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SPIRIT PHYSICIAN SERVICES INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SPIRIT PHYSICIAN SERVICES INC (EIN 25-1766971)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-11
IRS object ID
201511319349301411
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-11T10:25:42-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11650 MARKET STREET SUITE 4500AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251766971EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPIRIT PHYSICIAN SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSPIRBusinessNameControlTxt
Phone7177632130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1503 NORTH 21ST STREETAddressLine1
CityCAMP HILLCity
StatePAState
ZIP Code17011ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMANUEL J EVANSPersonNm
Person TitleSENIOR VP/CFOPersonTitleTxt
Phone7177632130PhoneNum
Signature2015-04-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIUS C GREEN CPA JDPreparerPersonNm
PTINP00350393PTIN
Phone2159720701PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMANUEL J EVANSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1503 NORTH 21ST STREETAddressLine1
CityCAMP HILLCity
StatePAState
ZIP Code17011ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$59,616,724GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionPROVIDE CHARITY CARE & ACCESS TO AFFORDABLE PRIMARY & SPECIALTY OUTPATIENT MEDICAL SERVICES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee500TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$16,209,048PYContributionsGrantsAmt
CY Contributions Grants$15,001,572CYContributionsGrantsAmt
PY Program Service Revenue$38,713,455PYProgramServiceRevenueAmt
CY Program Service Revenue$42,334,448CYProgramServiceRevenueAmt
PY Investment Income-$39,789PYInvestmentIncomeAmt
CY Investment Income$477CYInvestmentIncomeAmt
PY Other Revenue$2,489,058PYOtherRevenueAmt
CY Other Revenue$2,280,227CYOtherRevenueAmt
PY Total Revenue$57,371,772PYTotalRevenueAmt
CY Total Revenue$59,616,724CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$45,992,707PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$46,223,180CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,746,265PYOtherExpensesAmt
CY Other Expenses$13,532,810CYOtherExpensesAmt
PY Total Expenses$57,738,972PYTotalExpensesAmt
CY Total Expenses$59,765,990CYTotalExpensesAmt
PY Revenues Less Expenses-$367,200PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$149,266CYRevenuesLessExpensesAmt
Total Assets BOY$11,390,360TotalAssetsBOYAmt
Total Assets EOY$13,136,201TotalAssetsEOYAmt
Total Liabilities BOY$9,157,432TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,052,539TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,232,928NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,083,662NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSPIRIT PHYSICIAN SERVICES, INC. HEALTHCARE MISSION IS TO PROVIDE CHARITY CARE AND EXPAND ACCESS TO AFFORDABLE PRIMARY AND SPECIALTY OUTPATIENT MEDICAL SERVICES. THE CLINICS OFFER PREVENTATIVE, DIAGNOSTIC, AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$56,085,933ExpenseAmt
Grant$10,000GrantAmt
Revenue$43,856,772RevenueAmt
DescALL INDIVIDUAL CLINICS (FAMILY HEALTH CENTERS) OFFER PREVENTATIVE, DIAGNOSTIC, AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS. NON-EMERGENCY CARE IS PROVIDED TO ALL INDIVIDUALS ABLE TO PAY FOR SUCH CARE EITHER THEMSELVES, THROUGH PRIVATE HEALTH INSURANCE, OR THROUGH PUBLIC PROGRAMS SUCH AS MEDICARE AND MEDICAL ASSISTANCE. URGENT CARE IS PROVIDED, AS APPROPRIATE, TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY.CONSISTENT WITH HOLY SPIRIT HOSPITAL'S POLICIES CONCERNING INDIGENT CARE, IN ADDITION TO ALL INDIGENT EMERGENCY ROOM PATIENTS BEING ADMITTED TO THE HOSPITAL FOR INPATIENT CARE, SPIRIT PHYSICIAN SERVICES, INC., AS PART OF THE HOSPITAL'S HEALTH CARE SYSTEM, PROVIDES ALL NECESSARY FOLLOW-UP CARE (INCLUDING DIAGNOSTIC SERVICES) TO INDIGENT PATIENTS FREE OR AT DISCOUNTED RATES, BASED ON EACH PATIENT'S ABILITY TO PAY.THE CLINICS PROVIDE AN OUTREACH TO COMMUNITY RESIDENTS WITH MEDICAL CONDITIONS WHICH, IF NOT PROPERLY TREATED IN AN OUTPATIENT SETTING, MIGHT ULTIMATELY REQUIRE MORE 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, OVARION CYSTS, AND POLYCYSTIC OVARY SYNDROME, AS WELL AS FOR FAMILY PLANNING.SPSI MEDICAL OUTREACH SERVICES IS A MEDICAL CLINIC THAT PROVIDES BASIC MEDICAL SERVICES TO THE SEVERELY SOCIAL ECONOMIC DISADVANTAGED IN THE HARRISBURG AREA.CVSI IS A GROUP OF CARDIOVASCULAR HEART SURGEONS. THIS GROUP ALSO USES ROBOTICS DURING SPECIFIC SURGERIES.SPSI HEALTHSHARE IS A MEDICAL SERVICE REFERRAL PROGRAM THAT PROVIDES REFERRAL AND DISCOUNTED MEDICAL SERVICES FOR THOSE WHO DO NOT QUALIFY FOR THE TRADITIONAL PUBLIC ASSISTANCE PROGRAMS.KUNKEL SURGERY IS A GROUP OF GENERAL SURGEONS. THIS GROUP PERFORMS A LARGE ASSORTMENT OF GENERAL SURGERY.Desc
