND/OR INDIRECT (IN-KIND) FUNDING AND SUPPORT FOR SUCH FUNCTIONS AS THE AMERICAN CANCER SOCIETY \"RELAY FOR LIFE\", AMERICAN HEART ASSOCIATION \"HEART WALK\", VARIOUS LOCAL HEALTH FAIRS, ANTHRACITE HERITAGE DAYS, AND MANY OTHER COMMUNITY, EDUCATIONAL AND HEALTH RELATED ACTIVITIES. THESE FUNCTIONS ARE CONSISTENT WITH THE MISSION, VISION AND VALUES OF THE HOSPITAL, AND REFLECT OUR TRUE \"PARTNERSHIP\" WITH THE COMMUNITY WE SERVE.PART VI, LINE 7: N/A"}]},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":true,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"THOMAS R HARLOW","base_compensation_filing_org":172874,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":35141,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":6000,"other_compensation_related_orgs":0,"total_compensation_filing_org":214015,"total_compensation_related_orgs":0,"name":"THOMAS R HARLOW"},{"person_name":"RANDY MORRIS","base_compensation_filing_org":124117,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":28547,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":152664,"total_compensation_related_orgs":0,"name":"RANDY MORRIS"},{"person_name":"LLEWELYN WILLIAMS MD","base_compensation_filing_org":352577,"bonus_filing_org":25990,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":61080,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":439647,"total_compensation_related_orgs":0,"name":"LLEWELYN WILLIAMS MD"},{"person_name":"JOANN SASSANI","base_compensation_filing_org":184175,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":42360,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":226535,"total_compensation_related_orgs":0,"name":"JOANN SASSANI"},{"person_name":"LISA RAWA","base_compensation_filing_org":187574,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":43142,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":230716,"total_compensation_related_orgs":0,"name":"LISA RAWA"}],"supplemental_information":[{"form_and_line_reference":"PART I, LINE 5","explanation":"DR. LLEWELYN WILLIAMS, ANESTHESIOLOGIST RECEIVES A PROFESSIONAL FEE COLLECTION INCENTIVE FROM THE PAIN CLINIC. DR. WILLIAMS RECEIVED 90% OF RECEIPTS COLLECTED ABOVE $125,000. IN FYE 11 HE RECEIVED PAYMENT OF $25,990."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":232745301,"business_name_line1":"LOWER ANTHRACITE HEALTH CORPORATION","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":false,"legal_domicile_state":"PA","address_line1":"4200 HOSPITAL ROAD","city":"COAL TOWNSHIP","state":"PA","zip":"17866","name":"LOWER ANTHRACITE HEALTH CORPORATION","address":"4200 HOSPITAL ROAD, COAL TOWNSHIP, PA, 17866"},{"ein":232745308,"business_name_line1":"NORTHUMBERLAND HEALTH SERVICES INC","primary_activities":"PROVIDE AMBULATORY, MEDICAL, AND RELATED SERVICES","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":false,"legal_domicile_state":"PA","direct_controlling_business_name_line1":"LOWER ANTHRACITE HEALTH CORPORATION","address_line1":"4200 HOSPITAL ROAD","city":"COAL TOWNSHIP","state":"PA","zip":"17866","name":"NORTHUMBERLAND HEALTH SERVICES INC","address":"4200 HOSPITAL ROAD, COAL TOWNSHIP, PA, 17866"}],"transaction_flags":{"gift_grant_or_capital_contribution_from_other_org":false,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":false,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":false,"sharing_of_paid_employees":false,"reimbursement_paid_by_other_org":false,"reimbursement_paid_to_other_org":false,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false}},"source_xml":"201201359349300845_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Provide acute care, psychiatric and skilled nursing beds, outpatient and emergency services.","primary_activities":"Because of our vision to focus on serving the health needs of the population, shamokin area community hospital (\"sach\") will lead the development of a community-based service delivery system which strategically partners with other healthcare and service organizations to provide a continuum of care which is: high quality, patient/customer focused, and competitively priced.we provide: service to the patient, the family, the community, the medical staff and our co-workers; compassion towards those for whom we care; integrity in the delivery of our services; excellence through continuous improvement; and knowledge to enrich our capabilities.shamokin area community hospital participates in medicare and medicaid and is a licensed 70-bed healthcare facility. The hospital provides for 10 geriatric psychiatry beds, seven intensive/cardiac care beds, 15 skilled nursing beds, and 38 medical/surgical care beds. Shamokin area community hospital also offers a vast array of outpatient services, which include but are not limited to: 24-hour emergency services, imaging services (seven in-house modalities including: ct scan, mri, mammography, ultrasound, nuclear medicine, bone densitometry and x-ray), same day surgery, cardiac rehabilitation, physical and occupational therapy, pain management, occupational medicine, laboratory services, and nutritional services. Shamokin area community hospital maintains an open medical staff. As a result, physician specialty clinics are offered on site and include: orthopaedic, gynecology, dermatology, general/vascular surgery, cardiology, gastroenterology, otolaryngology, and oncology/hematology services. As a community-based healthcare facility, shamokin area community hospital provides many health and medical screenings for the public at large, in addition to many health-based educational classes and support groups. The hospital also offers the following healthcare centers for the public to access: cardiac rehabilitation center, center for joint replacement, occupational health & wellness center, pain management center, rehabilitation services center, and women's health center.shamokin area community hospital offers a continuum of care from infants to the elderly and is committed to meeting the health/medical needs of the community it serves. Shamokin area community hospital utilizes surplus funds to improve quality of care, expand facilities and advance education and training programs. The hospital will strive to bring needed physician specialists to the area, purchase advanced technology and recruit skilled professionals to care for their patients.","year":2011,"name":"SHAMOKIN AREA COMMUNITY HOSPITAL","phone":"5706444200","website":"WWW.SHAMOKINHOSPITAL.ORG","type":"990","principal_officer":"RANDY MORRIS","year_formation":1991,"state_legal_domicile":"PA","total_volunteers":0,"tax_period_begin":"2011-07-01T00:00:00","tax_period_end":"2011-12-31T00:00:00","address":"100 N ACADEMY AVENUE MC 49-70, DANVILLE, PA, 17822, USA","city":"DANVILLE","state":"PA","country":"USA","zip_code":"17822"},"Governance":{"501c3 determination":true,"Number of voting members":14,"Number of independent voting members":13,"Number of employees total":456,"Total Gross UBI":2418,"Net unrelated business taxable income":0,"Number of employees":456,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":true,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":false,"Accountant compile or review":false,"Financial statements audited by independent accountant":false,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":true,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":17653621,"Contributions":{"value":58136,"Fundraising revenue":12524,"Grant revenue":45612},"Program revenue":{"value":16535529,"Total revenue":16535529,"Unrelated business revenue":2418},"Investment income":{"value":929714,"Investment income total":131443,"Net investment gain":798271},"Other revenues":{"value":130242,"Other total":84463,"Net rental income":43218,"Net income from fundraising events":2561}},"Expenses":{"value":20148831,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":9698101,"Current officers":338769,"Other salaries and wages":7682351,"Pension plan contributions":141145,"Other employee benefits":1054235,"Payroll taxes":481601},"Other expenses":{"value":10450730,"Legal":104697,"Accounting":73631,"Other services":1677624,"Advertising":22643,"Office expenses":4121406,"Occupancy":301980,"Travel":14672,"Conferences and meetings":10672,"Interest":164126,"Depreciation and depletion":1750590,"Insurance":453817,"Itemized Expenses":{"value":1753918,"VARIOUS":1753918},"All other expenses":954}},"Assets":{"value":0,"Non-interest bearing cash":0,"Savings and temp cash investments":0,"Pledges and grants receivable":0,"Accounts receivable":0,"Receivables from officers":0,"Receivables from disqual persons":0,"Other net note and loans":0,"Inventories for sale or use":0,"Prepaid expenses deferred charges":0,"Land, building, equipment":0,"Investments publicly traded":0,"Investments other":0,"Investments program related":0,"Intangible assets":0,"Other assets":0},"Liabilities":{"value":0,"Accounts payable, accrued":0,"Secured mortgages and notes payable":0,"Other liabilities":0},"Fund balance":{"value":0},"Form990Details":{"program_service_accomplishments":[{"description":"BECAUSE OF OUR VISION TO FOCUS ON SERVING THE HEALTH NEEDS OF THE POPULATION, SHAMOKIN AREA COMMUNITY HOSPITAL (\"SACH\") WILL LEAD THE DEVELOPMENT OF A COMMUNITY-BASED SERVICE DELIVERY SYSTEM WHICH STRATEGICALLY PARTNERS WITH OTHER HEALTHCARE AND SERVICE ORGANIZATIONS TO PROVIDE A CONTINUUM OF CARE WHICH IS: HIGH QUALITY, PATIENT/CUSTOMER FOCUSED, AND COMPETITIVELY PRICED.WE PROVIDE: SERVICE TO THE PATIENT, THE FAMILY, THE COMMUNITY, THE MEDICAL STAFF AND OUR CO-WORKERS; COMPASSION TOWARDS THOSE FOR WHOM WE CARE; INTEGRITY IN THE DELIVERY OF OUR SERVICES; EXCELLENCE THROUGH CONTINUOUS IMPROVEMENT; AND KNOWLEDGE TO ENRICH OUR CAPABILITIES.SHAMOKIN AREA COMMUNITY HOSPITAL PARTICIPATES IN MEDICARE AND MEDICAID AND IS A LICENSED 70-BED HEALTHCARE FACILITY. THE HOSPITAL PROVIDES FOR 10 GERIATRIC PSYCHIATRY BEDS, SEVEN INTENSIVE/CARDIAC CARE BEDS, 15 SKILLED NURSING BEDS, AND 38 MEDICAL/SURGICAL CARE BEDS. SHAMOKIN AREA COMMUNITY HOSPITAL ALSO OFFERS A VAST ARRAY OF OUTPATIENT SERVICES, WHICH INCLUDE BUT ARE NOT LIMITED TO: 24-HOUR EMERGENCY SERVICES, IMAGING SERVICES (SEVEN IN-HOUSE MODALITIES INCLUDING: CT SCAN, MRI, MAMMOGRAPHY, ULTRASOUND, NUCLEAR MEDICINE, BONE DENSITOMETRY AND X-RAY), SAME DAY SURGERY, CARDIAC REHABILITATION, PHYSICAL AND OCCUPATIONAL THERAPY, PAIN MANAGEMENT, OCCUPATIONAL MEDICINE, LABORATORY SERVICES, AND NUTRITIONAL SERVICES. SHAMOKIN AREA COMMUNITY HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF. AS A RESULT, PHYSICIAN SPECIALTY CLINICS ARE OFFERED ON SITE AND INCLUDE: ORTHOPAEDIC, GYNECOLOGY, DERMATOLOGY, GENERAL/VASCULAR SURGERY, CARDIOLOGY, GASTROENTEROLOGY, OTOLARYNGOLOGY, AND ONCOLOGY/HEMATOLOGY SERVICES. AS A COMMUNITY-BASED HEALTHCARE FACILITY, SHAMOKIN AREA COMMUNITY HOSPITAL PROVIDES MANY HEALTH AND MEDICAL SCREENINGS FOR THE PUBLIC AT LARGE, IN ADDITION TO MANY HEALTH-BASED EDUCATIONAL CLASSES AND SUPPORT GROUPS. THE HOSPITAL ALSO OFFERS THE FOLLOWING HEALTHCARE CENTERS FOR THE PUBLIC TO ACCESS: CARDIAC REHABILITATION CENTER, CENTER FOR JOINT REPLACEMENT, OCCUPATIONAL HEALTH & WELLNESS CENTER, PAIN MANAGEMENT CENTER, REHABILITATION SERVICES CENTER, AND WOMEN'S HEALTH CENTER.SHAMOKIN AREA COMMUNITY HOSPITAL OFFERS A CONTINUUM OF CARE FROM INFANTS TO THE ELDERLY AND IS COMMITTED TO MEETING THE HEALTH/MEDICAL NEEDS OF THE COMMUNITY IT SERVES. SHAMOKIN AREA COMMUNITY HOSPITAL UTILIZES SURPLUS FUNDS TO IMPROVE QUALITY OF CARE, EXPAND FACILITIES AND ADVANCE EDUCATION AND TRAINING PROGRAMS. THE HOSPITAL WILL STRIVE TO BRING NEEDED PHYSICIAN SPECIALISTS TO THE AREA, PURCHASE ADVANCED TECHNOLOGY AND RECRUIT SKILLED PROFESSIONALS TO CARE FOR THEIR PATIENTS.","expense":18787728,"revenue":16546911}],"program_service_revenue_detail":[{"business_code":"621110","description":"PATIENT SERVICE 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A, PART IV, SUPPLEMENTAL INFORMATION: SHAMOKIN AREA COMMUNITY HOSPITAL (SACH) MERGED WITH GEISINGER MEDICAL GROUP ON 12/31/2011. SACH WILL NO LONGER BE OPERATING UNDER ITS FORMER EIN AS OF SAID DATE."}}},"ScheduleB":{"attached":true,"required":true},"ScheduleD":{"land_buildings_equipment":{"total_book_value":0}},"ScheduleG":{"fundraising_events":{"event1":{"name":"GOLF TOURNAMENT","gross_receipts":32210,"charitable_contributions":12524,"gross_revenue":19686,"noncash_prizes":1980,"rent_facility_costs":3989,"food_and_beverage":6242,"other_direct_expenses":4914},"total":{"gross_receipts":32210,"charitable_contributions":12524,"gross_revenue":19686,"noncash_prizes":1980,"rent_facility_costs":3989,"food_and_beverage":6242,"other_direct_expenses":4914},"direct_expense_summary":17125,"net_income_summary":2561}},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_other":true,"free_care_other_percentage":250.0,"fpg_reference_discounted_care":false,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":false},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":821595,"reimbursed_by_medicare":5360029,"cost_of_care_reimbursed_by_medicare":6576827,"medicare_surplus_or_shortfall":-1216798,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":37165,"net_community_benefit_expense":37165,"total_expense_percentage":0.002},"unreimbursed_medicaid":{"total_community_benefit_expense":1298360,"net_community_benefit_expense":1298360,"total_expense_percentage":0.0703},"total_financial_assistance":{"total_community_benefit_expense":1335525,"net_community_benefit_expense":1335525,"total_expense_percentage":0.0723},"total_community_benefits":{"total_community_benefit_expense":1335525,"net_community_benefit_expense":1335525,"total_expense_percentage":0.0723}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"SHAMOKIN AREA COMMUNITY HOSPITAL","address_line1":"4200 HOSPITAL ROAD","city":"COAL TOWNSHIP","state":"PA","zip":"17866","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"other_description":"NURSING FACILITY & IP GERO PSYCH UNIT","name":"SHAMOKIN AREA COMMUNITY HOSPITAL","address":"4200 HOSPITAL ROAD, COAL TOWNSHIP, PA, 17866"}],"facility_policies":[{"business_name_line1":"SHAMOKIN AREA COMMUNITY HOSPITAL","facility_number":1,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":250.0,"fpg_used_determine_discounted_care":false,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"other_method_used":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"fap_actions_on_nonpayment":true,"provided_on_admission":true,"permit_report_to_credit_agency":true,"collection_activities":true,"reporting_to_credit_agency":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"medicaid_medicare":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"SHAMOKIN AREA COMMUNITY HOSPITAL"}],"supplemental_information":[{"explanation":"PART I, LINE 3C: DISCOUNTED CARE IS BASED ON FAMILY SIZE AND INCOME ABOVE 250% FEDERAL POVERTY GUIDELINES."},{"explanation":"PART I, LINE 7G: THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED."},{"explanation":"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 $1,669,903."},{"explanation":"PART II: SACH PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES BY COORDINATING AND CONDUCTING COMMUNITY EDUCATION FOR MANY SEGMENTS OF SOCIETY. PROGRAMS HAVE BEEN PRESENTED FOR CHILDREN, SENIOR CITIZENS, DISEASE PREVENTION AND HEALTH CARE WORKERS. SACH REGULARLY PROVIDES CPR AND FIRST AID TRAINING TO THE COMMUNITY. THIS TRAINING INCLUDES NOT ONLY HEALTH CARE WORKERS BUT LIFEGUARDS, LOCAL COMPANIES, SCHOOL DISTRICTS AND EMERGENCY MEDICAL PERSONNEL. WITHOUT THIS TRAINING MANY OF THESE INDIVIDUALS WOULD NEED TO TRAVEL LONG DISTANCES TO OBTAIN THE CPR AND FIRST AID TRAINING NEEDED TO PERFORM THEIR JOBS.SACH HAS FOCUSED ON THE HEALTH EDUCATION OF CHILDREN. SACH HAS DIRECTED ITS ATTENTION TOWARD SCHOOL AGED CHILDREN BY PRESENTING PROGRAMS SUCH AS STRESS AND THE ADOLESCENT, SELF-ESTEEM DISORDER AND THE OUR COMMUNITY PROGRAM TO STUDENTS FROM GRADE 6 THOUGH GRADE 12. THE HOSPITAL ALSO WORKED WITH YOUNGER CHILDREN WHERE IT PRESENTED ITS \"GLITTERBUGS\" PROGRAM WHICH HELPS ELEMENTARY SCHOOL LEVEL CHILDREN LEARN THE IMPORTANCE OF HAND HYGIENE AND PROPER HAND WASHING TECHNIQUES.SINCE SACH HAS A SIGNIFICANT ELDERLY POPULATION IT HAS ALSO DIRECTED ITS ATTENTION TOWARD EDUCATING SENIORS ABOUT LIFE STYLE CHOICES AND DISEASE MANAGEMENT. OVER THE PAST YEAR SACH HAS WORKED WITH VARIOUS LOCAL NURSING HOMES TO EDUCATE RESIDENTS ON THE ARTHRITIS FOUNDATION'S AQUATIC THERAPY PAIN MANAGEMENT PROGRAM AND ATTENDING HEALTH FAIRS. DISEASE PREVENTION PROGRAMS INCLUDED BLOOD PRESSURE SCREENINGS, PROSTATE CANCER SCREENINGS, DIABETIC EDUCATION, GLAUCOMA SCREENINGS, COLORECTAL CANCER EDUCATION AND HELD A HUNTER'S HEALTH SCREENING.SACH RECOGNIZES THE VALUE OF COMMUNITY EDUCATION AND ITS ROLE IN THE COMMUNITY. SACH WORKS TO EDUCATE THE COMMUNITY TO HELP THEM EXPERIENCE A HEALTHIER LIFESTYLE. WITHOUT SACH PROVIDING THESE COMMUNITY EDUCATION PROGRAM THE COMMUNITY WOULD NOT HAVE SUCH OPPORTUNITIES TO LEARN ABOUT IMPROVING THEIR INDIVIDUAL HEALTH."},{"explanation":"PART III, LINE 4: BAD DEBT AT COST = ((TOTAL OP EXPENSE - PROVISION FOR UNCOLLECTIBLE ACCOUNTS ) / TOTAL CHARGES) X PROVISION FOR UNCOLLECTIBLE ACCOUNTSTHE PROVISION FOR DOUBTFUL COLLECTIONS IS ADJUSTED MONTHLY BASED ON A REVIEW OF ACCOUNTS RECEIVABLE AGING, HISTORICAL WRITE-OFF PERCENTAGES AND ACTUAL BAD DEBT WRITE-OFFS."},{"explanation":"PART III, LINE 8: THE 12/31/2011 MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS.THE HOSPITAL CONTINUED TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING \"LESS\" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT."},{"explanation":"PART III, LINE 9B: THE COLLECTION POLICY REQUIRES THE PATIENT ACCOUNTS MANGER TO ENSURE ALL REASONABLE EFFORTS ARE MADE TO ASSIST THE PATIENT WITH THE BILL PRIOR TO WRITE-OFF AND COLLECTION EFFORTS."},{"explanation":"PART V, SECTION B, LINE 10: DISCOUNTED CARE IS BASED ON FAMILY SIZE AND INCOME ABOVE 250% FEDERAL POVERTY GUIDELINES."},{"explanation":"PART V, SECTION B, LINE 19D: IF THE PATIENT QUALIFIED FOR FINANCIAL ASSISTANCE THE CHARGE WAS ZERO."},{"explanation":"PART VI, LINE 2: SHAMOKIN AREA COMMUNITY HOSPITAL IS A PARTICIPATING PARTNER IN ACTION HEALTH, WHOSE MISSION STATES: \"ACTION HEALTH IS A COLLABORATIVE PARTNERSHIP IN THE CENTRAL SUSQUEHANNA RIVER VALLEY THAT PROVIDES COMMUNITY HEALTH & WELLNESS OUTREACH AND EDUCATION.\" A COMPONENT OF THIS MISSION IS TO ALSO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES IN THE REGION. THIS WAS ACCOMPLISHED IN 2009/2010 THROUGH THE \"RURAL PENNSYLVANIA COUNTS: AN ASSESSMENT OF NEED IN CENTRAL PENNSYLVANIA\" PROJECT. CONDUCTED IN 2009, WITH RESULTS PRESENTED IN SEPTEMBER 2010, THE PROJECT WAS DEVELOPED TO ASSESS THE HEALTH AND HUMAN SERVICE NEEDS IN OUR 5-COUNTY SERVICE REGION, WHICH INCLUDES COLUMBIA, MONTOUR, NORTHUMBERLAND, SNYDER AND UNION COUNTIES.THIS COLLABORATIVE PARTNERSHIP ALLOWS SHAMOKIN AREA COMMUNITY HOSPITAL TO UTILIZE THE INFORMATION OBTAINED THROUGH THE NEEDS ASSESSMENT TO HELP IDENTIFY GAPS AND OPPORTUNITIES FOR BETTER HEALTH CARE DELIVERY WITHIN THE COMMUNITIES WE SERVE. IN ADDITION, SHAMOKIN AREA COMMUNITY HOSPITAL WILL BENEFIT FROM FUTURE COMMUNITY NEEDS \"REASSESSMENTS\" THROUGH ACTION HEALTH TO CONTINUE GUIDING APPROPRIATE PLANNING FOR OUR HOSPITAL WHILE ADDRESSING THE CHANGING NEEDS IN OUR COMMUNITY."},{"explanation":"PART VI, LINE 3: ALL UNINSURED AND UNDERINSURED INPATIENTS RECEIVE A VISIT FROM THE SOCIAL SERVICES DEPARTMENT DURING THEIR HOSPITAL STAY. THE SOCIAL WORKERS WILL REVIEW WITH THE PATIENT THE OPTIONS AVAILABLE INCLUDING APPLYING FOR MEDICAL ASSISTANCE, APPLYING FOR CHARITY CARE FROM THE HOSPITAL, OR ACCESSING ANY OTHER FEDERAL, STATE OR LOCAL GOVERNMENTAL PROGRAMS AVAILABLE TO ASSIST THE PAYER FOR THE PATIENT'S CARE.ALL UNINSURED AND UNDERINSURED OUTPATIENTS ARE PROVIDED WITH THE \"NOTICE OF FINANCIAL AID\". THIS FORM ADVISES THE PATIENT TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT IF SEEKING FINANCIAL ASSISTANCE FOR THE HEALTH CARE PROVIDED. THE PATIENT ACCOUNT ANALYSTS WORK WITH ALL PATIENTS WHO SEEK FINANCIAL ASSISTANCE BY PROVIDING THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO THEM. THESE OPTIONS INCLUDE MEDICAL ASSISTANCE, CHARITY CARE AND OTHER FEDERAL, STATE AND LOCAL GOVERNMENTAL ASSISTANCE PROGRAMS. SACH ALSO HAS ITS CHARITY CARE PROGRAM INFORMATION DETAILED ON IS WEB SITE."},{"explanation":"PART VI, LINE 4: COMMUNITY SERVED AS FOLLOWS:COMMUNITY SERVED ZIP CODE POPULATION* MHI** % BELOW POVERTY LEVELSHAMOKIN 17872 8,009 $ 20,173 24.2%COAL TOWNSHIP 17866 10,628 $ 26,547 11.9%KULPMONT 17834 2,985 $ 29,263 9.8% MOUNT CARMEL 17851 6,390 $ 22,168 18.2%ELYSBURG 17824 2,067 $ 43,222 9.0%TREVERTON 17881 2,010 $ 32,013 8.6%SUNBURY 17801 10,610 $ 25,893 18.1%*- FROM THE 2000 CENSUS DATA**- MEDIAN HOUSEHOLD INCOMESHAMOKIN AREA COMMUNITY HOSPITAL (SACH) SERVES THE COMMUNITIES LISTED ABOVE. THE DEMOGRAPHICS OF EACH COMMUNITY ARE LISTED. THIS GEOGRAPHIC SERVICE AREA IS LOCATED IN RURAL CENTRAL PENNSYLVANIA SPECIFICALLY IN EASTERN NORTHUMBERLAND COUNTY. THE POPULATION IS AGING AND IS PREDOMINANTLY COVERED BY MEDICARE. MEDICARE MAKES UP 79% OF THE SACH INPATIENT VOLUMES WHILE MEDICARE ACCOUNTS FOR 41% OF ITS OUTPATIENT VOLUMES. 4.1% AND 12.5% OF THE SACH INPATIENT VOLUMES AND OUTPATIENT VOLUMES RESPECTIVELY ARE FROM PATIENTS COVERED BY MEDICAL ASSISTANCE. SACH ALSO CARED FOR UNINSURED PATIENTS WHO MADE UP 1.7% OF ITS INPATIENT CARE AND 4.7% OF ITS OUTPATIENT CARE. OF THE COMMUNITIES SERVED BY SACH, ONE, SHAMOKIN, IS A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. BOTH SUNBURY COMMUNITY HOSPITAL AND GEISINGER MEDICAL CENTER SERVE THE SAME COMMUNITIES AS SACH."},{"explanation":"PART VI, LINE 5: ALL OF THE GOVERNING BODY OF SACH RESIDES IN ITS PRIMARY SERVICE AREA. NONE OF THE BOARD OF DIRECTORS ARE EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. THE ONLY EXCEPTION WOULD BE ONE BOARD MEMBER WHO PROVIDES THE HOSPITAL'S PROPERTY INSURANCE POLICY INDIRECTLY THROUGH THE HOSPITAL'S MAIN INSURANCE BROKER.SACH MAINTAINS AN OPEN MEDICAL STAFF. ALL QUALIFIED PHYSICIANS ARE WELCOME TO APPLY FOR ADMITTING PRIVILEGES. ANY PHYSICIAN WHO MEETS THE QUALIFICATIONS AND AGREES TO ABIDE BY THE MEDICAL STAFF BYLAWS MAY BE GRANTED PRIVILEGES.ALL SURPLUS FUNDS ARE REINVESTED IN THE OPERATIONS OF THE HOSPITAL. OVER THE PAST 10 YEARS SACH HAS USED ANY SURPLUS FUNDS TO COMPLETE THE FOLLOWING PROJECTS/INITIATIVES:-NEW EMERGENCY DEPARTMENT-CONSTRUCTED A NEW MEDICAL/SURGICAL UNIT.-ADDED 3 NEW OPERATING ROOMS ALONG WITH 2 ENDOSCOPY ROOMS IN A NEW SURGICAL SUITE.-CONSTRUCTED A NEW LABORATORY WITHIN THE HOSPITAL-CREATED A WOMEN'S HEALTH CENTER WITH DIGITAL MAMMOGRAPHY, DIGITAL ULTRASOUND, NUCLEAR MEDICINE, CT SCANNING AND MRI.-ADDED COMPONENTS OF AN ELECTRONIC HEALTH RECORD.SACH OPERATES A HIGH QUALITY, LOW COST HEALTH CARE FACILITY WHERE THE PATIENTS IN ITS RURAL SERVICE AREA, WHO ARE PREDOMINANTLY ELDERLY, ARE ABLE TO ACCESS CARE IN THEIR COMMUNITY. SACH IS A VERY EFFICIENT COMMUNITY HOSPITAL AS EVIDENCED BY ITS FULL-TIME EQUIVALENTS PER ADJUSTED OCCUPIED BED OF 3.2. THIS EFFICIENCY ALONG WITH ITS CAREFUL PURCHASING PRACTICES HAS ALLOWED SACH TO OPERATE A VERY COST EFFECTIVE COMMUNITY HOSPITAL. THE RESULT OF THIS COST EFFECTIVENESS HAS BEEN LOWER REIMBURSEMENT RATES FOR INSURER AND IN-TURN LOWER HEALTH INSURANCE RATES FOR MEMBERS OF THE COMMUNITY.ALSO, SHAMOKIN AREA COMMUNITY HOSPITAL IS A SIGNIFICANT PARTICIPANT IN MANY COMMUNITY ACTIVITIES AND CHARITABLE EVENTS. WE PROVIDE SOME DIRECT AND/OR INDIRECT (IN-KIND) FUNDING AND SUPPORT FOR SUCH FUNCTIONS AS THE AMERICAN CANCER SOCIETY \"RELAY FOR LIFE\", AMERICAN HEART ASSOCIATION \"HEART WALK\", VARIOUS LOCAL HEALTH FAIRS, ANTHRACITE HERITAGE DAYS, AND MANY OTHER COMMUNITY, EDUCATIONAL AND HEALTH RELATED ACTIVITIES. THESE FUNCTIONS ARE CONSISTENT WITH THE MISSION, VISION AND VALUES OF THE HOSPITAL, AND REFLECT OUR TRUE \"PARTNERSHIP\" WITH THE COMMUNITY WE SERVE.PART VI, LINE 7: N/A"}]},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":true,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"THOMAS R HARLOW","base_compensation_filing_org":183319,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":3786,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":39757,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":6000,"other_compensation_related_orgs":0,"total_compensation_filing_org":232862,"total_compensation_related_orgs":0,"name":"THOMAS R HARLOW"},{"person_name":"RANDY MORRIS","base_compensation_filing_org":158642,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":3173,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":33315,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":195130,"total_compensation_related_orgs":0,"name":"RANDY MORRIS"},{"person_name":"PATRICK KONITZER","base_compensation_filing_org":415378,"bonus_filing_org":151295,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":4160,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":89523,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":660356,"total_compensation_related_orgs":0,"name":"PATRICK KONITZER"},{"person_name":"JERE WAGNER","base_compensation_filing_org":246198,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":11480,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":51702,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":309380,"total_compensation_related_orgs":0,"name":"JERE WAGNER"},{"person_name":"JOANN SASSANI","base_compensation_filing_org":186051,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":3721,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":39071,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":228843,"total_compensation_related_orgs":0,"name":"JOANN SASSANI"},{"person_name":"LISA RAWA","base_compensation_filing_org":188410,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":3768,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":39566,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":231744,"total_compensation_related_orgs":0,"name":"LISA RAWA"},{"person_name":"BETH SAVITSKI-LENTINI","base_compensation_filing_org":137990,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":2760,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":28978,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":169728,"total_compensation_related_orgs":0,"name":"BETH SAVITSKI-LENTINI"}],"supplemental_information":[{"form_and_line_reference":"PART I, LINE 5","explanation":"DR. PATRICK KONITZER, ANESTHESIOLOGIST RECEIVES A PROFESSIONAL FEE COLLECTION INCENTIVE FROM THE PAIN CLINIC."}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":false,"bond_liabilities_discharged":false,"required_to_notify_attorney_general":true,"attorney_general_notified":true},"successor_relationships":{"director_of_successor":false,"employee_of_successor":true,"owner_of_successor":false},"liquidations":[{"business_name_line1":"GEISINGER MEDICAL CENTER","ein":240795959,"irc_section":"501(C)(3)","distribution_date":"2011-12-31T00:00:00","description":"CASH AND INVESTMENTS","fair_market_value":8736205,"method_of_fmv_determination":"CASH","address_line1":"100 NORTH ACADEMY AVENUE","city":"DANVILLE","state":"PA","zip":"17822","name":"GEISINGER MEDICAL CENTER","address":"100 NORTH ACADEMY AVENUE, DANVILLE, PA, 17822"},{"business_name_line1":"GEISINGER MEDICAL CENTER","ein":240795959,"irc_section":"501(C)(3)","distribution_date":"2011-12-31T00:00:00","description":"ACCOUNTS RECEIVABLE","fair_market_value":3739883,"method_of_fmv_determination":"COST, NET OF ALLOWANCE FOR DOUBTFUL ACCOUNTS","address_line1":"100 NORTH ACADEMY AVENUE","city":"DANVILLE","state":"PA","zip":"17822","name":"GEISINGER MEDICAL CENTER","address":"100 NORTH ACADEMY AVENUE, DANVILLE, PA, 17822"},{"business_name_line1":"GEISINGER MEDICAL CENTER","ein":240795959,"irc_section":"501(C)(3)","distribution_date":"2011-12-31T00:00:00","description":"INVENTORY","fair_market_value":553037,"method_of_fmv_determination":"COST","address_line1":"100 NORTH ACADEMY AVENUE","city":"DANVILLE","state":"PA","zip":"17822","name":"GEISINGER MEDICAL CENTER","address":"100 NORTH ACADEMY AVENUE, DANVILLE, PA, 17822"},{"business_name_line1":"GEISINGER MEDICAL CENTER","ein":240795959,"irc_section":"501(C)(3)","distribution_date":"2011-12-31T00:00:00","description":"PROPERTY AND EQUIPMENT, NET","fair_market_value":17655499,"method_of_fmv_determination":"COST, NET OF DEPRECIATION","address_line1":"100 NORTH ACADEMY AVENUE","city":"DANVILLE","state":"PA","zip":"17822","name":"GEISINGER MEDICAL CENTER","address":"100 NORTH ACADEMY AVENUE, DANVILLE, PA, 17822"}],"supplemental_information":[{"explanation":"PART I, LINE 2E: THOMAS HARLOW, CEO AND RANDY MORRIS, CFO/ VP OF FINANCE"},{"explanation":"PART I, LINE 2E: THOMAS HARLOW AND RANDY MORRIS, OFFICERS OF SHAMOKIN AREA COMMUNITY HOSPITAL, BECAME EMPLOYEES OF GEISINGER MEDICAL CENTER UPON THE MERGER."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":232745301,"business_name_line1":"LOWER ANTHRACITE HEALTH CORPORATION","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":false,"legal_domicile_state":"PA","address_line1":"4200 HOSPITAL ROAD","city":"COAL TOWNSHIP","state":"PA","zip":"17866","name":"LOWER ANTHRACITE HEALTH CORPORATION","address":"4200 HOSPITAL ROAD, COAL TOWNSHIP, PA, 17866"},{"ein":232745308,"business_name_line1":"NORTHUMBERLAND HEALTH SERVICES INC","primary_activities":"PROVIDE AMBULATORY, MEDICAL, AND RELATED SERVICES","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":false,"legal_domicile_state":"PA","direct_controlling_business_name_line1":"LOWER ANTHRACITE HEALTH CORPORATION","address_line1":"4200 HOSPITAL ROAD","city":"COAL TOWNSHIP","state":"PA","zip":"17866","name":"NORTHUMBERLAND HEALTH SERVICES INC","address":"4200 HOSPITAL ROAD, COAL TOWNSHIP, PA, 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The hospital provides for 10 geriatric psychiatry beds, seven intensive/cardiac care beds, 15 skilled nursing beds, and 38 medical/surgical care beds. Shamokin area community hospital also offers a vast array of outpatient services, which include but are not limited to: 24-hour emergency services, imaging services (seven in-house modalities including: ct scan, mri, mammography, ultrasound, nuclear medicine, bone densitometry and x-ray), same day surgery, cardiac rehabilitation, physical and occupational therapy, pain management, occupational medicine, laboratory services, and nutritional services. Shamokin area community hospital maintains an open medical staff. As a result, physician specialty clinics are offered on site and include: orthopaedic, gynecology, dermatology, general/vascular surgery, cardiology, gastroenterology, otolaryngology, and oncology/hematology services. As a community-based healthcare facility, shamokin area community hospital provides many health and medical screenings for the public at large, in addition to many health-based educational classes and support groups. The hospital also offers the following healthcare centers for the public to access: cardiac rehabilitation center, center for joint replacement, occupational health & wellness center, pain management center, rehabilitation services center, and women's health center.shamokin area community hospital offers a continuum of care from infants to the elderly and is committed to meeting the health/medical needs of the community it serves. Shamokin area community hospital utilizes surplus funds to improve quality of care, expand facilities and advance education and training programs. 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THE HOSPITAL PROVIDES FOR 10 GERIATRIC PSYCHIATRY BEDS, SEVEN INTENSIVE/CARDIAC CARE BEDS, 15 SKILLED NURSING BEDS, AND 38 MEDICAL/SURGICAL CARE BEDS. SHAMOKIN AREA COMMUNITY HOSPITAL ALSO OFFERS A VAST ARRAY OF OUTPATIENT SERVICES, WHICH INCLUDE BUT ARE NOT LIMITED TO: 24-HOUR EMERGENCY SERVICES, IMAGING SERVICES (SEVEN IN-HOUSE MODALITIES INCLUDING: CT SCAN, MRI, MAMMOGRAPHY, ULTRASOUND, NUCLEAR MEDICINE, BONE DENSITOMETRY AND X-RAY), SAME DAY SURGERY, CARDIAC REHABILITATION, PHYSICAL AND OCCUPATIONAL THERAPY, PAIN MANAGEMENT, OCCUPATIONAL MEDICINE, LABORATORY SERVICES, AND NUTRITIONAL SERVICES. SHAMOKIN AREA COMMUNITY HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF. AS A RESULT, PHYSICIAN SPECIALTY CLINICS ARE OFFERED ON SITE AND INCLUDE: ORTHOPAEDIC, GYNECOLOGY, DERMATOLOGY, GENERAL/VASCULAR SURGERY, CARDIOLOGY, GASTROENTEROLOGY, OTOLARYNGOLOGY, AND ONCOLOGY/HEMATOLOGY SERVICES. 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PROGRAMS HAVE BEEN PRESENTED FOR CHILDREN, SENIOR CITIZENS, DISEASE PREVENTION AND HEALTH CARE WORKERS. SACH REGULARLY PROVIDES CPR AND FIRST AID TRAINING TO THE COMMUNITY. THIS TRAINING INCLUDES NOT ONLY HEALTH CARE WORKERS BUT LIFEGUARDS, LOCAL COMPANIES, SCHOOL DISTRICTS AND EMERGENCY MEDICAL PERSONNEL. WITHOUT THIS TRAINING MANY OF THESE INDIVIDUALS WOULD NEED TO TRAVEL LONG DISTANCES TO OBTAIN THE CPR AND FIRST AID TRAINING NEEDED TO PERFORM THEIR JOBS.SACH HAS FOCUSED ON THE HEALTH EDUCATION OF CHILDREN. SACH HAS DIRECTED ITS ATTENTION TOWARD SCHOOL AGED CHILDREN BY PRESENTING PROGRAMS SUCH AS STRESS AND THE ADOLESCENT, SELF-ESTEEM DISORDER AND THE OUR COMMUNITY PROGRAM TO STUDENTS FROM GRADE 6 THOUGH GRADE 12. THE HOSPITAL ALSO WORKED WITH YOUNGER CHILDREN WHERE IT PRESENTED ITS \"GLITTERBUGS\" PROGRAM WHICH HELPS ELEMENTARY SCHOOL LEVEL CHILDREN LEARN THE IMPORTANCE OF HAND HYGIENE AND PROPER HAND WASHING TECHNIQUES.SINCE SACH HAS A SIGNIFICANT ELDERLY POPULATION IT HAS ALSO DIRECTED ITS ATTENTION TOWARD EDUCATING SENIORS ABOUT LIFE STYLE CHOICES AND DISEASE MANAGEMENT. OVER THE PAST YEAR SACH HAS WORKED WITH VARIOUS LOCAL NURSING HOMES TO EDUCATE RESIDENTS ON THE ARTHRITIS FOUNDATION'S AQUATIC THERAPY PAIN MANAGEMENT PROGRAM AND ATTENDING HEALTH FAIRS. DISEASE PREVENTION PROGRAMS INCLUDED BLOOD PRESSURE SCREENINGS, PROSTATE CANCER SCREENINGS, DIABETIC EDUCATION, GLAUCOMA SCREENINGS, COLORECTAL CANCER EDUCATION AND HELD A HUNTER'S HEALTH SCREENING.SACH RECOGNIZES THE VALUE OF COMMUNITY EDUCATION AND ITS ROLE IN THE COMMUNITY. SACH WORKS TO EDUCATE THE COMMUNITY TO HELP THEM EXPERIENCE A HEALTHIER LIFESTYLE. WITHOUT SACH PROVIDING THESE COMMUNITY EDUCATION PROGRAM THE COMMUNITY WOULD NOT HAVE SUCH OPPORTUNITIES TO LEARN ABOUT IMPROVING THEIR INDIVIDUAL HEALTH."