SPIRIT PHYSICIAN SERVICES INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SPIRIT PHYSICIAN SERVICES INC (EIN 25-1766971)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-02
- IRS object ID
- 201221239349300407
- Schema version
- 2010v3.4
- 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) |
|---|---|---|
| Timestamp | 2012-05-02T07:58:19-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MARKET STREET | AddressLine1 |
| City | WILLIAMSPORT | City |
| State | PA | State |
| ZIP Code | 17701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251766971 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPIRIT PHYSICIAN SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SPIR | NameControl |
| Phone | 7177632129 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 503 NORTH 21ST STREET | AddressLine1 |
| City | CAMP HILL | City |
| State | PA | State |
| ZIP Code | 17011 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD LAVANTURE | Name |
| Title | PRESIDENT & CEO | Title |
| Phone | 7177632129 | Phone |
| Date Signed | 2012-04-26 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIUS C GREEN CPA JD | Name |
| Phone | 5703236023 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MANUEL J EVANS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 503 NORTH 21ST STREET | AddressLine1 |
| City | CAMP HILL | City |
| State | PA | State |
| ZIP Code | 17011 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 29670463 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE CHARITY CARE & ACCESS TO AFFORDABLE PRIMARY & SPECIALTY OUTPATIENT MEDICAL SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 373 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4342884 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5571224 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19852930 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 23636435 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 212 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 427821 | OtherRevenuePriorYear |
| Other Revenue Current Year | 462799 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 24623847 | TotalRevenuePriorYear |
| Total Revenue Current Year | 29670463 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 125 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 18175821 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 22875224 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6052603 | OtherExpensePriorYear |
| Other Expenses Current Year | 7333497 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 24228424 | TotalExpensesPriorYear |
| Total Expenses Current Year | 30208846 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 395423 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -538383 | RevenuesLessExpensesCY |
| Total Assets BOY | 4076263 | TotalAssetsBOY |
| Total Assets EOY | 4415193 | TotalAssetsEOY |
| Total Liabilities BOY | 2762898 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3640211 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1313365 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 774982 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SPIRIT PHYSICIAN SERVICES, INC. HEALTHCARE MISSION IS TO PROVIDE CHARITY CARE AND TO EXPAND ACCESS TO AFFORDABLE PRIMARY AND SPECIALTY OUTPATIENT MEDICAL SERVICES. THE CLINICS OFFER PREVENTATIVE, DIAGNOSTIC, AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 27479268 | Expense |
| Grants | 125 | Grants |
| Revenue | 24069176 | Revenue |
| Description | ALL INDIVIDUAL CLINICS (FAMILY HEALTH CENTERS) OFFER PREVENTATIVE, DIAGNOSTIC, AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS. NON-EMERGENCY CARE IS PROVIDED TO ALL INDIVIDUALS ABLE TO PAY FOR SUCH CARE EITHER THEMSELVES, THROUGH PRIVATE HEALTH INSURANCE, OR THROUGH PUBLIC PROGRAMS SUCH AS MEDICARE AND MEDICAL ASSISTANCE. URGENT CARE IS PROVIDED, AS APPROPRIATE, TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY.CONSISTENT WITH HOLY SPIRIT HOSPITAL'S POLICIES CONCERNING INDIGENT CARE, IN ADDITION TO ALL INDIGENT EMERGENCY ROOM PATIENTS BEING ADMITTED TO THE HOSPITAL FOR INPATIENT CARE, SPIRIT PHYSICIAN SERVICES, INC., AS PART OF THE HOSPITAL'S HEALTH CARE SYSTEM, PROVIDES ALL NECESSARY FOLLOW-UP CARE (INCLUDING DIAGNOSTIC SERVICES) TO INDIGENT PATIENTS FREE OR AT DISCOUNTED RATES, BASED ON EACH PATIENT'S ABILITY TO PAY. THE CLINICS PROVIDE AN OUTREACH TO COMMUNITY RESIDENTS WITH MEDICAL CONDITIONS WHICH, IF NOT PROPERLY TREATED IN AN OUTPATIENT SETTING, MIGHT ULTIMATELY REQUIRE MORE EXPENSE AND CRITICAL INPATIENT CARE. THUS, THE CLINICS REDUCE HOSPITAL ADMISSIONS, DAYS OF STAY AND SURGICAL RATES. CHARITY CARE FOR FY 2011 IS $15,225.THE CENTER FOR WOMEN'S HEALTH OFFERS FREE INTRODUCTORY SESSIONS TO THE CREIGHTON MODEL FERTILITY CARE SYSTEM AND NAPRO TECHNOLOGY. THIS IS A FULLY INTEGRATED APPROACH TO WOMEN'S HEALTH THAT IS COMPLETELY PRO-LIFE IN ITS OUTLOOK AND THE TECHNIQUES IT EMPLOYS. IT IS PARTICULARLY USEFUL FOR EVALUATING AND TREATING INFERTILITY, RECURRENT PREGNANCY LOSS, ENDOMETRIOSIS, IRREGULAR PERIODS, PMS, OVARION CYSTS, AND POLYCYSTIC OVARY SYNDROME, AS WELL AS FOR FAMILY PLANNING. CHARITY CARE FOR FY 2011 IS $40,853.SPSI MEDICAL OUTREACH SERVICES IS A MEDICAL CLINIC THAT PROVIDES BASIC MEDICAL SERVICES TO THE SEVERELY SOCIAL ECONOMIC DISADVANTAGED IN THE HARRISBURG AREA. THE NET COST FOR THIS SERVICE FOR FY 2011 IS $236,443.CVSI IS A GROUP OF CARDIOVASCULAR HEART SURGEONS. THIS GROUP ALSO USES ROBOTICS DURING SPECIFIC SURGERIES. CHARITY CARE FOR FY 2011 IS $2,990.SPSI HEALTHSHARE IS A MEDICAL SERVICE REFERRAL PROGRAM THE PROVIDES REFERRAL AND DISCOUNTED MEDICAL SERVICES FOR THOSE WHO DO NOT QUALIFY FOR THE TRADITIONAL PUBLIC ASSISTANCE PROGRAMS. THE COST FOR THE SERVICES FOR FY 2011 IS $25,286.KUNKEL SURGERY IS A GROUP OF GENERAL SURGEONS. THIS GROUP PERFORMS A LARGE ASSORTMENT OF GENERAL SURGERY. CHARITY CARE FOR FY 2011 IS $25,046. | Description |
| Total Program Service Expense | 27479268 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 32 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 373 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANUEL J EVANS CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7177632130 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 503 NORTH 21ST STREET | AddressLine1 |
| City | CAMP HILL | City |
| State | PA | State |
| ZIP Code | 17011 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| GERALD OSMAN | |||||||
| VP/COO | 40.00 | X | X | 163930 | 0 | 24303 | |
| WILLIAM KEEN | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| LORI WALLOWER DO | |||||||
| DIRECTOR | 20.00 | X | 105427 | 0 | 4418 | ||
| MARY KAY DURHAM | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PAUL KUNKEL MD | |||||||
| DIRECTOR | 40.00 | X | 319115 | 0 | 29119 | ||
| JOSEPH SHATT | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD LAVANTURE | |||||||
| PRESIDENT/CEO | 1.00 | X | X | 0 | 300073 | 23321 | |
| MARGUERITE MACDONALD | |||||||
| CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |
| SISTER ROSE WILLIAM FALLON SCC | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| ROBERT KEITH | |||||||
| VICE CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |
| SISTER ROMAINE NIEMEYER SCC | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOSEPH TORCHIA MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 357600 | 24143 | ||
| ARVIND GUPTA MD | |||||||
| PHYSICIAN | 40.00 | 347684 | 0 | 27343 | X | ||
| VINCENT PARK MD | |||||||
| PHYSICIAN | 40.00 | 532748 | 0 | 27350 | X | ||
| CHRISTINE MCCARTY MD | |||||||
| PHYSICIAN | 40.00 | 474176 | 0 | 17698 | X | ||
| JOHN PENNOCK MD | |||||||
| PHYSICIAN | 40.00 | 457453 | 0 | 32607 | X | ||
| RAJESH DAVE MD | |||||||
| PHYSICIAN | 40.00 | 363306 | 0 | 14499 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2763839 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 657673 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 224801 | TotalOtherCompensation |
| Number Individuals GT100 K | 67 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HOLY SPIRIT HEALTH SYSTEM | |||||
| 503 NORTH 21ST STREET | CAMP HILL | PA | 17011 | EMPLOYEE BENEFITS, IT SERVICES, SUPPLIES | 3285125 |
| HOLY SPIRIT HOSPITAL | |||||
| 503 NORTH 21ST STREET | CAMP HILL | PA | 17011 | INSURANCE CORPORATE COMPLIANCE, AUDIT FE | 999146 |
| NEXTGEN | |||||
| PO BOX 809390 | CHICAGO | IL | 60680 | MAINTENANCE SOFTWARE AGREEMENTS, LICENSE | 334152 |
| SOUTHWIND | |||||
| PO BOX 79461 | BALTIMORE | MD | 21279 | CONSULTING | 139605 |
| COMPHEALTH ASSO LTD | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | RECRUITING | 122645 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Related Organizations | 5571224 | RelatedOrganizations |
| Total Contributions | 5571224 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENU | 621110 | 21247366 | 21247366 |
| HOSPITALIST INCOME | 621300 | 1808454 | 1808454 |
| NEUROLOGY INCOME | 621110 | 463115 | 463115 |
| CVSI SERVICES | 621110 | 117500 | 117500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 23636435 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5 | TotalRevenueColumn |
| Exclusion | $5 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| BILLING SERVICES | 900099 | 217259 | 217259 |
| OB EMERGENCY ROOM COVE | 900099 | 111522 | 111522 |
| ADMINISTRATION SERVICE | 900099 | 90400 | 90400 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43618 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13560 | RelatedOrExemptFunctionIncome |
| Exclusion | $30,058 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 462799 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29670463 | TotalRevenueColumn |
| Related Or Exempt Function Income | 24069176 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $30,063 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125 | Total |
| Program Services | 125 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19198830 | Total |
| Program Services | 17833239 | ProgramServices |
| Management And General | 1365591 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 683196 | Total |
| Program Services | 637511 | ProgramServices |
| Management And General | 45685 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1893992 | Total |
| Program Services | 1687382 | ProgramServices |
| Management And General | 206610 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1099206 | Total |
| Program Services | 1009048 | ProgramServices |
| Management And General | 90158 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45010 | Total |
| Program Services | 22332 | ProgramServices |
| Management And General | 22678 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98566 | Total |
| Management And General | 98566 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1343494 | Total |
| Program Services | 973255 | ProgramServices |
| Management And General | 370239 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 194692 | Total |
| Program Services | 188472 | ProgramServices |
| Management And General | 6220 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1667159 | Total |
| Program Services | 1627865 | ProgramServices |
| Management And General | 39294 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1478632 | Total |
| Program Services | 1392445 | ProgramServices |
| Management And General | 86187 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12928 | Total |
| Program Services | 3875 | ProgramServices |
| Management And General | 9053 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250635 | Total |
| Program Services | 228782 | ProgramServices |
| Management And General | 21853 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187068 | Total |
| Program Services | 167298 | ProgramServices |
| Management And General | 19770 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1199559 | Total |
| Program Services | 870014 | ProgramServices |
| Management And General | 329545 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| UNCOLLECTIBLE ACCOUNTS | 530045 | 530045 | |
| REPAIRS & MAINTENANCE | 212833 | 199903 | 12930 |
| DUES & SUBSCRIPTIONS | 11123 | 8062 | 3061 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101753 | Total |
| Program Services | 99615 | ProgramServices |
| Management And General | 2138 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30208846 | Total |
| Program Services | 27479268 | ProgramServices |
| Management And General | 2729578 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2179 | BOY |
| EOY | 2479 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 516985 | BOY |
| EOY | 545317 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1753099 | BOY |
| EOY | 1675723 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 581207 | BOY |
| EOY | 524644 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2467487 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1589644 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 674059 | BOY |
| EOY | 877843 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 548734 | BOY |
| EOY | 789187 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4076263 | BOY |
| EOY | 4415193 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2236158 | BOY |
| EOY | 2543763 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 526740 | BOY |
| EOY | 1096448 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2762898 | BOY |
| EOY | 3640211 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1313365 | BOY |
| EOY | 774982 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1313365 | BOY |
| EOY | 774982 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4076263 | BOY |
| EOY | 4415193 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -538383 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2422433 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3148301 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3035969 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4342884 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5571224 | CurrentTaxYear |
| Total | 18520811 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11355626 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13938978 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 15649430 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17839283 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21247366 | CurrentTaxYear |
| Total | 80030683 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13778059 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17087279 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18685399 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22182167 | CurrentTaxYearMinus1Year |
| Current Tax Year | 26818590 | CurrentTaxYear |
| Total | 98551494 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 98551494 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20249 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20620 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8910 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 212 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5 | CurrentTaxYear |
| Total | 49996 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20249 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20620 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8910 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 212 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5 | CurrentTaxYear |
| Total | 49996 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1429076 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1359218 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1944535 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2441468 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2851868 | CurrentTaxYear |
| Total | 10026165 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15227384 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18467117 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20638844 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 24623847 | CurrentTaxYearMinus1Year |
| Current Tax Year | 29670463 | CurrentTaxYear |
| Total | 108627655 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.90720 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.91350 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00050 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00070 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2226656 | BeginningOfYearBalance |
| Contributions | 22983 | Contributions |
| Investment Earnings Or Losses | 306634 | InvestmentEarningsOrLosses |
| Administrative Expenses | 15330 | AdministrativeExpenses |
| End Of Year Balance | 2540943 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2121932 | BeginningOfYearBalance |
| Contributions | 9370 | Contributions |
| Investment Earnings Or Losses | 118956 | InvestmentEarningsOrLosses |
| Administrative Expenses | 23602 | AdministrativeExpenses |
| End Of Year Balance | 2226656 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2526208 | BeginningOfYearBalance |
| Contributions | 1218 | Contributions |
| Investment Earnings Or Losses | -387499 | InvestmentEarningsOrLosses |
| Administrative Expenses | 17995 | AdministrativeExpenses |
| End Of Year Balance | 2121932 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 500429 | OtherCostOrOtherBasis |
| Depreciation | 386242 | Depreciation |
| Book Value | 114187 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1956784 | OtherCostOrOtherBasis |
| Depreciation | 1203402 | Depreciation |
| Book Value | 753382 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10274 | OtherCostOrOtherBasis |
| Book Value | 10274 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 877843 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED COMPENSATION PLAN ASSETS | 562529 |
| GOODWILL | 226658 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 789187 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED RENT EXPENSE | $48,919 |
| DEFERRED COMPENSATION | $562,529 |
| ESTIMATED MEDICAL MALPRACTICE CLAIMS | $485,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1096448 | TotalOfAmounts |
| Total Revenue | 29670463 | TotalRevenue |
| Total Expenses | 30208846 | TotalExpenses |
| Excess Or Deficit For Year | -538383 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -538383 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING ACCOUNT TO BE USED FOR OPERATIONAL EXPENSES. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2011 OR 2010. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GERALD OSMAN | |||||||||||||
| 150029 | 0 | 13901 | 0 | 0 | 0 | 12410 | 0 | 11893 | 0 | 188233 | 0 | 0 | 0 |
| PAUL KUNKEL MD | |||||||||||||
| 291608 | 0 | 27507 | 0 | 0 | 0 | 14700 | 0 | 14419 | 0 | 348234 | 0 | 0 | 0 |
| RICHARD LAVANTURE | |||||||||||||
| 0 | 239993 | 0 | 60080 | 0 | 0 | 0 | 12060 | 0 | 11261 | 0 | 323394 | 0 | 0 |
| JOSEPH TORCHIA MD | |||||||||||||
| 0 | 285280 | 0 | 72320 | 0 | 0 | 0 | 12250 | 0 | 11893 | 0 | 381743 | 0 | 0 |
| ARVIND GUPTA MD | |||||||||||||
| 312684 | 0 | 35000 | 0 | 0 | 0 | 11897 | 0 | 15446 | 0 | 375027 | 0 | 0 | 0 |
| VINCENT PARK MD | |||||||||||||
| 532748 | 0 | 0 | 0 | 0 | 0 | 11243 | 0 | 16107 | 0 | 560098 | 0 | 0 | 0 |
| CHRISTINE MCCARTY MD | |||||||||||||
| 474176 | 0 | 0 | 0 | 0 | 0 | 11925 | 0 | 5773 | 0 | 491874 | 0 | 0 | 0 |
| JOHN PENNOCK MD | |||||||||||||
| 457453 | 0 | 0 | 0 | 0 | 0 | 16500 | 0 | 16107 | 0 | 490060 | 0 | 0 | 0 |
| RAJESH DAVE MD | |||||||||||||
| 353306 | 0 | 10000 | 0 | 0 | 0 | 12250 | 0 | 2249 | 0 | 377805 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | CVSI IS A GROUP OF CARDIOVASCULAR HEART SURGEONS THAT ARE USING ROBOTICS DURING SPECIFIC SURGERIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF SPIRIT PHYSICIAN SERVICES, INC. IS HOLY SPIRIT HEALTH SYSTEM, A PENNSYLVANIA NON-PROFIT CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CHAIRPERSON OF THE BOARD OF TRUSTEES, SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION (PARENT), HAS THE POWER TO APPOINT OR REMOVE THE PRESIDENT OF THE CORPORATION. THE BOARD OF DIRECTORS OF HOLY SPIRIT HEALTH SYSTEM (SOLE CORPORATE MEMBER OF SPIRIT PHYSICIAN SERVICES, INC.) HAS THE POWER TO ELECT THE DIRECTORS OF SPIRIT PHYSICIAN SERVICES, INC. AND TO APPROVE THE NOMINEES FOR ELECTED OFFICERS OF SPIRIT PHYSICIAN SERVICES, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE GOVERNANCE STRUCTURE OF HOLY SPIRIT HEALTH SYSTEM PROVIDES RESERVED POWERS IN FAVOR OF SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION (PARENT) AND HOLY SPIRIT HEALTH SYSTEM (THE CORPORATE MEMBER OF ALL SUBSIDIARY CORPORATIONS). THE RESERVED POWERS PERTAIN TO (I) CAPITAL DEBT OR MODIFICATION OF EXISTING CAPITAL DEBT, (II) SALE OR TRANSFER OF ANY LAND OR BUILDING, (III) ACQUISITION OR PURCHASE OF ANY LAND OR BUILDING, (IV) LEASING OUTSIDE OF THE ORDINARY COURSE OF BUSINESS, (V) APPROVAL OF ANY GUARANTEE OF ANY DEBT, (VI) APPROVAL OF ANY MERGER, CONSOLIDATION, ORGANIZATION OR REORGANIZATION, JOINT VENTURE OR ANY OTHER MODIFICATION OF CORPORATION STRUCTURE OR AFFILIATION, (VII) DISSOLUTION OR TERMINATION OF ANY EXISTING CORPORATION, (VIII) APPOINTMENT OF THE EXTERNAL FISCAL AUDITOR AND (IX) APPOINTMENT OF GENERAL COUNSEL. | |
| FORM 990, PART VI, SECTION B, LINE 11 | IN ACCORDANCE WITH THE BYLAWS OF HOLY SPIRIT HEALTH SYSTEM (THE PARENT), THE FORM 990 WAS PRESENTED TO THE HEALTH SYSTEM'S FINANCE AND AUDIT COMMITTEE BY THE EXTERNAL TAX PREPARERS AND MANAGEMENT. FOLLOWING REVIEW AND APPROVAL BY THE FINANCE AND AUDIT COMMITTEE, THE FORM 990 WAS DISTRIBUTED TO THE BOARD OF DIRECTORS OF EACH CORPORATION BEFORE THE FORM 990 WAS FILED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE HOLY SPIRIT HOSPITAL BYLAWS HAVE A CONFLICT OF INTEREST PROVISION, SPECIFICALLY ARTICLE XII. ARTICLE XII IS APPLICABLE TO "ANY DIRECTOR, OFFICER OR COMMITTEE MEMBER (TO INCLUDE ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY)" AND DESCRIBES THE NATURE OF A CONFLICT OF INTEREST. IN ADDITION, THERE IS A PROVISION IN ARTICLE XII (SECTION 12.2.1) WHICH SETS FORTH THE METHODOLOGY TO DETERMINE WHETHER A DIRECTOR, OFFICER OR COMMITTEE MEMBER HAS A CONFLICT OF INTEREST AND THE REQUIREMENTS PERTAINING TO REMOVAL OF THE DIRECTOR, OFFICER OR COMMITTEE MEMBER WITH THE CONFLICT OF INTEREST FROM THE MEETING, IMPACT ON THE QUORUM AND VOTING. SECTION 12.2 REQUIRES THAT IF A DIRECTOR, OFFICER OR COMMITTEE MEMBER IS DETERMINED TO HAVE A CONFLICT OF INTEREST THAT THE INDIVIDUAL CANNOT BE PRESENT AT THE MEETING WHEN THE MATTER WAS DISCUSSED OR VOTED UPON. ARTICLE XII ALSO REQUIRES THE BOARD OF DIRECTORS OF HOLY SPIRIT HEALTH SYSTEM TO ADOPT A CONFLICT OF INTEREST POLICY REQUIRING PERIODIC STATEMENTS (AT LEAST ANNUALLY) FROM DIRECTORS, OFFICERS AND COMMITTEE MEMBERS TO DISCLOSE EXISTING AND POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, THE BOARD IS REQUIRED TO TAKE CORRECTIVE AND DISCIPLINARY ACTION WITH RESPECT TO TRANSGRESSIONS OF THE CONFLICT OF INTEREST POLICY. EACH SUBSIDIARY CORPORATION HAS A COMPARABLE PROVISION IN ITS CURRENT BYLAWS. ALL DIRECTORS, OFFICERS AND COMMITTEE MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL STATEMENT DISCLOSING EXISTING OR POTENTIAL CONFLICTS OF INTEREST. THIS ANNUAL DISCLOSURE REQUIREMENT HAS BEEN IN EFFECT FOR ALL CORPORATIONS FOR SEVERAL YEARS. THE HEALTH SYSTEM BOARD OF DIRECTORS ADOPTED A SEPARATE CONFLICT OF INTEREST POLICY ON MARCH 23, 2010. THAT CONFLICT OF INTEREST POLICY IS APPLICABLE TO ALL DIRECTORS, OFFICERS, KEY EMPLOYEES AND COMMITTEE MEMBERS FOR HOLY SPIRIT HEALTH SYSTEM AND ALL SUBSIDIARY CORPORATIONS. THAT CONFLICT OF INTEREST POLICY ALSO HAS EXPANDED THE ANNUAL DISCLOSURE STATEMENT. IN ADDITION, THE CORPORATE COMPLIANCE PROGRAM FOR HOLY SPIRIT HEALTH SYSTEM PROVIDES A CONFLICT OF INTEREST POLICY WHICH IS SUBSTANTIALLY THE SAME AS THE ONE DESCRIBED ABOVE, EXCEPT THAT POLICY IS APPLICABLE TO ALL EMPLOYEES OF HOLY SPIRIT HEALTH SYSTEM AND ALL SUBSIDIARY CORPORATIONS. IT IS NOT APPLICABLE TO DIRECTORS, OFFICERS OR COMMITTEE MEMBERS OF HOLY SPIRIT HEALTH SYSTEM OR ANY SUBSIDIARY CORPORATION. | |
| FORM 990, PART VI, SECTION B, LINE 15 | HOLY SPIRIT HEALTH SYSTEM (SPIRIT PHYSICIAN SERVICES, INC.'S PARENT COMPANY) RETAINED A CONSULTING FIRM TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM IN APRIL 2008 AND TO UPDATE THE ANALYSIS IN MAY 2010. THE FIRM COLLECTED MARKET DATA FROM VARIOUS SOURCES. THE FIRM COMPARED HOLY SPIRIT HEALTH SYSTEM TO HOSPITALS IN SIMILAR SCOPE AND SCALE AND TRENDED THE DATA BASED ON THE FIRM'S US COMPENSATION PLANNING SURVEY TO ENSURE THAT COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. THE RESULTS AND RECOMMENDATIONS WERE PRESENTED TO THE BOARD. THE FOLLOWING POSITIONS THAT ARE ANALYZED ARE PRESIDENT, SENIOR VP MEDICAL AFFAIRS, SENIOR VP FINANCE, SENIOR VP AND CHIEF OPERATING OFFICER, SENIOR VP CORPORATE AFFAIRS, SENIOR VP OF HUMAN SERVICES, VP PATIENT CARE SERVICES, CHIEF INFORMATION OFFICER, VP RISK MANAGEMENT AND SUPPORT SERVICES, VP/COO SPIRIT PHYSICIAN SERVICES, VP/COO WEST SHORE ADVANCED LIFE SUPPORT, PRESIDENT/CEO OF COMFORT CARE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART VII: | AVERAGE HOURS PER WEEK FOR ALL RELATED ORGANIZATIONS IS AS FOLLOWS FOR THE FOLLOWING INDIVIDUALS: - RICHARD LAVENTURE - 40 HOURS - SISTER ROMAINE NIEMEYER, S.C.C. - 40 HOURS - JOSEPH TORCHIA, M.D. - 40 HOURS |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMFORT CARE OF HOLY SPIRIT INC | |||||||||||
| 503 NORTH 21ST STREET | CAMP HILL | PA | 17011 | 232465952 | HEALTHCARE | PA | 501(C)(3) | 9 | HOLY SPIRIT HEALTH SYSTEM | 0 | |
| HOLY SPIRIT CORPORATION | |||||||||||
| 503 NORTH 21ST STREET | CAMP HILL | PA | 17011 | 232214540 | REAL ESTATE | PA | 501(C)(2) | HOLY SPIRIT HEALTH SYSTEM | 0 | ||
| HOLY SPIRIT HEALTH SYSTEM | |||||||||||
| 503 NORTH 21ST STREET | CAMP HILL | PA | 17011 | 251865142 | HEALTHCARE | PA | 501(C)(3) | 11B | 0 | N/A | |
| HOLY SPIRIT HOSPITAL | |||||||||||
| 503 NORTH 21ST STREET | CAMP HILL | PA | 17011 | 231512747 | HEALTHCARE | PA | 501(C)(3) | 3 | HOLY SPIRIT HEALTH SYSTEM | 0 | |
| SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION | |||||||||||
| MALLINCKRODT CONVENT | MENDHAM | NJ | 07945 | 232322926 | HEALTHCARE | NJ | 501(C)(3) | 1 | 0 | N/A | |
| WEST SHORE ADVANCED LIFE SUPPORT SERVICE INC | |||||||||||
| 503 NORTH 21ST STREET | CAMP HILL | PA | 17011 | 232463002 | HEALTHCARE | PA | 501(C)(3) | 7 | HOLY SPIRIT HEALTH SYSTEM | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY SPIRIT VENTURES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 503 NORTH 21ST STREET | AddressLine1 |
| City | CAMP HILL | City |
| State | PA | State |
| ZIP Code | 17011 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232407709 | EIN |
| Primary Activity | MEDICAL SERVICES | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Comments