TY 2013 Form 990 Schedule O

efile Public Visual Render ObjectId: 201511359349303451 - Submission: 2015-05-15 TIN: 23-2866006

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC

Employer identification number

23-2866006

Return Reference	Explanation
FORM 990, PART III, LINE 2	IN FISCAL YEAR ENDING 6/30/2014, SCHUYLKILL MEDICAL GROUP STARTED A NEW PHYSICIAN PRACTICE. SCHUYLKILL NEUROLOGY WAS STARTED ON 8/1/13 AND HAD ONE PHYSICIAN DR. INDIRA KUMAR. ON 1/6/14 DR NICOLE PURCELL JOINED THE PRACTICE AS A SECOND PHYSICIAN. THE PRACTICE TREATS BOTH ADULT AND PEDIATRIC PATIENTS. SCHUYLKILL NEUROLOGY WORKS WITH REFERRING PHYSICIANS TO DIAGNOSE AND TREAT DISORDERS OF THE BRAIN, NERVES, MUSCLES, AND SPINAL CORD. AN EXAMPLE OF SOME OF THE DISORDERS THAT THE PRACTICE TREATS INCLUDE ADHD, AUTISM, CONCUSSIONS, TRAUMATIC BRAIN INJURY, HEADACHES AND MIGRAINES, MUSCULAR DYSTROPHY, AND TMJ.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS REVIEWED BY THE CEO 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	BOARD MEMBERS AND OFFICERS SIGN ANNUAL FORMS TO DISCLOSE ANY CONFLICTS THEY MAY HAVE. THESE ANNUAL STATEMENTS ARE REVIEWED BY THE PRESIDENT/CEO'S ADMINISTRATIVE ASSISTANT WHO REPORTS ANY CONFLICTS TO THE PRESIDENT/CEO. THESE ANNUAL STATEMENTS ARE KEPT ON FILE IN THE PRESIDENT/CEO'S OFFICE AFTER THEY ARE REVIEWED. BOARD MEMBERS ARE EXPECTED TO EXCUSE THEMSELVES FROM ANY ACTION OR EVEN DISCUSSING ISSUES OF RELATED PARTIES. IF THEY VIOLATE THIS POLICY THEY COULD FACE REMOVAL FROM THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15	ANNUALLY, THE ORGANIZATION 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 COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. THIS PROCESS IS USED FOR THE FOLLOWING POSITIONS PRESIDENT/CEO, VICE PRESIDENT OF OPERATIONS/COO, VICE PRESIDENT OF NURSING/CNO AND THE VICE PRESIDENT OF FINANCE/CFO. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED VIA COMMITTEE 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.
FORM 990, PART VI, LINE 1:	THERE IS AN EXECUTIVE COMMITTEE THAT MEETS AS NEEDED. THE COMMITTEE INCLUDES THE CHAIRMAN, VICE CHAIRMAN, TREASURER, SECRETARY, AND PRESIDENT/CEO OF THE BOARD OF DIRECTORS. THIS COMMITTEE DOES HAVE THE AUTHORITY TO MAKE DECISIONS IF NEEDED.

Return Reference

Explanation

FORM 990, PART III, LINE 2

IN FISCAL YEAR ENDING 6/30/2014, SCHUYLKILL MEDICAL GROUP STARTED A NEW PHYSICIAN PRACTICE. SCHUYLKILL NEUROLOGY WAS STARTED ON 8/1/13 AND HAD ONE PHYSICIAN DR. INDIRA KUMAR. ON 1/6/14 DR NICOLE PURCELL JOINED THE PRACTICE AS A SECOND PHYSICIAN. THE PRACTICE TREATS BOTH ADULT AND PEDIATRIC PATIENTS. SCHUYLKILL NEUROLOGY WORKS WITH REFERRING PHYSICIANS TO DIAGNOSE AND TREAT DISORDERS OF THE BRAIN, NERVES, MUSCLES, AND SPINAL CORD. AN EXAMPLE OF SOME OF THE DISORDERS THAT THE PRACTICE TREATS INCLUDE ADHD, AUTISM, CONCUSSIONS, TRAUMATIC BRAIN INJURY, HEADACHES AND MIGRAINES, MUSCULAR DYSTROPHY, AND TMJ.

FORM 990, PART VI, SECTION B, LINE 11

THE FORM 990 IS REVIEWED BY THE CEO 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

BOARD MEMBERS AND OFFICERS SIGN ANNUAL FORMS TO DISCLOSE ANY CONFLICTS THEY MAY HAVE. THESE ANNUAL STATEMENTS ARE REVIEWED BY THE PRESIDENT/CEO'S ADMINISTRATIVE ASSISTANT WHO REPORTS ANY CONFLICTS TO THE PRESIDENT/CEO. THESE ANNUAL STATEMENTS ARE KEPT ON FILE IN THE PRESIDENT/CEO'S OFFICE AFTER THEY ARE REVIEWED. BOARD MEMBERS ARE EXPECTED TO EXCUSE THEMSELVES FROM ANY ACTION OR EVEN DISCUSSING ISSUES OF RELATED PARTIES. IF THEY VIOLATE THIS POLICY THEY COULD FACE REMOVAL FROM THE BOARD.

FORM 990, PART VI, SECTION B, LINE 15

ANNUALLY, THE ORGANIZATION 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 COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. THIS PROCESS IS USED FOR THE FOLLOWING POSITIONS PRESIDENT/CEO, VICE PRESIDENT OF OPERATIONS/COO, VICE PRESIDENT OF NURSING/CNO AND THE VICE PRESIDENT OF FINANCE/CFO. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED VIA COMMITTEE 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.

FORM 990, PART VI, LINE 1:

THERE IS AN EXECUTIVE COMMITTEE THAT MEETS AS NEEDED. THE COMMITTEE INCLUDES THE CHAIRMAN, VICE CHAIRMAN, TREASURER, SECRETARY, AND PRESIDENT/CEO OF THE BOARD OF DIRECTORS. THIS COMMITTEE DOES HAVE THE AUTHORITY TO MAKE DECISIONS IF NEEDED.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

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