2024-05-07T11:07:17-05:00 2023-06-30 FORVIS LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2022-07-01 231401561 FULTON COUNTY MEDICAL CENTER % GREG LEIS FULT 7174853155 214 PEACH ORCHARD ROAD MCCONNELLSBURG PA 17233 GREG LEIS CFO 7174853155 2024-05-15 true NICHOLAS MEZZA 999009999 Aaron Hershberger P00961884 5136218300 2 2022 2023-04-26 12:10:37Z SCOTT ALEXANDER 214 PEACH ORCHARD ROAD MCCONNELLSBURG PA 17233 54205362 false X WWW.FCMCPA.ORG X 1947 PA TO CONTINUOUSLY IMPROVE THE HEALTH OF OUR COMMUNITY. 13 13 479 64 0 0 3929007 1191351 57618004 52472974 98918 541037 626060 0 62271989 54205362 337304 360868 0 0 31765277 32796102 0 0 0 29511404 25249976 61613985 58406946 658004 -4201584 68374976 64870809 56436207 54733716 11938769 10137093 X TO CONTINUOUSLY IMPROVE THE HEALTH OF OUR COMMUNITY. WE PERFORM THIS MISSION BY PROVIDING DIAGNOSTIC AND THERAPEUTIC SERVICES IN OUR ACUTE CARE HOSPITAL, MAINTAINING HEALTH AND PROVIDING A HIGHER QUALITY OF LIFE IN OUR COMMNUNITY BY OPERATING A NURSING HOME AND A HOME CARE PROGRAM, OFFERING ACCESS TO CARE THROUGH A MULTI-SPECIALTY CLINIC, WORKING WITH OTHER PROVIDERS AND AGENCIES TO PROMOTE WELLNESS IN OUR COMMUNITY, AND PROVIDING SERVICES REGARDLESS OF THE ABILITY TO PAY. false false 46694348 360868 52472974 FULTON COUNTY MEDICAL CENTER (FCMC) PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE, SKILLED NURSING, AND HOME HEALTH SERVICES TO ALL WHO NEED THEM, REGARDLESS OF ABILITY TO PAY. EMERGENCY SERVICES ARE PROVIDED 24/7, 365 DAYS A YEAR WITHOUT INQUIRY INTO FINANCIAL MEANS OR INSURANCE STATUS. ELECTIVE SERVICES ARE PROVIDED WITH FINANCIAL ASSISTANCE OFFERED BASED UPON A STANDARD, AFTER AN OBJECTIVE APPLICATION WITH SUFFICIENT SUPPORTING DOCUMENTATION HAS BEEN EVALUATED. DISCOUNTS AND ALLOWANCES OFFERED UNDER THE MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM TOTALED $41,369 BASED ON COST OF CHARGES FOREGONE DURING THE FISCAL YEAR ENDED JUNE 30, 2023. THE AMOUNT OF THE DISCOUNT IS DETERMINED BY THE TYPE OF SERVICE RECEIVED SUCH AS INPATIENT, OUTPATIENT, ETC. INTEREST-FREE PAYMENT PLANS ARE MADE AVAILABLE FOR PATIENTS WHO CANNOT PAY IN FULL AT THE TIME OF SERVICE. DURING FISCAL YEAR 2023: 1. July 8, 2022 - Healthcare Receivable Solutions, Inc. (HRSI) is set up on campus to help Medicaid-eligible patients fill out their applications. This is a free service FCMC is offering to Our Community To Help Complete The Medicaid Application. 2. July 14, 2022 - FCMC board approves community health needs assessment through 2025. 3. August 3, 2022 - FCMC resumes PAD program - After a long pause during COVID, FCMC has started up the pulmonary peripheral arterial disease (P.A.D.) Program. PAD Results from Plaque Buildup (Atherosclerosis) In the Arteries Making Them Thicker and Narrower. 4. August 9, 2022 - Birgitta Sheeder, MHS, pa-c joins FFP. 5. August 11, 2022 - FCMC resumes the pulmonary rehab therapy program after a long pause during COVID-19; FCMC re-started its pulmonary rehab Vascular Therapy program. The program is helpful for those who experience lung problems such as COPD, Emphysema, chronic bronchitis, pulmonary hypertension, pulmonary fibrosis before and after lung transplant, and lung cancer and surgery. 6. September 12, 2022 - The Healthy Sportsman health fair is set for Sunday, September 25, 2022. 7. November 21, 2022 - The Fulton County Medical Center Board of Directors held their annual public State of the Company meeting on Monday, November 21. 8. December 27, 2022 - Fulton County Medical Center Surgical Services welcomes Kilmore Eye Associates Ophthalmologist John W. Pratt, M.D. Dr. Pratt stepped in after long-time ophthalmologist Dr. Facchina's departure. 9. January 3, 2023 - FCMC Community Health & Wellness Center re-opened its doors at its newest location on the FCMC campus. 10. February 9, 2023 - the FCMC Wound Center Services held educational sessions on diabetic foot care at the McConnellsburg, Hustontown, and Warfordsburg Senior Centers. 11. May 2, 2023 - After three years, the FCMC is finally mask-free. Fulton County is currently classified as having a low county transmission rate. 12. May 25, 2023 - FCMC conducts a code yellow drill with Keystone Healthcare Coalition, sponsoring a 16-hour course on Hospital Emergency Response Training (HERT) for mass casualty incidents. 13. June 5, 2023 - FCMC Specialty Services, welcomes Dr. Stanton Sollenberger, DO. Dr. Sollenberger is a neurologist, well-known in the Fulton/Franklin County area. 14. June 2, 2023 - Philip Caterbone, D.O., has returned to FCMC Fulton Family Practice. 15. June 9, 2023 - FCMC holds its annual kick-off to the summer health fair geared toward kids. FCMC OPERATES A 67-BED HOSPITAL-BASED SKILLED NURSING FACILITY. THE NURSING HOME OFFERS QUALITY CARE IN A FRIENDLY, HOME ENVIRONMENT. THE HOSPITAL BASED NURSING HOME OFFERS DIRECT AVAILABILITY TO SERVICES SUCH AS LAB, X-RAY, EKG, RESPIRATORY THERAPY, REHAB SERVICES, AND 24-HOUR PHYSICIAN AVAILABILITY FOR EMERGENCIES. TODAY, FCMC LONG-TERM CARE IS VERY MUCH A VITAL PART OF THE ORGANIZATION. THIS IS THE ONLY NURSING HOME IN FULTON COUNTY. HEALTHCARE HAS DRAMATICALLY CHANGED SINCE 1970 WHEN THE LONG-TERM CARE UNIT WAS BUILT, HOWEVER, THE QUALITY OF CARE, COUPLED WITH THE FAMILY-LIKE ATMOSPHERE, HAS REMAINED UNCHANGED. IF THE FACILITY DID NOT EXIST, FAMILIES WOULD HAVE TO TRAVEL OVER MOUNTAINOUS TERRAIN TO RECEIVE LONGTERM CARE SERVICES. WHILE THE FACILITY ACCEPTS ALL MAJOR INSURANCES, PRIVATE PAY, MEDICARE, AND MEDICAID, THE MAJORITY OF THE PATIENTS (APPROXIMATELY 70%) HAVE MEDICAL ASSISTANCE. 46694348 true true false false false false false false false false true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 92 0 479 true false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false PA X GREG LEIS 7174853155 214 PEACH ORCHARD ROAD MCCONNELLSBURG PA 17233 Dr Douglas Stern ER PHYSICIAN 40.0 0.0 X 901654 0 20659 Tung Nguyen ER PHYSICIAN 40.0 0.0 X 666034 0 35000 Jeffrey Mandak CARDIOLOGIST 40.0 0.0 X 583238 0 41947 Nicole Debolt PHYSICIAN/SURGEON 40.0 0.0 X 361921 0 35394 Michael Donahoe CARDIOLOGIST 40.0 0.0 X 323281 0 39986 Paul Orange Primary Care Doctor 40.0 0.0 X 260279 0 26452 Mr Michael Makosky CHIEF EXECUTIVE OFFICER 38.0 2.0 X 235241 0 34387 Ms Kimberly Slee CHIEF OPERATING OFFICER 38.0 2.0 X 189433 0 36685 Mr Greg Leis CHIEF FINANCIAL OFFICER 38.0 2.0 X 172702 0 20499 MR SCOTT ALEXANDER CHAIR 1.0 0.0 X X 0 0 0 MR KEVIN BEEM DIRECTOR 1.0 0.0 X 0 0 0 MRS SANDY CROUSE DIRECTOR 1.0 0.0 X 0 0 0 DR FRANK D'AMELIO DIRECTOR 1.0 0.0 X 0 0 0 MRS LISA DANIELS SECRETARY 1.0 0.0 X X 0 0 0 MRS TINA GRESS DIRECTOR 1.0 0.0 X 0 0 0 MR DAVID MCDONALD TREASURER 1.0 0.0 X X 0 0 0 MR MARK MELLOTT DIRECTOR 1.0 0.0 X 0 0 0 MR DONALD SHEEHAN DIRECTOR 1.0 0.0 X 0 0 0 DR DOUG STERN DIRECTOR 1.0 0.0 X 0 0 0 MRS DEB TOOTHMAN DIRECTOR 1.0 0.0 X 0 0 0 MR RODNEY WALTERS VICE CHAIR 1.0 0.0 X X 0 0 0 MRS MARY WRIGHT DIRECTOR 1.0 0.0 X 0 0 0 3693783 0 291009 41 false true false Qualivis PO Box 123847 Dept 3487 DALLAS TX 75312 Contracted Emp Labor 1314154 Dr John Quinlan 201 A South Centre Street PHILLIPSBURG PA 16866 ER Doctor 558431 Pinnacle Health Hospitals 409 S Second Street PO Box 8700 HARRISBURG PA 17015 Orthopedic Doctor 384000 Dr Steven Um 112 Silver Birch Road HOLIDAYSBURG PA 16648 ER Doctor 239625 LW Consulting 5925 Stevenson Avenue Suite G HARRISBURG PA 17112 Contracted Emp Labor 207931 5 541725 199675 449951 1191351 NET PATIENT SERVICE REVENUE 621110 48214336 48214336 340B REVENUE 621110 3121079 3121079 Other Operating Revenue 621110 1137559 1137559 52472974 540626 540626 0 0 0 0 0 411 411 411 411 0 0 0 0 0 0 0 0 0 0 54205362 52472974 541037 360868 360868 0 0 0 1611257 1244185 367072 0 25068391 19357377 5711014 127572 98509 29063 5988882 4624511 1364371 0 0 0 317082 317082 0 0 220723 220723 9189745 7275923 1913822 0 210758 166866 43892 424574 336154 88420 273817 216793 57024 0 731589 579231 152358 107439 85064 22375 0 41796 33092 8704 2062756 2062756 0 3341450 3341450 661558 523784 137774 BAD DEBT EXPENSE 1525915 1525915 MEDICAL SUPPLIES 2569735 2034572 535163 PHARMACEUTICALS 2757015 2182849 574166 LICENSES 331672 262599 69073 482352 381850 100502 58406946 46694348 11712598 0 5670865 2897919 0 0 782403 379011 7661658 8509022 0 0 0 0 0 0 481046 523372 1138661 1077962 74962645 47293414 29865578 27669231 12577290 11743179 0 0 0 0 0 0 10197475 12071113 68374976 64870809 5805985 6400363 0 0 382847 0 44167282 43249987 0 0 0 0 339207 1290294 0 0 5740886 3793072 56436207 54733716 X 10898953 9040713 1039816 1096380 11938769 10137093 68374976 64870809 X -4201584 736904 1663004 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 556178 556178 25730958 12599799 13131159 41015551 29382150 11633401 7659958 5311465 2348493 27669231 EST THIRD PARTY PAYOR SETTLE 1655874 DUE FROM AFFILIATES 100000 UNDER BOND INDENTURE 6910785 INTEREST IN PERPETUAL TRUST 1096380 INEVSTMENT IN CHART 1002513 PENSION ASSET 1231088 RIGHT OF USE ASSET 74473 12071113 0 EST AMOUNTS DUE THIRD PARTIES 3723104 LEASE LIABILITY 69968 3793072 X SCHEDULE D, PART X, LINE 2 DISCLOSURE NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS. true true X true X true X 0 true true false true true 41369 41369 0.00070 10362458 8233857 2128601 0.03750 10403827 8233857 2169970 0.03820 120802 31097 89705 0.00160 7284898 10353502 7405700 10384599 89705 0.00160 17809527 18618456 2259675 0.03980 true 1525916 24415 9960883 13333207 -3372324 X true true NA N/A 1 1 FULTON COUNTY MEDICAL CENTER 214 PEACH ORCHARD ROAD MCCONNELLSBURG PA 17233 WWW.FCMCPA.ORG HP-418362-L X X X X FULTON COUNTY MEDICAL CENTER false false true X X X X X X X X 22 true false true true X WWW.FCMCPA.ORG/COMMUNITY-RESOURCES X true 22 true WWW.FCMCPA.ORG/COMMUNITY-RESOURCES false true X 100 200. X X X X X X true true X X X true X WWW.FCMCPA/FINANCIAL-ASSISTANCE X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 THE CURRENT CHNA WAS CONDUCTED WITH THE ASSISTANCE OF FORVIS, LLP. INTERVIEWS WITH THIRTY KEY INFORMANTS WERE CONDUCTED IN 2021. THE INTERVIEW PARTICIPANTS WERE DETERMINED BASED ON THEIR A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, B) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS, OR C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS AND REPRESENT A BROAD ASPECT OF THE COMMUNITY. A REPRESENTATIVE FROM FULTON COUNTY FAMILY PARTNERSHIP ASSISTED REPRESENTATIVES FROM FULTON COUNTY MEDICAL CENTER IN CONTACTING AND SCHEDULING ALL INDIVIDUALS SELECTED FOR INTERVIEWS. THEIR KNOWLEDGE OF THE COMMUNITY, AND THE PERSONAL RELATIONSHIPS THEY HELD WITH THE POTENTIAL INTERVIEWEES ADDED VALIDITY TO THE DATA COLLECTION PROCESS. IF THE RESPECTIVE KEY INFORMANT AGREED TO BE INTERVIEWED, AN INTERVIEW WAS SCHEDULED WITH FORVIS. SCHEDULE H, PART V, SECTION B, LINE 6B THE FULTON COUNTY MEDICAL CENTER (FCMC) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED WITH COLLABORATION FROM FULTON COUNTY FAMILY PARTNERSHIP (FCFP). SCHEDULE H, PART V, SECTION B, LINE 7D FCMC PUBLICLY REPORTED THE CHNA AT THE FULTON COUNTY PARTNERSHIP MEETING THAT MEETS MONTHLY. IT IS COMPRISED OF MEMBERS OF THE HEALTH AND HUMAN SERVICES COMMUNITIES OF FRANKLIN, FULTON & BEDFORD COUNTIES. THE CHNA WAS PRINTED OUT AND CIRCULATED THROUGH THE PARTNER MEETING, THE LOCAL NEWSPAPER COVERED A STORY ON ITS RELEASE AND GAVE THE INFORMATION AS TO HOW TO ACCESS IT ON OUR WEBSITE AT WWW.FCMCPA.ORG. SCHEDULE H, PART V, SECTION B, LINE 11 PRIORITY 1: BEHAVIORAL HEALTH Leader: FCFP Goal 1: Increase awareness of available services Strategies: - Ensure that MH resources are updated and shared across the community - Ensure that SUD providers are marketed and increase awareness of resources - Increase education, prevention, and outreach efforts related to substance use disorder/opioid used disorder (SUD/OUD) in Fulton County Goal 2: Improve treatment, support and care coordination Strategies: - Implement SBIRT and integrate MOUD into FCMC and TSCHC in Fulton County. - Establish Community Navigators in local programs and connect to consumers in the community - Increase access and utilization of recovery-oriented systems of care to support individuals with substance use disorder/opioid use disorder (SUD/OUD) in Fulton County Goal 3: Minimize barriers (including stigma) to accessing available services Strategies: - Support the nationwide annual Walk the Walk to sustain and increase awareness across all counties served - Increase access and utilization of substance use disorder/opioid use disorder (SUD/OUD) treatment in Fulton County - Increasing awareness of CRS - Recovery supports - family supports (resources, how do I access services), recovery-oriented events - Support initiatives to recruit MH staff in the community Goal 4: Work collaboratively to address youth risk behaviors as identified in the PAYS data Strategies: Support the action plan that is created to support the needs of the three county schools as identified in the PAYS PRIORITY 2: HOUSING Leader: FCFP Goal 1: Disseminate resources out to the community to increase knowledge Strategies: - Resource campaign (social media, newspapers, etc.) - General classes surrounding lending, borrowing, & home buying - Get connected with the Homeless Support Coordinator within the schools Goal 2: Provide educational resources surrounding housing and budgeting - Establish Community Navigators in local programs and connect to consumers in the community - Re-envision Housing Committee Goal 3: Evaluate local housing needs Strategies: - CCA conducting housing needs assessment - FCMC conducting market analysis to see if it's feasible to add senior housing Goal 4: Housing strategies to mitigate homelessness Strategies: - Explore options for short term housing units PRIORITY 3: ACCESS TO CARE Leader: FCMC Goal 1: Grow patient volumes at FCMC by adding providers and enhancing the breadth of services offered in Fulton Specialty Services. Strategies: - Expand cardiology services by increasing practitioners - Re-envision of Pulmonology Services - Expand and improve the menu of the telemedicine services across the Continuum of Care - Grow the surgical services line by increasing our breadth of services and maximizing current surgical capacity in order to increase the volume of patients we are able to care for locally Goal 2: Improve treatment, support and care coordination Strategies: - Implement SBIRT and integrate MOUD into FCMC and TSHC in Fulton County - Maintain population health management program and support reaching the transformational goals under the PARHM (PA Rural Health Model) - Grow the surgical services line by increasing our breadth of services and maximizing current surgical capacity in order to increase the volume of patients we are able to care for local PRIORITY 4: HEALTHY BEHAVIORS Leader: FCMC Goal 1: Continue to develop programs to educate the community on chronic conditions Strategies: - Provide ongoing education at community diabetes forums offered by Diabetes Educator; Looking at expanded current classes offered for diabetes - Managing preventative health through EMR - Re-engaging the community post COVID-19 on screenings - Women's health outreach for insured and underinsured populations Goal 2: Community outreach and engagement Strategies: - Explore opportunities with local food access points (food basket) for healthy recipes - Develop community outreach programs that enhance the reputation of the hospital and provide goodwill - Education about and access to vaccines Goal 3: Add to the Wellness Center to enhance classes and populations served Strategies: - Increase number of participants in exercise classes - Nutritional education in the Wellness Center to include healthy cooking classes and smart shopping - Increase Wellness Center hours of operation - Add exercise classes focusing on kids, seniors, and young adults - Occupy new Wellness Center by 2022 Goal 4: Healthy outreach activities for the community as a whole Strategies: - Re-implement education and outreach activities for the community through screenings and health fairs - Implement Wellness Work Days NEEDS NOT ADDRESSED FCMC is focusing on areas within their scope of service. They are addressing Access to care and healthy behaviors. Additionally, some community needs fall out of the scope of expertise and resources of Fulton County Medical Center. Therefore, they have partnered with the Fulton County Family Partnership to support their efforts in the other priority areas. Transportation and Poverty are not directly being focused on through committee work groups at this time. SCHEDULE H, PART V, SECTION B, LINE 16B & 16C www.fcmcpa.org/financial-assistance SCHEDULE H, PART V, SECTION B, LINE 16J The CHNA and implementation strategy is reviewed monthly at the Fulton County Family Partnership meetings. It is also reviewed bi-monthly at the FCMC Board Finance Committee meetings through the FCMC Community Benefit Director, as well as, posted on their website and their members. https://fcfpinc.org/ Billing statements include a notice about the availability of financial assistance and how to obtain information. 1 FULTON CO MEDICAL CENTER NURSING HOME 214 PEACH ORCHARD ROAD MCCONNELLSBURG PA 17233 HOSPITAL-BASED LT CARE FACILITY SCHEDULE H, PART I, LINE 3C PATIENTS WITH NO HEALTH INSURANCE, PRIVATE OR EMPLOYER-SPONSORED INSURANCE, OR VIA GOVERNMENTAL PROGRAMS, ARE AUTOMATICALLY ELIGIBLE FOR A FINANCIAL ASSISTANCE DISCOUNT IN THE FOLLOWING AMOUNTS: INPATIENT SERVICES - 30% OUTPATIENT SERVICES - 40% HOME HEALTH SERVICES - 20% SWING BED SERVICES - 30% ADDITIONAL FINANCIAL ASSISTANCE MAY BE MADE AVAILABLE TO THE PATIENT BASED ON A SLIDING FEE SCALE, IN ACCORDANCE WITH FINANCIAL NEED, AS DETERMINED BY REFERENCING FEDERAL POVERTY LEVELS (FPL) IN EFFECT AT THE TIME OF THE DETERMINATION. IN GENERAL, PEOPLE WHOSE HOUSEHOLD INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. FAMILIES OR INDIVIDUALS WITH HIGHER INCOMES MAY QUALIFY ON A CASE-BY-CASE BASIS. SCHEDULE H, PART I, LINE 6A FULTON COUNTY MEDICAL CENTER'S (FCMC) 990 FILING IS AVAILABLE TO THE PUBLIC UPON REQUEST. A SUMMARY OF FCMC'S COMMUNITY BENEFIT IS DESCRIBED IN FCMC'S ANNUAL REPORT. THE ANNUAL REPORT IS AVAILABLE TO THE PUBLIC DURING THE ANNUAL MEETING, AT THE HOSPITAL, AS WELL AS ON THE HOSPITAL WEBSITE. SCHEDULE H, PART I, LINE 7 Charity care was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the cost-to-charge ratio derived from worksheet 2. Community health improvement services, line 7e are reported from the community benefit's annual board report. Line 7g was determined using the Medicare cost report. SCHEDULE H, PART I, LINE 7F The amount of bad debt expense removed from the denominator of the calculations was $1,525,916. SCHEDULE H, PART I, LINE 7G Subsidized health services included in the fiscal year: emergency room and home health. SCHEDULE H, PART III, LINE 2 Prior to any account being classified as bad debt, all payments are applied including contractual allowances and discounts, and every effort is made with the patient in an attempt to collect the outstanding balance. Accounts placed in collection for a year with no payment being received within 120 days are written off to bad debt. If a payment is received on an amount previously written off to bad debt, the amount would reduce bad debt expense. SCHEDULE H, PART III, LINE 3 FCMC does not refuse service to patients that generate bad debt. The estimated amount of organization's bad debt expense attributable to patients eligible under the organization's charity care policy is calculated based on an estimate of charity care accounts compared to total bad debt accounts. SCHEDULE H, PART III, LINE 4 The allowance for doubtful accounts is based on historical losses and an analysis of currently outstanding amounts for its major payer sources. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients and residents who have third-party coverage, the medical center analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectable deductibles and copayments on accounts for which the Third-party payer has not yet paid). For receivables associated with Self-pay patients and residents (which includes both patients and residents without insurance and patients with deductible and payment balances due for which third-party coverage exists for part of the bill), the medical center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients and residents are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. SCHEDULE H, PART III, LINE 8 Medicare services are provided to the elderly which are considered to be a charitable class. As such, we believe the shortfall should be considered as a community benefit. SCHEDULE H, PART III, LINE 9B PATIENTS APPLYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE, OR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FREE OR DISCOUNTED CARE WILL BE PROCESSED AS SUCH BEFORE COLLECTION EFFORTS START. ONCE A DETERMINATION IS MADE ON ELIGIBILITY, ANY PERSONAL PORTION DUE IS SUBJECT TO THE SAME COLLECTION POLICY AS OTHER ACCOUNTS. IF THE PATIENT DOES NOT HAVE A THIRD PARTY INSURANCE COVERAGE, THEY WILL BE INFORMED OF THE FREE CARE PROGRAM. ELIGIBILITY WILL BE DETERMINED USING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES INCOME POVERTY GUIDELINES CATEGORY B WITH NO SLIDING SCALE. PATIENTS/GUARANTORS WHO HAVE NOT MET ARRANGEMENTS TO PAY OFF THEIR ACCOUNTS WITHIN THE ALLOTTED TIME WILL BE FORWARDED TO THE HOSPITAL'S COLLECTION AGENCY. ALL ACCOUNTS WILL BE REVIEWED BY THE FINANCIAL ADVOCATE PRIOR TO AGENCY REFERRAL. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: FCMC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022 IN ORDER TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY SERVED BY FCMC. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE FCMC POSTS INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND DISCOUNTS AT THE ADMISSIONS AREAS, EMERGENCY ROOM WAITING AREAS, AND FINANCIAL ADVOCATE'S office as well as online at https://fcmcpa.org/financial-assistance . FCMC also posted information on financial assistance on social media and outdoor advertising. THE INFORMATION IS INCLUDED IN THE INPATIENT AND OUTPATIENT SURGERY PATIENT PACKETS. THE FINANCIAL ADVOCATE DISCUSSES WITH THE PATIENT THE AVAILABILITY OF FINANCIAL ASSISTANCE AS WELL AS VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. IN ADDITION, PATIENT INVOICES FOR FCMC INCLUDE A NUMBER TO CALL FOR HELP IN APPLYING FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE APPLICATION IS ON THE BACK OF THE PATIENT INVOICE AS WELL. WHEN COLLECTION TELEPHONE CALLS ARE MADE TO PATIENTS WITH OUTSTANDING BALANCES THEY ARE REMINDED OF OUR FINANCIAL ASSISTANCE PROGRAM. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: Fulton County, Pennsylvania's estimated 2023 population is 14,469 with a growth rate of -0.2% in the past year according to the most recent United States census data. Fulton County, Pennsylvania is the 64th largest county in Pennsylvania. The 2010 population was 14,845 and has seen a growth of -2.53% since that time. The FCMC is a critical access hospital with over 50% of its revenues received from the Medicare and Medicaid programs. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: FCMC's board is comprised of citizens from the communities and service areas that benefit from FCMC's services. FCMC is the only hospital and skilled nursing home in this rural service area. In addition FCMC offers home health services and a specialty services clinic where physician specialists from other geographical areas see patients. This allows residents of the surrounding areas to receive medical care from medical professionals close to home. Patients who come to the emergency room are not denied treatment based on the ability to pay. FCMC offers financial assistance discounts and charity care for those patients who have limited or no means to pay their medical bill. To meet the needs of our community, the hospital extends privileges to licensed medical staff. FCMC held several health fairs and events. The annual kick of your drug free summer had over 250 in attendance. The fair held on the Medical Center campus was well attended. Nearly twenty vendors set up for services for children mostly from the Fulton County Partnership's membership. There were demonstrations, education, healthy eating tips, and physical activities. The sheriff's office also provides a drug collection booth to turn in out dated, unwanted narcotics. Many events still on-hold due to Covid restrictions. FCMC also co-sponsored a pink out game in the southern end of the county to promote breast cancer awareness. The event was attended by hundreds as it was a game between two county schools. $4500 was raised at the event for a local teacher battling breast cancer. As a critical access hospital and rural healthcare provider, FCMC provides an opportunity to assist in the education of future health care workers. Lake Erie College of Osteopathic Medicine (LECOM) medical students rotate to FCMC as part of their education as well as vocational technical students. In limited capacity due to Covid precautions, high school students have the opportunity to volunteer within the facility or job shadow a professional at the hospital. FCMC Health and Wellness Center Re-opened April 5, 2021 after being shut down since November 2020 due to Covid restrictions. true FULTON COUNTY MEDICAL CENTER FOUNDATION 214 PEACH ORCH RD MCCONNELLSBURG PA 17233 510674514 501(c)(3) 360868 financial support to affiliate 1 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THE ORGANIZATION'S ONLY DONATION WAS TO THE FULTON COUNTY MEDICAL CENTER FOUNDATION, A RELATED ORGANIZATION. THROUGH THIS RELATIONSHIP, THE ORGANIZATION IS ABLE TO OBTAIN INFORMATION ON HOW THE FUNDS ARE SPENT AND IS ABLE TO MAKE SURE THE FUNDS ARE SPENT PROPERLY. X X X false false false false false false false true false Mr Michael Makosky CHIEF EXECUTIVE OFFICER 200551 0 34000 0 690 0 12993 0 21394 0 269628 0 Mr Greg Leis CHIEF FINANCIAL OFFICER 169159 0 2870 0 673 0 3588 0 16911 0 193201 0 Ms Kimberly Slee CHIEF OPERATING OFFICER 184564 0 3225 0 1644 0 10684 0 26001 0 226118 0 Dr Douglas Stern ER PHYSICIAN 876201 0 22000 0 3453 0 14000 0 6659 0 922313 0 Jeffrey Mandak CARDIOLOGIST 551516 0 0 0 31722 0 14000 0 27947 0 625185 0 Michael Donahoe CARDIOLOGIST 323281 0 0 0 0 0 14000 0 25986 0 363267 0 Nicole Debolt PHYSICIAN/SURGEON 361501 0 0 0 420 0 14000 0 21394 0 397315 0 Tung Nguyen ER PHYSICIAN 647084 0 3450 0 15500 0 14000 0 21000 0 701034 0 Paul Orange Primary Care Doctor 260116 0 0 0 163 0 14000 0 12452 0 286731 0 SCHEDULE J, PART I, LINE 7 CERTAIN OFFICERS ARE ELIGIBLE FOR BONUS PAYMENTS BASED ON PERFORMANCE FACTORS. THE OFFICERS ARE EVALUATED BY THE PRESIDENT/CEO AND/OR THE BOARD IN DETERMINING BONUS PAYMENTS. A FULTON COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 232299855 36024LAL3 2016-05-15 25690000 REFUND SERIES 2006 & 2009 BONDS false false false B FULTON COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 232299855 36024LAN9 2016-09-15 21590000 FINANCE CONTRUCTION CAM BUILDING false false false A 4815000 0 25690000 1892997 1018950 0 629579 0 0 0 0 0 2016 false true true true B 0 0 21590000 2017237 1079500 0 731093 0 0 0 0 0 2018 false true true true A false false false false false false 0 false false false true B false false false false false false 0 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990 FULTON COUNTY MEDICAL CENTER HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY THE CFO AND PRESENTED TO THE FINANCE COMMITTEE. THE RETURN IS ALSO PROVIDED TO THE FULL GOVERNING FULTON COUNTY MEDICAL CENTER BOARD BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE A CONFLICT OF INTEREST FORM IS COMPLETED ANNUALLY BY ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES. ANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF A DIRECTOR MUST BE DISCLOSED TO THE BOARD. THE FORMS ARE REVIEWED BY THE PRESIDENT/CEO. WHEN ANY INTEREST BECOMES A MATTER OF BOARD ACTION, THE DIRECTOR IS NOT TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER, AND IS NOT COUNTED IN THE QUORUM FOR A MEETING AT WHICH BOARD ACTION IS TO BE TAKEN ON THE INTEREST. THE DIRECTOR MAY, HOWEVER, BRIEFLY STATE A POSITION ON THE MATTER AND ANSWER PERTINENT QUESTIONS OF BOARD MEMBERS. THE MINUTES OF ALL ACTIONS TAKEN ON SUCH MATTERS CLEARLY REFLECT THAT THESE REQUIREMENTS HAVE BEEN MET. IT IS THE OBLIGATION OF EACH BOARD MEMBER TO ACT IN THE BEST INTEREST OF THE MEDICAL CENTER. ALL BOARD INFORMATION IS CONFIDENTIAL, AND IS NOT TO BE USED OR DISCUSSED OTHER THAN FOR APPROPRIATE MEDICAL CENTER BUSINESS. FAILURE OF A DIRECTOR TO MAINTAIN THE CONFIDENTIALITY OF BOARD INFORMATION IS GROUNDS FOR REMOVAL. FORM 990, PART VI, SECTION B, LINE 15A & 15B PROCESS FOR DETERMINING COMPENSATION THE BOARD OF DIRECTORS SERVES AS A COMPENSATION COMMITTEE AND REVIEWS AND ADJUSTS THE COMPENSATION OF THE PRESIDENT/CEO BASED ON EVALUATIONS AND COMPARABLE DATA. THE HUMAN RESOURCES DEPARTMENT EITHER WITH THE HELP OF AN OUTSIDE COMPENSATION CONSULTANT OR INDEPENDENTLY OR BOTH, GATHERS COMPARABLE DATA AND PROVIDES INFORMATION TO THE BOARD OF DIRECTORS WHEN IT IS REQUESTED. THE CFO RECEIVES COST OF LIVING ADJUSTMENTS AS APPROVED THROUGH THE BUDGET FULTON COUNTY MEDICAL CENTER PROCESS BY THE BOARD OF DIRECTORS EACH YEAR. THE PRESIDENT/CEO, IN COLLABORATION WITH THE HR DEPARTMENT, REVIEWS AND ADJUSTS THE COMPENSATION OF THE CFO BASED ON PERFORMANCE AND COMPARABILITY DATA. IF NEEDED, THE HR DEPARTMENT CONDUCTS A SURVEY TO GATHER COMPARABILITY DATA AND GIVES THIS INFORMATION TO THE PRESIDENT/CEO WHEN IT IS REQUESTED. THIS INFORMATION IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE DOCUMENTS ARE ALSO AVAILABLE AT THE ANNUAL MEETING WHICH IS OPEN TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9 OTHER CHANGES PENSION LIABILITY ADJUSTMENT $1,918,780 VALUATION GAIN 56,564 NET PERIODIC PENSION BENEFIT COST (312,340) TOTAL $1,663,004 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:9189745 FULTON COUNTY MEDICAL CENTER FOUNDATION 214 PEACH ORCHARD ROAD MCCONNELLSBURG PA 17233 510674514 FUNDRAISING PA 501(C)(3) 7 FCMC true false true true false false false false false false false false false true false true true true false false FULTON COUNTY MEDICAL CENTER FOUNDATION B 360868 CASH VALUE FULTON COUNTY MEDICAL CENTER FOUNDATION C 541725 CASH VALUE