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CHBLT SUBSIDIARY CO: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CHBLT SUBSIDIARY CO (EIN 25-1640802)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-10
IRS object ID
201141309349300619
Schema version
2009v1.7
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)
Timestamp2011-05-10T09:21:08-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

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 Signed2011-05-02DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts12774403GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.sharonregional.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or 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 MORE INFORMATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees161TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8707517ProgramServiceRevenuePriorYear
Program Service Revenue CY12774403ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8707517TotalRevenuePriorYear
Total Revenue Current Year12774403TotalRevenueCurrentYear
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 Year3850118SalariesEtcPriorYear
Salaries Etc Current Year5030834SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10616132OtherExpensePriorYear
Other Expenses Current Year17388940OtherExpensesCurrentYear
Total Expenses Prior Year14466250TotalExpensesPriorYear
Total Expenses Current Year22419774TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5758733RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-9645371RevenuesLessExpensesCY
Total Assets BOY2786384TotalAssetsBOY
Total Assets EOY3001373TotalAssetsEOY
Total Liabilities BOY27136181TotalLiabilitiesBOY
Total Liabilities EOY36996541TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-24349797NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-33995168NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF SHARON REGIONAL PHYSICIAN SERVICES IS TO PROMOTE THE HEALTH AND WELL BEING OF PERSONS IN THE SHENANGO VALLEY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6726785Expense
Revenue3888145Revenue
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 12,240 PATIENTS DURING FISCAL YEAR 2010.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2003559Expense
Revenue762256Revenue
DescriptionPROVIDING PULMONOLOGY AND CRITICAL CARE COVERAGE TO THE INPATIENTS OF SHARON REGIONAL HEALTH SYSTEM IS OUR SECOND LARGEST PROGRAM SERVICE EXPENSE FOR 2010. TWO OF OUR CRITICAL CARE/PULMONOLOGY SPECIALISTS RESIGNED DURING THE YEAR AND RECRUITMENT EFFORTS WERE UNSUCCESSFUL, SO LOCUM TENEN COVERAGE WAS SECURED 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

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1995727Expense
Revenue1072965Revenue
DescriptionTHE EXPANSION OF OUR GENERAL SURGERY PROGRAM WAS THE THIRD LARGEST PROGRAM SERVICE EXPENSE FOR 2010. WITH THE RECRUITMENT OF A NEW SURGEON TRAINED IN STATE OF THE ART, MINIMALLY INVASIVE TECHNIQUES, WE CAN NOW OFFER PATIENTS SHORTER RECUPERATION TIMES AND LOWER RISKS OF INFECTION. WE ARE ALSO NOW ABLE TO OFFER BARIATRIC SURGERY TO THE PATIENTS OF THE SHENANGO VALLEY. OUR GENERAL SURGEONS CARED FOR 5,574 PATIENT DURING FISCAL YEAR 2010.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp11266435TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev7051037TotalOfOtherProgramServiceRev
Total Program Service Expense21992506TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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 MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees161NumberOfEmployees
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
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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 CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
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 Code16148ZIPCode

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
ROBERT JAZWINSKI CPA
CHAIRMAN THROUGH 01/201012.0XX000
WILLIAM PERRINE
CHAIRMAN BEG. 01/201012.0XX000
RON ANDERSON
DIRECTOR2.0X000
ROBERT G LIPTAK
DIRECTOR2.0X000
CHERYL ROSE
SECRETARY2.0XX000
SCOTT KALMANEK
TREASURER2.0XX000
JOHN A ZIDANSEK
PRESIDENT40.0X032629933347
MATTHEW LIBURDI
VICE PRESIDENT40.0X015871623672
JEFFREY A CHROBAK
VICE PRESIDENT/CFO40.0X016767525097
JOHN DAVIDSON
VP HUMAN RESOURCES40.0X014355424322
JAMES RYAN
CARDIOLOGIST40.0838204014716X
JOSE MILLAN
CARDIOLOGIST40.082259814716X
RONNIE MIGNELLA
CARDIOLOGIST40.0822598014716X
BRIAN SHANNON
ORTHOPEDIC SURGEON40.0608609016642X
DILIP PATEL
CARDIOLOGIST40.0519160020935X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3611169TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs796244TotalReportableCompFrmRltdOrgs
Total Other Compensation188163TotalOtherCompensation
Number Individuals GT100 K33NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
COMP HEALTH ASSOCIATES
LOCUM TENAN SERVICES914778
MEDSYS CONSULTING
BILLING SERVICES643965
NORTHWEST PHYSICIAN ASSOCIATES
ENDOCRINOLOGY209900
WEST PENN HOSPITAL
BREAST SURGEON156052
STAFF CARE INC
LOCUM TENAN SERVICES102435
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE6211101269958212699582
OTHER PROGRAM REVENUE6211107482174821
FieldValueIRS element (for citing)
Total Program Service Revenue12774403TotalProgramServiceRevenue

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 Column12774403TotalRevenueColumn
Related Or Exempt Function Income12774403RelatedOrExemptFunctionIncome

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)
Total3309463Total
Program Services3045487ProgramServices
Management And General263976ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1032633Total
Program Services1003301ProgramServices
Management And General29332ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total688738Total
Program Services669174ProgramServices
Management And General19564ManagementAndGeneral

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)
Total14622106Total
Program Services14559995ProgramServices
Management And General62111ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5874Total
Program Services5714ProgramServices
Management And General160ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total676272Total
Program Services659008ProgramServices
Management And General17264ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total694043Total
Program Services679144ProgramServices
Management And General14899ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4546Total
Program Services849ProgramServices
Management And General3697ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total75227Total
Program Services75227ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total282286Total
Program Services276368ProgramServices
Management And General5918ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total837102Total
Program Services837102ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DUES & SUBSCRIPTIONS61716589492767
LICENSES & TAXES2246622203263
MISCELLANEOUS107302999857317

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22419774Total
Program Services21992506ProgramServices
Management And General427268ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY316813BOY
EOY328747EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1126715BOY
EOY1148023EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY10938BOY
EOY19444EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY398944BOY
EOY305244EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY336978BOY
EOY513269EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1215814LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec540000LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY585807BOY
EOY675814EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10189BOY
EOY10832EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2786384BOY
EOY3001373EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY690556BOY
EOY943562EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY26445625BOY
EOY36052979EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY27136181BOY
EOY36996541EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-24349797BOY
EOY-33995168EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-24349797BOY
EOY-33995168EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2786384BOY
EOY3001373EOY
FieldValueIRS element (for citing)
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 Minus2 Years20445CurrentTaxYearMinus2Years
Total20445Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1766902CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2386899CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4713966CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8707517CurrentTaxYearMinus1Year
Current Tax Year12774403CurrentTaxYear
Total30349687Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1766902CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2386899CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4734411CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8707517CurrentTaxYearMinus1Year
Current Tax Year12774403CurrentTaxYear
Total30370132Total
FieldValueIRS element (for citing)
Public Support Total50930370132PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1766902CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2386899CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4734411CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8707517CurrentTaxYearMinus1Year
Current Tax Year12774403CurrentTaxYear
Total30370132Total
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 Basis82867OtherCostOrOtherBasis
Depreciation36806Depreciation
Book Value46061BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1132947OtherCostOrOtherBasis
Depreciation503194Depreciation
Book Value629753BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings675814TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO SHARON REG HEALTH SYSDescription
Amount$36,052,979Amount
FieldValueIRS element (for citing)
Total Of Amounts36052979TotalOfAmounts
Total Revenue12774403TotalRevenue
Total Expenses22419774TotalExpenses
Excess Or Deficit For Year-9645371ExcessOrDeficitForYear
Excess Or Deficit Per FS-9645371ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12774403TotRevenueEtcAuditedFinclStmt
Revenue Subtotal12774403RevenueSubtotal
Total Revenue Per Form99012774403TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt22419774TotExpensesEtcAuditedFinclStmt
Expenses Subtotal22419774ExpensesSubtotal
Total Expenses Per Form99022419774TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 DISCLOSUREIdentifier
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 (9 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 OrgsTotalCompensationRelatedOrgs
JOHN A ZIDANSEK
032452000017790149310184160359646
MATTHEW LIBURDI
01575620001154048430188290182388
JEFFREY A CHROBAK
01664400001235076340174630192772
JOHN DAVIDSON
01422690001285058800184420167876
JAMES RYAN
80000003820400147168529200
JOSE MILLAN
800000225980014716837314
RONNIE MIGNELLA
80000002259800147168373140
BRIAN SHANNON
57296500356440166426252510
DILIP PATEL
50266000165000209355400950

Form990 Schedule J Part III Form990ScheduleJPartIII (3 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 RETIRED PLANSCHEDULE J, FORM 990, PART I, LINE 4BSHARON REGIONAL HEALTH SYSTEMS, 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, MATTHEW LIBURDI, AND JOHN ZIDANSEK. NO PLAN PAYMENTS WERE MADE DURING THE FISCAL YEAR.
BONUSESSCHEDULE J, PART II, COLUMN BRYAN, MIGNELLA, AND MILLAN RECEIVED BONUSES BASED ON THE CARDIOLOGY GROUP RVU'S. IF THE ENTIRE GROUP (ALL 7 PHYSICIANS) REACHED CERTAIN RVU TOTALS, THE 3 ORIGINAL MEMBERS SHARED IN A BONUS.

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonBRIAN SHANNONNamePerson
Purpose Of LoanPHYSICIAN LOANPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$50,000OriginalPrincipalAmount
Balance Due19444BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due19444TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSION & MOST SIGNIFICANT ACTIVITYFORM 990, PART I, 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. 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 2010, SHARON REGIONAL PHYSICIAN SERVICES GRANTED $ 246,415 IN CHARITY CARE TO INDIGENT PATIENTS.
OTHER PROGRAM SERVICESFORM 990, PART III, LINE 4DIN ADDITION TO THE THREE LARGEST PROGRAM SERVICES, THE ORGANIZATION PROVIDES OB/GYN, BREAST SURGERY, OTOLARYNGOLOGY/ALLERGY, ENDOCRINOLOGY, PRIMARY CARE, INTERNAL MEDICINE, ORTHOPAEDICS, GASTROENTEROLOGY, PAIN MANAGEMENT, AND CARDIOTHORACIC SURGERY SERVICES. DURING FISCAL YEAR 2010, A TOTAL OF 53,388 OUTPATIENTS RECEIVED PATIENT CARE.
MEMBERS, STOCKHOLDERS, OR OTHER PERSONSFORM 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 11ATHE 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, SECTION B, 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 REVIEWFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE 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

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 Line125-1678608 SHARON PA 16146AddressLine1
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
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 OrgstrueRentalOfFacilitiesToOtherOrgs
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 OrgfalseOtherTransferFromOtherOrg