2012-11-15T09:31:02-06:00 2011-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2011-01-01 770556575 PHYSICIAN HOSPITALS OF AMERICA PHYS 2023671113 2025 M STREET NW NO 800 WASHINGTON DC 20036 JOHN RICHARDSON 2023671113 2012-11-15 LOUIS VERZELLA CPA P00360279 6106689400 2012-11-15 2011 2016-02-24 21:20:13Z JOHN RICHARDSON 2025 M STREET NW NO 800 WASHINGTON DC 20036 1614278 0 X WWW.PHYSICANHOSPITALS.ORG X 2000 CA OFFERS SUPPORT,ADVOCARY AND EDUCATIONAL SERVICES TO PHYSICIAN OWNED HOSPITAL INDUSTRY, REFLECTING AT ALL TIMES THE BEST INTERSTS OF THE PATIENTS,PHYSICIANS AND OTHER PROVIDERS WHO PLAY AN ESSENTIAL ROLE IN THE PROVISION OF HEALTHCARE SERVICES MOST SIGNIFICANT ACTIVITIES ARE ANNUAL MEETING,DC FLYINS LOBBYING/GOVERNMENT RELATIONS,BENCHMARKING AND PUBLICATIONS. 15 15 3 0 0 0 1256437 0 444798 1606380 3032 1962 0 5936 1704267 1614278 0 0 0 0 403690 116561 0 0 0 1227028 1230009 1630718 1346570 73549 267708 467661 808660 0 217900 467661 590760 X OFFER SUPPORT,ADVOCACY AND EDUCATIONAL SERVICES TO THE PHYSICIAN OWNED HOSPITAL INDUSTRY. 0 0 LOBBYING-A PRIMARY GOAL AND ACCOMPLISHMENT FOR PHA IS ADVOCACY,PHA CONTRACTS AND PROVIDES EXPERTISE IN THE AREAS OF MONITORING,LOBBYING,ADVOCATING AND REPRESENTING PHYSICIAN HOSPITAL'S INTERSTS IN ALL FEDERAL LEGISALTIVE OR REGULATORY AFFAIRS OR MATTERS THAT COULD IMPACT PHYSICIAN HOSPITALS AND PHA MEMBERS. GENERAL GOVERNMENT RELATIONS SUPPORT IS PROVIDED WITHIN THE FEDERAL LEGISLATIVE AND REGULATORY SYSTEMS. PHA ASSIST WITH COMMUNICATION PROVIDES POLITICAL UPDATES AND GENERALLY KEEPS PHYSICIAN HOSPITAL MEMBERS INFORMED ON THE STATUS OF LEGISLATIVE AND REGULATORY AFFAIRS. ANNUAL MEETING IS HELD FOR THE PURPOSE OF PROVIDING EDUCATION AND PRACTICAL INFORMATION TO MEMBERS AND NONMEMBERS WHO ARE INTERESTED IN THE PHYSICIAN HOSPITAL INDUSTRY. THIS EVENT ALLOWS SPEAKERS AND EXIBITORS TO PROMOTE THEIR PRODUCTS AND SERVICES AT WORKSHOPS AND EXHIBITS ON THE LATEST ISSUES AND DEVELOPMENTS. DC FLY-IN MEETING IS HELD FOR THE PURPOSE OF PROVIDING AN OPPORTUNITY TO COMMUNICATE IDEAS AND OPINIONS TO GOVERNMENT OFFICIALS. PHA PROVIDES SPEAKERS AND EDUCATIONAL MATERIALS AND ESTABLISHES AND CULTIVATES RELATIONSHIPS WITH LEGISLATORS ABOUT PHYSICIANS HOSPITALS.BENCHMARKING PROGRAM - THE PHA BENCHMARKING PROGRAM IS CONDUCTED IN CONJUNCTION WITH CTQ SOLUTIONS TO PROVIDE QUARTERLY BENCHMARKING TAILORED FOR THE PHYSICIAN-OWNED HOSPITAL CENSUS. PHA PULSE- PHA PROVIDES INFORMATION TO ITS MEMBERS THROUGH A MAGAZINE THAT IT ORGANIZES,PLANS AND PRINTS. WEBSITE- PHA PROVIDES MEMBERS AND NONMEMBERS WITH NEWS, PRESS RELEASES AND ARTICLES RELATED TO PHYSICIAN HOSPITALS. 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 3 1 0 0 0 0 0 0 X 15 15 0 1 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 DC X SMITHBUCKLIN INC 2023671100 2025 M STREET NW SUITE 800 WASHINGTON DC 20036 DOUGLAS V JOHNSON 2.00 X 0 0 0 DAVID C AYERS 2.00 X 0 0 0 THOMAS V BERTUCCINI MD 2.00 X 0 0 0 JOHN W DIETZ MD 2.00 X 0 0 0 JAMES GRANT 2.00 X 0 0 0 JOHN R HARVEY MD 2.00 X 0 0 0 MICHAEL LIPOMI 2.00 X 0 0 0 THOMAS MALLON 2.00 X 0 0 0 HOOMAN SEDIGHI 2.00 X 0 0 0 MILLA PERRY JONES 2.00 X 0 0 0 SAM CHACON MD 2.00 X 0 0 0 KAREN A FIDUCIA 2.00 X 0 0 0 MICHAEL E RUSSELL II MD 2.00 X 0 0 0 PAUL KERENS 2.00 X 0 0 0 R BLAKE CURD 2.00 X 0 0 0 KERI TALCOTT 40.00 X 60711 0 0 MOLLY SANDVIG 40.00 X 15000 0 0 KIM GEVIK 40.00 X 33957 0 0 BRETT GOSNEY 2.00 X 0 0 0 109668 0 0 0 0 0 0 SMITHBUCKLIN CORPORATION 2025 M STREET WASHINGTON DC 20036 MANAGEMENT SERVICE 374902 BGR GOVERNMENT AFFAIRS LLC 601 THIRTHTEEN STREET NW WASHINGTON DC 20005 LOBBYING 175000 2 MEMBER DUES 900099 1285135 1285135 ANNUAL CONFERENCE 900099 267025 267025 PUBLICATIONS 900099 46220 46220 LEGAL FEES ASSESSMENT 900099 8000 8000 1606380 1962 1962 MISCELLANOUS 900099 5936 5936 5936 1614278 1606380 0 7898 X 109668 6893 135697 18750 280000 12164 68384 35315 6518 4047 12561 262298 869 OTHER EXPENSES 96984 TRANSITION & HQ MOVING 79726 PUBLICATIONS EXPENSE 64744 RESEARCH PROJECTS 59091 92861 1346570 467661 785026 13781 9853 467661 808660 204776 13124 0 217900 X 467661 590760 467661 590760 467661 808660 X 267708 -144609 X X 0 1 1 X 0 0 0 0 1285135 280000 280000 681122 -401122 0 1614278 1346570 267708 -165842 21233 -144609 123099 1702167 87889 87889 1614278 0 1614278 1434058 87488 87488 1346570 0 1346570 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: MANAGEMENT EVALUATED THE ASSOCIATION'S TAX POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAD MAINTAINED ITS TAX EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. AT THE PRESENT TIME, THE ASSOCIATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2008 PART XI, LINE 8 - OTHER ADJUSTMENTS: RESTRICTED NET ASSETS RELATED TO PAC 21,233. PART XII, LINE 2D - OTHER ADJUSTMENTS: POLITICAL ACTION COMMITTEE CONTRIBUTIONS PART XIII, LINE 2D - OTHER ADJUSTMENTS: POLITICAL ACTION COMMITTEE FORM 990, PART VI, SECTION A, LINE 3 SMITHBUCKLIN CORPORATION MAINTAINS THE BOOKS AND RECORDS AS WELL AS PERFORMING MANAGEMENT AND DAILY ADMINSTRATIVE FUNCTIONS FOR THE ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 6 THE ASSOCIATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A ALL DIRECTORS SHALL BE ELECTED BY A MAJORITY VOTE OF THE VOTING MEMBERS. WHEN AN INDIVIDUAL IS ELECTED AS PRESIDENT ELECT, HE OR SHE IS AUTOMATICALLY A VOTING MEMBER OF THE BOARD OF DIRECTORS FOR THE TIME OF HIS OR HER TERM AS PRESIDENT ELECT, PRESIDENT, AND IMMEDIATE PAST PRESIDENT. THE OTHER DIRECTORS SHALL SERVE FOR A TERM OF THREE (3) YEARS. FORM 990, PART VI, SECTION A, LINE 7B ANY ACTION REQUIRED OR PERMITTED TO BE TAKEN BY THE BOARD OF DIRECTORS MAY BE TAKEN WITHOUT A MEETING IF ALL DIRECTORS SHALL INDIVIDUALLY OR COLLECTIVELY CONSENT IN WRITING TO SUCH ACTION. SUCH WRITTEN CONSENT OR CONSENTS SHALL BE FILED WITH THE MINUTES OF THE PROCEEDINGS OF THE BOARD. SUCH ACTION BY WRITTEN CONSENT SHALL HAVE THE SAME FORCE AND EFFECT AS A UNANIMOUS VOTE OF THE DIRECTORS. FOR THE PURPOSES OF THIS SECTION ONLY "ALL MEMBERS OF THE BOARD" SHALL NOT INCLUDE ANY "INTERESTED DIRECTOR" AS DEFINED IN SECTION 7233 OF THE SOUTH DAKOTA NONPROFIT MUTUAL BENEFIT CORPORATION LAW FORM 990, PART VI, SECTION B, LINE 11 NO COPIES OF FORM 990 ARE PROVIDED TO GOVERNING BODY FOR REVIEW. A COPY IS PROVIDED TO THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE ANNUAL REVEIW AND PERFORMANCE PROCESS IS CONDUCTED BY THE BOARD OF DIRECTORS. THE PRESIDENT AND PRESIDENT ELECT REPORT TO THE PHA BOARD OF DIRECTORS AND A PRIVATE BOARD MEETING IS HELD TO REVIEW ACCOMPLISHMENT OF PRIOR GOALS AND OBJECTIVES,AS WELL AS SETTING FUTURE GOALS AND OBJECTIVES. THE PRESIDENT AND PRESIDENT ELECT PROVIDE TO THE EXECUTIVE DIRECTOR THE ANNUAL GOALS AND OBJECTIVES. COMPENSATION IS SET FOR THE FOLLOWING YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII MICHAEL E RUSSELL II MD - 1814 ROSELAND, TYLER, TX 75701. PAUL KERENS - 3651 COLLEGE BLVD, LEAWOOD, KS 66211. R BLAKE CURD - 810 EAST 23RD STREET, SIOX FALLS, SD 57105. DOUGLAS V JOHNSON - 1421 OAKDALE ROAD, MODESTO, CA 95355. DAVID C AYERS - 11221 ROE AVE., SUITE 320, LEAWOOD, KS 66211. THOMAS V BERTUCCINI MD - 1101 KALISTE SALOOM ROAD, LFAYETTE, LA 70508. JOHN W DIETZ MD - 8400 NORTHWEST BLVD., INDIANAPOLIS, IN 46278. JAMES GRANT - 250 S. WACKER, SUITE 500, CHICAGO, IL 60606. JOHN R HARVEY MD - 4050 WEST MEMORIAL ROAD, OKLAHOMA CITY, OK 73120. MICHAEL LIPOMI - 600 SOUTH CLIFF AVENUE, SUITE 106, SIOX FALLS, SD 57104. THOMAS MALLON - 4 WEST BROOK CORPORATE CENTER, SUITE 440, WESTCHESTER, IL 60154. HOOMAN SEDIGHI - 1340 EMPIRE CENTRAL, DALLAS, TX 75247. MILLA PERRY JONES - 15305 DALLAS PARKWAY #1600, ADDISON, TX 75001. SAM CHACON, MD - 801 WESTGATE INTERSTATE 20, ARLINGTON, TX 76017. KAREN A FIDUCIA - 1400 MEDICAL PARKWAY, CARSON CITY, NV 89703. BRETT GOSNEY - 575 RIVERGATE LANE, DURANGO, CO 81301. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: PRIOR PERIOD ADJUSTMENTS: -165,842. RESTRICTED NET ASSETS RELATED TO PAC 21,233. TOTAL TO FORM 990, PART XI, LINE 5: -144,609. FORM 990, PART XII, LINE 2C: THE EXECUTIVE DIRECTOR AND BOARD ARE RESPONSIBLE FOR THE OVERSIGHT FINANCIAL STATEMENT AUDIT AND SELECTION OF THE OF INDEPENDENT ACCOUNTANT.