UPMC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- UPMC (EIN 25-0965570)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-13
- IRS object ID
- 201941339349303699
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-13T12:05:46-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550486667 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARNETT CARBIS TOOTHMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5700 CORPORATE DRIVE STE 650 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 250965570 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOMERSET COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOME | BusinessNameControlTxt |
| Phone | 8144435221 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 SOUTH CENTER AVENUE | AddressLine1Txt |
| City | SOMERSET | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15501 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREW RUSH | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8144435221 | PhoneNum |
| Signature | 2019-05-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLY A BROCIOUS CPA | PreparerPersonNm |
| PTIN | P01254262 | PTIN |
| Phone | 4126356270 | PhoneNum |
| Preparation | 2019-05-02 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 216.12.119.47 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-02 | IPDt |
| IP Tm | 14:24:17 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | FA047645C58205390672F21DBD5C45410A20F442 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4D960446B7F14F4AD26B7F75F1384555BBF7A246 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANDREW RUSH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 SOUTH CENTER AVENUE | AddressLine1Txt |
| City | SOMERSET | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $91,631,460 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SOMERSETHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1921 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | SOMERSET HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY ASSET COMMITTED: TO PROVIDING CARE TO THE SICK AND INJURED, PRESERVING AND SUSTAINING LIFE, AND PROMOTING HEALTH AND WELL BEING; TO THE PROMOTION AND DEVELOPMENT OF COMPLEMENTARY PROGRAMS AND SERVICES, MANPOWER AND FACILITIES; TO THE CONTINUOUS IMPROVEMENT OF QUALITY, ACCESSIBILITY AND CONTINUITY OF PATIENT CARE; TO THE WELFARE AND LIVELIHOOD OF ITS EMPLOYEES; TO ENSURING THE HOSPITAL'S FINANCIAL VIABILITY NECESSARY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY AND REGION TODAY AND IN THE FUTURE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 927 | TotalEmployeeCnt |
| Total Volunteers | 66 | TotalVolunteersCnt |
| Total Gross UBI | $65,427 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $33,280 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $157,720 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,628,148 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $66,328,109 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $69,222,531 | CYProgramServiceRevenueAmt |
| PY Investment Income | $640,059 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,242,748 | CYInvestmentIncomeAmt |
| PY Other Revenue | $604,775 | PYOtherRevenueAmt |
| CY Other Revenue | $410,267 | CYOtherRevenueAmt |
| PY Total Revenue | $67,730,663 | PYTotalRevenueAmt |
| CY Total Revenue | $74,503,694 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,407,171 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,970,289 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,895,312 | PYOtherExpensesAmt |
| CY Other Expenses | $34,996,070 | CYOtherExpensesAmt |
| PY Total Expenses | $64,302,483 | PYTotalExpensesAmt |
| CY Total Expenses | $67,966,359 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,428,180 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,537,335 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $74,548,389 | TotalAssetsBOYAmt |
| Total Assets EOY | $68,415,098 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $49,212,535 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $44,017,421 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $25,335,854 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,397,677 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION AS AN ORGANIZATION IS TO PRESERVE AND IMPROVE LIFE BY PROVIDING ACCESS TO QUALITY, CUSTOMER-FRIENDLY HEALTHCARE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $56,705,605 | ExpenseAmt |
| Revenue | $69,547,070 | RevenueAmt |
| Desc | SOMERSET HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY ASSET COMMITTED: TO PROVIDING CARE TO THE SICK AND INJURED, PRESERVING AND SUSTAINING LIFE, AND PROMOTING HEALTH AND WELL BEING; TO THE PROMOTION AND DEVELOPMENT OF COMPLEMENTARY PROGRAMS AND SERVICES, MANPOWER AND FACILITIES; TO THE CONTINUOUS IMPROVEMENT OF QUALITY, ACCESSIBILITY AND CONTINUITY OF PATIENT CARE; TO THE WELFARE AND LIVELIHOOD OF ITS EMPLOYEES; TO ENSURING THE HOSPITAL'S FINANCIAL VIABILITY NECESSARY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY AND REGION TODAY AND IN THE FUTURE.SOMERSET HOSPITAL IS A 111-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL SERVING THE SOMERSET AREA. THE HOSPITAL ALSO PROVIDES CARE FOR MANY PATIENTS NORTH OF SOMERSET TO ROUTE 30 AND SOUTH OF SOMERSET TO THE MARYLAND STATE LINE.SOMERSET HOSPITAL, ONE OF THE TOP FIVE EMPLOYERS IN SOMERSET COUNTY, PROVIDES QUALITY HEALTH CARE IN A COMPASSIONATE MANNER REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR THE PATIENT'S ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SOMERSET HOSPITAL, THE HOSPITAL, UNDER ITS WRITTEN CHARITY CARE POLICY, IS COMMITTED TO PROVIDING NECESSARY HEALTH CARE SERVICES AT NO CHARGE OR AT A REDUCED CHARGE TO PATIENTS.CHARITY CARE FY 2018FREE CARE $298,715PUBLIC POLICIESTHROUGH SIGNAGE POSTED IN THE HOSPITAL'S INFORMATION CENTER, ADMISSIONS DEPARTMENT, EMERGENCY ROOM AND CREDIT OFFICE, THE PUBLIC IS PROVIDED WITH THE ORGANIZATION'S POLICY OF PROVIDING CARE REGARDLESS OF ABILITY TO PAY. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO LOCATED ON THE SOMERSET HOSPITAL WEBSITE. SOMERSET HOSPITAL GENERALLY DESIGNATES SERVICES AS "CHARITY CARE" AFTER BILLING. BASED ON AN INDIVIDUAL'S ABILITY TO PAY, SOMERSET HOSPITAL OFFERS PAYMENT PLANS AND ASSISTS INDIVIDUALS IN APPLYING FOR THE STATE'S MEDICAL ASSISTANCE PROGRAM. SELF-PAY PATIENTS ARE REQUESTED TO PROVIDE PARTIAL PRE-PAYMENT FOR SERVICES RENDERED BY THE HOSPITAL. HOWEVER, SERVICES BY SOMERSET HOSPITAL ARE PROVIDED WITHOUT REGARD TO AN INDIVIDUAL'S ABILITY TO PAY.COMMUNITY SERVICE AND CONTRIBUTIONSDURING THE PAST YEAR, SOMERSET HOSPITAL HAS PROVIDED THE FOLLOWING SERVICES AND CONTRIBUTIONS TO THE COMMUNITY. THE SERVICES ARE PROVIDED FREE OF CHARGE OR AT A NOMINAL FEE AS INDICATED.COMMUNITY HEALTH EDUCATION (FREE OR MINIMAL FEES CHARGED TO COVER DIRECT COSTS)CPR 49/YEAR 40 HOURSBABYSITTING CLASS 17/YEAR 10 HOURSHIP AND KNEE PAIN SEMINARS 43/YEAR 6 HOURSSHOULDER SEMINAR 15/YEAR 1 HOURDIABETES PROGRAM 70/YEAR 10 HOURSBECOMING A WOMAN 8/YEAR 2 HOURSGROCERY STORE TOUR 11/YEAR 4 HOURSTOTAL 213/YEAR 73 HOURSSUPPORT GROUPS (NO CHARGE)HOSPICE BEREAVEMENT 49/YEAR 12 HOURSSLEEP APNEA 98/YEAR 10 HOURSPARKINSON'S 40/YEAR 12 HOURSTRANSPLANT SUPPORT 4/YEAR 2 HOURSDIABETES SUPPORT GROUP 25/YEAR 4 HOURSTOTAL 216/YEAR 40 HOURSCOMMUNITY EDUCATION INFORMATION REQUESTS (NO CHARGE)PHONE/MAIL REQUESTS 156/YEAR 10 HOURSSCHOOL PROGRAMS (NO CHARGE)SECOND GRADE TOURS 235 STUDENTS/YEAR 10 HOURSBOYS AND GIRLS CLUB TOUR 25/YEAR 1 HOURPOISON PREVENTION PROGRAMS 500/YEAR 8 HOURSSHADOW STUDENTS 42/YEAR 288 HOURS JUNIOR ACHIEVEMENT PROGRAMS 64/YEAR 46 HOURSSASD SCHOOL HEALTH FAIR 1200/YEAR 16 HOURSROCKWOOD STUDENT PRESENTATIONS 16/YEAR 4 HOURSCAREER EXPLORATION 25/YEAR 2 HOURSTOTAL 2,107/YEAR 375 HOURSHEALTH FAIRS OR COMMUNITY EDUCATION PROGRAMS (NO CHARGE TO THE COMMUNITY)HEALTH FAIRS/SCREENINGS 1,353/YEAR 26 HOURSHEART MONTH SEMINAR 30/YEAR 4 HOURSSTRESS MANAGEMENT 50/YEAR 12 HOURSSCHOOL HANDWASHING PROGRAMS 40/YEAR 2 HOURSSILVER SNEAKERS /YEAR 104 HOURSHEALTHWAYS /YEAR NO INSTRUCTION BY STAFFSILVER AND FIT /YEAR NO INSTRUCTION BY STAFFTOPS PROGRAM 80/YEAR 2 HOURSSENIOR CENTER PROGRAMS 185/YEAR 12 HOURSRUNNING PROGRAM 22/YEAR 2 HOURSTOTAL 1,760/YEAR 164 HOURSHOSPITAL STAFF CONTRIBUTIONS TO COMMUNITY ORGANIZATIONSSOMERSET ROTARY 8 HOURS/YEARSOMERSET COUNTY CHAMBER OF COMMERCE 24 HOURS/YEARSOMERSET EXCHANGE CLUB 47 HOURS/YEARREDEVELOPMENT AUTHORITY 14 HOURS/YEARDRUG-FREE COMMUNITIES 45 HOURS/YEARJUNIOR ACHIEVEMENT BOARD OF DIRECTORS 10 HOURS/YEARCHILD ADVOCACY INVESTIGATIVE COMMITTEE 9 HOURS/YEARSOMERSET MULTIDISCIPLINARY INVESTIGATIVE TEAM 9 HOURS/YEARSOMERSET COUNTY CHILD DEATH REVIEW BOARD 4 HOURS/YEAROTHER CONTRIBUTIONS"IN TOUCH" HOSPICETHROUGH THE HOSPITAL'S IN TOUCH HOSPICE CARE DEPARTMENT, TERMINALLY ILL PATIENTS AND THEIR FAMILIES ARE PROVIDED CLINICAL AND EMOTIONAL SUPPORT. THIS SERVICE IS SUPPORTED THROUGH COMMUNITY CONTRIBUTIONS: ANNUAL OPERATING BUDGET: $1,322,057 IN FISCAL YEAR 2018.SOCIAL WORK SERVICESSOMERSET HOSPITAL' SOCIAL WORK SERVICES DEPARTMENT, WITH AN OPERATING BUDGET IN EXCESS OF $142,705 IN FY 2018, IS RESPONSIBLE FOR MEETING BOTH INPATIENT AND OUTPATIENT SOCIAL NEEDS INCLUDING THE PLACEMENT OF PATIENTS IN AN APPROPRIATE COMMUNITY SETTING UPON DISCHARGE. THE STAFF PROVIDES EXPERTISE TO MANY COMMUNITY ORGANIZATIONS. | Desc |
| Total Program Service Expenses | $56,705,605 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 81 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 927 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRAIG SPROCK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8144435221 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 SOUTH CENTER AVENUE | AddressLine1Txt |
| City | SOMERSET | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15501 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| KRISTA MATHIAS | ||||||||
| CHAIRMAN | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARK BOWER | ||||||||
| 1ST VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TOM SKELTON | ||||||||
| 2ND VICE CHAIRMAN | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CATHERINE POORBAUGH | ||||||||
| SECRETARY | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRAD COBER | ||||||||
| TREASURER | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN CUPPS | ||||||||
| ASST SECRETARY/TREASURER | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NATHANIEL A BARBERA | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AJAY P SINGH MD | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $229,725 | $16,710 | ||
| MICHELLE MOON | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SHARON CLAPPER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| V KRISHNAN NAIR MD | ||||||||
| DIRECTOR | 1.00 | 41.00 | Yes (X) | $0 | $322,708 | $11,046 | ||
| FREDERIC ROSEMEYER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA FETTEROLF | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VINCE JACOB | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RON ALDOM | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SUZANNE STURNI | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE SHIPLEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAYESH DESAI MD | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $431,660 | $19,468 | ||
| MARK YAROS MD | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $250,349 | $17,575 | ||
| MATTHEW KOCIOLA | ||||||||
| CFO | 29.00 | 11.00 | Yes (X) | $219,080 | $0 | $4,984 | ||
| CRAIG SAYLOR | ||||||||
| CEO (UNTIL 12/18) | 29.00 | 11.00 | Yes (X) | $264,920 | $0 | $23,031 | ||
| ANDREW RUSH | ||||||||
| CEO | 29.00 | 11.00 | Yes (X) | $250,157 | $0 | $22,488 | ||
| RENEE YOUNG MD | ||||||||
| PHYSICIAN | 40.00 | $407,714 | $0 | $6,158 | Yes (X) | |||
| MOKBEL MATTA MD | ||||||||
| PHYSICIAN | 40.00 | $319,650 | $0 | $4,718 | Yes (X) | |||
| HAI C TSAO MD | ||||||||
| PHYSICIAN | 40.00 | $313,271 | $0 | $16,455 | Yes (X) | |||
| NEELESH WELLING MD | ||||||||
| PHYSICIAN | 40.00 | $288,591 | $0 | $10,887 | Yes (X) | |||
| NASREEN BAGWAN MD | ||||||||
| PHYSICIAN | 40.00 | $273,034 | $0 | $6,743 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,336,417 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,234,442 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $160,263 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AHN EMERGENCY GRP OF SOMERSET COUNTY LT | |||||
| 4535 DRESSLER ROAD | CANTON | OH | 44718 | PHYSICIAN SERVICES | $1,425,775 |
| DIVERSIFIED CLINICAL SERVICES INC | |||||
| PO BOX 636981 | CINCINNATI | OH | 45263 | WOUND CLINIC SERVICES | $611,556 |
| BUCHANAN INGERSOLL & ROONEY PC | |||||
| ONE OXFORD CENTER 301 GRANT STREET | CHICAGO | IL | 606731285 | LEGAL SERVICES | $253,277 |
| ALLEGHENY SPECIALTY PRACTICE NETWORK | |||||
| 30 ISABELLA STREET | PITTSBURGH | PA | 15212 | PHYSICIAN SERVICES | $148,350 |
| PONDER & CO | |||||
| 8498 SOLUTION CENTER | CHICAGO | IL | 606678004 | PHYSICIAN SERVICES | $140,517 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $20,000 | FundraisingAmt |
| Related Organizations | $70,000 | RelatedOrganizationsAmt |
| All Other Contributions | $1,538,148 | AllOtherContributionsAmt |
| Total Contributions | $1,628,148 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 900099 | $68,061,184 | $68,061,184 | |
| PHARMACY SALES | 900099 | $903,886 | $894,453 | $9,433 |
| MISC PATIENT REVENUE | 900099 | $256,583 | $245,589 | $10,994 |
| MEDICAL RECORDS | 900099 | $878 | $878 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $69,222,531 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $484,188 | TotalRevenueColumnAmt |
| Exclusion | $484,188 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $355,434 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $356,957 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$1,523 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,523 | TotalRevenueColumnAmt |
| Exclusion | -$1,523 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,486,679 | SecuritiesAmt |
| Other | $13,627 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,741,746 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,744,933 | SecuritiesAmt |
| Other | $13,627 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,758,560 | TotalRevenueColumnAmt |
| Exclusion | $2,758,560 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $50,887 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $20,000 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $29,063 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,824 | TotalRevenueColumnAmt |
| Exclusion | $21,824 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OTHER OPERATING REVENUE | 900099 | $212,864 | $212,864 | |
| GAIN ON INVESTMENTS IN EQUITY INV | 900099 | $132,102 | $132,102 | |
| MANAGEMENT FEE | 900099 | $45,000 | $45,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $389,966 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,503,694 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $69,547,070 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $65,427 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,263,049 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,144,148 | TotalAmt |
| Program Services | $20,554,910 | ProgramServicesAmt |
| Management And General | $5,589,238 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,923,090 | TotalAmt |
| Program Services | $3,870,605 | ProgramServicesAmt |
| Management And General | $1,052,485 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,903,051 | TotalAmt |
| Program Services | $1,496,206 | ProgramServicesAmt |
| Management And General | $406,845 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,868 | TotalAmt |
| Management And General | $372,868 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,407 | TotalAmt |
| Management And General | $82,407 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,845,146 | TotalAmt |
| Program Services | $6,167,968 | ProgramServicesAmt |
| Management And General | $1,677,178 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,595 | TotalAmt |
| Program Services | $97,958 | ProgramServicesAmt |
| Management And General | $26,637 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $530,978 | TotalAmt |
| Program Services | $417,463 | ProgramServicesAmt |
