2024-05-15T17:13:30-05:00 2023-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-07-01 251480565 HOSPICE OF CRAWFORD COUNTY INC % RENATO SUNTAY HOSP 8143335000 1034 GROVE STREET MEADVILLE PA 16335 RENATO SUNTAY CFO 8143335000 2024-03-15 true RENATO SUNTAY 999009999 Brian D Todd P00422601 4178658701 3 2022 2023-04-26 12:10:37Z TAMI FARRELL 751 LIBERTY STREET MEADVILLE PA 16335 2889872 false X WWW.MMCHS.ORG X 1984 PA TO PROVIDE QUALITY HOSPICE SERVICES INCLUDING MEDICAL CARE, SKILLED NURSING, MEDICAL SOCIAL WORK, PASTORAL COUNSELING, HOME HEALTH AIDES AND TRAINED HOSPICE VOLUNTEERS. 8 7 30 20 0 0 255784 380956 2282900 2059599 140883 369722 17047 207 2696614 2810484 0 0 0 0 2080970 2038688 0 0 0 700877 650197 2781847 2688885 -85233 121599 4084820 3807657 311790 118660 3773030 3688997 X 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 1780142 1961665 HOSPICE OF CRAWFORD COUNTY, INC., PROVIDES HOSPICE SERVICES TO ITS PATIENTS. HOSPICE IS ALL ABOUT LIVING - LIVING TO THE UTMOST UNTIL IT IS TIME TO SAY FAREWELL. HOSPICE IS DESIGNED TO HELP PEOPLE WHO ARE NEARING THE END OF LIFE'S JOURNEY TO LIVE AS FULLY AS POSSIBLE AT HOME, IN FAMILIAR SURROUNDINGS, CLOSE TO FAMILY AND FRIENDS. ATTENTION TO THE NEEDS OF THE WHOLE PERSON, PHYSICAL, MENTAL, EMOTIONAL AND SPIRITUAL, IS THE FOCUS OF HOSPICE CARE. THAT CARE IS PROVIDED BY INTERDISCIPLINARY GROUPS OF CONCERNED PEOPLE WHO INCLUDE PHYSICIANS, NURSES, SOCIAL WORKERS, SPIRITUAL COUNSELORS AND VOLUNTEERS. SEE SCHEDULE O FOR MORE DETAILS. 414616 97934 THE MARQUETTE HOSPICE HOUSE IS LOCATED IN A RURAL SCENIC AREA NORTH OF MEADVILLE. IT PROVIDES SUPPORT FOR UP TO THREE HOSPICE PATIENTS AT A TIME WHO DO NOT HAVE ADEQUATE SUPPORT AT HOME FOR INDEPENDENT LIVING. SEE SCHEDULE O FOR MORE DETAILS. 2194758 true true false false false false false false false true true false false true false false false true false false false false false false true false false false false true false false false false false false false false false false false false false true false false false true X 0 0 30 true false false false false false false false false false false false false X 8 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 RENATO SUNTAY TREASURER 1.0 42.0 X X 0 448822 89396 TAMI FARRELL CEO 40.0 1.0 X 174123 0 44479 TODD WAID VICE CHAIR 1.0 0.0 X X 0 0 0 LAURIE KURT DIRECTOR 1.0 0.0 X 0 0 0 STEPHEN COLEMAN SECRETARY 1.0 2.0 X X 0 0 0 FATHER WALTER PACKARD DIRECTOR 1.0 0.0 X 0 0 0 ANDY WALKER CHAIR 1.0 0.0 X X 0 0 0 JUDY PAULICH DIRECTOR 1.0 0.0 X 0 0 0 JEAN JOHNS DIRECTOR 1.0 0.0 X 0 0 0 174123 448822 133875 1 false true false 0 33768 347188 380956 NET PATIENT SERVICE REVENUE 621610 2059599 2059599 2059599 86183 86183 0 0 0 0 0 354462 70923 283539 283539 283539 4272 33768 8465 -4193 -4193 0 0 0 0 0 0 INSURANCE PROCEEDS 900099 4400 4400 4400 2810484 2059599 0 369929 0 0 0 0 0 0 1494564 1302116 192448 73913 64698 9215 359859 269707 90152 110352 95785 14567 108758 108758 0 12807 12807 0 0 0 95709 77704 18005 3563 918 2645 108312 102667 5645 0 0 32665 4770 27895 80301 77816 2485 0 1537 908 629 0 0 42105 41023 1082 1644 924 720 MEDICAL SUPPLIES & DRUGS 152145 152145 LICENSES, DUES, SUBSCRIPTIONS 10597 3523 7074 REPAIRS & MAINTENANCE 54 54 2688885 2194758 494127 0 579129 107945 158680 109470 0 0 366248 270962 0 0 0 0 0 0 0 0 4945 881 869538 510496 401147 359042 2574671 2762238 0 0 0 0 0 0 0 197119 4084820 3807657 211816 118660 0 0 0 0 0 0 0 0 0 0 0 0 0 0 99974 0 311790 118660 X 3773030 3688997 0 0 3773030 3688997 4084820 3807657 121599 -205632 X false true X true false X 269053 98434 283279 255784 380956 1287506 0 0 269053 98434 283279 255784 380956 1287506 229116 1058390 62870 63481 91430 31895 86183 335859 0 4400 4400 1627765 12747796 0.65021 0.74884 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 132904 10130 143034 157866 -24962 132904 126363 31503 157866 121588 4775 126363 54177 66667 744 121588 1.00000 false false 14000 14000 747720 412105 335615 102294 94367 7927 5524 4024 1500 359042 DUE FROM AFFILIATES 197119 197119 2613317 -205632 -205632 2818949 -8465 -8465 2810484 2697350 8465 8465 2688885 2688885 SCHEDULE D, PART V, LINE 4 ENDOWMENT PURPOSE: THE ENDOWMENT FUND CONSISTS OF ONE FUND, OF WHICH THE PURPOSE IS TO IMPROVE THE HEALTHCARE FOR RESIDENTS OF THIS COMMUNITY. 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 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (8,465) SPECIAL EVENTS EXPENSE SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 26, BUT NOT ON LINE 1: $ 8,465 SPECIAL EVENTS EXPENSE GOLF OUTING 24953 20681 4272 450 7078 116 821 0 24953 20681 4272 450 7078 116 821 8465 -4193 false true false false false false false false false RENATO SUNTAY TREASURER 0 444582 0 0 0 4240 0 62283 0 27113 0 538218 0 0 TAMI FARRELL CEO 173807 0 0 0 316 0 14978 0 29501 0 218602 0 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 III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: ANYONE CAN CALL FOR HOSPICE INFORMATION AND CARE. ANY RESIDENT OF CRAWFORD COUNTY OR CONTIGUOUS AREAS SURROUNDING COUNTIES WHO HAS BEEN DIAGNOSED AS HAVING A LIMITED LIFE EXPECTANCY IS ELIGIBLE FOR HOSPICE SERVICES. THE PATIENT MUST BE UNDER THE CARE OF A PHYSICIAN WHO AUTHORIZES THE ONGOING PLAN OF CARE AND WORKS IN AFFILIATION WITH THE INTERDISCIPLINARY HOSPICE GROUP OF CAREGIVERS. THERE MUST BE AT LEAST ONE INDIVIDUAL IN THE HOUSEHOLD WILLING TO HELP PROVIDE CARE AND ASSISTANCE TO THE PATIENT. HOSPICE CARE IS REIMBURSED THROUGH A VARIETY OF PAYMENT SOURCES INCLUDING MEDICARE, PENNSYLVANIA MEDICAL ASSISTANCE AND PRIVATE INSURANCES. HOSPICE OF CRAWFORD COUNTY ALSO SERVES NURSING HOME RESIDENTS WHO MEET THE HOSPICE ADMISSIONS CRITERIA. HOSPICE OF CRAWFORD COUNTY, INC., IS A NONPROFIT ORGANIZATION AFFILIATED WITH COMMUNITY HEALTH SERVICES OF CRAWFORD COUNTY, INC., AND THE UNITED WAY, AND IS A MEDICARE AND MEDICAID CERTIFIED AGENCY AND A MEMBER OF THE PENNSYLVANIA HOSPICE NETWORK AND NATIONAL HOSPICE ORGANIZATION. HOSPICE RECOGNIZES DYING AS A NORMAL PROCESS OF LIFE. HOSPICE IS A POSITIVE SUPPORT SYSTEM FOR THOSE IN THE LAST STAGES OF TERMINAL ILLNESS AND THEIR FAMILIES. HOSPICE NEITHER HASTENS NOR POSTPONES DEATH, RATHER, IT PROMOTES THE CONCEPT OF COMFORT, DIGNITY AND RESPECT FOR ALL PERSONS UNTIL THE MOMENT OF DEATH. HOSPICE BELIEVES THAT THE PERSON WHO IS DYING HAS THE RIGHT TO THE HIGHEST POSSIBLE QUALITY OF LIFE CONSISTENT WITH THE INDIVIDUAL'S LIFESTYLE AND VALUE SYSTEM. THIS QUALITY OF LIFE CAN BE ACHIEVED THROUGH A CONTINUOUS, COMPREHENSIVE, MULTIDISCIPLINARY HEALTH CARE PROGRAM WHICH ENCOMPASSES THE TOTAL NEED OF THE PERSON - PHYSICAL, EMOTIONAL, SPIRITUAL, AND SOCIAL - AND WHICH PROMOTES ATTAINMENT OF MAXIMUM LIFE QUALITY. HOSPICE OF CRAWFORD COUNTY IS A MEDICALLY DIRECTED PROGRAM FOR RESIDENTS OF CRAWFORD COUNTY AND CONTIGUOUS AREAS DESIGNED TO ASSIST PEOPLE WITH A LIMITED LIFE EXPECTANCY TO REMAIN IN THEIR OWN HOMES. THESE SERVICES INCLUDE MEDICAL CARE, SKILLED NURSING, MEDICAL SOCIAL WORK, PASTORAL AND OTHER COUNSELING, HOME HEALTH AIDE AND/OR HOMEMAKERS AND TRAINED HOSPICE VOLUNTEERS. THE HOSPICE CONCEPT OF CARE RELIES ON THE BELIEF THAT EACH PATIENT NEEDS INDIVIDUALIZED QUALITY CARE, HENCE THE NEED FOR SYSTEMATIC PLANNING OF CARE TO SPECIFIC REQUIREMENTS. PLANNING AND DELIVERY OF SERVICES WILL BE CARRIED OUT WITH A TEAM APPROACH. AN INTERDISCIPLINARY CORE GROUP OF PROFESSIONALS INCLUDING A PHYSICIAN, A REGISTERED NURSE, A MEDICAL SOCIAL WORKER AND A PASTORAL OR SPIRITUAL COUNSELOR SERVE TO ADDRESS THESE NEEDS, CALLING UPON OTHER SERVICES, THERAPIES, VOLUNTEERS AND DISCIPLINES AS APPROPRIATE. THE INTERDISCIPLINARY GROUP WILL OVERSEE FOUR LEVELS OF PATIENT CARE, WHICH INCLUDE ROUTINE HOME CARE, CONTINUOUS HOME CARE, INPATIENT CARE AND INPATIENT RESPITE CARE. THE HOSPICE CONCEPT IS, HOWEVER, PREDOMINANTLY A HOME HEALTH CARE PROGRAM OF SERVICES. EMPHASIS IS GIVEN TO EDUCATING THE PATIENT AND FAMILY ABOUT THE ILLNESS, ITS SYMPTOMS AND TREATMENT, PAIN CONTROL AND THE GRIEVING PROCESS. HOSPICE CARE ENCOMPASSES THE ENTIRE FAMILY UNIT AS WELL AS THE PATIENT AND IS PRIMARILY ORIENTED TO CARE BEING PROVIDED IN THE HOME ENVIRONMENT. THE OVERALL GOAL OF HOSPICE IS TO HELP ENHANCE THE QUALITY OF LIFE AND THE INDIVIDUAL'S DIGNITY AND CONTROL OF HIS OR HER CARE AS MUCH AS HUMANLY POSSIBLE IN THE FINAL MONTHS AND DAYS OF LIFE. SPECIAL ATTENTION IS GIVEN TO PAIN MANAGEMENT, DIRECT SKILLED NURSING CARE, COUNSELING, INSTRUCTION AND OTHER SUPPORT WHICH CAN INCLUDE RELIEVING THE FAMILY OF CARE GIVING RESPONSIBILITIES FOR SHORT PERIODS OF TIME, OCCASIONAL INPATIENT CARE FOR RESPITE OR PAIN AND SYMPTOM MANAGEMENT AND BEREAVEMENT (GRIEF) COUNSELING. HOSPICE VOLUNTEERS ARE RECRUITED AND TRAINED BY HOSPICE OF CRAWFORD COUNTY AND ARE CAREFULLY SELECTED, INSTRUCTED AND SUPERVISED. THEY OFFER FRIENDSHIP AND SUPPORT IN THE HOME. VOLUNTEERS MAY REMAIN IN CONTACT WITH THE FAMILY LONG AFTER DEATH HAS OCCURRED. VOLUNTEERS ALSO MAY ELECT TO PERFORM OTHER TYPES OF NEEDED SERVICES FOR THE HOSPICE ORGANIZATION SUCH AS CLERICAL, COMMUNITY EDUCATION OR FUND RAISING. ALL HOSPICE VOLUNTEERS ARE AN INTEGRAL PART OF THE CARING TEAM. FORM 990, PART III, 4B PROGRAM SERVICE ACCOMPLISHMENTS: HOSPICE NURSES CONTINUE TO MAKE REGULAR VISITS TO PROVIDE CARE IN THE HOSPICE HOUSE BUT THE FACILITY IS ALSO STAFFED 24 X 7 BY A LICENSED PRACTICAL NURSE WHO CAN PROVIDE ASSISTANCE WITH MEDICATIONS, MEALS AND OTHER ACTIVITIES OF DAILY LIVING. THE FACILITY FEATURES INDOOR AND OUTDOOR PLACES FOR FRIENDS, FAMILY MEMBERS AND OTHERS TO VISIT WITH THE HOSPICE PATIENTS. IN ESSENCE, THE MARQUETTE HOSPICE HOUSE BECOMES THEIR 'HOME AWAY FROM HOME' WHEN LIVING ALONE IS NOT PRACTICAL OR THE PATIENT LACKS THE SUPPORT OF FRIENDS, SPOUSES OR FAMILY TO REMAIN IN THEIR OWN HOMES DURING THE REMAINING MONTHS OF A TERMINAL ILLNESS. FORM 990, PART V, LINE 1A, 2A & 2B AND PART IX, LINES 5-10 REPORTING AGENT: MEADVILLE MEDICAL CENTER (EIN: 25-1512436), A RELATED ORGANIZATION, FILES ALL INFORMATIONAL RETURNS ON BEHALF OF HOSPICE OF CRAWFORD COUNTY AND RELATED ORGANIZATIONS WITHIN THE HEALTH SYSTEM. THE NUMBER OF 1099S FILED FOR HOSPICE HAS BEEN REPORTED AS ZERO ON PART V, LINE 1A AS HOSPICE SHARES VENDORS WITH OTHER RELATED ENTITIES AND NO SEPARATE VENDORS WERE USED SOLELY FOR HOSPICE. THESE SHARED VENDOR 1099S ARE REPORTED ON THE RELATED ORGANIZATIONS' FORM 990S AND ARE ALL INCLUDED ON THE FORM 1096 FILED BY MEADVILLE MEDICAL CENTER. MEADVILLE MEDICAL CENTER ALSO FILES ALL EMPLOYMENT TAX RETURNS ON BEHALF OF HOSPICE AND OTHER RELATED ORGANIZATIONS. THE NUMBER OF W-2'S FILED FOR HOSPICE HAS BEEN REPORTED ON LINE 2A. THESE AMOUNTS ARE INCLUDED IN THE 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 HOSPICE BASED ON THE EMPLOYEES THAT WORK DIRECTLY FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP: RENATO SUNTAY AND TAMI FARRELL ARE COMPENSATED BY A RELATED PARTY, MEADVILLE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES: THE ORGANIZATION'S PARENT ORGANIZATION, MEADVILLE MEDICAL CENTER (MMC), PROVIDES MANAGEMENT DUTIES. THE ORGANIZATION PAYS A MANAGEMENT FEE AS PART OF A CONTRACT WITH MMC, AS SHOWN IN FORM 990, PART IX, LINE 11A. THIS MANAGEMENT FEE IS PAID TO CHS AND CHS THEN TRANSFERS TO MMC AS PART OF THEIR TOTAL MANAGEMENT FEE. FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7B MEMBERS: THE ORGANIZATION'S PARENT ORGANIZATIONS, MEADVILLE MEDICAL CENTER (MMC) AND COMMUNITY HEALTH SERVICES (CHS) ARE THE ORGANIZATION'S MEMBERS. MMC SHALL HAVE THE POWER TO NOMINATE AND ELECT ALL OFFICERS AND DIRECTORS, REMOVE AT ANY TIME, WITH OR WITHOUT CAUSE, ANY AND/OR ALL SUCH OFFICERS AND DIRECTORS OF THE ORGANIZATION, AND APPROVE OR DISAPPROVE ANY CHANGE IN THE NUMBER OF DIRECTORS. THE PRESIDENT OF MMC SHALL HAVE THE EXCLUSIVE AUTHORITY TO APPOINT, SUPERVISE, AND, WITH THE CONCURRENCE OF MMC BOARD OR EXECUTIVE COMMITTEE, REMOVE THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION. CHS SHALL HAVE THE POWER TO TAKE THE FOLLOWING ACTIONS FROM TIME TO TIME WITH RESPECT TO HOSPICE OF CRAWFORD COUNTY: (I) APPROVE OR DISAPPROVE ALL OPERATING AND CAPITAL BUDGETS AND AMENDMENTS THERETO; (II) APPROVE OR DISAPPROVE ALL AFFILIATIONS, MERGERS, AND OTHER TRANSACTIONS NOT IN THE ORDINARY COURSE OF BUSINESS AND ALL EXPENDITURES IN EXCESS OF THRESHOLDS DETERMINED BY RESOLUTION OF THE BOARD OF DIRECTORS OF CHS; (III) APPROVE OR DISAPPROVE ALL AMENDMENTS TO ARTICLES OF INCORPORATION AND/OR BYLAWS; (IV) 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; (V) APPROVE OR DISAPPROVE ALL LONG RANGE PLANS; (VI) APPROVE OR DISAPPROVE ALL INDEBTEDNESS (I) WHICH INDIVIDUALLY EXCEEDS AN AMOUNT ESTABLISHED BY CHS OR (II) IF SUCH INDIVIDUAL INDEBTEDNESS IS LESS THAN SAID AMOUNT, SUCH INDEBTEDNESS WHICH, WHEN ADDED TO THE AGGREGATE UNPAID BALANCE OF ALL OF THE CORPORATION'S OUTSTANDING INDEBTEDNESS (EXCLUSIVE OF MORTGAGED REAL ESTATE), CAUSES THE CORPORATION'S AGGREGATE INDEBTEDNESS TO EXCEED AN AMOUNT ESTABLISHED BY CHS FROM TIME TO TIME; AND EXERCISE WHATEVER OTHER POWERS OR PERFORM SUCH OTHER TASKS AS ARE RESERVED TO OR REQUIRED OF CHS BY VIRTUE OF ANY OTHER PROVISIONS OF THE BYLAWS OR CHS'S OR BY BOARD RESOLUTIONS ENACTED BY HOSPICE OF CRAWFORD COUNTY OR CHS 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 CONFLICT OF INTEREST POLICY COMPLIANCE: 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, LINES 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 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 BOARD MEMBERS. RENATO SUNTAY RECEIVES COMPENSATION FOR HIS ROLE AS CFO OF MEADVILLE MEDICAL CENTER. CEO COMPENSATION: TAMI FARRELL IS THE CEO OF HOSPICE OF CRAWFORD COUNTY. HER COMPENSATION IS REPORTED ON PART VII, SECTION A, COLUMNS (D) AND (F) AS BEING FROM THE ORGANIZATION. 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. 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 MEADVILLE MEDICAL CENTER AUXILIARY 751 LIBERTY STREET MEADVILLE PA 16335 251512834 SUPPORT PA 501(C)(3) 12 A I MMC false COMMUNITY HEALTH SERVICES INC 1034 GROVE STREET MEADVILLE PA 16335 251490886 PHYS. OFFICES PA 501(C)(3) 7 MMC false CONNEAUT VALLEY HEALTH CENTER INC 1034 GROVE STREET MEADVILLE PA 16335 251490887 HEALTH CENTER PA 501(C)(3) 3 MMC false MEADVILLE PHYSICIANS SERVICES 1034 GROVE STREET MEADVILLE PA 16335 251602132 PHYS. OFFICES PA 501(C)(3) 10 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 TITUSVILLE PA 16354 251517865 COMM HLT CLNC PA 501(C)(3) 3 HEALTH CNTR false FRENCH CREEK INTERNAL MEDICINE 751 LIBERTY STREET MEADVILLE PA 16335 471870077 PHSY. OFFICES PA 501(C)(3) 10 MPS 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 MEADVILLE HOUSING CORPORATION 934 B STREET MEADVILLE PA 16335 250657800 HOUSING PA NA C CORP false HOME CARE CONNECTIONS INC 751 LIBERTY STREET MEADVILLE PA 16335 251605314 HOLDING COMPANY 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 true true false false false false false true false false true true false true false false