Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
COMMUNITY MEDICAL CENTER
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1822 MULBERRY STREET
 
Room/suite
City or town, state or country, and ZIP + 4
SCRANTON, PA18510
D Employer identification number

24-0862246
E Telephone number

G Gross receipts $ 172,370,968
F Name and address of principal officer:
ROBERT STEIGMEYER
1822 MULBERRY STREET
SCRANTON,PA18510
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CMCHEALTHSYS.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1962
M State of legal domicile: PA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO BE THE LEADING PROVIDER OF QUALITY HEALTHCARE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 14
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 1,657
6 Total number of volunteers (estimate if necessary) .... 6 242
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 24,274
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -24,308
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,826,001 2,042,638
9 Program service revenue (Part VIII, line 2g) ......... 157,699,154 166,373,151
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,218,084 862,345
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,446,153 2,912,353
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 164,189,392 172,190,487
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 83,497 90,902
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 74,883,553 74,864,514
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet64,412    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 91,631,537 94,385,671
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 166,598,587 169,341,087
19 Revenue less expenses. Subtract line 18 from line 12...... -2,409,195 2,849,400
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 114,257,571 110,672,775
21 Total liabilities (Part X, line 26)............ 83,958,852 72,135,151
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 30,298,719 38,537,624
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: TO BE THE LEADING PROVIDER OF QUALITY HEALTHCARE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 144,404,975 including grants of $ 90,902 ) (Revenue $ 167,922,268 )
BACKGROUND AND HISTORY:CMC IS A TAX-EXEMPT, PENNSYLVANIA NOT-FOR-PROFIT CORPORATION, WHICH OWNS AND OPERATES A 297-LICENSED BED, ACUTE CARE HOSPITAL LOCATED IN THE CITY OF SCRANTON, COUNTY OF LACKAWANNA, PENNSYLVANIA. COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM (SYSTEM) IS THE SOLE CORPORATE MEMBER OF CMC. CMC PROVIDES A BROAD RANGE OF ACUTE CARE AND SPECIALIZED SERVICES. AS OF JUNE 30, 2011, CMC HAD SET UP 225 OF ITS 297 LICENSED BEDS. CMC PROVIDES COMPREHENSIVE HOSPITAL SERVICES FOR THE PEOPLE OF LACKAWANNA COUNTY, AND TERTIARY SPECIALTY SERVICES FOR RESIDENTS IN THE SURROUNDING SIX-COUNTY REGION. CMC, WITH ITS APPROXIMATELY 1,400 EMPLOYEES, PROVIDED CARE FOR 11,904 ADULT AND PEDIATRIC ACUTE INPATIENT DISCHARGES FOR THE FISCAL YEAR ENDED JUNE 30, 2011.OPENED IN 1897 AS THE HAHNEMANN HOSPITAL AND SCHOOL OF NURSING, THE HOSPITAL WAS SCRANTON'S FIRST HOSPITAL DEDICATED TO COMMUNITY SERVICE. CMC CONTINUES TO PROVIDE THE COMMUNITY WITH A VARIETY OF SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THIS CONTINUUM OF CARE INCLUDES PREVENTIVE, AMBULATORY, INPATIENT, AND EMERGENCY SERVICES. CMC IS A NOTED REGIONAL REFERRAL CENTER WITH COMPREHENSIVE ACUTE CARE MEDICAL SERVICES AND HAS DEVELOPED SPECIFIC AREAS OF EXPERTISE.SPECIALIZED / REGIONAL SERVICES, CENTERS OF EXCELLENCE:THE NORTHEAST PA TRAUMA CENTER, DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION IN 1988, PROVIDES 24-HOUR COMPREHENSIVE SURGICAL INTERVENTION FOR CRITICALLY INJURED PATIENTS. THE TRAUMA CENTER IS STAFFED CONTINUOUSLY BY AN EMERGENCY PHYSICIAN, TRAUMA SURGEON AND NURSES CERTIFIED IN CRITICAL CARE, TRAUMA, ORTHOPAEDICS AND THE NEUROSCIENCES.CARDIOLOGY SERVICES AT THE HOSPITAL INCLUDE THE REGION'S FIRST ELECTROPHYSIOLOGY LAB AND AN OPEN HEART SURGERY CENTER. CMC IS ALSO A CERTIFIED CAROTID STENT FACILITY.NEUROLOGICAL SCIENCES AT THE HOSPITAL SPECIALIZES IN THE CARE OF PEOPLE WITH BRAIN AND SENSE ORGAN DISORDERS.OTHER SPECIALIZED SERVICES INCLUDE: A SAME-DAY SURGERY CENTER, A 24 LICENSED BED SHORT TERM PSYCHIATRIC INPATIENT UNIT, AN ORTHOPEDIC TRAUMA CLINIC, CT SCANNER, MRI IMAGING, ONCOLOGY SERVICES, RENAL DIALYSIS, HYPERBARIC OXYGEN CHAMBER TREATMENTS, THE NEW STEPS JOINT PROGRAM, WOUND CARE, AND STEREOTACTIC SURGERY.CMC OFFERS EMERGENCY MEDICAL TECHNICIAN AND TRAUMA NURSE TRAINING PROGRAMS. IT HAS AN AFFILIATION WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION, AN ACCREDITED PROVIDER OF INTERNAL MEDICINE RESIDENCY EDUCATION, BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION, AND THE REGION'S ONLY PODIATRIC RESIDENCY PROGRAM, AND ACCREDITED PROVIDER OF PODIATRIC MEDICINE AND SURGERY EDUCATION, BY THE COUNCIL ON PODIATRIC MEDICAL EDUCATION.CMC ALSO SPONSORS THE COMMUNITY HEALTH EDUCATION PROGRAM, THE REGION'S FIRST HOSPITAL-BASED AND COMMUNITY-WIDE WELLNESS AND PREVENTION PROGRAM.IN ADDITION, CMC SPONSORS THE PRIORITY CARE PROGRAM IN WHICH OVER 20,000 SENIOR CITIZENS ARE ENROLLED IN THE REGION'S FIRST HOSPITAL-BASED FREE MEMBERSHIP PLAN FOR PERSONS 55 AND OLDER. PRIORITY CARE PROVIDES SENIOR CITIZENS WITH A WIDE VARIETY OF BENEFITS AND INFORMATION REGARDING HEALTH AND WELLNESS PROGRAMS. PRIORITY CARE OFFERS CONVENIENT ACCESS TO QUALITY SERVICES INCLUDING:FREE PARKING IN THE CMC PARKING COMPLEXCOMMUNITY DISCOUNTSDISCOUNTED MEALS IN THE HOSPITAL'S DINING ROOMDISCOUNTS IN THE CMC GIFT SHOPPHYSICIAN REFERRAL SERVICEAFFILIATIONS:CMC HAS WORKING RELATIONSHIPS WITH OTHER HEALTH CARE PROVIDERS IN VENTURES SUCH AS THE NORTHEASTERN PENNSYLVANIA IMAGING CENTER, THE CHILDREN'S ADVOCACY CENTER, MATERNAL & FAMILY HEALTH SERVICES, AND THE RONALD MCDONALD HOUSE OF SCRANTON. CMC ALSO HAS A CONNECTION WITH NUMEROUS AREA INSTITUTIONS, COLLEGES AND UNIVERSITIES FOR EDUCATIONAL AND CLINICAL PROGRAMS, INCLUDING, BUT NOT LIMITED TO, NURSING, MEDICAL TECHNOLOGY, PHYSICAL AND OCCUPATIONAL THERAPY, EMERGENCY MEDICAL TECHNICIANS, PHYSICIAN ASSISTANTS, SOCIAL WORK AND HEALTHCARE ADMINISTRATION.MEDICAL STAFF:AS OF JUNE 30, 2011, THE MEDICAL STAFF OF CMC TOTALED 379 PHYSICIANS. UNDER CMC'S MEDICAL STAFF BY-LAWS, PHYSICIANS MAY HAVE ONE OF SEVERAL TYPES OF PRIVILEGES INCLUDING ACTIVE, COURTESY, CONSULTING, EMERGENCY AND TEMPORARY. AS OF JUNE 30, 2011, OF CMC'S 245 ACTIVE MEDICAL STAFF PHYSICIANS, 80% WERE BOARD CERTIFIED.AUXILIARY:THE CMC AUXILIARY IS COMPRISED OF 65 MEMBERS. FUNCTIONING WITH THE GUIDANCE OF ITS OWN ADVISORY BOARD, THE AUXILIARY HAS COMMITTEES, EACH WITH ITS OWN RESPONSIBILITY FOR FUND-RAISING AND SERVICE. THE AUXILIARY ASSISTS IN OPERATING CMC'S GIFT SHOP SEVEN DAYS A WEEK. ALLOCATIONS OF FUNDS RAISED BY THE AUXILIARY ARE MADE TO CMC TO ENHANCE PATIENT SERVICES.VOLUNTEER SERVICES:CMC HAS 274 ACTIVE ADULT AND JUNIOR VOLUNTEERS WHO VOLUNTEER THEIR TIME TO CMC AND CAN BE FOUND ASSISTING THE STAFF IN A VARIETY OF CAPACITIES IN HOSPITAL DEPARTMENTS SUCH AS: MAIL ROOM, MEDICAL RECORDS, SURGICAL SERVICES, EMERGENCY DEPARTMENT, AND GIFT SHOP. VOLUNTEERS ALSO ASSIST AT SPECIAL HOSPITAL FUNCTIONS. IN 2011, CMC VOLUNTEERS PROVIDED OVER 14,000 HOURS OF SERVICE TO CMC.THROUGH CMC'S VOLUNTEER DEPARTMENT, HUNDREDS OF SCHOOL AND COLLEGE STUDENTS ARE PROVIDED INFORMATION ABOUT HEALTHCARE TO ASSIST IN CAREER CHOICE THROUGH TOURS AND SHADOWING OPPORTUNITIES AT THE FACILITY.PATIENT ORIGIN AND SERVICE AREA:THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF LACKAWANNA COUNTY, WHICH ACCOUNTED FOR 71.1% OF DISCHARGES FOR THE FISCAL YEAR ENDED JUNE 30, 2011. THE SECONDARY SERVICE AREA INCLUDES LUZERNE, MONROE, PIKE, SUSQUEHANNA, WAYNE AND WYOMING COUNTIES THAT ACCOUNTED FOR 25.6% OF THE HOSPITAL'S DISCHARGES FOR THE FISCAL YEAR ENDED JUNE 30, 2011.SUPPORT TO THE COMMUNITY:CMC AND THE SYSTEM PROVIDE A VARIETY OF PROGRAMS TO THE COMMUNITY INCLUDING THE EDUCATION PROGRAM WHICH PROVIDES NUMEROUS COMMUNITY SERVICES, SOME OF WHICH ARE LISTED BELOW. THE INTENT OF THESE PROGRAMS AND PARTNERSHIPS IS THE IMPROVED HEALTH OF THE COMMUNITY; I.E., ACCIDENT/ ILLNESS PREVENTION OR EARLY INTERVENTION AS A RESULT OF INCREASED EDUCATION.THE NORTHEAST PA TRAUMA CENTER PROVIDES EMERGENCY PREPAREDNESS ASSISTANCE AND MEDICAL EXPERTISE TO THE AMERICAN RED CROSS LACKAWANNA CHAPTER, LACKAWANNA COUNTY EMERGENCY MANAGEMENT AGENCY, AND THE SCRANTON/WILKES-BARRE INTERNATIONAL AIRPORT. ALSO, FALL AND INJURY PREVENTION FOR THE ELDERLY IS AVAILABLE TO AREA SENIOR CITIZENS AND SENIOR ORGANIZATIONS, AS WELL AS MANY AGE-SPECIFIC PREVENTION PROGRAMS TO VARIOUS ORGANIZATIONS AND SCHOOLS THROUGHOUT THE YEAR.EACH YEAR OVER 500 CHILDREN UNDER THE AGE OF 18 ARE INVOLVED IN EDUCATION'S EXTENSIVE PROGRAMS TARGETING THIS AGE GROUP. TRAUMA PREVENTION PROGRAMS SUCH AS TRAUMA ROOM AND THINK FIRST TEACH KIDS IMPORTANT SAFETY INFORMATION. ASTHMA SKI DAY HELD IN CONJUNCTION WITH SNO MOUNTAIN SKI AREA AND CMC'S COMMUNITY HEALTH EDUCATION PROGRAM, EMPHASIZE THAT DESPITE ILLNESS, INDIVIDUALS CAN STILL PARTICIPATE IN HEALTHY, EVEN STRENUOUS ACTIVITIES.IN ADDITION, A POISON PREVENTION PROGRAM IS AVAILABLE ALONG WITH OTHER SUCH PROGRAMS AS REQUESTED. MANY OF THESE PROGRAMS ARE THE RESULTS OF EDUCATION'S PARTNERSHIPS WITH OTHER COMMUNITY RESOURCES; E.G., THE AMERICAN LUNG ASSOCIATION, LACKAWANNA COUNTY DRUG AND ALCOHOL COMMISSION, AND ALLIED SERVICES.THE COMMUNITY HEALTH EDUCATION PROGRAM CONDUCTS A WIDE VARIETY OF HEALTH LIFESTYLE PROGRAMS, FREE OR AT MINIMAL COST, WHICH ARE DESIGNED TO 'PRACTICALLY' ASSIST AN INDIVIDUAL IN THEIR QUEST TO LEAD A HEALTHY AND PRODUCTIVE LIFE. SOME OF THE AREAS OF CONCENTRATION INCLUDE: SMOKING CESSATION, FIRST AID, CPR, AND WEIGHT WATCHERS SESSIONS THAT ARE OPEN TO THE PUBLIC AS WELL AS EMPLOYEES AND FAMILY.PUBLIC / COMMUNITY HEALTH EDUCATION LECTURES: LAST YEAR APPROXIMATELY 400 PEOPLE ATTENDED THESE SESSIONS WHICH ARE FREE TO THE PUBLIC. A SAMPLING OF THE TOPICS INCLUDED THE FOLLOWING: ALZHEIMER'S PROGRAM FOR CAREGIVERS, MENTAL HEALTH ISSUES, END OF LIFE ISSUES, BREAST CANCER AWARENESS, AND COLON CANCER AWARENESS.HEALTH FAIRS / SCREENING PROGRAMS: EDUCATION IN PARTNERSHIP WITH OTHER COMMUNITY RESOURCES, PROVIDES HEALTH FAIRS AND SCREENINGS TO THE COMMUNITY AND LOCAL BUSINESS/INDUSTRY FREE OR AT MINIMAL COST. ABOUT 8,000 INDIVIDUALS PARTICIPATED IN THESE PROGRAMS, WHICH INCLUDED: CARBON MONOXIDE SCREENINGS, CHOLESTEROL/BLOOD PRESSURE SCREENINGS, AND DIABETIC SCREENINGS.THE SYSTEM PROVIDES MONTHLY MEETING PLACES FREE OF CHARGE TO MANY COMMUNITY SELF-HELP GROUPS WHICH INCLUDE: DIABETES SUPPORT GROUP, CROHNS & COLITIS SUPPORT GROUP, BETTER BREATHER'S CLUB, AND NAMI SUPPORT GROUP MEETINGS.CMC'S FACILITIES ARE MADE AVAILABLE TO OTHER COMMUNITY GROUPS UPON REQUEST AND AVAILABILITY; E.G., THE HILL NEIGHBORHOOD ASSOCIATION, AND THE EAST SCRANTON BUSINESS ASSOCIATION.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 144,404,975
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
144
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
1,657
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
16
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
Yes
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
PA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
JAMES JESIKIEWICZ
1822 MULBERRY STREET
SCRANTON,PA18510
(570) 969-8227
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) WILLIAM AUBREY
DIRECTOR
 10.00 X           0 0 0
(2) LOUIS DENAPLES MD
DIRECTOR
 10.00 X           0 0 0
(3) FRANK EPIFANO
DIRECTOR
 10.00 X           0 0 0
(4) TIMOTHY FARRELL MD
DIRECTOR
 10.00 X           0 0 0
(5) RICHARD G FINE ESQ
DIRECTOR
 10.00 X           0 0 0
(6) ROLAND GRECO
DIRECTOR
 10.00 X           0 0 0
(7) MICHAEL KONDASH DO
DIRECTOR
 10.00 X           0 0 0
(8) DAVID LOHIN DO FACC
DIRECTOR
 10.00 X           0 0 0
(9) BRIAN MOTT MD
PRESIDENT OF MEDICAL STAFF
 10.00 X           0 0 0
(10) DEBRA PELLEGRINO
DIRECTOR
 10.00 X           0 0 0
(11) TOM TULANEY
DIRECTOR
 10.00 X           0 0 0
(12) JEFF JACOBSON
CHAIRMAN
 10.00 X   X       0 0 0
(13) VIRGINIA MCGREGOR
VICE CHAIRMAN
 10.00 X   X       0 0 0
(14) MELINDA C GHILARDI ESQ
SECRETARY
 10.00 X   X       0 0 0
(15) GEORGE GINADER
TREASURER
 10.00 X   X       0 0 0
(16) ROBERT STEIGMEYER
PRESIDENT & CEO
 40.00 X   X       582,555 0 17,348
(17) JOHN SKURKA
INTERIM CFO
 40.00     X       436,224 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) BARBARA BOSSI
VP NURSING SERVICES
 40.00     X       268,589 0 18,146
(19) SEAN MCANDREW
VP INFORMATION SERVICES
 40.00     X       150,357 0 6,412
(20) WENDY WILSON
VP PUBLIC RELATIONS
 40.00     X       96,769 0 8,081
(21) DR KAHILEEL SHAIKH
TRAUMA MD
 40.00         X   236,705 0 15,871
(22) MICHELLE BOYLE
CRN
 40.00         X   296,800 0 21,002
(23) JOHN DITCHKUS
CRN
 40.00         X   244,967 0 22,501
(24) ROSE SADOWSKI
CRN
 40.00         X   242,944 0 16,947
(25) MARK TRENTLY
CRN
 40.00         X   241,665 0 15,279










1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,797,575 0 141,587
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet9
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CARDINAL HEALTH
6012 MOLLOY ROAD
SYRACUSE,NY13211 		PHARMACEUTICALS 6,753,174
OWENS AND MINOR
7437 INDUSTRIAL BLVD
ALLENTOWN,PA18106 		MEDICAL SURGICAL SUPPLIES 5,990,805
BIOMET INC
PO BOX 587
WARSAW,IN46581 		ORTHOPEDIC SURGICAL IMPLANT SUPPLIES 3,316,601
BOSTON SCIENTIFIC CORP
ONE SCIMED PLACE
MAPLE GROVE,MN55311 		MEDICAL SURGICAL SUPPLIES 2,904,443
SYNTHES
PO BOX 8538662
PHILADELPHIA,PA19171 		MEDICAL SURGICAL SUPPLIES 1,434,757
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet134
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 39,519
d Related organizations...1d 578,205
e Government grants (contributions)1e 996,375
f All other contributions, gifts, grants, and
similar amounts not included above1f 		428,539
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 2,042,638
Program Service Revenue Business Code
2a NET PATIENT SERVICE RE 621,400 166,373,151 166,373,151    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 166,373,151
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 888,985     888,985
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 19,341  
b Less: rental expenses 65,489  
c Rental income or (loss) -46,148  
d Net rental income or (loss).......MediumBullet -46,148     -46,148
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   40,750
b Less: cost or other basis and sales expenses   67,390
c Gain or (loss)   -26,640
d Net gain or (loss)..........MediumBullet -26,640     -26,640
8a Gross income from fundraising events (not including
$ 39,519
of contributions reported on line 1c). See Part IV, line 18 ...
a 49,421
b Less: direct expenses ...b 47,602
c Net income or (loss) from fundraising events..MediumBullet 1,819   1,819
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a MANAGEMENT FEES 561,000 1,572,116 1,548,679 23,437  
b DIETARY INCOME 722,210 761,754     761,754
c PURCHASE/VHA REBATES 900,099 211,727     211,727
d All other revenue .... 411,085 438 837 409,810
e Total. Add lines 11a–11d ......MediumBullet 2,956,682
12 Total revenue. See Instructions....MediumBullet 172,190,487 167,922,268 24,274 2,201,307
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 90,902 90,902
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 1,584,481 286,735 1,297,746  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 58,828,342 52,411,593 6,369,814 46,935
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 3,361,251 2,962,183 399,068  
9 Other employee benefits ....... 6,779,779 5,978,372 801,407  
10 Payroll taxes ........... 4,310,661 3,789,408 517,715 3,538
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 820,243   820,243  
c Accounting ........... 129,400   129,400  
d Lobbying ........... 1,554 1,554    
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 175,498   175,498  
g Other .......... 20,068,588 14,000,885 6,067,703  
12 Advertising and promotion .... 455,537   446,218 9,319
13 Office expenses ....... 41,858,642 39,250,081 2,603,941 4,620
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 3,434,119 2,727,968 706,151  
17 Travel ............ 215,348 59,254 156,094  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 1,459,261 1,459,261    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 6,689,651 5,928,685 760,966  
23 Insurance .............. 3,115,641 2,821,089 294,552  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a BAD DEBT EXPENSE 12,637,005 12,637,005    
b MEDICAID MODERNIZATION 3,093,000   3,093,000  
c OTHER EXPENSES 232,184   232,184  
d
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 169,341,087 144,404,975 24,871,700 64,412
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 124,350 1 144,639
2 Savings and temporary cash investments ....... 1,664,271 2 1,198,524
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 18,108,141 4 16,704,295
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 2,113,184 7 2,209,505
8 Inventories for sale or use .............. 3,216,977 8 3,326,607
9 Prepaid expenses and deferred charges ............ 1,538,824 9 1,546,721
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 180,823,905
b Less: accumulated depreciation. ..... 10b 142,484,424 40,405,426 10c 38,339,481
11 Investments—publicly traded securities .......... 6,319,563 11 6,821,559
12 Investments—other securities. See Part IV, line 11 ...... 29,484,175 12 29,057,839
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 11,282,660 15 11,323,605
16 Total assets. Add lines 1 through 15 (must equal line 34)... 114,257,571 16 110,672,775
Liabilities 17 Accounts payable and accrued expenses . 18,252,703 17 16,859,367
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 42,448,911 20 38,278,090
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 23,257,238 25 16,997,694
26 Total liabilities. Add lines 17 through 25..... 83,958,852 26 72,135,151
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 26,040,578 27 33,943,615
28 Temporarily restricted net assets ..... 2,540,893 28 2,557,573
29 Permanently restricted net assets ..... 1,717,248 29 2,036,436
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 30,298,719 33 38,537,624
34 Total liabilities and net assets/fund balances ..... 114,257,571 34 110,672,775
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
172,190,487
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
169,341,087
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
2,849,400
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
30,298,719
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
5,389,505
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
38,537,624
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
COMMUNITY MEDICAL CENTER
 
Employer identification number

24-0862246
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
COMMUNITY MEDICAL CENTER
 
Employer identification number

24-0862246
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
COMMUNITY MEDICAL CENTER
  		Employer identification number

24-0862246
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
COMMUNITY MEDICAL CENTER
  		Employer identification number

24-0862246
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
COMMUNITY MEDICAL CENTER
  		Employer identification number

24-0862246
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
COMMUNITY MEDICAL CENTER
 
Employer identification number

24-0862246
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 1,554  
c Total lobbying expenditures (add lines 1a and 1b) ................... 1,554  
d Other exempt purpose expenditures ........................ 169,339,533  
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 169,341,087  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000  
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................ 0  
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................ 0  
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount     1,000,000 1,000,000 2,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		        3,000,000
             
c Total lobbying expenditures     11,426 1,554 12,980
             
d Grassroots non-taxable amount     250,000 250,000 500,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		         750,000
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
 
 
j
Total. lines 1c through 1i ...................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY MEDICAL CENTER
 
Employer identification number

24-0862246
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 1,717,248 1,700,302 2,108,817
b Contributions ........      
c Investment earnings or losses ... 402,937 16,946 -408,515
d Grants or scholarships ..... 29,451    
e Other expenditures for facilities
and programs ........ 		40,761    
f Administrative expenses .... 13,537    
g End of year balance ...... 2,036,436 1,717,248 1,700,302
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet0 %
b
Permanent endowment: SchDMd Bullet100.000 %
c
Term endowment: SchDMd Bullet0 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
Yes
 
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   1,034,837 1,034,837
b Buildings ................   55,600,989 38,819,388 16,781,601
c Leasehold improvements ............   981,867 665,553 316,314
d Equipment ................   123,052,692 102,999,483 20,053,209
e Other .................   153,520   153,520
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 38,339,481
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) BOARD DESIGNATED FOR DEBT SERVICE 		15,952,096 F

(B) BOARD DESIGNATED FOR CAPITAL REPLACEMENT 		1,953,509 F

(C) SELF-INSURANCE WORKERS' COMPENSATION 		3,426,174 F

(D) OTHER INVESTMENTS 		87,798 F

(E) BOND INDENTURES 		5,488,147 F

(F) ENDOWMENT FUNDS 		2,150,115 F



Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 29,057,839
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) BENEFICIAL INTEREST IN PERPETUAL TRUST 1,900,000
(2) PREMIUMS/DISCOUNTS 160,199
(3) DEFERRED BOND FINANCING FEES 805,459
(4) DUE FROM SCRANTON COUNSELING CENTER 757,547
(5) DUE FROM COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM 2,508,854
(6) ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 5,191,546



Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 11,323,605
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1,749,598
INTERCOMPANY PAYABLES 1,314,129
ADVANCES FROM THIRD PARTIES 910,611
ACCRUED LIABILITIES 13,023,356





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 16,997,694
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 172,190,487
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 169,341,087
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 2,849,400
4 Net unrealized gains (losses) on investments .......................... 4 3,850,817
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 1,538,688
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 5,389,505
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 8,238,905
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 181,219,983
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 3,850,817
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 5,288,688
e Add lines 2a through 2d ..................... 2e 9,139,505
3 Subtract line 2e from line 1..................... 3 172,080,478
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 175,498
b Other (Describe in Part XIV): ........... 4b -65,489
c Add lines 4a and 4b....................... 4c 110,009
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 172,190,487
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 172,981,078
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 3,815,489
e Add lines 2a through 2d...................... 2e 3,815,489
3 Subtract line 2e from line 1..................... 3 169,165,589
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 175,498
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c 175,498
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 169,341,087
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INTEREST AND DIVIDENDS ARE EITHER UNRESTRICTED OR RESTRICTED TO PROVIDE SCHOLARSHIPS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2011 AND 2010. THE SYSTEM'S FEDERAL RETURNS OF ORGANIZATIONS EXEMPT FROM INCOME TAXES FOR THE YEARS ENDED JUNE 30, 2009, 2010, AND 2011 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 8 - OTHER ADJUSTMENTS:   PENSION ADJUSTMENT 5,276,389. VALUATION GAIN 12,299. SELF-INSURANCE ADJUSTMENT -3,750,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:   PENSION LIABILITY ADJUSTMENT 5,276,389. VALUATION GAIN 12,299.
PART XII, LINE 4B - OTHER ADJUSTMENTS:   RENTAL EXPENSES -65,489.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:   RENTAL EXPENSES 65,489. SELF-INSURANCE ADJUSTMENT 3,750,000.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY MEDICAL CENTER
 
Employer identification number

24-0862246
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

GOLF TOURNAMENT
(event type) 		(b) Event #2

HOLIDAY LIGHTS
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 85,100 3,840   88,940
2 Less: Charitable
contributions . . . 		35,679 3,840   39,519
3 Gross income (line 1
minus line 2) . . . 		49,421     49,421
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . . 29,991     29,991
6 Rent/facility costs . . 7,137     7,137
7 Food and beverages . . 8,603     8,603
8 Entertainment . . .        
9 Other direct expenses . 1,871     1,871
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 47,602
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 1,819
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY MEDICAL CENTER
 
Employer identification number

24-0862246
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		  2,828 1,695,473   1,695,473 1.080 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		  17,917 19,427,961 17,037,446 2,390,515 1.530 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		  20,745 21,123,434 17,037,446 4,085,988 2.610 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		10 8,632 73,075 17,268 55,807 0.040 %
f Health professions education
(from Worksheet 5) .. 		5 3,036 3,232,179 1,022,916 2,209,263 1.410 %
g Subsidized health services
(from Worksheet 6) .. 		1 1,384 2,538,534 771,461 1,767,073 1.130 %
h Research (from Worksheet 7) 0 0 0      
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		4 350 29,637   29,637 0.020 %
jTotal Other Benefits ... 20 13,402 5,873,425 1,811,645 4,061,780 2.600 %
kTotal. Add lines 7d and 7j. .. 20 34,147 26,996,859 18,849,091 8,147,768 5.210 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 2 2,500 101,470 0 101,470 0.060 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building 2 275 4,119   4,119 0 %
7 Community health improvement advocacy 1 0 669   669 0 %
8 Workforce development            
9 Other            
10 Total 5 2,775 106,258   106,258 0.060 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
2,658,258
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
0
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
52,337,801
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
54,846,666
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-2,508,865
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 COMMUNITY MEDICAL CENTER
1822 MULBERRY STREET
SCRANTON,PA18510 		X X         X   TRAUMA SERVICES
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NA
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 3C: CHARITABLE FREE CARE OR DISCOUNTS AT COMMUNITY MEDICAL CENTER WILL BE BASED SOLELY ON ABILITY TO PAY AND WILL NOT BE ABRIDGED ON THE BASIS OF AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN. ALL SERVICES, INPATIENT AND OUTPATIENT, PROVIDED BY THE HOSPITAL SHALL BE AVAILABLE TO ALL INDIVIDUALS. ELIGIBILITY FOR FREE CARE IS BASED ON FEDERAL POVERTY GUIDELINES AS ESTABLISHED & UPDATED ANNUALLY BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES.ELIGIBILITY FOR 100% FREE CARE WILL BE LIMITED TO PEOPLE WHOSE FAMILY INCOME IS NOT MORE THAN 200% OF THE CURRENT POVERTY INCOME GUIDELINES AS PUBLISHED ANNUALLY BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. ELIGIBILITY FOR 60% DISCOUNTED CARE WILL BE LIMITED TO PEOPLE WHOSE FAMILY INCOME IS BETWEEN 200-400% OF THE POVERTY INCOME GUIDELINES.INCOME TEST: THE PERSON'S GROSS INCOME FOR ELIGIBILITY DETERMINATIONS WILL BE THE LESSER OF THE ACTUAL GROSS INCOME OF THE APPLICANT OR FAMILY FOR THE TWELVE (12) MONTHS PRECEDING THE SERVICES OR FOUR TIMES THE ACTUAL GROSS INCOME OF THE APPLICANT OR FAMILY OF THE THREE (3) MONTHS PRECEDING THE SERVICES. APPLICANTS ARE REQUIRED TO PRODUCE VERIFICATION OF INCOME AS A CONDITION OF ELIGIBILITY, E.G., TAX RETURNS, PAY STUBS, BANK STATEMENTS, ETC. ASSET TEST: THE APPLICANT CAN BE DEEMED INELIGIBLE IF HE/SHE POSSESSES EITHER REAL OR PERSONAL PROPERTY WHICH WOULD ENABLE HIM/HER TO MEET HIS/HER MEDICAL FINANCIAL REQUIREMENTS. ASSETS WILL BE CONSIDERED IN THE ELIGIBILITY REQUIREMENTS FOR ALL CASES. ASSETS INCLUDE, BUT ARE NOT LIMITED TO, CASH, SAVINGS AND CHECKING ACCOUNTS, CERTIFICATES OF DEPOSIT, TREASURY NOTES, STOCKS AND BONDS, VACATION, XMAS CLUBS, TRUST FUNDS, HSA'S AND OTHER NEGOTIABLE PAPER. INDIVIDUAL ASSETS MAY NOT EXCEED $10,000.
    PART I, LINE 7: THE COSTING METHODOLOGY USED IS A RATIO OF PATIENT CARE COST TO CHARGES FROM FORM 990, WORKSHEET 2.
    PART I, L7 COL(F): FOR THE PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 1, COLUMN (F), $12,637,005 WAS REMOVED FROM THE AMOUNT ON FORM 990, PART IX, LINE 25, COLUMN (A).
    PART II: AS PART OF CMC'S EFFORTS TO BETTER THE HEALTH OF THE REGIONS WE SERVE, THE HOSPITAL IS ENGAGED IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES THAT INCLUDE ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, COALITION BUILDING AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. THESE INITIATIVES -- WHILE NOT DIRECTLY RELATED TO COMMUNITY HEALTH IMPROVEMENT -- HAVE A SIGNIFICANT (ALBEIT INDIRECT) EFFECT ON THE POPULATION CMC SERVES AND BROADLY AFFECT THE HEALTH AND WELL-BEING OF THE COMMUNITY. ALL OF THE FOLLOWING ENDEAVORS BENEFIT THE COMMUNITY MORE THAN THEY BENEFIT THE HOSPITAL. THE ACTIVITIES ARE NOT PROVIDED FOR MARKETING, TO INCREASE REFERRALS OF PATIENTS WITH THIRD PARTY INSURANCE COVERAGE, IN FULFILLMENT OF REGULATORY REQUIREMENTS OR CURRENT STANDARD OF CARE, OR TO BENEFIT PERSONS AFFILIATED WITH THE ORGANIZATION. MOST PROGRAMS MEET COMMUNITY BENEFIT OBJECTIVES AS NOTED BELOW.ACCORDING TO THE HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE (HNPI) -- AN ALLIANCE AMONG MEMBER REGIONAL HEALTHCARE ORGANIZATIONS (INCLUDING CMC) AND THE PENNSYLVANIA DEPARTMENT OF HEALTH - FOUR OF THE REGION'S TOP FIVE CRITICAL HEALTH NEEDS ARE EMPLOYMENT; ACCESS TO CARE; MENTAL HEALTH; AND CHRONIC DISEASE/OBESITY.CMC'S COMMUNITY BUILDING ACTIVITIES ADDRESS ALL FOUR OF THOSE NEEDS. CMC'S ECONOMIC DEVELOPMENT ENDEAVORS INCLUDE MEMBERSHIP TO THE GREATER SCRANTON CHAMBER OF COMMERCE, WHOSE MISSION IS TO CREATE AND RETAIN JOBS FOR LACKAWANNA COUNTY, A REGION WHOSE INHABITANTS LIVE BELOW FEDERAL POVERTY GUIDELINES, ACCORDING TO THE U.S. CENSUS. COMPOUNDING THE ECONOMIC CHALLENGES OF LOWER SALARIES AND JOBLESSNESS, LACKAWANNA COUNTY RESIDENTS ARE TWICE AS LIKELY TO NOT HAVE HEALTH INSURANCE AS LUZERNE COUNTY RESIDENTS, WHICH INHIBITS THEIR ABILITY TO PROCURE MUCH-NEEDED, QUALITY HEALTHCARE. MORE JOBS MEAN BETTER MEDICAL INSURANCE OPTIONS FOR RESIDENTS. ACCESS TO HEALTHCARE IS IMPROVED AS FINANCIAL BARRIERS TO ACCESS ARE REDUCED OR ELIMINATED.CMC ALSO ENGAGES IN COMMUNITY SUPPORT PROGRAMS, WHICH INCLUDES CMC STAFFERS SERVING ON REGIONAL BOARDS SUCH AS THE AMERICAN RED CROSS AS WELL AS THE SCRANTON CHAPTER OF THE RED CROSS BLOOD COMMITTEE, WHICH MEET TO DISCUSS AND PLANS FOR THE EMERGENCY BLOOD NEEDS OF THE ENTIRE COMMUNITY, INCLUDING OTHER REGIONAL HOSPITALS AND EMERGENCY HEALTHCARE PROVIDERS. IN ADDITION, CMC'S COALITION BUILDING PROGRAMS ENHANCE COLLABORATIVE PARTNERSHIPS IN ORDER TO IMPROVE THE HEALTH AND SAFETY OF THE COMMUNITIES WE SERVE. ALL OF THESE PROGRAMS IMPROVE ACCESS TO HEALTH CARE FOR VULNERABLE AND UNDERSERVED PERSONS.INSTANCES INCLUDE CMC STAFF SERVING AS A MEMBER OF THE LACKAWANNA COUNTY CRIMINAL JUSTICE ADVISORY BOARD, WHICH PROVIDES INPUT ON MENTAL/BEHAVIORAL HEALTH SERVICES TO THOSE IN THE CRIMINAL JUSTICE SYSTEM AS WELL AS THE SUICIDE PREVENTION TASK FORCE, WHICH DEVELOPS EDUCATIONAL STRATEGIES FOR THE PREVENTION AND TREATMENT OF SUICIDAL INDIVIDUALS. ADDITIONAL COALITION BUILDING ACTIVITIES -- INCLUDING BOARD MEMBERSHIPS AND JOINT VENTURES -- INVOLVE THE MATURE DRIVERS TASK FORCE, WHICH IS COMMITTED TO MAKING SENIOR CITIZENS MORE RESPONSIBLE DRIVERS IN ORDER TO PREVENT TRAUMATIC INJURIES TO THEMSELVES AND OTHERS; THE ALLIED SERVICES HOME HEALTH COMMUNITY ADVISORY COMMITTEE, WHICH FOCUSES ON PATIENT SAFETY, CORE MEASURES AND QUALITY OF CARE FOR HOME-BOUND PATIENTS OF REGIONAL HEALTHCARE FACILITY ALLIED SERVICES; AND THE MENTAL HEALTH AND CRISIS PREVENTION TASK FORCES WHICH ASSIST IN THE TRAINING OF LOCAL AND STATE POLICE FORCES ON MENTAL HEALTH-RELATED TOPICS, PRIMARILY HOW TO POSITIVELY RESPOND TO A MENTAL HEALTH CALL IN ORDER TO INSURE PATIENT SAFETY FOR THOSE VULNERABLE TO MENTAL HEALTH DISTRESS. THE CRISIS PREVENTION TASK FORCE WAS FORMED AS A RESULT OF A MENTALLY DISTRESSED COMMUNITY INDIVIDUAL WHO WAS SHOT AND KILLED IN 2008 BY LOCAL POLICE RESPONDING TO A CRISIS CALL. IT WAS LATER DETERMINED THE VICTIM HAD STOPPED TAKING HER ANTI-PSYCHOTIC MEDICATION AND THAT EMERGENCY RESPONDENTS WERE UNPREPARED IN DEALING WITH MENTALLY VULNERABLE INDIVIDUALS IN HER SITUATION. BECAUSE OF THAT TRAGEDY, A NUMBER OF MENTAL HEALTH ORGANIZATIONS - INCLUDING CMC - CAME TOGETHER IN ORDER TO EDUCATE AND INFORM POLICE AND EMERGENCY RESPONDENTS IN HOW TO DEAL WITH THOSE SITUATIONS TO AVERT FURTHER TRAGEDY. IN REGARDS TO COMMUNITY HEALTH IMPROVEMENT ADVOCACY, A CMC EMPLOYEE SERVES AS COMMUNITY HEALTH EDUCATION COORDINATOR AND FIELD REPRESENTATIVE FOR THE AMERICAN HEART ASSOCIATION. IN THIS POSITION, SHE SERVES IN AN EXECUTIVE FUNCTION AND IS A CRUCIAL PART OF THE GRASSROOTS EFFORTS OF THE AMERICAN HEART ASSOCIATION WHOSE MISSION IS THE PREVENTION OF HEART DISEASE, STROKE, OBESITY, AND THE IMPORTANCE OF NUTRITION AND EXERCISE IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THE WORK OF THE AMERICAN HEART ASSOCIATION HAS YIELDED IMPROVEMENTS IN THE REDUCTION OF DEATH CAUSED BY CARDIOVASCULAR DISEASE.
    PART III, LINE 4: CMC ACCOUNTS FOR DISCOUNTS AS A REDUCTION OF NET PATIENT REVENUE AND THEREFORE DISCOUNTS ARE NOT REFLECTED IN BAD DEBT EXPENSE. PAYMENTS ON PATIENT ACCOUNTS ARE TREATED AS BAD DEBT RECOVERIES WHICH ALSO REDUCE BAD DEBT EXPENSE. CMC DOES NOT ATTEMPT TO DETERMINE AN AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER ITS CHARITY CARE POLICY IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY. CMC'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT EXPENSE. BAD DEBT EXPENSE IS SHOWN AS A SEPARATE LINE ITEM OF EXPENSES ON THE STATEMENT OF OPERATIONS, AND THE PROVISION FOR UNCOLLECTABLE ACCOUNTS IS DISCLOSED IN THE NET PATIENT ACCOUNTS RECEIVABLE LINE ON THE STATEMENT OF FINANCIAL POSITION. BAD DEBT EXPENSE IS DETERMINED USING A RATIO OF COSTS TO CHARGES.
    PART III, LINE 8: MEDICARE COSTS WERE TAKEN DIRECTLY FROM THE MEDICARE COST REPORT. CMC USES THE ACCRUAL METHOD OF ACCOUNTING. THE UNPAID COST OF TREATING MEDICARE PATIENTS THAT THE HOSPITAL ABSORBS ALLEVIATES THE GOVERNMENT'S BURDEN AND HELPS THE COMMUNITY AT LARGE BY OFFERING MEDICAL TREATMENT FOR THOSE IN NEED WHO CANNOT PAY FOR IT OTHERWISE.
    PART III, LINE 9B: ALL PATIENTS ARE PROVIDED WITH FREE AND BELOW COST CARE GUIDELINES VIA NOTICES AND SIGNS AT TIME OF SERVICE. UNINSURED INPATIENTS ARE QUALIFIED FOR CHARITY OR MEDICAID WHERE APPLICABLE. OUTPATIENTS ARE SCREENED FOR ELECTIVE SERVICES. HOSPITAL PRE-COLLECTION AND COLLECTION AGENCIES ALSO PROVIDE INFORMATION TO PATIENTS ABOUT QUALIFICATION FOR UNCOMPENSATED CARE. IF PATIENTS APPLY FOR CHARITY CARE AND ARE APPROVED, THE EXPENSES RELATED TO THE COST OF PATIENT CARE ARE RECOGNIZED AS CHARITY CARE. IF PATIENTS DO NOT APPLY FOR CHARITY OR IF PATIENTS APPLY FOR CHARITY CARE AND ARE NOT APPROVED, THE EXPENSES RELATED TO THE COST OF PATIENT CARE ARE RECOGNIZED AS BAD DEBT. CMC DOES NOT COLLECTION PRACTICES RELATED TO PATIENTS WHO WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE BUT DID NOT QUALIFY.
    PART VI, LINE 2: COMMUNITY MEDICAL CENTER REGULARLY PARTICIPATES IN COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS TO IDENTIFY FAR-REACHING HEALTH NEEDS FACED BY THE POPULATION SERVED BY THE HOSPITAL FOR COMMUNITY BENEFIT PURPOSES.ASSESSMENT RESULTS ARE EVALUATED OVER TIME AND SERVE AS THE BASIS TO DEVELOP NEW OR EXPANDED PLANS TO ADDRESS SERVICES IN RESPONSE TO NEED. ADDITIONALLY, CMC DEVELOPS PROGRAMS AND SERVICES TO ADDRESS COMMUNITY HEALTH NEEDS AND MAKES INVESTMENTS IN INITIATIVES THAT ALIGN WITH THE HOSPITAL'S CORE MISSION.BEYOND THAT FOCUS ARE PROGRAMS AND SERVICES THAT BENEFIT EVERY RESIDENT AND SUPPORT THE FAR REACHING GOAL OF A HEALTHIER COMMUNITY.THOSE HEALTHY COMMUNITY GOALS HAVE SERVED AS A CATALYST FOR A COLLABORATIVE COMMUNITY APPROACH CMC HAS BEEN INSTRUMENTAL IN ESTABLISHING IN ORDER TO ACCESS THE HEALTHCARE NEEDS, HEALTH STATUS, AND QUALITY OF LIFE INDICATORS OF RESIDENTS LIVING IN THE LACKAWANNA COUNTY AND LUZERNE COUNTY COMMUNITIES. THE HOSPITAL IS A CHARTER MEMBER OF HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE (HNPI), AN ALLIANCE AMONG MEMBER REGIONAL HEALTHCARE ORGANIZATIONS AND THE PENNSYLVANIA DEPARTMENT OF HEALTH. THE GOAL OF THE ORGANIZATION IS TO ASSESS AND ADDRESS THE COMMUNITY HEALTH NEEDS, INCREASE REGIONAL HEALTHCARE PROGRAMS AND SERVICES, AND FACILITATE AWARENESS, EDUCATION AND WELLNESS FOR RESIDENTS OF NORTHEAST PENNSYLVANIA. A CMC EMPLOYEE CURRENTLY SERVES ON ITS STEERING COMMITTEE. IN ADDITION TO CMC, OTHER REGIONAL HEALTHCARE PROVIDERS IN THE CONSORTIUM INCLUDE ALLIED SERVICES, BLUE CROSS OF NEPA, GEISINGER HEALTH SYSTEM, MERCY HEALTH PARTNERS, MOSES TAYLOR HOSPITAL AND WYOMING VALLEY HEALTHCARE SYSTEM. ASSESSMENT SURVEYS WERE DONE IN 1997 AND 2003, WITH THE MOST RECENT SURVEY COMPLETED IN 2009 IN COORDINATION WITH TRIPP UMBACH, A NATIONAL MARKETING RESEARCH AND CONSULTING FIRM.THE STUDY'S MAIN OBJECTIVE WAS TO COMPLETE A COMPREHENSIVE ASSESSMENT OF THE HEALTHCARE ACCESS NEEDS, HEALTH STATUS, AND QUALITY OF LIFE INDICATORS OF RESIDENTS LIVING IN THE LACKAWANNA COUNTY AND LUZERNE COUNTY COMMUNITIES. MORE SPECIFICALLY, THE PROJECT GOALS WERE: - TO OBTAIN STATISTICALLY VALID INFORMATION ON THE HEALTH STATUS AND SOCIOECONOMIC/ENVIRONMENTAL FACTORS RELATED TO HEALTH OF RESIDENTS OF THE COUNTIES HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE (HNPI) SERVES. - TO SUPPLEMENT THE GENERAL POPULATION SURVEY DATA THAT IS CURRENTLY AVAILABLE TO HNPI AS AN ORGANIZATION. - TO ASSURE THAT COMMUNITY MEMBERS, INCLUDING THOSE OF BROAD RACIAL, ETHNIC, CULTURAL AND LINGUISTIC MINORITY GROUPS, ARE THE PRIMARY PARTICIPANTS IN THE NEEDS ASSESSMENT SURVEY PROCESS. IN ADDITION, EDUCATORS, HEALTH-RELATED PROFESSIONALS, MEDIA REPRESENTATIVES, LOCAL GOVERNMENT, HUMAN SERVICE ORGANIZATIONS, INSTITUTES OF HIGHER LEARNING, RELIGIOUS INSTITUTIONS AND THE PRIVATE SECTOR ARE ALL ENGAGED AT SOME LEVEL OF THE SURVEY PROCESS. - TO DEVELOP ACCURATE COMPARISONS TO THE STATE AND NATIONAL BASELINES OF HEALTH MEASURES, UTILIZING THE MOST CURRENT VALIDATED DATA AVAILABLE. - TO UTILIZE DATA OBTAINED FROM THE ASSESSMENT TO ADDRESS THE IDENTIFIED HEALTH NEEDS OF THE HNPI SERVICE AREA. - TO PROVIDE HNPI WITH APPROPRIATE DATA COMPARISONS, ON LIKE SURVEY QUESTIONS, TO THE 1997-98 AND 2003-04 COMMUNITY HEALTH NEEDS ASSESSMENTS' HOUSEHOLD SURVEY DATA. THESE DATA COMPARISONS WILL ALLOW HNPI TO DISCOVER BOTH POSITIVE AND NEGATIVE COMMUNITY HEALTH TRENDS. - TO COMPLETE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH NOT ONLY REACHES MINORITY/UNDERSERVED POPULATIONS BUT ALSO ADDRESSES A WIDE VARIETY OF COMMUNITY HEALTH TOPICS INCLUDING, BUT NOT LIMITED TO: ACCESS TO CARE, CHRONIC DISEASE PREVALENCE, PREVENTIVE HEALTH, HEALTH STATUS, ACCESS TO COMMUNITY PROGRAMS AND SERVICES, QUALITY OF LIFE INDICATORS, AND HEALTHY LIFESTYLE BEHAVIORS. RESEARCH STEPS INCLUDED: COMMUNITY LEADER INTERVIEWS; SOCIOECONOMIC PROFILES; SECONDARY DATA (I.E. SOCIOECONOMIC DATA AND DEMOGRAPHIC PROJECTIONS FROM NIELSEN CLARITAS AND THE U.S. CENSUS BUREAU, AND HEALTH PREVALENCE DATA FROM THE BRFSS, CDC, AND HRSA); FOCUS GROUPS; AND HOUSEHOLD SURVEYS. BASED UPON THE DATA GATHERED THROUGH THIS RESEARCH METHODOLOGY, TRIPP UMBACH IDENTIFIED FIVE COMMUNITY HEALTH AREAS OF NEED THAT ARE CONSIDERED PRIORITIES FOR LACKAWANNA AND LUZERNE COUNTIES. LISTED IN ALPHABETICAL ORDER, THE TOP FIVE PRIORITY AREAS ARE: - ACCESS TO CARE- CHRONIC DISEASE/OBESITY- EMPLOYMENT - MENTAL HEALTH- SUBSTANCE ABUSEONCE THIS LATEST NEEDS ASSESSMENT WAS COMPLETED, ITS FINDINGS WERE FORMALLY PRESENTED TO THE CMC BOARD OF DIRECTORS AND TO CMC'S CEO AND PRESIDENT.IT IS ALSO CURRENTLY AVAILABLE ONLINE.BASED ON WHAT WAS IDENTIFIED AS PRIORITIES THROUGH THE ASSESSMENT'S FINDINGS, CMC'S CEO AND ITS BOARD OF DIRECTORS THEN COMMITTED HOSPITAL RESOURCES IN ORDER TO PROVIDE THESE MUCH-NEEDED SERVICES TO THE COMMUNITY. BASED ON THE SUBMITTED PRIORITY OF NEEDS, FOR EXAMPLE, HOSPITAL ADMINISTRATORS DETERMINED THAT IN ORDER TO BETTER SERVE THE HEALTH NEEDS OF THE COMMUNITY BY BATTLING OBESITY AND CHRONIC DISEASE, A PREVENTIVE MEDICINE AND NUTRITION CLINIC SHOULD BE ESTABLISHED AT THE HOSPITAL AND IT WAS. ALSO, THE HIGH INCIDENCE OF DIABETES IN THE REGION HAS LED TO A PART-TIME DIABETES EDUCATOR POSITION AT THE HOSPITAL AND AN ADDITIONAL PART-TIME RN POSITION IS SOLELY DEVOTED TO COMMUNITY HEALTH SCREENINGS, EDUCATIONAL OUTREACH EFFORTS AND A VARIETY OF SUPPORT GROUPS SUCH AS SMOKING CESSATION AND WEIGHT LOSS.IN ADDITION, THE DOCUMENTED NEED FOR MENTAL HEALTH SERVICES HAS ASSURED CMC'S CONTINUED COMMITMENT TO OUR IN-PATIENT, BEHAVIORAL UNIT WHICH IS THE ONLY BEHAVIORAL UNIT LOCATED IN THE CITY OF SCRANTON. AND FINALLY, CMC'S MISSION IS TO PROVIDE ACCESS TO CARE FOR ALL OF THE RESIDENTS OF OUR COMMUNITY WHICH REMAINS APPARENT IN OUR CONTINUED COMMITMENT TO CHARITY CARE.
    PART VI, LINE 3: COMMUNITY MEDICAL CENTER INFORMS AND EDUCATES ITS PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS AND AVAILABILITY OF CHARITY CARE PROGRAMS IN THE FOLLOWING MANNER.- CMC POSTS A SUMMARY COPY OF ITS CHARITY CARE POLICY AND FINANCIAL CONTACT INFORMATION AT ALL POINTS OF PATIENT ACCESS WHICH INCLUDES ITS ADMISSIONS AREAS, EMERGENCY ROOM AND OUTPATIENT REGISTRATION AREAS.- ALL NOTICES OF AVAILABILITY OF FREE CARE ARE AVAILABLE IN BOTH ENGLISH AND SPANISH.- CMC ALSO PROVIDES NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE AND FREE CARE ON THE HOSPITAL'S WEBSITE, AT ALL REGISTRATION AREAS, IN CMC'S FINANCIAL COUNSELOR OFFICE AS WELL AS DURING ALL PHASES OF THE POST DISCHARGE COLLECTION FOLLOW-UP PROCESSES.ADDITIONALLY, CMC ALSO RETAINS TWO (2) INDEPENDENT SERVICES ON SITE WHICH ARE LOCATED IN IN-HOUSE AND IN OUR FACILITY'S EMERGENCY ROOM TO PROVIDE FINANCIAL COUNSELING AND ASSISTANCE FOR UNINSURED OR UNDERINSURED PATIENTS REGARDING THEIR ELIGIBILITY FOR GOVERNMENT PROGRAMS AND/OR AVAILABLE CHARITY CARE PROGRAMS OFFERED THROUGH CMC.
    PART VI, LINE 4: COMMUNITY MEDICAL CENTER IS A LEADING PROVIDER OF QUALITY HEALTHCARE SERVICES IN NORTHEASTERN PENNSYLVANIA. A NOT-FOR-PROFIT, 297-BED HOSPITAL LOCATED IN SCRANTON, PA., CMC PRIMARILY SERVES ALL OF LACKAWANNA COUNTY WITH LUZERNE, MONROE, PIKE, SUSQUEHANNA, WAYNE AND WYOMING COUNTIES SERVING AS SECONDARY MARKETS.CMC OFFERS A COMPLETE CONTINUUM OF EDUCATIONAL, DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE SERVICES AND PROGRAMS, INCLUDING THE REGION'S ONLY LEVEL II TRAUMA CENTER AND IN-PATIENT BEHAVIORAL UNIT. THE HOSPITAL EMPLOYS APPROXIMATELY 1,400 PEOPLE.THERE ARE TWO OTHER HOSPITALS LOCATED IN SCRANTON AND SERVING LACKAWANNA COUNTY: MERCY HOSPITAL, A CATHOLIC, NON-PROFIT, AND MOSES TAYLOR HOSPITAL, ALSO A NON-PROFIT. ACCORDING TO THE 2010 CLARITAS CENSUS, THE OFFICIAL POPULATION COUNT FOR LACKAWANNA COUNTY WAS 214,437. THE CITY OF SCRANTON, WHICH SERVES AS LACKAWANNA COUNTY'S SEAT AND HAS DESIGNATED DISTRESSED CITY STATUS SINCE 1992, HAD A TOTAL POPULATION OF 76,089 IN 2010, ACCORDING TO THE UNITED STATES CENSUS BUREAU. SCRANTON IS THE LARGEST PRINCIPAL CITY IN THE SCRANTON/WILKES-BARRE METROPOLITAN AREA, MAKING IT PENNSYLVANIA'S SIXTH-MOST POPULOUS CITY AFTER PHILADELPHIA, PITTSBURGH, ALLENTOWN, ERIE AND READING. THE U.S. DEPARTMENT OF HEALTH AND HUMAN RESOURCES HAS DESIGNATED LACKAWANNA COUNTY AS A MEDICALLY UNDERSERVED AREA/POPULATION DUE TO: TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY AND/OR HIGH ELDERLY POPULATION.NEARLY ONE OF SIX SCRANTON RESIDENTS IS LIVING BELOW THE POVERTY LEVEL ACCORDING TO THE AMERICAN COMMUNITY SURVEY, A BRANCH OF THE U.S. CENSUS. COMPARED TO PENNSYLVANIA'S MEDIAN HOUSEHOLD INCOME OF $47,913, THE AVERAGE EARNINGS FOR LACKAWANNA COUNTY RESIDENTS -- $41,594 -- IS SIGNIFICANTLY LESS THAN THE STATE AVERAGE AND WELL BELOW THE NATIONAL MEDIAN HOUSEHOLD INCOME OF $50,007, ACCORDING TO THE AMERICAN COMMUNITY SURVEY. COMPOUNDING THE ECONOMIC CHALLENGES OF LOWER SALARIES, LACKAWANNA COUNTY RESIDENTS ARE TWICE AS LIKELY TO NOT HAVE HEALTH INSURANCE AS LUZERNE COUNTY RESIDENTS. THE INSTITUTE FOR PUBLIC POLICY & ECONOMIC DEVELOPMENT INDICATORS REPORT FOR 2009 SHOWS A TWO TO ONE RATIO FOR THIS STATISTIC, REPORTING THAT 10.6% OF THE RESIDENTS IN LACKAWANNA COUNTY AND 5.2% OF RESIDENTS IN LUZERNE COUNTY ARE WITHOUT HEALTH INSURANCE.LACKAWANNA COUNTY INHABITANTS ARE ALSO OLDER COMPARED TO THE REST OF THE STATE AND NATION. WHILE 15.2 PERCENT OF THE STATE OF PENNSYLVANIA POPULATION IS AGED SIXTY-FIVE AND OLDER, LACKAWANNA COUNTY'S RATE IS 18.6% PERCENT. THE NATIONAL RATE IS 12.8 PERCENT, ACCORDING TO THE U.S. CENSUS BUREAU. EDUCATION IS ALSO LACKING IN THE REGION. ONLY 19.5% OF RESIDENTS AGE 25 AND OLDER WITHIN LACKAWANNA COUNTY HOLDS A BACHELOR'S DEGREE OR HIGHER. BY COMPARISON, 25.6% OF THE PENNSYLVANIA POPULATION AGE 25 AND OLDER HAS A BACHELOR'S DEGREE OR HIGHER AND 27% OF THIS AGE GROUP IN THE U.S. HAS A BACHELOR'S DEGREE OR HIGHER.AND WHILE THE REGION IS PRIMARILY WHITE, THE REGION IS EXPERIENCING AN INFLUX OF MINORITIES. CLARITAS CENSUS ESTIMATES FOR 2009 SHOW THE STUDY AREA POPULATION IS PREDOMINATELY SELF-DEFINED AS WHITE/CAUCASIAN IN LACKAWANNA COUNTY (94.5%). HOWEVER, THE REGION'S HISPANIC POPULATION INCREASED FROM 1,999 TO 7,531. THE ASIAN POPULATION GREW FROM 823 TO 2,269, AND THE BLACK POPULATION GREW FROM 2,304 TO 4,150.ACCORDING TO THE MOBILIZING ACTION TOWARD COMMUNITY HEALTH (MATCH) PROJECT, LACKAWANNA COUNTY RANKS 51ST OUT OF THE 67 PENNSYLVANIA COUNTIES IN OVERALL HEALTH STATUS. MATCH IS COLLABORATION BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE.ACCORDING TO THE HEALTH RANKINGS DEVELOPED BY MATCH, LACKAWANNA AND LUZERNE COUNTIES DO NOT COMPARE WELL TO STATE AND NATIONAL AVERAGES FOR MANY OF THE KEY COMMUNITY HEALTH INDICATORS EVALUATED.THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORTS THAT THE TOP FIVE MOST PREVALENT CHRONIC DISEASES IN LACKAWANNA AND LUZERNE COUNTIES ARE BLOOD PRESSURE PROBLEMS, CHOLESTEROL PROBLEMS, ARTHRITIS, HEART PROBLEMS, AND RESPIRATORY PROBLEMS (SUCH AS ASTHMA, CHRONIC LUNG DISEASE, EMPHYSEMA, AND CHRONIC BRONCHITIS) WITH THE REGION SCORING HIGHER THAN THE NATIONAL AVERAGE FOR ALL THOSE LISTED. ACCORDING TO CENTER FOR DISEASE CONTROL DATA FROM 2010, THE REGION'S INCIDENCE OF DIABETES IS ALSO GETTING WORSE. A RECENT FEDERAL STUDY PLACED PENNSYLVANIA IN A 15-STATE "DIABETES BELT," WITH ALMOST 27 PERCENT OF PEOPLE 65 AND OLDER DIAGNOSED WITH DIABETES IN THE REGION. BLOOD PRESSURE PROBLEMS REPORTED WITHIN THE STUDY REGION ARE HIGHER THAN BOTH THE STATE AND NATIONAL AVERAGES WITH 36.2 PERCENT FOR LACKAWANNA COUNTY VERSUS 28.1 FOR THE STATE OF PENNSYLVANIA AND 27.5 FOR THE UNITED STATES. CONCURRENTLY, COMPARED TO 2008 BRFSS STATE (21.3%) AND NATIONAL (18.3%) AVERAGES, A HIGHER PERCENTAGE OF SURVEY RESPONDENTS SMOKE CIGARETTES IN LACKAWANNA AND LUZERNE COUNTIES (23.0%). THE INSTITUTE FOR PUBLIC POLICY & ECONOMIC DEVELOPMENT INDICATORS REPORT FOR 2009 SHOWS INCREASING DRUG POSSESSION AND DRUG SALE/MANUFACTURING OFFENSES WITHIN THE REGION AND THE PERCENTAGE OF BINGE DRINKERS IS ALSO HIGHER THAN THE NATIONAL AVERAGE (15.5 FOR THE U.S. VERSUS 17.6 FOR LACKAWANNA COUNTY). BETWEEN 2000 AND 2008, THE NUMBER OF DUI OFFENSES WITHIN LACKAWANNA AND LUZERNE COUNTIES ALSO INCREASED BY 44.1%.SINCE 1997, THE PERCENTAGE OF HOUSEHOLD SURVEY RESPONDENTS REPORTING EMOTIONAL AND MENTAL HEALTH CONCERNS HAS ALSO INCREASED SIGNIFICANTLY IN THE REGION. ANOTHER INDICATOR OF EMOTIONAL AND MENTAL HEALTH CONCERNS IS THE SUICIDE RATE. BOTH LACKAWANNA AND LUZERNE COUNTIES HAVE HIGHER PREVALENCE RATES FOR SUICIDE THAN PENNSYLVANIA STATE AVERAGES, ACCORDING TO THE INSTITUTE FOR PUBLIC POLICY & ECONOMIC DEVELOPMENT INDICATORS REPORT FOR 2009.
    PART VI, LINE 6: COMMUNITY MEDICAL CENTER OPERATES AN EMERGENCY ROOM AND LEVEL II TRAUMA CENTER THAT IS OPEN TO ALL OF OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY; CMC HAS AN OPEN MEDICAL STAFF AND OFFERS PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE AREA; CMC HAS A GOVERNING BOARD COMPRISED OF INDEPENDENT CITIZENS REPRESENTATIVE OF THE COMMUNITY; CMC WORKS WITH OTHER AFFILIATED AND CLINICALLY AFFILIATED STAFF AND THEIR FACILITIES TO PROVIDE MEDICAL OR SCIENTIFIC RESEARCH PROGRAMS; PARTICIPATES IN MEDICAID/MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH CARE PROGRAMS; CMC'S BOARD OF DIRECTORS IS MADE UP RESIDENTS OF THE COMMUNITY WE SERVE AND VOLUNTEER THEIR TIME SOLELY DUE TO THEIR CONCERN FOR HOSPITAL AND THE COMMUNITY IT SERVES; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS.
    PART VI, LINE 7: IN ADDITION TO COMMUNITY MEDICAL CENTER'S 297-BED, IN-PATIENT HOSPITAL, CMC ALSO OPERATES MOUNTAIN VIEW CARE CENTER, PROVIDING SHORT TERM REHABILITATION, SKILLED NURSING, AND LONG TERM CARE TO THE COMMUNITIES WE SERVE. ALSO, CMC'S ABINGTON PHYSICAL THERAPY AND GREEN RIDGE PHYSICAL THERAPY ARE OUTPATIENT PHYSICAL REHABILITATION FACILITIES THE HOSPITAL OPERATES.
AFFILIATED HEALTH CARE SYSTEM FORM 990, SCHEDULE H, PART VI, LINE 6: COMMUNITY MEDICAL CENTER IS AFFILIATED WITH MOUNTAIN VIEW NUSING HOME, INC., COMMUNITY MEDICAL CARE, INC., COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM, MEDICAL DIMENSIONS, INC., AND COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST. MOUNTAIN VIEW NURSING HOME, INC. IS A LONG-TERM CARE FACILITY. COMMUNITY MEDICAL CARE, INC. PROVIDES PHYSICIAN SERVICES TO THE AFFILIATED ORGANIZATIONS. COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM IS THE PARENT ORGANIZATION AND SUPPORTS THE ACTIVITIES OF THE AFFILIATED ORGANIZATIONS. MEDICAL DIMENSIONS, INC. IS A REAL ESTATE HOLDING COMPANY. COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST PROVIDES PROFESSIONAL LIABILITY SELF-INSURANCE FOR COMMUNITY MEDICAL CENTER AND THE AFFILIATED ORGANIZATIONS.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
COMMUNITY MEDICAL CENTER
 
Employer identification number
24-0862246
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) HEALTHY NEPA INITIATIVE100 ABINGTON EXECUTIVE PARK
CLARKS SUMMIT,PA18411 		33-1030272 501(C)(3) 10,000       ASSISTANCE PROVIDED AS CHARITABLE SUPPORT.
(2) AMERICAN CANCER SOCIETYCANCER ACTION NETWORK 712 S KEYSER
AVENUE
TAYLOR,PA18517 		25-1798733 501(C)(3) 5,100       ASSISTANCE PROVIDED AS CHARITABLE SUPPORT.
(3) THE COMMONWEALTH MEDICAL COLLEGE150 N WASHINGTON AVENUE
SCRANTON,PA18503 		26-0812968 501(C)(3) 20,500       ASSISTANCE PROVIDED AS CHARITABLE SUPPORT.


















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
3
3
Enter total number of other organizations ................................ . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: CMC MAINTAINS CONTACT WITH THE ORGANIZARTIONS TO ENSURE GRANT MONIES ARE PROPERLY UTILIZED.
Schedule I (Form 990) 2010


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY MEDICAL CENTER
 
Employer identification number

24-0862246
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) ROBERT STEIGMEYER (i)
(ii)		 447,555
0 		135,000
0 		0
0 		7,356
0 		9,992
0 		599,903
0 		0
0
(2) JOHN SKURKA (i)
(ii)		 436,224
0 		0
0 		0
0 		0
0 		0
0 		436,224
0 		0
0
(3) BARBARA BOSSI (i)
(ii)		 233,635
0 		34,954
0 		0
0 		11,385
0 		6,761
0 		286,735
0 		0
0
(4) SEAN MCANDREW (i)
(ii)		 129,510
0 		20,847
0 		0
0 		2,606
0 		3,806
0 		156,769
0 		0
0
(5) DR KAHILEEL SHAIKH (i)
(ii)		 236,705
0 		0
0 		0
0 		11,009
0 		4,862
0 		252,576
0 		0
0
(6) MICHELLE BOYLE (i)
(ii)		 296,800
0 		0
0 		0
0 		13,342
0 		7,660
0 		317,802
0 		0
0
(7) JOHN DITCHKUS (i)
(ii)		 244,967
0 		0
0 		0
0 		13,574
0 		8,927
0 		267,468
0 		0
0
(8) ROSE SADOWSKI (i)
(ii)		 242,944
0 		0
0 		0
0 		13,380
0 		3,567
0 		259,891
0 		0
0
(9) MARK TRENTLY (i)
(ii)		 241,665
0 		0
0 		0
0 		13,145
0 		2,134
0 		256,944
0 		0
0







Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 1A HOUSING ALLOWANCES ARE PAID DIRECTLY TO ECG MANAGEMENT CONSULTANTS ON BEHALF OF THE CFO.
SUPPLEMENTAL INFORMATION PART III JOHN SKURKA, INTERIM CFO OF COMMUNITY MEDICAL CENTER RECEIVES COMPENSATION FOR SERVICES RENDERED IN CAPACITY AS AN OFFICER FROM ECG MANAGEMENT CONSULTANTS, AN UNRELATED ORGANIZATION. TOTAL COMPENSATION INCLUDING BENEFITS PAID TO ECG MANAGEMENT CONSULTANTS FOR THE YEAR WAS $436,224.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY MEDICAL CENTER
 
Employer identification number

24-0862246
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) LOUIS DENAPLES MD
  		BOARD MEMBER 531,186 DR. DENAPLES' COMPANY, EMERGENCY SERVICES, PC, PROVIDES MEDICAL AND EMERGENCY ROOM SERVICES TO COMMUNITY MEDICAL CENTER. COMMUNITY MEDICAL CENTER ALSO PAYS A STIPEND TO EMERGENCY SERVICES, PC FOR THE SERVICES PROVIDED BY DR. LOUIS DENAPLES AS A MEDICAL DIRECTOR IN THE HOSPITAL.   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
COMMUNITY MEDICAL CENTER
 
Employer identification number

24-0862246
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 3   THE ORGANIZATION DELEGATES RESPONSIBILITY TO AN OUTSIDE MANAGEMENT COMPANY, ECG MANAGEMENT CONSULTANTS FOR THEIR CFO JOB FUNCTION. THE ORGANIZATION DELINEATES THE RESPONSIBILITIES IN THE MANAGEMENT AGREEMENT AND REPORTS TO THE BOARD OF DIRECTORS COMPLIANCE WITH THE DELEGATED DUTIES.
FORM 990, PART VI, SECTION B, LINE 11   AS OF FEBRUARY 1, 2012, COMMUNITY MEDICAL CENTER (CMC) AND ITS RELATED ENTITIES (COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM, COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM PROFESSIONAL LIABILITY SELF-INSURANCE TRUST, COMMUNITY MEDICAL CARE, INC., MEDICAL DIMENSIONS, INC. AND MOUNTAIN VIEW NURSING HOME., INC.) MERGED WITH GEISINGER HEALTH SYSTEM. PRIOR TO FILING THE 2010 FORM 990, GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTORS APPOINTED NEW OFFICERS AND A NEW BOARD OF DIRECTORS FOR CMC AND ALL RELATED ENTITIES. THE NEWLY APPOINTED OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN WAS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR FISCAL YEAR-ENDED JUNE 30, 2011.
  FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR IN JANUARY, THE CONFLICT OF INTEREST POLICY ALONG WITH A CONFLICT OF INTEREST STATEMENT IS SENT TO ALL BOARD MEMBERS AND OFFICERS FOR THEIR REVIEW AND COMPLETION. AFTER ALL STATEMENTS ARE RECEIVED BACK, EACH ONE IS RECORDED INTO A SUMMARY WHICH IS PRESENTED AT THE BOARD OF DIRECTORS MEETING IN MARCH/APRIL. IT IS COMMUNITY MEDICAL CENTER POLICY THAT BOARD MEMBERS, SENIOR MANAGEMENT TEAM LEADERS AND INFLUENTIAL PERSONS MUST BE FREE FROM CONFLICTS OF INTEREST THAT COULD ADVERSELY INFLUENCE THEIR JUDGMENT, OBJECTIVITY OR LOYALTY TO THE COMPANY IN CONDUCTING HOSPITAL BUSINESS ACTIVITIES AND ASSIGNMENTS. COMMUNITY MEDICAL CENTER RECOGNIZES THAT EMPLOYEES MAY TAKE PART IN LEGITIMATE FINANCIAL, BUSINESS, CHARITABLE AND OTHER ACTIVITIES, BUT ANY POTENTIAL CONFLICT OF INTEREST RAISED BY THOSE ACTIVITIES MUST BE DISCLOSED PROMPTLY TO THE BOARD OF DIRECTORS. THE BOARD ALSO CONDUCTS PERIODIC REVIEWS WHICH INCLUDE THE FOLLOWING SUBJECTS: -WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE BASED ON COMPETENT SURVEY INFORMATION AND ARE THE RESULT OF ARM'S LENGTH BARGAINING; -WHETHER ACQUISITIONS OR PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT, IMPERMISSABLE PRIVATE BENEFITS, OR IN AN EXCESS BENEFIT TRANSACTION; -WHETHER PARTNERSHIP OR JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO THE CORPORATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENT FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT, OR IN AN EXCESS BENEFIT TRANSACTION; AND - WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND ARRANGEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT, OR IN AN EXCESS BENEFIT TRANSACTION.
  FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE FOR THE PURPOSE OF REVIEWING THE PERFORMANCE AND COMPENSATION OF THE EXECUTIVES. THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD UTILIZES INFORMATION FROM EXTERNAL THIRD PARTIES TO VALIDATE THAT THE COMPENSATION FOR EXECUTIVES IS APPROPRIATE OR FAIR MARKET VALUE. DURING FISCAL YEAR ENDED 06/30/11, COMMUNITY MEDICAL CENTER HAD ENGAGED AN OUTSIDE MANAGEMENT COMPANY TO PROVIDE THE CHIEF FINANCIAL OFFICER. PRIOR TO ENGAGING THIS FIRM, PROPOSALS FROM OTHER FIRMS WERE EVALUATED. THIS EVALUATION HELPED TO CONFIRM THE FAIR MARKET VALUE FOR CONTRACTING FOR CFO POSITION.
  FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,850,817. PENSION ADJUSTMENT 5,276,389. VALUATION GAIN 12,299. SELF-INSURANCE ADJUSTMENT -3,750,000. TOTAL TO FORM 990, PART XI, LINE 5: 5,389,505.
  FORM 990, PART XI, LINE 2C: THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR OVERSIGHT DURING THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY MEDICAL CENTER
 
Employer identification number

24-0862246
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) COMMUNITY MEDICAL CARE INC

1822 MULBERRY STREET

SCRANTON,PA18510
23-2429776 		PHYSICIANS PRACTICES PA 501(C)(3) 170(B)(1)(A)(III) COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM
 
 
No
(2) MOUNTAIN VIEW NURSING HOME INC

1822 MULBERRY STREET

SCRANTON,PA18510
23-2568288 		LONG TERM CARE FACILITY PA 501(C)(3) 509(A)(2) COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM
 
 
No
(3) COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM

1822 MULBERRY STREET

SCRANTON,PA18510
23-2279376 		SUPPORT ACTIVITIES OF CMC AND AFFILIATES PA 501(C)(3) 509(A)(3) TYPE 1 N/A
 
No
(4) MEDICAL DIMENSIONS INC

1822 MULBERRY STREET

SCRANTON,PA18510
23-2369788 		REAL ESTATE HOLDING COMPANY FOR THE HEALTHCARE SYSTEM PA 501(C)(2) N/A COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM
 
 
No
(5) COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM MEDICAL PROF LIAB SELF INSURANCE

1800 MULBERRY STREET

SCRANTON,PA18510
04-6990600 		SELF INSURANCE FOR AFFILIATES PA 501(C)(3) 509(A)(3) TYPE 1 COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM
 
 
No
(6) NORTHEAST CANCER CENTER INC

1822 MULBERRY STREET

SCRANTON,PA18510
20-1687320 		PROVIDES RADIATION ONCOLOGY SERVICES TO CANCER PATIENTS PA 501(C)(3) 170(B)(1)(A)(III) N/A
 
No


For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) MEDICAL DIMENSIONS INC

 J 392,000 CASH PAID
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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