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Actual bad debt amounts written off totaled $4,852,705. The related cost for these services was $4,567,443. The Hospital's ratio of cost to charges was applied to the total charges for accounts written off in order to determine a reasonable approximation of the cost of providing services for those patients. Costs were then prorated between payments and bad debt write-offs on the accounts to calculate the cost amount disclosed in Part III section A.","community_building_activities":"The emergency department serves more than 400,000 residents in Allegheny and northern Washington counties. The annual visits have approached 60,000 patients. In 2009, the Hospital completed a $13.5 million emergency room expansion increasing capacity to 80,000 visitors per year to accomodate the growing need for emergency care of the region and alleviate the overcrowding conditions, allowing it to better contribute to the health needs of the community as well as the economic vitality of the Southern area of Pittsburgh.With 525 physicians and more than 2100 employees, the Hospital is the largest employer in Pittsburgh's South Hills.The Hospital has established a coordinated program with the nursing schools of surrounding communities and the Hospital's nursing staff serve as preceptors to the nursing students. As many as 153 nursing students were served and more than 5,000 hours were spent on this program in nurturing the future healthcare givers of the region.The Hospital serves as a clinical site for post-secondary advanced clinical degree programs for medical imaging students in multiple modalities, CRNA students and 5th and 6th year doctoral students in pharmacy. Its medical school preceptor program hosts between 6 to 8 students for 8 week rotations throughout the year. Job shadowing programs are also coordinated for high-school students. The Hospital is actively involved with the clinical training of over 60 Emergency Medical Technicians and Paramedics. Over 1,965 hours of training were devoted for their education in order to strengthen the quality of care given by these professionals.","community_information":"The Hospital considers its service area to include thirty-four communities in Allegheny County and northern Washington County.The Hospital is located in the Mt. Lebanon Municipality of Allegheny County and has three outpatient facilities. The county has a population of 1,223,411 and the per capita income was $22,491. There were 149,823 people living below the poverty line.","debt_collection_policy":"Once the Hospital determines that a patient has qualified for charity care or free care, an adjustment of either 100%, 20% or 30% is applied to all accounts reviewed in the application process as determined by a sliding scale based on the federal poverty guidelines or if the patient's credit score is below the Hospital's threshold credit score. No further collection efforts are made on those qualifying for the 100% discount. For the patients qualifying for the 20% or 30% discount, the balance due is adjusted by the applicable percentage and the remaining balance continues through the regular collection process. Additionally, all patients without insurance are provided a discount regardless of income. Inpatient services are discounted to a level approximating medicare reimbursement rates and outpatient services are discounted by 50%. During the year ended June 30, 2010, $4,455,831 of uninsured discounts were provided.","general_explanation":"Schedule H Part I Line 7 column f (Percent of total expense). Due to software error, total percentage for each line 7d, 7j and 7k does not total correctly. The correct totals should be 2.55%, .90% and 3.45% respectively.Shedule H Part II (Percent of total expense). Due to software error, total percentage for line 10 does not total correctly. The correct total is .57%","needs_assessment":"Community need assessment is integrated into the Hospital's strategic planning and budgeting process. The Hospital uses a wide variety of methods in assessing the health needs of the community such as using private and public organizations' data; surveys and focus group findings, public forums, informal polling and contracted studies. This approach has been effective in creating new services or improving existing services to meet the community's health needs.","other_information":"The Hospital strives to further its exempt purpose by promoting the health of the community through its dedication to supporting community outreach programs by providing health screenings, health care education programs, support groups and clinical interactions, in-kind contributions to other not-for-profit community partners and its commitment towards capital improvements and purchases of new technology to enhance its services to meet the community's health needs. The Hospital supports numerous community outreach