SUMMIT PHYSICIAN SERVICES: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SUMMIT PHYSICIAN SERVICES (EIN 25-1716306)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-03-21
IRS object ID
201520809349300317
Schema version
2013v4.0
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

FieldValueIRS element (for citing)
Return2015-03-21T13:38:32-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN520783935PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SMITH ELLIOTT KEARNS & COMPANY LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line119 BROOKWOOD AVE STE 101AddressLine1
CityCARLISLECity
StatePAState
ZIP Code17015ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251716306EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUMMIT PHYSICIAN SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSUMMBusinessNameControlTxt
Phone7172677758PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1785 5TH AVENUEAddressLine1
Address Line2ROOM/SUITE 3AddressLine2
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKIMBERLY M RZOMPPersonNm
Person TitleTREASURER/VP & CFOPersonTitleTxt
Phone7172677758PhoneNum
Signature2015-03-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGREGORY P HALL CPAPreparerPersonNm
PTINP00156653PTIN
Phone7172439104PhoneNum
Preparation2015-03-13PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKIMBERLY M RZOMPPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1112 NORTH SEVENTH STREETAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$62,550,306GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SUMMITHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROVIDE APPROPRIATE PHYSICIAN MANPOWER TO SERVE THE NEEDS OF RESIDENTS IN FRANKLIN COUNTY AND SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee669TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$258,969CYContributionsGrantsAmt
PY Program Service Revenue$50,772,457PYProgramServiceRevenueAmt
CY Program Service Revenue$51,480,219CYProgramServiceRevenueAmt
PY Investment Income$9,476PYInvestmentIncomeAmt
CY Investment Income$8,188CYInvestmentIncomeAmt
PY Other Revenue$4,703,201PYOtherRevenueAmt
CY Other Revenue$10,802,930CYOtherRevenueAmt
PY Total Revenue$55,485,134PYTotalRevenueAmt
CY Total Revenue$62,550,306CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$61,321,674PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$73,773,877CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$20,798,330PYOtherExpensesAmt
CY Other Expenses$20,637,641CYOtherExpensesAmt
PY Total Expenses$82,120,004PYTotalExpensesAmt
CY Total Expenses$94,411,518CYTotalExpensesAmt
PY Revenues Less Expenses-$26,634,870PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$31,861,212CYRevenuesLessExpensesAmt
Total Assets BOY$14,249,429TotalAssetsBOYAmt
Total Assets EOY$12,432,196TotalAssetsEOYAmt
Total Liabilities BOY$9,638,581TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,166,920TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,610,848NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$265,276NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE APPROPRIATE PHYSICIAN MANPOWER TO SERVE THE NEEDS OF RESIDENTS IN FRANKLIN COUNTY AND SURROUNDING AREAS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$84,672,420ExpenseAmt
Revenue$62,283,149RevenueAmt
DescSUMMIT PHYSICIAN SERVICES EXEMPT PURPOSE IS TO PROVIDE PRIMARY HEALTH CARE TO PATIENTS IN THE FRANKLIN COUNTY AND SURROUNDING AREAS OF SOUTH CENTRAL PENNSYLVANIA. ALL GENERAL AND ADMINISTRATIVE EXPENSES SUPPORT EFFORTS TO PROVIDE HEALTH CARE TO THE COMMUNITY.Desc
Total Program Service Expenses$84,672,420TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document69IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee669EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKIMBERLY RZOMP TREASURERVP CFOPersonNm
Phone7172673000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1112 NORTH SEVENTH STREETAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PATRICK O'DONNELL
PRESIDENT/CE2.0040.12Yes (X)Yes (X)$30,254$574,810$114,318
KIMBERLY RZOMP
TREASURER/VP2.1938.28Yes (X)Yes (X)$17,598$334,360$43,029
MARIE BECK
DIRECTOR0.270.00Yes (X)$0$0$0
H WALLACE BRUBAKER MD
DIRECTOR0.380.00Yes (X)$0$0$0
DAVID SHAUN BRYANT MD
DIRECTOR0.120.00Yes (X)$0$0$0
VALORIE DICK
DIRECTOR0.310.60Yes (X)$0$0$0
R WILLIAM HAPPEL
SECRETARY0.380.79Yes (X)Yes (X)$0$0$0
BRIDGET HILLIARD MD
DIRECTOR0.270.00Yes (X)$0$0$0
KEVIN J LORENTSON MD
DIRECTOR0.380.16Yes (X)$0$0$0
REBECCA NEWCOMER CRNP
DIRECTOR0.310.00Yes (X)$0$0$0
ADELINA PALADE MD
DIRECTOR0.040.00Yes (X)$0$0$0
RODGER SAVAGE
VICE-CHAIR0.230.49Yes (X)Yes (X)$0$0$0
R LUCAS SHELLY DO
CHAIR0.350.00Yes (X)Yes (X)$0$0$0
LISSA NIKI SHOWE
SR VP OF PHY32.388.00$290,819$72,704$7,650Yes (X)
FRANK MOZDY
PHSYICIAN40.350.00$316,806$0$7,650Yes (X)
MICHELE ZEIGLER
VP OF INFORM1.0039.00$7,073$275,839$36,682Yes (X)
DAVID A GUTHRIE
PHYSICIAN40.000.00$946,590$0$63,650Yes (X)
AYLMER C TANG
PHYSICIAN40.000.00$940,689$0$7,650Yes (X)
ARSHAD M SAFI
PHYSICIAN40.000.00$918,867$0$63,650Yes (X)
ALBERT TOM
PHYSICIAN40.000.00$740,798$0$7,650Yes (X)
JOSHUA L DUNKLEBERGER
PHYSICIAN40.000.00$740,485$0$7,650Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,949,979TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,257,713TotReportableCompRltdOrgAmt
Total Other Compensation$359,579TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K144IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
CHAMBERSBURG HEALTH SERVICES
785 5TH AVENUECHAMBERSBURGPA17201MEDICAL SERVICE$1,674,676
MEDICUS HOSPITALISTS LLC
7 INDUSTRIAL WAY UNIT 5WINDHAMNH03079HIRING AGENCY$797,305
CHAMBERSBURG HOSPITAL
112 NORTH SEVENTH STREETCHAMBERSBURGPA17201LABORATORY$479,822
SANOFI PASTEUR INC
12458 COLLECTIONS CENTER DRCHICAGOIL60693COLLECTION SERV$322,461
VIRGINIA MASON INSTITUTE
1100 9TH AVENUESEATTLEWA98101CONSULTING$236,977
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K24CntrctRcvdGreaterThan100KCnt
All Other Contributions$258,969AllOtherContributionsAmt
Total Contributions$258,969TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621110BusinessCd
Total Revenue Column$51,480,219TotalRevenueColumnAmt
Related Or Exempt Func Income$51,480,219RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$51,480,219TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,188TotalRevenueColumnAmt
Exclusion$8,188ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER INCOME621110$10,784,211$10,784,211
PURCHASE DISCOUNTS621110$18,719$18,719
FieldValueIRS element (for citing)
Other Revenue Total$10,802,930OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,550,306TotalRevenueColumnAmt
Related Or Exempt Func Income$62,283,149RelatedOrExemptFuncIncomeAmt
Exclusion$8,188ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$698,131TotalAmt
Management And General$698,131ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$62,916,221TotalAmt
Program Services$58,221,483ProgramServicesAmt
Management And General$4,694,738ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,603,547TotalAmt
Program Services$1,401,206ProgramServicesAmt
Management And General$202,341ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,673,607TotalAmt
Program Services$4,487,367ProgramServicesAmt
Management And General$1,186,240ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,882,371TotalAmt
Program Services$2,512,551ProgramServicesAmt
Management And General$369,820ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$154,508TotalAmt
Program Services$21,070ProgramServicesAmt
Management And General$133,438ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$955TotalAmt
Management And General$955ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,055,475TotalAmt