},{"explanation":"PART III, LINE 4: BAD DEBT AT COST = ((TOTAL OP EXPENSE - PROVISION FOR UNCOLLECTIBLE ACCOUNTS ) / TOTAL CHARGES) X PROVISION FOR UNCOLLECTIBLE ACCOUNTSTHE PROVISION FOR DOUBTFUL COLLECTIONS IS ADJUSTED MONTHLY BASED ON A REVIEW OF ACCOUNTS RECEIVABLE AGING, HISTORICAL WRITE-OFF PERCENTAGES AND ACTUAL BAD DEBT WRITE-OFFS."},{"explanation":"PART III, LINE 8: THE 12/31/2011 MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS.THE HOSPITAL CONTINUED TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING \"LESS\" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT."},{"explanation":"PART III, LINE 9B: THE COLLECTION POLICY REQUIRES THE PATIENT ACCOUNTS MANGER TO ENSURE ALL REASONABLE EFFORTS ARE MADE TO ASSIST THE PATIENT WITH THE BILL PRIOR TO WRITE-OFF AND COLLECTION EFFORTS."},{"explanation":"PART V, SECTION B, LINE 10: DISCOUNTED CARE IS BASED ON FAMILY SIZE AND INCOME ABOVE 250% FEDERAL POVERTY GUIDELINES."},{"explanation":"PART V, SECTION B, LINE 19D: IF THE PATIENT QUALIFIED FOR FINANCIAL ASSISTANCE THE CHARGE WAS ZERO."},{"explanation":"PART VI, LINE 2: SHAMOKIN AREA COMMUNITY HOSPITAL IS A PARTICIPATING PARTNER IN ACTION HEALTH, WHOSE MISSION STATES: \"ACTION HEALTH IS A COLLABORATIVE PARTNERSHIP IN THE CENTRAL SUSQUEHANNA RIVER VALLEY THAT PROVIDES COMMUNITY HEALTH & WELLNESS OUTREACH AND EDUCATION.\" A COMPONENT OF THIS MISSION IS TO ALSO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES IN THE REGION. THIS WAS ACCOMPLISHED IN 2009/2010 THROUGH THE \"RURAL PENNSYLVANIA COUNTS: AN ASSESSMENT OF NEED IN CENTRAL PENNSYLVANIA\" PROJECT. CONDUCTED IN 2009, WITH RESULTS PRESENTED IN SEPTEMBER 2010, THE PROJECT WAS DEVELOPED TO ASSESS THE HEALTH AND HUMAN SERVICE NEEDS IN OUR 5-COUNTY SERVICE REGION, WHICH INCLUDES COLUMBIA, MONTOUR, NORTHUMBERLAND, SNYDER AND UNION COUNTIES.THIS COLLABORATIVE PARTNERSHIP ALLOWS SHAMOKIN AREA COMMUNITY HOSPITAL TO UTILIZE THE INFORMATION OBTAINED THROUGH THE NEEDS ASSESSMENT TO HELP IDENTIFY GAPS AND OPPORTUNITIES FOR BETTER HEALTH CARE DELIVERY WITHIN THE COMMUNITIES WE SERVE. IN ADDITION, SHAMOKIN AREA COMMUNITY HOSPITAL WILL BENEFIT FROM FUTURE COMMUNITY NEEDS \"REASSESSMENTS\" THROUGH ACTION HEALTH TO CONTINUE GUIDING APPROPRIATE PLANNING FOR OUR HOSPITAL WHILE ADDRESSING THE CHANGING NEEDS IN OUR COMMUNITY."},{"explanation":"PART VI, LINE 3: ALL UNINSURED AND UNDERINSURED INPATIENTS RECEIVE A VISIT FROM THE SOCIAL SERVICES DEPARTMENT DURING THEIR HOSPITAL STAY. THE SOCIAL WORKERS WILL REVIEW WITH THE PATIENT THE OPTIONS AVAILABLE INCLUDING APPLYING FOR MEDICAL ASSISTANCE, APPLYING FOR CHARITY CARE FROM THE HOSPITAL, OR ACCESSING ANY OTHER FEDERAL, STATE OR LOCAL GOVERNMENTAL PROGRAMS AVAILABLE TO ASSIST THE PAYER FOR THE PATIENT'S CARE.ALL UNINSURED AND UNDERINSURED OUTPATIENTS ARE PROVIDED WITH THE \"NOTICE OF FINANCIAL AID\". THIS FORM ADVISES THE PATIENT TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT IF SEEKING FINANCIAL ASSISTANCE FOR THE HEALTH CARE PROVIDED. THE PATIENT ACCOUNT ANALYSTS WORK WITH ALL PATIENTS WHO SEEK FINANCIAL ASSISTANCE BY PROVIDING THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO THEM. THESE OPTIONS INCLUDE MEDICAL ASSISTANCE, CHARITY CARE AND OTHER FEDERAL, STATE AND LOCAL GOVERNMENTAL ASSISTANCE PROGRAMS. SACH ALSO HAS ITS CHARITY CARE PROGRAM INFORMATION DETAILED ON IS WEB SITE."},{"explanation":"PART VI, LINE 4: COMMUNITY SERVED AS FOLLOWS:COMMUNITY SERVED ZIP CODE POPULATION* MHI** % BELOW POVERTY LEVELSHAMOKIN 17872 8,009 $ 20,173 24.2%COAL TOWNSHIP 17866 10,628 $ 26,547 11.9%KULPMONT 17834 2,985 $ 29,263 9.8% MOUNT CARMEL 17851 6,390 $ 22,168 18.2%ELYSBURG 17824 2,067 $ 43,222 9.0%TREVERTON 17881 2,010 $ 32,013 8.6%SUNBURY 17801 10,610 $ 25,893 18.1%*- FROM THE 2000 CENSUS DATA**- MEDIAN HOUSEHOLD INCOMESHAMOKIN AREA COMMUNITY HOSPITAL (SACH) SERVES THE COMMUNITIES LISTED ABOVE. THE DEMOGRAPHICS OF EACH COMMUNITY ARE LISTED. THIS GEOGRAPHIC SERVICE AREA IS LOCATED IN RURAL CENTRAL PENNSYLVANIA SPECIFICALLY IN EASTERN NORTHUMBERLAND COUNTY. THE POPULATION IS AGING AND IS PREDOMINANTLY COVERED BY MEDICARE. MEDICARE MAKES UP 79% OF THE SACH INPATIENT VOLUMES WHILE MEDICARE ACCOUNTS FOR 41% OF ITS OUTPATIENT VOLUMES. 4.1% AND 12.5% OF THE SACH INPATIENT VOLUMES AND OUTPATIENT VOLUMES RESPECTIVELY ARE FROM PATIENTS COVERED BY MEDICAL ASSISTANCE. SACH ALSO CARED FOR UNINSURED PATIENTS WHO MADE UP 1.7% OF ITS INPATIENT CARE AND 4.7% OF ITS OUTPATIENT CARE. OF THE COMMUNITIES SERVED BY SACH, ONE, SHAMOKIN, IS A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. BOTH SUNBURY COMMUNITY HOSPITAL AND GEISINGER MEDICAL CENTER SERVE THE SAME COMMUNITIES AS SACH."