2016-05-04T16:00:06-05:00 2015-06-30 550486667 ARNETT CARBIS TOOTHMAN LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2014-07-01 251441920 SOMERSET HEALTH SERVICES INC SOME 8144435221 225 SOUTH CENTER AVENUE SOMERSET PA 15501 ANDREW RUSH CEO 8144435221 2016-04-27 1 JEFFREY J PETRELL CPA P00138808 4126356270 2016-04-27 2014 2016-08-17 19:52:53Z ANDREW RUSH 225 SOUTH CENTER AVENUE SOMERSET PA 15501 8965204 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 4 109 4 0 0 722675 726548 8055999 8221800 29 32 30031 16824 8808734 8965204 0 0 0 0 7583772 7075820 0 0 0 4421174 4992485 12004946 12068305 -3196212 -3103101 2716150 2323223 1628518 1783838 1087632 539385 TO PRESERVE AND TO IMPROVE LIFE BY PROVIDING ACCESS TO QUALITY, CUSTOMER-FRIENDLY HEALTHCARE SERVICES. 0 0 10408661 8221800 SOMERSET HEALTH SERVICES MANAGES AND OPERATES PRIMARY CARE AND SPECIALTY PHYSICIAN PRACTICES. ANNUAL VISITS ARE APPROXIMATELY 60,000. 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. 10408661 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 1 0 0 1 14 0 1 109 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 MATTHEW KOCIOLA 8144435221 225 SOUTH CENTER AVENUE SOMERSET PA 15001 SHARON CLAPPER CHAIRMAN 1.00 1.00 X X 0 0 0 BRAD COBER TREASURER 1.00 2.00 X X 0 0 0 TROY MILLER MEMBER 1.00 X 0 0 0 TED DESKEVICH MEMBER 1.00 X 0 0 0 BRUCE SHIPLEY MEMBER 1.00 2.00 X 0 0 0 ANDREW RUSH CEO 6.00 34.00 X X 0 210695 20796 MATTHEW KOCIOLA CFO 6.00 34.00 X 0 149161 19499 CRAIG SAYLOR SOMERSET COMMUNITY HOSPITAL CEO 6.00 34.00 X 0 210925 20698 V KRISHNAN NAIR MD PHYSICIAN 40.00 2.00 X 428269 0 14162 MICHAEL SOBOLEWSKI MD PHYSICIAN 40.00 1.00 X 694121 0 16054 DAVID GIRDANY MD PHYSICIAN 40.00 X 436000 0 16054 JAYESH DESAI MD PHYSICIAN 40.00 X 420000 0 16624 PRADEEP NAIR MD PHYSICIAN 40.00 X 592003 0 16054 RONALD PARK FORMER CEO/CFO 0.00 X 0 141347 3378 MICHAEL FARRELL FORMER CEO 0.00 X 0 102560 882 2570393 814688 144201 17 1 1 0 0 726548 726548 NET PATIENT REVENUE 621610 8221800 8221800 8221800 32 32 SOMERSET MGMT SERVICES 900099 16824 16824 16824 8965204 8221800 0 16856 X 6144278 4915422 1228856 26116 20893 5223 571050 456840 114210 334376 267501 66875 103851 103851 20200 20200 2246303 2168546 77757 21658 21658 104948 95664 9284 476352 463092 13260 3713 2577 1136 64369 64369 131710 123541 8169 76574 67644 8930 MEDICAL SUPPLIES/DRUGS 790042 790042 PROVIDER EXPENSES 463107 463107 INTERNAL BILLING COSTS 365758 365196 562 EQUIPMENT RENTAL & MAIN 114322 112991 1331 9578 9578 12068305 10408661 1659644 0 468856 248351 587384 570296 116212 132198 13701 1833081 1584042 451537 249039 473074 489898 619087 619740 2716150 2323223 1009431 1164098 619087 619740 1628518 1783838 X 1087632 539385 1087632 539385 2716150 2323223 X -3103101 117585 2437269 X X 0 1 X 1 1 1 X 97277 93479 3798 1724227 1481165 243062 11577 9398 2179 249039 INVESTMENT IN SOMERSET MANAGEMENT SERVICES, INC. 489898 C 489898 HELD BY TRUSTEE 619740 619740 HELD BY TRUSTEE 619740 619740 1 0 0 0 0 1 0 0 0 ANDREW RUSH CEO 0 193695 0 17000 0 0 0 4355 0 16441 0 231491 0 0 MATTHEW KOCIOLA CFO 0 149161 0 0 0 0 0 3169 0 16330 0 168660 0 0 CRAIG SAYLOR SOMERSET COMMUNITY HOSPITAL CEO 0 210925 0 0 0 0 0 4300 0 16398 0 231623 0 0 V KRISHNAN NAIR MD PHYSICIAN 428269 0 0 0 0 0 0 0 14162 0 442431 0 0 0 MICHAEL SOBOLEWSKI MD PHYSICIAN 684121 0 10000 0 0 0 0 0 16054 0 710175 0 0 0 DAVID GIRDANY MD PHYSICIAN 436000 0 0 0 0 0 0 0 16054 0 452054 0 0 0 JAYESH DESAI MD PHYSICIAN 420000 0 0 0 0 0 0 0 16624 0 436624 0 0 0 PRADEEP NAIR MD PHYSICIAN 542003 0 50000 0 0 0 0 0 16054 0 608057 0 0 0 RONALD PARK FORMER CEO/CFO 0 64424 0 0 0 76923 0 563 0 2815 0 144725 0 0 MICHAEL FARRELL FORMER CEO 0 102560 0 0 0 0 0 882 0 0 0 103442 0 0 PART I, LINE 3 SOMERSET HEALTH SERVICES' MANAGEMENT IS EMPLOYED BY SOMERSET COMMUNITY HOSPITAL. SOMERSET COMMUNITY HOSPITAL'S LEADERSHIP 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 4A RONALD PARK $76,923 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 11 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 LEADERSHIP 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 2,168,546. MANAGEMENT AND GENERAL EXPENSES 77,757. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,246,303. FORM 990, PART XI, LINE 9: TRANSFERS FROM AFFILIATES 2,437,269. 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 88160 2427469 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 SOMERSET MANAGEMENT SERVICES INC K 100000