Program Services$7,277,867ProgramServicesAmt
Management And General$777,608ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$70,414TotalAmt
Program Services$68,211ProgramServicesAmt
Management And General$2,203ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$616,286TotalAmt
Program Services$371,671ProgramServicesAmt
Management And General$244,615ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,861,239TotalAmt
Program Services$2,634,907ProgramServicesAmt
Management And General$226,332ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$316,102TotalAmt
Program Services$36,065ProgramServicesAmt
Management And General$280,037ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$499,198TotalAmt
Program Services$493,704ProgramServicesAmt
Management And General$5,494ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,075,936TotalAmt
Program Services$429,091ProgramServicesAmt
Management And General$646,845ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,788,623TotalAmt
Program Services$1,692,656ProgramServicesAmt
Management And General$95,967ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$3,162,102$3,000,551$161,551
PHYSICIAN FEES$1,834,375$1,834,375
DUES$155,047$148,083$6,964
MISCELLANEOUS EXPENSE$46,303$40,484$5,819

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,078TotalAmt
Program Services$1,078ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$94,411,518TotalAmt
Program Services$84,672,420ProgramServicesAmt
Management And General$9,739,098ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,798BOYAmt
EOY$9,533EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$147,668BOYAmt
EOY$645,895EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,813BOYAmt
EOY$5,473EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,358,880BOYAmt
EOY$4,527,344EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,847,385BOYAmt
EOY$2,286,998EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$14,410EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$891,283BOYAmt
EOY$1,023,042EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,450,053LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,870,173LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,734,793BOYAmt
EOY$3,579,880EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$105,124BOYAmt
EOY$146,391EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$70,453BOYAmt
EOY$70,453EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$72,232BOYAmt
EOY$122,777EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,249,429BOYAmt
EOY$12,432,196EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,822,765BOYAmt
EOY$11,309,837EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$815,816BOYAmt
EOY$857,083EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,638,581BOYAmt
EOY$12,166,920EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,610,848BOYAmt
EOY$265,276EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,610,848BOYAmt
EOY$265,276EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,249,429BOYAmt
EOY$12,432,196EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$31,861,212ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$27,515,640OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,348,232OtherCostOrOtherBasisAmt
Depreciation$513,164DepreciationAmt
Book Value$835,068BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,101,821OtherCostOrOtherBasisAmt
Depreciation$6,357,009DepreciationAmt
Book Value$2,744,812BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,579,880TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED LIABILITY INSURANCE$710,692
DEFERRED COMPENSATION$146,391
FieldValueIRS element (for citing)
Total Liability$857,083TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationSUMMIT PHYSICIAN SERVICES IS A TAX-EXEMPT PUBLIC CHARITABLE ORGANIZATION AS DEFINED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. NO PROVISION FOR FEDERAL INCOME TAX HAS BEEN RECORDED FOR THE YEAR ENDING JUNE 30, 2014. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE WOULD BE REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS WOULD BE CLASSIFIED AS EXPENSES AGAINST OTHER OPERATING REVENUE IN THE STATEMENTS OF OPERATIONS. AT JUNE 30, 2014 AND 2013, THERE WAS NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
PATRICK O'DONNELL
PRESIDENT/CEO$22,489$427,283$5,886$111,834$1,879$35,693$5,716$108,602$1,762$33,484$35,970$683,412
KIMBERLY RZOMP
TREASURER/VP & CFO$15,293$290,566$1,358$25,798$947$17,996$2,151$40,878$968$18,394$19,749$375,238
LISSA NIKI SHOWE
SR VP OF PHYSICIAN P$217,466$54,366$42,660$10,665$30,693$7,673$6,120$1,530$10,290$2,573$296,939$74,234
FRANK MOZDY
PHSYICIAN$263,551$43,212$10,043$7,650$1,141$324,456
MICHELE ZEIGLER
VP OF INFORMATION SY$5,524$215,417$1,032$40,260$517$20,162$917$35,765$270$10,542$7,990$311,604
DAVID A GUTHRIE
PHYSICIAN$718,857$200,000$27,733$63,650$15,284$1,010,240
AYLMER C TANG
PHYSICIAN$442,377$487,873$10,439$7,650$12,395$948,339
ARSHAD M SAFI
PHYSICIAN$718,057$200,000$810$63,650$15,284$982,517
ALBERT TOM
PHYSICIAN$508,473$231,839$486$7,650$19,439$748,448
JOSHUA L DUNKLEBERGER
PHYSICIAN$437,548$302,620$317$7,650$15,126$748,135

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1ATHE OFFICERS RECEIVE AN ALLOWANCE THAT CAN BE CONSIDERED A DISCRETIONARY SPENDING ACCOUNT. THE MONIES ARE IN LIEU OF AN AUTOMOBILE ALLOWANCE, TO PURCHASE ADDITIONAL LIFE INSURANCE, ETC. THESE MONIES ARE INCLUDED IN COMPENSATION AS REPROTED IN THE COMPENSATION OF OFFICERS TABLE. RESULTS FITNESS CLUB MEMBERSHIP IS AVAILABLE FREE OF CHARGE FOR ANY OFFICER AND ACTIVE BOARD MEMBER.
SCHEDULE J, PAGE 1, PART I, LINE 7INCENTIVE COMPENSATION IS BASED ON PRE-DETERMINED, MEASURABLE GOALS APPROVED BY THE BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE. THE MEASURABLE GOALS ARE BASED ON QUALITY, COMMUNITY ACCESS TO CARE, PATIENT SAFETY AND LEADERSHIP.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 6SUMMIT HEALTH, A 501(C)(3) ENTITY, IS A MEMBER OF THIS ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 7ASUMMIT HEALTH, A 501(C)(3) ENTITY, ELECTS THE GOVERNING BODY OF THIS ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 7BSUMMIT HEALTH, A 501(C)(3) ENTITY, HAS CERTAIN RESERVE POWERS OVER THIS ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 11BPRIOR TO FILING, THE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 12CMEMBERS ARE ASKED ANNUALLY TO DISCLOSE ANY CONFLICTS OF INTEREST THEY MAY HAVE.
FORM 990, PAGE 6, PART VI, LINE 15ATHE COMPENSATION IS DISCUSSED WITH AN INDEPENDENT COMPENSATION COMMITTEE. THIS IS PERFORMED IN CONCERT WITH A COMPENSATION CONSULTANT WHO ASSISTS THIS COMMITTEE IN SETTING THE COMPENSATIONS FOR THESE INDIVIDUALS.
FORM 990, PAGE 6, PART VI, LINE 15BTHE COMPENSATION IS DISCUSSED WITH AN INDEPENDENT COMPENSATION COMMITTEE. THIS IS PERFORMED IN CONCERT WITH A COMPENSATION CONSULTANT WHO ASSISTS THIS COMMITTEE IN SETTING THE COMPENSATIONS FOR THESE INDIVIDUALS.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS ARE HELD IN THE FINANCE DEPARTMENT OF THE CHAMBERSBURG HOSPITAL.
FORM 990, PART XI, LINE 9TRANSFERS FROM AFFILIATED ORGANIZATIONS 27,515,640

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
SUMMIT HEALTH
112 NORTH SEVENTH STREETCHAMBERSBURGPA17201251515371HEALTHCAREPA501C37SUMMIT HEAfalse
WAYNESBORO HOSPITAL
501 EAST MAIN STREETWAYNESBOROPA17268231360854HEALTHCAREPA501C33SUMMIT HEAfalse
CHAMBERSBURG HEALTH SERVICES
785 5TH AVENUE SUITE 5CHAMBERSBURGPA17201251515376HEALTHCAREPA501C311ASUMMIT HEAfalse
CHAMBERSBURG HOSPITAL
112 NORTH SEVENTH STREETCHAMBERSBURGPA17201230465970HEALTHCAREPA501C33SUMMIT HEAfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

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