2013-05-15T17:12:16-05:00 2012-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2011-07-01 251640802 SHARON REGIONAL PHYSICIAN SERVICES % JEFFREY A CHROBAK SHAR 7249835525 740 EAST STATE STREET SHARON PA 16146 JEFFREY A CHROBAK 2013-05-14 true Brian D Todd 4178658701 2011 2016-02-24 21:20:13Z JOHN JANOSO 740 EAST STATE STREET SHARON PA 16146 14136654 false X www.sharonregional.com X 1990 PA 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. 7 6 220 8 0 0 0 0 15013569 14136654 0 -2563 0 0 15013569 14134091 0 0 0 0 19030590 19556097 0 0 0 5579352 5970518 24609942 25526615 -9596373 -11392524 3622359 2821710 47213900 57805775 -43591541 -54984065 X THE MISSION OF SHARON REGIONAL PHYSICIAN SERVICES IS TO PROVIDE THE HIGHEST QUALITY, ADVANCED HEALTHCARE SERVICES TO ALL COMMUNITIES WITHIN OUR REGION. false false 6767572 4070476 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. 3298275 2608812 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. 3176117 1993117 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. 11189703 5464249 24431667 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false true false false false false false false false false false true false false false false true 35 0 true 220 true false false false false false false false false false false X 7 6 false false false false true false true true true false false true true true true true true false false false PA X JEFFREY A CHROBAK 7249833815 740 EAST STATE STREET SHARON PA 16146 X JAMES EPSTEIN 2.0 X X 0 0 0 WILLIAM PERRINE 12.0 X X 0 0 0 RON ANDERSON 2.0 X 0 0 0 ROBERT G LIPTAK 2.0 X 0 0 0 CHERYL ROSE 2.0 X X 0 0 0 SCOTT KALMANEK 2.0 X X 0 0 0 KENNETH JAMES 2.0 X 0 0 0 MATTHEW LIBURDI 1.0 X 0 159227 39633 JEFFREY A CHROBAK 1.0 X 0 191854 137585 JOHN DAVIDSON 1.0 X 0 143836 28789 JOHN JANOSO 1.0 X 0 266092 49646 LINDE FINSRUD WILSON 1.0 X 0 145801 27490 RONNIE MIGNELLA 40.0 X 886847 0 16502 JAMES RYAN 40.0 X 903544 0 16502 JOSE MILLAN 40.0 X 847372 0 33002 BRIAN SHANNON 40.0 X 716060 0 15307 BRANDON MIKOLICH 40.0 X 635141 0 15307 JOHN A ZIDANSEK 0.0 X 0 288166 0 3988964 1194976 379763 33 true true false 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 10 0 PROGRAM SERVICE REVENUE 621110 13768967 13768967 OTHER PROGRAM REVENUE 621110 367687 367687 14136654 0 0 0 2563 -2563 -2563 -2563 0 0 0 0 14134091 14136654 -2563 0 0 0 0 0 0 17740178 17284934 455244 0 1108063 1080152 27911 707856 684040 23816 0 0 0 0 0 0 1861301 1861301 0 386501 383230 3271 400363 295678 104685 0 957417 923650 33767 3608 1784 1824 0 60887 60887 0 0 564133 278198 285935 1055103 1055103 MISCELLANEOUS 681205 522710 158495 25526615 24431667 1094948 0 383968 424494 0 0 0 0 1388079 1311470 31945 20833 0 0 141278 48567 0 0 688583 164516 1791114 949116 918270 841998 0 0 0 0 0 0 0 0 70236 9832 3622359 2821710 920556 1408985 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46293344 56396790 47213900 57805775 X -43591541 -54984065 0 0 0 0 -43591541 -54984065 3622359 2821710 -11392524 X false true true X false X 20445 20445 4713966 8707517 12774403 15013569 14136654 55346109 4734411 8707517 12774403 15013569 14136654 55366554 55366554 4734411 8707517 12774403 15013569 14136654 55366554 1.00000 1.00000 0.00000 0.00000 X 118579 62835 55744 1672535 886281 786254 841998 0 DUE TO SHARON REG HEALTH SYS 56396790 56396790 14134091 25526615 -11392524 -11392524 14134091 14134091 14134091 25526615 25526615 25526615 UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 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. true true false false false false false false false 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 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 BRANDON MIKOLICH PHYSICIAN LOAN X 50000 20833 false true true 20833 BUSINESS TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV 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. 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. SHARON REGIONAL HEALTH SYSTEM 740 E STATE ST SHARON PA 16146 250979377 HEALTHCARE PA 501(C)(3) 3 NA false CHATWOOD COMMONS CONDO ASSOCIATION 740 EAST STATE ST SHARON PA 16146 251678608 REAL ESTATE PA N/A false false false false false false false false false false false true false true true true false false false false