FURP.ORG / PUBLIC DATA EXPLORER

SCHUYLKILL MEDICAL CENTER - EAST: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SCHUYLKILL MEDICAL CENTER - EAST (EIN 23-0880420)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-11
IRS object ID
201701319349301300
Schema version
2015v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-11T08:29:36-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN230880420EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCHUYLKILL MEDICAL CENTER - EASTBusinessNameLine1Txt
Business Name Line2NORWEGIAN STREETBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSCHUBusinessNameControlTxt
Phone4848840130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 EAST NORWEGIAN STREETAddressLine1Txt
CityPOTTSVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEDWARD F O'DEAPersonNm
Person TitleEXEC VP & CFOPersonTitleTxt
Phone4848840130PhoneNum
Signature2017-05-11SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRIAN A NESTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 EAST NORWEGIAN STREETAddressLine1Txt
CityPOTTSVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$58,213,677GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SCHUYLKILLHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE FOR THE SCHUYLKILL COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee678TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$306,857TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$222,883NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$510,584PYContributionsGrantsAmt
CY Contributions Grants$100,935CYContributionsGrantsAmt
PY Program Service Revenue$54,313,169PYProgramServiceRevenueAmt
CY Program Service Revenue$56,726,666CYProgramServiceRevenueAmt
PY Investment Income$75,336PYInvestmentIncomeAmt
CY Investment Income$113,337CYInvestmentIncomeAmt
PY Other Revenue$1,846,306PYOtherRevenueAmt
CY Other Revenue$1,156,943CYOtherRevenueAmt
PY Total Revenue$56,745,395PYTotalRevenueAmt
CY Total Revenue$58,097,881CYTotalRevenueAmt
PY Grants And Similar Paid$11,484PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,623CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$32,204,134PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$29,853,483CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$27,727,072PYOtherExpensesAmt
CY Other Expenses$28,479,386CYOtherExpensesAmt
PY Total Expenses$59,942,690PYTotalExpensesAmt
CY Total Expenses$58,345,492CYTotalExpensesAmt
PY Revenues Less Expenses-$3,197,295PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$247,611CYRevenuesLessExpensesAmt
Total Assets BOY$31,787,865TotalAssetsBOYAmt
Total Assets EOY$53,842,294TotalAssetsEOYAmt
Total Liabilities BOY$18,538,853TotalLiabilitiesBOYAmt
Total Liabilities EOY$40,039,362TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,249,012NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,802,932NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET'S (EAST) MISSION IS TO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE AVAILABLE FOR THE SCHUYLKILL COUNTY COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$45,260,878ExpenseAmt
Grant$12,623GrantAmt
Revenue$56,833,680RevenueAmt
DescTHE SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET, THROUGH THE COMBINED EFFORTS OF ITS HIGHLY QUALIFIED MEDICAL STAFF, EMPLOYEES, AND VOLUNTEERS, OFFERS A BROAD RANGE OF HEALTHCARE SERVICES TO THE RESIDENTS OF SCHUYLKILL COUNTY, PA. INPATIENT HEALTHCARE SERVICES ARE PROVIDED IN MEDICINE, SURGERY, AND CRITICAL CARE MEDICINE. 19,827 VISITS BY RESIDENTS OF THE REGION WERE MADE TO RECEIVE EMERGENCY CARE AT THE SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET'S EMERGENCY DEPARTMENT. A WIDE ARRAY OF DIAGNOSTIC AND TREATMENT PROGRAMS ARE ALSO OFFERED BY THE MEDICAL CENTER, INCLUDING CT SCANNING, INPATIENT RENAL (KIDNEY) DIALYSIS, MEDICAL ONCOLOGY/CHEMOTHERAPY, DIAGNOSTIC, ULTRASOUND, BLOOD BANKING AND LABORATORY, PHYSICAL THERAPY, CARDIOVASCULAR SERVICE, AND AN OUTPATIENT CHEMICAL DEPENDENCY PROGRAM. THE INDUSTRA-MED PROGRAM OF THE MEDICAL CENTER PROVIDED OCCUPATIONAL AND INDUSTRIAL HEALTH SERVICES TO OVER 200 OF THE REGION'S EMPLOYERS.Desc
Total Program Service Expenses$45,260,878TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee678EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4848840130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 MACK BLVDAddressLine1Txt
CityALLENTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18103ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANTHONY BARAN
CHAIRMAN1.003.00Yes (X)Yes (X)$0$0$0
FRANKLIN K SCHOENEMAN
VICE-CHAIRMAN1.003.00Yes (X)Yes (X)$0$0$0
E LORI SMITH
TREASURER1.004.00Yes (X)Yes (X)$0$0$0
DEBRA C BLASCHAK
SECRETARY1.003.00Yes (X)Yes (X)$0$0$0
RICHARD GONZALEZ
TRUSTEE1.004.00Yes (X)$0$0$0
REV HAROLD L HAND JR
TRUSTEE1.003.00Yes (X)$0$0$0
JEANNE BOYER PORTER
TRUSTEE1.003.00Yes (X)$0$0$0
WILLIAM L JONES III
TRUSTEE1.003.00Yes (X)$0$0$0
SARAH T CASEY
TRUSTEE1.003.00Yes (X)$0$0$0
WILLIAM E KIRWAN CPA ESQ
TRUSTEE1.003.00Yes (X)$0$0$0
STEVEN I FIELD
TRUSTEE1.003.00Yes (X)$0$0$0
AMRIT P NARULA MD
TRUSTEE1.003.00Yes (X)$0$0$0
JUDGE JOSEPH F MCCLOSKEY
CHAIRMAN EMERITUS1.003.00Yes (X)$0$0$0
SYED SHAH MD
TRUSTEE1.003.00Yes (X)$0$0$0
TIMOTHY TWARDZIK
TRUSTEE1.003.00Yes (X)$0$0$0
ROBERT M ZIMMERMAN JR DO
TRUSTEE1.003.00Yes (X)$0$0$0
MARC LORY
INTERIM PRESIDENT/CEO18.0022.00Yes (X)Yes (X)$0$0$0
JUDY PEEK-LEE
INTERIM CFO18.0022.00Yes (X)$0$0$0
DIANE BORIS
VP FINANCE18.0022.00Yes (X)$147,567$0$21,509
SUE CURRY
VP NURSING/CNO18.0022.00Yes (X)$132,585$0$25,315
SAJJAD MALIK
PATHOLOGIST40.00$300,242$0$30,048Yes (X)
JOHN RUSSO
PATHOLOGIST40.00$274,760$0$28,450Yes (X)
BRIAN PAUL
PHARMACIST20.0020.00$128,714$0$22,277Yes (X)
KELLEN SCHEIFLEY
PHARMACIST20.0020.00$126,695$0$22,205Yes (X)
LESLIE DUBOWITZ
PHYSICIAN40.00$126,071$0$23,615Yes (X)
JOHN E SIMODEJKA
FORMER PRESIDENT/CEO (TO 8/14)0.000.00$0$305,147$15,896Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,236,634TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$305,147TotReportableCompRltdOrgAmt
Total Other Compensation$189,315TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE ADVISORY BOARD COMPANY
PO BOX 79461BALTIMOREMD21279CONSULTANT - HOSPITAL MANAGEMENT$2,464,344
REHAB CARE GROUP INC
PO BOX 502096ST LOUISMO631502096MGMT FIRM - INPAT REHAB UNIT$685,548
SODEXHO INC & AFFILIATES
BOX 360710PITTSBURGHPA152516922MGMT SERV - DIETARY & HOUSEKEEPING$684,115
POTTSVILLE HOSPITALISTS
PO BOX 1125POTTSVILLEPA17901HOUSE PHYSICIAN GROUP$434,000
ACCELECARE WOUND CENTERS
PO BOX 671242DALLASTX75267WOUND CARE SERVICES$256,323
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Government Grants$100,935GovernmentGrantsAmt
Total Contributions$100,935TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVDesc
Business541511BusinessCd
Total Revenue Column$56,726,666TotalRevenueColumnAmt
Related Or Exempt Func Income$56,419,809RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$306,857UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$56,726,666TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$88,369TotalRevenueColumnAmt
Exclusion$88,369ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$382,611RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$107,044RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$275,567RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$275,567TotalRevenueColumnAmt
Exclusion$275,567ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,720SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,752SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$24,968SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,968TotalRevenueColumnAmt
Exclusion$24,968ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
ALCOHOL & DRUG REV561439$413,871$413,871
CAFETERIA & VENDING REV561439$306,476$306,476
PARKING LOT REVENUE561439$22,518$22,518

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$138,511TotalRevenueColumnAmt
Exclusion$138,511ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$881,376OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,097,881TotalRevenueColumnAmt
Related Or Exempt Func Income$56,833,680RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$306,857UnrelatedBusinessRevenueAmt
Exclusion$856,409ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,623TotalAmt
Program Services$12,623ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$345,105TotalAmt
Management And General$345,105ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,317,054TotalAmt
Program Services$18,878,821ProgramServicesAmt
Management And General$5,438,233ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$698,000TotalAmt
Program Services$541,927ProgramServicesAmt
Management And General$156,073ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,732,605TotalAmt
Program Services$2,121,595ProgramServicesAmt
Management And General$611,010ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,760,719TotalAmt
Program Services$1,369,220ProgramServicesAmt
Management And General$391,499ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$191,536TotalAmt
Management And General$191,536ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$107,497TotalAmt
Management And General$107,497ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,989,265TotalAmt
Program Services$4,838,800ProgramServicesAmt
Management And General$3,150,465ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$35,328TotalAmt
Management And General$35,328ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,042,506TotalAmt
Program Services$558,116ProgramServicesAmt
Management And General$484,390ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,458,284TotalAmt
Program Services$263,887ProgramServicesAmt
Management And General$1,194,397ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$76,852TotalAmt
Program Services$31,447ProgramServicesAmt
Management And General$45,405ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,775TotalAmt
Program Services$2,480ProgramServicesAmt
Management And General$295ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$818,446TotalAmt
Program Services$818,446ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,048,342TotalAmt
Program Services$3,048,342ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$361,821TotalAmt
Program Services$321,695ProgramServicesAmt
Management And General$40,126ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$4,493,791$4,493,791
DRUGS$3,023,431$3,023,431
BAD DEBT EXPENSE$2,902,982$2,902,982
MA ASSESSMENT FEES$1,362,650$1,362,650

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,563,880TotalAmt
Program Services$670,625ProgramServicesAmt
Management And General$893,255ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$58,345,492TotalAmt
Program Services$45,260,878ProgramServicesAmt
Management And General$13,084,614ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,580BOYAmt
EOY$1,829EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$824,945BOYAmt
EOY$12,308,848EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,665BOYAmt
EOY$33,665EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,662,219BOYAmt
EOY$5,204,398EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,008,293BOYAmt
EOY$992,135EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$396,942BOYAmt
EOY$363,781EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$87,739,759LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$75,091,611LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$13,536,316BOYAmt
EOY$12,648,148EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,572,766BOYAmt
EOY$1,558,767EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,463,271BOYAmt
EOY$1,006,303EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,287,868BOYAmt
EOY$19,724,420EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,787,865BOYAmt
EOY$53,842,294EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,675,351BOYAmt
EOY$7,131,895EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$796,060BOYAmt
EOY$727,771EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$20,000,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,000,000BOYAmt
EOY$3,710,621EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,067,442BOYAmt
EOY$8,469,075EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,538,853BOYAmt
EOY$40,039,362EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,517,353BOYAmt
EOY$13,086,598EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,138BOYAmt
EOY$46,177EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$686,521BOYAmt
EOY$670,157EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,249,012BOYAmt
EOY$13,802,932EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,787,865BOYAmt
EOY$53,842,294EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$247,611ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$801,531OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$7,730OtherActivitiesAmt
Total Lobbying Expenditures$7,730TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationSCHUYLKILL MEDICAL CENTER - E. NORWEGIAN STREET IS A MEMBER OF THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA. A PERCENTAGE OF THE DUES PAID TO THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA GOES TOWARDS LOBBYING EFFORTS. THEIR MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS AND COMMUNITIES TO LEAD, REPRESENT, AND SERVE HEALTH CARE PROVIDER ORGANIZATIONS THAT ARE ACCOUNTABLE TO THE COMMUNITY AND COMMITTED TO HEALTH IMPROVEMENT.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$559,398OtherCostOrOtherBasisAmt
Book Value$559,398BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$869,014InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$52,020,702OtherCostOrOtherBasisAmt
Depreciation$45,843,559DepreciationAmt
Book Value$7,046,157BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,195,615OtherCostOrOtherBasisAmt
Depreciation$29,108,357DepreciationAmt
Book Value$3,087,258BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,095,030OtherCostOrOtherBasisAmt
Depreciation$139,695DepreciationAmt
Book Value$1,955,335BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,648,148TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$5,881,445
INSURANCE RECOVERIES RECEIVABLE$976,250
BOND ASSETS$12,706,568
BENEFICIAL INT IN PERPETUAL TRUSTS$160,157
FieldValueIRS element (for citing)
Total Book Value Other Assets$19,724,420TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
ESTIMATED MALPRACTICE LIABILITY$1,395,541
DUE TO AFFILIATES$4,869,116
PENSION LIABILITIES$698,000
THIRD-PARTY SETTLEMENTS-$263,984
BLUE CROSS ADVANCE$419,600
CAPITAL LEASE OBLIGATIONS$1,350,802
FieldValueIRS element (for citing)
Total Liability$8,469,075TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2016 AND 2015. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN SUPPLIES AND EXPENSE. THE CORPORATION'S FEDERAL EXEMPT ORGANIZATION RETURNS OF INCOME TAX AND ITS BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED PRIOR TO JUNE 30, 2013 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,RegionTxt
Type Of Activities ConductedINVESTMENTTypeOfActivitiesConductedTxt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$0SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$0TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other175.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$173,701TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$173,701NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,906,846TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,999,773DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,907,073NetCommunityBenefitExpnsAmt
Total Expense0.03440TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,080,547TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,999,773DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,080,774NetCommunityBenefitExpnsAmt
Total Expense0.03750TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,758TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,758NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,407TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,407NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,572TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,572NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,737TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$68,737NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,149,284TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,999,773DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,149,511NetCommunityBenefitExpnsAmt
Total Expense0.03870TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,044,461BadDebtExpenseAmt
Bad Debt Expense Attributable$1,044,461BadDebtExpenseAttributableAmt
Reimbursed By Medicare$25,111,644ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$26,775,085CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,663,441MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREETBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 EAST NORWEGIAN STREETAddressLine1Txt
CityPOTTSVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17901ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SCHUYLKILL MEDICAL CENTER EAST NORWEGIANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA Conducted0CHNAConductedInd
Organization Incur Excise TaxYes (1)OrganizationIncurExciseTaxInd
Form4720 FiledYes (1)Form4720FiledInd
Excise Report Form4720 For All$50,000ExciseReportForm4720ForAllAmt
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care175.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREETPART V, SECTION B, LINE 5: THE SCHUYLKILL HEALTH SYSTEM (SHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED WITH THE SUPPORT OF STRATEGY SOLUTIONS, INC. (SSI), THE CONSULTING GROUP ENGAGED BY SHS TO ASSIST WITH THE ASSESSMENT. REPRESENTATIVES FROM SHS AND SSI WORKED COLLABORATIVELY TO GUIDE AND CONDUCT THE ASSESSMENT. A STEERING COMMITTEE MADE UP OF SENIOR REPRESENTATIVES OF SHS, AS WELL AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS, LEADING HEALTH AND SOCIAL SERVICE ORGANIZATIONS, LOCAL AREA SCHOOL DISTRICTS AND COUNTY GOVERNMENT PROVIDED ADDITIONAL INPUT. THE COMBINED EXPERTISE, INPUT AND KNOWLEDGE OF THE MEMBERS OF THE STEERING COMMITTEE WAS VITAL TO THE PROJECT. THE GROUP DESERVES SPECIAL RECOGNITION FOR THEIR TIRELESS OVERSIGHT AND SUPPORT OF THE CHNA PROCESS.DURING THIS CHNA PROJECT, FOURTEEN INDIVIDUALS WERE INTERVIEWED BY SSI, INCLUDING REPRESENTATIVES FROM HEALTH AND SOCIAL SERVICE AGENCIES, SCHOOL DISTRICT PERSONNEL, FAITH-BASED CONGREGATION, GOVERNMENT REPRESENTATIVE, HIGHER EDUCATION AND SENIOR POPULATION.THESE INFORMATION-GATHERING EFFORTS ALLOWED THE PROJECT TEAM AND STEERING COMMITTEE TO GAIN A BETTER UNDERSTANDING OF THE HEALTH STATUS, HEALTH CARE NEEDS, SERVICE GAPS AND BARRIERS TO CARE OF THOSE LIVING IN THE COUNTY OF SCHUYLKILL (PA), WHICH REPRESENT THE PRIMARY AND SECONDARY SERVICE AREA OF SHS. THE ADMINISTRATION OF SHS WOULD LIKE TO THANK ALL OF THOSE WHO WERE INVOLVED IN THIS PROJECT, PARTICULARLY THOSE WHO PARTICIPATED IN INTERVIEWS AND INFORMATION GATHERING.
SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREETPART V, SECTION B, LINE 6A: SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET
SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREETPART V, SECTION B, LINE 11: FROM THE 2012 IMPLEMENTATION PLAN, THE HOSPITAL WORKED TOWARDS ADDRESSING THE FOLLOWING NEEDS:ACCESS TO QUALITY HEALTH CARE/WOMEN'S HEALTH - DEVELOPED BROCHURES TO EXPLAIN THE NEED FOR MAMMOGRAMS FOR EARLY DETECTION OF BREAST CANCER. BROCHURES ARE AVAILABLE IN THE WAITING AREAS OF THE MEDICAL CENTER, AS WELL AS DOCTORS' OFFICES. A PROGRAM WAS SET UP TO OFFER LOW COST OR FREE MAMMOGRAMS TWICE A YEAR FOR PEOPLE WHO MEET CERTAIN CRITERIA. THE CHAT PRESENTATION PROGRAM IS ALSO USED TO GET INFORMATION OUT EXPLAINING THE NEED FOR EARLY DETECTION OF BREAST CANCER AND THE AVAILABILITY OF TESTING.HEALTHY MOTHER, BABIES, CHILDREN/TOBACCO & ALCOHOL USE DURING PREGNANCY - DEVELOPED BROCHURES TO EXPLAIN THE RISK OF SMOKING AND ALCOHOL USE DURING PREGNANCY. BROCHURES ARE AVAILABLE IN WAITING AREAS OF THE MEDICAL CENTER, AS WELL AS DOCTORS' OFFICES. THE SMOKING CESSATION PROGRAM THAT WAS DEVELOPED IN THE EAST COUNSELING CENTER WAS EXPANDED TO BE INCLUDED DURING CHILD BIRTH CLASSES IN THE SOUTH MATERNITY AREA. SOUTH ALSO HOSTS A BREASTFEEDING SUPPORT GROUP, CHILDBIRTH EDUCATION CLASSES, HAND WASHING EDUCATION FOR NEW PARENTS, AND INFANT CPR TRAINING SESSIONS.PHYSICAL ACTIVITY AND NUTRITION, OBESITY - A PROGRAM TITLED "HEALTHY HAVEN" WAS PRESENTED TO BOTH SCHUYLKILL HAVEN MIDDLE SCHOOL AND ST AMBROSE STUDENTS. THE PROGRAM DISCUSSED WELLNESS, AS WELL AS NUTRITIONAL EXERCISE INTERVENTIONS. THE HOPE IS TO EXPAND THIS PROGRAM TO OTHER COMMUNITIES. A 5K RUN AND CARBON COUNTY DIABETES WALK ARE ALSO SUPPORTED BY SOUTH TO ENCOURAGE PHYSICAL ACTIVITY.UNINTENTIONAL INJURIES, MOTOR VEHICLES - THIS WAS ADDRESSED IN 2 DIFFERENT WAYS. AS PART OF OUR MAKE-A-DIFFERENCE DAY, THE MATERNITY/NURSERY DEPARTMENTS HELD A CHILD SEAT SAFETY CHECK. THE GOAL OF THE PROGRAM WAS TO ENSURE SEATS WERE INSTALLED PROPERLY. EDUCATION WAS ALSO PROVIDED FOR ANY RECALLS THAT MAY BE ISSUED. ANOTHER PROGRAM THAT WAS USED DURING HIGH SCHOOL FOOTBALL GAMES TO EDUCATE STUDENTS AND THE GENERAL PUBLIC ABOUT THE DANGERS OF TEXTING AND DRIVING AND OTHER TYPES OF DISTRACTED DRIVING THAT MAY CAUSE ACCIDENTS THAT RESULT IN INJURIES.CHRONIC DISEASE: DIABETES - THERE ARE SEVERAL INITIATIVES THAT THE MEDICAL CENTER HAS TO GET EDUCATIONAL INFORMATION TO THE PUBLIC ABOUT DIABETES. THERE IS A TYPE 2 DIABETES SUPPORT GROUP THAT MEETS TO DISCUSS HOW TO DEAL WITH THE DISEASE. THE MEDICAL CENTER IS ALSO INVOLVED IN THE NATIONAL DIABETES EDUCATION PROGRAM TO HELP PREVENT OR DELAY THE ONSET OF DIABETES. THERE ARE ALSO SEVERAL CHAT PROGRAMS THAT ARE OFFERED TO DISCUSS DIABETES.SCHUYLKILL HEALTH DID NOT ADDRESS AL THE NEEDS IN THE ASSESSMENT. SCHUYLKILL HEALTH LEADERSHIP HAD A MEETING TO DISCUSS WHAT ITEMS WOULD BE BEST HANDLED BY EACH FACILITY. THE ITEMS THAT THEY DID NOT ADDRESS WERE THEN GIVEN TO APPROPRIATE COMMUNITY ORGANIZATIONS THAT WOULD BE ABLE TO BEST HANDLE THEM. SCHUYLKILL COUNTY VISION ADDRESSES 2 ISSUES THAT WERE IDENTIFIED: 1) PHYSICAL ACTIVITY, NUTRITION AND OBESITY AND 2) UNINTENTIONAL INJURIES FROM MOTOR VEHICLES. SCHUYLKILL COUNTY VISION TOOK THESE ISSUES ON BECAUSE THEY DEAL WITH A DIVERSE GROUP OF ORGANIZATIONS THAT WOULD BE ABLE TO IMPROVE THESE NEEDS BETTER THAN THE HEALTH SYSTEM.SCHUYLKILL COUNTY DRUG AND ALCOHOL PROGRAM ALSO HANDLED ONE OF THE RECOGNIZED NEEDS FROM THE ASSESSMENT. THEY HANDLED THE NEED TO IMPROVE MENTAL HEALTH AND CONTROL DRUG AND ALCOHOL ABUSE. THEY CHOSE TO ADDRESS THIS NEED BECAUSE THEY WORK WITH THESE ISSUES ALREADY AND ARE MORE PREPARED TO ADDRESS THIS NEED THAN THE HEALTH SYSTEM.IN THE 2016 IMPLEMENTATION PLAN, THE FOLLOWING KEY FOCUS AREAS WERE IDENTIFIED: COMMUNITY ENGAGEMENTWE DEFINED COMMUNITY ENGAGEMENT AS "DEVELOPING COMMUNITY PARTNERSHIPS TO IDENTIFY PRIORITIES AND SUPPORT COMPLEX ISSUES THAT IMPACT HEALTH."SCHUYLKILL WILL FOCUS ON EXPLORING AND BUILDING COMMUNITY PARTNERSHIPS WITH AN AIM TO ADDRESS SOCIAL AND HEALTH NEEDS OF COMMUNITY POPULATIONS.AT-RISK POPULATIONSWE DEFINED AT-RISK POPULATIONS AS "PROVIDING CLINICAL SERVICES THAT MEET A SIGNIFICANT COMMUNITY NEED FOR AN AT-RISK POPULATION, BUT ARE NOT FINANCIALLY VIABLE ON THEIR OWN." SOME EXAMPLES OF AT-RISK POPULATIONS INCLUDE THOSE WITH BEHAVIORAL HEALTH OR PSYCHO-SOCIAL NEEDS. OUR IMPLEMENTATION PLAN ALSO ADDRESSES TOBACCO USE AMONG PREGNANT WOMEN.ACCESS TO CARE AND HEALTH EQUITYWE DEFINED ACCESS TO CARE AND HEALTH EQUITY AS "BEING ATTENTIVE TO THE NEEDS FOR ACCESS TO MEDICAL CARE IN THE COMMUNITIES WE SERVE AND TO EACH PERSON'S LANGUAGE AND CULTURE." SCHUYLKILL WILL ADDRESS THIS NEED IN SEVERAL WAYS: BY RECRUITING ADDITIONAL STAFF AND SPECIALTY PROVIDERS TO PROVIDE CARE FOR SCHUYLKILL COUNTY-AREA PATIENTS. EDUCATING PATIENTS ABOUT LVHN'S FINANCIAL ASSISTANCE POLICY, AND EDUCATING LCH SCHUYLKILL STAFF ABOUT LANGUAGE AND CULTURAL SENSITIVITY.PREVENTION AND WELLNESSWE DEFINED PREVENTION AND WELLNESS AS "INCREASING THE NUMBER OF PEOPLE WHO ARE HEALTHY AND WELL BY EMPOWERING PEOPLE TO TAKE AN ACTIVE ROLE IN THEIR HEALTH AND ADDRESSING ISSUES THAT CONTRIBUTE TO PREVENTABLE DISEASE." SUCH INITIATIVES INCLUDE PROMOTING MAMMOGRAMS, FLU SHOTS, TIMELY PREGNANCY CARE AND OBESITY SCREENINGS, AND BUILDING AWARENESS ABOUT THE EMERGING OPIOID DRUG USE AND ABUSE ISSUES FACING OUR COMMUNITIES.
SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREETPART V, SECTION B, LINE 20E: 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 GIVEN THE PROPER INFORMATION.
SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREETPART V, SECTION B, LINE 22D: 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.INCOME GUIDELINES ARE DEVELOPED TO SHOW OR PROVE A PATIENT'S OR GUARANTOR'S INABILITY TO PAY. THESE INCOME GUIDELINES WILL BE BASED UPON THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND WILL BE REVISED EACH YEAR. INCOME LEVELS WILL DETERMINE IF SERVICES WILL BE RENDERED WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE PERCENTAGE OF TOTAL INCOME ABOVE THE FEDERAL POVERTY INCOME GUIDELINE WILL DETERMINE THE PERCENTAGE OF CHARITY CARE GRANTED.
SCHEDULE H, PART V, SECTION B, LINE 12THE TAXPAYER COMPLETED ITS FIRST CHNA, AS REQUIRED BY SECTION 501(R)(3), DURING THE TAX YEAR-ENDED JUNE 30, 2013. IN ORDER TO MEET THE REQUIREMENTS OF SECTION 501(R) FOR THE TAX YEAR-ENDED JUNE 30, 2016, THE TAXPAYER WAS REQUIRED TO CONDUCT A CHNA PRIOR TO THE LAST DAY OF THE TAX YEAR. HOWEVER, DUE TO EXTRAORDINARY CIRCUMSTANCES, THE TAXPAYER'S CHNA WAS COMPLETED BY JULY 25, 2016, ONLY 25 DAYS AFTER THE CLOSE OF THE TAX YEAR.THE TAXPAYER'S LATE COMPLETION OF THE CHNA STEMS FROM MAJOR FINANCIAL DISTRESS AND TURNOVER IN EXECUTIVE LEADERSHIP. FROM 2014 TO THE PRESENT, THE TAXPAYER HAS STRUGGLED IMMENSELY TO CONTINUE OPERATIONS. IN ADDITION, THE TAXPAYER EXPERIENCED SIGNIFICANT TURNOVER AT THE MANAGEMENT LEVEL, INCLUDING THOSE INDIVIDUALS, SUCH AS THE FORMER CEO, WHO WERE DIRECTLY IN CHARGE OF THE COMPLETION OF THE TAXPAYER'S CHNA. DURING THE 2014 TAX YEAR, THE TAXPAYER'S FINANCIAL TROUBLES RESULTED IN THE TAXPAYER'S AUDITORS RAISING A GOING-CONCERN ISSUE WITHIN THE TAXPAYER'S FINANCIAL STATEMENTS. THE TAXPAYER HIRED THE ADVISORY BOARD COMPANY ("ABC") TO STEP IN AND ASSIST THE TAXPAYER TO OVERCOME ITS FINANCIAL AND OPERATIONAL DIFFICULTIES. SOON AFTER, THE TAXPAYER'S CEO ABRUPTLY RESIGNED. IT IS IMPORTANT TO NOTE THAT THE TAXPAYER'S FORMER CEO WAS PRIMARILY RESPONSIBLE FOR ENSURING THE TAXPAYER CONDUCTED ITS CHNA.ABC SUGGESTED AND MADE MANY OPERATIONAL CHANGES TO THE TAXPAYER'S ORGANIZATION IN A SHORT PERIOD OF TIME. THE BOARD OF DIRECTORS REQUESTED THAT ABC PROVIDE INDIVIDUALS TO REPLACE THE CEO AND CFO OF THE ORGANIZATION. DURING THIS TIME, THE TAXPAYER WAS AT RISK TO SHUT DOWN AND SOUGHT A STRATEGIC PARTNERSHIP IN ORDER TO CONTINUE OPERATIONS. DURING THE 2015 TAX YEAR, THE TAXPAYER DECIDED TO AFFILIATE WITH LEHIGH VALLEY HEALTH NETWORK ("LVHN") AND DUE DILIGENCE COMMENCED. IN APRIL 2016, THE TAXPAYER SIGNED A DEFINITIVE AGREEMENT WITH LVHN AND DURING INTEGRATION PLANNING, IT WAS DISCOVERED THAT THE TAXPAYER HAD YET TO COMMENCE ITS CHNA WHICH WAS DUE BY THE END OF THE 2015 TAX YEAR. AT THIS TIME, THE TAXPAYER PROMPTLY CONDUCTED THE CHNA, WHICH WAS COMPLETED ONLY 25 DAYS FOLLOWING THE CLOSE OF THE 2015 TAX YEAR.TAXPAYER HAS REQUESTED ABATEMENT OF THE EXICSE TAX RELATED TO THE LATE COMPLETION OF THE CHNA. TAXPAYER CONTENDS THAT THE TAXPAYER'S LATE COMPLETION OF THE CHNA SHOULD NOT BE CONSIDERED A FAILURE UNDER SECTION 1.501(R)-2(B)(1), AND THE TAXPAYER SHOULD NOT BE SUBJECT TO THE EXCISE TAX IMPOSED UNDER SECTION 4959. THE TAXPAYER'S LATE COMPLETION OF THE CHNA SHOULD BE CONSIDERED A MINOR ERROR OR OMISSION. THE TAXPAYER'S CHNA WAS COMPLETED WITHIN 25 DAYS OF THE DUE DATE REQUIRED UNDER SECTION 501(R). THE CHNA PROCESS IS LENGTHY AND BEGAN IN EARNEST ONCE THE NEW HOSPITAL LEADERSHIP DISCOVERED THE PROCESS HAD NOT BEGUN. ADDITIONALLY, EVEN THOUGH THE CHNA WAS NOT TIMELY COMPLETED, THE IMPLEMENTATION PLAN WAS COMPLETED, APPROVED AND POSTED IN A TIMELY FASHION. ALTHOUGH THE CHNA ITSELF WAS LATE, NO HARM TO COMMUNITY HEALTH OCCURRED BECAUSE IMPLEMENTATION IS PROCEEDING IN A TIMELY FASHION. THE TAXPAYER COMPLETED A LATE CHNA IN LIEU OF COMPLETING A TIMELY CHNA THAT WOULD BE PARTIALLY INCOMPLETE OR CONTAIN OTHER MINOR ERRORS OR OMISSIONS.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:SCHUYLKILL MEDICAL CENTER - EAST COMPUTED A COST TO CHARGE RATIO USING INFORMATION FROM THE MOST RECENTLY FILED MEDICARE COST REPORT (FYE 6/30/16) 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 6/30/16).
PART I, LINE 7G:THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,902,982.
PART III, LINE 2:ALL APPROPRIATE DISCOUNTS AND PAYMENTS ARE REFLECTED IN 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 FILED MEDICARE COST REPORT AND APPLYING THAT TO THE CHARGE.
PART III, LINE 3: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. THIS SHOULD BE CONSIDERED COMMUNITY BENEFIT AS THE HOSPITAL IS PROVIDING CARE TO PATIENTS IN NEED REGARDLESS OF THEIR ABILITY TO PAY.
PART III, LINE 4:ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT THE NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES), THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:THE HOSPITAL USES THE COST-TO-CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWANCE COSTS.THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT AS THE HOSPITAL IS TREATING MEDICARE PATIENTS DESPITE THE RISE IN UNREIMBURSED COST.
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 WITH REGARDS TO CHARITY CARE OR FINANCIAL ASSISTANCE.
PART VI, LINE 2:THE 2016 SCHUYLKILL HEALTH SYSTEM (SHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED TO IDENTIFY SIGNIFICANT HEALTH ISSUES AND NEEDS, AS WELL AS TO PROVIDE CRITICAL INFORMATION TO SHS AND OTHERS IN A POSITION TO MAKE A POSITIVE IMPACT ON THE HEALTH OF THE REGION'S RESIDENTS. THE RESULTS ENABLE THE HOSPITAL AND OTHER COMMUNITY PARTNERS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS AND DIRECT RESOURCES TO IMPROVE THE HEALTH OF PEOPLE LIVING IN THE SHS SERVICE AREA. TO ASSIST WITH THE CHNA PROCESS, SHS RETAINED STRATEGY SOLUTIONS, INC. (SSI), A PLANNING AND RESEARCH FIRM BASED IN ERIE, PA WHOSE MISSION IS TO CREATE HEALTHY COMMUNITIES TO CONDUCT THE COLLABORATIVE STUDY. THE ASSESSMENT FOLLOWED BEST PRACTICES AS OUTLINED BY THE ASSOCIATION OF COMMUNITY HEALTH IMPROVEMENT. THE ASSESSMENT WAS ALSO DESIGNED TO ENSURE COMPLIANCE WITH CURRENT INTERNAL REVENUE SERVICE (IRS) GUIDELINES FOR CHARITABLE 501(C)(3) TAX-EXEMPT HOSPITALS THAT WAS PUBLISHED IN DECEMBER 2014. THIS CHNA AND ITS SUPPLEMENTAL RESOURCE DATA LOCATED IN THE APPENDICES DOCUMENT INCLUDE A DETAILED EXAMINATION OF THE FOLLOWING AREA: - EVALUATION OF THE 2013 SHS CHNA - DEMOGRAPHICS & SOCIA-ECONOMIC INDICATORS - ACCESS TO QUALITY HEALTH CARE - CHRONIC DISEASE - HEALTHY ENVIRONMENT - HEALTH MOTHERSS, BABIES & CHILDREN - INFECTIOUS DISEASE - MENTAL HEALTH AND SUBSTANCE ABUSE - PHYSICAL ACTIVITY AND NUTRITION - TOBACCO USE - INJURYSECONDARY PUBLIC HEALTH DATA ON DISEASE INCIDENCE AND MORTALITY, AS WELL AS BEHAVIORAL RISK FACTORS, WERE GATHERED FROM NUMEROUS SOURCES INCLUDING THE PENNSYLVANIA DEPARTMENT OF HEALTH, THE CENTER FOR DISEASE CONTROL, HEALTHY PEOPLE 2020, AND COUNTY HEALTH RANKINGS, AS WELL AS A NUMBER OF OTHER REPORTS AND PUBLICATIONS. DATA WAS COLLECTED FOR SHS, ALTHOUGH SOME SELECTED NATIONAL DATA IS INCLUDED WHERE LOCAL/REGIONAL DATA WAS NOT AVAILABLE. DEMOGRAPHIC DATA WAS COLLECTED FROM THE NIELSEN/CLARITAS DEMOGRAPHIC DATABASE. PRIMARY QUALITATIVE DATA COLLECTED SPECIFICALLY FOR THIS ASSESSMENT INCLUDED A TOTAL OF 14 IN-DEPTH INTERVIEWS, INPUT AND GUIDANCE ALSO CAME FROM SHS AND COMMUNITY REPRESENTATIVES WHO SERVED ON TEH SHS STEERING COMMITTEE.AFTER ALL PRIMARY (STAKEHOLDER INTERVIEWS) AND SECONDARY DATA WERE REVIEWED AND ANALYZED BY THE STEERING COMMITTEE, THE DATA SUGGESTED A TOTAL OF 39 DISTINCT ISSUES, NEEDS AND POSSIBLE PRIORITY AREAS FOR POTENTIAL INTERVENTION BY SHS. MEMBERS OF THE SHS CHNA STEERING COMMITTEE MET TO REVIEW THE FINAL PRIORITIES SELECTED BY THE SHS STEERING COMMITTEE. LOOKING AT THE FINAL RANK ORDERING BASED ON THE FOUR PRIORITIZATION CRITERIA OF (I) ACCOUNTABLE ROLE OF THE HOSPITAL, (II) MAGNITUDE OF THE PROBLEM, (III) IMPACT ON OTHER HEALTH OUTCOMES AND (IV) CAPACITY (SYSTEMS AND RESOURCES) TO IMPLEMENT EVIDENCE-BASED SOLUTIONS, ALONG WITH THE RANK ORDER OF THE FINAL PRIORITIES SELECTED BY TEH SHS STEERING COMMITTEE, THE STEERING COMMITTEE IDENTIFIED FOUR PRIORITY AREAS THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY:1. ACCESS TO CARE: URGENT CARE SERVICES2. ACCESS TO CARE: MAMMOGRAM SCREENINGS3. ACCESS TO CARE: PRIMARY/SPECIALTY MEDICAL CARE4. MENTAL HEALTH AND SUBSTANCE ABUSE: DRUG AND ALCOHOL ABUSEIT IS IMPORTANT TO NOTE THAT THE PRIORITIZATION CRITERIA THAT WERE UTILIZED FOR THE 2016 SHS CHNA ARE DIFFERENT FROM THE CRITERIA UTILIZED FOR THE PREVIOUS (2013) CHNA. IN 2013, THE SHS LEADERSHIP SELECTED CRITERIA THAT THEY FELT WERE RELEVANT TO THEIR NEEDS AT THE TIME. SINCE THAT TIME, AND IN LIGHT OF THE 2014 IRS RULING, SSI HAS ENCOURAGED HOSPITALS TO USE THE SAME CRITERIA, ACCOUNTABLE ROLE, MAGNITUDE, IMPACT AND CAPACITY.THE IMPLEMENTATION STRATEGIES SELECTED BY SHS AND ITS COMMUNITY PARTNERS WILL ADDRESS THE MOST SIGNIFICANT NEEDS THORUGH A VARIETY OF IMPLEMENTATION STRATEGIES.
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 BEEN EDUCATED ON THE CHARITY CARE POLICY AND CAN ADVISE PATIENTS ON APPLYING FOR THIS BENEFIT.
PART VI, LINE 4:SMC-ENS 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 148,000. APPROXIMATELY 21% OF THE POPULATION IS UNDER THE AGE OF 18 AND 18% IS OVER THE AGE OF 65. THE POPULATION IS 49% FEMALE AND 94% WHITE. APPROXIMATELY 15% OF THE POPULATION HAS A BACHELOR'S DEGREE OR HIGHER. 13.1% OF THE POPULATION IS BELOW THE POVERTY LEVEL. THE UNEMPLOYMENT RATE IS 8.8%.23% OF THE POPULATION IS INSURED BY MEDICAID. APPROXIMATELY 55% 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 61ST 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-ENS WERE 76% MEDICARE, 9% MEDICAID, AND 19% SELF-PAY. EMERGENCY PATIENTS AT SMC-ENS ARE 29% MEDICARE, 30% MEDICAID, AND 9% SELF-PAY.SCHUYLKILL COUNTY HAS THREE HOSPITALS SERVING THE COUNTY. SMC-ENS AND SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET ARE BOTH LOCATED IN POTTSVILLE AND SERVE THE MAJORITY OF THE COUNTY RESIDENTS. ST. LUKE'S MINERS MEMORIAL HOSPITAL IS LOCATED IN COALDALE NEAR THE CARBON COUNTY BORDER.
PART VI, LINE 5:THE BOARD OF SMC-ENS IS COMPRISED OF SIXTEEN INDIVIDUALS FROM THE SCHUYLKILL COUNTY COMMUNITY WHO 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-ENS ALSO WORKS WITH VARIOUS COMMUNITY ORGANIZATIONS TO HELP IDENTIFY COMMUNITY NEEDS AND WORK TOGETHER TO MEET THOSE NEEDS. THE MEDICAL CENTER OPENED A WOUND CARE DEPARTMENT TO HELP IN DEALING WITH THE HIGH INCIDENT OF DIABETES WITHIN THE COUNTY POPULATION. 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 HAS AN OUTPATIENT DENTAL CLINIC AVAILABLE FOR THOSE PATIENTS WITH MEDICAID OR NO INSURANCE. THIS CLINIC HAD BEEN OPENED BASED ON THE NEED FOR DENTAL CARE FOR PATIENTS WITH MEDICAID OR LACK OF INSURANCE. THE MEDICAL CENTER ALSO WORKS WITH THE COUNTY SOCIAL SERVICE AGENCIES AND CRIMINAL JUSTICE DEPARTMENT ON OUTPATIENT DRUG AND ALCOHOL ISSUES. THE COUNSELING SERVICES OF THE MEDICAL CENTER PROVIDE OUTPATIENT DRUG AND ALCOHOL COUNSELING SERVICES IN BOTH INDIVIDUAL AND GROUP SETTINGS. THE COUNSELING SERVICES DEPARTMENT ALSO PROVIDES NICOTINE CESSATION COUNSELING AS WELL AS PARTICIPATING IN A GRANT PROGRAM WITH THE SOUTHEASTERN PENNSYLVANIA REGIONAL TOBACCO PROJECT.THE EMERGENCY DEPARTMENT OF SMC-ENS 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 OPORTUNITIES 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 AND CLINICS, VETERANS BREAKFAST EVENT, MEALS ON WHEELS, SKIN CANCER SCREENINGS, MAMMOGRAPHY SCREENINGS, SUPPORT GROUPS, AND LOCAL AMERICAN CANCER SOCIETY RELAY FOR LIFE.ANY EXCESS FUNDS THAT ARE GENERATED FROM THE OPERATIONS ARE INVESTED BACK INTO THE MEDICAL CENTER BY PURCHASING THE 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-EMS AND SMC-SJS 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-ENS OR SMC-SJS:- 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- ADVANCED WOUND CENTER- 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-ENS AND SMC-SJS. 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 THAT OFFERS REHABILITATION SERVICES TO THE PUBLIC. ONE SERVICE THAT BENEFITS THE PUBLIC IS A SERIES OF DIFFERENT PROGRAMS EACH YEAR ON HEALTH CARE TOPICS. THESE PROGRAMS ARE OFFERED FREE TO THE PUBLIC.SCHUYLKILL MEDICAL MALL/DEVELOPMENT CORP IS AN ORGANIZATION THAT OWNS AND OPERATES A MEDICAL OFFICE BUILDING NEAR SMC-ENS. THIS BUILDING OFFERS AN AREA FOR PHYSICIANS TO BE ABLE TO RENT SPACE FOR THEIR PRACTICE INSTEAD OF HAVING TO PURCHASE THEIR OWN SPACE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CITY OF POTTSVILLEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 NORTH CENTRE STREETAddressLine1Txt
CityPOTTSVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP179011330ZIPCd
FieldValueIRS element (for citing)
Recipient EIN236001906RecipientEIN
Cash Grant$12,573CashGrantAmt
Purpose Of GrantTHE CITY OF POTTSVILLE USED THE MONEY TO PURCHASE A NEW POLICE VEHICLE.PurposeOfGrantTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DIANE BORIS
VP FINANCE$147,567$0$0$0$0$0$4,509$0$17,000$0$169,076$0$0$0
SUE CURRY
VP NURSING/CNO$132,585$0$0$0$0$0$4,094$0$21,221$0$157,900$0$0$0
SAJJAD MALIK
PATHOLOGIST$300,242$0$0$0$0$0$7,950$0$22,098$0$330,290$0$0$0
JOHN RUSSO
PATHOLOGIST$274,760$0$0$0$0$0$7,950$0$20,500$0$303,210$0$0$0
BRIAN PAUL
PHARMACIST$128,714$0$0$0$0$0$3,953$0$18,324$0$150,991$0$0$0
JOHN E SIMODEJKA
FORMER PRESIDENT/CEO (TO 8/14)$0$305,147$0$0$0$0$0$0$0$15,896$0$321,043$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationA RELATED ORGANIZATION, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET, USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION FOR THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF POTTSVILLE HOSPITAL AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN232289554BondIssuerEIN
CUSIP738431AE5CUSIPNum
Bond Issued2016-05-01BondIssuedDt
Issue Price$20,000,000IssuePriceAmt
PurposeCONSTRUCT, RENOVATE AND EQUIP FACILITIESPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$20,000,000TotalProceedsAmt
In Reserve Fund$1,050,000InReserveFundAmt
Issuance Costs From Proceeds$400,000IssuanceCostsFromProceedsAmt
Working Capital Expenditures$18,550,000WorkingCapitalExpendituresAmt
Substantial Completion2016SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE HOSPITAL HAS DELEGATED MANAGEMENT DUTIES OVER THE FOLLOWING SERVICES: * DIETARY SERVICES & HOUSEKEEPING TO SODEXHO INC. AND AFFILIATES, * REHABILITATION TO REHAB CARE GROUP INC., * WOUND CARE TO ACCELECARE, * BEHAVIORAL HEALTH UNITS TO HORIZON HEALTH, AND * IT TO TRUBRIDEGE CIO IN ADDITION, THE INTERIM PRESIDENT AND CEO, MARC LORY, AND THE INTERIM CFO, JUDY PEEK-LEE, ARE EMPLOYEES OF THE ADVISORY BOARD. PAYMENT FOR THEIR SERVICES IS PAID DIRECTLY TO THE ADVISORY BOARD. ADVISORY BOARD ALSO PROVIDED REVENUE CYCLE CONSULTING AND TURN AROUND TEAM CONSULTING SERVICES DURING THE YEAR.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S SOLE CORPORATE MEMBER IS SCHUYLKILL HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION'S SOLE CORPORATE MEMBER, SCHUYLKILL HEALTH SYSTEM INC., HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BTHE ORGANIZATION'S SOLE CORPORATE MEMBER, SCHUYLKILL HEALTH SYSTEM INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE PROCESS TO REVIEW THE 990S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE & CONTROLLER. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE LVHN EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER. ALL COMPENSATION DISCLOSURES ARE REVIEWED BY THE DIRECTOR, COMPENSATION-HUMAN RESOURCES. DRAFT 3 OF THE RETURNS IS REVIEWED TOGETHER WITH THE PRESIDENT & CEO, THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, THE VICE PRESIDENT, FINANCE & CONTROLLER AND THE DIRECTOR, TAX. FINAL RETURNS ARE REVIEWED WITH THE LVHN BOARD LEADERSHIP GROUP (THE BOARD CHAIR AND THREE VICE CHAIRS). COPIES OF ALL 990S ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH 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 RECUSE 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 15ANNUALLY, THE HOSPITAL 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 THAT COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. THIS PROCESS IS USED FOR THE FOLLOWING POSITIONS: PRESIDENT/CEO, VICE PRESIDENT OF OPERATION/COO, VICE PRESIDENT OF NURSING/CNO, VICE PRESIDENT OF POST ACUTE SERVICES, VICE PRESIDENT OF CLINICAL AND SUPPORT SERVICES, AND THE VICE PRESIDENT OF FINANCE/CFO. REVIEW AND APPROVAL IS DOCUMENTED IN THE BOARD AND COMMITTEE MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 18ANOTHER'S WEBSITE - GUIDESTAR. UPON REQUEST - PRINTED COPIES WITH SENIOR MANAGEMENT AND MARKETING.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT LABOR : PROGRAM SERVICE EXPENSES 1,591,580. MANAGEMENT AND GENERAL EXPENSES 652,787. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,244,367. PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 616,609. MANAGEMENT AND GENERAL EXPENSES 176,775. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 793,384. PHYSICIAN FEES : PROGRAM SERVICE EXPENSES 1,612,375. MANAGEMENT AND GENERAL EXPENSES 264,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,876,525. REFERRED MEDICAL SERVICES : PROGRAM SERVICE EXPENSES 218,423. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 218,423. CONSULTING FEES : PROGRAM SERVICE EXPENSES 250,093. MANAGEMENT AND GENERAL EXPENSES 1,459,076. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,709,169. MAINTENANCE SERVICE CONTRACTS : PROGRAM SERVICE EXPENSES 549,719. MANAGEMENT AND GENERAL EXPENSES 597,677. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,147,396.
FORM 990, PART XI, LINE 9:NET TRANSFER FROM AFFILIATES 795,410. NET ASSETS RELEASED FROM RESTRICTIONS 7,591. PERMANENT RESTRICTED NET ASSETS VALUATION LOSS -16,365. RELEASED FROM RESTRICTED 14,895.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SCHUYLKILL HEALTH SYSTEM
420 SOUTH JACKSON STREETPOTTSVILLEPA17901262990543TO SUPPORT, PROMOTE, ADVANCE & ENHANCE QUALITY OF LIFE OF SCHUYLKILL CNTYPA501(C)(3)LINE 11B, IIN/A0
SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC
700 EAST NORWEGIAN STREETPOTTSVILLEPA17901232866006TO SUPPORT AND PROMOTE THE PURPOSES OF AFFILIATED ENTITIESPA501(C)(3)LINE 90SCHUYLKILL HEALTH SYSTEM
SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET
MAUCH CHUNK JACKSON STREETSPOTTSVILLEPA17901231352202OPERATES A HOSPITAL PROVIDING INPATIENT, OUTPATIENT & EMERGENCY SVCSPA501(C)(3)LINE 30SCHUYLKILL HEALTH SYSTEM
SCHUYLKILL REHABILITATION CENTER INC
420 SOUTH JACKSON STREETPOTTSVILLEPA17901232440891OPERATES A COMPREHENSIVE REHABILITATION FACILITYPA501(C)(3)LINE 30SCHUYLKILL HEALTH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1EAST NORWEGIAN TREMONT STREETSAddressLine1Txt
CityPOTTSVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17901ZIPCd
FieldValueIRS element (for citing)
EIN232514813EIN
Primary ActivitiesRENTALPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeINVESTMENTPredominantIncomeTypeTxt
Share Of Total Income$57,302ShareOfTotalIncomeAmt
Share Of EOY Assets$278,531ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.30910OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION
700 EAST NORWEGIAN STREETPOTTSVILLEPA17901232432417PURSUES, IMPLEMENTS, & FURTHERS THE ACTIVITIES & PURPOSES OF THE SYSTEMPASCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREETC$38,940$426,6561.000000
SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION
420 SOUTH JACKSON STREETPOTTSVILLEPA17901232931821CONDOMINIUM ASSOCIATIONPAC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd