SPIRIT PHYSICIAN SERVICES INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SPIRIT PHYSICIAN SERVICES INC (EIN 25-1766971)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-11
- IRS object ID
- 201741319349302254
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-11T11:42:21-04:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251766971 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPIRIT PHYSICIAN SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SPIR | BusinessNameControlTxt |
| Phone | 5702716624 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N ACADEMY AVE MC 49-70 | AddressLine1Txt |
| City | DANVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 178229800 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID J FELICIO ESQUIRE | PersonNm |
| Person Title | SECRETARY | PersonTitleTxt |
| Phone | 5702716624 | PhoneNum |
| Signature | 2017-05-08 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN J TRACY RPH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 NORTH ACADEMY AVENUE MC 22-01 | AddressLine1Txt |
| City | DANVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17822 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $48,682,182 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HSH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE RESOURCES FOR THE RESTORATION AND MAINTENANCE OF HEALTH AND THE PREVENTION OF DISEASE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 607 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $34,841,081 | PYContributionsGrantsAmt |
| CY Contributions Grants | $130,132 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $44,223,920 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $47,812,563 | CYProgramServiceRevenueAmt |
| PY Investment Income | $46,271 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,283 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,905,016 | PYOtherRevenueAmt |
| CY Other Revenue | $733,204 | CYOtherRevenueAmt |
| PY Total Revenue | $81,016,288 | PYTotalRevenueAmt |
| CY Total Revenue | $48,682,182 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $18,333 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $51,633,170 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $60,297,434 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,789,273 | PYOtherExpensesAmt |
| CY Other Expenses | $20,688,705 | CYOtherExpensesAmt |
| PY Total Expenses | $67,440,776 | PYTotalExpensesAmt |
| CY Total Expenses | $80,986,139 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,575,512 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$32,303,957 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $23,003,704 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,331,653 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,637,663 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,472,049 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,366,041 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,859,604 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SPIRIT PHYSICIAN SERVICES, INC. HEALTHCARE MISSION IS TO PROVIDE CHARITY CARE AND EXPAND ACCESS TO AFFORDABLE PRIMARY AND SPECIALITY OUTPATIENT MEDICAL SERVICES. THE CLINICS OFFER PREVENTATIVE, DIAGNOSTIC, AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $70,801,450 | ExpenseAmt |
| Revenue | $48,497,535 | RevenueAmt |
| Desc | PHYSICIAN SERVICES - SEE SCHEDULE O SPIRIT PHYSICIAN SERVICES, INC'S. (SPSI) FAMILY HEALTH CENTERS OFFER PREVENTATIVE DIAGNOSTIC AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS. THE FAMILY HEALTH CENTERS PROVIDE AN OUTREACH TO COMMUNITY RESIDENTS WITH MEDICAL CONDITIONS WHICH, IF NOT PROPERLY TREATED IN AN OUTPATIENT SETTING, MIGHT ULTIMATELY REQUIRE MORE EXPENSIVE AND CRITICAL INPATIENT CARE. THUS, THE CLINICS REDUCE HOSPITAL ADMISSIONS, DAYS OF STAY AND SURGICAL RATES. 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, OVARIAN CYSTS, AND POLYCYSTIC OVARY SYNDROME, AS WELL AS FOR FAMILY PLANNING. CVSI IS A GROUP OF CARDIOVASCULAR HEART SURGEONS. THIS GROUP USES ROBOTICS DURING SPECIFIC SURGERIES. SPSI HEALTHSHARE IS A MEDICAL SERVICE PROGRAM THAT PROVIDES INFORMATION ON THE AVAILABILITY OF MEDICAL CARE AND DISCOUNTED MEDICAL SERVICES FOR THOSE WHO DO NOT QUALIFY FOR TRADITIONAL PUBLIC ASSISTANCE PROGRAMS. KUNKEL SURGERY IS A GROUP OF GENERAL SURGEONS. THIS GROUP PERFORMS A LARGE ASSORTMENT OF GENERAL SURGERY PROCEDURES. UNCOMPENSATED CARE SPIRIT PHYSICIAN SERVICES, INC. (SPSI) RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. SPSI PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, SPSI PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST, AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE SPSI PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF SPSI IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN ALL THE CITIZENS OF THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST SPSI INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR FISCAL YEAR ENDED JUNE 30, 2016, THE COST OF CHARITY CARE WAS 370,607. B. MEDICARE/MEDICAID RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). SPSI PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, SPSI IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR FISCAL YEAR ENDED JUNE 30, 2016, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 17,415,934. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, SPSI PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2016, WAS 1,607,419. COMMUNITY HEALTH, EDUCATION AND OUTREACH SPIRIT PHYSICIAN SERVICES, INC. STRIVES TO SERVE AS PARTNERS TO THE COMMUNITIES IN WHICH THEY ARE LOCATED, SPSI PROVIDES CARE TO THE COMMUNITY THROUGH REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT SPSI BELIEVES WILL SERVE A CONFIDE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS MAY INCLUDE SUPPORT GROUPS, HEALTH EDUCATION, WELLNESS FAIRS, HEALTH SCREENINGS, OR OTHER HEALTH RELATED PROGRAMS. THE COST OF THESE SERVICES TOTALED 12,829 IN FISCAL YEAR ENDED JUNE 30, 2016. COMMUNITY BENEFIT SUMMARY CHARITY CARE 370,607 MEDICARE/MEDICAID 17,415,934 OTHER UNCOMPENSATED PATIENT SERVICES 1,607,419 COMMUNITY HEALTH EDUCATION AND OUTREACH 12,829 TOTAL COMMUNITY BENEFIT 19,406,789 | Desc |
| Total Program Service Expenses | $70,801,450 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 607 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (true) | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RANDY B MORRIS VP FINANCE HSHS | PersonNm |
| Phone | 7177632130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N ACADEMY AVE MC 86-22 | AddressLine1Txt |
| City | DANVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17822 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| CARRIE L DELONE MD | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $59,972 | $0 | $406 | ||||
| GREG GUNN | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | 0.25 | |||
| JOSEPH SCHATT | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| LORI L WALLOWER DO | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $152,899 | $0 | $33,454 | ||||
| MARY KAY DURHAM | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| MARGUERITE MACDONALD | |||||||||
| DIRECTOR, CH | 0.25 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| NORA HABIG | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | 0.25 | |||
| PAUL A KUNKEL MD | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $349,497 | $0 | $45,976 | ||||
| ROBERT KEITH | |||||||||
| VICE CHAIR, | 0.25 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ROBERT SCAER | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | 0.25 | |||
| RYAN B BROWN | |||||||||
| VICE CHAIR, | 0.25 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| SISTER ROMAINE NIEMEYER SCC | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| WILLIAM KEEN | |||||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | 0.25 | |||
| DAVID A GATESMAN | |||||||||
| VICE PRESIDE | 40.00 | Yes (X) | $58,044 | $163,014 | $41,064 | Yes (X) | |||
| JOSEPH A TORCHIA MD | |||||||||
| PRESIDENT, D | Yes (X) | $0 | $444,566 | $26,227 | 40.00 | Yes (X) | |||
| DANIEL E LOHR ESQUIRE | |||||||||
| ASST SECRETA | $0 | $329,289 | $40,678 | 40.00 | Yes (X) | ||||
| DAVID J FELICIO ESQUIRE | |||||||||
| SECRETARY | $0 | $766,266 | $102,890 | 40.00 | Yes (X) | ||||
| KEVIN F BRENNAN CPA FHFMA | |||||||||
| EVP, FINANCE | $0 | $1,083,348 | $211,615 | 40.00 | Yes (X) | ||||
| MANUEL J EVANS | |||||||||
| TREASURER | $0 | $474,426 | $22,041 | 40.00 | Yes (X) | ||||
| RANDY B MORRIS | |||||||||
| TREASURER | $0 | $233,161 | $22,035 | 40.00 | Yes (X) | ||||
| DAVID C MAN MD FACC | |||||||||
| PHYSICIAN | 40.00 | $754,312 | $0 | $46,748 | Yes (X) | ||||
| ANDREAS U WALI MD FACC FSCAI | |||||||||
| PHYSICIAN | 40.00 | $841,118 | $0 | $51,051 | Yes (X) | ||||
| RAJESH M DAVE MD FACC FSCAI | |||||||||
| PHYSICIAN | 40.00 | $1,057,170 | $0 | $28,696 | Yes (X) | ||||
| STEPHEN J MILITO MD | |||||||||
| PHYSICIAN | 40.00 | $793,391 | $0 | $22,361 | Yes (X) | ||||
| VENKATESH K NADAR MD | |||||||||
| PHYSICIAN | 40.00 | $796,788 | $0 | $54,786 | Yes (X) | ||||
| D BRUCE HAGA | |||||||||
| FORMER OFFIC | 40.00 | $337,611 | $0 | $12,985 | Yes (X) | ||||
| EDWARD J ZYCH ESQUIRE | |||||||||
| FORMER OFFIC | $0 | $326,218 | $16,680 | 40.00 | Yes (X) | ||||
| RICHARD LAVANTURE | |||||||||
| FORMER OFFIC | $0 | $377,107 | $49,552 | 40.00 | Yes (X) | ||||
| SHUBRA KUMAR-BRADLEY MD | |||||||||
| FORMER KEY E | 40.00 | $326,616 | $0 | $40,441 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,527,418 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,197,395 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $869,686 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 125 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| NORWOOD COMPANY | ||||||
| 375 TECHNOLOGY DRIVE | MALVERN | PA | 19355 | CONSTRUCTION | $794,992 | |
| WEATHERBY LOCUMS INC | ||||||
| 6451 NORTH FEDERAL HIGHWAY | FORT LAUDERDALE | FL | 33308 | LCUM | $624,218 | SUITE 800 |
| SPRING MEDICAL LLC | ||||||
| 23221 ALDINE WESTFIELD SUITE 200 | SPRING | TX | 77373 | MEDICAL SERVICE | $357,840 | |
| LINDE HEALTHCARE STAFFING | ||||||
| 3668 SOUTH GEYER ROAD | ST LOUIS | MO | 63127 | LOCUM | $311,802 | SUITE 100 |
| LOCUMTENENSCOM | ||||||
| 2655 NORTHWINDS PARKWAY | ALPHARETTA | GA | 30009 | LOCUM | $244,953 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $128,892 | GovernmentGrantsAmt |
| All Other Contributions | $1,240 | AllOtherContributionsAmt |
| Total Contributions | $130,132 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT HEALTHCARE | 541900 | $39,112,832 | $39,112,832 | |
| IC MARKET BASED SUPPORT | 621110 | $8,306,464 | $8,306,464 | |
| CARDIOLOGY RESEARCH | 621110 | $308,627 | $308,627 | |
| RENTALS | 621110 | $42,249 | $42,249 | |
| HALIFAX RENTAL INCOME | 531120 | $24,979 | $24,979 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,412 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,412 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $47,812,563 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,283 | TotalRevenueColumnAmt |
| Exclusion | $6,283 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HIGHMARK QUALITY BLUE | 900099 | $320,978 | $320,978 |
| E HEALTH RECORDS INCOME | 900099 | $289,308 | $289,308 |
| MEDICAL DIRECTOR NURSING HOME | 900099 | $30,000 | $30,000 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $92,918 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $44,686 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $48,232 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $733,204 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,682,182 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $48,430,307 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $121,743 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $871,574 | TotalAmt |
| Program Services | $496,294 | ProgramServicesAmt |
| Management And General | $375,280 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $622,693 | TotalAmt |
| Program Services | $368,707 | ProgramServicesAmt |
| Management And General | $253,986 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,678,883 | TotalAmt |
| Program Services | $46,809,840 | ProgramServicesAmt |
| Management And General | $3,869,043 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,747,382 | TotalAmt |
| Program Services | $1,716,139 | ProgramServicesAmt |
| Management And General | $31,243 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,510,593 | TotalAmt |
| Program Services | $3,018,985 | ProgramServicesAmt |
| Management And General | $491,608 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,866,309 | TotalAmt |
| Program Services | $2,454,155 | ProgramServicesAmt |
| Management And General | $412,154 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,630 | TotalAmt |
| Program Services | $8,630 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,260 | TotalAmt |
| Program Services | $4,125 | ProgramServicesAmt |
| Management And General | $103,135 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,912 | TotalAmt |
| Management And General | $7,912 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,704 | TotalAmt |
| Program Services | $19,810 | ProgramServicesAmt |
| Management And General | $63,894 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,096,398 | TotalAmt |
| Program Services | $5,759,041 | ProgramServicesAmt |
| Management And General | $337,357 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,171 | TotalAmt |
| Program Services | $62,708 | ProgramServicesAmt |
| Management And General | $3,463 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,165,275 | TotalAmt |
| Program Services | $1,128,972 | ProgramServicesAmt |
| Management And General | $36,303 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,216 | TotalAmt |
| Program Services | $122,007 | ProgramServicesAmt |
| Management And General | $369,209 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,618,609 | TotalAmt |
| Program Services | $3,166,998 | ProgramServicesAmt |
| Management And General | $451,611 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,096 | TotalAmt |
| Program Services | $53,995 | ProgramServicesAmt |
| Management And General | $30,101 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,954 | TotalAmt |
| Program Services | $311,677 | ProgramServicesAmt |
| Management And General | $14,277 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,650 | TotalAmt |
| Program Services | $323,517 | ProgramServicesAmt |
| Management And General | $46,133 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,364,113 | TotalAmt |
| Program Services | $1,181,642 | ProgramServicesAmt |
| Management And General | $182,471 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INTER ENTITY EXP | $3,496,856 | $401,004 | $3,095,852 |
| CONTRIBUTION EXP | $1,807,846 | $1,807,846 | |
| MEDICAL SUPPLIES | $1,545,302 | $1,544,930 | $372 |
| BOOK, LICENSE, FEE, TAX | $37,844 | $31,516 | $6,328 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,869 | TotalAmt |
| Program Services | $8,912 | ProgramServicesAmt |
| Management And General | $2,957 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,986,139 | TotalAmt |
| Program Services | $70,801,450 | ProgramServicesAmt |
| Management And General | $10,184,689 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,803 | BOYAmt |
| EOY | $4,626,249 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,520,494 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,516,837 | BOYAmt |
| EOY | $5,038,825 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $21,598 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $735,653 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,294 | BOYAmt |
| EOY | $467,519 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,707,811 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $436,592 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,454,849 | BOYAmt |
| EOY | $3,271,219 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,499 | BOYAmt |
| EOY | $310,288 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,280,928 | BOYAmt |
| EOY | $1,860,302 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,003,704 | BOYAmt |
| EOY | $16,331,653 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,444,013 | BOYAmt |
| EOY | $1,421,465 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,193,650 | BOYAmt |
| EOY | $9,050,584 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,637,663 | BOYAmt |
| EOY | $10,472,049 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,366,041 | BOYAmt |
| EOY | $5,859,604 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,366,041 | BOYAmt |
| EOY | $5,859,604 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,003,704 | BOYAmt |
| EOY | $16,331,653 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$32,303,957 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $28,797,520 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 | $16,222,623 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,209,048 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,001,572 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,841,081 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $130,132 | CurrentTaxYearAmt |
| Total | $82,404,456 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,279,316 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,797,732 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43,856,772 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $44,977,952 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48,430,307 | CurrentTaxYearAmt |
| Total | $211,342,079 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $49,501,939 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,006,780 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $58,858,344 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $79,819,033 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48,560,439 | CurrentTaxYearAmt |
| Total | $293,746,535 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $293,746,535 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $192 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $211 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $477 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,642 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,283 | CurrentTaxYearAmt |
| Total | $25,805 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $192 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $211 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $477 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,642 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,283 | CurrentTaxYearAmt |
| Total | $25,805 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $651,389 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $404,781 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $757,903 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,133,380 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $115,460 | CurrentTaxYearAmt |
| Total | $3,062,913 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,153,520 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,411,772 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,616,724 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,971,055 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48,682,182 | CurrentTaxYearAmt |
| Total | $296,835,253 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98960 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98770 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 12 | 2011 ADMINISTRATIVE SERVICES 189,643 2011 BILLING SERVICES 272,828 2011 OB EMERGENCY ROOM 113,215 2011 OTHER 75,703 2012 ADMINISTRATIVE SERVICES 46,597 2012 BILLING SERVICES 257,781 2012 OTHER 100,403 2013 ADMINISTRATIVE SERVICES 286,821 2013 OTHER 157,631 2013 RESEARCH PAYMENTS 313,451 2014 ADMINISTRATIVE SERVICES 665,433 2014 OTHER 209,068 2014 RESEARCH PAYMENTS 258,879 2015 RENTAL 67,228 2015 ADMINISTRATIVE SERVICES 46,060 2015 PURCHASE DISCOUNT 2,172 |
| SUPPLEMENTAL INFORMATION | TOTAL 3,062,913 |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $7,912 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,912 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,821,921 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$51,358 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,752 | AdministrativeExpensesAmt |
| End Year Balance | $2,768,811 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,848,959 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$22,308 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $4,730 | AdministrativeExpensesAmt |
| End Year Balance | $2,821,921 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,563,164 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $285,795 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,848,959 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,470,802 | BeginningYearBalanceAmt |
| Contributions | $7,245 | ContributionsAmt |
| Investment Earnings Or Losses | $178,061 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $92,727 | OtherExpendituresAmt |
| Administrative Expenses | $217 | AdministrativeExpensesAmt |
| End Year Balance | $2,563,164 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,540,943 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,388 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $70,652 | OtherExpendituresAmt |
| Administrative Expenses | $8,877 | AdministrativeExpensesAmt |
| End Year Balance | $2,470,802 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $385,865 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,983 | DepreciationAmt |
| Book Value | $377,882 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,951,801 | OtherCostOrOtherBasisAmt |
| Depreciation | $149,342 | DepreciationAmt |
| Book Value | $1,802,459 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,115,634 | OtherCostOrOtherBasisAmt |
| Depreciation | $279,267 | DepreciationAmt |
| Book Value | $836,367 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $254,511 | OtherCostOrOtherBasisAmt |
| Book Value | $254,511 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,271,219 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM AFFILIATE | Desc |
| Book Value | $1,860,302 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,860,302 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $7,461,355 |
| ESTIMATED MEDICAL MALPRACTICE CLAIMS | $822,895 |
| ESTIMATED THIRD PARTY LIABILITY | $638,372 |
| UNFAV LEASE LIABILITY | $127,962 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,050,584 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING FUND. |
| SCHEDULE D, PAGE 4, PART XIII | PART X, LINE 2-LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48(ASC 740): EFFECTIVE JULY 1, 2007, GEISINGER(1) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE TERMS "SYSTEM- OR "GEISINGER", SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LORI L WALLOWER DO | |||||||||||||
| DIRECTOR | $152,300 | $599 | $8,589 | $24,865 | $186,353 | ||||||||
| PAUL A KUNKEL MD | |||||||||||||
| DIRECTOR | $319,686 | $29,811 | $18,500 | $27,476 | $395,473 | ||||||||
| DAVID A GATESMAN | |||||||||||||
| VICE PRESIDENT, DIR. | $57,758 | $286 | $1,639 | $8,927 | $68,610 | $131,495 | $28,800 | $2,719 | $9,955 | $20,543 | $193,512 | ||
| JOSEPH A TORCHIA MD | |||||||||||||
| PRESIDENT, DIRECTOR | $366,344 | $55,589 | $22,633 | $14,015 | $12,212 | $470,793 | |||||||
| DANIEL E LOHR ESQUIRE | |||||||||||||
| ASST SECRETARY | $231,485 | $76,502 | $21,302 | $19,110 | $21,568 | $369,967 | |||||||
| DAVID J FELICIO ESQUIRE | |||||||||||||
| SECRETARY | $402,686 | $156,692 | $206,888 | $77,507 | $25,383 | $869,156 | $152,495 | ||||||
| KEVIN F BRENNAN CPA FHFMA | |||||||||||||
| EVP, FINANCE, CFO | $541,622 | $299,769 | $241,957 | $185,717 | $25,898 | $1,294,963 | $202,451 | ||||||
| MANUEL J EVANS | |||||||||||||
| TREASURER | $258,674 | $215,752 | $11,093 | $10,948 | $496,467 | ||||||||
| RANDY B MORRIS | |||||||||||||
| TREASURER | $184,501 | $41,539 | $7,121 | $11,125 | $10,910 | $255,196 | |||||||
| DAVID C MAN MD FACC | |||||||||||||
| PHYSICIAN | $702,297 | $20,365 | $16,422 | $30,326 | $801,060 | $31,650 | |||||||
| ANDREAS U WALI MD FACC FSCAI | |||||||||||||
| PHYSICIAN | $787,106 | $20,587 | $23,443 | $27,608 | $892,169 | $33,425 | |||||||
| RAJESH M DAVE MD FACC FSCAI | |||||||||||||
| PHYSICIAN | $934,232 | $20,365 | $18,087 | $10,609 | $1,085,866 | $102,573 | |||||||
| STEPHEN J MILITO MD | |||||||||||||
| PHYSICIAN | $776,091 | $17,300 | $7,433 | $14,928 | $815,752 | ||||||||
| VENKATESH K NADAR MD | |||||||||||||
| PHYSICIAN | $585,337 | $20,342 | $22,639 | $32,147 | $851,574 | $191,109 | |||||||
| D BRUCE HAGA | |||||||||||||
| FORMER OFFICER | $104,096 | $233,515 | $5,682 | $7,303 | $350,596 | ||||||||
| EDWARD J ZYCH ESQUIRE | |||||||||||||
| FORMER OFFICER | $108,861 | $217,357 | $5,645 | $11,035 | $342,898 | $32,454 | |||||||
| RICHARD LAVANTURE | |||||||||||||
| FORMER OFFICER | $306,576 | $48,445 | $22,086 | $17,257 | $32,295 | $426,659 | |||||||
| SHUBRA KUMAR-BRADLEY MD | |||||||||||||
| FORMER KEY EMPLOYEE | $300,958 | $658 | $14,752 | $25,689 | $367,057 | $25,000 | |||||||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | DAVID J. FELICIO, ESQUIRE 0 152,495 0 KEVIN F. BRENNAN, CPA, FHFMA 0 202,451 0 MANUEL J. EVANS 110,179 0 0 EDWARD J. ZYCH, ESQUIRE 0 32,454 0 |
| SCHEDULE J, PAGE 1, PART I, LINE 7 | BECAUSE THE PAYMENT OF EARNED PERFORMANCE BASED COMPENSATION IS AT THE DISCRETION OF MANAGEMENT AND THE BOARD OF DIRECTORS, SUCH PAYMENTS MAY BE CONSIDERED NON-FIXED PAYMENTS. PERFORMANCE BASED COMPENSATION IS DETERMINED BY MEETING INDIVIDUALLY MEASURED PERFORMANCE GOALS THAT ARE ALIGNED WITH OVERALL GEISINGER OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP. |
| SCHEDULE J, PART III | PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHEN J MILITO MD | PersonNm |
| Relationship With Org | FIVE HIGHEST COMPED | RelationshipWithOrgTxt |
| Loan Purpose | RECRUITMENT | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $35,000 | OriginalPrincipalAmt |
| Balance Due | $21,598 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | Yes (true) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $21,598 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | SPIRIT PHYSICIAN SERVICES, INC. HEALTHCARE MISSION IS TO PROVIDE CHARITY CARE AND EXPAND ACCESS TO AFFORDABLE PRIMARY AND SPECIALITY OUTPATIENT MEDICAL SERVICES. THE CLINICS OFFER PREVENTATIVE, DIAGNOSTIC, AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS. |
| FORM 990, PAGE 2, PART III, LINE 4A | SPIRIT PHYSICIAN SERVICES, INC'S. (SPSI) FAMILY HEALTH CENTERS OFFER PREVENTATIVE DIAGNOSTIC AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS. THE FAMILY HEALTH CENTERS PROVIDE AN OUTREACH TO COMMUNITY RESIDENTS WITH MEDICAL CONDITIONS WHICH, IF NOT PROPERLY TREATED IN AN OUTPATIENT SETTING, MIGHT ULTIMATELY REQUIRE MORE EXPENSIVE AND CRITICAL INPATIENT CARE. THUS, THE CLINICS REDUCE HOSPITAL ADMISSIONS, DAYS OF STAY AND SURGICAL RATES. 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, OVARIAN CYSTS, AND POLYCYSTIC OVARY SYNDROME, AS WELL AS FOR FAMILY PLANNING. CVSI IS A GROUP OF CARDIOVASCULAR HEART SURGEONS. THIS GROUP USES ROBOTICS DURING SPECIFIC SURGERIES. SPSI HEALTHSHARE IS A MEDICAL SERVICE PROGRAM THAT PROVIDES INFORMATION ON THE AVAILABILITY OF MEDICAL CARE AND DISCOUNTED MEDICAL SERVICES FOR THOSE WHO DO NOT QUALIFY FOR TRADITIONAL PUBLIC ASSISTANCE PROGRAMS. KUNKEL SURGERY IS A GROUP OF GENERAL SURGEONS. THIS GROUP PERFORMS A LARGE ASSORTMENT OF GENERAL SURGERY PROCEDURES. UNCOMPENSATED CARE SPIRIT PHYSICIAN SERVICES, INC. (SPSI) RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. SPSI PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, SPSI PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST, AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE SPSI PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF SPSI IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN ALL THE CITIZENS OF THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST SPSI INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR FISCAL YEAR ENDED JUNE 30, 2016, THE COST OF CHARITY CARE WAS 370,607. B. MEDICARE/MEDICAID RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). SPSI PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, SPSI IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR FISCAL YEAR ENDED JUNE 30, 2016, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 17,415,934. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, SPSI PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2016, WAS 1,607,419. COMMUNITY HEALTH, EDUCATION AND OUTREACH SPIRIT PHYSICIAN SERVICES, INC. STRIVES TO SERVE AS PARTNERS TO THE COMMUNITIES IN WHICH THEY ARE LOCATED, SPSI PROVIDES CARE TO THE COMMUNITY THROUGH REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT SPSI BELIEVES WILL SERVE A CONFIDE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS MAY INCLUDE SUPPORT GROUPS, HEALTH EDUCATION, WELLNESS FAIRS, HEALTH SCREENINGS, OR OTHER HEALTH RELATED PROGRAMS. THE COST OF THESE SERVICES TOTALED 12,829 IN FISCAL YEAR ENDED JUNE 30, 2016. COMMUNITY BENEFIT SUMMARY CHARITY CARE 370,607 MEDICARE/MEDICAID 17,415,934 OTHER UNCOMPENSATED PATIENT SERVICES 1,607,419 COMMUNITY HEALTH EDUCATION AND OUTREACH 12,829 TOTAL COMMUNITY BENEFIT 19,406,789 |
| FORM 990, PART V | ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. HOLY SPIRIT HEALTH SYSTEM (HSHS), PARENT OF THE ORGANIZATION, PREPARED AND FILED FORM 1099 UNDER ITS EIN FOR ALL REPORTABLE PAYMENTS OF THE FILING ORGANIZATION AND ITS AFFILIATES. THE NUMBER OF 1099'S FILED BY HSHS FOR THE 2015 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 170. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATION'S EIN. IT DOES NOT INCLUDE THOSE FILED BY HSHS ON ITS BEHALF. |
| FORM 990, PART VI | FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, FIVE VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? DANIEL E. LOHR, ESQUIRE, SISTER ROMAINE NIEMEYER, SCC, RANDY B. MORRIS, MANUEL J. EVANS, KEVIN F. BRENNAN, CPA, FHFMA, AND DAVID J. FELICIO, ESQUIRE ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF SPIRIT PHYSICIAN SERVICES, INC. ALL AFFILIATES ARE PART OF GEISINGER. |
| FORM 990, PAGE 6, PART VI, LINE 1A | EFFECTIVE OCTOBER 1, 2014, HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES (HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., SPIRIT PHYSICIAN SERVICES, INC., HOLY SPIRIT CORPORATION, AND HOLY SPIRIT VENTURES, INC.) DELEGATED CERTAIN AUTHORITIES TO GEISINGER SYSTEM SERVICES' GEISINGER FAMILY COMMITTEE TO REVIEW AND APPROVE MATTERS RELATING TO EMPLOYEE BENEFIT PLANS, EXECUTIVE LEADERSHIP, SENIOR LEADERSHIP AND STAFF PERFORMANCE AND COMPENSATION. HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES ALSO DELEGATED TO GEISINGER CLINIC'S GEISINGER FAMILY COMMITTEE THE REVIEW AND APPROVAL OF MATTERS RELATING TO PHYSICIAN COMPENSATION. GEISINGER SYSTEM SERVICES AND GEISINGER CLINIC ARE 501(C)(3) TAX-EXEMPT AFFILIATES OF HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES. |
| FORM 990, PAGE 6, PART VI, LINE 6 | GEISINGER HEALTH SERVES AS THE SOLE CORPORATE MEMBER OF HOLY SPIRIT HEALTH SYSTEM AND HOLY SPIRIT HEALTH SYSTEM SERVES AS CORPORATE MEMBER FOR HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, SPIRIT PHYSICIAN SERVICES, INC., WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., HOLY SPIRIT CORPORATION AND SOLE SHAREHOLDER OF HOLY SPIRIT VENTURES INC. THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. |
| FORM 990, PAGE 6, PART VI, LINE 9 | DAVID A. GATESMAN |
| FORM 990, PAGE 6, PART VI, LINE 11B | ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO: WWW.GEISINGER.ORG/PAGES/ABOUT-GEISINGER AND SELECT ANNUAL REPORTS. FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | TRANSFERS FROM AFFILIATED ORGANIZATIONS 28,797,520 TOTAL 28,797,520 TRANSFER FROM PARENT, HOLY SPIRIT HEALTH SYSTEM 28,000,000 TRANSFER FROM AFFILIATE, HOLY SPIRIT HOSPITAL 797,520 TOTAL TRANSFERS RECEIVED 28,797,520 |
| FORM 990, PART XII | FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GEISINGER HEALTH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231995911 | PHILANTHRO | PA | 501C3 | 7 | N/A | Yes (true) | |
| GEISINGER MEDICAL CENTER | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 240795959 | HOSPITAL | PA | 501C3 | 3 | Yes (true) | GH | |
| GEISINGER CLINIC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 236291113 | PHYSICIAN | PA | 501C3 | 11A | Yes (true) | GH | |
| GEISINGER WYOMING VALLEY MEDICAL CE | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231996150 | HOSPITAL | PA | 501C3 | 3 | Yes (true) | GH | |
| MARWORTH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232171417 | D&A REHAB | PA | 501C3 | 3 | Yes (true) | GH | |
| GEISINGER HEALTH PLAN | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232311553 | HEALTH INS | PA | 501C4 | Yes (true) | GH | ||
| GEISINGER SYSTEM SERVICES | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232164794 | SUPPORT SV | PA | 501C3 | 11A | Yes (true) | GH | |
| GEISINGER COMMUNITY HEALTH SERVICES | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232967235 | HEALTHCARE | PA | 501C3 | 9 | Yes (true) | GSS | |
| GEISINGER INSURANCE CORPORATION RR | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 141909894 | SELF INS | VT | 501C3 | 11A | Yes (true) | GH | |
| COMMUNITY MEDICAL CENTER | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 240862246 | HOSPITAL | PA | 501C3 | 3 | Yes (true) | GH | |
| MOUNTAIN VIEW NURSING HOME INC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232568288 | LONG TERM | PA | 501C3 | 9 | Yes (true) | GH | |
| COMMUNITY MEDICAL CENTER HEALTHCARE | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232279376 | SUPPORT SV | PA | 501C3 | 11A | Yes (true) | GH | |
| GEISINGER-BLOOMSBURG HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232193572 | HOSPITAL | PA | 501C3 | 3 | Yes (true) | GH | |
| GEISINGER-BLOOMSBURG HEALTHCARE CEN | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232242854 | SKILLED NU | PA | 501C3 | 9 | Yes (true) | GH | |
| LEWISTOWN HEALTH CARE FOUNDATION | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232344363 | PHILANTHRO | PA | 501C3 | 11A | Yes (true) | GH | |
| GEISINGER-LEWISTOWN HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231352187 | HOSPITAL | PA | 501C3 | 3 | Yes (true) | GH | |
| LEWISTOWN AMBULATORY CARE CORPORATI | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232344362 | HOLDING CO | PA | 501C3 | 11A | Yes (true) | GH | |
| FAMILY HEALTH ASSOCIATES OF GEISING | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 251651582 | PHYSICIAN | PA | 501C3 | 11A | Yes (true) | GH | |
| KEYSTONE HEALTH INFORMATION EXCHANG | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 464359893 | RHIO | PA | 501C3 | 11A | Yes (true) | GH | |
| HEALTH CARE CORP OF NORTHEAST PA | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232337286 | SUPPORT SV | PA | 501C3 | 11A | Yes (true) | CMC | |
| SUN HOME HEALTH SERVICES INC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231736912 | HEALTHCARE | PA | 501C3 | 9 | Yes (true) | GCHS | |
| HOLY SPIRIT HEALTH SYSTEM | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 251865142 | PHILANTHRO | PA | 501C3 | 11A | Yes (true) | GH | |
| HOLY SPIRIT HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231512747 | HOSPITAL | PA | 501C3 | 3 | Yes (true) | HSHS | |
| HOLY SPIRIT CORPORATION | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232214540 | HOLDING CO | PA | 501C2 | Yes (true) | HSHS | ||
| WEST SHORE ADVANCED LIFE SUPPORT SE | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232463002 | HEALTHCARE | PA | 501C3 | 7 | Yes (true) | HSHS | |
| ATLANTICARE BEHAVORIAL HEALTH INC | |||||||||||
| 2511 FIRE ROAD | EGG HARBOR TOWNSHIP | NJ | 08234 | 210721208 | HEALTHCARE | NJ | 501C3 | 7 | Yes (true) | ARHS | |
| ATLANTICARE FOUNDATION | |||||||||||
| 6725 DELILAH ROAD | EGG HARBOR TOWNSHIP | NJ | 08234 | 222148992 | SUPPORT AR | NJ | 501C3 | 7 | Yes (true) | AH SYSTEM | |
| ATLANTICARE HEALTH ENGAGEMENT INC | |||||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 611608389 | HEALTHCARE | NJ | 501C3 | 11A | Yes (true) | AH SYSTEM | |
| ATLANTICARE HEALTH SERVICES INC | |||||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 223265214 | HEALTHCARE | NJ | 501C3 | 9 | Yes (true) | ARHS | |
| ATLANTICARE HEALTH SYSTEM INC | |||||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 223265213 | SUPPORT AR | NJ | 501C3 | 11A | Yes (true) | GH | |
| ATLANTICARE REGIONAL MEDICAL CENTER | |||||||||||
| 1925 PACIFIC AVENUE | ATLANTIC CITY | NJ | 08401 | 210634549 | HOSPITAL | NJ | 501C3 | 3 | Yes (true) | ARHS | |
| ATLANTICARE PHYSICIAN GROUP PA | |||||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 020701782 | HEALTHCARE | NJ | 501C3 | 9 | Yes (true) | AH SYSTEM | |
| INFOSHARE INC | |||||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 223337816 | INFO SERVI | NJ | 501C3 | 11A | Yes (true) | AH SYSTEM | |
| ATLANTICARE REGIONAL HEALTH SERVICE | |||||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 800834222 | HOLDING CO | NJ | 501C3 | 11A | Yes (true) | AH SYSTEM | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| KEYSTONE ACCOUNTABLE CARE ORG LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 454475297 | ACO | PA | N/A | false | false |
| LIFESOURCE GEISINGER BLOOD CTR LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 364718005 | BLOOD COLL | PA | N/A | false | false |
| MERIDIAN GEISINGER HLTH NETWORKLLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 455484165 | ORG DEL SY | NJ | N/A | false | false |
| HEALTHSOUTH GHS LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 721398803 | PHY THERAP | PA | N/A | false | false |
| EVANGELICAL-GEISINGER HEALTH LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 460567687 | HEALTHCARE | PA | N/A | false | false |
| LEMED II | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232391766 | RENTAL | PA | N/A | false | false |
| GEISINGER-SCA HOLDINGS LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 461615328 | HEALTHCARE | DE | N/A | false | false |
| CAMP HILL AMBULATORY SURG CTR LLC | |||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 521597478 | HEALTHCARE | PA | N/A | false | false |
| HS ORTHOPEDIC MANAGEMENT CO LLC | |||||||||
| 503 NORTH 21ST STREET | CANP HILL | PA | 17011 | 460887384 | HEALTHCARE | PA | N/A | false | false |
| CAELIAN MEDICAL LLC | |||||||||
| 880 CENTURY DRIVE | MECHANICSBURG | PA | 17055 | 208018724 | HEALTHCARE | PA | N/A | false | false |
| GRANDVIEW SURGERY CENTER LTD | |||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 521597483 | HEALTHCARE | PA | N/A | false | false |
| LACKAWANNA PHYS AMB SURG CTRLLC | |||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 233024998 | HEALTHCARE | PA | N/A | false | false |
| SOUTHERN JERSEY ONCOLOGY PROPERTIES | |||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 943463625 | HEALTHCARE | NJ | N/A | false | false |
| ATLANTICARE SURGERY CENTER LLC | |||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 223491867 | HEALTHCARE | NJ | N/A | false | false |
| COOPERATIVE HEALTH SRVS OF S JERSEY | |||||||||
| 1301 ATLANTIC AVENUE | ATLANTIC CITY | NJ | 08401 | 223619231 | PURCHASING | NJ | N/A | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GEISINGER MEDICAL MANAGEMENT CORP | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232077663 | HOTEL/REST | PA | N/A | Yes (true) | ||||||
| GEISINGER INDEMNITY INSURANCE CO | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232815174 | HLTH INSUR | PA | N/A | Yes (true) | ||||||
| GEISINGER QUALITY OPTIONS INC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 204275139 | HLTH INSUR | PA | N/A | Yes (true) | ||||||
| XG HEALTH SOLUTIONS INC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 461657345 | CONSULTING | DE | N/A | Yes (true) | ||||||
| GEISINGER ASSURANCE COMPANY LTD | ||||||||||||||
| 981016737 | INSURANCE | N/A | Yes (true) | 878 WEST BAY ROAD PO BOX 1159 | GRAND CAYMAN | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| HOLY SPIRIT VENTURES INC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232407709 | MED. SERV. | PA | N/A | Yes (true) | ||||||
| ATLANTICARE HEALTH PLANS INC | ||||||||||||||
| 1001 SOUTH GRAND ST PO BOX 941 | HAMMONTON | NJ | 08037 | 223265212 | INACTIVE | NJ | N/A | Yes (true) | ||||||
| ENGLISH CREEK ASSURANCE LTD | ||||||||||||||
| 980656394 | FINANCIAL | N/A | Yes (true) | 44 CHURCH STREET HM12 HAMILTON | BERMUDA | BERMUDA | BD | BD | ||||||
| ATLANTICARE HEALTH SOLUTIONS INC | ||||||||||||||
| 2500 ENGLISH CREEK AVENUE BLDG 500 | EGG HARBOR TOWNSHIP | NJ | 08234 | 383856295 | ACO/HEALTH | NJ | N/A | Yes (true) | ||||||
| ATLANTICARE ASSURANCE ALLIANCE INC | ||||||||||||||
| 2500 ENGLISH CREEK AVENUE BLDG 500 | EGG HARBOR TOWNSHIP | NJ | 08234 | 463730123 | HEALTHCARE | NJ | N/A | Yes (true) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (19 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GEISINGER HEALTH PLAN | ||
| L | $859,248 | GAAP |
| GEISINGER CLINIC | ||
| A | $42,909 | GAAP |
| GEISINGER INDEMNITY INSURANCE COMPA | ||
| P | $922,523 | GAAP |
| GEISINGER MEDICAL CENTER | ||
| M | $19,672 | GAAP |
| GEISINGER CLINIC | ||
| M | $46,304 | GAAP |
| GEISINGER SYSTEM SERVICES | ||
| M | $2,832,940 | GAAP |
| XG HEALTH SOLUTIONS | ||
| M | $1,874 | GAAP |
| HOLY SPIRIT HOSPITAL | ||
| K | $381,732 | GAAP |
| HOLY SPIRIT CORPORATION | ||
| K | $1,279,003 | GAAP |
| HOLY SPIRIT VENTURES | ||
| K | $22,012 | GAAP |
| HOLY SPIRIT HOSPITAL | ||
| L | $230,268 | GAAP |
| WEST SHORE ADVANCED SUPPORT SERVICE | ||
| L | $9,274 | GAAP |
| HOLY SPIRIT VENTURES | ||
| L | $23,434 | GAAP |
| HOLY SPIRIT HEALTH SYSTEM | ||
| L | $43,717 | GAAP |
| HOLY SPIRIT HOSPITAL | ||
| A | $7,504,469 | GAAP |
| GEISINGER LEWISTOWN HOSPITAL | ||
| Q | $835 | GAAP |
| GEISINGER LEWISTOWN HOSPITAL | ||
| M | $15,624 | GAAP |
| HOLY SPIRIT HOSPITAL | ||
| M | $801,160 | GAAP |
| HOLY SPIRIT HEALTH SYSTEM | ||
| C | $28,000,000 | GAAP |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN THE RESPONSE TO FORM 990, SCHEDULE R, THE ORGANIZATION IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTERORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. ___________________________________________________________________________ | ExplanationTxt |