},{"explanation":"PART VI, LINE 5: ALL OF THE GOVERNING BODY OF SACH RESIDES IN ITS PRIMARY SERVICE AREA. NONE OF THE BOARD OF DIRECTORS ARE EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. THE ONLY EXCEPTION WOULD BE ONE BOARD MEMBER WHO PROVIDES THE HOSPITAL'S PROPERTY INSURANCE POLICY INDIRECTLY THROUGH THE HOSPITAL'S MAIN INSURANCE BROKER.SACH MAINTAINS AN OPEN MEDICAL STAFF. ALL QUALIFIED PHYSICIANS ARE WELCOME TO APPLY FOR ADMITTING PRIVILEGES. ANY PHYSICIAN WHO MEETS THE QUALIFICATIONS AND AGREES TO ABIDE BY THE MEDICAL STAFF BYLAWS MAY BE GRANTED PRIVILEGES.ALL SURPLUS FUNDS ARE REINVESTED IN THE OPERATIONS OF THE HOSPITAL. OVER THE PAST 10 YEARS SACH HAS USED ANY SURPLUS FUNDS TO COMPLETE THE FOLLOWING PROJECTS/INITIATIVES:-NEW EMERGENCY DEPARTMENT-CONSTRUCTED A NEW MEDICAL/SURGICAL UNIT.-ADDED 3 NEW OPERATING ROOMS ALONG WITH 2 ENDOSCOPY ROOMS IN A NEW SURGICAL SUITE.-CONSTRUCTED A NEW LABORATORY WITHIN THE HOSPITAL-CREATED A WOMEN'S HEALTH CENTER WITH DIGITAL MAMMOGRAPHY, DIGITAL ULTRASOUND, NUCLEAR MEDICINE, CT SCANNING AND MRI.-ADDED COMPONENTS OF AN ELECTRONIC HEALTH RECORD.SACH OPERATES A HIGH QUALITY, LOW COST HEALTH CARE FACILITY WHERE THE PATIENTS IN ITS RURAL SERVICE AREA, WHO ARE PREDOMINANTLY ELDERLY, ARE ABLE TO ACCESS CARE IN THEIR COMMUNITY. SACH IS A VERY EFFICIENT COMMUNITY HOSPITAL AS EVIDENCED BY ITS FULL-TIME EQUIVALENTS PER ADJUSTED OCCUPIED BED OF 3.2. THIS EFFICIENCY ALONG WITH ITS CAREFUL PURCHASING PRACTICES HAS ALLOWED SACH TO OPERATE A VERY COST EFFECTIVE COMMUNITY HOSPITAL. THE RESULT OF THIS COST EFFECTIVENESS HAS BEEN LOWER REIMBURSEMENT RATES FOR INSURER AND IN-TURN LOWER HEALTH INSURANCE RATES FOR MEMBERS OF THE COMMUNITY.ALSO, SHAMOKIN AREA COMMUNITY HOSPITAL IS A SIGNIFICANT PARTICIPANT IN MANY COMMUNITY ACTIVITIES AND CHARITABLE EVENTS. WE PROVIDE SOME DIRECT AND/OR INDIRECT (IN-KIND) FUNDING AND SUPPORT FOR SUCH FUNCTIONS AS THE AMERICAN CANCER SOCIETY \"RELAY FOR LIFE\", AMERICAN HEART ASSOCIATION \"HEART WALK\", VARIOUS LOCAL HEALTH FAIRS, ANTHRACITE HERITAGE DAYS, AND MANY OTHER COMMUNITY, EDUCATIONAL AND HEALTH RELATED ACTIVITIES. THESE FUNCTIONS ARE CONSISTENT WITH THE MISSION, VISION AND VALUES OF THE HOSPITAL, AND REFLECT OUR TRUE \"PARTNERSHIP\" WITH THE COMMUNITY WE SERVE.PART VI, LINE 7: N/A"}]},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":true,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"THOMAS R HARLOW","base_compensation_filing_org":183319,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":3786,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":39757,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":6000,"other_compensation_related_orgs":0,"total_compensation_filing_org":232862,"total_compensation_related_orgs":0,"name":"THOMAS R HARLOW"},{"person_name":"RANDY MORRIS","base_compensation_filing_org":158642,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":3173,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":33315,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":195130,"total_compensation_related_orgs":0,"name":"RANDY MORRIS"},{"person_name":"PATRICK KONITZER","base_compensation_filing_org":415378,"bonus_filing_org":151295,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":4160,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":89523,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":660356,"total_compensation_related_orgs":0,"name":"PATRICK KONITZER"},{"person_name":"JERE WAGNER","base_compensation_filing_org":246198,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":11480,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":51702,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":309380,"total_compensation_related_orgs":0,"name":"JERE WAGNER"},{"person_name":"JOANN SASSANI","base_compensation_filing_org":186051,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":3721,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":39071,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":228843,"total_compensation_related_orgs":0,"name":"JOANN SASSANI"},{"person_name":"LISA RAWA","base_compensation_filing_org":188410,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":3768,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":39566,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":231744,"total_compensation_related_orgs":0,"name":"LISA RAWA"},{"person_name":"BETH SAVITSKI-LENTINI","base_compensation_filing_org":137990,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":2760,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":28978,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":169728,"total_compensation_related_orgs":0,"name":"BETH SAVITSKI-LENTINI"}],"supplemental_information":[{"form_and_line_reference":"PART I, LINE 5","explanation":"DR. PATRICK KONITZER, ANESTHESIOLOGIST RECEIVES A PROFESSIONAL FEE COLLECTION INCENTIVE FROM THE PAIN CLINIC."}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":false,"bond_liabilities_discharged":false,"required_to_notify_attorney_general":true,"attorney_general_notified":true},"successor_relationships":{"director_of_successor":false,"employee_of_successor":true,"owner_of_successor":false},"liquidations":[{"business_name_line1":"GEISINGER MEDICAL CENTER","ein":240795959,"irc_section":"501(C)(3)","distribution_date":"2011-12-31T00:00:00","description":"CASH AND INVESTMENTS","fair_market_value":8736205,"method_of_fmv_determination":"CASH","address_line1":"100 NORTH ACADEMY AVENUE","city":"DANVILLE","state":"PA","zip":"17822","name":"GEISINGER MEDICAL CENTER","address":"100 NORTH ACADEMY AVENUE, DANVILLE, PA, 17822"},{"business_name_line1":"GEISINGER MEDICAL 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