programs, including a subsidized cardiac rehabilitation program, CPR training for schools and non-profit organizations, annual flu and pneumonia vaccinations to senior citizens, and mentoring opportunities for young adults. During FY2010, over 230 community outreach educational programs were sponsored by the Hospital. The Hospital strives for continuous improvement of quality of care offered by the emergency room as evidenced by patient satisfaction scores that are leading the nation and reciept of numerous local and national awards for quality.As a service to community residents, St. Clair sponsors a needle disposal program for diabetics and other individuals who self administer medications in their homes. This outreach program provides for the safe disposal of used needles, syringes and finger stick devices at no cost to residents, preventing potential exposures, transmissions and related health hazards. The service is provided through a Sharps Box exchange program. Individuals in need are provided with a heavy-duty biomedical waste disposal box that is specially designed to accept used needles. When the container is full, it can be brought to the Hospital for proper disposal. Residents are provided with a new box at the time of the exchange. The Hospital's Auxillary has throughout the years raised funds through the operation of the Gift Shop and through annual events. Its financial contributions helped the Hospital to purchase new equipment, support facility upgrades and provide community outreach programs.The Hospital has a very active volunteer program including over 200 junior and 435 senior volunteers. Approximately 90,000 volunteer hours of service are provided in numerous areas covering a broad range of services from clerical duties to patient assistance.The Hospital maintains a van transportation service to assist patients in the community in accessing the Hospital for needed medical services. This service is substantially subsidized by St. Clair Memorial Hospital Foundation, an affiliated 501(c)(3) corporation. During Fiscal 2010, the van service provided over 13,000 trips. Also refer to the attached Community Service Benefits report.","patient_education_assistance":"The Hospital's process for educating patients about the Charity Care/Financial Assistance Policy is as follows:All patients who are registered through the emergency department are given a handout with information about the Hospital's Charity Care/Financial Assistance Policy. All patients who are admitted as inpatients receive a Patient Handbook and one section of the Handbook describes the Charity Care/Financial Assistance Policy. All self-pay patients who have a credit score rating below the Hospital's threshold are mailed the charity care letter and application.The Hospital's customer service representatives discuss the charity care policy when patients call the customer service line.All Self-pay patients who are admitted are seen by an outside consulting firm for Medicaid screening process. The firm also handles high-dollar outpatient accounts.The Hospital strives to be as helpful as possible in discussing charity care for our scheduled and unscheduled patient population.","reports_filed_with_states":"PA","shortfall_as_community_benefit":"The Hospital provides services regardless of the level of reimbursement to be received from the patient or its insurer. Reimbursement from the governmental sponsored programs including Medicare is often less than the cost of providing these services. The Hospital's ratio of cost to charges was utilized to estimate this shortfall."}},"ScheduleI":{"reported_domestic_org_grants":54699,"reported_domestic_individual_grants":0,"reported_domestic_org_grants_program_services":54699,"total_501c3_and_government_organizations":1,"total_other_organizations":0,"grants":[{"ein":251407399,"irc_section":"501(c)(3)","cash":54699,"noncash":0,"purpose":"program service support","address_line1":"1000 Bower Hill Road","city":"Pittsburgh","state":"PA","zip":"15243","name":"St Clair Hospital Foundation","address":"1000 Bower Hill Road, Pittsburgh, PA, 15243"}],"total_domestic_grants":54699,"total_domestic_program_services":54699,"detail_org_grants_total":54699,"detail_domestic_grants_total":54699,"grant_monitoring":{"claims_monitoring_procedures":false,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false}},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"benefits_and_procedures":{"health_or_social_club_dues":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_process":{"compensation_committee":true,"independent_consultant":true,"form_990_of_other_organizations":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true,"rebuttable_presumption_procedure":false},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"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":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Richard