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CHBLT SUBSIDIARY CO: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHBLT SUBSIDIARY CO (EIN 25-1640802)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201201359349305790
Schema version
2010v3.7
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)
Timestamp2012-05-14T16:26:04-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251640802EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHARON REGIONAL PHYSICIAN SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSHARNameControl
Phone7249835525Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1740 EAST STATE STREETAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFFREY A CHROBAKName
TitleVP OF FINANCE/CFOTitle
Date Signed2012-05-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN JANOSONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1740 EAST STATE STREETAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15013569GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.sharonregional.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF THE ORGANIZATION IS TO PROMOTE THE HEALTH AND WELL BEING OF INDIVIDUALS IN OUR COMMUNITIES BY PROVIDING AMBULATORY CARDIOLOGY, PULMONOLOGY AND CRITICAL CARE, SURGICAL, & OTHER SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees184TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12774403ProgramServiceRevenuePriorYear
Program Service Revenue CY15013569ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year12774403TotalRevenuePriorYear
Total Revenue Current Year15013569TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5030834SalariesEtcPriorYear
Salaries Etc Current Year5421709SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17388940OtherExpensePriorYear
Other Expenses Current Year19188233OtherExpensesCurrentYear
Total Expenses Prior Year22419774TotalExpensesPriorYear
Total Expenses Current Year24609942TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-9645371RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-9596373RevenuesLessExpensesCY
Total Assets BOY3001373TotalAssetsBOY
Total Assets EOY3622359TotalAssetsEOY
Total Liabilities BOY36996541TotalLiabilitiesBOY
Total Liabilities EOY47213900TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-33995168NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-43591541NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF SHARON REGIONAL PHYSICIAN SERVICES IS TO PROMOTE THE HEALTH AND WELL BEING OF PERSONS IN THE SHENANGO VALLEY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6800126Expense
Revenue4316092Revenue
DescriptionTHE 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 14,549 PATIENTS DURING FISCAL YEAR 2011. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3520633Expense
Revenue1713483Revenue
DescriptionTHE PROVISION OF ADVANCED SURGICAL SERVICES AT SHARON REGIONAL HEALTH SYSTEM IS OUR SECOND LARGEST PROGRAM SERVICE EXPENSE FOR 2011. THIS INVESTMENT PROVIDES PATIENTS NOT ONLY OPEN HEART SURGERY, BUT BREAST SURGERY, THE NEWEST BARIATRIC SURGICAL TECHNIQUES, MINIMALLY INVASIVE SURGICAL PROCEDURES AND VASCULAR SURGERY. THE SURGERY PROGRAMS OVERALL OFFERED CARE TO 7,887 PATIENTS DURING FISCAL YEAR 2011.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1524000Expense
Revenue415658Revenue
DescriptionPROVIDING PULMONOLOGY AND CRITICAL CARE COVERAGE TO THE INPATIENTS OF SHARON REGIONAL HEALTH SYSTEM IS OUR THIRD LARGEST PROGRAM SERVICE EXPENSE FOR 2011. AFTER THE RESIGNATION OF TWO OF OUR CRITICAL CARE/PULMONOLOGY SPECIALISTS THE PREVIOUS YEAR, RECRUITMENT EFFORTS ARE STILL UNSUCCESSFUL. LOCUM TENEN COVERAGE IS STILL NECESSARY IN ORDER TO GUARANTEE PATIENTS THE EXPERT CARE THEY DESERVE WHILE THEY ARE INPATIENTS IN THE CRITICAL CARE UNITS OF SHARON REGIONAL HEALTH SYSTEM.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp12269164TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev8568336TotalOfOtherProgramServiceRev
Total Program Service Expense24113923TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109636NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees184NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFFREY A CHROBAKNamePerson
Telephone Number7249833815TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1740 EAST STATE STREETAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JAMES EPSTEIN
VICE CHAIRMAN2.0XX000
WILLIAM PERRINE
CHAIRMAN12.0XX000
RON ANDERSON
DIRECTOR2.0X000
ROBERT G LIPTAK
DIRECTOR2.0X000
CHERYL ROSE
SECRETARY2.0XX000
SCOTT KALMANEK
TREASURER2.0XX000
KENNETH JAMES
DIRECTOR2.0X000
JOHN A ZIDANSEK
PRESIDENT THROUGH 12/201040.0X032953945779
MATTHEW LIBURDI
VICE PRESIDENT40.0X015850727328
JEFFREY A CHROBAK
VICE PRESIDENT/CFO40.0X017378846766
JOHN JANOSO
PRESIDENT BEG. 12/201040.0X016922626426
RONNIE MIGNELLA
CARDIOLOGIST40.0907791015851X
JAMES RYAN
CARDIOLOGIST40.0894207015851X
JOSE MILLAN
CARDIOLOGIST40.0875467015851X
BRIAN SHANNON
ORTHOPEDIC SURGEON40.0738232033547X
MICHAEL BURLEY
CARDIOLOGIST40.0619465033547X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4035162TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs831060TotalReportableCompFrmRltdOrgs
Total Other Compensation260946TotalOtherCompensation
Number Individuals GT100 K33NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
MEDSYS CONSULTING
BILLING SERVICES733243
STAFF CARE INC
LOCUM TENAN SERVICES466529
WEST PENN HOSPITAL
BREAST SURGEON169056
NORTHWEST PHYSICIAN ASSOCIATES
ENDOCRINOLOGY262550
COMP HEALTH ASSOCIATES
LOCUM TENAN SERVICES844503
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE6211101484871814848718
OTHER PROGRAM REVENUE621110164851164851
FieldValueIRS element (for citing)
Total Program Service Revenue15013569TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15013569TotalRevenueColumn
Related Or Exempt Function Income15013569RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3560645Total
Program Services3289235ProgramServices
Management And General271410ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1164069Total
Program Services1113758ProgramServices
Management And General50311ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total696995Total
Program Services666871ProgramServices
Management And General30124ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total16143224Total
Program Services16086923ProgramServices
Management And General56301ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total577Total
Program Services577ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total761447Total
Program Services737910ProgramServices
Management And General23537ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total829911Total
Program Services814172ProgramServices
Management And General15739ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total3410Total
Program Services2003ProgramServices
Management And General1407ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total56312Total
Program Services56312ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total339728Total
Program Services302032ProgramServices
Management And General37696ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total824420Total
Program Services823308ProgramServices
Management And General1112ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DUES & SUBSCRIPTIONS6347963479
LICENSES & TAXES3196831472496
MISCELLANEOUS1337571258717886

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total24609942Total
Program Services24113923ProgramServices
Management And General496019ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY328747BOY
EOY383968EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1148023BOY
EOY1388079EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY19444BOY
EOY31945EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY305244BOY
EOY141278EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY513269BOY
EOY688583EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1608584LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec690314LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY675814BOY
EOY918270EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10832BOY
EOY70236EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3001373BOY
EOY3622359EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY943562BOY
EOY920556EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY36052979BOY
EOY46293344EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY36996541BOY
EOY47213900EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-33995168BOY
EOY-43591541EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-33995168BOY
EOY-43591541EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3001373BOY
EOY3622359EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-9596373ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years20445CurrentTaxYearMinus3Years
Total20445Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2386899CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4713966CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8707517CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12774403CurrentTaxYearMinus1Year
Current Tax Year15013569CurrentTaxYear
Total43596354Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2386899CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4734411CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8707517CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12774403CurrentTaxYearMinus1Year
Current Tax Year15013569CurrentTaxYear
Total43616799Total
FieldValueIRS element (for citing)
Public Support Total50943616799PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2386899CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4734411CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8707517CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12774403CurrentTaxYearMinus1Year
Current Tax Year15013569CurrentTaxYear
Total43616799Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage1.00000PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis118579OtherCostOrOtherBasis
Depreciation50887Depreciation
Book Value67692BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1490005OtherCostOrOtherBasis
Depreciation639427Depreciation
Book Value850578BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings918270TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO SHARON REG HEALTH SYSDescription
Amount$46,293,344Amount
FieldValueIRS element (for citing)
Total Of Amounts46293344TotalOfAmounts
Total Revenue15013569TotalRevenue
Total Expenses24609942TotalExpenses
Excess Or Deficit For Year-9596373ExcessOrDeficitForYear
Excess Or Deficit Per FS-9596373ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15013569TotRevenueEtcAuditedFinclStmt
Revenue Subtotal15013569RevenueSubtotal
Total Revenue Per Form99015013569TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt24609942TotExpensesEtcAuditedFinclStmt
Expenses Subtotal24609942ExpensesSubtotal
Total Expenses Per Form99024609942TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierUNCERTAIN TAX POSITIONSIdentifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationMANAGEMENT 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

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN A ZIDANSEK
03277600001779021355024424037531800
MATTHEW LIBURDI
0157287000122008106019222018583500
JEFFREY A CHROBAK
01724400001348028838017928022055400
JOHN DAVIDSON
01425180001285011688015408017089900
JOHN JANOSO
0167989000123708529017897019565200
RONNIE MIGNELLA
88112402666700000158510923642000
JAMES RYAN
86754002666700000158510910058000
JOSE MILLAN
84880002666700000158510891318000
BRIAN SHANNON
59874001203480191440165000170470771779000
MICHAEL BURLEY
607865000116000165000170470653012000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELATED PARTY COMPENSATION DETERMINATIONSCHEDULE J, PART I, LINE 3THE SHARON REGIONAL PHYSICIAN SERVICES PRESIDENT 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.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BSHARON 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 DAVIDSON, JOHN JANOSO, MATTHEW LIBURDI, AND JOHN ZIDANSEK. THE FOLLOWING AMOUNTS WERE ACCRUED DURING THE YEAR: JEFFREY CHROBAK $14,836

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
BRIAN SHANNON
PHYSICIAN LOANX$50,0002778falsetruetrue
MICHAEL BURLEY
PHYSICIAN LOANX$50,00029167falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due31945TotalBalanceDue

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS WITH INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationTHE 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 $47,227.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1THE 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 #1FORM 990, PART III, LINE 4ATHE 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 2011, SHARON REGIONAL PHYSICIAN SERVICES GRANTED $ 216,645 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, PRIMARY CARE, INTERNAL MEDICINE, ORTHOPAEDICS, GASTROENTEROLOGY AND PAIN MANAGEMENT SERVICES. DURING FISCAL YEAR 2011, A TOTAL OF 86,050 OUTPATIENTS RECEIVED PATIENT CARE.
MEMBERSFORM 990, PART VI, SECTION A, LINES 6 & 7BTHE 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 990FORM 990, PART VI, SECTION B, LINE 11BTHE 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 POLICYFORM 990, PART VI, LINE 12CTHE 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 COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS 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 DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS OF THE ORGANIZATION ARE DISTRIBUTED UPON REQUEST, AS REQUIRED BY LAW.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SHARON REGIONAL HEALTH SYSTEMBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1740 E STATE STAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
EIN250979377EIN
Primary ActivitiesHEALTHCAREPrimaryActivities
Legal Domicile StatePALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status3PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CHATWOOD COMMONS CONDO ASSOCIATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1740 EAST STATE STAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
EIN251678608EIN
Primary ActivityREAL ESTATEPrimaryActivity
Legal Domicile StatePALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeType
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg