2019-05-13T12:05:46-05:00 2018-06-30 550486667 ARNETT CARBIS TOOTHMAN LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2017-07-01 251441920 SOMERSET HEALTH SERVICES INC SOME 8144435221 225 SOUTH CENTER AVENUE SOMERSET PA 15501 ANDREW RUSH CEO 8144435221 2019-05-13 1 KELLY A BROCIOUS CPA P01254262 4126356270 2019-05-03 216.12.119.47 2019-05-13 09:51:35 ED P FA047645C58205390672F21DBD5C45410A20F442 AD86F7F2406A16AC7B8A9D5584776008676296CD 2017 2019-02-21 02:37:17Z ANDREW RUSH 225 SOUTH CENTER AVENUE SOMERSET PA 15501 11376508 0 X WWW.SOMERSETHOSPITAL.COM X 1983 PA SOMERSET HEALTH SERVICES IS A COMMUNITY HEALTHCARE SERVICE THAT IS COMMITTED TO MANAGING AND OPERATING PRIMARY CARE AND SPECIALTY PHYSICIAN PRACTICES. 6 4 132 4 0 0 715371 884775 9322674 10476698 -345 2562 13693 12473 10051393 11376508 0 0 0 0 9681498 11219696 0 0 0 5214678 5465327 14896176 16685023 -4844783 -5308515 3324364 3700333 2373481 2772683 950883 927650 TO PRESERVE AND TO IMPROVE LIFE BY PROVIDING ACCESS TO QUALITY, CUSTOMER-FRIENDLY HEALTHCARE SERVICES. 0 0 14073996 10489171 SOMERSET HEALTH SERVICES MANAGES AND OPERATES PRIMARY CARE AND SPECIALTY PHYSICIAN PRACTICES. ANNUAL VISITS ARE APPROXIMATELY 74,000. SOMERSET HEALTH SERVICES ALSO MANAGES A SINGLE COUNTY AUTHORITY WHICH PROVIDES FUNDING (RECEIVED BY STATE AND FEDERAL AGENCIES) TO VARIOUS DRUG AND ALCOHOL TREATMENT CENTERS. 14073996 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 19 0 132 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X CRAIG SPROCK 8144435221 225 SOUTH CENTER AVENUE SOMERSET PA 15001 ANDREW RUSH CEO 6.00 34.00 X X 0 250157 22488 SHARON CLAPPER CHAIRMAN 1.00 2.00 X X 0 0 0 BRAD COBER TREASURER 1.00 2.00 X X 0 0 0 TED DESKEVICH MEMBER 1.00 X 0 0 0 KRISTA MATHIAS MEMBER 1.00 2.00 X 0 0 0 TROY MILLER MEMBER 1.00 2.00 X 0 0 0 MATTHEW KOCIOLA CFO 6.00 34.00 X 0 219080 4984 CRAIG SAYLOR SOMERSET HOSPITAL CEO (UNTIL 12/18) 6.00 34.00 X 0 264920 23031 MICHAEL SOBOLEWSKI MD PHYSICIAN 40.00 X 769690 0 16986 JACOB SHIPLEY MD PHYSICIAN 40.00 2.00 X 691875 0 18808 GEORGES BOUSAMRA MD PHYSICIAN 40.00 X 682727 0 18808 EHAB MORCOS MD PHYSICIAN 40.00 X 573476 0 0 JOSE VALLADARES ARIAS MD PHYSICIAN 40.00 X 460092 0 9865 3177860 734157 114970 20 0 1 0 ALLEGHENY CLINIC 30 ISABELLA STREET PITTSBURGH PA 15212 PHYSICIAN SERVICES 595801 1 884775 884775 NET PATIENT REVENUE 621610 10476698 10476698 10476698 2562 0 2562 2562 2562 SOMERSET MGMT SERVICES INCOME 900099 12473 12473 12473 11376508 10489171 0 2562 X 9883882 7907115 1976767 31073 24858 6215 854960 683968 170992 449781 359825 89956 215181 215181 1669534 1567484 102050 81816 81816 88149 80196 7953 574941 556479 18462 15177 14594 583 117684 117684 676 676 114813 93890 20923 132900 132900 MEDICAL SUPPLIES/DRUGS 887572 887572 INTERNAL BILLING COSTS 731836 731586 250 PROVIDER EXPENSES 476165 476165 CONSULTANT FEES 220352 220352 138531 136836 1695 16685023 14073996 2611027 0 378088 262302 909101 1215687 109465 51105 47643 36205 2273819 1701061 508876 572758 511284 523757 859907 1038519 3324364 3700333 1513574 1734164 859907 1038519 2373481 2772683 X 950883 927650 950883 927650 3324364 3700333 X -5308515 5285282 X X 0 1 X 1 0 X 80343 19132 61211 2193476 1681929 511547 572758 INVESTMENT IN SOMERSET MANAGEMENT SERVICES, INC. 523757 C 523757 HELD BY TRUSTEE 1038519 1038519 HELD BY TRUSTEE 1038519 1038519 0 0 0 0 0 1 0 0 0 ANDREW RUSH CEO 0 250157 0 0 0 0 0 5187 0 17301 0 272645 0 0 MATTHEW KOCIOLA CFO 0 219080 0 0 0 0 0 3709 0 1275 0 224064 0 0 CRAIG SAYLOR SOMERSET HOSPITAL CEO (UNTIL 12/18) 0 264920 0 0 0 0 0 5385 0 17646 0 287951 0 0 MICHAEL SOBOLEWSKI MD PHYSICIAN 769690 0 0 0 0 0 0 0 16986 0 786676 0 0 0 JACOB SHIPLEY MD PHYSICIAN 691875 0 0 0 0 0 0 0 18808 0 710683 0 0 0 GEORGES BOUSAMRA MD PHYSICIAN 682727 0 0 0 0 0 0 0 18808 0 701535 0 0 0 EHAB MORCOS MD PHYSICIAN 573476 0 0 0 0 0 0 0 0 0 573476 0 0 0 JOSE VALLADARES ARIAS MD PHYSICIAN 460092 0 0 0 0 0 0 0 9865 0 469957 0 0 0 PART I, LINE 3 SOMERSET HEALTH SERVICES' MANAGEMENT IS EMPLOYED BY SOMERSET COMMUNITY HOSPITAL. SOMERSET COMMUNITY HOSPITAL'S EXECUTIVE COMMITTEE, WHICH IS A SUBCOMMITTEE OF THE BOARD OF DIRECTORS, ANNUALLY REVIEWS AND APPROVES THE COMPENSATION OF THEIR ORGANIZATION'S TOP MANAGEMENT. PART I, LINE 6 PHYSICIANS MAY BE GRANTED ADDITIONAL COMPENSATION DEPENDENT ON THE ACHIEVING OF CERTAIN INDICATORS BY THE COMPANY FORM 990, PART VI, SECTION B, LINE 11B SOMERSET HEALTH SERVICES, INC. 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 HEALTH SERVICES, INC. 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 SOMERSET HEALTH SERVICES' MANAGEMENT IS EMPLOYED BY SOMERSET COMMUNITY HOSPITAL. SOMERSET COMMUNITY HOSPITAL'S 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 SOMERSET HEALTH SERVICES, INC. MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, SOMERSET HEALTH SERVICES, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,567,484. MANAGEMENT AND GENERAL EXPENSES 102,050. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,669,534. FORM 990, PART XI, LINE 9: TRANSFERS FROM AFFILIATES 5,285,282. FORM 990, PART XII, LINE 2C: SOMERSET COMMUNITY HOSPITAL, A TAX-EXEMPT AFFILIATE OF SOMERSET HEALTH SERVICES, INC. HAS A FINANCE COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS ON BEHALF OF SOMERSET HEALTH SERVICES, INC. THE PROCESS IS CONSISTENT WITH PRIOR YEARS AND HAS NOT CHANGED. SOMERSET COMMUNITY HOSPITAL 225 SOUTH CENTER AVENUE SOMERSET PA 15501 250965570 HEALTH CARE PA 501(C)(3) 509(A)(1) SOMERSET COMMUN HOSP FOUNDATION 0 SOMERSET COMMUNITY HOSPITAL FOUNDATION 225 SOUTH CENTER AVENUE SOMERSET PA 15501 251441863 HEALTH CARE PA 501(C)(3) 509(A)(3) 0 TWIN LAKES CENTER INC 225 SOUTH CENTER AVENUE SOMERSET PA 15501 232910318 HEALTH CARE PA 501(C)(3) 509(A)(1) SOMERSET COMMUNITY HOSPITAL 0 SOMERSET MANAGEMENT SERVICES INC 225 SOUTH CENTER AVENUE SOMERSET PA 15501 251512960 REAL ESTATE HOLDING COMPANY PA SOMERSET HEALTH SERVICES INC C 14712 2121920 1.00000 1 SOMERSET ANESTHESIA INC 225 SOUTH CENTER AVENUE SOMERSET PA 15501 455135437 ANESTHESIA SERVICES PA SOMERSET COMMUNITY HOSPITAL C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 1