SPECTRUM HEALTH SERVICE INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SPECTRUM HEALTH SERVICE INC (EIN 23-1686225)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-16
- IRS object ID
- 202311369349300541
- Schema version
- 2021v4.2
- 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 | 2023-05-16T09:16:59-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1570 FRUITVILLE PIKE SUITE 400 | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | 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 AVE | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19139 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VERONICA HILL-MILBOURNE | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 2154712761 | PhoneNum |
| Signature | 2023-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | VERONICA | PersonFirstNm |
| Person Last | HILL-MILBOURNE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KERRI N BOGDA CPA | PreparerPersonNm |
| PTIN | P00760402 | PTIN |
| Phone | 7177404863 | PhoneNum |
| Preparation | 2023-05-14 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | VERONICA HILL-MILBOURNE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5201 HAVERFORD AVE | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19139 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,530,659 | 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 | TO BE A LEADER IN THE DELIVERY OF PRIMARY CARE SERVICES AND ACCESS TO SPECIALTY CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 146 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,784,442 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,669,515 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,308,326 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,771,852 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,830 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,900 | CYInvestmentIncomeAmt |
| PY Other Revenue | $69,017 | PYOtherRevenueAmt |
| CY Other Revenue | $86,392 | CYOtherRevenueAmt |
| PY Total Revenue | $22,165,615 | PYTotalRevenueAmt |
| CY Total Revenue | $25,530,659 | 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 | $8,907,932 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,598,822 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,789,109 | PYOtherExpensesAmt |
| CY Other Expenses | $8,615,541 | CYOtherExpensesAmt |
| PY Total Expenses | $17,697,041 | PYTotalExpensesAmt |
| CY Total Expenses | $19,214,363 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,468,574 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,316,296 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,394,415 | TotalAssetsBOYAmt |
| Total Assets EOY | $25,454,080 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,921,981 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,772,277 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,472,434 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,681,803 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH STATUS OF PATIENTS AND THE RESIDENTS LIVING IN THE COMMUNITIES SURROUNDING THE ORGANIZATION'S DELIVERY SITES THROUGH AN ORGANIZED, COMPREHENSIVE PROGRAM OF PRIMARY CARE DELIVERY, HEALTH EDUCATION AND HEALTH-RELATED SOCIAL SERVICES REGARDLESS OF PATIENTS' ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,640,179 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $18,834,682 | RevenueAmt |
| Desc | MEDICAL SERVICES: SPECTRUM HEALTH SERVICES, INC. HAS PROVIDED HEALTH CARE SERVICES THAT ARE RESPONSIVE TO COMMUNITY NEEDS FOR OVER 55 YEARS. SPECTRUM'S MODEL OF CARE PROVIDES FOR ALL AGES AND FOR THE COMPLEXITY OF MEDICAL AND SOCIAL ISSUES EXPERIENCED BY THE PATIENTS SERVED, REGARDLESS OF AGE, RACE, RELIGION, AND/OR ABILITY TO PAY.THE HAVERFORD AVE, BROAD STREET, REED STREET, AND COTTMAN HEALTH CENTERS PROVIDE PRIMARY AND PREVENTIVE SERVICES, INCLUDING INFANT, CHILD AND ADOLESCENT SERVICES, AND FAMILY PLANNING SERVICES, SERVICES RELATED TO CHRONIC ILLNESS, DIAGNOSTIC TESTING AND SCREENING THROUGH AN ON-SITE CLIA LABORATORY, HEARING AND VISION TESTING, PRESCRIPTION ASSISTANCE AND REFERRALS, CHILDREN'S ORAL HEALTH SCREENING ON-SITE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $480,098 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $715,377 | RevenueAmt |
| Desc | DENTAL SERVICES: SPECTRUM HEALTH SERVICES, INC.'S DENTAL DEPARTMENT OFFERS SERVICES FROM INFANTS TO ADULTS FOR THE CONVENIENCE OF MEETING ALL OUR PATIENTS' PRIMARY DENTAL CARE NEEDS AND PROVIDING THE BEST ORAL HEALTH FOR OUR PATIENTS AND COMMUNITY, REGARDLESS OF AGE, RACE, RELIGION, AND/OR ABILITY TO PAY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $148,848 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $221,793 | RevenueAmt |
| Desc | CLINICAL SERVICES: SPECTRUM'S CORE MEDICAL SERVICES ARE SUPPORTED WITH PROGRAMS AND SERVICES FOR ADOLESCENT HEALTH, GERIATRIC HEALTH, HIV/AIDS OUTREACH AND PRIMARY CARE AND SPECIALIZED CASE MANAGEMENT SERVICES FOR PEOPLE WITH DIABETES, CARDIOVASCULAR PROBLEMS, HYPERTENSION, AND ASTHMA. BEHAVIORAL HEALTH SERVICES ARE EMBEDDED IN PRIMARY CARE AND REFERRALS ARE MADE FOR DENTAL HEALTH CARE FOR ADULTS AND CHILDREN. NUTRITION AND HEALTH EDUCATION ARE PROVIDED BY A REGISTERED NUTRITIONIST AND CERTIFIED HEALTH EDUCATOR IN CONJUNCTION WITH THE PRIMARY CARE PROVIDERS. DIETITIAN SERVICES ARE AVAILABLE FOR PATIENTS REQUIRING THIS SERVICE. SHS'S SITES HAVE LEVEL 2 LABORATORIES THAT PERFORM IN-HOUSE CLIA TESTING. SHS CLINICAL STAFF ARE ON CALL 24 HOURS, 7 DAYS A WEEK. ENABLING SERVICES ARE PROVIDED THROUGH THE CASE MANAGEMENT DEPARTMENT. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $13,269,125 | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 146 | 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID DEMILIO CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| LEVAR HAFFONEY | |||||||||
| CHAIR (UNTIL 08/21)/BM (UNTIL 12/21) | 4.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FREDERICK KINGLEE II | |||||||||
| VC (UNTIL 08/21)/CHAIR (AS OF 08/21) | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ZIPPORAH E RIDLEY | |||||||||
| SECRETARY (UNTIL 09/21)/BD MBR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR MARK THOMAS PHD | |||||||||
| BM/SECRETARY (AS OF 09/21) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| M PRESTON HAWKINS | |||||||||
| BOARD MEMBER/TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN A BORDEN SR | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ANTHONY FLUELLEN | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH JOHNSON | |||||||||
| BOARD MEMBER (UNTIL 12/21) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR KIM W MAY | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KYLE JR MORRIS | |||||||||
| BOARD MEMBER (UNTIL 12/21) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SAMUEL OSIRIM | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| OKSANA CHUBOK | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DENISE CLAYTON | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| YUBELKIS FERNANDEZ | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL JOHNS | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSELYNNE JONES CELESTINE MED MS | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| VERONICA HILL-MILBOURNE | |||||||||
| PRESIDENT & CEO | 40.00 | 0.00 | Yes (X) | $374,157 | $0 | $8,346 | |||
| SHAWNA RUSSELL-YOUNG | |||||||||
| CHIEF COMPLIANCE & PRIVACY OFFICER | 40.00 | 0.00 | Yes (X) | $142,953 | $0 | $0 | |||
| THERESA J BAUGH | |||||||||
| CHIEF OPERATIONS OFFICER | 40.00 | 0.00 | Yes (X) | $217,220 | $0 | $0 | |||
| DR AQIYLA MUHAMMAD | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $271,753 | $0 | $7,320 | Yes (X) | |||
| DAVID DEMILIO | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 0.00 | $243,321 | $0 | $5,891 | Yes (X) | |||
| JEFFREY DUNBAR MD | |||||||||
| PROVIDER | 40.00 | 0.00 | $206,238 | $0 | $6,187 | Yes (X) | |||
| AKILAH BATES | |||||||||
| PROVIDER | 40.00 | 0.00 | $201,663 | $0 | $6,050 | Yes (X) | |||
| MYRON LSEWELL | |||||||||
| PROVIDER | 40.00 | 0.00 | $171,167 | $0 | $0 | Yes (X) | |||
| MYRA UNDERWOOD-RUTLAND | |||||||||
| PROVIDER | 40.00 | 0.00 | $125,053 | $0 | $3,752 | Yes (X) | |||
| ANITA S GILL | |||||||||
| PROVIDER | 40.00 | 0.00 | $122,658 | $0 | $3,680 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,076,183 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $41,226 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | 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 |
|---|---|---|---|---|---|
| ATHENAHEALTH INC | |||||
| 311 ARSENAL STREET | WATERTOWN | MA | 02472 | ELECTRONIC MEDICAL RECORDS | $628,084 |
| ALLIED UNIVERSAL | |||||
| 8 TOWER BRIDGE 161 WASHINGTON ST | CONSHOHOCKEN | PA | 19428 | SECURITY | $274,081 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,530,003 | GovernmentGrantsAmt |
| All Other Contributions | $139,512 | AllOtherContributionsAmt |
| Total Contributions | $5,669,515 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 623000 | $13,628,465 | $13,628,465 |
| PHARMACY REVENUE | 623000 | $6,143,387 | $6,143,387 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,771,852 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,900 | TotalRevenueColumnAmt |
| Exclusion | $2,900 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| REIMBURSMENTS | 900099 | $72,032 | $72,032 |
| MEDICAL RECORDS | 900099 | $8,409 | $8,409 |
| PHARMACY RENTS | 900099 | $3,300 | $3,300 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,651 | TotalRevenueColumnAmt |
| Exclusion | $2,651 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $86,392 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,530,659 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,771,852 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $89,292 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,083,028 | TotalAmt |
| Program Services | $497,234 | ProgramServicesAmt |
| Management And General | $585,794 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,586,630 | TotalAmt |
| Program Services | $5,041,706 | ProgramServicesAmt |
| Management And General | $2,544,924 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,538 | TotalAmt |
| Program Services | $43,851 | ProgramServicesAmt |
| Management And General | $24,687 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,257,902 | TotalAmt |
| Program Services | $812,783 | ProgramServicesAmt |
| Management And General | $445,119 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,724 | TotalAmt |
| Program Services | $385,627 | ProgramServicesAmt |
| Management And General | $217,097 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,074 | TotalAmt |
| Management And General | $208,074 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,768 | TotalAmt |
| Management And General | $101,768 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,617,443 | TotalAmt |
| Program Services | $1,491,943 | ProgramServicesAmt |
| Management And General | $1,125,500 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,958 | TotalAmt |
| Program Services | $1,686 | ProgramServicesAmt |
| Management And General | $1,272 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,136 | TotalAmt |
| Program Services | $8,395 | ProgramServicesAmt |
| Management And General | $170,741 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $371,384 | TotalAmt |
| Program Services | $211,689 | ProgramServicesAmt |
| Management And General | $159,695 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $607,011 | TotalAmt |
| Program Services | $345,996 | ProgramServicesAmt |
| Management And General | $261,015 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,797 | TotalAmt |
| Program Services | $25,534 | ProgramServicesAmt |
| Management And General | $19,263 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,763 | TotalAmt |
| Program Services | $3,285 | ProgramServicesAmt |
| Management And General | $2,478 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,269 | TotalAmt |
| Program Services | $332,082 | ProgramServicesAmt |
| Management And General | $8,187 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $485,391 | TotalAmt |
| Program Services | $473,712 | ProgramServicesAmt |
| Management And General | $11,679 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,282 | TotalAmt |
| Program Services | $154,474 | ProgramServicesAmt |
| Management And General | $3,808 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $2,702,355 | $2,702,355 | |
| BAD DEBT EXPENSE | $665,009 | $665,009 | |
| LICENSES, DUES, SUBS. | $95,375 | $54,364 | $41,011 |
| MISCELLANEOUS EXPENSE | $29,267 | $16,682 | $12,585 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,259 | TotalAmt |
| Program Services | $718 | ProgramServicesAmt |
| Management And General | $541 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,214,363 | TotalAmt |
| Program Services | $13,269,125 | ProgramServicesAmt |
| Management And General | $5,945,238 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,495,067 | BOYAmt |
| EOY | $6,569,789 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,648,284 | BOYAmt |
| EOY | $4,220,760 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,036,135 | BOYAmt |
| EOY | $2,281,430 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,778 | BOYAmt |
| EOY | $366,465 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,321 | BOYAmt |
| EOY | $134,558 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,090,437 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,752,853 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,372,479 | BOYAmt |
| EOY | $10,337,584 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $747,351 | BOYAmt |
| EOY | $1,543,494 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,394,415 | BOYAmt |
| EOY | $25,454,080 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,383,686 | BOYAmt |
| EOY | $1,657,947 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $77,917 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,294,391 | BOYAmt |
| EOY | $5,962,496 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,340,100 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $903,804 | BOYAmt |
| EOY | $73,917 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,921,981 | BOYAmt |
| EOY | $7,772,277 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,472,434 | BOYAmt |
| EOY | $17,681,803 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,472,434 | BOYAmt |
| EOY | $17,681,803 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,394,415 | BOYAmt |
| EOY | $25,454,080 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,316,296 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$201,814 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $94,887 | 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 | $3,265,098 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,743,406 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,898,958 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,784,442 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,669,515 | CurrentTaxYearAmt |
| Total | $21,361,419 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,249,077 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,692,410 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,082,807 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,308,326 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,771,852 | CurrentTaxYearAmt |
| Total | $68,104,472 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,514,175 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,435,816 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,981,765 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,092,768 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,441,367 | CurrentTaxYearAmt |
| Total | $89,465,891 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $3,650 | CurrentTaxYearMinus3YearsAmt |
| Total | $3,650 | 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) |
|---|---|---|
| Current Tax Year Minus3 Years | $3,650 | CurrentTaxYearMinus3YearsAmt |
| Total | $3,650 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $89,462,241 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $101,637 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $70,805 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,304 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,830 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,900 | CurrentTaxYearAmt |
| Total | $189,476 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $101,637 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $70,805 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,304 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,830 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,900 | CurrentTaxYearAmt |
| Total | $189,476 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,638 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $69,017 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $86,392 | CurrentTaxYearAmt |
| Total | $235,047 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,695,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,506,621 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,992,069 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,165,615 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,530,659 | CurrentTaxYearAmt |
| Total | $89,890,414 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99520 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99380 | PublicSupportPY509Pct |
| Investment Income CY | 0.00210 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00380 | 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 | OTHER INCOME - 2017 AMOUNT: $ 79,638. 2021 AMOUNT: $ 2,651. MEDICAL RECORDS - 2020 AMOUNT: $ 7,517. 2021 AMOUNT: $ 8,409. REIMBURSEMENTS - 2020 AMOUNT: $ 61,500. 2021 AMOUNT: $ 72,032. PHARMACY RENTS - 2021 AMOUNT: $ 3,300. | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $644,000 | OtherCostOrOtherBasisAmt |
| Book Value | $644,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,033,531 | OtherCostOrOtherBasisAmt |
| Depreciation | $694,869 | DepreciationAmt |
| Book Value | $8,338,662 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $279,307 | OtherCostOrOtherBasisAmt |
| Depreciation | $167,544 | DepreciationAmt |
| Book Value | $111,763 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,133,599 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,890,440 | DepreciationAmt |
| Book Value | $1,243,159 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,337,584 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $56,494 |
| DUE FROM THIRD PARTY PAYORS | $1,487,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,543,494 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST RATE SWAP | Desc |
| Amt | $73,917 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $73,917 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $24,960,537 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$570,122 | OtherRevenueAmt |
| Revenue Not Reported | -$570,122 | RevenueNotReportedAmt |
| Revenue Subtotal | $25,530,659 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $25,530,659 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,549,354 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $18,549,354 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $665,009 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $665,009 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,214,363 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICES (IRS). THE ORGANIZATION HAS CONCLUDED THAT AS OF JUNE 30, 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2019, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF INTEREST RATE SWAP 94,887. BAD DEBT NET WITH REVENUE -665,009. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NET WITH REVENUE 665,009. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VERONICA HILL-MILBOURNE | ||||||||||||||
| PRESIDENT & CEO | $278,216 | $0 | $95,941 | $0 | $0 | $0 | $8,346 | $0 | $0 | $0 | $382,503 | $0 | $0 | $0 |
| DR AQIYLA MUHAMMAD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $244,007 | $0 | $27,746 | $0 | $0 | $0 | $7,320 | $0 | $0 | $0 | $279,073 | $0 | $0 | $0 |
| DAVID DEMILIO | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $196,373 | $0 | $46,948 | $0 | $0 | $0 | $5,891 | $0 | $0 | $0 | $249,212 | $0 | $0 | $0 |
| THERESA J BAUGH | ||||||||||||||
| CHIEF OPERATIONS OFFICER | $185,657 | $0 | $31,563 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $217,220 | $0 | $0 | $0 |
| JEFFREY DUNBAR MD | ||||||||||||||
| PROVIDER | $206,238 | $0 | $0 | $0 | $0 | $0 | $6,187 | $0 | $0 | $0 | $212,425 | $0 | $0 | $0 |
| AKILAH BATES | ||||||||||||||
| PROVIDER | $201,663 | $0 | $0 | $0 | $0 | $0 | $6,050 | $0 | $0 | $0 | $207,713 | $0 | $0 | $0 |
| MYRON LSEWELL | ||||||||||||||
| PROVIDER | $171,167 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $171,167 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | THE EXECUTIVE TEAM DECIDES ON INCENTIVE PROGRAMS AND THE BOARD APPROVES BONUSES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE 990 IS REVIEWED WITH THE CFO AND CEO. THE FINAL 990 IS PROVIDED TO THE FULL BOARD PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE CORPORATION. ANY DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, EMPLOYEE OR AGENT WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IS AN INTERESTED PERSON. AN INTERESTED PERSON HAS A DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST. THEY MUST DISCLOSE THE EXISTENCE OF HIS/HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED AS POTENTIAL SOURCES OF CONFLICT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE BOARD SHALL INFORM THE INDIVIDUAL OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER OPPORTUNITY TO EXPLAIN. IF THE BOARD DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION DETERMINATION: THERE IS A SALARY COMPENSATION PLAN THAT IS IN PLACE THAT IS PERIODICALLY REVIEWED AND COMPARED AGAINST COMPARABLE SALARY DATA AT THE REGIONAL AND LOCAL LEVELS BY AN OUTSIDE CONSULTANT. THE PROCESS: MARKET PRICING - THE CONSULTANT USES JOB DESCRIPTIONS TO MATCH JOBS TO THE EXTERNAL MARKET. THE CONSULTANT USES A MIX OF NON-PROFIT AND FOR-PROFIT DATA FROM REGIONAL AND LOCAL SALARY SURVEYS AS WELL AS HEALTH CARE DATA. THE CONSULTANT SEARCHES FOR MARKET DATA THAT MATCHES THE ORGANIZATION'S POSITIONS AND THEN ABSTRACTS SALARY DATA FROM THE 25TH, 50TH AND 75TH PERCENTILE OF THE MARKET FOR EACH POSITION. THIS DATA IS THEN USED FOR SALARY STRUCTURES. A COMPARISON IS MADE OF THE MEDIAN MARKET VALUES TO THE MIDPOINT OF THE CURRENT PAY STRUCTURES, WHICH INDICATES WHERE THE POSITION FALLS WITHIN THE MARKET. CEO, CFO, DIRECTORS, AND KEY EMPLOYEE COMPENSATION WAS LAST REVIEWED AND DOCUMENTED BY THE BOARD IN JULY 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: THE AGENCY MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,443,987. MANAGEMENT AND GENERAL EXPENSES 1,089,323. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,533,310. LAB SERVICES: PROGRAM SERVICE EXPENSES 47,956. MANAGEMENT AND GENERAL EXPENSES 36,177. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,133. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF INTEREST RATE SWAP 94,887. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM INVESTMENT FUND LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5201 HAVERFORD AVE | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19139 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453459252 | EIN |
| Primary Activities | INVESTMENT | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM HEALTH SERVICES INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHS COMMUNITY HEALTH INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5201 HAVERFORD AVE | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19139 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300713501 | EIN |
| Primary Activities | HOLDING CO | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(2) | ExemptCodeSectionTxt |
| Public Charity Status | N/A | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | 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 |