SPECTRUM HEALTH SERVICE INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SPECTRUM HEALTH SERVICE INC (EIN 23-1686225)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201631349349302178
- Schema version
- 2014v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T10:30:27-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 W GERMANTOWN PIKE STE 400 | AddressLine1Txt |
| City | PLYMOUTH MEETING | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19462 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231686225 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SPEC | BusinessNameControlTxt |
| Phone | 2154712761 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5201 HAVERFORD AVENUE | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19139 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PHYLLIS B CATER | PersonNm |
| Person Title | PRESIDENT, CEO | PersonTitleTxt |
| Phone | 2154712761 | PhoneNum |
| Signature | 2016-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES D WATSON | PreparerPersonNm |
| PTIN | P01450300 | PTIN |
| Phone | 2156433900 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PHYLLIS B CATER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5201 HAVERFORD AVENUE | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19139 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,691,195 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SPECTRUMHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF SPECTRUM HEALTH SERVICES INC. IS TO IMPROVE THE HEALTH STATUS OF ITS PATIENTS AND OF THE RESIDENTS LIVING IN COMMUNITIES SURROUNDING ITS DELIVERY SITES THROUGH AN ORGANIZED, COMPREHENSIVE PROGRAM OF PRIMARY CARE SERVICES, SOCIAL AND HEALTH EDUCATION, PROMOTION AND PREVENTION PROGRAMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 106 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,716,473 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,500,821 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,551,553 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,906,875 | CYProgramServiceRevenueAmt |
| PY Investment Income | $107,602 | PYInvestmentIncomeAmt |
| CY Investment Income | $101,768 | CYInvestmentIncomeAmt |
| PY Other Revenue | $273,018 | PYOtherRevenueAmt |
| CY Other Revenue | $181,731 | CYOtherRevenueAmt |
| PY Total Revenue | $9,648,646 | PYTotalRevenueAmt |
| CY Total Revenue | $6,691,195 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,527,757 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,531,585 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,567,665 | PYOtherExpensesAmt |
| CY Other Expenses | $3,439,302 | CYOtherExpensesAmt |
| PY Total Expenses | $8,095,422 | PYTotalExpensesAmt |
| CY Total Expenses | $7,970,887 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,553,224 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,279,692 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,308,348 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,383,302 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,846,716 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,201,362 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,461,632 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,181,940 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF SPECTRUM HEALTH SERVICES, INC. IS TO IMPROVE THE HEALTH STATUS OF ITS PATIENTS AND OF THE RESIDENTS LIVING IN COMMUNITIES SURROUNDING ITS DELIVERY SITES THROUGH AN ORGANIZED, COMPREHENSIVE PROGRAM OF PRIMARY CARE SERVICES, SOCIAL AND HEALTH EDUCATION, PROMOTION AND PREVENTION PROGRAMS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,462,194 | ExpenseAmt |
| Revenue | $3,609,410 | RevenueAmt |
| Desc | MEDICAL SERVICES: SPECTRUM HEALTH SERVICES, INC. (SHS) HAS PROVIDED HEALTH CARE SERVICES THAT ARE RESPONSIVE TO COMMUNITY NEEDS FOR OVER 40 YEARS. SPECTRUM'S MODEL OF CARE PROVIDES FOR ALL AGES AND FOR THE COMPLEXITY OF MEDICAL AND SOCIAL ISSUES EXPERIENCED BY THE PATIENTS SERVED. THE HAVERFORD AVE AND BROAD STREET HEALTH CENTERS PROVIDE PRIMARY AND PREVENTIVE SERVICES, INCLUDING WELL-BABY, CHILD AND ADOLESCENT SERVICES: ADULT SERVICES INCLUDING GYNECOLOGICAL, PRENATAL AND OBSTETRIC SERVICES, GERIATRIC 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. THE CLINICAL TEAM OF MEDICAL PROVIDERS, NURSES AND MEDICAL ASSISTANTS WORK IN CONCERT TO ENSURE THAT PATIENT CARE IS THOROUGH, COMPLETE, AND FULLY UNDERSTOOD BY THE PATIENT. MEDICAL CARE IS BASED ON PROFESSIONALLY ACCEPTED STANDARDS OF CARE AND DELIVERY IN A CONFIDENTIAL AND ETHICAL MANNER TO ALL PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,232,186 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | OTHER HEALTH SERVICES: CORE MEDICAL SERVICES ARE SUPPORTED WITH PROGRAM 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. 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 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 TESTS. SHS CLINICAL STAFFS ARE ON CALL 24 HOURS, 7 DAYS A WEEK. ENABLING SERVICES ARE PROVIDED THROUGH THE CASE MANAGEMENT DEPARTMENT AND INCLUDE LINKAGES TO OTHER COMMUNITY-BASED SERVICES SUCH AS WIC, INCOME SUPPORT, HOUSING, EMPLOYMENT ASSISTANCE, IN-HOME SERVICES, MEALS-ON-WHEELS, AND OTHER NEEDED SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $586,098 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $297,465 | RevenueAmt |
| Desc | SPECTRUM HEALTH SERVICES, INC.'S DENTAL DEPARTMENT PROVIDED GENERAL DENTISTRY SERVICES GENERATING 3,247 PATIENT ENCOUNTERS FOR THE PERIOD JULY 1, 2014 THRU JUNE 30, 2015. CREDENTIAL BY TWELVE INSURANCE COMPANIES, SHS DENTAL DEPARTMENT STAFF CONSISTS OF 3.92 FTE INCLUDED: DENTIST 1.20, DENTAL ASSISTANTS 1.10, DENTAL HYGIENIST .4, AND DENTAL RECEPTIONIST 1.20. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,280,478 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 106 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CURTIS HAYNES CFO | PersonNm |
| Phone | 2154712750 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5201 HAVERFORD AVENUE | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19139 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CLEOSIE KIRKLAND | ||||||||
| BOARD CHAIR | 4.00 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RANDY BARNES | ||||||||
| VICE CHAIR/TREASURER | 2.00 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANNA HARGROVE | ||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BILINDA BAKER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TIMOTHY BARKSDALE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GLENN D HAMILTON MD | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE MANSFIELD | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL J TANN ESQ | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WILBUR D WINBORNE SR | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PHYLLIS B CATER | ||||||||
| PRESIDENT/CEO | 60.00 | 3.00 | Yes (X) | $144,381 | $0 | $18,300 | ||
| CURTIS HAYNES | ||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $59,085 | $0 | $4,104 | ||
| DR LEILA HAMPTON | ||||||||
| CMO | 40.00 | 0.00 | $137,826 | $0 | $3,656 | Yes (X) | ||
| DR DANIEL MOSCOW | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $137,220 | $0 | $22,011 | Yes (X) | ||
| CHARLES CRAWFORD | ||||||||
| DENTIST | 40.00 | 0.00 | $142,269 | $0 | $10,047 | Yes (X) | ||
| AQIYLA MUHAMMAND | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $124,954 | $0 | $14,393 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $745,735 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $72,511 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GREENWAY | |||||
| PO BOX 204485 | DALLAS | TX | 75320 | ELECTRONIC HEALTH RECORDS | $128,776 |
| RYANT A STUART | |||||
| 700 EAST TOWNSHIP LINE RD | HAVERFORD | PA | 19083 | IT CONSULTING | $111,960 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,500,321 | GovernmentGrantsAmt |
| All Other Contributions | $500 | AllOtherContributionsAmt |
| Total Contributions | $2,500,821 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID REIMBURSEMENT | 623000 | $3,188,068 | $3,188,068 |
| NET PATIENT SERVICE RE | 623000 | $607,351 | $607,351 |
| SELF PAY | 623000 | $111,456 | $111,456 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,906,875 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $101,768 | TotalRevenueColumnAmt |
| Exclusion | $101,768 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PHARMACY INCOME | 623000 | $143,970 | $143,970 |
| MISCELLANEOUS INCOME | 623000 | $37,761 | $37,761 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $181,731 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,691,195 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,906,875 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $283,499 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,870 | TotalAmt |
| Management And General | $225,870 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,344,941 | TotalAmt |
| Program Services | $2,598,575 | ProgramServicesAmt |
| Management And General | $746,366 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,202 | TotalAmt |
| Program Services | $532,688 | ProgramServicesAmt |
| Management And General | $118,514 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,572 | TotalAmt |
| Program Services | $244,809 | ProgramServicesAmt |
| Management And General | $64,763 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,636 | TotalAmt |
| Program Services | $66,109 | ProgramServicesAmt |
| Management And General | $16,527 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,198 | TotalAmt |
| Program Services | $24,958 | ProgramServicesAmt |
| Management And General | $6,240 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $728,843 | TotalAmt |
| Program Services | $678,066 | ProgramServicesAmt |
| Management And General | $50,777 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,394 | TotalAmt |
| Program Services | $10,593 | ProgramServicesAmt |
| Management And General | $2,801 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,156 | TotalAmt |
| Program Services | $499,893 | ProgramServicesAmt |
| Management And General | $62,263 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,683 | TotalAmt |
| Program Services | $152,546 | ProgramServicesAmt |
| Management And General | $38,137 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,039,478 | TotalAmt |
| Program Services | $821,391 | ProgramServicesAmt |
| Management And General | $218,087 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,825 | TotalAmt |
| Program Services | $9,351 | ProgramServicesAmt |
| Management And General | $2,474 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,037 | TotalAmt |
| Program Services | $7,937 | ProgramServicesAmt |
| Management And General | $2,100 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,019 | TotalAmt |
| Program Services | $296,565 | ProgramServicesAmt |
| Management And General | $78,454 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,670 | TotalAmt |
| Program Services | $64,189 | ProgramServicesAmt |
| Management And General | $18,481 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,587 | TotalAmt |
| Program Services | $62,938 | ProgramServicesAmt |
| Management And General | $16,649 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| LABORATORY SERVICES | $118,403 | $118,403 | |
| MEMBERSHIP DUES AND PUB | $45,618 | $36,074 | $9,544 |
| BAD DEBT EXPENSES | $35,844 | $28,317 | $7,527 |
| OTHER MISCELLANEOUS EXP | $31,911 | $27,076 | $4,835 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,970,887 | TotalAmt |
| Program Services | $6,280,478 | ProgramServicesAmt |
| Management And General | $1,690,409 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,094 | BOYAmt |
| EOY | $176,105 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,615 | BOYAmt |
| EOY | $2,745 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $480,185 | BOYAmt |
| EOY | $527,023 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,163,696 | BOYAmt |
| EOY | $10,163,696 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,857 | BOYAmt |
| EOY | $18,775 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,390 | BOYAmt |
| EOY | $155,805 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,626,437 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,428,452 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $252,080 | BOYAmt |
| EOY | $197,985 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,645 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $28,500 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,786 | BOYAmt |
| EOY | $112,668 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,308,348 | BOYAmt |
| EOY | $11,383,302 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,164,146 | BOYAmt |
| EOY | $1,935,138 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $684,899 | BOYAmt |
| EOY | $1,109,280 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,482,609 | BOYAmt |
| EOY | $5,407,210 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $515,062 | BOYAmt |
| EOY | $749,734 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,846,716 | BOYAmt |
| EOY | $9,201,362 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,461,632 | BOYAmt |
| EOY | $2,181,940 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,461,632 | BOYAmt |
| EOY | $2,181,940 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,308,348 | BOYAmt |
| EOY | $11,383,302 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,279,692 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,566,650 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,279,251 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,165,950 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,716,473 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,500,821 | CurrentTaxYearAmt |
| Total | $15,229,145 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,472,167 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,136,565 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,197,147 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,797,347 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,906,875 | CurrentTaxYearAmt |
| Total | $19,510,101 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,038,817 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,415,816 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,363,097 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,513,820 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,407,696 | CurrentTaxYearAmt |
| Total | $34,739,246 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $34,739,246 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,208 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,137 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $105,960 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $107,602 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,768 | CurrentTaxYearAmt |
| Total | $347,675 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,208 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,137 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $105,960 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $107,602 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,768 | CurrentTaxYearAmt |
| Total | $347,675 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $84,195 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $392,923 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $618,907 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,224 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,761 | CurrentTaxYearAmt |
| Total | $1,161,010 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,127,220 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,836,876 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,087,964 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,648,646 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,547,225 | CurrentTaxYearAmt |
| Total | $36,247,931 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.95840 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96130 | PublicSupportPY509Pct |
| Investment Income CY | 0.00960 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00700 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2010 AMOUNT: $ 84,195. 2011 AMOUNT: $ 392,923. 2012 AMOUNT: $ 618,907. 2013 AMOUNT: $ 27,224. 2014 AMOUNT: $ 37,761. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,940 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,578 | DepreciationAmt |
| Book Value | $4,362 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,542,497 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,348,874 | DepreciationAmt |
| Book Value | $193,623 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $197,985 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LINE OF CREDIT OBLIGATION | $600,000 |
| CAPITAL LEASE OBLIGATIONS | $149,734 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $749,734 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $6,691,195 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,691,195 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $6,691,195 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,970,887 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,970,887 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,970,887 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | CODE AND IS EXEMPT FROM STATE INCOME TAXES UNDER THE COMMONWEALTH OF PENNSYLVANIA STATUTES. THE AGENCY FOLLOWS THE PROVISIONS OF THE INCOME TAX ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. IT IS THE AGENCY.S POLICY TO ACCOUNT FOR ANY INTEREST OR PENALTIES ASSESSED RELATING TO UNCERTAIN TAX POSITIONS, IF ANY, AS GENERAL AND ADMINISTRATIVE EXPENSES. THE AGENCY DID NOT INCUR ANY INTEREST OR PENALTIES FOR THE YEARS ENDED JUNE 30, 2015 OR 2014. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE AGENCY'S FINANCIAL STATEMENTS. THE AGENCY.S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE AGENCY IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE AGENCY IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHYLLIS B CATER | ||||||||||||||
| PRESIDENT/CEO | $144,381 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,300 | $0 | $162,681 | $0 | $0 | $0 |
| DR DANIEL MOSCOW | ||||||||||||||
| PHYSICIAN | $137,220 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,011 | $0 | $159,231 | $0 | $0 | $0 |
| CHARLES CRAWFORD | ||||||||||||||
| DENTIST | $142,269 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,047 | $0 | $152,316 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE BOARD CHAIRPERSON, ONE OR MORE VICE CHAIRS WITH THE FIRST VICE CHAIR AS CHAIR ELECT, SECRETARY, TREASURER, IMMEDIATE PAST CHAIRPERSON AND CHAIRS OF ALL STANDING COMMITTEES. THE EXECUTIVE COMMITTEE SHALL BE RESPONSIBLE FOR APPROVING AND PROVIDING ADVICE AND RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING POLICIES, PRACTICES, GOVERNANCE, AND OPERATIONS OF THE CORPORATION, AND SHALL CONDUCT THE ANNUAL REVIEW OF THE PERFORMANCE AND COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND A SELF-EVALUATION OF THE BOARD, EXCEPT AS LIMITED BY THESE BY-LAWS AND BY THE LAW. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS DURING INTERVALS BETWEEN MEETINGS OF THE BOARD, AS DETERMINED TO BE NECESSARY BY THE CHAIRPERSON AND SUBJECT TO THE RATIFICATION OF SUCH ACTS BY THE COMMITTEE SHALL MAKE A FULL REPORT OF ALL ACTIONS AT THE NEXT MEETING OF THE BOARD OF DIRECTORS AND ITS ACTIONS ARE SUBJECT TO RATIFICATION BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CFO REVIEWS THE FORM 990 WITH THE BOARD OF DIRECTORS AT A MONTHLY MEETING PRIOR TO FILING WITH THE IRS. A COPY OF THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR HAS A DUTY TO DISCLOSE TO THE BOARD OF DIRECTORS ANY AND ALL POTENTIAL CONFLICTS OF INTEREST IN ANY CONTRACT OR TRANSACTION BETWEEN THE CORPORATION, ANOTHER BUSINESS ENTITY AGENCY OF GOVERNMENT OR INDIVIDUAL AND, IN THE ABSENCE OF FRAUD, NO CONTRACT OR OTHER TRANSACTION OF THE CORPORATION SHALL BE AFFECTED OR INVALIDATED IN ANY WAY BY THE FACT THAT ANY DIRECTOR OF THE CORPORATION IS IN ANY WAY INTERESTED OR CONNECTED WITH ANY OTHER PARTY OF SAID CONTRACT OR TRANSACTION, PROVIDED THAT SUCH INTEREST SHALL BE FULLY DISCLOSED OR OTHERWISE KNOWN TO THE BOARD OF DIRECTORS. AT THE MEETING OF THE BOARD AT WHICH SUCH CONTRACT OR TRANSACTION IS AUTHORIZED OR CONFIRMED, AND PROVIDED FURTHER THAT AT SUCH MEETING THERE SHALL BE PRESENT A QUORUM OF DIRECTORS NOT SO INTERESTED OR CONNECTED WITH THE CONTRACT OR TRANSACTION WHICH SHALL BE APPROVED BY A MAJORITY OF SUCH DIRECTORS, WHICH MAJORITY SHALL CONSIST OF DIRECTORS NOT SO INTERESTED OR CONNECTED. |
| FORM 990, PART VI, SECTION B, LINE 15 | 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 FOUND. THIS DATA IS THEN USED TO UPDATE 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 IN MAY, 2013. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE AGENCY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| SHS COMMUNITY HEALTH INC | ||||||||||
| 5201 HAVERFORD AVENUE | PHILADELPHIA | PA | 19139 | 300713501 | TO OPERATE AND MAINTAIN THE BUILDING AT HAVERFORD AVENUE | PA | 501(C)(2) | NONE | 0 | |
| URBAN HEALTH INITIATIVES | ||||||||||
| 1408 S BROAD STREET 1ST FLOOR | PHILADELPHIA | PA | 19149 | 421716530 | PROVIDED PRIMARY CARE MEDICAL SERVICES | PA | 501(C)(3) | NONE | 0 | LINE 9 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SHS COMMUNITY HEALTH INC | ||
| K | $593,081 | FMV |
| URBAN HEALTH INITIATIVE | ||
| L | $62,000 | FMV |
Comments