Total Program Service Expenses$56,085,933TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee500EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MANUEL J EVANS CFOBusinessNameLine1
FieldValueIRS element (for citing)
Phone7177632130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1503 NORTH 21ST STREETAddressLine1
CityCAMP HILLCity
StatePAState
ZIP Code17011ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRUCE HAGA
PRESIDENT40.00Yes (X)Yes (X)$279,347$0$22,741
MARGUERITE MACDONALD
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
ROBERT KEITH
VICE CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
WILLIAM KEEN
TREASURER1.00Yes (X)Yes (X)$0$0$0
SISTER ROMAINE NIEMEYER SCC
DIRECTOR1.00Yes (X)$0$0$039.00
JOSEPH A TORCHIA MD
DIRECTOR1.00Yes (X)$0$355,885$57,45439.00
ROBERT SCAER
DIRECTOR1.00Yes (X)$0$0$0
JOSEPH SCHATT
DIRECTOR1.00Yes (X)$0$0$0
RYAN BROWN
DIRECTOR1.00Yes (X)$0$0$0
MARY KAY DURHAM
DIRECTOR1.00Yes (X)$0$0$0
GREG GUNN
DIRECTOR1.00Yes (X)$0$0$0
NORA HABIG
DIRECTOR1.00Yes (X)$0$0$0
PAUL KUNKEL MD
DIRECTOR40.00Yes (X)$330,310$0$38,290
LORI WALLOWER DO
DIRECTOR40.00Yes (X)$169,864$0$19,159
GERALD OSMAN
VP/COO (UNTIL 7/26/13)40.00Yes (X)$182,502$0$16,217
RAJESH M DAVE MD
PHYSICIAN40.00$1,113,364$0$19,762Yes (X)
DAVID C MAN MD
PHYSICIAN40.00$790,793$0$30,975Yes (X)
ANDREAS U WALI MD
PHYSICIAN40.00$782,462$0$29,093Yes (X)
SAFWAT A GASSIS MD
PHYSICIAN40.00$714,978$0$21,118Yes (X)
VANKATESH K NADAR MD
PHYSICIAN40.00$685,045$0$27,836Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,048,665TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$355,885TotReportableCompRltdOrgAmt
Total Other Compensation$282,645TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
QUALITY SYSTEMS INC
PO BOX 809390CHICAGOIL60680MAINTENANCE CONTRACTS -COMPUTER SOFTWARE$393,105
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397PURCHASED PHYSICIAN SERVICES$391,519
COMPHEALTH ASSOCIATES INC
PO BOX 972651DALLASTX75397PURCHASED PHYSICIAN SERVICES$171,949
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$15,001,572RelatedOrganizationsAmt
Total Contributions$15,001,572TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$35,907,560$35,907,560
HOSPITALIST INCOME621300$2,761,553$2,761,553
CRITICAL CARE SERVICES621110$1,175,105$1,175,105
PATIENT CENTERED MEDICAL HOME621110$1,101,854$1,101,854
NEUROLOGY INCOME621110$604,346$604,346

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$784,030TotalRevenueColumnAmt
Related Or Exempt Func Income$784,030RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$42,334,448TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$477TotalRevenueColumnAmt
Exclusion$477ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MA MEANINGFUL USE REVENUE900099$737,010$737,010
CARE REIMBURSEMENTS900099$486,551$486,551
RESEARCH PAYMENTS900099$313,451$313,451

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$743,215TotalRevenueColumnAmt
Related Or Exempt Func Income$298,763RelatedOrExemptFuncIncomeAmt
Exclusion$444,452ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,280,227OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$59,616,724TotalRevenueColumnAmt
Related Or Exempt Func Income$43,856,772RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$758,380ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Program Services$10,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$975,659TotalAmt
Program Services$975,659ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$38,520,538TotalAmt
Program Services$36,105,135ProgramServicesAmt
Management And General$2,415,403ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,245,956TotalAmt
Program Services$1,223,296ProgramServicesAmt
Management And General$22,660ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,397,206TotalAmt
Program Services$2,998,847ProgramServicesAmt
Management And General$398,359ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,083,821TotalAmt
Program Services$1,882,384ProgramServicesAmt
Management And General$201,437ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$32,316TotalAmt
Program Services$26,861ProgramServicesAmt
Management And General$5,455ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$109,919TotalAmt
Management And General$109,919ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,704,729TotalAmt
Program Services$2,479,077ProgramServicesAmt
Management And General$225,652ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$145,295TotalAmt
Program Services$140,081ProgramServicesAmt
Management And General$5,214ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$838,891TotalAmt
Program Services$770,604ProgramServicesAmt
Management And General$68,287ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$594,953TotalAmt
Program Services$594,953ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,902,219TotalAmt
Program Services$2,817,978ProgramServicesAmt
Management And General$84,241ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$31,639TotalAmt
Program Services$18,206ProgramServicesAmt
Management And General$13,433ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$409,786TotalAmt
Program Services$402,063ProgramServicesAmt
Management And General$7,723ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$635,386TotalAmt
Program Services$571,181ProgramServicesAmt
Management And General$64,205ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,320,134TotalAmt
Program Services$1,301,503ProgramServicesAmt
Management And General$18,631ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$2,023,379$2,023,379
MEDICAL SUPPLIES$1,360,023$1,360,023
REPAIRS AND MAINTENANCE$338,475$321,994$16,481
DUES AND SUBSCRIPTIONS$40,093$18,106$21,987

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$45,573TotalAmt
Program Services$44,603ProgramServicesAmt
Management And General$970ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$59,765,990TotalAmt
Program Services$56,085,933ProgramServicesAmt
Management And General$3,680,057ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,030BOYAmt
EOY$3,029EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,032,357BOYAmt
EOY$1,883,638EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,007,982BOYAmt
EOY$3,241,231EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$811,846BOYAmt
EOY$281,734EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,734,188LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,267,360LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,757,725BOYAmt
EOY$1,466,828EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,221,676BOYAmt
EOY$1,221,676EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,555,744BOYAmt
EOY$5,038,065EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,390,360BOYAmt
EOY$13,136,201EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,000,116BOYAmt
EOY$6,815,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,157,316BOYAmt
EOY$4,237,539EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,157,432BOYAmt
EOY$11,052,539EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,232,928BOYAmt
EOY$2,083,662EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,232,928BOYAmt
EOY$2,083,662EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,390,360BOYAmt
EOY$13,136,201EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$149,266ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,342,884CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,571,224CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,222,623CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,209,048CurrentTaxYearMinus1YearAmt
Current Tax Year$15,001,572CurrentTaxYearAmt
Total$57,347,351TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,852,930CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,636,435CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,279,316CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,797,732CurrentTaxYearMinus1YearAmt
Current Tax Year$43,856,772CurrentTaxYearAmt
Total$161,423,185TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,195,814CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,207,659CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,501,939CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,006,780CurrentTaxYearMinus1YearAmt
Current Tax Year$58,858,344CurrentTaxYearAmt
Total$218,770,536TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$218,770,536PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$192CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$211CurrentTaxYearMinus1YearAmt
Current Tax Year$477CurrentTaxYearAmt
Total$1,097TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$192CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$211CurrentTaxYearMinus1YearAmt
Current Tax Year$477CurrentTaxYearAmt
Total$1,097TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$427,821CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$462,799CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$651,389CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$404,781CurrentTaxYearMinus1YearAmt
Current Tax Year$757,903CurrentTaxYearAmt
Total$2,704,693TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,623,847CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,670,463CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,153,520CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,411,772CurrentTaxYearMinus1YearAmt
Current Tax Year$59,616,724CurrentTaxYearAmt
Total$221,476,326TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98780PublicSupportCY509Pct
Public Support PY5090.92890PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,563,164BeginningYearBalanceAmt
Investment Earnings Or Losses$285,795InvestmentEarningsOrLossesAmt
End Year Balance$2,848,959EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,470,802BeginningYearBalanceAmt
Contributions$7,245ContributionsAmt
Investment Earnings Or Losses$178,061InvestmentEarningsOrLossesAmt
Other Expenditures$92,727OtherExpendituresAmt
Administrative Expenses$217AdministrativeExpensesAmt
End Year Balance$2,563,164EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,540,943BeginningYearBalanceAmt
Investment Earnings Or Losses$9,388InvestmentEarningsOrLossesAmt
Other Expenditures$70,652OtherExpendituresAmt
Administrative Expenses$8,877AdministrativeExpensesAmt
End Year Balance$2,470,802EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,226,656BeginningYearBalanceAmt
Contributions$22,983ContributionsAmt
Investment Earnings Or Losses$306,634InvestmentEarningsOrLossesAmt
Administrative Expenses$15,330AdministrativeExpensesAmt
End Year Balance$2,540,943EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,121,932BeginningYearBalanceAmt
Contributions$9,370ContributionsAmt
Investment Earnings Or Losses$118,956InvestmentEarningsOrLossesAmt
Administrative Expenses$23,602AdministrativeExpensesAmt
End Year Balance$2,226,656EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$736,561OtherCostOrOtherBasisAmt
Depreciation$541,005DepreciationAmt
Book Value$195,556BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,870,811OtherCostOrOtherBasisAmt
Depreciation$2,719,055DepreciationAmt
Book Value$1,151,756BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$126,816OtherCostOrOtherBasisAmt
Depreciation$7,300DepreciationAmt
Book Value$119,516BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,466,828TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DEFERRED COMPENSATION PLAN ASSETS$2,170,306
INSURANCE RECOVERIES RECEIVABLE$1,308,000
DUE FROM AFFILIATE$1,075,549
ESTIMATED 3RD PARTY SETTLEMENTS$484,210
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,038,065TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACCRUED RENT EXPENSE$50,289
DEFERRED COMPENSATION$2,170,306
ESTIMATED MEDICAL MALPRACTICE CLAIMS$1,843,000
DUE TO AFFILIATE$173,944
FieldValueIRS element (for citing)
Total Liability$4,237,539TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$57,593,345TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$2,023,379OtherRevenueAmt
Revenue Not Reported-$2,023,379RevenueNotReportedAmt
Revenue Subtotal$59,616,724RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$59,616,724TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$57,742,611TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$57,742,611ExpensesSubtotalAmt
Other Expenses Not Included$2,023,379OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,023,379ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$59,765,990TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING FUND.
PART X, LINE 2:THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2014 OR 2013. THE SYSTEM'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR FISCAL YEARS AFTER 2010 REMAIN SUBJECT TO EXAMINATION BY THE IRS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE NETTED ON FINANCIAL STATEMENTS -2,023,379.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE NETTED ON FINANCIAL STATEMENTS 2,023,379.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeEDUCATIONAL GRANT LOAN REPAYMENTGrantTypeTxt
Recipient2RecipientCnt
Cash Grant$10,000CashGrantAmt
Valuation Method UsedCASHValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE EDUCATIONAL LOAN REPAYMENT PROGRAM IS OFFERED TO QUALIFIED INDIVIDUALS HIRED INTO THE FOLLOWING POSITIONS: REGISTERED NURSE, PHYSICAL THERAPIST, OCCUPATIONAL THERAPIST, CRNA, PHYSICIAN ASSISTANT, NURSE PRACTIONER, OR CLINICAL NURSE SPECIALIST. TO BE ACCEPTED INTO THE PROGRAM, ONE MUST COMPLETE AN EDUCATIONAL LOAN REPAYMENT APPLICATION WHICH IS REVIEWED BY THE ASSOCIATE DIRECTOR OF TALENT ACQUISITION. THE BENEFITS TEAM PROCESSES THE PAYMENT OF GRANT FUNDS AND MONITORS THE EMPLOYEE'S CONTINUED ELIGIBILITY IN THE PROGRAM.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRUCE HAGA
PRESIDENT$278,979$0$368$0$0$0$9,783$0$12,958$0$302,088$0$0$0
JOSEPH A TORCHIA MD
DIRECTOR$0$355,517$0$368$0$0$0$50,546$0$6,908$0$413,339$0$0
PAUL KUNKEL MD
DIRECTOR$330,310$0$0$0$0$0$22,365$0$15,925$0$368,600$0$0$0
LORI WALLOWER DO
DIRECTOR$169,864$0$0$0$0$0$4,250$0$14,909$0$189,023$0$0$0
GERALD OSMAN
VP/COO (UNTIL 7/26/13)$116,002$0$0$0$66,500$0$8,960$0$7,257$0$198,719$0$0$0
RAJESH M DAVE MD
PHYSICIAN$947,246$0$166,118$0$0$0$12,686$0$7,076$0$1,133,126$0$0$0
DAVID C MAN MD
PHYSICIAN$746,368$0$44,425$0$0$0$15,098$0$15,877$0$821,768$0$0$0
ANDREAS U WALI MD
PHYSICIAN$742,137$0$40,325$0$0$0$12,786$0$16,307$0$811,555$0$0$0
SAFWAT A GASSIS MD
PHYSICIAN$680,683$0$34,295$0$0$0$5,331$0$15,787$0$736,096$0$0$0
VANKATESH K NADAR MD
PHYSICIAN$565,943$0$119,102$0$0$0$11,762$0$16,074$0$712,881$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION IS DETERMINED BY HOLY SPIRIT HEALTH SYSTEM (PARENT ORGANIZATION) BY USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY, AND APPROVAL BY THE BOARD AND COMPENSATION COMMITTEE.
PART I, LINES 4A-BGERALD OSMAN RECEIVED A 1-YEAR SEVERENCE PACKAGE WHICH AMOUNTED TO $66,500 DURING 2013. JOSEPH TORCHIA PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN - CONTRIBUTIONS FOR THE YEAR WERE $35,670.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF SPIRIT PHYSICIAN SERVICES, INC. IS HOLY SPIRIT HEALTH SYSTEM, A PENNSYLVANIA NON-PROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE CHAIRPERSON OF THE BOARD OF TRUSTEES, SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION (PARENT), HAS THE POWER TO APPOINT OR REMOVE THE PRESIDENT OF THE CORPORATION. THE BOARD OF DIRECTORS OF HOLY SPIRIT HEALTH SYSTEM (SOLE CORPORATE MEMBER OF SPIRIT PHYSICIAN SERVICES, INC.) HAS THE POWER TO ELECT THE DIRECTORS OF SPIRIT PHYSICIAN SERVICES, INC. AND TO APPROVE THE NOMINEES FOR ELECTED OFFICERS OF SPIRIT PHYSICIAN SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 7BTHE GOVERNANCE STRUCTURE OF HOLY SPIRIT HEALTH SYSTEM PROVIDES RESERVED POWERS IN FAVOR OF SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION (PARENT) AND HOLY SPIRIT HEALTH SYSTEM (THE CORPORATE MEMBER OF ALL SUBSIDIARY CORPORATIONS). THE RESERVED POWERS PERTAIN TO (I) CAPITAL DEBT OR MODIFICATION OF EXISTING CAPITAL DEBT, (II) SALE OR TRANSFER OF ANY LAND OR BUILDING, (III) ACQUISITION OR PURCHASE OF ANY LAND OR BUILDING, (IV) LEASING OUTSIDE OF THE ORDINARY COURSE OF BUSINESS, (V) APPROVAL OF ANY GUARANTEE OF ANY DEBT, (VI) APPROVAL OF ANY MERGER, CONSOLIDATION, ORGANIZATION OR REORGANIZATION, JOINT VENTURE ,OR ANY OTHER MODIFICATION OF CORPORATION STRUCTURE OR AFFILIATION, (VII) DISSOLUTION OR TERMINATION OF ANY EXISTING CORPORATION, (VIII) APPOINTMENT OF THE EXTERNAL FISCAL AUDITOR AND (IX) APPOINTMENT OF GENERAL COUNSEL.
FORM 990, PART VI, SECTION B, LINE 11IN ACCORDANCE WITH THE BYLAWS OF HOLY SPIRIT HEALTH SYSTEM (THE PARENT), THE FORM 990 WAS PRESENTED TO THE HEALTH SYSTEM'S FINANCE AND AUDIT COMMITTEE BY THE EXTERNAL TAX PREPARERS AND MANAGEMENT. FOLLOWING REVIEW AND APPROVAL BY THE FINANCE AND AUDIT COMMITTEE, THE FORM 990 WAS DISTRIBUTED VIA "BOARDNET" TO THE BOARD OF DIRECTORS OF EACH CORPORATION BEFORE THE FORM 990 WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE HOLY SPIRIT HOSPITAL BYLAWS HAVE A CONFLICT OF INTEREST PROVISION, SPECIFICALLY ARTICLE XII. ARTICLE XII IS APPLICABLE TO "ANY DIRECTOR, OFFICER, OR COMMITTEE MEMBER (TO INCLUDE ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY)" AND DESCRIBES THE NATURE OF A CONFLICT OF INTEREST. IN ADDITION, THERE IS A PROVISION IN ARTICLE XII (SECTION 12.2.1) WHICH SETS FORTH THE METHODOLOGY TO DETERMINE WHETHER A DIRECTOR, OFFICER, OR COMMITTEE MEMBER HAS A CONFLICT OF INTEREST AND THE REQUIREMENTS PERTAINING TO REMOVAL OF THE DIRECTOR, OFFICER, OR COMMITTEE MEMBER WITH THE CONFLICT OF INTEREST FROM THE MEETING, IMPACT ON THE QUORUM, AND VOTING. SECTION 12.2 REQUIRES THAT IF A DIRECTOR, OFFICER, OR COMMITTEE MEMBER IS DETERMINED TO HAVE A CONFLICT OF INTEREST THAT THE INDIVIDUAL CANNOT BE PRESENT AT THE MEETING WHEN THE MATTER IS DISCUSSED OR VOTED UPON. ARTICLE XII ALSO REQUIRES THE BOARD OF DIRECTORS OF HOLY SPIRIT HEALTH SYSTEM TO ADOPT A CONFLICT OF INTEREST POLICY REQUIRING PERIODIC STATEMENTS (AT LEAST ANNUALLY) FROM DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS TO DISCLOSE EXISTING AND POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, THE BOARD IS REQUIRED TO TAKE CORRECTIVE AND DISCIPLINARY ACTION WITH RESPECT TO TRANSGRESSIONS OF THE CONFLICT OF INTEREST POLICY. EACH SUBSIDIARY CORPORATION HAS A COMPARABLE PROVISION IN ITS CURRENT BYLAWS. ALL DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL STATEMENT DISCLOSING EXISTING OR POTENTIAL CONFLICTS OF INTEREST. THIS ANNUAL DISCLOSURE REQUIREMENT HAS BEEN IN EFFECT FOR ALL CORPORATIONS FOR SEVERAL YEARS. THE HEALTH SYSTEM BOARD OF DIRECTORS ADOPTED A SEPARATE CONFLICT OF INTEREST POLICY ON MARCH 23, 2010. THAT CONFLICT OF INTEREST POLICY IS APPLICABLE TO ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND COMMITTEE MEMBERS FOR HOLY SPIRIT HEALTH SYSTEM AND ALL SUBSIDIARY CORPORATIONS. THAT CONFLICT OF INTEREST POLICY ALSO HAS EXPANDED THE ANNUAL DISCLOSURE STATEMENT. IN ADDITION, THE CORPORATE COMPLIANCE PROGRAM FOR HOLY SPIRIT HEALTH SYSTEM PROVIDES A CONFLICT OF INTEREST POLICY WHICH IS SUBSTANTIALLY THE SAME AS THE ONE DESCRIBED ABOVE, EXCEPT THAT POLICY IS APPLICABLE TO ALL EMPLOYEES OF HOLY SPIRIT HEALTH SYSTEM AND ALL SUBSIDIARY CORPORATIONS. IT IS NOT APPLICABLE TO DIRECTORS, OFFICERS, OR COMMITTEE MEMBERS OF HOLY SPIRIT HEALTH SYSTEM OR ANY SUBSIDIARY CORPORATION. CONFLICT OF INTEREST STATEMENTS ARE SIGNED ANNUALLY BY THE BOARD OF DIRECTORS. IF ANY CONFLICT IS REPORTED, IT IS FORWARDED TO LEGAL COUNSEL FOR REVIEW AND OPINION. COMPLIANCE WITH THE POLICY IS MONITORED BY THE ADMINISTRATIVE ASSISTANT.
FORM 990, PART VI, SECTION B, LINE 15HOLY SPIRIT HEALTH SYSTEM (SPIRIT PHYSICIAN SERVICES, INC.'S PARENT COMPANY) RETAINED A CONSULTING FIRM TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM. THE FIRM COLLECTED MARKET DATA FROM VARIOUS SOURCES. THE FIRM COMPARED HOLY SPIRIT HEALTH SYSTEM TO HOSPITALS IN SIMILAR SCOPE AND SCALE AND TRENDED THE DATA BASED ON THE FIRM'S US COMPENSATION PLANNING SURVEY TO ENSURE THAT COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. THE RESULTS AND RECOMMENDATIONS WERE PRESENTED TO THE BOARD. THE FOLLOWING POSITIONS THAT ARE ANALYZED ARE PRESIDENT, SENIOR VP MEDICAL AFFAIRS, SENIOR VP FINANCE, SENIOR VP AND CHIEF OPERATING OFFICER, SENIOR VP CORPORATE AFFAIRS, SENIOR VP OF HUMAN SERVICES, VP PATIENT CARE SERVICES, CHIEF INFORMATION OFFICER, VP RISK MANAGEMENT AND SUPPORT SERVICES, VP/COO SPIRIT PHYSICIAN SERVICES, AND VP/COO WEST SHORE ADVANCED LIFE SUPPORT. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN THE MEETING MINUTES OF THE COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACd
HOLY SPIRIT CORPORATION
503 NORTH 21ST STREETCAMP HILLPA17011232214540REAL ESTATEPA501(C)(2)HOLY SPIRIT HEALTH SYSTEM0
HOLY SPIRIT HEALTH SYSTEM
503 NORTH 21ST STREETCAMP HILLPA17011251865142HEALTHCAREPA501(C)(3)SISTERS OF CHRISTIAN CHARITY HEALTH CORP011B
HOLY SPIRIT HOSPITAL
503 NORTH 21ST STREETCAMP HILLPA17011231512747HEALTHCAREPA501(C)(3)HOLY SPIRIT HEALTH SYSTEM03
WEST SHORE ADVANCED LIFE SUPPORT SERVICE INC
503 NORTH 21ST STREETCAMP HILLPA17011232463002HEALTHCAREPA501(C)(3)HOLY SPIRIT HEALTH SYSTEM07
SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION
MALLINCKRODT CONVENTMENDHAMNJ17011232322926HEALTHCARENJ501(C)(3)01N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HOLY SPIRIT VENTURES INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1503 NORTH 21ST STREETAddressLine1
CityCAMP HILLCity
StatePAState
ZIP Code17011ZIPCode
FieldValueIRS element (for citing)
EIN232407709EIN
Primary ActivitiesMEDICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd