LEHIGH VALLEY HOSPITAL - SCHUYKILL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- LEHIGH VALLEY HOSPITAL - SCHUYKILL (EIN 23-1352202)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201111369349306456
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T16:13:00-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MARKET STREET | AddressLine1 |
| City | WILLIAMSPORT | City |
| State | PA | State |
| ZIP Code | 17701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231352202 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHUYLKILL MEDICAL CTR - SOUTH JACKSON | BusinessNameLine1 |
| Business Name Line2 | ST fka POTTSVILLE HOSP & WARNE CLINIC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SCHU | NameControl |
| Phone | 5706215000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MAUCH CHUNK AND JACKSON STREETS | AddressLine1 |
| City | POTTSVILLE | City |
| State | PA | State |
| ZIP Code | 17901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN E SIMODEJKA PresidentCEO | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 5706215000 | Phone |
| Date Signed | 2011-05-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5703236023 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN E SIMODEJKA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MAUCH CHUNK AND JACKSON STREETS | AddressLine1 |
| City | POTTSVILLE | City |
| State | PA | State |
| ZIP Code | 17901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 85500283 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.schuylkillhealth.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2008 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | TO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE FOR THE SCHUYLKILL COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1109 | TotalNbrEmployees |
| Total Nbr Volunteers | 60 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 670938 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 544967 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 86279291 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 83501318 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 425834 | InvestmentIncomePriorYear |
| Investment Income Current Year | 437375 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1197938 | OtherRevenuePriorYear |
| Other Revenue Current Year | 984080 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 88574001 | TotalRevenuePriorYear |
| Total Revenue Current Year | 85467740 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 15700 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 46668758 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 50309031 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 43268199 | OtherExpensePriorYear |
| Other Expenses Current Year | 44776149 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 89952657 | TotalExpensesPriorYear |
| Total Expenses Current Year | 95086680 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1378656 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -9618940 | RevenuesLessExpensesCY |
| Total Assets BOY | 61238670 | TotalAssetsBOY |
| Total Assets EOY | 58009848 | TotalAssetsEOY |
| Total Liabilities BOY | 72321302 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 82936836 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -11082632 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -24926988 | NetAssetsOrFundBalancesEOY |
| Mission Description | SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET'S MISSION IS TO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE AVAILABLE FOR THE SCHUYLKILL COUNTY COMMUNITY. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 81575451 | Expense |
| Grants | 1500 | Grants |
| Revenue | 83596149 | Revenue |
| Description | In fiscal year 2010, Schuylkill Medical Center - South Jackson Street admitted 8,800 Inpatients, provided emergency care for 32,000 people, delivered more than 1,030 babies, made more than 14,550 Home Health Care Visits and provided more than 96,400 Outpatient tests and procedures.The Schuylkill Health System has a comprehensive Charity care program. Charges foregone for services rendered and supplies furnished under this program amounted to $1,400,000 during fiscal year 2010.Schuylkill Health is committed to the physical, mental, and emotional health of our entire community. As a healthcare facility, we are concerned with the health awareness of our neighbors, family, and friends.Our community looks to us to help educate them on current health care topics as well as the everyday health issues that concern everyone. Through our initiatives we can reach out and help others understand where to go, what to ask, and who to see for their healthcare needs. We can give our community the confidence they need when making wise choices. Schuylkill Medical Center hosts approximately thirty (30) CHAT (Community Health Awareness Talks) a year. Our community associates Wednesday Evenings with our CHAT sessions - often asking in advance what our upcoming topics will be. We continue to listen to our community's requests for future programs and try to accommodate their busy lifestyles with "On the Road" Sessions in addition to those held at Schuylkill Medical Center - East, Schuylkill Medical Center - South, and Schuylkill Rehabilitation Center. CHAT topics include Nutrition, Physical Fitness, Diabetes Awareness, Breast Cancer Awareness, Seizure Treatments, and Heart Health to name a few.Schuylkill Health also sponsors an annual "Women's Day"; women have gathered over the past six years to attend a free event. All generations enjoy being educated, having the ability to ask questions in a comfortable setting while spending time with old and new friends, and sipping on that great cup of coffee. We explore the "whole" person - body, mind, and spirit and enable them to capture information to share with others at home, work, or in their neighborhood.Schuylkill Health recognizes the need to educate the youth and young adults of our community. Healthy life styles begin at an early age, therefore, we commit to reaching this age group. We host Teddy Bear Clinics where children bring their Teddy Bears or Special Friends to school, watch "Big Bird Goes to the Hospital", measure, weigh, and listen to their "friends" heart and receive a certificate of health. Our hope is to ease our children's visit to our Hospital with less fear and anxiety and to make them realize we are here to make them and their family members get better. As we present, we also discuss the dangers of smoking and the importance of healthy nutrition and exercise.We also partner with Penn State Schuylkill to discuss STD's with the high schools and to discuss importance of Self Breast Exam, being smart in the sun, and the dangers of drinking and driving and not wearing your seatbelt to name a few. Monthly, high school students interested in the health care field, meet through the Boy Scouts of America Explorer's Group.Each day, three people in Schuylkill County are diagnosed with cancer. With this in mind, we realize the importance of Cancer Awareness and Support. Schuylkill Medical Center hosts a Cancer Support Group for cancer survivors, family and care givers. Each month, a group of survivors gather to talk about recent treatment, how they are feeling and to celebrate life. We also host a Gentle Yoga wellness program for survivors and care givers. Those in attendance have slept better, their "hot flashes" have ceased, and they are able to relax. We hold a free Skin Cancer Screening to the general public. We screen approx. 125 people; refer 50 people. This screening saves lives. We have begun speaking about Testicular Cancer Awareness on the college level; Breast Cancer Awareness and the importance of mammography in local high schools. Diabetes numbers continue to rise, especially in Schuylkill County. We offer free Diabetes Education along with a Diabetes Support Group. Free Health screenings and wellness programs are held throughout the year at various locations in our community. Blood Pressures, Body Fat, Bone Density screenings are just a few of the services we provide at no cost to our community. | Description |
| Total Program Service Expense | 81575451 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 36 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1109 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERNIE KOSKULITZ DIRECTOR FINANCI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5706215142 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 SOUTH JACKSON STREET | AddressLine1 |
| City | POTTSVILLE | City |
| State | PA | State |
| ZIP Code | 17901 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Jesse Achenbach | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ANTHONY BARAN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DEBRA BLASCHAK | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SARAH CASEY | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JAMES GALLAGHER EDD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM L JONES III | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ALLEN E KIEFER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| FRANKLIN K SCHOENEMAN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SYED SHAH MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT M ZIMMERMAN JRD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JUDGE JOSEPH F MCCLOSKEY | ||||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | ||
| Judge William Baldwin | ||||||||
| Vice Chairman | 1.00 | X | 0 | 0 | 0 | X | ||
| JAY M LINARD | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| WILLIAM KIRWAN CPA ESQ | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | ||
| JOHN E SIMODEJKA | ||||||||
| PRESIDENT/CEO | 37.50 | 373058 | 0 | 13165 | X | |||
| DANIEL KOCHIE | ||||||||
| COO | 40.00 | 0 | 197067 | 22667 | X | |||
| CRAIG P HUNT | ||||||||
| CFO | 37.50 | 125425 | 0 | 6660 | X | |||
| DARNELL FURER | ||||||||
| CNO | 40.00 | 0 | 167607 | 8190 | X | |||
| RICHARD BINDIE | ||||||||
| PATHOLOGIST | 37.50 | 265337 | 0 | 11892 | X | |||
| Lynda L Jakubco | ||||||||
| CRNA | 37.50 | 238601 | 0 | 11613 | X | |||
| JULIANNE M TIDMORE | ||||||||
| CRNA | 37.50 | 227057 | 0 | 12472 | X | |||
| MARY R TUNNESSEN | ||||||||
| CRNA | 37.50 | 214771 | 0 | 11613 | X | |||
| THERESA A CARODISKEY | ||||||||
| CRNA | 37.50 | 189365 | 0 | 5384 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1633614 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 364674 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 103656 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Aramark | |||||
| 450 WASHINGTON STREET | POTTSVILLE | PA | 17901 | CLINICAL ENGINEERING AND ENVIRONMENTAL | 518705 |
| Sodexho INC & AFFILIATES | |||||
| PO BOX 536922 | ATLANTA | GA | 30353 | DIETARY | 415826 |
| CAPITAL REGION SLEEP DISORDERS | |||||
| 3450 W CENTRAL AVE SUITE 118 | TOLEDO | OH | 43606 | SLEEP LAB | 271900 |
| PH ANESTHESIA ASSOCIATES | |||||
| ATTN JONES AND CO 110 SECOND ST | POTTSVILLE | PA | 17901 | MNGMT SERVICES - CRNA'S | 233000 |
| Pottsville Hospitalists Assoc | |||||
| c/o Bob Ames CPA PO Box 1125 | pOTTSVILLE | PA | 17901 | Hospitalists | 219500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| Related Organizations | 110000 | RelatedOrganizations |
| Government Grants | 308487 | GovernmentGrants |
| All Other Contributions | 126480 | AllOtherContributions |
| Total Contributions | 544967 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621400 | 83009825 | 83009825 |
| SCHOOL OF NURSING | 621400 | 491493 | 491493 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 83501318 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 437375 | TotalRevenueColumn |
| Exclusion | $437,375 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 38156 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 32543 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5613 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5613 | TotalRevenueColumn |
| Exclusion | $5,613 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| TOBACCO SETTLEMENT FUN | 561439 | 472884 | $472,884 | |
| CAFETERIA & VENDING | 561439 | 340332 | $340,332 | |
| AUTOPSY FEES | 621400 | 94831 | 94831 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 70420 | TotalRevenueColumn |
| Exclusion | $70,420 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 978467 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 85467740 | TotalRevenueColumn |
| Related Or Exempt Function Income | 83596149 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,326,624 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750 | Total |
| Program Services | 750 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750 | Total |
| Program Services | 750 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38925913 | Total |
| Program Services | 32193930 | ProgramServices |
| Management And General | 6731983 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4273846 | Total |
| Program Services | 3547292 | ProgramServices |
| Management And General | 726554 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4208779 | Total |
| Program Services | 4141993 | ProgramServices |
| Management And General | 66786 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2900493 | Total |
| Program Services | 2377061 | ProgramServices |
| Management And General | 523432 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126832 | Total |
| Management And General | 126832 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46324 | Total |
| Management And General | 46324 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10983936 | Total |
| Program Services | 7951550 | ProgramServices |
| Management And General | 3032386 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102896 | Total |
| Management And General | 102896 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11634263 | Total |
| Program Services | 10488005 | ProgramServices |
| Management And General | 1146258 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1480974 | Total |
| Program Services | 1405352 | ProgramServices |
| Management And General | 75622 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188055 | Total |
| Program Services | 161961 | ProgramServices |
| Management And General | 26094 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88586 | Total |
| Program Services | 49743 | ProgramServices |
| Management And General | 38843 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1840696 | Total |
| Program Services | 1840696 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4569267 | Total |
| Program Services | 4569267 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 889546 | Total |
| Program Services | 889546 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 7776684 | 7776684 | |
| DRUGS | 3436977 | 3436977 | |
| FOOD | 602945 | 602945 | |
| DATA PROCESSING | 499251 | 7842 | 491409 |
| DUES & REGISTRATION FEE | 208300 | 110866 | 97434 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 300617 | Total |
| Program Services | 22241 | ProgramServices |
| Management And General | 278376 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95086680 | Total |
| Program Services | 81575451 | ProgramServices |
| Management And General | 13511229 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1500 | BOY |
| EOY | 1501 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9657350 | BOY |
| EOY | 7261412 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11621213 | BOY |
| EOY | 11117885 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1184071 | BOY |
| EOY | 1172916 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 717609 | BOY |
| EOY | 337106 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 76525469 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 48633437 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28132975 | BOY |
| EOY | 27892032 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1122002 | BOY |
| EOY | 1114845 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4453524 | BOY |
| EOY | 4757060 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4348426 | BOY |
| EOY | 4355091 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61238670 | BOY |
| EOY | 58009848 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36204687 | BOY |
| EOY | 46816945 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 533750 | BOY |
| EOY | 463750 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29154846 | BOY |
| EOY | 27982666 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1200000 | BOY |
| EOY | 1500000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5228019 | BOY |
| EOY | 6173475 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72321302 | BOY |
| EOY | 82936836 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -14598543 | BOY |
| EOY | -28705281 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 24001 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3515911 | BOY |
| EOY | 3754292 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -11082632 | BOY |
| EOY | -24926988 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61238670 | BOY |
| EOY | 58009848 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $13,292 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $18,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 31292 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | A PORTION OF THE HOSPITAL'S DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL ASSOCIATION OF PENNSYLVANIA (HAP) ARE USED FOR LOBBYING PURPOSES. BOB ALLEN WORKED ON BEHALF OF THE HOSPITAL WITH GOVERNMENTAL OFFICIALS AND REPRESENTATIVES OF AND CONSULTANTS TO STATE AND LOCAL GOVERNMENTAL AGENCIES, BOARDS, COMMITTEES AND COMMISSIONS, INCLUDING WITHOUT LIMITATION MEETINGS WITH SUCH OFFICIALS, REPRESENTATIVES AND CONSULTANTS, REGARDING LEGISLATIVE, REGULATORY AND OTHER ISSUES THAT AFFECT THE INTERESTS AND AFFAIRS OF THE HOSPITAL AS MAY BE ASSIGNED BY THE HOSPITAL FROM TIME TO TIME. BOB ALLEN ALSO ATTENDS AND REPORTS AT HOSPITAL BOARD MEETINGS AND STAFF MEETINGS, IF REQUIRED. BOB ALLEN ALSO PERFORMS SUCH OTHER TASKS AND ACTIVITIES OF A GENERAL GOVERNMENTAL RELATIONS NATURE AS MAY BE ASSIGNED BY THE HOSPITAL FROM TIME TO TIME. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 745633 | OtherCostOrOtherBasis |
| Book Value | 745633 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 48570843 | OtherCostOrOtherBasis |
| Depreciation | 31351005 | Depreciation |
| Book Value | 17219838 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26789915 | OtherCostOrOtherBasis |
| Depreciation | 17155352 | Depreciation |
| Book Value | 9634563 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 419078 | OtherCostOrOtherBasis |
| Depreciation | 127080 | Depreciation |
| Book Value | 291998 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 27892032 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| FEDERAL AGENCY OBLIGATIONS | 1661115 | F |
| Accrued Investment Income | 18053 | F |
| INVESTMENT IN PENNSYLVANIA COMMUNITY HOSPITAL ASSOCIATION | 3077892 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 4757060 | TotalOfBookValueSecurities |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BENEFICIAL INTEREST IN PERPETUAL TRUST | 3362411 |
| DEFERRED FINANCING COSTS, NET | 77280 |
| BENEFICIAL INTEREST IN ASSETS HELD BY FOUNDATION | 29738 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | 885662 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4355091 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OBLIGATION UNDER CAPITAL LEASE | $4,174,147 |
| BLUE CROSS CURRENT FINANCING ADVANCE | $479,000 |
| ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY | $613,855 |
| due to affiliates | $906,473 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6173475 | TotalOfAmounts |
| Total Revenue | 85467740 | TotalRevenue |
| Total Expenses | 95086680 | TotalExpenses |
| Excess Or Deficit For Year | -9618940 | ExcessOrDeficitForYear |
| Other | -$4,225,416 | OtherAmount |
| Total Adjustments | -4225416 | TotalAdjustments |
| Excess Or Deficit Per FS | -13844356 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 86790799 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 1290516 | OtherRevenues |
| Revenue Not Rptd F990 | 1290516 | RevenueNotRptdF990 |
| Revenue Subtotal | 85500283 | RevenueSubtotal |
| Other Revenues Not Included | -32543 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -32543 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 85467740 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 100635155 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 5548475 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 5548475 | ExpensesNotRptdF990 |
| Expenses Subtotal | 95086680 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 95086680 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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. |
| Part XI, Line 8 - Other Adjustments: | PENSION LIABILITY ADJUSTMENT: -5515932. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT: 838310. INCREASE IN NET ASSETS OF AFFILIATE: 213825. valuation gain: 238381. | |
| Part XII, Line 2d - Other Adjustments: | POST RETIREMENT BENEFIT LIABILITY ADJUSTMENT : 838310. INCREASE IN INTEREST IN NET ASSETS OF AFFILIATE: 213825. valuation gain: 238381. | |
| Part XII, Line 4b - Other Adjustments: | RENTAL EXPENSES: -32543. | |
| Part XIII, Line 2d - Other Adjustments: | RENTAL EXPENSES: 32543. PENSION LIABILITY ADJUSTMENT : 5515932. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 250.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 442051 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 442051 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12092101 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8109362 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3982739 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04560 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12534152 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8109362 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4424790 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05070 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 212346 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3210 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 209136 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 56614 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 56614 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5832174 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3337541 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2494633 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02860 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6101134 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3340751 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2760383 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03160 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18635286 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11450113 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7185173 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08230 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1299 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1299 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 8289 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8289 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 337 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 337 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1550 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1550 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 44171 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 44171 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 55646 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 55646 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $7,776,682 | BadDebtExpenseAmount |
| Amount Attributable To | 3435241 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 30908736 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 28115648 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2793088 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHUYLKILL MEDICAL CENTER SOUTH JACKSON | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 SOUTH JACKSON STREET | AddressLine1 |
| City | POTTSVILLE | City |
| State | PA | State |
| ZIP Code | 17901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense Expln | Part I, Line 7f: The amount of bad debt expense included on Form 990, Part IX, Line 25 column (A) but subtracted out for purposes of calculating the percentage on Sch H, Part I, Line 7, Column (f) is $7,776,684. | PercentOfTotalExpenseExpln |
| Needs Assessment | Part VI, Line 2: Schuylkill Medical Center - South Jackson Street ("SMS-SJS") works with Schuylkill Medical Center - East Norwegian Street ("SMS-ENS") in assessing the health needs of the community it is located in and serves: Schuylkill County in Pennsylvania. Both medical centers also work with various city, county and state agencies to specifically identify the health needs of the residents of Schuylkill County.SMC-SJS is located in Pottsville, which is the county seat for Schuylkill County. Schuylkill County is a rural county. The County has an unemployment rate of over 9%, 19% of the residents are covered by Medicaid, and 18% of the residents are over the age of 65.SMC-SJS is a 206 bed acute care facility that provides acute medical surgical care, adolescent and adult behavioral health services, transitional rehab care and nursery services to the community.SMC-SJS works with the social service agencies, local department of health, the Chamber of Commerce, United Way, American Cancer Society, local schools, local support groups, physician offices and other healthcare organizations in identifying the healthcare needs of the local communities and the services that are needed. After a need has been identified, the medical center works with these organizations to help provide the service to residents.The Medical Center also works with healthcare organizations outside Schuylkill County to help bring healthcare services to the county. This allows county residents to obtain necessary services conveniently within the county.The Medical Center also reviews internal data on admissions, emergency room visits, clinic visits and diagnosis to help identify community needs. This information is reviewed annually as part of the budget and strategic planning process. The Board of the Medical Center is comprised of individuals from the community representing social service agencies, education, assisted living/long term care, physicians, maternal/child health and local businesses. These individuals also provide input on the needs of the community in meeting healthcare needs. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Each patient is registered into the hospital computer system when they arrive for services. As part of the registration, information is obtained on any health insurance they have. Individuals without health insurance are informed at that time of the Medical Center's Charity Care policy. Patients are given information on contacting staff within the hospital patient accounting department to discuss applying for the hospital charity care program. Specific staff have been trained and are responsible for administering the charity care program for the hospital. Hospital staff contact patients without insurance and explain the policy and the information needed to apply. Hospital staff will also assist patients in applying for medical assistance. They will also assist patients in completing the application and gathering the necessary financial documents. The Medical Center also posts information within the admission and emergency room areas informing patients that there is a charity care policy available. All registration personnel are trained on the policy so that they are able to inform patients when they are registered. Other hospital staff members that may come in contact with patients are also educated regarding the Charity Care policy. This would include social workers, care managers, nursing staff and all department directors. The charity care policy is available on the hospital intranet which is accessible by all employees. The hospital is also in the process of placing the policy on the hospital website.All patient accounting, cashiering and collection staff are also educated on the charity care policy and can assist patients in applying for charity care. Also all third party organizations that work on behalf of the medical center in performing collections have also been educated on the charity care policy and can also advise patients on applying for this benefit. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: SMC-SJS is located in Pottsville, Pennsylvania. The medical center serves all of Schuylkill County. Schuylkill County is a rural county in Pennsylvania. Pottsville is the largest population center of Schuylkill County and is also the county seat. The county is comprised of small towns, boroughs and townships.The population of the county is approximately 147,000. Approximately 25% of the population is under the age of 18 and 18% is over the age of 65. The population is 49% female and 96% white. Approximately 11% of the population has a bachelor's degree or higher. 12.4% of the population is below the poverty level. The unemployment rate is 9.6%.19% of the population are insured by Medicaid. 42% of that number are under the age of 18, 13% are over the age of 65 and 18 % are disabled. 50% of the births are covered by the Medicaid program.In a recent report released by the Robert Wood Johnson Foundation and the University of Wisconsin's Population Health Institute, Schuylkill County was ranked the 56th healthiest of the 67 counties in Pennsylvania. Schuylkill County had higher than the state and national rates for smoking, obesity, excessive drinking and motor vehicle crash death rates. This report also showed that the county had access to fewer primary care physicians. In Pennsylvania, there is one primary care physician for 838 people. In Schuylkill County, it is one for every 1,989 people.The demographics of the patients admitted to SMC-SJS are 41 % Medicare, 24% Medicaid and 3% self pay. Emergency patients at SMC-SJS are 14% Medicare, 25% Medicaid and 11% self pay.Schuylkill County has four hospitals serving the county. SMC-SJS and Schuylkill Medical Center - East Norwegian Street are both located in Pottsville and serve the majority of the county residents. Saint Catherine Medical Center is located in Ashland in Northern Schuylkill County and St. Luke's Miners Memorial Hospital is located in Coaldale near the Carbon County border. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: SMC-SJS also works with various community organizations to help identify community needs and work together to meet those needs. The Medical Center has inpatient adolescent and adult behavioral health services available to the residents of Schuylkill County. This allows county residents to obtain necessary inpatient care within the County without requiring families to travel outside of the county. The Medical Center also has a certified diabetes educator available to consult with patients and also with physicians when they have a patient that is newly diagnosed with diabetes. The Medical Center is also the only facility in the County with a maternity department and newborn nursery. This allows county residents to remain in the county for maternity care. Approximately 50% of the births each year are Medicaid.The emergency department of SMC-SJS is a 24 hour emergency room available to all regardless of their ability to pay. The medical center participates in many insurance programs such as Medicare, Medicaid, CHAMPUS and VA. The medical center also has a charity care policy that provides assistance to eligible individuals in providing free or discounted care based on their ability to pay and the federal poverty guidelines.SMC-ENS also provides opportunities to students in healthcare fields to gain experience working in the health care environment such as nursing students (RN and LPN), pharmacy students, physician assistant students, physical therapy students, radiology technicians and medical assistants. The medical center also provides a volunteer program for junior high and high school students to become familiar with the medical services offered and the educational opportunities available within the healthcare environment.The medical center also sponsors and participates in health fairs at community events such as the county fair, events at the local mall, health screenings, blood pressure screenings, veteran's breakfast event, meals on wheels, support groups and local American Cancer Society relay for life. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: The Board of SMC - SJS is comprised of twelve 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. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: On August 1, 2008, SMC-SJS and SMC-ENS affiliated under the control of Schuylkill Health System. The primary service area is Pottsville and the surrounding communities in Schuylkill County. The purpose of both medical centers is to engage in activities related to the promotion of health of the people; in the service area, work charitably to promote community health education; prevent illness and injury; provide 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 | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN E SIMODEJKA | |||||||||||||
| 373058 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13165 | 0 | 386223 | 0 | 0 | 0 |
| DANIEL KOCHIE | |||||||||||||
| 0 | 197067 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22667 | 0 | 219734 | 0 | 0 |
| DARNELL FURER | |||||||||||||
| 0 | 167607 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8190 | 0 | 175797 | 0 | 0 |
| RICHARD BINDIE | |||||||||||||
| 265337 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11892 | 0 | 277229 | 0 | 0 | 0 |
| Lynda L Jakubco | |||||||||||||
| 238601 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11613 | 0 | 250214 | 0 | 0 | 0 |
| JULIANNE M TIDMORE | |||||||||||||
| 227057 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12472 | 0 | 239529 | 0 | 0 | 0 |
| MARY R TUNNESSEN | |||||||||||||
| 214771 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11613 | 0 | 226384 | 0 | 0 | 0 |
| THERESA A CARODISKEY | |||||||||||||
| 189365 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5384 | 0 | 194749 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part III, line 2 | New Program Services | Skilled nursing facility started 1/1/2010 |
| Form 990, Part III, line 3 | Changes in Program Services | Terminated Inpatient Rehab 12/31/2009 |
| 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 approval is documented in board and committee meeting minutes. | |
| Form 990, Part VI, Section C, line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| SCHUYLKILL REHABILITATION CENTER INC | |||||||||
| 420 SOUTH JACKSON STREET | POTTSVILLE | PA | 17901 | 232440891 | OPERATES A COMPREHENSIVE REHABILITATION FACILITY | PA | 501(C)(3) | 3 | 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 FOUNDATION | |||||||||
| EAST NORWEGIAN TREMONT STREETS | POTTSVILLE | PA | 17901 | 222793805 | SOLICIT, RECEIVE, MAINTAIN AND INVEST MONEY FOR CHARITABLE PURPOSES | 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 HEALTH SYSTEM MEDICAL GROUP INC | |||||||||
| 700 eAST NORWEGIAN STREET | POTTSVILLE | PA | 17901 | 232866006 | TO SUPPORT AND PROMOTE THE PURPOSES OF AFFILIATED ENTITIES | PA | 501(C)(3) | 9 | 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 COMMUNITY HEALTH SERVICES INC | |||||||||
| 420 SOUTH JACKSON STREET | POTTSVILLE | PA | 17901 | 232410904 | INACTIVE | PA | 501(C)(3) | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | eAST NORWEGIAN TREMONT STREETS | AddressLine1 |
| City | POTTSVILLE | City |
| State | PA | State |
| ZIP Code | 17901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232514813 | EIN |
| Primary Activity | RENTAL | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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