2011-05-03T10:17:21-05:00 2010-06-30 Carbis Walker LLP 5700 Corporate Drive Ste 650 Pittsburgh PA 15237 990 2009-07-01 251441920 Somerset Health Services Inc SOME 8144435221 223 South Pleasant Avenue Somerset PA 15501 Michael J Farrell 8144435221 2011-04-26 1 Jeffrey J Petrell CPA 4126356270 2009 2016-02-24 21:20:13Z Michael J Farrell 223 South Pleasant Avenue SOMERSET PA 15501 5994024 0 X www.somersethospital.com X 1983 PA SOMERSET HEALTH SERVICES IS A COMMUNITY HEALTHCARE SERVICE THAT IS COMMITTED TO MANAGING AND OPERATING and Specialty PHYSICIAN PRACTICES. 6 4 70 5 0 0 746231 5712713 4596598 3272 64 651131 5715985 5994024 0 0 4003873 4119451 0 0 2438457 2404931 6442330 6524382 -726345 -530358 1776100 1449406 600494 503651 1175606 945755 To preserve and to improve life by providing access to quality, customer-friendly healthcare services. 0 0 5509560 4596598 SOMERSET HEALTH SERVICES MANAGES AND OPERATES PRIMARY CARE and Specialty PHYSICIAN PRACTICES. ANNUAL VISITS ARE APPROXIMATELY 50,000. SOMERSET HEALTH SERVICES ALSO MANAGES A SINGLE COUNTY AUTHORITY WHICH PROVIDES FUNDING (RECEIVED BY STATE AND FEDERAL AGENCIES) TO VARIOUS DRUG AND ALCHOL TREATMENT CENTERS. 5509560 1 0 0 0 0 0 0 0 0 1 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 1 18 0 1 70 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 4 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X RONALD M PARK cfo 8144435221 225 SOUTH CENTER AVENUE SOMERSET PA 15001 X bruce Shipley 1.00 X X 0 0 0 ROBERT ANTRAM 1.00 X X 0 0 0 MICHAEL FARRELL 6.00 X X 0 246806 5287 sharon clapper 1.00 X 0 0 0 JIM MARKER 1.00 X 0 0 0 Brad Cober 1.00 X 0 0 0 Ronald Park 6.00 X 0 165881 9595 Saad Alsaab MD 40.00 X 211338 0 8433 V Krishnan Nair MD 40.00 X 400000 0 12302 JOHN NICHOLSON MD 40.00 X 199402 0 11349 Ajay Singh MD 40.00 X 249857 0 12384 Mark Yaros MD 40.00 X 178356 0 11349 1238953 412687 70699 11 0 1 0 0 746231 746231 Net Patient Revenue 621610 4596598 4596598 4596598 64 64 Other Operating Revenu 900099 607434 607434 INCOME FROM SOMERSET M 900099 43697 43697 651131 5994024 4596598 0 651195 3659324 2927460 731864 5440 4352 1088 266047 212838 53209 188640 150912 37728 91911 91911 12000 12000 227626 194017 33609 21521 19783 1738 86009 76228 9781 344317 324122 20195 8914 6856 2058 14524 14524 71345 62467 8878 110790 110790 PROVIDER EXPENSES 539088 530606 8482 Medical Supplies/drugs 400971 400971 INTERNAL BILLING EXPENS 282710 282419 291 Bad Debt 74825 74825 DUES AND SUBSCRIPTIONS 44166 44166 74214 72224 1990 6524382 5509560 1014822 0 532682 430222 375323 339627 80309 92970 886248 727334 209478 158914 455562 308572 122746 119101 1776100 1449406 585217 503651 15277 600494 503651 X 984919 945755 190687 0 1175606 945755 1776100 1449406 X 0 1 1 X 0 X 104326 93117 11209 762246 617918 144328 19676 16299 3377 158914 Securities and other investments 308572 C 308572 Other assets 119101 119101 5994024 6524382 -530358 300507 300507 -229851 Part XI, Line 8 - Other Adjustments: transfers from affiliates: 491194. Net assets released from restriction: -503277. Temporarily restricted contributions: 312590. X X X 0 0 0 0 0 1 0 0 0 MICHAEL FARRELL 0 246806 0 0 0 0 0 962 0 4325 0 252093 0 0 Ronald Park 0 165881 0 0 0 0 0 654 0 8941 0 175476 0 0 Saad Alsaab MD 161338 0 50000 0 0 0 0 0 8433 0 219771 0 0 0 V Krishnan Nair MD 400000 0 0 0 0 0 0 0 12302 0 412302 0 0 0 JOHN NICHOLSON MD 189402 0 10000 0 0 0 0 0 11349 0 210751 0 0 0 Ajay Singh MD 240289 0 9568 0 0 0 0 0 12384 0 262241 0 0 0 Mark Yaros MD 178356 0 0 0 0 0 0 0 11349 0 189705 0 0 0 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 A, line 7a No person is eligible to serve as a director of Somerset Health Services unless that person is also a member of the Board of Directors of Somerset Community Hospital. 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 personnel 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 XI, 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. Form 990, Part VII, Column B Michael Farrell, CEO/President and Ronald Park, CFO split their time between SOMERSET COMMUNITY HOSPITAL, Somerset Health Services, Inc., SOMERSET COMMUNITY HOSPITAL FOUNDATION, TWIN LAKES CENTER, INC., SOMERSET MANAGEMENT SERVICES, INC., and SOMERSET ORTHOPEDICS, INC. Breakdown of Hours Per Week Devoted to each Entity: Michael Farrell, CEO/President: SOMERSET COMMUNITY HOSPITAL - 29 hours Somerset Health Services, Inc. - 6 hours SOMERSET COMMUNITY HOSPITAL FOUNDATION - 1 Hour TWIN LAKES CENTER, INC. - 1 Hour SOMERSET MANAGEMENT SERVICES, INC. - 1 Hour SOMERSET ORTHOPEDICS, INC. - 2 Hours Ronald Park, CFO: SOMERSET COMMUNITY HOSPITAL - 29 hours Somerset Health Services, Inc. - 6 hours SOMERSET COMMUNITY HOSPITAL FOUNDATION - 1 Hour TWIN LAKES CENTER, INC. - 1 Hour SOMERSET MANAGEMENT SERVICES, INC. - 1 Hour SOMERSET ORTHOPEDICS, INC. - 2 Hours SOMERSET COMMUNITY HOSPITAL 225 SOUTH CENTER AVENUE SOMERSET PA 15501 250965570 Health Care PA 501(C)(3) 509(a)(1) SOMERSET COMMUNITY HOSPITAL FOUNDATION SOMERSET COMMUNITY HOSPITAL FOUNDATION 225 SOUTH CENTER AVENUE SOMERSET PA 15501 251441863 Health Care PA 501(C)(3) 509(a)(3) TWIN LAKES CENTER INC 223 SOUTH PLEASANT AVENUE SOMERSET PA 15501 232910318 Health Care PA 501(C)(3) 509(a)(1) SOMERSET COMMUNITY HOSPITAL SOMERSET MANAGEMENT SERVICES INC 225 SOUTH CENTER AVENUE SOMERSET PA 15501 251512960 Real Estate holding company PA SOMERSET HEALTH SERVICES INC C 456944 2538309 1.00000 SOMERSET ORTHOPEDICS INC 225 SOUTH CENTER AVENUE SOMERSET PA 15501 113725138 Orthopedic physician practice PA SOMERSET COMMUN HOSP FOUNDATION C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 none