2024-05-15T13:56:29-05:00 2023-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-07-01 471870077 FRENCH CREEK INTERNAL MEDICINE % RENATO SUNTAY FREN 8143335000 751 LIBERTY STREET MEADVILLE PA 16335 RENATO SUNTAY CFO 8143335000 2024-03-15 true RENTO SUNTAY 999009999 Brian D Todd P00422601 4178658701 3 2022 2023-04-26 12:10:37Z RENATO SUNTAY 751 LIBERTY STREET MEADVILLE PA 16335 4468274 false X WWW.MMCHS.ORG X 2014 PA TO PROVIDE QUALITY HEALTH AND HUMAN SERVICES, INCLUDING INTERNAL MEDICINE AND FAMILY PRACTICE SERVICES IN RESPONSE TO NEEDS IN OUR SERVICE AREA. 13 7 27 14 0 0 0 0 3930040 4468274 0 0 0 0 3930040 4468274 0 0 0 0 4522562 4254992 0 0 0 1022554 1214048 5545116 5469040 -1615076 -1000766 310114 385992 4311135 4432293 -4001021 -4046301 TO PROVIDE QUALITY HEALTH AND HUMAN SERVICES IN RESPONSE TO IDENTIFIED NEEDS IN OUR SERVICE AREA AND TO PROVIDE FOR THE BASIC HEALTH AND HUMAN SERVICE NEEDS OF ALL PERSONS, REGARDLESS OF ABILITY TO PAY. false false 4627006 4468274 THE ORGANIZATION PROVIDES QUALITY HEALTH AND HUMAN SERVICES, INCLUDING INTERNAL MEDICINE AND FAMILY PRACTICE SERVICES, IN RESPONSE TO NEEDS IN OUR SERVICE AREA. 4627006 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true X 2 0 true 27 true false false false false false false false false false false false false X 13 7 true true false false true true true true true false false true true true true true true false false false PA X RENATO SUNTAY 8143335000 751 LIBERTY STREET MEADVILLE PA 16335 X JOHN WILSON DIRECTOR 1.0 41.0 X 0 733894 48702 RENATO SUNTAY CFO/DIRECTOR 1.0 42.0 X X 0 448822 89396 KEVIN KRAELING DO DIRECTOR 1.0 41.0 X 0 438544 51714 RYAN LANDEFELD DIRECTOR/PHYSICIAN 41.0 1.0 X 368566 0 52824 MAX WEISS DIRECTOR 1.0 41.0 X 0 327778 43903 RYAN EVANS PHYSICIAN 40.0 0.0 X 310670 0 52149 KRISTIN TEMPLIN PHYSICIAN 40.0 0.0 X 298816 0 52811 GABRIELLE PIERCE CEO 3.0 38.0 X 21202 281676 21417 MARK LEWIS DIRECTOR 41.0 1.0 X 246536 0 44374 ANNE LISE ARMSTRONG PHYSICIAN 40.0 0.0 X 250082 0 38680 GARY PASQUALICCHIO PHYSICIAN 40.0 0.0 X 209392 0 37384 CANDYCE LUCIAN PHYSICIAN 40.0 0.0 X 137372 0 15833 MARK SMITH DIRECTOR 1.0 2.0 X 0 0 0 ROBERT POWER CHAIR 1.0 1.0 X X 0 0 0 DEAN FAIR VICE CHAIR 1.0 1.0 X X 0 0 0 PAUL HUBER SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 NICOLA FISHER DIRECTOR 1.0 4.0 X 0 0 0 CRAIG MULLEN DIRECTOR 1.0 2.0 X 0 0 0 TYE CRESSMAN DIRECTOR 1.0 1.0 X 0 0 0 1842636 2230714 549187 10 false true false 0 0 NET PATIENT SERVICE REVENUE 624100 4405570 4405570 OTHER PROGRAM REVENUE 624100 62704 62704 4468274 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4468274 4468274 0 0 0 0 712300 712300 0 2716412 2316203 400209 26226 19341 6885 585602 507313 78289 214452 188690 25762 170352 170352 0 8184 8184 0 0 0 225668 186037 39631 420 420 156074 113870 42204 0 0 212008 154749 57259 1179 861 318 0 20046 15334 4712 0 0 15228 11115 4113 100478 99959 519 MEDICAL SUPPLIES & DRUGS 292056 292056 LICENSES, DUES, SUBSCRIPTIONS 11762 8585 3177 REPAIRS & MAINTENANCE 593 593 5469040 4627006 842034 0 3790 25028 0 0 0 0 181294 197490 0 0 0 0 0 0 0 0 59036 82133 248240 166899 65994 81341 0 0 0 0 0 0 0 0 0 0 310114 385992 352256 297933 0 0 24912 24912 0 0 0 0 0 0 0 0 0 0 3933967 4109448 4311135 4432293 X -4001021 -4046301 0 0 -4001021 -4046301 310114 385992 X -1000766 292 955194 X false true X true false X 0 361237 0 0 0 361237 1997938 1689026 2059942 3930040 4468274 14145220 0 0 0 1997938 2050263 2059942 3930040 4468274 14506457 0 0 0 14506457 0 0 0 0 0 1997938 2050263 2059942 3930040 4468274 14506457 1.00000 1.00000 0.00000 0.00000 X 248240 166899 81341 81341 0 DUE TO AFFILIATES 4109448 4109448 4468203 -71 -71 4468274 4468274 5468969 5468969 71 71 5469040 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ (71) INVESTMENT EXPENSES SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 71 INVESTMENT EXPENSES false true false false false false false false false KEVIN KRAELING DO DIRECTOR 0 438142 0 0 0 402 0 13189 0 38525 0 490258 0 0 JOHN WILSON DIRECTOR 0 731140 0 0 0 2754 0 18300 0 30402 0 782596 0 0 RENATO SUNTAY CFO/DIRECTOR 0 444582 0 0 0 4240 0 62283 0 27113 0 538218 0 0 RYAN LANDEFELD DIRECTOR/PHYSICIAN 368135 0 0 0 431 0 15967 0 36857 0 421390 0 0 0 GABRIELLE PIERCE CEO 21184 281442 0 0 18 234 1137 15103 362 4815 22701 301594 0 0 MARK LEWIS DIRECTOR 245112 0 0 0 1424 0 15124 0 29250 0 290910 0 0 0 RYAN EVANS PHYSICIAN 310465 0 0 0 205 0 16260 0 35889 0 362819 0 0 0 KRISTIN TEMPLIN PHYSICIAN 298196 0 0 0 620 0 16635 0 36176 0 351627 0 0 0 GARY PASQUALICCHIO PHYSICIAN 205228 0 0 0 4164 0 11457 0 25927 0 246776 0 0 0 ANNE LISE ARMSTRONG PHYSICIAN 249877 0 0 0 205 0 9835 0 28845 0 288762 0 0 0 CANDYCE LUCIAN PHYSICIAN 136957 0 0 0 415 0 4221 0 11612 0 153205 0 0 0 MAX WEISS DIRECTOR 0 321706 0 0 0 6072 0 17116 0 26787 0 371681 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION DETERMINATION: MEADVILLE MEDICAL CENTER, A RELATED ORGANIZATION, USES A COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING SCHEDULED 457(F) CONTRIBUTIONS WERE MADE ON BEHALF OF MEADVILLE MEDICAL CENTER EMPLOYEES: $ 43,983 RENATO SUNTAY FORM 990, PART V, LINES 1A, 2A & 2B AND PART IX, LINES 5-10 REPORTING AGENT: MEADVILLE MEDICAL CENTER (EIN: 25-1512436), A RELATED ORGANIZATION, FILES ALL INFORMATIONAL RETURNS AND EMPLOYMENT TAX RETURNS ON BEHALF OF FRENCH CREEK INTERNAL MEDICINE (FCIM). THE NUMBER OF 1099S AND W-2S FILED FOR FCIM HAS BEEN REPORTED ON LINES 1A AND 2A, RESPECTIVELY. THESE AMOUNTS ARE INCLUDED IN THE FORM 1096 AND FORM W-3 FILED BY MMC. THE AMOUNT OF SALARIES, PENSIONS, PAYROLL TAXES, AND EMPLOYEE BENEFITS REPORTED ON PART IX, LINES 5-10 HAVE BEEN ALLOCATED TO FCIM BASED ON THE EMPLOYEES THAT WORK DIRECTLY FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP: RENATO SUNTAY, MAX WEISS, GABRIELLE PIERCE AND KEVIN KRAELING ARE ALL COMPENSATED BY A RELATED PARTY, MEADVILLE MEDICAL CENTER (MMC). JOHN WILSON IS COMPENSATED BY A RELATED PARTY, MEADVILLE PHYSICIANS SERVICES (MPS). FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES: A RELATED ORGANIZATION, MEADVILLE MEDICAL CENTER (MMC), PROVIDES MANAGEMENT DUTIES TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: THE ORGANIZATION'S PARENT ORGANIZATION, MEADVILLE PHYSICIANS SERVICES (MPS) IS THE SOLE MEMBER OF THE ORGANIZATION. MEADVILLE PHYSICIANS SERVICES HAS THE POWER FROM TIME TO TIME TO TAKE THE FOLLOWING ACTIONS WITH RESPECT TO FCIM: (A) NOMINATE AND ELECT ALL OF THE OFFICERS AND DIRECTORS AND REMOVE AT ANY TIME, WITH OR WITHOUT CAUSE, ANY AND/OR ALL SUCH OFFICERS AND DIRECTORS; (B) APPROVE OR DISAPPROVE ANY CHANGE IN THE NUMBER OF DIRECTORS; (C) APPROVE OR DISAPPROVE ALL OPERATING AND CAPITAL BUDGETS AND AMENDMENTS THERETO; (D) APPROVE OR DISAPPROVE ALL AFFILIATIONS, MERGERS, AND OTHER TRANSACTIONS NOT IN THE ORDINARY COURSE OF BUSINESS; (E) APPROVE OR DISAPPROVE PROJECTS OR EXPENDITURES WHICH ARE NOT IN THE BUDGET OR WHICH ARE VARIANCES THERETO INCLUDING THE AUTHORITY TO ESTABLISH A DOLLAR THRESHOLD BELOW WHICH THE CORPORATION WILL NOT NEED TO OBTAIN APPROVAL FROM MPS; (F) APPROVE OR DISAPPROVE ALL AMENDMENTS TO ARTICLES OF INCORPORATION AND/OR BYLAWS; (G) DIRECT THE CORPORATION TO MAKE CHANGES IN ITS ARTICLES OF INCORPORATION AND/OR BYLAWS AND IN THE ABSENCE OF SUCH ACTION BY THE CORPORATION, AMEND THE CORPORATION'S ARTICLES OF INCORPORATION AND/OR BYLAWS ON ITS OWN MOTION; (H) APPROVE OR DISAPPROVE ALL LONG RANGE PLANS; (I) APPROVE OR DISAPPROVE ALL FINANCING AND INDEBTEDNESS FOR WHICH THE OBLIGATION TO REPAY EXCEEDS (I) A TERM OF TWELVE (12) MONTHS OR (II) AN AGGREGATE DOLLAR THRESHOLD SET BY MPS BOARD FROM TIME TO TIME; AND (J) EXERCISE WHATEVER OTHER POWERS OR PERFORM SUCH OTHER TASKS AS ARE RESERVED TO OR REQUIRED OF MPS BY VIRTUE OF ANY OTHER PROVISIONS OF THE BYLAWS OR MPS'S BYLAWS OR BY BOARD RESOLUTIONS ENACTED BY THIS CORPORATION OR MPS FROM TIME TO TIME. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE 990 IS INITIALLY INTERNALLY REVIEWED IN-DEPTH BY THE CFO AND CONTROLLER OF MEADVILLE MEDICAL CENTER. AFTER THIS REVIEW, IT IS PRESENTED BY THE CFO AND CONTROLLER TO THE BOARD OF DIRECTORS AT THE MONTHLY BOARD MEETING, PROVIDING OPPORTUNITIES FOR QUESTIONS, COMMENTS, OR CHANGES BEFORE THE FINAL FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION HAS AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. ANY ACTUAL OR POTENTIAL CONFLICTS ARE EVALUATED AND DEEMED TO EITHER MAKE THE INTERESTED PERSON DISQUALIFIED OR INELIGIBLE TO SERVE. THROUGHOUT THE YEAR, EACH AFFECTED PERSON IS ALSO OBLIGATED TO FILE A SUPPLEMENTARY DISCLOSURE STATEMENT IF THERE IS A CHANGE IN CIRCUMSTANCES WHICH COULD CREATE CONFLICT. DETERMINATION OF ACTUAL CONFLICT WILL BE CONDUCTED BY THE BOARD OF DIRECTORS. ANY DIRECTOR, OFFICER OR DISQUALIFIED PERSON WHO IS DEEMED BY THE BOARD TO BE DISQUALIFIED BECAUSE OF AN ACTUAL OR APPARENT CONFLICT OF INTEREST ON ANY MATTER (I) SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, (II) SHALL ABSTAIN FROM VOTING (ALTHOUGH UPON INVITATION OF THE CHAIRMAN, HE OR SHE MAY PARTICIPATE IN BOARD DISCUSSIONS) AND (III) SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHEN PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE EFFECT ON THE QUORUM. AN INDIVIDUAL WHO HAS A RELATIONSHIP WITH AN ENTITY THAT IN THE BOARD'S VIEW MAKES IT DIFFICULT OR IMPOSSIBLE FOR THAT INDIVIDUAL OR ANY OF THE REMAINING DIRECTORS TO DISCHARGE HIS OR HER RESPONSIBILITIES MAY BE DECLARED INELIGIBLE TO SERVE AND SHALL EITHER RESIGN OR MAY BE REMOVED BY A MAJORITY VOTE OF ALL REMAINING DIRECTORS IN OFFICE. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION DETERMINATION: THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEADVILLE MEDICAL CENTER (MMC), WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, MERCER, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS IN THE MEETING MINUTES AND REPORTS ITS DECISIONS TO THE FULL BOARD OF DIRECTORS. THE MOST RECENT COMPENSATION REVIEW WAS COMPLETED IN JUNE 2023. MEADVILLE MEDICAL CENTER (MMC) ALSO HAS A PHYSICIAN COMPENSATION COMMITTEE THAT REVIEWS PHYSICIAN'S COMPENSATION WHEN THE CONTRACT COMES DUE. THE COMMITTEE REVIEWS THE COMPENSATION IN COMPARISON WITH MGMA DATA. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: UPON REQUEST, PHOTOCOPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PICKUP BY SUCH REQUESTING PERSON. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. JOHN WILSON IS COMPENSATED FOR HIS ROLE AS A PHYSICIAN AT MEADVILLE PHYSICIANS SERVICES. RYAN LANDEFELD AND MARK LEWIS ARE COMPENSATED FOR THEIR ROLES AS PHYSICIANS AT FRENCH CREEK INTERNAL MEDICINE. KEVIN KRAELING IS COMPENSATED FOR HIS ROLE AS A PHYSICIAN AT MEADVILLE MEDICAL CENTER. RENATO SUNTAY IS COMPENSATED FOR HIS ROLE AS CFO OF MEADVILLE MEDICAL CENTER. MAX WEISS IS COMPENSATED FOR HIS ROLE AS GENERAL COUNSEL AT MEADVILLE MEDICAL CENTER. CEO COMPENSATION: GABRIELLE PIERCE IS THE CEO OF MEADVILLE PHYSICIANS SERVICES, FRENCH CREEK INTERNAL MEDICINE, AND CONNEAUT VALLEY HEALTH CENTER. IN ADDITION, SHE SPENDS A PORTION OF HER TIME WORKING FOR RELATED ORGANIZATIONS MEADVILLE MEDICAL CENTER AND TITUSVILLE AREA HOSPITAL. HER COMPENSATION IS SPLIT BETWEEN THESE ENTITIES AND REPORTED ON PART VII, SECTION A, COLUMNS (D) - (F) AS BEING FROM THE ORGANIZATION AND FROM RELATED ORGANIZATIONS. NO COMPENSATION HAS BEEN LISTED ON PART IX, LINE 5 FOR HER AS HER COMPENSATION IS RECORDED ON PART IX OF THE FORM 990 FOR RELATED ORGANIZATION MEADVILLE MEDICAL CENTER. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 955,194 TRANSFERS FROM AFFILIATES MEADVILLE MEDICAL CENTER 1034 GROVE STREET MEADVILLE PA 16335 251512436 HOSPITAL PA 501(C)(3) 3 NA false MEADVILLE MEDICAL CENTER FOUNDATION 1034 GROVE STREET MEADVILLE PA 16335 251681342 SUPPORT PA 501(C)(3) 7 MMC false HOSPICE OF CRAWFORD COUNTY INC 1034 GROVE STREET MEADVILLE PA 16335 251480565 HOSPICE PA 501(C)(3) 7 MMC false CONNEAUT VALLEY HEALTH CENTER 1034 GROVE STREET MEADVILLE PA 16335 251490887 HEALTH CENTER PA 501(C)(3) 3 MMC false COMMUNITY HEALTH SERVICES INC 1034 GROVE STREET MEADVILLE PA 16335 251490886 PHYS. OFFICES PA 501(C)(3) 10 MMC false MEADVILLE PHSYICIANS SERVICES 751 LIBERY STREET MEADVILLE PA 16335 251602133 PHYS. OFFICES PA 501(C)(3) 10 MMC false MEADVILLE MEDICAL CENTER AUXILIARY 751 LIBERTY STREET MEADVILLE PA 16335 251512834 SUPPORT PA 501(C)(3) 12 A I MMC false TITUSVILLE AREA HOSPITAL 406 WEST OAK STREET TITUSVILLE PA 16354 250965579 HOSPITAL PA 501(C)(3) 3 HEALTH CNTR false TITUSVILLE AREA HEALTH CENTER INC 406 WEST OAK STREET TITUSVILLE PA 16354 251517855 HOLDING CO PA 501(C)(3) 7 MMC false TITUSVILLE HEALTH SERVICES INC 406 WEST OAK STREET TITUSVIILE PA 16354 251517865 COMM HLT CLNC PA 501(C)(3) 3 HEALTH CNTR false TITUSVILLE AREA HEALTH CENTER FOUNDATION 406 WEST OAK STREET TITUSVILLE PA 16354 251517854 SUPPORT PA 501(C)(3) 12 A I HEALTH CNTR false HOME CARE CONNECTIONS INC 751 LIBERTY STREET MEADVILLE PA 16335 251605314 HOLDING COMPANY PA NA C CORP false MEADVILLE HOUSING CORPORATION 934 B STREET MEADVILLE PA 16335 250657800 HOUSING PA NA C CORP false CHARITABLE TRUST 256196092 TRUST PA NA TRUST false CHARITABLE TRUST 066031521 TRUST PA NA TRUST false PERPETUAL TRUST TRUST PA TAH TRUST false PERPETUAL TRUST TRUST PA TAH TRUST false PERPETUAL TRUST TRUST PA TAH TRUST false false false false false false false false false false false true false true true true false true false true