2011-05-16T16:13:00-05:00 2010-06-30 PARENTEBEARD LLC 400 MARKET STREET WILLIAMSPORT PA 17701 990 2009-07-01 232866006 SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC fka SETON MEDICAL GROUP INC SCHU 5706214002 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 JOHN E SIMODEJKA 5706214002 2011-05-16 1 5703236023 2009 2016-02-24 21:20:13Z JOHN E SIMODEJKA 420 SOUTH JACKSON ST POTTSVILLE PA 17901 351151 0 X WWW.SCHUYLKILLHEALTH.COM X 1998 PA PROVIDING HEALTHCARE SERVICES TO THE COMMUNITY. 14 14 4 0 0 0 2425955 0 719130 351151 2 0 0 3145087 351151 0 0 809518 565946 0 0 263589 276138 1073107 842084 2071980 -490933 254754 193827 46718 476724 208036 -282897 TO SUPPORT AND PROMOTE THE PURPOSES OF SCHUYLKILL HEALTH, SCHUYLKILL MEDICAL CENTER, EAST, AND ANY OTHER AFFILIATEED ENTITY. 0 0 842084 351151 RECEIVE, MAINTAIN AND DISTRIBUTE FUNDS OR OTHER ASSETS AND TO ADMINISTER AND APPLY THE INCOME OR PRINCIPAL THEREOF EXCLUSIVELY FOR THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES OF SCHUYLKILL MEDICAL CENTER-EAST, OR ANY ENTITY SPONSORED BY OR OTHERWISE AFFILIATED WITH SCHUYLKILL HEALTH, WHICH IS AN EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 842084 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 4 1 0 0 0 0 0 0 0 0 0 14 14 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 0 PA X BERNIE KOSKULITZ 5706214002 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 JESSE C ACHENBACH 1.00 X 0 0 0 ANTHONY BARAN 1.00 X 0 0 0 DEBRA C BLASCHAK 1.00 X 0 0 0 SARAH T CASEY 1.00 X 0 0 0 JAMES T GALLAGHER ED D 1.00 X 0 0 0 WILLIAM L JONES III 1.00 X 0 0 0 ALLEN E KIEFER 1.00 X 0 0 0 FRANKLIN K SCHOENEMAN 1.00 X 0 0 0 SYED SHAH MD 1.00 X 0 0 0 ROBERT M ZIMMERMAN JR DO 1.00 X 0 0 0 JUDGE JOSEPH MCCLOSKEY 1.00 X X 0 0 0 JUDGE WILLIAM E BALDWIN 1.00 X X 0 0 0 JAY M LINARD 1.00 X X 0 0 0 WILLIAM E KIRWAN CPA ESQ 1.00 X X 0 0 0 JOHN E SIMODEJKA 1.00 X 0 349022 12507 ROBERT BORAN JR 40.00 X 399883 0 51163 WHITNEY POLLOCK 40.00 X 76483 0 7098 399883 349022 63670 1 0 1 0 INTERIM PHYSICIANS 12140 WOODCREST EXEC DRIVE STE 310 ST LOUIS MO 63141 HEALTH CARE STAFFING 106299 1 NET PATIENT SVC REV 621110 351151 351151 351151 351151 351151 0 0 548861 548861 17085 17085 133196 133196 26108 26108 12259 12259 46457 46457 DRUGS 53115 53115 DUES AND SUBSCRIPTIONS 3717 3717 Bad Debt Expense 923 923 SALES TAX EXPENSE 335 335 FOOD 28 28 842084 842084 0 0 222653 120599 31220 72343 881 885 254754 193827 46718 27045 0 449679 46718 476724 X 208036 -282897 208036 -282897 254754 193827 X 0 1 1 X 0 X 2425955 2425955 484943 851976 873752 719130 351151 3280952 484943 851976 873752 3145085 351151 5706907 0 0 0 5706907 482 477 332 -78 1213 482 477 332 -78 1213 6848 6848 485425 852453 880932 3145007 351151 5714968 0.99860 0.99860 0.00020 0.00030 X 0 DUE TO AFFILIATE 449679 449679 351151 842084 -490933 0 -490933 351151 0 351151 0 351151 842084 0 842084 0 842084 Part X: Description of Uncertain Tax Positions Under FIN 48: 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 INCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. X X X X X 0 0 0 0 0 0 0 0 0 JOHN E SIMODEJKA 0 349022 0 0 0 0 0 0 0 12507 0 361529 0 0 ROBERT BORAN JR 399883 0 0 0 0 0 0 0 51163 0 451046 0 0 0 Form 990, Part VI, Section B, line 11 THE FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO ITS FILING WITH THE INTERNAL REVENUE SERVICE. SELECTED MEMBERS OF THE BOARD REVIEWED THE 990 WITH THE TAX RETURN PREPARER AND MANAGEMENT ON BEHALF OF THE BOARD. Form 990, Part VI, Section B, line 12c EACH OFFICER, 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 ADMINISTRTIVE ASSISTANT AND ANY CONFLICTS ARE REPORTED TO THE PRESIDENT/CEO. THE STATEMENTS ARE KEPT ON FILE IN THE PRESIDENT/CEO'S OFFICE AFTER REIVIEW. BOARD MEMBERS ARE EXPECTED TO EXCUSE THEMSELVES FROM TAKING ANY ACTION OR EVEN DISCUSSING ISSUES OF RELATED PARTIES. IF THEY VIOLATE THESE RULES THEY ARE REMOVED FROM THE BOARD. Form 990, Part VI, Section B, line 15 An independent consultant is engaged to review the compensation of the Chief Executive Officer and Vice Presidents on an annual basis (last review performed September 2009). Comparative data and other analyses are reviewed by a subcommittee of the Board of Directors. Review and salary approvals are documented in committee and board minutes. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SCHUYLKILL COMMUNITY HEALTH SERVICES INC 420 SOUTH JACKSON STREET POTTSVILLE PA 17901 232410904 INACTIVE PA 501(c)(3) N/A SCHUYLKILL HEALTH CARE SERVICES INC 420 SOUTH JACKSON STREET POTTSVILLE PA 17901 232593486 TO SUPPORT, PROMOTE, ADVANCE & ENHANCE QUALITY OF LIFE OF SCHUYLKILL CNTY PA 501(c)(3) 7 N/A SCHUYLKILL HEALTH SYSTEM 420 SOUTH JACKSON STREET POTTSVILLE PA 17901 262990543 TO SUPPORT, PROMOTE, ADVANCE & ENHANCE QUALITY OF LIFE OF SCHUYLKILL CNTY PA 501(c)(3) 11b N/A SCHUYLKILL HEALTH SYSTEM FOUNDATION EAST NORWEGIAN TREMONT STREETS POTTSVILLE PA 17901 222793805 TO SOLICIT, RECEIVE, MAINTAIN AND INVEST MONEY AND OTHER PROPERTY PA 501(c)(3) 7 N/A SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 230880420 OPERATES A HOSPITAL PROVIDING INPATIENT, OUTPATIENT & EMERGENCY SVCS PA 501(c)(3) 3 N/A SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET MAUCH CHUNK JACKSON STREETS POTTSVILLE PA 17901 231352202 OPERATES A HOSPITAL PROVIDING INPATIENT, OUTPATIENT & EMERGENCY SVCS PA 501(c)(3) 3 N/A SCHUYLKILL REHABILITATION CENTER INC 420 SOUTH JACKSON STREET POTTSVILLE PA 17901 232440891 OPERATES A COMPREHENSIVE REHABILITATION FACILITY PA 501(c)(3) 3 N/A SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP EAST NORWEGIAN TREMONT ST POTTSVILLE PA 17901 232514813 RENTAL PA N/A SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 232432417 PURSUES, IMPLEMENTS & FURTHERS THE ACTVTIES & PURPOSES OF THE SYS PA N/A C SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION 420 SOUTH JACKSON STREET POTTSVILLE PA 17901 232931821 CONDOMINIUM ASSOCIATION PA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0