Schaeffer","base_compensation_filing_org":169460,"bonus_filing_org":69720,"nontaxable_benefits_filing_org":15355,"total_compensation_filing_org":254535,"name":"Richard Schaeffer"},{"person_name":"Richard Chesnos","base_compensation_filing_org":235451,"bonus_filing_org":82128,"deferred_compensation_filing_org":34406,"nontaxable_benefits_filing_org":15844,"total_compensation_filing_org":367829,"name":"Richard Chesnos"},{"person_name":"Michael Flanagan","base_compensation_filing_org":210348,"bonus_filing_org":78750,"deferred_compensation_filing_org":22363,"nontaxable_benefits_filing_org":15363,"total_compensation_filing_org":326824,"name":"Michael Flanagan"},{"person_name":"Mario J Fatigati","base_compensation_filing_org":220381,"bonus_filing_org":54949,"nontaxable_benefits_filing_org":12692,"total_compensation_filing_org":288022,"name":"Mario J Fatigati"},{"person_name":"Lucy A Shoupp","base_compensation_filing_org":114094,"bonus_filing_org":28190,"deferred_compensation_filing_org":14040,"nontaxable_benefits_filing_org":7422,"total_compensation_filing_org":163746,"name":"Lucy A Shoupp"},{"person_name":"Lagnese Keith R","base_compensation_filing_org":223170,"bonus_filing_org":28983,"nontaxable_benefits_filing_org":12765,"total_compensation_filing_org":264918,"name":"Lagnese Keith R"},{"person_name":"Joan L Massella","base_compensation_filing_org":184834,"bonus_filing_org":49100,"deferred_compensation_filing_org":22000,"nontaxable_benefits_filing_org":29534,"total_compensation_filing_org":285468,"name":"Joan L Massella"},{"person_name":"James M Collins","base_compensation_filing_org":499570,"bonus_filing_org":250000,"deferred_compensation_filing_org":33755,"nontaxable_benefits_filing_org":19621,"total_compensation_filing_org":802946,"name":"James M Collins"},{"person_name":"G Alan YeastedMD","base_compensation_filing_org":276324,"bonus_filing_org":71025,"deferred_compensation_filing_org":45541,"nontaxable_benefits_filing_org":17198,"total_compensation_filing_org":410088,"name":"G Alan YeastedMD"},{"person_name":"Erlanger Daniel B","base_compensation_filing_org":217974,"bonus_filing_org":48928,"nontaxable_benefits_filing_org":12790,"total_compensation_filing_org":279692,"name":"Erlanger Daniel B"},{"person_name":"Ditullio Nicholas P","base_compensation_filing_org":242675,"bonus_filing_org":72940,"deferred_compensation_filing_org":15866,"nontaxable_benefits_filing_org":12893,"total_compensation_filing_org":344374,"name":"Ditullio Nicholas P"},{"person_name":"Daroski M Sabina","base_compensation_filing_org":322023,"bonus_filing_org":85883,"deferred_compensation_filing_org":15866,"nontaxable_benefits_filing_org":5232,"total_compensation_filing_org":429004,"name":"Daroski M Sabina"},{"person_name":"Butler Cynthia","base_compensation_filing_org":154344,"bonus_filing_org":53638,"deferred_compensation_related_orgs":21313,"nontaxable_benefits_related_orgs":13537,"total_compensation_filing_org":207982,"total_compensation_related_orgs":34850,"name":"Butler Cynthia"},{"person_name":"Barry Zaiser","base_compensation_filing_org":202692,"bonus_filing_org":64584,"deferred_compensation_filing_org":32620,"nontaxable_benefits_filing_org":15139,"total_compensation_filing_org":315035,"name":"Barry Zaiser"},{"person_name":"Andrea L Kalina","base_compensation_filing_org":172280,"bonus_filing_org":42050,"deferred_compensation_filing_org":16500,"nontaxable_benefits_filing_org":4586,"total_compensation_filing_org":235416,"name":"Andrea L Kalina"}],"supplemental_information":[{"identifier":"Sch J, Part I, Line 1a","form_and_line_reference":"Part I, Line 1a: Relevant information in regards to selections on 1a.","explanation":"Dusquene Club: Membership dues are paid for James M. Collins. This is a social club where local leaders meet to conduct business."}]},"ScheduleK":{"bond_issues":[{"issuer_ein":256189519,"business_name_line1":"Mount Lebanon Hospital Authority","cusip_number":"621820C09","date_issued":"2007-12-01T00:00:00","issue_price":10000000,"purpose":"used to finance capital improvement","defeased":false,"on_behalf_of_issuer":false,"name":"Mount Lebanon Hospital Authority"}],"bond_proceeds":[{"total_proceeds":10000000,"issuance_costs_from_proceeds":16980,"capital_expenditures":9983020,"substantial_completion_year":2009,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true}],"private_business_use":[{"post_issuance_compliance_procedures":true,"management_contract":false,"bond_counsel_routinely_engaged":true,"research_agreements":false,"lease_arrangements":false,"partnership_or_llc_owning_property":false}],"arbitrage":[{"gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"hedge_identified_in_books_and_records":false,"variable_rate_issue":true,"exception_to_rebate":false,"form_8038t_filed":false}]},"ScheduleL":{"business_transactions_involving_interested_persons":[{"business_name_line1":"PPCP L Civitarese PPCP shrhlder","relationship":"medical services","description":"Intrptn Radiology Exams","amount":324626,"sharing_of_revenues":false,"name":"PPCP L Civitarese PPCP shrhlder"},{"business_name_line1":"SH Radiology D Orr Pres SHR","relationship":"medical service","description":"Professional Services","amount":1905502,"sharing_of_revenues":false,"name":"SH Radiology D Orr Pres SHR"},{"business_name_line1":"PNC Bank W Bacdayan & PNC Officer","relationship":"banking service","description":"bank fee and interest pmts","amount":493934,"sharing_of_revenues":false,"name":"PNC Bank W Bacdayan & PNC Officer"}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":710875076,"business_name_line1":"StClair Anesthesiology Associates Inc","primary_activities":"Community Healthcare Provider","exempt_code_section":"501(c)3","public_charity_status":"11 Type I","legal_domicile_state":"PA","address_line1":"1000 Bower Hill Road","city":"Pittsburgh","state":"PA","zip":"15243","name":"StClair Anesthesiology Associates Inc","address":"1000 Bower Hill Road, Pittsburgh, PA, 15243"},{"ein":251691194,"business_name_line1":"St Clair Professional Services 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The Hospital is a 329-bed acute care facility with a psychiatric and a rehabilitation unit that provides healthcare to more than 400,000 residents of SW. PA. The Hospital considers its service area to include twenty-one communities in southwestern Allegheny County and northern Washington County.The Hospital also operates a 24 hour Emergency Department to meet the medical needs of the community. The Hospital also maintains a comprehensive outpatient center in Bethel Park, PA as well as two smaller outpatient centers within nearby communities.","primary_activities":"The organization's primary exempt purpose is to provide healthcare services to the community and operate a 24 hour Emergency Department to meet the medical needs of the community. In the current year,the Hospital provided 74,898 days of care to the adult and pediatric population of the community, served 16,024 admissions, performed 375,524 occasions of outpatient services and treated 59,708 Emergency room visits.\n\nThe organization made donations to a 501(c)(3)exempt entity - St. Clair Memorial Foundation, an affilaite of the Hospital.\n\nSt.Clair Memorial Hospital's Auxilliary operates the Gift Shop located within the Hospital,holds a Columbine luncheon and gives health career scholarships (to be paid the following year). The Gift Shop is open for the convenience of the patient families and the hospital staff. All proceeds benefit the mission of St.Clair Hospital.","year":2009,"name":"St Clair Memorial Hospital","phone":"4129421250","website":"www.stclair.org","type":"990","principal_officer":"James M Collins","year_formation":1944,"state_legal_domicile":"PA","total_volunteers":600,"tax_period_begin":"2009-07-01T00:00:00","tax_period_end":"2010-06-30T00:00:00","address":"1000 Bower Hill Road, Pittsburgh, PA, 15243, USA","city":"Pittsburgh","state":"PA","country":"USA","zip_code":"15243"},"Governance":{"501c determination":true,"Number of voting members":25,"Number of independent voting members":14,"Number of employees total":2484,"Total Gross UBI":8148853,"Net unrelated business taxable income":-450777,"Number of employees":2484,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":true,"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":true,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":true,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Federal grant audit performed":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":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":true,"Business relationship with organization":true,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":227382779,"Contributions":{"value":172156,"Dues":1600,"Grant revenue":170556},"Program revenue":{"value":223159893,"Total revenue":{"value":223159893,"VARIOUS":223159893},"Unrelated business revenue":8148853},"Investment income":{"value":3849394,"Investment income total":2551557,"Net investment gain":1297837,"Income from invest bond proceeds":0},"Other revenues":{"value":201336,"Other total":0,"Royalties revenue":0,"Net rental income":127356,"Net income from fundraising events":1095,"Net income from gaming":0,"Net income":72885}},"Expenses":{"value":210784343,"Grant expense":{"value":54699,"Grants to domestic orgs":54699,"Grants to domestic individuals":0,"Foreign grants":0},"Total professional fundraising expense":{"value":0,"Fundraising professional":0},"Benefits paid to members":{"value":0,"Benefits paid to members Total":0},"Salaries":{"value":105861847,"Current officers":5102261,"Disqualified persons":0,"Other salaries and wages":77881336,"Pension plan contributions":8490206,"Other employee benefits":8477466,"Payroll taxes":5910578},"Other expenses":{"value":104867797,"Management services":607837,"Legal":698648,"Accounting":240561,"Lobbying services":14671,"Investment management fees":0,"Other services":15405013,"Advertising":1228902,"Office expenses":1410027,"Information technology":3280841,"Royalties":0,"Occupancy":6472112,"Travel":98577,"Conferences and meetings":64470,"Interest":934602,"Payments to affiliates":0,"Depreciation and depletion":13382902,"Insurance":2517900,"Travel entertainment public officials":0,"Itemized Expenses":{"value":58510734,"VARIOUS":58510734},"All other expenses":0}},"Assets":{"value":269842443,"Non-interest bearing cash":810186,"Savings and temp cash investments":0,"Pledges and grants receivable":0,"Accounts receivable":24751148,"Receivables from officers":0,"Receivables from disqual persons":0,"Other net note and loans":0,"Inventories for sale or use":4026080,"Prepaid expenses deferred charges":3020221,"Land, building, equipment":87867090,"Investments publicly traded":127647514,"Investments other":9801674,"Investments program related":0,"Intangible assets":0,"Other assets":11918530},"Liabilities":{"value":133697511,"Accounts payable, accrued":22340130,"Deferred, revenue":3135188,"Tax exempt bond liabilities":37976691,"Other liabilities":70245502},"Fund balance":{"value":136144932},"Form990Details":{"program_service_accomplishments":[{"description":"The organization's primary exempt purpose is to provide healthcare services to the community and operate a 24 hour Emergency Department to meet the medical needs of the community. 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Actual bad debt amounts written off totaled $4,852,705. The related cost for these services was $4,567,443. The Hospital's ratio of cost to charges was applied to the total charges for accounts written off in order to determine a reasonable approximation of the cost of providing services for those patients. Costs were then prorated between payments and bad debt write-offs on the accounts to calculate the cost amount disclosed in Part III section A.","community_building_activities":"The emergency department serves more than 400,000 residents in Allegheny and northern Washington counties. The annual visits have approached 60,000 patients. In 2009, the Hospital completed a $13.5 million emergency room expansion increasing capacity to 80,000 visitors per year to accomodate the growing need for emergency care of the region and alleviate the overcrowding conditions, allowing it to better contribute to the health needs of the community as well as the economic vitality of the Southern area of Pittsburgh.With 525 physicians and more than 2100 employees, the Hospital is the largest employer in Pittsburgh's South Hills.The Hospital has established a coordinated program with the nursing schools of surrounding communities and the Hospital's nursing staff serve as preceptors to the nursing students. As many as 153 nursing students were served and more than 5,000 hours were spent on this program in nurturing the future healthcare givers of the region.The Hospital serves as a clinical site for post-secondary advanced clinical degree programs for medical imaging students in multiple modalities, CRNA students and 5th and 6th year doctoral students in pharmacy. Its medical school preceptor program hosts between 6 to 8 students for 8 week rotations throughout the year. Job shadowing programs are also coordinated for high-school students. The Hospital is actively involved with the clinical training of over 60 Emergency Medical Technicians and Paramedics. Over 1,965 hours of training were devoted for their education in order to strengthen the quality of care given by these professionals.","community_information":"The Hospital considers its service area to include thirty-four communities in Allegheny County and northern Washington County.The Hospital is located in the Mt. Lebanon Municipality of Allegheny County and has three outpatient facilities. The county has a population of 1,223,411 and the per capita income was $22,491. There were 149,823 people living below the poverty line.","debt_collection_policy":"Once the Hospital determines that a patient has qualified for charity care or free care, an adjustment of either 100%, 20% or 30% is applied to all accounts reviewed in the application process as determined by a sliding scale based on the federal poverty guidelines or if the patient's credit score is below the Hospital's threshold credit score. No further collection efforts are made on those qualifying for the 100% discount. For the patients qualifying for the 20% or 30% discount, the balance due is adjusted by the applicable percentage and the remaining balance continues through the regular collection process. Additionally, all patients without insurance are provided a discount regardless of income. Inpatient services are discounted to a level approximating medicare reimbursement rates and outpatient services are discounted by 50%. During the year ended June 30, 2010, $4,455,831 of uninsured discounts were provided.","general_explanation":"Schedule H Part I Line 7 column f (Percent of total expense). Due to software error, total percentage for each line 7d, 7j and 7k does not total correctly. The correct totals should be 2.55%, .90% and 3.45% respectively.Shedule H Part II (Percent of total expense). Due to software error, total percentage for line 10 does not total correctly. The correct total is .57%","needs_assessment":"Community need assessment is integrated into the Hospital's strategic planning and budgeting process. The Hospital uses a wide variety of methods in assessing the health needs of the community such as using private and public organizations' data; surveys and focus group findings, public forums, informal polling and contracted studies. This approach has been effective in creating new services or improving existing services to meet the community's health needs.","other_information":"The Hospital strives to further its exempt purpose by promoting the health of the community through its dedication to supporting community outreach programs by providing health screenings, health care education programs, support groups and clinical interactions, in-kind contributions to other not-for-profit community partners and its commitment towards capital improvements and purchases of new technology to enhance its services to meet the community's health needs. The Hospital supports numerous community outreach programs, including a subsidized cardiac rehabilitation program, CPR training for schools and non-profit organizations, annual flu and pneumonia vaccinations to senior citizens, and mentoring opportunities for young adults. During FY2010, over 230 community outreach educational programs were sponsored by the Hospital. The Hospital strives for continuous improvement of quality of care offered by the emergency room as evidenced by patient satisfaction scores that are leading the nation and reciept of numerous local and national awards for quality.As a service to community residents, St. Clair sponsors a needle disposal program for diabetics and other individuals who self administer medications in their homes. This outreach program provides for the safe disposal of used needles, syringes and finger stick devices at no cost to residents, preventing potential exposures, transmissions and related health hazards. The service is provided through a Sharps Box exchange program. Individuals in need are provided with a heavy-duty biomedical waste disposal box that is specially designed to accept used needles. When the container is full, it can be brought to the Hospital for proper disposal. Residents are provided with a new box at the time of the exchange. The Hospital's Auxillary has throughout the years raised funds through the operation of the Gift Shop and through annual events. Its financial contributions helped the Hospital to purchase new equipment, support facility upgrades and provide community outreach programs.The Hospital has a very active volunteer program including over 200 junior and 435 senior volunteers. Approximately 90,000 volunteer hours of service are provided in numerous areas covering a broad range of services from clerical duties to patient assistance.The Hospital maintains a van transportation service to assist patients in the community in accessing the Hospital for needed medical services. This service is substantially subsidized by St. Clair Memorial Hospital Foundation, an affiliated 501(c)(3) corporation. During Fiscal 2010, the van service provided over 13,000 trips. Also refer to the attached Community Service Benefits report.","patient_education_assistance":"The Hospital's process for educating patients about the Charity Care/Financial Assistance Policy is as follows:All patients who are registered through the emergency department are given a handout with information about the Hospital's Charity Care/Financial Assistance Policy. All patients who are admitted as inpatients receive a Patient Handbook and one section of the Handbook describes the Charity Care/Financial Assistance Policy. All self-pay patients who have a credit score rating below the Hospital's threshold are mailed the charity care letter and application.The Hospital's customer service representatives discuss the charity care policy when patients call the customer service line.All Self-pay patients who are admitted are seen by an outside consulting firm for Medicaid screening process. The firm also handles high-dollar outpatient accounts.The Hospital strives to be as helpful as possible in discussing charity care for our scheduled and unscheduled patient population.","reports_filed_with_states":"PA","shortfall_as_community_benefit":"The Hospital provides services regardless of the level of reimbursement to be received from the patient or its insurer. Reimbursement from the governmental sponsored programs including Medicare is often less than the cost of providing these services. 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