2022-05-16T13:35:07-05:00 2021-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2020-07-01 231686225 SPECTRUM HEALTH SERVICES INC SPEC 2154712761 5201 HAVERFORD AVE PHILADELPHIA PA 19139 VERONICA HILL-MILBOURNE PRESIDENT AND CEO 2154712761 2022-05-16 1 VERONICA HILL-MILBOURNE XXX-XX-XXXX KERRI N BOGDA CPA P00760402 7177404863 X 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z VERONICA HILL-MILBOURNE 5201 HAVERFORD AVE PHILADELPHIA PA 19139 22165615 0 X WWW.SPECTRUMHS.ORG X 1967 PA TO BE A LEADER IN THE DELIVERY OF PRIMARY CARE SERVICES AND ACCESS TO SPECIALTY CARE. 12 12 143 12 0 0 3898958 4784442 13082807 17308326 10304 3830 0 69017 16992069 22165615 0 0 0 0 9516283 8907932 0 0 0 6063459 8789109 15579742 17697041 1412327 4468574 18041469 21459031 11140802 9986597 6900667 11472434 X TO IMPROVE THE HEALTH STATUS OF PATIENTS AND THE RESIDENTS LIVING IN THE COMMUNITIES SURROUNDING THE ORGANIZATION'S DELIVERY SITES THROUGH AN ORGANIZED, COMPREHENSIVE PROGRAM OF PRIMARY CARE DELIVERY, HEALTH EDUCATION AND HEALTH-RELATED SOCIAL SERVICES REGARDLESS OF PATIENTS' ABILITY TO PAY. 0 0 10573611 0 16118108 MEDICAL SERVICES: SPECTRUM HEALTH SERVICES, INC. HAS PROVIDED HEALTH CARE SERVICES THAT ARE RESPONSIVE TO COMMUNITY NEEDS FOR OVER 50 YEARS. SPECTRUM'S MODEL OF CARE PROVIDES FOR ALL AGES AND FOR THE COMPLEXITY OF MEDICAL AND SOCIAL ISSUES EXPERIENCED BY THE PATIENTS SERVED. SEE SCHEDULE O FOR ADDITIONAL DETAIL.THE HAVERFORD AVE, BROAD STREET, REED STREET, AND CONSORTIUM HEALTH CENTERS PROVIDE PRIMARY AND PREVENTIVE SERVICES, INCLUDING WELL-BABY, CHILD AND ADOLESCENT SERVICES, AND FAMILY PLANNING SERVICES, SERVICES RELATED TO CHRONIC ILLNESS, DIAGNOSTIC TESTING AND SCREENING THROUGH AN ON-SITE CLIA LAB AND REFERRAL, HEARING AND VISION TESTING, PRESCRIPTION ASSISTANCE AND REFERRALS, CHILDREN'S ORAL HEALTH SCREENING ON-SITE AND SERVICES THROUGH REFERRAL. 596009 0 908538 DENTAL SERVICES: SPECTRUM HEALTH SERVICES, INC.'S DENTAL DEPARTMENT OFFERS SERVICES FROM INFANTS TO ADULTS FOR THE CONVENIENCE OF MEETING ALL OUR PATIENTS' PRIMARY DENTAL CARE NEEDS AND PROVIDING THE BEST ORAL HEALTH FOR OUR PATIENTS AND COMMUNITY, REGARDLESS OF AGE, RACE, RELIGION, AND/OR ABILITY TO PAY. 184784 0 281680 CLINICAL SERVICES: THE CLINICAL TEAM OF OTHER HEALTH SERVICES: CORE MEDICAL SERVICES ARE SUPPORTED WITH PROGRAMS AND SERVICES FOR ADOLESCENT HEALTH, GERIATRIC HEALTH, HIV/AIDS OUTREACH AND PRIMARY CARE AND SPECIALIZED CASE MANAGEMENT SERVICES FOR PEOPLE WITH DIABETES, CARDIOVASCULAR PROBLEMS, HYPERTENSION, AND ASTHMA. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.BEHAVIORAL HEALTH SERVICES ARE EMBEDDED IN PRIMARY CARE AND REFERRALS ARE MADE FOR DENTAL HEALTH CARE FOR ADULTS AND CHILDREN. NUTRITION AND HEALTH EDUCATION ARE PROVIDED BY A REGISTERED NUTRITIONIST AND CERTIFIED HEALTH EDUCATOR IN CONJUNCTION WITH THE PRIMARY CARE PROVIDERS. DIETITIAN SERVICES ARE AVAILABLE FOR PATIENTS REQUIRING THIS SERVICE. SHS'S SITES HAVE LEVEL 2 LABORATORIES THAT PERFORM IN-HOUSE CLIA TESTING. SHS CLINICAL STAFF ARE ON CALL 24 HOURS, 7 DAYS A WEEK. ENABLING SERVICES ARE PROVIDED THROUGH THE CASE MANAGEMENT DEPARTMENT. STAFF ARE ON CALL 24 HOURS, 7 DAYS A WEEK. 11354404 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 44 0 143 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X DAVID DEMILIO CFO 2677695536 5201 HAVERFORD AVENUE PHILADELPHIA PA 19139 ANTHONY FLUELLEN BOARD MEMBER 1.00 X 0 0 0 DEBORAH JOHNSON BOARD MEMBER 1.00 X 0 0 0 DENISE CLAYTON BOARD MEMBER 1.00 X 0 0 0 DR KIM W MAY BOARD MEMBER 1.00 X 0 0 0 DR MARK THOMAS PHD BOARD MEMBER 1.00 X 0 0 0 FREDERICK KINGLEE II BOARD MEMBER/VICE CHAIR 2.00 X X 0 0 0 JOHN A BORDEN SR BOARD MEMBER 1.00 X 0 0 0 KYLE JR MORRIS BOARD MEMBER 1.00 X 0 0 0 LEVAR HAFFONEY BOARD MEMBER/CHAIR 4.00 X X 0 0 0 M PRESTON HAWKINS BOARD MEMBER/TREASURER 1.00 X X 0 0 0 SAMUEL OSIRIM BOARD MEMBER 1.00 X 0 0 0 ZIPPORAH E RIDLEY BOARD MEMBER/SECRETARY 2.00 X X 0 0 0 CARRIE ROBINSON VP HUMAN RESOURES (TIL OCT. '20) 40.00 X 128311 0 3185 KAREN GRAVES VP OF COMPLIANCE (TIL NOV. '20) 40.00 X 136487 0 9940 SHAWNA RUSSELL-YOUNG VICE PRESIDENT OF COMPLIANCE 40.00 X 30683 0 1362 THERESA BAUGH CHIEF OPERATIONS OFFICER 40.00 X 106352 0 2665 VERONICA HILL-MILBOURNE PRESIDENT & CEO 40.00 0.50 X 312328 0 2881 DAVID DEMILIO CHIEF FINANCIAL OFFICER 40.00 1.00 X 212141 0 0 DR AQIYLA MUHAMMAD CHIEF MEDICAL OFFICER 40.00 X 214223 0 4392 AKILAH BATES PROVIDER 40.00 X 193056 0 15047 ARIEL POSTONE PROVIDER 40.00 X 184333 0 9556 JEFFREY DUNBAR MD PROVIDER 40.00 X 193233 0 16330 MYRON L SEWELL PROVIDER 40.00 X 177373 0 11056 RACHEL LIEBERMAN PROVIDER 40.00 X 173254 0 5165 2061774 0 81579 18 0 1 0 PRIME LEGACY SECURITY 1314 N DELAWARE AVE SUITE 410B PHILADELPHIA PA 19125 SECURITY SERVICES 113848 BKD 910 E LOUIS STREET SUITE 200 SPRINGFIELD MO 65801 AUDIT SERVICES 100815 2 4396352 388090 4784442 NET PATIENT SERVICE REVENUE 623000 11880311 11880311 PHARMACY REVENUE 623000 5428015 5428015 17308326 3830 3830 REIMBURSEMENTS 900099 61500 61500 MEDICAL RECORDS 900099 7517 7517 69017 22165615 17308326 0 72847 X 1161120 660867 500253 6110204 3482816 2627388 56526 28263 28263 1092910 633888 459022 487172 277688 209484 191749 191749 178425 178425 2662873 1517837 1145036 43827 24981 18846 247700 141190 106510 350755 199930 150825 621213 354091 267122 15926 9078 6848 679 387 292 332561 189560 143001 473242 269748 203494 133208 75929 57279 MEDICAL SUPPLIES & DRUG 3133375 3133375 BAD DEBT EXPENSE 290087 290087 LICENSES, DUES, SUBS. 100969 57552 43417 MISCELLANEOUS EXPENSE 11409 6504 4905 1111 633 478 17697041 11354404 6342637 0 2513365 3495067 2765731 4648284 1653095 2036135 7913 14778 75032 80321 13639941 3267462 10369839 10372479 64616 656494 747351 18041469 21459031 1405139 1383686 783268 6605298 6359007 1340100 1340100 1006997 903804 11140802 9986597 X 6881324 11472434 19343 0 6900667 11472434 18041469 21459031 X 4468574 103193 X X 0 0 1 1 1 X 3543193 3265098 3743406 3898958 4784442 19235097 7164748 9249077 8692410 13082807 17308326 55497368 10707941 12514175 12435816 16981765 22092768 74732465 3650 3650 0 3650 3650 74728815 101637 101637 70805 10304 3830 288213 101637 101637 70805 10304 3830 288213 26459 79638 69017 175114 10836037 12695450 12506621 16992069 22165615 75195792 0.99380 0.99150 0.00380 0.00630 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 26,459. 2017 AMOUNT: $ 79,638. MEDICAL RECORDS - 2020 AMOUNT: $ 7,517. REIMBURSEMENTS - 2020 AMOUNT: $ 61,500. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 644000 644000 8599810 473453 8126357 279307 148365 130942 4116824 2645644 1471180 10372479 INTEREST RATE SWAP 168804 DUE TO THIRD PARTY PAYORS 735000 903804 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICES (IRS). THE ORGANIZATION HAS CONCLUDED THAT AS OF JUNE 30, 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2018, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. X X X 0 0 0 0 0 0 0 1 0 VERONICA HILL-MILBOURNE PRESIDENT & CEO 285378 0 26950 0 0 0 2881 0 0 0 315209 0 0 0 DR AQIYLA MUHAMMAD CHIEF MEDICAL OFFICER 211723 0 2500 0 0 0 4392 0 0 0 218615 0 0 0 DAVID DEMILIO CHIEF FINANCIAL OFFICER 212141 0 0 0 0 0 0 0 0 0 212141 0 0 0 JEFFREY DUNBAR MD PROVIDER 190375 0 2858 0 0 0 4960 0 11370 0 209563 0 0 0 AKILAH BATES PROVIDER 190197 0 2859 0 0 0 5450 0 9597 0 208103 0 0 0 ARIEL POSTONE PROVIDER 181474 0 2859 0 0 0 1657 0 7899 0 193889 0 0 0 MYRON L SEWELL PROVIDER 177373 0 0 0 0 0 1459 0 9597 0 188429 0 0 0 RACHEL LIEBERMAN PROVIDER 170395 0 2859 0 0 0 5165 0 0 0 178419 0 0 0 PART I, LINE 7 THE EXECUTIVE TEAM DECIDES ON INCENTIVE PROGRAMS AND THE BOARD APPROVES BONUSES. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE 990 IS REVIEWED WITH THE CFO AND CEO. THE FINAL 990 IS PROVIDED TO THE FULL BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE CORPORATION. ANY DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, EMPLOYEE OR AGENT WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IS AN INTERESTED PERSON. AN INTERESTED PERSON HAS A DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST. THEY MUST DISCLOSE THE EXISTENCE OF HIS/HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED AS POTENTIAL SOURCES OF CONFLICT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE BOARD SHALL INFORM THE INDIVIDUAL OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER OPPORTUNITY TO EXPLAIN. IF THE BOARD DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION DETERMINATION: THERE IS A SALARY COMPENSATION PLAN THAT IS IN PLACE THAT IS PERIODICALLY REVIEWED AND COMPARED AGAINST COMPARABLE SALARY DATA AT THE REGIONAL AND LOCAL LEVELS BY AN OUTSIDE CONSULTANT. THE PROCESS: MARKET PRICING - THE CONSULTANT USES JOB DESCRIPTIONS TO MATCH JOBS TO THE EXTERNAL MARKET. THE CONSULTANT USES A MIX OF NON-PROFIT AND FOR-PROFIT DATA FROM REGIONAL AND LOCAL SALARY SURVEYS AS WELL AS HEALTH CARE DATA. THE CONSULTANT SEARCHES FOR MARKET DATA THAT MATCHES THE ORGANIZATION'S POSITIONS AND THEN ABSTRACTS SALARY DATA FROM THE 25TH, 50TH AND 75TH PERCENTILE OF THE MARKET FOR EACH POSITION. THIS DATA IS THEN USED FOR SALARY STRUCTURES. A COMPARISON IS MADE OF THE MEDIAN MARKET VALUES TO THE MIDPOINT OF THE CURRENT PAY STRUCTURES, WHICH INDICATES WHERE THE POSITION FALLS WITHIN THE MARKET. CEO, CFO, DIRECTORS, AND KEY EMPLOYEE COMPENSATION WAS LAST REVIEWED AND DOCUMENTED BY THE BOARD IN JULY 2020. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE AGENCY MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,473,074. MANAGEMENT AND GENERAL EXPENSES 1,111,267. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,584,341. LAB SERVICES: PROGRAM SERVICE EXPENSES 44,763. MANAGEMENT AND GENERAL EXPENSES 33,769. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,532. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INTEREST RATE SWAP 103,193. FORM 990, PART XII, LINE 2: THE ORGANIZATION IS IN THE PROCESS OF HAVING ITS FINANCIAL STATEMENTS AUDITED. THE AUDIT IS NOT FINISHED, HOWEVER, SO UNAUDITED NUMBERS WERE USED TO REPORT REVENUE, FUNCTIONAL EXPENSES, AND THE BALANCE SHEET. ONCE THE AUDIT IS COMPLETE, THE FORM 990 WILL BE AMENDED TO REPORT AUDITED FINANCIALS. SPECTRUM INVESTMENT FUND LLC 5201 HAVERFORD AVE PHILADELPHIA PA 19139 453459252 INVESTMENT PA 0 0 SPECTRUM HEALTH SERVICES INC SHS COMMUNITY HEALTH INC 5201 HAVERFORD AVE PHILADELPHIA PA 19139 300713501 HOLDING CO PA 501(C)(2) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0