| Management And General | $113,515 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $939,531 | TotalAmt |
| Program Services | $738,673 | ProgramServicesAmt |
| Management And General | $200,858 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,614 | TotalAmt |
| Program Services | $79,104 | ProgramServicesAmt |
| Management And General | $21,510 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,659 | TotalAmt |
| Program Services | $15,456 | ProgramServicesAmt |
| Management And General | $4,203 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,760 | TotalAmt |
| Program Services | $466,823 | ProgramServicesAmt |
| Management And General | $126,937 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,679,440 | TotalAmt |
| Program Services | $2,892,829 | ProgramServicesAmt |
| Management And General | $786,611 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,421 | TotalAmt |
| Program Services | $363,562 | ProgramServicesAmt |
| Management And General | $98,859 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $11,986,009 | $11,986,009 | |
| BAD DEBT | $2,908,236 | $2,908,236 | |
| PHYSICIAN FEES | $2,073,281 | $2,073,281 | |
| EQUIPMENT RENTAL & MAIN | $1,702,926 | $1,338,865 | $364,061 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,574,199 | TotalAmt |
| Program Services | $1,237,657 | ProgramServicesAmt |
| Management And General | $336,542 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,966,359 | TotalAmt |
| Program Services | $56,705,605 | ProgramServicesAmt |
| Management And General | $11,260,754 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,313,876 | BOYAmt |
| EOY | $1,953,846 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $750,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,840,643 | BOYAmt |
| EOY | $7,380,453 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,888 | BOYAmt |
| EOY | $252,210 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,434,904 | BOYAmt |
| EOY | $1,568,944 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $680,242 | BOYAmt |
| EOY | $1,094,643 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $110,840,725 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $79,782,287 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,597,617 | BOYAmt |
| EOY | $31,058,438 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,486,615 | BOYAmt |
| EOY | $22,945,654 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,919,604 | BOYAmt |
| EOY | $1,410,910 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,548,389 | BOYAmt |
| EOY | $68,415,098 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,856,044 | BOYAmt |
| EOY | $9,110,006 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,880,821 | BOYAmt |
| EOY | $20,625,782 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $396,470 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,115 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,320,555 | BOYAmt |
| EOY | $13,885,163 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,212,535 | BOYAmt |
| EOY | $44,017,421 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,988,769 | BOYAmt |
| EOY | $23,768,229 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,327,085 | BOYAmt |
| EOY | $609,448 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
| EOY | $20,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,335,854 | BOYAmt |
| EOY | $24,397,677 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,548,389 | BOYAmt |
| EOY | $68,415,098 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,537,335 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,553,058 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,922,454 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $35,902 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $11,525 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $47,427 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF SOMERSET COMMUNITY HOSPITAL'S DUES TO THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP), HEALTHCARE COUNCIL, AND OTHER HEALTHCARE ASSOCIATIONS ARE USED FOR LOBBYING. PART II-B, LINE 1(G), DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: SOMERSET COMMUNITY HOSPITAL CONTACTS VARIOUS LEGISLATORS AND GOVERMENT OFFICIALS TO FURTHER HEALTH CARE INITIATIVES IN THE COMMUNITIES IT SERVES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,465,828 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,023,957 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $22,441,871 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,494,129 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,971,699 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $25,465,828 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,914,977 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$420,848 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $22,494,129 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,721,873 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $193,104 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $22,914,977 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,783,406 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,938,467 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $22,721,873 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,234,957 | OtherCostOrOtherBasisAmt |
| Book Value | $3,234,957 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,529,575 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,295,179 | DepreciationAmt |
| Book Value | $22,234,396 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,674,050 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,487,108 | DepreciationAmt |
| Book Value | $5,186,942 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $402,143 | OtherCostOrOtherBasisAmt |
| Book Value | $402,143 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,058,438 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| MARKETABLE SECURITIES | $22,457,597 | F |
| TRUST BOND INDENTURE | $468,057 | F |
| TRUST HELD BY OTHERS | $20,000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $22,945,654 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE | $4,194,190 |
| MINIMUM PENSION LIABILITY | $9,690,973 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,885,163 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE BOARD DESIGNATED ENDOWMENT ARE ASSETS SET ASIDE BY THE BOARD OF DIRECTORS FOR DESIGNATED PURPOSES OVER WHICH THE BOARD RETAINS CONTROL AND MAY AT ITS DISCRETION SUBSEQUENTLY USE FOR OTHER PURPOSE. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $70,887 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $20,000 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $50,887 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $13,354 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $13,157 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $335 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $2,217 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $70,887 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $20,000 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $50,887 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $13,354 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $13,157 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $335 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,217 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $29,063 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $21,824 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $129,972 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $129,972 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,374,013 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,633,184 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,740,829 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07290 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,503,985 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,633,184 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,870,801 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07490 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $228,067 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $228,067 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,430,439 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $709,709 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $720,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01110 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,167 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $62,167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,720,673 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $709,709 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,010,964 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,224,658 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,342,893 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,881,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,908,236 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $130,262 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $14,418,163 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,355,813 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $62,350 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOMERSET COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 SOUTH CENTER AVENUE | AddressLine1Txt |
| City | SOMERSET | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOMERSET COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SOMERSETHOSPITAL.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SOMERSETHOSPITAL.COM | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SOMERSETHOSPITAL.COM/PATIENT_INFORMATION/FINANCIAL_ASSISTANCE_POLICY.ASPX | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SOMERSETHOSPITAL.COM/PATIENT_INFORMATION/FINANCIAL_ASSISTANCE_POLICY.ASPX | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SOMERSETHOSPITAL.COM/PATIENT_INFORMATION/FINANCIAL_ASSISTANCE_POLICY.ASPX | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SOMERSET COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: IN CONDUCTING THE CHNA, INPUT FROM THE COMMUNITY WAS INCORPORATED IN A VARIETY OF WAYS. THE PROCESS WAS DIRECTED BY A STEERING COMMITTEE, WHICH INCLUDED INDIVIDUALS FROM WITHIN THE HOSPITAL, AS WELL AS THOSE WHO REPRESENT MEMBERS OF THE COMMUNITY. EXTERNAL REPRESENTATION INCLUDED: THE DIRECTOR OF THE SOMERSET CAMPUS OF PENNSYLVANIA HIGHLANDS COMMUNITY COLLEGE, VOLUNTEER WITH THE NEXT STEP CENTER (HOMELESS SHELTER), EDITOR OF DAILY AMERICAN (LOCAL NEWSPAPER), DIRECTOR OF CHILDREN AND YOUTH SERVICES, DIRECTOR OF SOMERSET TAPESTRY OF HEALTH (WIC OFFICE), DIRECTOR OF SINGLE COUNTY AUTHORITY (DRUG AND ALCOHOL), COMMUNITY HEALTH NURSE WITH THE PA DEPARTMENT OF HEALTH, CHIEF PROFESSIONAL OFFICER OF THE BOYS AND GIRLS CLUB SOMERSET COUNTY, SUPERINTENDENT OF THE SOMERSET AREA SCHOOL DISTRICT, RE-ENTRY SPECIALIST WITH STATE CORRECTIONAL INSTITUTE LAUREL HIGHLANDS, EXECUTIVE DIRECTOR OF THE SOMERSET CHAMBER OF COMMERCE, PROGRAM MANAGER OF BEHAVIORAL HEALTH SERVICES OF SOMERSET AND BEDFORD COUNTY AND THE GRANT WRITER WITH THE UNITED WAY. INTERNAL REPRESENTATION INCLUDED THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF NURSING OFFICER, CHIEF OPERATING OFFICER, DIRECTOR OF REGULATORY AND INFECTION CONTROL, DIRECTOR OF TWIN LAKES CENTER (DRUG AND ALCOHOL REHABILITATION), DIRECTOR OF EMERGENCY ROOM, DIRECTOR OF QUALITY, DIRECTOR OF CORPORATE COMMUNICATIONS, PUBLIC RELATIONS COORDINATOR, CLINICAL NUTRITION MANAGER AND DIABETES EDUCATOR. A COMMUNITY SURVEY WAS UTILIZED TO OBTAIN INPUT FROM A LARGE SAMPLE OF OUR COMMUNITIES. THE STEERING COMMITTEE MET TO DEVELOP THE SURVEY TOOL. THIS TOOL WAS THEN INPUTTED INTO SURVEY MONKEY, WHICH IS A SITE THAT ALLOWS INDIVIDUALS TO ANONYMOUSLY SUBMIT THEIR RESULTS. ONCE THE SURVEY WAS COMPLETE ON SURVEY MONKEY, THE STEERING COMMITTEE WAS ASKED TO REVIEW PRIOR TO THE SURVEY GOING LIVE. THE SURVEY WAS ALSO MADE AVAILABLE IN HARD COPY SO THAT INDIVIDUALS, WHO WERE UNABLE TO ACCESS A COMPUTER, WERE ABLE TO PARTICIPATE IN THE SURVEY. THE SURVEY WENT LIVE IN JANUARY 2016. THE LINK TO THE SURVEY WAS PLACED ON SOMERSET HOSPITAL'S WEBSITE, FACEBOOK PAGE, EMAILED OUT TO ALL STEERING COMMITTEE MEMBERS AND EMAILED TO ALL HOSPITAL EMPLOYEES. ADDITIONALLY, AN INVITATION TO PARTICIPATE IN THE SURVEY WAS MAILED OUT TO APPROXIMATELY 6,000 HOUSEHOLDS IN OUR PRIMARY SERVICE AREA. A TOTAL OF 1,203 INDIVIDUALS COMPLETED THE SURVEY. DATA RECEIVED FROM THE SURVEY WAS ANALYZED BY SURVEY MONKEY. THE SURVEY INCLUDED QUESTIONS ABOUT PERSONAL HEALTH, AS WELL AS THE PERCEPTION OF HEALTH IN THE COMMUNITY.FIVE KEY INFORMANT INTERVIEWS WERE CONDUCTED. THE INTERVIEWEES WERE SELECTED BASED ON THEIR ROLE IN WORKING WITH SOMERSET HOSPITAL'S PRIORITY POPULATIONS. THIS INCLUDES THE AGING COMMUNITY (DIRECTOR OF THE SOMERSET/BOSWELL SENIOR CENTER THROUGH THE AREA AGENCY ON AGING), THOSE WITH PHYSICAL AND MENTAL DISABILITIES (LEAD COORDINATOR OF PA LINK TO AGING AND DISABILITY SERVICES), ECONOMICALLY DISADVANTAGED (HOMELESS ASSISTANCE CASE MANAGER WITH COMMUNITY ACTION PARTNERSHIP), WOMEN AND CHILDREN (DIRECTOR OF THE SOMERSET TAPESTRY OF HEALTH) AND THOSE WITHOUT HEALTH INSURANCE (COMMUNITY HEALTH NURSE WITH THE PA DEPARTMENT OF HEALTH).ONE FOCUS GROUP WAS CONDUCTED WITH A GROUP OF 6 INDIVIDUALS, WHO WERE ENROLLED IN THE HOUSING PROGRAM WITH THE COMMUNITY ACTION PARTNERSHIP. |
| SOMERSET COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: THROUGH THE CHNA PROCESS, THE AREAS IDENTIFIED FOR ACTION ARE AS FOLLOWS: HEART DISEASE, DIABETES, TOBACCO USE, CANCER, STROKE, MENTAL HEALTH DISORDERS/ACCESS TO MENTAL HEALTH CAREGIVERS, OVERWEIGHT/OBESITY AND ILLEGAL DRUG USE/PRESCRIPTION DRUG ABUSE. HEART DISEASE IS BEING ADDRESSED BY OFFERING COMMUNITY EDUCATION, OFFERING CPR TO THE COMMUNITY AND BUSINESSES, PROMOTE THE AVAILABILITY AND SERVICES OF THE CARDIAC CATHETERIZATION LAB AND OFFER CARDIAC REHABILITATION TO THOSE PATIENTS WITH A CARDIAC DIAGNOSIS. TO ADDRESS DIABETES, COMMUNITY EDUCATION SEMINARS ARE BEING OFFERED, AS WELL AS THE PROMOTION OF DIABETES SELF-MANAGEMENT EDUCATION. TO ADDRESS TOBACCO USE, SOMERSET HOSPITAL OFFERS FREE TOBACCO CESSATION CLASSES, THE PA QUITLINE IS PROMOTED TO ANY PATIENT WHO USES TOBACCO, PROVIDERS TRAINED IN FAX TO QUIT, TRAINING FOR RESPIRATORY THERAPISTS AND PARTICIPATION IN COMMUNITY OUTREACH. CANCER IS BEING ADDRESSED BY OFFERING COMMUNITY EDUCATION FOR THE PREVENTION OF CANCER/EARLY DETECTION AND THE PROMOTION OF SCREENING SUCH AS MAMMOGRAPHY AND COLORECTAL IN THE EARLY DETECTION OF CANCER. STROKE CARE IS BEING ENHANCED THROUGH COMMUNITY EDUCATION ON THE SIGNS AND SYMPTOMS OF STROKE AND THE DEVELOPMENT OF A PRIMARY STROKE CENTER AT SOMERSET HOSPITAL. THROUGH THE EXPANSION OF MENTAL HEALTH SERVICES, SPECIFICALLY THE GERIATRIC POPULATION, SOMERSET HOSPITAL IS PROMOTING THE AVAILABILITY OF MENTAL HEALTH CARE AT THE HOSPITAL AND ALSO PROMOTING THE AVAILABILITY OF MENTAL HEALTH SUPPORT GROUPS IN THE COUNTY. TO INCREASE AWARENESS AND EDUCATION ABOUT OBESITY, SOMERSET HOSPITAL WILL PROMOTE THE AVAILABILITY OF THE REHABILITATION AND WELLNESS CENTER, PROMOTE THE AVAILABILITY OF OUTPATIENT MEDICAL NUTRITION THERAPY, ORGANIZE ANNUAL HEALTH FAIR AND PROVIDE COMMUNITY EDUCATION SEMINARS REGARDING OBESITY. TO REDUCE DRUG USE IN SOMERSET COUNTY, SOMERSET HOSPITAL IS ADDRESSING THE ISSUE BY PROMOTING THE AVAILABILITY OF A PAIN MANAGEMENT SPECIALIST, INCREASING PATIENT EDUCATION ON MEDICATIONS THROUGH OCCUPATIONAL THERAPY AND PHARMACY, PROMOTE SAFE DISPOSAL OF MEDICATION AND PROMOTE TWIN LAKES CENTER, WHICH OFFERS RESIDENTIAL AND OUTPATIENT DRUG AND ALCOHOL REHABILITATION SERVICES.THE AREAS THAT WERE NOT ADDRESSED IN THE CHNA ACTION PLAN INCLUDE ACCESS TO PRIMARY CARE PROVIDERS, ACCESS TO AFFORDABLE HEALTH INSURANCE/CO-PAYS/DEDUCTIBLES, ACCESS TO PRENATAL CARE, ASTHMA, MEDICAL TRANSPORTATION, ACCESS TO DENTAL CARE, SEXUALLY TRANSMITTED INFECTIONS, MOTOR VEHICLE ACCIDENT/DEATHS/SEATBELT USAGE, UNEMPLOYMENT RATES/POVERTY, CRIME/DELINQUENCY/VIOLENCE, AND ENVIRONMENTAL HEALTH. MANY OF THESE AREAS WILL STILL BE ADDRESSED WITHIN THE HOSPITAL, BUT THE RANKING OF SIGNIFICANCE IN OUR COMMUNITY WERE NOT AS HIGH AS THE RANKINGS OF THE OTHER HEALTH ISSUES IDENTIFIED IN THIS ASSESSMENT. THEREFORE, THEY WILL NOT BE A PRIORITY FOCUS. THE HOSPITAL DOES LACK RESOURCES TO DIRECTLY ADDRESS ISSUES SUCH AS UNEMPLOYMENT RATES, POVERTY AND CRIME AND DELINQUENCY. |
| SOMERSET COMMUNITY HOSPITAL | PART V, SECTION B, LINE 16J: UNINSURED PATIENTS ARE PROVIDED A PLAIN LANGUAGE SUMMARY AND FAP APPLICATION FORM. BILLING STATEMENTS INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN INFORMATION. |
| PART V, SECTION B, LINE 2 | PART V, SECTION B, LINE 2: THE CHNA WAS LAST CONDUCTED DURING THE ORGANIZATION'S 2015 TAX YEAR, WHICH IS EQUVIALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2016. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - THE WHEELER CENTER | ||||
| 126 EAST CHURCH STREET | SOMERSET | PA | 15501 | OUTPATIENT REHABILITATION |
| 2 - SOMERSET HOSPICE | ||||
| 1474 NORTH CENTER AVENUE | SOMERSET | PA | 15501 | INPATIENT HOSPICE |
| 3 - BERLIN MEDICAL CENTER | ||||
| 426 MAIN STREET | BERLIN | PA | 15530 | OUTPATIENT PHYSICAL THERAPY |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART I, LINE 7. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES INCLUDED IN FISCAL YEAR 2018 WERE OUTPATIENT BEHAVIORAL HEALTH, COUMADIN CLINIC, AND INPATIENT HOSPICE. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE OF 2,908,236 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES. |
| PART III, LINE 4: | THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. |
| PART III, LINE 9B: | SOMERSET HOSPITAL GENERALLY DESIGNATES SERVICES AS "CHARITY CARE" BASED ON AN INDIVIDUAL'S ABILITY TO PAY. SOMERSET HOSPITAL OFFERS PAYMENT PLANS AND ASSISTS INDIVIDUALS IN APPLYING FOR THE STATE'S MEDICAL ASSISTANCE PROGRAM. |
| PART VI, LINE 2: | DURING FISCAL YEAR 2017, SOMERSET COMMUNITY HOSPITAL CONDUCTED A COUNTY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE STUDY WAS CONDUCTED TO IDENTIFY THE MOST IMPORTANT HEALTH ISSUES WHICH NEED TO BE ADDRESSED. THE CHNA LOOKS AT HEALTH STATUS, BARRIERS TO CARE, AND OTHER DEMOGRAPHIC AND SOCIAL ISSUES AFFECTING PEOPLE AND ORGANIZATIONS THROUGHOUT SOMERSET COUNTY. THE REPORT IS AIMED AT ASSISTING SOMERSET HOSPITAL IN MAKING DECISIONS ABOUT THE FUTURE OF HEALTHCARE AND PREVENTION. |
| PART VI, LINE 3: | THE PLAIN LANGUAGE SUMMARY OF THE FAP AND FAP APPLICATION ARE AVAILABLE ON SOMERSET HOSPITAL'S WEBSITE. PAPER COPIES OF THE FAP, PLAIN LANGUAGE SUMMARY OF THE FAP, AND FAP APPLICATION ARE AVAILABLE ON SOMERSET HOSPITAL'S WEBSITE, UPON REQUEST AND COPIES ARE IN THE EMERGENCY ROOM AND ADMISSIONS AREA. THE HOSPITAL HAS SIGNS THAT NOTIFY THE PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE EMERGENCY ROOM AND ADMISSIONS AREA. UNINSURED PATIENTS ARE PROVIDED A PLAIN LANGUAGE SUMMARY AND FAP APPLICATION FORM. BILLING STATEMENTS INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN INFORMATION. |
| PART VI, LINE 4: | SOMERSET HOSPITAL SERVES RESIDENTS IN SOMERSET COUNTY, PENNSYLVANIA. SOMERSET COUNTY IS A RURAL AREA WITH A POPULATION OF APPROXIMATELY 76,000 AND LAND AREA OF 1075 SQUARE MILES. THE COST OF LIVING IS BELOW THE NATIONAL AVERAGE AND THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $44,255 WHICH IS ALSO BELOW THE PENNSYLVANIA AVERAGE. APPROXIMATELY 14% OF SOMERSET RESIDENTS LIVE IN POVERTY. |
| PART VI, LINE 5: | SOMERSET HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY ASSET COMMITTED: TO PROVIDING CARE TO THE SICK AND INJURED, PRESERVING AND SUSTAINING LIFE, AND PROMOTING HEALTH AND WELL BEING; TO THE PROMOTION AND DEVELOPMENT OF COMPLEMENTARY PROGRAMS AND SERVICES, MANPOWER AND FACILITIES; TO THE CONTINUOUS IMPROVEMENT OF QUALITY, ACCESSIBILITY AND CONTINUITY OF PATIENT CARE; TO THE WELFARE AND LIVELIHOOD OF ITS EMPLOYEES; TO ENSURING THE HOSPITAL'S FINANCIAL VIABILITY NECESSARY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY AND REGION TODAY AND IN THE FUTURE. SOMERSET HOSPITAL PROVIDES QUALITY HEALTH CARE IN A COMPASSIONATE MANNER REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR THE PATIENT'S ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SOMERSET HOSPITAL, THE HOSPITAL, UNDER ITS WRITTEN CHARITY CARE POLICY, IS COMMITTED TO PROVIDING NECESSARY HEALTH CARE SERVICES AT NO CHARGE OR AT A REDUCED CHARGE TO PATIENTS. THE HOSPITAL USES ANY EXCESS IN REVENUES OVER EXPENSES TO FUND IMPROVEMENTS IN PATIENT CARE IN ORDER TO PROVIDE THE COMMUNITY WITH STATE OF THE ART EQUIPMENT AND FACILITIES. THE HOSPITAL RECRUITS THE BEST AND THE BRIGHTEST TO PROVIDE SERVICES TO THE COMMUNITY WHERE THERE IS A NEED AND A SHORTAGE OF PHYSICIANS. THE HOSPITAL EXTENDS MEDICAL PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE GOVERNING BODY IS COMPRISED OF LOCAL RESIDENTS WHO HAVE THE BEST INTEREST OF THE COMMUNITY. A MAJORITY OF THE GOVERNING BODY CONSISTS OF INDIVIDUALS WHO ARE NEITHER EMPLOYEES OF THE ORGANIZATION NOR CONTRACTORS OF THE ORGANIZATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AJAY P SINGH MD | ||||||||||||||
| DIRECTOR | $0 | $229,725 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,710 | $0 | $246,435 | $0 | $0 |
| V KRISHNAN NAIR MD | ||||||||||||||
| DIRECTOR | $0 | $322,708 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $11,046 | $0 | $333,754 | $0 | $0 |
| JAYESH DESAI MD | ||||||||||||||
| DIRECTOR | $0 | $431,660 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,468 | $0 | $451,128 | $0 | $0 |
| MARK YAROS MD | ||||||||||||||
| DIRECTOR | $0 | $250,349 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,575 | $0 | $267,924 | $0 | $0 |
| MATTHEW KOCIOLA | ||||||||||||||
| CFO | $219,080 | $0 | $0 | $0 | $0 | $0 | $3,709 | $0 | $1,275 | $0 | $224,064 | $0 | $0 | $0 |
| CRAIG SAYLOR | ||||||||||||||
| CEO (UNTIL 12/18) | $264,920 | $0 | $0 | $0 | $0 | $0 | $5,385 | $0 | $17,646 | $0 | $287,951 | $0 | $0 | $0 |
| ANDREW RUSH | ||||||||||||||
| CEO | $250,157 | $0 | $0 | $0 | $0 | $0 | $5,187 | $0 | $17,301 | $0 | $272,645 | $0 | $0 | $0 |
| RENEE YOUNG MD | ||||||||||||||
| PHYSICIAN | $407,714 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,158 | $0 | $413,872 | $0 | $0 | $0 |
| MOKBEL MATTA MD | ||||||||||||||
| PHYSICIAN | $319,650 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,718 | $0 | $324,368 | $0 | $0 | $0 |
| HAI C TSAO MD | ||||||||||||||
| PHYSICIAN | $313,271 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,455 | $0 | $329,726 | $0 | $0 | $0 |
| NEELESH WELLING MD | ||||||||||||||
| PHYSICIAN | $288,591 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,887 | $0 | $299,478 | $0 | $0 | $0 |
| NASREEN BAGWAN MD | ||||||||||||||
| PHYSICIAN | $273,034 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,743 | $0 | $279,777 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| SOMERSET COUNTY HOSPITAL AUTHORITY | |||||||
| A | 256001040 | 2009-04-27 | $3,590,000 | REPAYMENT OF NOTE | 0 | 0 | 0 |
| SOMERSET COUNTY HOSPITAL AUTHORITY | |||||||
| B | 256001040 | 2015-12-15 | $18,000,000 | REFUND SERIES 2010 NOTE, PROVIDE FUNDING OF PAST & FUTURE CAPITAL PURCHASES | 0 | 0 | 0 |
| SOMERSET COUNTY HOSPITAL AUTHORITY | |||||||
| C | 256001040 | 2015-12-15 | $3,000,000 | PROVIDE OPERATING FUNDS AND TO TERMINATE INTEREST RATE SWAP AGREEMENT | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $1,964,218 | $3,590,000 | $66,780 | 0 | Yes (1) | Yes (1) | Yes (1) | ||
| B | $18,000,000 | $180,151 | 0 | Yes (1) | 0 | Yes (1) | $882,233 | ||
| C | $2,000,000 | $3,000,000 | 0 | 0 | 0 | Yes (1) | $2,365,427 | $212,350 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | Yes (1) | 0 | 0 | 0 | 0 | 0 | ||||||
| KEY BANK | ||||||||||||
| B | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | 9.000000000000 | 0 | 0 | |||
| (no name) | ||||||||||||
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ANN COBER | |||
| BRAD COBER, DIRECTOR - FAMILY MEMBER | $110,944 | EMPLOYEE OF SOMERSET COMMUNITY HOSPITAL | 0 |
| MIKE PETROSKY | |||
| MICHELLE MOON, DIRECTOR - FAMILY MEMBER | $87,367 | EMPLOYEE OF SOMERSET COMMUNITY HOSPITAL | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS ARE SELECTED BY THE BOARD OF DIRECTORS. ANY NATURAL PERSON OVER EIGHTEEN YEARS OF AGE WHO HAVE CONTRIBUTED TO SOMERSET COMMUNITY HOSPITAL IN THE YEAR PRECEDING THE SELECTION AN AMOUNT DETERMINED BY THE BOARD, OR PROPERTY OF EQUIVALENT VALUE SHALL BE ELIGIBLE TO BE SELECTED AS A MEMBER OF SOMERSET COMMUNITY HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD MEMBERS OF SOMERSET COMMUNITY HOSPITAL MUST BE APPROVED BY SOMERSET COMMUNITY HOSPITAL FOUNDATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | SOMERSET COMMUNITY HOSPITAL HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | SOMERSET COMMUNITY HOSPITAL ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES TO FILL OUT A CONFLICTS OF INTEREST FORM. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE, WHICH IS A SUBCOMMITTEE OF THE BOARD OF DIRECTORS, ANNUALLY REVIEWS AND APPROVES THE COMPENSATION OF THEIR ORGANIZATION'S TOP MANAGEMENT. |
| FORM 990, PART VI, SECTION C, LINE 18 | SOMEREST COMMUNITY HOSPITAL MAKES ITS FORM 990 AND CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VI, SECTION C, LINE 19 | AT THIS TIME, SOMERSET COMMUNITY HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 6,167,968. MANAGEMENT AND GENERAL EXPENSES 1,677,178. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,845,146. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 250,957. CHANGE IN DEFINED BENEFIT PENSION COSTS 1,295,712. TRANSFERS TO AFFILIATES -6,745,218. CHANGE IN INTEREST OF TEMP RESTRICTED NET ASSETS OF FOUNDATION -723,905. |
| FORM 990, PART XII, LINE 2C: | SOMERSET COMMUNITY HOSPITAL HAS A FINANCE COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS. THE PROCESS IS CONSISTENT WITH PRIOR YEARS AND HAS NOT CHANGED. |
| FORM 990, PART I | SOMERSET HOSPITAL MERGED WITH UPMC ON FEBRUARY 1, 2019 AND BECAME UPMC SOMERSET. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| TWIN LAKES CENTER INC | ||||||||||
| 225 SOUTH CENTER AVENUE | SOMERSET | PA | 15501 | 232910318 | HEALTH CARE | PA | 501(C)(3) | 509(A)(1) | SOMERSET COMMUNITY HOSPITAL | Yes (1) |
| SOMERSET COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 225 SOUTH CENTER AVENUE | SOMERSET | PA | 15501 | 251441863 | HEALTH CARE | PA | 501(C)(3) | 509(A)(3) | 0 | |
| SOMERSET HEALTH SERVICESINC | ||||||||||
| 225 SOUTH CENTER AVENUE | SOMERSET | PA | 15501 | 251441920 | HEALTH CARE | PA | 501(C)(3) | 509(A)(1) | SOMERSET COMMUN HOSP FOUNDATION | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOMERSET MANAGEMENT SERVICES INC | ||||||||||||
| 225 SOUTH CENTER AVENUE | SOMERSET | PA | 15501 | 251512960 | REAL ESTATE HOLDING | PA | SOMERSET HEALTH SERVICES INC | C | 0 | |||
| SOMERSET ANESTHESIA INC | ||||||||||||
| 225 SOUTH CENTER AVENUE | SOMERSET | PA | 15501 | 455135437 | ANESTHESIA SERVICES | PA | SOMERSET COMMUNITY HOSPITAL | C | Yes (1) | -$1,544,936 | $247,893 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| SOMERSET ANESTHESIA INC | |
| R | $1,544,936 |
| TWIN LAKES CENTER INC | |
| S | $25,000 |