LEHIGH VALLEY HOSPITAL - SCHUYKILL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- LEHIGH VALLEY HOSPITAL - SCHUYKILL (EIN 23-1352202)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201341359349307804
- Schema version
- 2011v1.5
- 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 H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T15:34:30-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232932984 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MARKET STREET | AddressLine1 |
| City | WILLIAMSPORT | City |
| State | PA | State |
| ZIP Code | 17701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231352202 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHUYLKILL MEDICAL CTR - SOUTH JACKSON | BusinessNameLine1 |
| Business Name Line2 | ST F/K/A POTTSVILLE HOSP & WARNE CLINIC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SCHU | NameControl |
| Phone | 5706215000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MAUCH CHUNK AND JACKSON STREETS | AddressLine1 |
| City | POTTSVILLE | City |
| State | PA | State |
| ZIP Code | 17901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN E SIMODEJKA PRESIDENTCEO | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 5706215000 | Phone |
| Date Signed | 2013-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIUS C GREEN CPA JD | Name |
| PTIN | P00350393 | PTIN |
| Phone | 5703236023 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN E SIMODEJKA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MAUCH CHUNK AND JACKSON STREETS | AddressLine1 |
| City | POTTSVILLE | City |
| State | PA | State |
| ZIP Code | 17901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 96258677 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SCHUYLKILLHEALTH.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2008 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | TO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE FOR THE SCHUYLKILL COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1015 | TotalNbrEmployees |
| Total Nbr Volunteers | 62 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 754767 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 634676 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 88312632 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 93782441 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 146522 | InvestmentIncomePriorYear |
| Investment Income Current Year | 757229 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3778843 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1052362 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 92992764 | TotalRevenuePriorYear |
| Total Revenue Current Year | 96226708 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 8891 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 6991 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 50186039 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 50252618 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 42979128 | OtherExpensePriorYear |
| Other Expenses Current Year | 43472537 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 93174058 | TotalExpensesPriorYear |
| Total Expenses Current Year | 93732146 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -181294 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2494562 | RevenuesLessExpensesCY |
| Total Assets BOY | 53301818 | TotalAssetsBOY |
| Total Assets EOY | 51713293 | TotalAssetsEOY |
| Total Liabilities BOY | 64218346 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 75254898 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -10916528 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -23541605 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET'S MISSION IS TO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE AVAILABLE FOR THE SCHUYLKILL COUNTY COMMUNITY. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 77817071 | Expense |
| Grants | 6991 | Grants |
| Revenue | 93983835 | Revenue |
| Description | IN FISCAL YEAR 2012, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET ADMITTED 7,805 INPATIENTS, PROVIDED EMERGENCY CARE FOR 31,366 PEOPLE, DELIVERED MORE THAN 1,045 BABIES, DID MORE THAN 13,200 HOME HEALTH CARE VISITS AND PROVIDED MORE THAN 92,500 OUTPATIENT TESTS AND PROCEDURES.THE SCHUYLKILL HEALTH SYSTEM HAS A COMPREHENSIVE CHARITY CARE PROGRAM. CHARGES FOREGONE FOR SERVICES RENDERED AND SUPPLIES FURNISHED UNDER THIS PROGRAM AMOUNTED TO $1,600,000 DURING FISCAL YEAR 2012.THE COSTS ASSOCIATED WITH THE CHARITY CARE SERVICES PROVIDED ARE ESTIMATED BY APPLYING A COST-TO-CHARGE RATIO TO THE AMOUNT OF UNCOMPENSATED CHARGES FOR THE PATIENTS RECEIVING CHARITY CARE. THE LEVEL OF CHARITY CARE PROVIDED BY THE CORPORATION AMOUNTED TO APPROXIMATELY $653,000 DURING FISCAL YEAR 2012.SCHUYLKILL HEALTH IS COMMITTED TO THE PHYSICAL, MENTAL, AND EMOTIONAL HEALTH OF OUR ENTIRE COMMUNITY. AS A HEALTHCARE FACILITY, WE ARE CONCERNED WITH THE HEALTH AWARENESS OF OUR NEIGHBORS, FAMILY, AND FRIENDS.OUR COMMUNITY LOOKS TO US TO HELP EDUCATE THEM ON CURRENT HEALTH CARE TOPICS AS WELL AS THE EVERYDAY HEALTH ISSUES THAT CONCERN EVERYONE. THROUGH OUR INITIATIVES WE CAN REACH OUT AND HELP OTHERS UNDERSTAND WHERE TO GO, WHAT TO ASK, AND WHO TO SEE FOR THEIR HEALTHCARE NEEDS. WE CAN GIVE OUR COMMUNITY THE CONFIDENCE THEY NEED WHEN MAKING WISE CHOICES. SCHUYLKILL MEDICAL CENTER HOSTS APPROXIMATELY TWELVE (12) CHAT (COMMUNITY HEALTH AWARENESS TALKS) A YEAR. MONTHLY PROGRAMS ARE HELD ON CAMPUS OR CHAT ON THE ROADS. CHAT TOPICS HAVE INCLUDED, BUT ARE NOT LIMITED TO NUTRITION, PHYSICAL FITNESS, DIABETES AWARENESS, BREAST CANCER AWARENESS, CANCER, ARTHRITIS, SEIZURE TREATMENTS, AND HEART HEALTH TO NAME A FEW.SCHUYLKILL HEALTH ALSO SPONSORS AN ANNUAL "WOMEN'S DAY"; WOMEN HAVE GATHERED OVER THE PAST SEVEN YEARS TO ATTEND A FREE EVENT. ALL GENERATIONS ENJOY BEING EDUCATED, HAVING THE ABILITY TO ASK QUESTIONS IN A COMFORTABLE SETTING WHILE SPENDING TIME WITH OLD AND NEW FRIENDS, AND SIPPING ON THAT GREAT CUP OF COFFEE. WE EXPLORE THE "WHOLE" PERSON - BODY, MIND, AND SPIRIT AND ENABLE THEM TO CAPTURE INFORMATION TO SHARE WITH OTHERS AT HOME, WORK, OR IN THEIR NEIGHBORHOOD.THE SCHUYLKILL HEALTH AUXILIARY SPONSORED THE "LITTLE RED DRESS" EVENT WHERE MORE THAN 180 WOMEN LEARNED ABOUT THE RISKS OF HEART DISEASE AND PREVENTATIVE MEASURES. THE EVENT FEATURED HEALTH SCREENINGS, VENDORS, FASHION SHOW AND ENTERTAINMENT. SCREENINGS INCLUDED BLOOD PRESSURE, BODY MASS INDEX, OSTEOPOROSIS AS WELL AS A CARDIAC HEALTH ASSESSMENT. PRESENTATIONS INCLUDED MARTIAL ARTS DEMONSTRATIONS AND FITNESS PROGRAM.SCHUYLKILL MEDICAL CENTER HOSTS A CANCER SUPPORT GROUP FOR CANCER SURVIVORS, FAMILY AND CARE GIVERS. EACH MONTH, A GROUP OF SURVIVORS GATHER TO TALK ABOUT RECENT TREATMENT, HOW THEY ARE FEELING AND TO CELEBRATE LIFE. WE ALSO HOST A GENTLE YOGA WELLNESS PROGRAM FOR SURVIVORS AND CARE GIVERS. THOSE IN ATTENDANCE HAVE SLEPT BETTER, THEIR "HOT FLASHES" HAVE CEASED, AND THEY ARE ABLE TO RELAX. WE HOLD A FREE SKIN CANCER SCREENING TO THE GENERAL PUBLIC. WE SCREEN APPROX. 125 PEOPLE; REFER 50 PEOPLE. THIS SCREENING SAVES LIVES. DIABETES NUMBERS CONTINUE TO RISE, ESPECIALLY IN SCHUYLKILL COUNTY. WE OFFER FREE DIABETES EDUCATION ALONG WITH A DIABETES SUPPORT GROUP.WE ALSO HOLD A 5K WALK/RUN FOR DIABETES, THE GOAL IS TO INCREASE THE AWARENESS AND RISKS ASSOCIATED WITH DIABETES. APPROXIMATELY 150 RUNNERS AND 200 WALKERS PARTICIPATE AS WELL AS NUMEROUS FRIENDS AND FAMILY TAKE ADVANTAGE OF INFORMATION PRESENTATIONS.FREE HEALTH SCREENINGS AND WELLNESS PROGRAMS ARE HELD THROUGHOUT THE YEAR AT VARIOUS LOCATIONS IN OUR COMMUNITY. BLOOD PRESSURES, BODY FAT, BONE DENSITY SCREENINGS ARE JUST A FEW OF THE SERVICES WE PROVIDE AT NO COST TO OUR COMMUNITY. | Description |
| Total Program Service Expense | 77817071 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 32 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1015 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERNIE KOSKULITZ DIRECTOR FINANCE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5706215142 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 SOUTH JACKSON STREET | AddressLine1 |
| City | POTTSVILLE | City |
| State | PA | State |
| ZIP Code | 17901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JESSE ACHENBACH | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DEBRA BLASCHAK | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SARAH CASEY | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JAMES GALLAGHER EDD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM L JONES III | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ALLEN E KIEFER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SYED SHAH MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT M ZIMMERMAN JRD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JUDGE JOSEPH F MCCLOSKEY | ||||||||
| CHAIRMAN EMERITUS | 1.00 | X | 0 | 0 | 0 | |||
| JUDGE WILLIAM BALDWIN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ANTHONY BARAN | ||||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | ||
| FRANKLIN K SCHOENEMAN | ||||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | ||
| JAY M LINARD | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| WILLIAM KIRWAN CPA ESQ | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | ||
| JOHN E SIMODEJKA | ||||||||
| PRESIDENT/CEO | 37.50 | 398102 | 0 | 19734 | X | |||
| DIANE BORIS | ||||||||
| CFO | 16.00 | 0 | 112764 | 20327 | X | |||
| DARNELL FURER | ||||||||
| CNO | 20.10 | 0 | 179794 | 19657 | X | |||
| RICHARD BINDIE | ||||||||
| DIRECTOR OF PATHOLOGY | 37.50 | 273691 | 0 | 13228 | X | |||
| LYNDA L JAKUBCO | ||||||||
| CRNA | 37.50 | 218309 | 0 | 13205 | X | |||
| JULIANNE M TIDMORE | ||||||||
| CRNA | 37.50 | 229045 | 0 | 14195 | X | |||
| MARY R TUNNESSEN | ||||||||
| CRNA | 37.50 | 215967 | 0 | 13205 | X | |||
| SHERRY L BURINSKY BOTTOR | ||||||||
| CRNA | 37.50 | 247120 | 0 | 14195 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1582234 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 292558 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 127746 | TotalOtherCompensation |
| Number Individuals GT100 K | 24 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| INSIGHT HEALTH CORP | |||||
| PO BOX 847687 | DALLAS | TX | 75284 | PET SCAN & MRI SERVICE | 1403042 |
| QUEST DIAGNOSTICS INC | |||||
| 12436 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | REFERENCE LAB SERVICE | 842490 |
| GE HEALTHCARE | |||||
| PO BOX 640944 | PITTSBURGH | PA | 15264 | MAINTENANCE SERVICES - RADIOLOGY | 829790 |
| SODEXHO INC & AFFILIATES | |||||
| PO BOX 360170 | PITTSBURGH | PA | 15251 | DIETARY | 785028 |
| ARAMARK | |||||
| 450 WASHINGTON STREET | POTTSVILLE | PA | 17901 | CLINICAL ENGINEERING AND ENVIRONMENTAL | 717748 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| Related Organizations | 134711 | RelatedOrganizations |
| Government Grants | 153478 | GovernmentGrants |
| All Other Contributions | 346487 | AllOtherContributions |
| Noncash Contributions | 5075 | NoncashContributions |
| Total Contributions | 634676 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621400 | 93184373 | 93184373 |
| SCHOOL OF NURSING | 621400 | 598068 | 598068 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 93782441 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 710966 | TotalRevenueColumn |
| Exclusion | $710,966 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 40266 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 31969 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 8297 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8297 | TotalRevenueColumn |
| Exclusion | $8,297 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 46263 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 46263 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 46263 | TotalRevenueColumn |
| Exclusion | $46,263 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA & VENDING | 561439 | 337878 | $337,878 | |
| TOBACCO SETTLEMENT FUN | 561439 | 321383 | $321,383 | |
| AUTOPSY FEES | 621400 | 102801 | 102801 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 282003 | TotalRevenueColumn |
| Related Or Exempt Function Income | 98593 | RelatedOrExemptFunctionIncome |
| Exclusion | $183,410 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1044065 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 96226708 | TotalRevenueColumn |
| Related Or Exempt Function Income | 93983835 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,608,197 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6316 | Total |
| Program Services | 6316 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 675 | Total |
| Program Services | 675 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39921791 | Total |
| Program Services | 32998730 | ProgramServices |
| Management And General | 6923061 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2006383 | Total |
| Program Services | 1658445 | ProgramServices |
| Management And General | 347938 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5453632 | Total |
| Program Services | 5326185 | ProgramServices |
| Management And General | 127447 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2870812 | Total |
| Program Services | 2384012 | ProgramServices |
| Management And General | 486800 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93308 | Total |
| Management And General | 93308 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24563 | Total |
| Program Services | 24563 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10687247 | Total |
| Program Services | 6496515 | ProgramServices |
| Management And General | 4190732 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86566 | Total |
| Management And General | 86566 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11044989 | Total |
| Program Services | 10025180 | ProgramServices |
| Management And General | 1019809 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1350362 | Total |
| Program Services | 7086 | ProgramServices |
| Management And General | 1343276 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104084 | Total |
| Program Services | 90408 | ProgramServices |
| Management And General | 13676 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31883 | Total |
| Program Services | 12033 | ProgramServices |
| Management And General | 19850 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1645780 | Total |
| Program Services | 1645780 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4670673 | Total |
| Program Services | 4670673 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1016890 | Total |
| Program Services | 1016890 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 7543968 | 7543968 | |
| DRUGS | 2991980 | 2991980 | |
| COLLECTION FEES | 643827 | 643827 | |
| FOOD | 586077 | 586077 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 950340 | Total |
| Program Services | 331555 | ProgramServices |
| Management And General | 618785 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93732146 | Total |
| Program Services | 77817071 | ProgramServices |
| Management And General | 15915075 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1500 | BOY |
| EOY | 1500 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5035733 | BOY |
| EOY | 5284030 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9154975 | BOY |
| EOY | 9901895 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1092255 | BOY |
| EOY | 1213330 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 464788 | BOY |
| EOY | 666603 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 80445703 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 57192420 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24690177 | BOY |
| EOY | 23253283 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 842343 | BOY |
| EOY | 727153 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4996659 | BOY |
| EOY | 5521164 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7023388 | BOY |
| EOY | 5144335 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53301818 | BOY |
| EOY | 51713293 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31535205 | BOY |
| EOY | 41950935 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 393750 | BOY |
| EOY | 323750 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26744238 | BOY |
| EOY | 25439498 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1500000 | BOY |
| EOY | 1500000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4045153 | BOY |
| EOY | 6040715 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64218346 | BOY |
| EOY | 75254898 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -15269200 | BOY |
| EOY | -27983738 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34724 | BOY |
| EOY | 137549 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4317948 | BOY |
| EOY | 4304584 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -10916528 | BOY |
| EOY | -23541605 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53301818 | BOY |
| EOY | 51713293 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2494562 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -15119639 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $14,063 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $10,500 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 24563 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | A PORTION OF THE HOSPITAL'S DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL ASSOCIATION OF PENNSYLVANIA (HAP) ARE USED FOR LOBBYING PURPOSES. BOB ALLEN WORKED ON BEHALF OF THE HOSPITAL WITH GOVERNMENTAL OFFICIALS AND REPRESENTATIVES OF AND CONSULTANTS TO STATE AND LOCAL GOVERNMENTAL AGENCIES, BOARDS, COMMITTEES AND COMMISSIONS, INCLUDING WITHOUT LIMITATION MEETINGS WITH SUCH OFFICIALS, REPRESENTATIVES AND CONSULTANTS, REGARDING LEGISLATIVE, REGULATORY AND OTHER ISSUES THAT AFFECT THE INTERESTS AND AFFAIRS OF THE HOSPITAL AS MAY BE ASSIGNED BY THE HOSPITAL FROM TIME TO TIME. BOB ALLEN ALSO ATTENDS AND REPORTS AT HOSPITAL BOARD MEETINGS AND STAFF MEETINGS, IF REQUIRED. BOB ALLEN ALSO PERFORMS SUCH OTHER TASKS AND ACTIVITIES OF A GENERAL GOVERNMENTAL RELATIONS NATURE AS MAY BE ASSIGNED BY THE HOSPITAL FROM TIME TO TIME. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 745633 | OtherCostOrOtherBasis |
| Book Value | 745633 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 49974904 | OtherCostOrOtherBasis |
| Depreciation | 34820605 | Depreciation |
| Book Value | 15154299 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29433194 | OtherCostOrOtherBasis |
| Depreciation | 22371815 | Depreciation |
| Book Value | 7061379 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 291972 | OtherCostOrOtherBasis |
| Book Value | 291972 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 23253283 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| FEDERAL AGENCY OBLIGATIONS | 2181420 | F |
| ACCRUED INVESTMENT INCOME | 11852 | F |
| INVESTMENT IN PENNSYLVANIA COMMUNITY HOSPITAL ASSOCIATION | 3327892 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 5521164 | TotalOfBookValueSecurities |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BENEFICIAL INTEREST IN PERPETUAL TRUST | 3912702 |
| DEFERRED FINANCING COSTS, NET | 66240 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | 316926 |
| INSURANCE RECOVERIES RECEIVABLE | 848467 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5144335 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OBLIGATION UNDER CAPITAL LEASE | $3,174,399 |
| BLUE CROSS CURRENT FINANCING ADVANCE | $479,000 |
| ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY | $1,575,267 |
| DUE TO AFFILIATES | $812,049 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6040715 | TotalOfAmounts |
| Total Revenue | 96226708 | TotalRevenue |
| Total Expenses | 93732146 | TotalExpenses |
| Excess Or Deficit For Year | 2494562 | ExcessOrDeficitForYear |
| Other | -$15,119,639 | OtherAmount |
| Total Adjustments | -15119639 | TotalAdjustments |
| Excess Or Deficit Per FS | -12625077 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 80872156 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -15359849 | OtherRevenues |
| Revenue Not Rptd F990 | -15359849 | RevenueNotRptdF990 |
| Revenue Subtotal | 96232005 | RevenueSubtotal |
| Other Revenues Not Included | -5297 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -5297 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 96226708 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 93497233 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 5297 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 5297 | ExpensesNotRptdF990 |
| Expenses Subtotal | 93491936 | ExpensesSubtotal |
| Other Expenses Not Included | 240210 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 240210 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 93732146 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE CORPORATION PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY IN RECORDING TAX LIABILITIES IN THE FINANCIAL STATEMENTS. MEASUREMENT AND RECOGNITION OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE MEDICAL CENTERS, THE FOUNDATION, SMG, AND THE CENTERS FOR 2011, 2010, AND 2009 REMAIN SUBJECT TO EXAMINATION BY THE IRS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | PENSION LIABILITY ADJUSTMENT -14,421,644. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT -684,631. VALUATION GAIN -13,364. TOTAL TO SCHEDULE D, PART XI, LINE 8: -15,119,639. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | POST RETIREMENT BENEFIT LIABILITY ADJUSTMENT -684,631. VALUATION LOSS -13,364. PENSION LIABILITY ADJUSTMENT -14,421,644. MEANINGFUL USE EXPENSE NETTED AGAINST REVENUE ON F/S -240,210. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -31,969. ACCOUNTING FEES 26,672. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 31,969. ACCOUNTING FEES -26,672. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | MEANINGFUL USE EXPENSE NETTED AGAINST REVENUE ON F/S 240,210. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 250.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 351957 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 351957 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00410 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14566985 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10163376 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4403609 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05110 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14918942 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10163376 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4755566 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05520 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 174 | PersonsServed |
| Total Community Benefit Expense | 125451 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 125451 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6050 | PersonsServed |
| Total Community Benefit Expense | 31262 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1800 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 29462 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4519318 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3277883 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1241435 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01440 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6224 | PersonsServed |
| Total Community Benefit Expense | 4676031 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3279683 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1396348 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01620 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6224 | PersonsServed |
| Total Community Benefit Expense | 19594973 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13443059 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6151914 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07140 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 100 | PersonsServed |
| Total Community Building Expense | 507 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 507 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 232 | PersonsServed |
| Total Community Building Expense | 50 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 50 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10 | PersonsServed |
| Total Community Building Expense | 188 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 188 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 423 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 423 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11 | PersonsServed |
| Total Community Building Expense | 22377 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 22377 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 353 | PersonsServed |
| Total Community Building Expense | 23545 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 23545 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $7,543,968 | BadDebtExpenseAmount |
| Amount Attributable To | 2944856 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 27886450 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 27860285 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 26165 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHUYLKILL MEDICAL CENTER SOUTH JACKSON | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 SOUTH JACKSON STREET | AddressLine1 |
| City | POTTSVILLE | City |
| State | PA | State |
| ZIP Code | 17901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHUYLKILL MEDICAL CENTER SOUTH JACKSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 250.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 250.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: SCHUYLKILL MEDICAL CENTER - SOUTH COMPUTED A COST TO CHARGE RATIO USING INFORMATION FROM THE MOST RECENTLY FILED MEDICARE COST REPORT (FYE 6/30/12) FOR THE CALCULATION OF COSTS FOR CHARITY CARE AND MEDICAID. DIRECT COSTS ARE OBTAINED FROM THE HOSPITAL COMPUTER SYSTEM FOR EACH COST CENTER FOR ALL OTHER BENEFITS. INDIRECT COSTS ARE COMPUTED UTILIZING THE MOST RECENTLY FILED MEDICARE COST REPORT (FYE 6/30/12). | |
| PART I, LINE 7G: THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED. | |
| PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED OUT FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCH H, PART I, LINE 7, COLUMN (F) IS $7,543,968. | |
| PART II: ECONOMIC DEVELOPMENT - SCHUYLKILL COUNTY CHILD DEVELOPMENT POLICY COUNCIL, CHILD DEVELOPMENT IS A DAY CARE PROGRAM IN SCHUYLKILL COUNTY THAT IS PROVIDED TO ANYONE BUT IS FOCUSED ON CHILDREN OF PARENTS WHO CANNOT AFFORD TO PAY THE FULL COST OF DAYCARE. IF THIS SERVICE WAS NOT AVAILABLE FOR THESE PARENTS, THEY WOULD NOT BE ABLE TO WORK BECAUSE THEY WOULD HAVE TO STAY HOME TO TAKE CARE OF THEIR CHILDREN. WE HAVE A CLINICAL RN CHARGE NURSE WHO ATTENDS THE MEETINGS AND IS A MEMBER OF THIS POLICY COUNCIL.COMMUNITY SUPPORT - BRIDGE HOUSE OF SCHUYLKILL COUNTY - THE BRIDGE HOUSING PROGRAM IS A TRANSITIONAL HOUSING SERVICE LOCATED ON THE GROUNDS OF THE POTTSVILLE HOUSING AUTHORITY AT LAUREL TERRACE, POTTSVILLE, PENNSYLVANIA. BRIDGE HOUSING PROVIDES COMPREHENSIVE SERVICES TO PERSONS FACING LONG-TERM HOMELESSNESS AND PROVIDES A SUPPORTIVE, SAFE ENVIRONMENT FOR ADULTS AND CHILDREN. STUDENTS FROM THE SCHOOL OF NURSING PROVIDE TALKS TO RESIDENTS ABOUT SEVERAL DIFFERENT HEALTH TALKS INCLUDING PARENTING AND HEALTH PREVENTION.COALITION BUILDING - SCHUYLKILL COUNTY CHILD DEVELOPMENT HEALTH ADVISORY - FOR THIS WE HAVE ONE OF OUR SCHOOL OF NURSING INSTRUCTORS ADVISE CHILD DEVELOPMENT ON CERTAIN HEALTH MATTERS. THIS HELPS FORM A PARTNERSHIP OR COALITION WITH SCHUYLKILL COUNTY CHILD DEVELOPMENT.WORKFORCE DEVELOPMENT - SCHUYLKILL TRAINING AND TECHNOLOGY CENTER PROVIDES ASSISTANCE AND GUIDANCE TO THE LPN PROGRAM AT THE TRAINING & TECHNOLOGY CENTER AND ALSO KEEPS THE ADMINISTRATION AND LPN PROGRAM FACULTY UP TO DATE ON HEALTH CARE RELATED INFORMATION. THIS HELPS TO ENSURE THE LPN PROGRAM HAS A BACKGROUND THAT IS UP TO DATE TO PROVIDE THE STUDENTS TO ENTER THE WORKFORCE RIGHT AFTER GRADUATION. | |
| PART III, LINE 4: ACCOUNTS RECEIVABLE, OTHER ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF INDIVIDUAL ACCOUNTS.ALL APPROPRIATE DISCOUNTS AND PAYMENTS ARE REFLECTED ON EACH PATIENTS' ACCOUNT. ONCE A PATIENT IS IDENTIFIED AS BAD DEBT, THE BALANCE THAT IS BAD DEBT WOULD BE CHARGES NET OF ANY PAYMENTS OR ADJUSTMENTS. THE COST OF BAD DEBT EXPENSE IS CALCULATED BY USING THE COST TO CHARGE RATIO FROM THE MOST RECENTLY FILE MEDICARE COST REPORT AND APPLYING THAT TO THE CHARGE.WE BELIEVE THAT A PORTION OF OUR BAD DEBTS RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNABLE OR UNWILLING TO PROVIDE THE APPROPRIATE DOCUMENTATION TO ALLOW THAT CLASSIFICATION. THESE WOULD BE CLASSIFIED AS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO TO ARRIVE AT THE COST. | |
| PART III, LINE 8: THE HOSPITAL USES THE COST-TO-CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. | |
| PART III, LINE 9B: THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. ALL STAFF INVOLVED IN DEBT COLLECTION (EMPLOYEES OF THE MEDICAL CENTER AND ANY THIRD PARTY AGENCIES) ARE TRAINED ON THE POLICY AS WELL AS THE CHARITY CARE POLICY. IN DEALING WITH PATIENTS IN DEBT COLLECTION, STAFF WILL INFORM PATIENTS OF THE CHARITY CARE POLICY THAT IS AVAILABLE AND ALSO ANY OTHER FINANCIAL ASSISTANCE POLICIES OF THE MEDICAL CENTER THAT MAY BE APPLICABLE TO THE PATIENT. THE STAFF WILL INSTRUCT PATIENTS ON APPROPRIATE PAPERWORK THAT NEEDS TO BE COMPLETED IN REGARDS TO CHARITY CARE OR FINANCIAL ASSISTANCE. | |
| PART V, SECTION B, LINE 17E: WHEN A PATIENT DOES NOT MAKE A PAYMENT A PATIENT IS EVALUATED TO DETERMINE IF THEY MEET THE GUIDELINES FOR FINANCIAL ASSISTANCE. IF THEY DO, THEY ARE THEN GIVE THE PROPER INFORMATION. | SCHUYLKILL MEDICAL CENTER SOUTH JACKSON |
| PART V, SECTION B, LINE 19D: THE SAME POLICY IS USED FOR EMERGENCY OR MEDICALLY NECESSARY CARE THAT IS USED FOR ANY OTHER TYPE OF CARE. THERE IS A STANDARD AMOUNT THAT IS CHARGED FOR PROCEDURES PER THE HOSPITAL'S CHARGE MASTER. | SCHUYLKILL MEDICAL CENTER SOUTH JACKSON |
| PART VI, LINE 2: SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET (SMS-SJS) WORKS WITH SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET (SMS-ENS) IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY IT IS LOCATED IN AND SERVES; SCHUYLKILL COUNTY IN PENNSYLVANIA. BOTH MEDICAL CENTERS ALSO WORK WITH VARIOUS CITY, COUNTY AND STATE AGENCIES TO SPECIFICALLY IDENTIFY THE HEALTH NEEDS OF THE RESIDENTS OF SCHUYLKILL COUNTY.SMC-SJS IS LOCATED IN POTTSVILLE, WHICH IS THE COUNTY SEAT FOR SCHUYLKILL COUNTY. SCHUYLKILL COUNTY IS A RURAL COUNTY. THE COUNTY HAS AN UNEMPLOYMENT RATE OF OVER 9%, 19% OF THE RESIDENTS ARE COVERED BY MEDICAID, AND 18% OF THE RESIDENTS ARE OVER THE AGE OF 65.SMC-SJS IS A 180 BED ACUTE CARE FACILITY THAT PROVIDES ACUTE MEDICAL SURGICAL CARE, ADOLESCENT AND ADULT BEHAVIORAL HEALTH SERVICES, AND TRANSITIONAL REHAB CARE AND NURSERY SERVICES TO THE COMMUNITY.SMC-SJS WORKS WITH THE SOCIAL SERVICE AGENCIES, LOCAL DEPARTMENT OF HEALTH, THE CHAMBER OF COMMERCE, UNITED WAY, AMERICAN CANCER SOCIETY, LOCAL SCHOOLS, LOCAL SUPPORT GROUPS, PHYSICIAN OFFICES AND OTHER HEALTHCARE ORGANIZATIONS IN IDENTIFYING THE HEALTHCARE NEEDS OF THE LOCAL COMMUNITIES AND THE SERVICES THAT ARE NEEDED. AFTER A NEED HAS BEEN IDENTIFIED, THE MEDICAL CENTER WORKS WITH THESE ORGANIZATIONS TO HELP PROVIDE THE SERVICE TO RESIDENTS.THE MEDICAL CENTER ALSO WORKS WITH HEALTHCARE ORGANIZATIONS OUTSIDE SCHUYLKILL COUNTY TO HELP BRING HEALTHCARE SERVICES TO THE COUNTY. THIS ALLOWS COUNTY RESIDENTS TO OBTAIN NECESSARY SERVICES CONVENIENTLY WITHIN THE COUNTY.THE MEDICAL CENTER ALSO REVIEWS INTERNAL DATA ON ADMISSIONS, EMERGENCY ROOM VISITS, CLINIC VISITS AND DIAGNOSIS TO HELP IDENTIFY COMMUNITY NEEDS. THIS INFORMATION IS REVIEWED ANNUALLY AS PART OF THE BUDGET AND STRATEGIC PLANNING PROCESS.THE BOARD OF THE MEDICAL CENTER IS COMPRISED OF INDIVIDUALS FROM THE COMMUNITY REPRESENTING SOCIAL SERVICE AGENCIES, EDUCATION, ASSISTED LIVING/LONG TERM CARE, PHYSICIANS, MATERNAL/CHILD HEALTH AND LOCAL BUSINESSES. THESE INDIVIDUALS ALSO PROVIDE INPUT ON THE NEEDS OF THE COMMUNITY IN MEETING HEALTHCARE NEEDS. | |
| PART VI, LINE 3: EACH PATIENT IS REGISTERED INTO THE HOSPITAL COMPUTER SYSTEM WHEN THEY ARRIVE FOR SERVICES. AS PART OF THE REGISTRATION, INFORMATION IS OBTAINED ON ANY HEALTH INSURANCE THEY HAVE. INDIVIDUALS WITHOUT HEALTH INSURANCE ARE INFORMED AT THAT TIME OF THE MEDICAL CENTER'S CHARITY CARE POLICY. PATIENTS ARE GIVEN INFORMATION ON CONTACTING STAFF WITHIN THE HOSPITAL PATIENT ACCOUNTING DEPARTMENT TO DISCUSS APPLYING FOR THE HOSPITAL CHARITY CARE PROGRAM. SPECIFIC STAFF HAVE BEEN TRAINED AND ARE RESPONSIBLE FOR ADMINISTERING THE CHARITY CARE PROGRAM FOR THE HOSPITAL. HOSPITAL STAFF CONTACT PATIENTS WITHOUT INSURANCE AND EXPLAIN THE POLICY AND THE INFORMATION NEEDED TO APPLY. HOSPITAL STAFF WILL ALSO ASSIST PATIENTS IN APPLYING FOR MEDICAL ASSISTANCE. THEY WILL ALSO ASSIST PATIENTS IN COMPLETING THE APPLICATION AND GATHERING THE NECESSARY FINANCIAL DOCUMENTS.THE MEDICAL CENTER ALSO POSTS INFORMATION WITHIN THE ADMISSION AND EMERGENCY ROOM AREAS INFORMING PATIENTS THAT THERE IS A CHARITY CARE POLICY AVAILABLE. ALL REGISTRATION PERSONNEL ARE TRAINED ON THE POLICY SO THAT THEY ARE ABLE TO INFORM PATIENTS WHEN THEY ARE REGISTERED.OTHER HOSPITAL STAFF MEMBERS THAT MAY COME IN CONTACT WITH PATIENTS ARE ALSO EDUCATED REGARDING THE CHARITY CARE POLICY. THIS WOULD INCLUDE SOCIAL WORKERS, CARE MANAGERS, NURSING STAFF AND ALL DEPARTMENT DIRECTORS. THE CHARITY CARE POLICY IS AVAILABLE ON THE HOSPITAL INTRANET WHICH IS ACCESSIBLE BY ALL EMPLOYEES. THE HOSPITAL IS ALSO IN THE PROCESS OF PLACING THE POLICY ON THE HOSPITAL WEBSITE.ALL PATIENT ACCOUNTING, CASHIERING AND COLLECTION STAFF ARE ALSO EDUCATED ON THE CHARITY CARE POLICY AND CAN ASSIST PATIENTS IN APPLYING FOR CHARITY CARE. ALSO ALL THIRD PARTY ORGANIZATIONS THAT WORK ON BEHALF OF THE MEDICAL CENTER IN PERFORMING COLLECTIONS HAVE ALSO BEEN EDUCATED ON THE CHARITY CARE POLICY AND CAN ALSO ADVISE PATIENTS ON APPLYING FOR THIS BENEFIT. | |
| PART VI, LINE 4: SMC-SJS IS LOCATED IN POTTSVILLE, PENNSYLVANIA. THE MEDICAL CENTER SERVES ALL OF SCHUYLKILL COUNTY. SCHUYLKILL COUNTY IS A RURAL COUNTY IN PENNSYLVANIA. POTTSVILLE IS THE LARGEST POPULATION CENTER OF SCHUYLKILL COUNTY AND IS ALSO THE COUNTY SEAT. THE COUNTY IS COMPRISED OF ONE SMALL CITY AS WELL AS SEVERAL BOROUGHS AND TOWNSHIPS.THE POPULATION OF THE COUNTY IS APPROXIMATELY 147,000. APPROXIMATELY 20% OF THE POPULATION IS UNDER THE AGE OF 18 AND 18% IS OVER THE AGE OF 65. THE POPULATION IS 49% FEMALE AND 95% WHITE. APPROXIMATELY 14% OF THE POPULATION HAS A BACHELOR'S DEGREE OR HIGHER. 11.8% OF THE POPULATION IS BELOW THE POVERTY LEVEL. THE UNEMPLOYMENT RATE IS 9.3%.19% OF THE POPULATION IS INSURED BY MEDICAID. 42% OF THAT NUMBER ARE UNDER THE AGE OF 18, 13% ARE OVER THE AGE OF 65 AND 18 % ARE DISABLED. 50% OF THE BIRTHS ARE COVERED BY THE MEDICAID PROGRAM.IN A RECENT REPORT RELEASED BY THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN'S POPULATION HEALTH INSTITUTE, SCHUYLKILL COUNTY WAS RANKED THE 56TH HEALTHIEST OF THE 67 COUNTIES IN PENNSYLVANIA. SCHUYLKILL COUNTY HAD HIGHER THAN THE STATE AND NATIONAL RATES FOR SMOKING, OBESITY, EXCESSIVE DRINKING AND MOTOR VEHICLE CRASH DEATH RATES. THIS REPORT ALSO SHOWED THAT THE COUNTY HAD ACCESS TO FEWER PRIMARY CARE PHYSICIANS.THE DEMOGRAPHICS OF THE PATIENTS ADMITTED TO SMC-SJS ARE 41 % MEDICARE, 24% MEDICAID AND 3% SELF PAY. EMERGENCY PATIENTS AT SMC-SJS ARE 14% MEDICARE, 25% MEDICAID AND 11% SELF PAY.SCHUYLKILL COUNTY HAS FOUR HOSPITALS SERVING THE COUNTY. SMC-SJS AND SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET ARE BOTH LOCATED IN POTTSVILLE AND SERVE THE MAJORITY OF THE COUNTY RESIDENTS. NORTHERN SCHUYLKILL COUNTY AND ST. LUKE'S MINERS MEMORIAL HOSPITAL ARE LOCATED IN COALDALE NEAR THE CARBON COUNTY BORDER. | |
| PART VI, LINE 5: THE BOARD OF SMC - SJS IS COMPRISED OF FOURTEEN INDIVIDUALS FROM THE SCHUYLKILL COUNTY COMMUNITY. THESE INDIVIDUALS ARE NOT EMPLOYED BY THE MEDICAL CENTER. THEY ARE INVOLVED IN EDUCATION, SOCIAL SERVICES, GERIATRIC SERVICES, MATERNAL/CHILD SERVICES, PRIMARY MEDICAL CARE, CRIMINAL JUSTICE, SMALL BUSINESS AND MANUFACTURING. ALL PHYSICIANS ARE ENCOURAGED TO APPLY FOR MEDICAL STAFF PRIVILEGES FOR THE MEDICAL CENTER.SMC-SJS ALSO WORKS WITH VARIOUS COMMUNITY ORGANIZATIONS TO HELP IDENTIFY COMMUNITY NEEDS AND WORK TOGETHER TO MEET THOSE NEEDS. THE MEDICAL CENTER HAS INPATIENT ADOLESCENT AND ADULT BEHAVIORAL HEALTH SERVICES AVAILABLE TO THE RESIDENTS OF SCHUYLKILL COUNTY. THIS ALLOWS COUNTY RESIDENTS TO OBTAIN NECESSARY INPATIENT CARE WITHIN THE COUNTY WITHOUT REQUIRING FAMILIES TO TRAVEL OUTSIDE OF THE COUNTY. THE MEDICAL CENTER ALSO HAS A CERTIFIED DIABETES EDUCATOR AVAILABLE TO CONSULT WITH PATIENTS AND ALSO WITH PHYSICIANS WHEN THEY HAVE A PATIENT THAT IS NEWLY DIAGNOSED WITH DIABETES. THE MEDICAL CENTER IS ALSO THE ONLY FACILITY IN THE COUNTY WITH A MATERNITY DEPARTMENT AND NEWBORN NURSERY. THIS ALLOWS COUNTY RESIDENTS TO REMAIN IN THE COUNTY FOR MATERNITY CARE. MORE THAN 50% OF THE BIRTHS EACH YEAR ARE MEDICAID.THE EMERGENCY DEPARTMENT OF SMC-SJS IS A 24 HOUR EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE MEDICAL CENTER PARTICIPATES IN MANY INSURANCE PROGRAMS SUCH AS MEDICARE, MEDICAID, CHAMPUS AND VA. THE MEDICAL CENTER ALSO HAS A CHARITY CARE POLICY THAT PROVIDES ASSISTANCE TO ELIGIBLE INDIVIDUALS IN PROVIDING FREE OR DISCOUNTED CARE BASED ON THEIR ABILITY TO PAY AND THE FEDERAL POVERTY GUIDELINES.SMC-ENS ALSO PROVIDES OPPORTUNITIES TO STUDENTS IN HEALTHCARE FIELDS TO GAIN EXPERIENCE WORKING IN THE HEALTH CARE ENVIRONMENT SUCH AS NURSING STUDENTS (RN AND LPN), PHARMACY STUDENTS, PHYSICIAN ASSISTANT STUDENTS, PHYSICAL THERAPY STUDENTS, RADIOLOGY TECHNICIANS AND MEDICAL ASSISTANTS. THE MEDICAL CENTER ALSO PROVIDES A VOLUNTEER PROGRAM FOR JUNIOR HIGH AND HIGH SCHOOL STUDENTS TO BECOME FAMILIAR WITH THE MEDICAL SERVICES OFFERED AND THE EDUCATIONAL OPPORTUNITIES AVAILABLE WITHIN THE HEALTHCARE ENVIRONMENT.THE MEDICAL CENTER ALSO SPONSORS AND PARTICIPATES IN HEALTH FAIRS AT COMMUNITY EVENTS SUCH AS THE COUNTY FAIR, EVENTS AT THE LOCAL MALL, HEALTH SCREENINGS, BLOOD PRESSURE SCREENINGS, VETERAN'S BREAKFAST EVENT, MEALS ON WHEELS, SKIN CANCER SCREENINGS, MAMMOGRAPHY SCREENINGS, BLOOD PRESSURE CLINICS, SUPPORT GROUPS AND LOCAL AMERICAN CANCER SOCIETY RELAY FOR LIFE.ANY EXCESS FUNDS THAT ARE GENERATED FROM OPERATIONS ARE INVESTED BACK INTO THE MEDICAL CENTER BY PURCHASING NECESSARY CAPITAL EQUIPMENT, FUNDING CAPITAL IMPROVEMENT PROJECTS, FUNDING NEW SERVICES, IMPROVING AND EXPANDING EXISTING SERVICES AND ANY OTHER GENERAL IMPROVEMENTS TO PATIENT CARE. | |
| PART VI, LINE 6: ON AUGUST 1, 2008, SMC-SJS AND SMC-ENS AFFILIATED UNDER THE CONTROL OF SCHUYLKILL HEALTH SYSTEM, THE PRIMARY SERVICE AREA IS POTTSVILLE AND THE SURROUNDING COMMUNITIES IN SCHUYLKILL COUNTY. THE PURPOSE OF BOTH MEDICAL CENTERS IS TO ENGAGE IN ACTIVITIES RELATED TO THE PROMOTION OF HEALTH OF THE PEOPLE IN THE SERVICE AREA, WORK CHARITABLY TO PROMOTE COMMUNITY HEALTH EDUCATION, PREVENTION OF ILLNESS AND INJURY AND PROVISION OF MEDICAL SERVICES TO THE DIVERSE POPULATION OF THE SERVICE AREA AND ENGAGE IN ANY AND ALL ACTIVITIES CONSISTENT WITH OR IN FURTHERANCE OF THESE PURPOSES.EACH MEDICAL CENTER OPERATES INDEPENDENTLY OF EACH OTHER BUT WORKS IN SYNC WITH EACH OTHER IN PROVIDING HEALTHCARE SERVICES TO THE RESIDENTS OF SCHUYLKILL COUNTY. BOTH MEDICAL CENTERS HAVE WORKED TO PROVIDE A CONTINUUM OF CARE SO THAT HEALTHCARE IS AVAILABLE WITHIN THE COUNTY AND RESIDENTS DO NOT HAVE TO TRAVEL OUTSIDE OF THE COUNTY FOR CARE. THE FOLLOWING SERVICES ARE AVAILABLE AT EITHER SMC-SJS OR SMC-ENS: - ACUTE CARE /MEDICAL SURGICAL SERVICES- INTENSIVE CARE SERVICES- MATERNITY SERVICES- NEWBORN SERVICES- PEDIATRICS SERVICES- ADOLESCENT, ADULT AND GERIATRIC BEHAVIORAL SERVICES- ACUTE REHAB AND TRANSITIONAL REHAB SERVICES- INPATIENT AND OUTPATIENT PHYSICAL THERAPY- INPATIENT AND OUTPATIENT DIAGNOSTIC SERVICES- HOME HEALTH SERVICES- OUTPATIENT DRUG AND ALCOHOL SERVICES- OUTPATIENT BEHAVIORAL HEALTH SERVICES- 24 HOUR EMERGENCY ROOM SERVICES- OUTPATIENT DENTAL CLINIC- INPATIENT AND OUTPATIENT SURGICAL SERVICES- COMMUNITY BENEFIT/CHARITY CARE SERVICES- ADVANCE WOUND CARE - OUTPATIENT SURGERY CENTERSCHUYLKILL MEDICAL GROUP IS AN ORGANIZATION FORMED IN WHICH PHYSICIANS WOULD BE ABLE TO OPEN THEIR OWN PRACTICE BUT NOT INCUR ALL THE EXPENSES THAT THEY WOULD HAD THEY OPENED A PRACTICE ON THEIR OWN. THIS WAS DONE SO THAT MORE PHYSICIANS WOULD BE AVAILABLE TO THE PUBLIC IN THIS AREA. WITHOUT THIS ORGANIZATION THESE PHYSICIANS MAY BE PRACTICING IN A DIFFERENT AREA.SCHUYLKILL HEALTH SYSTEM IS AN ORGANIZATION FORMED TO RAISE FUNDS TO PROVIDE TO BOTH SMC - EAST AND SMC - SOUTH. THE MONEY RAISED IN THIS ORGANIZATION IS USED TO BENEFIT THE COMMUNITY IN VARIOUS WAYS. MONEY FROM THIS ORGANIZATION IS USED TO PURCHASE EQUIPMENT TO MAKE THE PUBLIC SAFER. IT IS ALSO USED TO FUND PROJECTS THAT WILL MAKE HEALTH CARE ACCESS EASIER TO THE PUBLIC. SCHUYLKILL REHAB IS AN ORGANIZATION WHO OFFERS REHABILITATION SERVICES TO THE PUBLIC. ONE SERVICE THAT THEY OFFER THAT BENEFITS THE PUBLIC ARE SEVERAL DIFFERENT PROGRAMS EACH YEAR ON HEALTH CARE TOPICS. THESE PROGRAMS ARE OFFERED FREE TO THE PUBLIC.SCHUYLKILL MEDICAL MALL/DEVELOPMENT CORP IS AN ORGANIZATION WHO OWNS AND OPERATES A MEDICAL OFFICE BUILDING NEAR SMC - EAST. THIS BUILDING OFFERS AN AREA FOR PHYSICIANS TO BE ABLE TO RENT SPACE FOR THEIR PRACTICE INSTEAD OF HAVING TO PURCHASE THEIR OWN SPACE.PART VI, LINE 7: N/A |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN E SIMODEJKA | |||||||||||||
| 383102 | 0 | 15000 | 0 | 0 | 0 | 6125 | 0 | 13609 | 0 | 417836 | 0 | 0 | 0 |
| DARNELL FURER | |||||||||||||
| 0 | 179794 | 0 | 0 | 0 | 0 | 0 | 4509 | 0 | 15148 | 0 | 199451 | 0 | 0 |
| RICHARD BINDIE | |||||||||||||
| 273691 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13228 | 0 | 286919 | 0 | 0 | 0 |
| LYNDA L JAKUBCO | |||||||||||||
| 218309 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13205 | 0 | 231514 | 0 | 0 | 0 |
| JULIANNE M TIDMORE | |||||||||||||
| 229045 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 14195 | 0 | 243240 | 0 | 0 | 0 |
| MARY R TUNNESSEN | |||||||||||||
| 215967 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13205 | 0 | 229172 | 0 | 0 | 0 |
| SHERRY L BURINSKY BOTTOR | |||||||||||||
| 247120 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 14195 | 0 | 261315 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | SCHUYLKILL HEALTH OFFERED SCHUYLKILL SPORTS AND ORTHOPEDICS WHICH OPENED AUGUST 1, 2011. IT IS A NEW ORTHOPEDIC PRACTICE LEAD BY JASON C PHILLIPS, MD. THE PRACTICE INCLUDES SPORTS MEDICINE, ORTHOPEDIC TRAUMA AND GENERAL ORTHOPEDICS. IN A COLLABORATIVE EFFORT, SCHUYLKILL HEALTH SYSTEM AND THE JANET WEIS CHILDREN'S HOSPITAL OF DANVILLE INTRODUCED A PEDIATRIC HOSPITALIST PROGRAM. ANGELA ZAWISZA, DO JOINED SCHUYLKILL MEDICAL CENTER SOUTH JACKSON STREET JULY 1, 2011. A PEDIATRIC HOSPITALIST IS A PEDIATRICIAN WHOSE PRACTICE IS DEDICATED SOLELY TO TREATING CHILDREN IN A HOSPITAL SETTING. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE HOSPITAL HAS DELEGATED MANAGEMENT DUTIES OVER ITS DIETARY SERVICES TO SODEXHO INC. AND AFFILIATES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO ITS FILING WITH THE INTERNAL REVENUE SERVICE. SELECTED MEMBERS OF THE BOARD REVIEWED THE 990 WITH THE TAX RETURN PREPARER AND MANAGEMENT ON BEHALF OF THE BOARD. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH OFFICER, KEY EMPLOYEE, DIRECTOR OR TRUSTEE WITH BOARD DELEGATED AUTHORITY IS REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THESE STATEMENTS ARE REVIEWED BY THE PRESIDENT/CEO'S ADMINISTRATIVE ASSISTANT AND ANY CONFLICTS ARE REPORTED TO THE PRESIDENT/CEO. THE STATEMENTS ARE KEPT ON FILE IN THE PRESIDENT/CEO'S OFFICE AFTER REVIEW. BOARD MEMBERS ARE EXPECTED TO EXCUSE THEMSELVES FROM TAKING ANY ACTION OR EVEN DISCUSSING ISSUES OF RELATED PARTIES. IF THEY VIOLATE THESE RULES THEY ARE REMOVED FROM THE BOARD. | |
| FORM 990, PART VI, SECTION B, LINE 15 | ANNUALLY, THE ORGANIZATION CONTRACTS WITH YAFFE AND COMPANY, AN INDEPENDENT CONSULTANT, TO MAKE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE, A SUB COMMITTEE OF THE BOARD, BASED ON MARKET AND INDUSTRY DATA TO ENSURE COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. THIS PROCESS IS USED FOR THE FOLLOWING POSITIONS PRESIDENT/CEO, VICE PRESIDENT OF OPERATIONS/COO, VICE PRESIDENT OF NURSING/CNO AND THE VICE PRESIDENT OF FINANCE/CFO. THIS REVIEW AND APPROVAL PROCESS IS DOCUMENTED VIA COMMITTEE MINUTES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART VII, SECTION A: | THE FOLLOWING INDIVIDUALS WORK AN AVERAGE OF 40 HOURS PER WEEK FOR ALL SCHUYLKILL RELATED ENTITIES: DARNELL FURER JOHN SIMODEJKA DIANE BORIS | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | PENSION LIABILITY ADJUSTMENT -14,421,644. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT -684,631. VALUATION GAIN -13,364. TOTAL TO FORM 990, PART XI, LINE 5: -15,119,639. |
| STATEMENT PURSUANT TO SECTION 1.351-3(A): | STATEMENT PURSUANT TO SECTION 1.351-3(A) BY SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET 23-1352202 (1) NAME AND EMPLOYER IDENTIFICATION NUMBER OF THE TRANSFEREE CORPORATION: NAME: SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET EIN: 23-1352202 (2) DATE(S) OF TRANSFER(S) OF ASSETS: TRANSFER DATE(S): 07/29/2011 03/09/2012 (3) AGGREGATE FAIR MARKET VALUE AND BASIS OR PROPERTY TRANSFERRED: FAIR MARKET VALUE: $50,000 (7/29/11); $100,000 (3/9/12) BASIS: $50,000 (7/29/11); $100,000 (3/9/12) (4) DATE AND CONTROL NUMBER OF PRIVATE LETTER RULING(S) ISSUED BY THE IRS IN CONNECTION WITH THE EXCHANGE: DATE(S) AND CONTROL NUMBER(S): NONE |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SCHUYLKILL REHABILITATION CENTER INC | |||||||||||
| 420 SOUTH JACKSON STREET | POTTSVILLE | PA | 17901 | 232440891 | OPERATES A COMPREHENSIVE REHABILITATION FACILITY | PA | 501(C)(3) | 3 | SCHUYLKILL HEALTH SYSTEM | 0 | |
| SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET | |||||||||||
| 700 EAST NORWEGIAN STREET | POTTSVILLE | PA | 17901 | 230880420 | OPERATES A HOSPITAL PROVIDING INPATIENT, OUTPATIENT & EMERGENCY SVCS | PA | 501(C)(3) | 3 | SCHUYLKILL HEALTH SYSTEM | 0 | |
| SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC | |||||||||||
| 700 EAST NORWEGIAN STREET | POTTSVILLE | PA | 17901 | 232866006 | TO SUPPORT AND PROMOTE THE PURPOSES OF AFFILIATED ENTITIES | PA | 501(C)(3) | 9 | SCHUYLKILL HEALTH SYSTEM | 0 | |
| SCHUYLKILL HEALTH SYSTEM | |||||||||||
| 420 SOUTH JACKSON STREET | POTTSVILLE | PA | 17901 | 262990543 | TO SUPPORT, PROMOTE, ADVANCE & ENHANCE QUALITY OF LIFE OF SCHUYLKILL CNTY | PA | 501(C)(3) | 11B | 0 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | EAST NORWEGIAN TREMONT STREETS | AddressLine1 |
| City | POTTSVILLE | City |
| State | PA | State |
| ZIP Code | 17901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232514813 | EIN |
| Primary Activity | RENTAL | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION | |||||||||
| 700 EAST NORWEGIAN STREET | POTTSVILLE | PA | 17901 | 232432417 | PURSUES, IMPLEMENTS & FURTHERS THE ACTVTIES & PURPOSES OF THE SYS | PA | SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET | C | |
| SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION | |||||||||
| 420 SOUTH JACKSON STREET | POTTSVILLE | PA | 17901 | 232931821 | CONDOMINIUM ASSOCIATION | PA | C | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |