CHBLT SUBSIDIARY CO: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CHBLT SUBSIDIARY CO (EIN 25-1640802)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201321359349308487
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T17:12:16-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251640802 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARON REGIONAL PHYSICIAN SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JEFFREY A CHROBAK | InCareOfName |
| Name Control | SHAR | NameControl |
| Phone | 7249835525 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 740 EAST STATE STREET | AddressLine1 |
| City | SHARON | City |
| State | PA | State |
| ZIP Code | 16146 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFFREY A CHROBAK | Name |
| Title | VP OF FINANCE/CFO | Title |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Brian D Todd | Name |
| Phone | 4178658701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN JANOSO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 740 EAST STATE STREET | AddressLine1 |
| City | SHARON | City |
| State | PA | State |
| ZIP Code | 16146 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 14136654 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.sharonregional.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1990 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF THE ORGANIZATION IS TO PROMOTE THE HEALTH AND WELL BEING OF INDIVIDUALS IN OUR COMMUNITIES BY PROVIDING ADVANCED SPECIALTY CARE CLOSE TO HOME. SEE SCHEDULE O FOR ADDITIONAL DETAILS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 220 | TotalNbrEmployees |
| Total Nbr Volunteers | 8 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15013569 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 14136654 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | -2563 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15013569 | TotalRevenuePriorYear |
| Total Revenue Current Year | 14134091 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 19030590 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 19556097 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5579352 | OtherExpensePriorYear |
| Other Expenses Current Year | 5970518 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 24609942 | TotalExpensesPriorYear |
| Total Expenses Current Year | 25526615 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -9596373 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -11392524 | RevenuesLessExpensesCY |
| Total Assets BOY | 3622359 | TotalAssetsBOY |
| Total Assets EOY | 2821710 | TotalAssetsEOY |
| Total Liabilities BOY | 47213900 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 57805775 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -43591541 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -54984065 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF SHARON REGIONAL PHYSICIAN SERVICES IS TO PROVIDE THE HIGHEST QUALITY, ADVANCED HEALTHCARE SERVICES TO ALL COMMUNITIES WITHIN OUR REGION. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 6767572 | Expense |
| Revenue | 4070476 | Revenue |
| Description | THE INVESTMENT INTO PROVIDING EXPANDED AMBULATORY CARDIOLOGY SERVICES TO THE RESIDENTS OF THE SHENANGO VALLEY REPRESENTS THE LARGEST PROGRAM SERVICE EXPENSE WITHIN SHARON REGIONAL PHYSICIAN SERVICES. RESIDENTS OF THE SHENANGO VALLEY CAN NOW HAVE GENERAL, INTERVENTIONAL AND CARDIAC MRI/CT SPECIALIST SERVICES AVAILABLE AT SHARON REGIONAL WITHOUT TRAVELING TO BIGGER METROPOLITAN HOSPITALS. WITH THE ADDITIONAL PHYSICIANS, WE WERE ABLE TO PROVIDE CARE TO 14,257 PATIENTS DURING FISCAL YEAR 2012. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3298275 | Expense |
| Revenue | 2608812 | Revenue |
| Description | PROVIDING PRIMARY CARE SERVICES TO THE PATIENTS OF SHARON REGIONAL HEALTH SYSTEM IS OUR SECOND LARGEST PROGRAM SERVICE EXPENSE FOR 2012. MANAGING AND PROMOTING HEALTHY LIFESTYLES AND PREVENTATIVE CARE IS IMPORTANT FOR MAINTAINING A PATIENT'S LONG TERM HEALTH. SHARON REGIONAL PHYSICIAN SERVICES CURRENTLY EMPLOYS 8 PRIMARY CARE/INTERNAL MEDICINE SPECIALISTS WHO HAD 23,606 PATIENT VISITS DURING FISCAL YEAR 2012. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3176117 | Expense |
| Revenue | 1993117 | Revenue |
| Description | PROVIDING ADVANCED ORTHOPEDIC SURGICAL CARE TO THE PATIENTS OF SHARON REGIONAL HEALTH SYSTEM IS OUR THIRD LARGEST PROGRAM SERVICE EXPENSE FOR 2012. WE CURRENTLY EMPLOY 3 ORTHOPEDIC SURGEONS, ALONG WITH A PA WHO SAW 10,874 VISITS DURING THE YEAR AND PERFORMED 985 SURGERIES. SHARON REGIONAL HEALTH SYSTEM IS THE ONLY HOSPITAL IN THE AREA ABLE TO OFFER SPINE SURGERY AND MINIMALLY INVASIVE HIP SURGERY CLOSE TO HOME, WITHOUT HAVING TO TRAVEL TO CLEVELAND OR PITTSBURGH. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 11189703 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 5464249 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 24431667 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 35 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 220 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JEFFREY A CHROBAK | NamePerson |
| Telephone Number | 7249833815 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 740 EAST STATE STREET | AddressLine1 |
| City | SHARON | City |
| State | PA | State |
| ZIP Code | 16146 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| JAMES EPSTEIN | ||||||||
| VICE CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 | ||
| WILLIAM PERRINE | ||||||||
| CHAIRMAN | 12.0 | X | X | 0 | 0 | 0 | ||
| RON ANDERSON | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| ROBERT G LIPTAK | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| CHERYL ROSE | ||||||||
| SECRETARY | 2.0 | X | X | 0 | 0 | 0 | ||
| SCOTT KALMANEK | ||||||||
| TREASURER | 2.0 | X | X | 0 | 0 | 0 | ||
| KENNETH JAMES | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| MATTHEW LIBURDI | ||||||||
| VICE PRESIDENT | 1.0 | X | 0 | 159227 | 39633 | |||
| JEFFREY A CHROBAK | ||||||||
| VICE PRESIDENT/CFO | 1.0 | X | 0 | 191854 | 137585 | |||
| JOHN DAVIDSON | ||||||||
| VICE PRESIDENT | 1.0 | X | 0 | 143836 | 28789 | |||
| JOHN JANOSO | ||||||||
| INTERIM CEO THROUGH 08/11/VP | 1.0 | X | 0 | 266092 | 49646 | |||
| LINDE FINSRUD WILSON | ||||||||
| PRESIDENT & CEO BEG. 08/11 | 1.0 | X | 0 | 145801 | 27490 | |||
| RONNIE MIGNELLA | ||||||||
| CARDIOLOGIST | 40.0 | 886847 | 0 | 16502 | X | |||
| JAMES RYAN | ||||||||
| CARDIOLOGIST | 40.0 | 903544 | 0 | 16502 | X | |||
| JOSE MILLAN | ||||||||
| CARDIOLOGIST | 40.0 | 847372 | 0 | 33002 | X | |||
| BRIAN SHANNON | ||||||||
| ORTHOPEDIC SURGEON | 40.0 | 716060 | 0 | 15307 | X | |||
| BRANDON MIKOLICH | ||||||||
| CARDIOLOGIST | 40.0 | 635141 | 0 | 15307 | X | |||
| JOHN A ZIDANSEK | ||||||||
| FORMER PRESIDENT | 0.0 | 0 | 288166 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3988964 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1194976 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 379763 | TotalOtherCompensation |
| Number Individuals GT100 K | 33 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| MEDSYS CONSULTING | |
| BILLING SERVICES | 691113 |
| STAFF CARE INC | |
| LOCUM TENAN SERVICES | 358975 |
| CERNER HEALTHCARE SOLUTIONS | |
| COMPUTER SYSTEM | 308987 |
| NORTHWEST PHYSICIAN ASSOCIATES | |
| ENDOCRINOLOGIST | 328275 |
| COMP HEALTH ASSOCIATES | |
| LOCUM TENAN SERVICES | 719315 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PROGRAM SERVICE REVENUE | 621110 | 13768967 | 13768967 |
| OTHER PROGRAM REVENUE | 621110 | 367687 | 367687 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 14136654 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2563 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -2563 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2563 | TotalRevenueColumn |
| Exclusion | -$2,563 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14134091 | TotalRevenueColumn |
| Related Or Exempt Function Income | 14136654 | RelatedOrExemptFunctionIncome |
| Exclusion | -$2,563 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17740178 | Total |
| Program Services | 17284934 | ProgramServices |
| Management And General | 455244 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1108063 | Total |
| Program Services | 1080152 | ProgramServices |
| Management And General | 27911 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 707856 | Total |
| Program Services | 684040 | ProgramServices |
| Management And General | 23816 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1861301 | Total |
| Program Services | 1861301 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 386501 | Total |
| Program Services | 383230 | ProgramServices |
| Management And General | 3271 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 400363 | Total |
| Program Services | 295678 | ProgramServices |
| Management And General | 104685 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 957417 | Total |
| Program Services | 923650 | ProgramServices |
| Management And General | 33767 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3608 | Total |
| Program Services | 1784 | ProgramServices |
| Management And General | 1824 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60887 | Total |
| Program Services | 60887 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 564133 | Total |
| Program Services | 278198 | ProgramServices |
| Management And General | 285935 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1055103 | Total |
| Program Services | 1055103 | ProgramServices |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Total | 681205 | Total |
| Program Services | 522710 | ProgramServices |
| Management And General | 158495 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25526615 | Total |
| Program Services | 24431667 | ProgramServices |
| Management And General | 1094948 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 383968 | BOY |
| EOY | 424494 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1388079 | BOY |
| EOY | 1311470 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31945 | BOY |
| EOY | 20833 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141278 | BOY |
| EOY | 48567 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 688583 | BOY |
| EOY | 164516 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1791114 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 949116 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 918270 | BOY |
| EOY | 841998 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70236 | BOY |
| EOY | 9832 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3622359 | BOY |
| EOY | 2821710 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 920556 | BOY |
| EOY | 1408985 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46293344 | BOY |
| EOY | 56396790 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47213900 | BOY |
| EOY | 57805775 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -43591541 | BOY |
| EOY | -54984065 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -43591541 | BOY |
| EOY | -54984065 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3622359 | BOY |
| EOY | 2821710 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -11392524 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20445 | CurrentTaxYearMinus4Years |
| Total | 20445 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4713966 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8707517 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12774403 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15013569 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14136654 | CurrentTaxYear |
| Total | 55346109 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4734411 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8707517 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12774403 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15013569 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14136654 | CurrentTaxYear |
| Total | 55366554 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 55366554 | PublicSupportTotal509 |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4734411 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8707517 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12774403 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15013569 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14136654 | CurrentTaxYear |
| Total | 55366554 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 1.00000 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 1.00000 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00000 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 118579 | OtherCostOrOtherBasis |
| Depreciation | 62835 | Depreciation |
| Book Value | 55744 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1672535 | OtherCostOrOtherBasis |
| Depreciation | 886281 | Depreciation |
| Book Value | 786254 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 841998 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO SHARON REG HEALTH SYS | Description |
| Amount | $56,396,790 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 56396790 | TotalOfAmounts |
| Total Revenue | 14134091 | TotalRevenue |
| Total Expenses | 25526615 | TotalExpenses |
| Excess Or Deficit For Year | -11392524 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -11392524 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 14134091 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 14134091 | RevenueSubtotal |
| Total Revenue Per Form990 | 14134091 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 25526615 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 25526615 | ExpensesSubtotal |
| Total Expenses Per Form990 | 25526615 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | UNCERTAIN TAX POSITIONS | Identifier |
| Return Reference | SCHEDULE D, PART X, LINE 2 | ReturnReference |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATTHEW LIBURDI | |||||||||||||
| 0 | 158007 | 0 | 0 | 0 | 1220 | 0 | 22864 | 0 | 16769 | 0 | 198860 | 0 | 0 |
| JEFFREY A CHROBAK | |||||||||||||
| 0 | 190440 | 0 | 0 | 0 | 1414 | 0 | 121223 | 0 | 16362 | 0 | 329439 | 0 | 0 |
| JOHN DAVIDSON | |||||||||||||
| 0 | 142324 | 0 | 0 | 0 | 1512 | 0 | 11688 | 0 | 17101 | 0 | 172625 | 0 | 0 |
| JOHN JANOSO | |||||||||||||
| 0 | 234764 | 0 | 30000 | 0 | 1328 | 0 | 32572 | 0 | 17074 | 0 | 315738 | 0 | 0 |
| RONNIE MIGNELLA | |||||||||||||
| 859820 | 0 | 26667 | 0 | 360 | 0 | 0 | 0 | 16502 | 0 | 903349 | 0 | 0 | 0 |
| JAMES RYAN | |||||||||||||
| 876517 | 0 | 26667 | 0 | 360 | 0 | 0 | 0 | 16502 | 0 | 920046 | 0 | 0 | 0 |
| JOSE MILLAN | |||||||||||||
| 820153 | 0 | 26667 | 0 | 552 | 0 | 16500 | 0 | 16502 | 0 | 880374 | 0 | 0 | 0 |
| BRIAN SHANNON | |||||||||||||
| 598740 | 0 | 104317 | 0 | 13003 | 0 | 0 | 0 | 15307 | 0 | 731367 | 0 | 0 | 0 |
| BRANDON MIKOLICH | |||||||||||||
| 623349 | 0 | 0 | 0 | 11792 | 0 | 0 | 0 | 15307 | 0 | 650448 | 0 | 0 | 0 |
| LINDE FINSRUD WILSON | |||||||||||||
| 0 | 144595 | 0 | 0 | 0 | 1206 | 0 | 21250 | 0 | 6240 | 0 | 173291 | 0 | 0 |
| JOHN A ZIDANSEK | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 288166 | 0 | 0 | 0 | 0 | 0 | 288166 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RELATED PARTY COMPENSATION DETERMINATION | SCHEDULE J, PART I, LINE 3 | THE SHARON REGIONAL PHYSICIAN SERVICES PRESIDENT & CEO IS COMPENSATED BY SHARON REGIONAL HEALTH SYSTEM, A RELATED ORGANIZATION. SHARON REGIONAL HEALTH SYSTEM USES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE PRESIDENT & CEO. |
| SEVERANCE PAYMENT | SCHEDULE J, PART I, LINE 4A | JOHN A ZIDANSEK, FORMER PRESIDENT, RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2011. THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN B(III). |
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B | SHARON REGIONAL HEALTH SYSTEM, A RELATED ORGANIZATION, PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO PROVIDE A MARKET COMPETITIVE SUPPLEMENTAL RETIREMENT BENEFIT TO ATTRACT AND RETAIN EXECUTIVE TALENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DURING THE FISCAL YEAR: JEFFREY CHROBAK, JOHN JANOSO, MATTHEW LIBURDI, AND LINDE FINSRUD WILSON. THE FOLLOWING AMOUNTS WERE ACCRUED DURING THE YEAR: JEFFREY A CHROBAK $105,781 JOHN JANOSO $ 20,322 MATTHEW LIBURDI $ 14,798 LINDE FINSRUD WILSON $ 21,250 |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BRANDON MIKOLICH | NamePerson |
| Purpose Of Loan | PHYSICIAN LOAN | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $50,000 | OriginalPrincipalAmount |
| Balance Due | 20833 | BalanceDue |
| Default | false | Default |
| Approved By Board | true | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 20833 | TotalBalanceDue |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS WITH INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | THE WIFE OF WILLIAM STRIMBU, BOARD MEMBER FOR A RELATED ORGANIZATION, SHARON REGIONAL HEALTH SYSTEM, IS COMPENSATED BY SHARON REGIONAL PHYSICIAN SERVICES. TOTAL COMPENSATION PAID WAS $50,544. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART I, LINE 1 | THE MISSION OF SHARON REGIONAL PHYSICIAN SERVICES IS TO PROMOTE THE HEALTH AND WELL BEING OF PERSONS IN THE SHENANGO VALLEY. THIS IS ACCOMPLISHED BY ASSESSING THE NEED FOR PRIMARY CARE AND SPECIALTY CARE PHYSICIANS WITHIN THE SERVICE AREA, THEN UTILIZING THE NECESSARY RESOURCES TO BRING THESE PHYSICIANS TO SHARON REGIONAL AND MAKING THEM AVAILABLE TO THE RESIDENTS OF THE SHENANGO VALLEY; KEEPING THEIR CARE CLOSER TO HOME. |
| PROGRAM SERVICE ACTIVITY #1 | FORM 990, PART III, LINE 4A | THE ORGANIZATION PROVIDES HEALTH CARE SERVICES UNDER A FORMAL CHARITY CARE POLICY THAT ASSISTS PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY THEIR MEDICAL BILLS. DURING FISCAL YEAR 2012, SHARON REGIONAL PHYSICIAN SERVICES GRANTED $91,221 IN CHARITY CARE TO INDIGENT PATIENTS. |
| OTHER PROGRAM SERVICES | FORM 990, PART III, LINE 4D | IN ADDITION TO THE THREE LARGEST PROGRAM SERVICES, THE ORGANIZATION PROVIDES OB/GYN, OTOLARYNGOLOGY/ALLERGY, ENDOCRINOLOGY, PULMONARY/CRITICAL CARE MEDICINE, GASTROENTEROLOGY AND CARDIOTHORACIC SURGERY. DURING FISCAL YEAR 2012, A TOTAL OF 80,430 OUTPATIENTS RECEIVED PATIENT CARE. |
| MEMBERS | FORM 990, PART VI, SECTION A, LINES 6 & 7B | THE SOLE MEMBER OF THE ORGANIZATION IS SHARON REGIONAL HEALTH SERVICES. ACCORDING TO THE ORGANIZATION'S BYLAWS, THE BOARD MUST OBTAIN THE APPROVAL OF SHARON REGIONAL HEALTH SERVICES BEFORE ACTION ON ANY OF THE FOLLOWING MATTERS BECOMES FINAL AND EFFECTIVE: 1) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THIS CORPORATION OR OF THE BYLAWS; (2) THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF THIS CORPORATION; (3) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION; (4) DISSOLUTION OF THIS CORPORATION; (5) APPROVAL OF AN ANNUAL BUDGET FOR THIS CORPORATION; (6) ANY TRANSFER OF FUNDS BY GRANT, GIFT, OR LOAN FROM THIS CORPORATION; (7) ANY OTHER MATTER THAT BY LAW WOULD REQUIRE THE APPROVAL OF MEMBERS OF A PENNSYLVANIA NONPROFIT CORPORATION. |
| REVIEW OF FORM 990 | FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY INDEPENDENT TAX ADVISORS WITH INFORMATION SUPPLIED BY THE CHIEF FINANCIAL OFFICER, DIRECTOR OF FINANCE AND OTHER FINANCIAL MANAGERS, AND LEGAL COUNSEL. THE PREPARED 990 IS SUBMITTED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW. THE CHIEF FINANCIAL OFFICER PROVIDES A FULL AND COMPLETE COPY OF THE FORM 990 TO THE MEMBERS OF THE BOARD OF DIRECTORS IN ADVANCE OF THE REGULAR MEETING OF THE BOARD OF DIRECTORS. AT THE REGULAR MEETING, THE CHIEF FINANCIAL OFFICER ACCEPTS QUESTIONS OR COMMENTS TO THE FORM 990. THE BOARD APPROVES SUBMISSION OF THE FORM 990 TO THE IRS BY MOTION AND VOTE IN ACCORDANCE WITH ITS BYLAWS. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, LINE 12C | THE BOARD OF DIRECTORS OF OR SHARON REGIONAL PHYSICIANS SERVICES MAINTAINS A WRITTEN POLICY DEFINING CONFLICT OF INTERESTS OF ITS DIRECTORS AND OFFICERS. ALL NEW DIRECTORS AND OFFICERS ARE ORIENTED TO THIS POLICY. ANNUALLY, THE OFFICERS AND THE MEMBERS OF THE BOARD OF DIRECTORS RECEIVE A COPY OF THE POLICIES AND EACH DIRECTOR AND OFFICER COMPLETES A CONFLICT OF INTEREST QUESTIONNAIRE. THE CHAIRMAN OF THE BOARD OF DIRECTORS REVIEWS ALL RESPONSES, CONSULTS WITH LEGAL COUNSEL, AND PROVIDES THE QUESTIONNAIRES TO SHARON REGIONAL'S AUDITORS. THE CHAIRMAN CONSIDERS COMMITTEE MEMBERSHIP AND RECUSAL FROM DISCUSSION AND VOTES IN LIGHT OF POTENTIAL CONFLICTS AND BOARD MEMBERS ROUTINELY VOLUNTARILY RECUSE THEMSELVES EVEN IF THE CONFLICT IS ONLY PERCEIVED. |
| COMPENSATION REVIEW | FORM 990, PART VI, SECTION B, LINES 15A & B | THE ORGANIZATION'S CEO IS COMPENSATED BY SHARON REGIONAL HEALTH SYSTEM (SRHS), A RELATED ORGANIZATION. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF SRHS REVIEWS AND RECOMMENDS THE COMPENSATION OF THE OFFICERS AND THE BOARD OF DIRECTORS APPROVES THESE RECOMMENDATIONS ANNUALLY. THE COMPENSATION COMMITTEE IS COMPOSED OF MEMBERS WHO HAVE NO INTEREST WITH THE OFFICERS. THE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT TO REVIEW MARKET DATA AND ESTABLISH COMPENSATION RANGES FOR EACH OFFICER IN COMPARISON WITH SIMILAR EXECUTIVE POSITIONS AT SIMILARLY SIZED HOSPITALS AND HEALTH SYSTEMS. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE PERFORMANCE OF THE CHIEF EXECUTIVE OFFICER AND ACCEPTS THE PERFORMANCE REVIEWS CONDUCTED BY THE CHIEF EXECUTIVE OFFICER OF THE OTHER OFFICERS. THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) COMPARISONS ARE USED FOR BENCHMARKING THE PHYSICIAN SALARIES. |
| DOCUMENT DISCLOSURE | FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS OF THE ORGANIZATION ARE DISTRIBUTED UPON REQUEST, AS REQUIRED BY LAW. |
| RELATED HOURS | FORM 990, PART VII, SECTION A | THE FOLLOWING OFFICERS WORK APPROXIMATELY 40 HOURS PER WEEK BETWEEN SHARON REGIONAL PHYSICIAN SERVICES AND SHARON REGIONAL HEALTH SYSTEM, A RELATED ORGANIZATION: JOHN JANOSO, LINDE FINSRUD WILSON, JEFFREY A CHROBAK, JOHN DAVIDSON, AND MATTHEW LIBURDI. THE FOLLOWING BOARD MEMBERS ALSO SERVE ON THE BOARD OF DIRECTORS OF SHARON REGIONAL HEALTH SYSTEM, A RELATED ORGANIZATION: JAMES EPSTEIN, WILLIAM PERRINE, ROBERT G LIPTAK, AND KENNETH JAMES. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARON REGIONAL HEALTH SYSTEM | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 740 E STATE ST | AddressLine1 |
| City | SHARON | City |
| State | PA | State |
| ZIP Code | 16146 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 250979377 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivities |
| Legal Domicile State | PA | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHATWOOD COMMONS CONDO ASSOCIATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 740 EAST STATE ST | AddressLine1 |
| City | SHARON | City |
| State | PA | State |
| ZIP Code | 16146 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251678608 | EIN |
| Primary Activity | REAL ESTATE | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |