FURP.ORG / PUBLIC DATA EXPLORER

SCHUYLKILL MEDICAL CENTER - EAST: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SCHUYLKILL MEDICAL CENTER - EAST (EIN 23-0880420)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201441349349301759
Schema version
2012v2.1
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)
Timestamp2014-05-14T08:36:05-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN232932984EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11650 MARKET STREET SUITE 4500AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN230880420EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SCHUYLKILL MEDICAL CTR - EAST NORWEGIANBusinessNameLine1
Business Name Line2STREET FKA GOOD SAM REGIONAL MED CTRBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSCHUNameControl
Phone5706214000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 EAST NORWEGIAN STREETAddressLine1
CityPOTTSVILLECity
StatePAState
ZIP Code17901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN E SIMODEJKAName
TitlePRESIDENT/CHIEF EXECUTIVE OFFICERTitle
Phone5706214000Phone
Date Signed2014-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIUS C GREEN CPA JDName
PTINP00350393PTIN
Phone2159720701Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN E SIMODEJKANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1700 EAST NORWEGIAN STREETAddressLine1
CityPOTTSVILLECity
StatePAState
ZIP Code17901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts61045010GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SCHUYLKILLHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE FOR THE SCHUYLKILL COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees795TotalNbrEmployees
Total Nbr Volunteers122TotalNbrVolunteers
Total Gross UBI297951TotalGrossUBI
Net Unrelated Business Txbl Income-291391NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year193461ContributionsGrantsPriorYear
Contributions Grants Current Year504784ContributionsGrantsCurrentYear
Program Service Revenue Prior Year58880243ProgramServiceRevenuePriorYear
Program Service Revenue CY57405215ProgramServiceRevenueCY
Investment Income Prior Year118896InvestmentIncomePriorYear
Investment Income Current Year82264InvestmentIncomeCurrentYear
Other Revenue Prior Year1603507OtherRevenuePriorYear
Other Revenue Current Year2919176OtherRevenueCurrentYear
Total Revenue Prior Year60796107TotalRevenuePriorYear
Total Revenue Current Year60911439TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8320GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY850GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year34484107SalariesEtcPriorYear
Salaries Etc Current Year34689407SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year27061352OtherExpensePriorYear
Other Expenses Current Year27067794OtherExpensesCurrentYear
Total Expenses Prior Year61553779TotalExpensesPriorYear
Total Expenses Current Year61758051TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-757672RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-846612RevenuesLessExpensesCY
Total Assets BOY33523239TotalAssetsBOY
Total Assets EOY33260390TotalAssetsEOY
Total Liabilities BOY11856975TotalLiabilitiesBOY
Total Liabilities EOY12433807TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY21666264NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20826583NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSCHUYLKILL 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.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense44099595Expense
Grants850Grants
Revenue57757836Revenue
DescriptionTHE 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. INPATIENT HEALTHCARE SERVICES ARE PROVIDED IN MEDICINE, SURGERY, AND CRITICAL CARE MEDICINE. MORE THAN 22,000 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.Description
Total Program Service Expense44099595TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees795NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BERNIE KOSKULITZ DIRECTOR FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5706215142TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1700 EAST NORWEGIAN STREETAddressLine1
CityPOTTSVILLECity
StatePAState
ZIP Code17901ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOHN SIMODEJKA
PRESIDENT/CEO14.0026.00XX046508123868
TIMOTHY TWARDZIK
TRUSTEE1.003.00X000
JAY LINARD
SECRETARY1.003.00XX000
WILLIAM KIRWAN CPA ESQ
TREASURER1.003.00XX000
JESSE ACHENBACH
TRUSTEE1.003.00X000
ANTHONY BARAN
CHAIR1.003.00XX000
JEANNE BOYER PORTER
TRUSTEE1.003.00X000
DEBRA BLASCHAK
TRUSTEE1.003.00X000
STEVEN FIELD
TRUSTEE1.003.00X000
SARAH CASEY
TRUSTEE1.003.00X000
REV HAROLD L HAND
TRUSTEE1.003.00X000
CYNTHIA PETCHULIS
TRUSTEE1.003.00X000
ROBERT ZIMMERMAN JR DO
TRUSTEE1.003.00X000
WILLIAM JONES III
TRUSTEE1.003.00X000
E LORI SMITH
TRUSTEE1.003.00X000
FRANKLIN SHOENEMAN
VICE CHAIR1.003.00XX000
SYED SHAH MD
TRUSTEE1.003.00X000
DIANE BORIS
CFO14.0026.00X117112022095
DARNELL FURER
CNO19.8020.20X175335019859
DR THOMAS CURRY
VP MEDICAL STAFF AFFAIRS14.0026.00X013493310388
JOHN RUSSO
PATHOLOGIST40.00276474020446X
EARL WATERS JR
DENTIST40.00148751022981X
LESLIE DUBOWITZ
PHYSICIAN40.00126469018478X
BRIAN PAUL
PHARMACIST20.0020.00139307022194X
ROBERT KARETSKY
DIRECTOR - PHARMACY20.0020.00119449013527X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1102897TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs600014TotalReportableCompFrmRltdOrgs
Total Other Compensation173836TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO INC & AFFILIATES
PO BOX 360710PITTSBURGHPA152516922DIETARY & HOUSEKEEPING SERVICES972029
REHAB CARE GROUP INC
PO BOX 502096ST LOUISMO631502096MGMT FIRM-INPAT-REHAB UNIT913579
POTTSVILLE HOSPITALISTS
PO BOX 1125POTTSVILLEPA17901PHYSICIAN SERVICES641750
PH ANESTHESIA ASSOCIATES
420 SOUTH JACKSON STREETPOTTSVILLEPA17901ANESTHESIOLOGIST SERVICES439003
DIAGNOSTIC IMAGING INC
25983 NETWORK PLACECHICAGOIL60673INTERVENTIONAL RADIOLOGIST SERVICES343300
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K
Related Organizations301979RelatedOrganizations
Government Grants202805GovernmentGrants
Total Contributions504784TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVDescription
Business Code621400BusinessCode
Total Revenue Column57405215TotalRevenueColumn
Related Or Exempt Function Income57405215RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue57405215TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column72972TotalRevenueColumn
Exclusion$72,972ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real251658Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real133571Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real118087Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column118087TotalRevenueColumn
Exclusion$118,087ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other9292Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other9292Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column9292TotalRevenueColumn
Exclusion$9,292ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory2179GrossSalesOfInventory
Cost Of Goods Sold0CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2179TotalRevenueColumn
Exclusion$2,179ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MEANINGFUL USE5614391713977$1,713,977
ALCOHOL & DRUG REV561439352621352621
LAB AND BILLING SERVICE REVENUE621400297951297951

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column434361TotalRevenueColumn
Exclusion$434,361ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2798910TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column60911439TotalRevenueColumn
Related Or Exempt Function Income57757836RelatedOrExemptFunctionIncome
Unrelated Business Revenue297951UnrelatedBusinessRevenue
Exclusion$2,350,868ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total850Total
Program Services850ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total346379Total
Management And General346379ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total26519325Total
Program Services20824528ProgramServices
Management And General5694797ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total710333Total
Management And General710333ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5151002Total
Program Services13307ProgramServices
Management And General5137695ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1962368Total
Program Services1528575ProgramServices
Management And General433793ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total252668Total
Management And General252668ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total71752Total
Management And General71752ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total55879Total
Management And General55879ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6032377Total
Program Services4160928ProgramServices
Management And General1871449ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total95621Total
Management And General95621ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7296855Total
Program Services6366169ProgramServices
Management And General930686ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1151654Total
Program Services38619ProgramServices
Management And General1113035ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total31297Total
Program Services16184ProgramServices
Management And General15113ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total16254Total
Program Services6993ProgramServices
Management And General9261ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total226785Total
Program Services226785ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3654207Total
Program Services3654207ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total882777Total
Program Services882777ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE39117803911780
DRUGS18457351845735
DATA PROCESSING55489084883470007
FOOD5234475222631184

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total463816Total
Program Services15012ProgramServices
Management And General448804ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total61758051Total
Program Services44099595ProgramServices
Management And General17658456ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1234BOY
EOY1235EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY745115BOY
EOY684186EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY33665BOY
EOY33665EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6857309BOY
EOY6893243EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1035606BOY
EOY1094871EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY600277BOY
EOY522058EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis84645334LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec68410509LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15440906BOY
EOY16234825EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3743146BOY
EOY3764875EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1533963BOY
EOY1685836EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3532018BOY
EOY2345596EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33523239BOY
EOY33260390EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4589035BOY
EOY4227552EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY686686BOY
EOY730113EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2727422BOY
EOY1841149EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3853832BOY
EOY5634993EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11856975BOY
EOY12433807EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20733288BOY
EOY19883222EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY259584BOY
EOY263038EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY673392BOY
EOY680323EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21666264BOY
EOY20826583EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33523239BOY
EOY33260390EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-846612ReconcilationRevenueExpenses
Reconcilation Other Changes6931ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$55,879OtherActivitiesAmount
Total Lobbying Expenditures IIB55879TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE SCHUYLKILL MEDICAL CENTER - EAST 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 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.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis559398OtherCostOrOtherBasis
Book Value559398BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis51156234OtherCostOrOtherBasis
Depreciation42854484Depreciation
Book Value8301750BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31683006OtherCostOrOtherBasis
Depreciation25420450Depreciation
Book Value6262556BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1246696OtherCostOrOtherBasis
Depreciation135575Depreciation
Book Value1111121BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings16234825TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
LONG TERM INVESTMENTS175002F
INVESTMENT IN PA COMMUNITY HOSPITAL ASSOCIATION403754F
INVESTMENT IN SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP224404F
CASH SURRENDER VALUE LIFE INSURANCE152563F
DEFERRED COMP ACCOUNT730113F
FieldValueIRS element (for citing)
Total Of Book Value Securities1685836TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES980341
BENEFICIAL INTEREST IN PERPETUAL TRUSTS170324
INSURANCE RECOVERIES RECEIVABLE1194931
FieldValueIRS element (for citing)
Total Book Value Other Assets2345596TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
PENSION LIABILITY$717,741
BLUE CROSS CURRENT FINANCING ADVANCE$419,600
CAPITAL LEASE OBLIGATION$2,677,699
ESTIMATED MALPRACTICE LIABILITY$1,819,953
FieldValueIRS element (for citing)
Total Of Amounts5634993TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt57137982TotRevenueEtcAuditedFinclStmt
Other Revenues-3904849OtherRevenues
Revenue Not Rptd F990-3904849RevenueNotRptdF990
Revenue Subtotal61042831RevenueSubtotal
Other Revenues Not Included-131392OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-131392RevenueNotRptdOnFinStmt
Total Revenue Per Form99060911439TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt57977663TotExpensesEtcAuditedFinclStmt
Other Expenses Included131392OtherExpensesIncluded
Expenses Not Rptd F990131392ExpensesNotRptdF990
Expenses Subtotal57846271ExpensesSubtotal
Other Expenses Not Included3911780OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3911780ExpensesNotRptdOnFinStmt
Total Expenses Per Form99061758051TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2: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. THE CORPORATION'S FEDERAL EXEMPT ORGANIZATION RETURNS OF INCOME TAX FOR THE YEARS ENDED PRIOR TO JUNE 30, 2010 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:VALUATION GAIN 6,931. PROVISION FOR BAD DEBTS, NETTED ON FINANCIAL STATEMENTS -3,911,780.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -133,571. GROSS SALES OF INVENTORY, NETTED ON F/S 2,179.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 133,571. GROSS SALES OF INVENTORY, NETTED ON F/S -2,179.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS, NETTED ON FINANCIAL STATEMENTS 3,911,780.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegion
Type Of Activities ConductedINVESTMENTTypeOfActivitiesConducted
Total Expenditures403754TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent403754SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent403754TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage175.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense262123TotalCommunityBenefitExpense
Net Community Benefit Expense262123NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5240815TotalCommunityBenefitExpense
Direct Offsetting Revenue2856452DirectOffsettingRevenue
Net Community Benefit Expense2384363NetCommunityBenefitExpense
Percent Of Total Expense0.04120PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense5502938TotalCommunityBenefitExpense
Direct Offsetting Revenue2856452DirectOffsettingRevenue
Net Community Benefit Expense2646486NetCommunityBenefitExpense
Percent Of Total Expense0.04570PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served122PersonsServed
Total Community Benefit Expense52143TotalCommunityBenefitExpense
Net Community Benefit Expense52143NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served19PersonsServed
Total Community Benefit Expense86580TotalCommunityBenefitExpense
Net Community Benefit Expense86580NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense960954TotalCommunityBenefitExpense
Direct Offsetting Revenue505933DirectOffsettingRevenue
Net Community Benefit Expense455021NetCommunityBenefitExpense
Percent Of Total Expense0.00790PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served141PersonsServed
Total Community Benefit Expense1099677TotalCommunityBenefitExpense
Direct Offsetting Revenue505933DirectOffsettingRevenue
Net Community Benefit Expense593744NetCommunityBenefitExpense
Percent Of Total Expense0.01030PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served141PersonsServed
Total Community Benefit Expense6602615TotalCommunityBenefitExpense
Direct Offsetting Revenue3362385DirectOffsettingRevenue
Net Community Benefit Expense3240230NetCommunityBenefitExpense
Percent Of Total Expense0.05600PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense32162TotalCommunityBuildingExpense
Net Community Building Expense32162NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense32162TotalCommunityBuildingExpense
Net Community Building Expense32162NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,619,831BadDebtExpenseAmount
Amount Attributable To1619831AmountAttributableTo
Amount Reimbursed By Medicare28400598AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare26530712CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1869886MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SCHUYLKILL MEDICAL CENTER - EAST NORWEGIBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1700 EAST NORWEGIAN STREETAddressLine1
CityPOTTSVILLECity
StatePAState
ZIP Code17901ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SCHUYLKILL MEDICAL CENTER EAST NORWEGIANBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities1OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent175.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent250.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanationIdentifierIdentifier
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 6/30/13) 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 6/30/13).
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 $3,911,780.
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 DEBT 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 3: SCHUYLKILL HEALTH PARTNERED WITH STRATEGY SOLUTIONS TO CONDUCT THE ASSESSMENT. WITH THEIR HELP, SCHUYLKILL HEALTH IDENTIFIED 11 COMMUNITY MEMBERS TO SERVE ON A STEERING COMMITTEE TO CONDUCT THIS ASSESSMENT. THE 11 COMMUNITY MEMBERS INCLUDED LEADERS IN EDUCATON, BUSINESS, PUBLIC SERVICES, HUMAN SERVICES, AND PUBLIC HEALTH OFFICIALS.SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN
PART V, SECTION B, LINE 4: SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREETSCHUYLKILL MEDICAL CENTER EAST NORWEGIAN
PART V, SECTION B, LINE 7: SCHUYLKILL HEALTH DID NOT ADDRESS ALL 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 THE 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 THIS ISSUE ON BECAUSE THEY DEAL WITH A DIVERSE GROUP OF ORGANIZATIONS THAT WOULD BE ABLE TO IMPROVE THESE NEEDED 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.SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN
PART V, SECTION B, LINE 12H: THE SIZE OF THE FAMILY - THE LARGER THE NUMBER OF PEOPLE IN THE PATIENT'S FAMILY COULD ADJUST HOW MUCH OF A BENEFIT THEY RECEIVE.SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN
PART V, SECTION B, LINE 18E: 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 GIVEN THE PROPER INFORMATION.SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN
PART V, SECTION B, LINE 20D: 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 CHARGED FOR A PROCEDURE PER THE HOSPITAL'S CHARGE MASTER.SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN
PART VI, LINE 2: SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET (SMS-ENS) WORKS WITH SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET (SMS-SJS) 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-ENS 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-ENS IS A 126 BED ACUTE CARE FACILITY THAT PROVIDES ACUTE MEDICAL SURGICAL CARE, ACUTE REHAB SERVICES AND SENIOR BEHAVIORAL HEALTH SERVICES TO THE COMMUNITY.THE INFORMATION FOR THE NEEDS ASSESSMENT WAS GATHERED IN 2 DIFFERENT WAYS. THE FIRST WAY WAS TO SET UP A COMMITTEE OF 11 DIFFERENT MEMBERS FOR VARIOUS DIFFERENT GROUPS IN THE COMMUNITY TO DISCUSS WHAT WAS NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY. QUALITATIVE AND QUANTITATIVE DATA COLLECTION WAS ALSO USED TO ANALYZE WHAT WAS NEEDED TO IMPROVE THE HEALTH OF COMMUNITY MEMBERS.SMC-ENS 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 HAS 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-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 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. MORE THAN 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 57TH 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 74 % MEDICARE, 7% MEDICAID AND 1% SELF PAY. EMERGENCY PATIENTS AT SMC-ENS ARE 22% MEDICARE, 20% MEDICAID AND 10% 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 SEVENTEEN 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-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 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-ENS 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 - 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN SIMODEJKA
PRESIDENT/CEO0465081000006125017743048894900
DARNELL FURER
CNO1753350000045090153500195194000
JOHN RUSSO
PATHOLOGIST2764740000049000155460296920000
EARL WATERS JR
DENTIST1487510000037250192560171732000
BRIAN PAUL
PHARMACIST1393070000029750192190161501000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2PET SCANS HAD PREVIOUSLY BEEN PERFORMED ONLY AT SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET (SOUTH). HOWEVER, IN THE DECEMBER 2012-JANUARY 2013 TIMEFRAME, THE PET SCANNING SERVICE WAS TRANSITIONED FROM SOUTH TO EAST, AND THE SERVICE WAS DISCONTINUED AT SOUTH.
FORM 990, PART VI, SECTION A, LINE 3THE HOSPITAL HAS DELEGATED MANAGEMENT DUTIES OVER ITS DIETARY AND HOUSEKEEPING SERVICES TO SODEXHO INC. AND AFFILIATES. MANAGEMENT DUTIES OVER ITS REHABILITATION SERVICES HAVE BEEN DELEGATED TO REHAB CARE GROUP, INC. MANAGEMENT OF WOUND CARE SERVICES IS MANAGED BY ACCELECARE.
FORM 990, PART VI, SECTION B, LINE 11THE 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 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 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 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 IS PAID AT NO MORE THAN FAIR MARKET VALUE. THIS PROCESS IS USED FOR THE FOLLOWING POSITIONS: PRESIDENT/CEO, VICE PRESIDENT OF OPERATION/COO, VICE PRESIDENT OF NURSING/CNO, AND THE VICE PRESIDENT OF FINANCE/CFO. REVIEW AND APPROVAL IS DOCUMENTED IN BOARD AND COMMITTEE MEETING MINUTES.
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.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 9:TRANSFER OF ASSETS TO AFFILIATE VALUATION GAIN 6,931.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SCHUYLKILL HEALTH SYSTEM
420 SOUTH JACKSON STREETPOTTSVILLEPA17901262990543TO SUPPORT, PROMOTE, ADVANCE & ENHANCE QUALITY OF LIFE OF SCHUYLKILL CNTYPA501(C)(3)11BN/A0
SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC
700 EAST NORWEGIAN STREETPOTTSVILLEPA17901232866006TO SUPPORT AND PROMOTE THE PURPOSES OF AFFILIATED ENTITIESPA501(C)(3)90SCHUYLKILL HEALTH SYSTEM
SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET
MAUCH CHUNK JACKSON STREETSPOTTSVILLEPA17901231352202OPERATES A HOSPITAL PROVIDING INPATIENT, OUTPATIENT & EMERGENCY SVCSPA501(C)(3)30SCHUYLKILL HEALTH SYSTEM
SCHUYLKILL REHABILITATION CENTER INC
420 SOUTH JACKSON STREETPOTTSVILLEPA17901232440891OPERATES A COMPREHENSIVE REHABILITATION FACILITYPA501(C)(3)30SCHUYLKILL HEALTH SYSTEM

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1EAST NORWEGIAN TREMONT STAddressLine1
CityPOTTSVILLECity
StatePAState
ZIP Code17901ZIPCode
FieldValueIRS element (for citing)
EIN232514813EIN
Primary ActivityRENTALPrimaryActivity
Legal Domicile StatePALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Predominant Income TypeINVESTMENTPredominantIncomeType
Share Of Total Income139125ShareOfTotalIncome
Share Of EOY Assets208610ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.30910PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION
700 EAST NORWEGIAN STREETPOTTSVILLEPA17901232432417PURSUES, IMPLEMENTS & FURTHERS THE ACTVTIES & PURPOSES OF THE SYSPASCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREETC489912964071.000000
SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION
420 SOUTH JACKSON STREETPOTTSVILLEPA17901232931821CONDOMINIUM ASSOCIATIONPAC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg