Civic Intelligence

Pennsylvania Ambulatory Surgery

EIN 25-1629314 • 501(c)6 • Harrisburg, PA

Profile

To promote and advance the efforts of free-standing ambulatory surgery centers in delivering cost effective quality care to the residents of pennsylvania.

PO Box 57Harrisburg, PA 17108-0057

www.pasa-asf.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

52nd percentile

0.06x

Higher debt load relative to assets than 52% of similar nonprofits.

501(c)6 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

77th percentile

0.26x

Higher debt load relative to revenue than 77% of similar nonprofits.

501(c)6 • $500k-$1M nonprofits • Source year 2024

Net Margin

56th percentile

5.6%

Higher net margin than 56% of similar nonprofits.

501(c)6 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

72nd percentile

$0

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)6 • $500k-$1M nonprofits • Source year 2020

Asset Growth

66th percentile

9.6%

Faster asset growth than 66% of similar nonprofits.

501(c)6 • $500k-$1M nonprofits • Annualized from 2022 to 2024

Revenue Growth

12th percentile

-13%

Faster revenue growth than 12% of similar nonprofits.

501(c)6 • $500k-$1M nonprofits • Annualized from 2022 to 2024

Assets

Up

$618,975

Up $26,274 (+4.4%) from 2023

Liabilities

Up

$34,450

Up $5,200 (+18%) from 2023

Net Assets

Up

$584,525

Up $21,074 (+3.7%) from 2023

Revenue

Down

$134,894

Down $43,253 (-24%) from 2023

Expenses

Down

$127,337

Down $9,965 (-7.3%) from 2023

Net Income

Down

$7,557

Down $33,288 (-81%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$800K$600K$400K$200K$0Assets 2013: $306,615Liabilities 2013: $57,674Net Assets 2013: $248,9412013Assets 2014: $341,033Liabilities 2014: $52,718Net Assets 2014: $288,3152014Assets 2015: $369,265Liabilities 2015: $40,306Net Assets 2015: $328,9592015Assets 2016: $389,214Liabilities 2016: $47,885Net Assets 2016: $341,3292016Assets 2017: $363,191Liabilities 2017: $13,071Net Assets 2017: $350,1202017Assets 2018: $407,015Liabilities 2018: $38,220Net Assets 2018: $368,7952018Assets 2019: $453,917Liabilities 2019: $31,392Net Assets 2019: $422,5252019Assets 2020: $447,871Liabilities 2020: $5,147Net Assets 2020: $442,7242020Assets 2021: $510,774Liabilities 2021: $4,550Net Assets 2021: $506,2242021Assets 2022: $515,119Liabilities 2022: $1,950Net Assets 2022: $513,1692022Assets 2023: $592,701Liabilities 2023: $29,250Net Assets 2023: $563,4512023Assets 2024: $618,975Liabilities 2024: $34,450Net Assets 2024: $584,5252024

Highlighted filing

2024

Assets$618,975
Liabilities$34,450
Net Assets$584,525

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200K$150K$100K$50K$0Revenue 2013: $125,798Expenses 2013: $93,997Net Income 2013: $31,8012013Revenue 2014: $133,901Expenses 2014: $94,527Net Income 2014: $39,3742014Revenue 2015: $132,281Expenses 2015: $91,637Net Income 2015: $40,6442015Revenue 2016: $116,377Expenses 2016: $104,007Net Income 2016: $12,3702016Revenue 2017: $122,059Expenses 2017: $113,268Net Income 2017: $8,7912017Revenue 2018: $137,130Expenses 2018: $109,114Net Income 2018: $28,0162018Revenue 2019: $163,375Expenses 2019: $121,648Net Income 2019: $41,7272019Revenue 2020: $114,415Expenses 2020: $108,425Net Income 2020: $5,9902020Revenue 2021: $177,396Expenses 2021: $105,273Net Income 2021: $72,1232021Revenue 2022: $178,175Expenses 2022: $132,158Net Income 2022: $46,0172022Revenue 2023: $178,147Expenses 2023: $137,302Net Income 2023: $40,8452023Revenue 2024: $134,894Expenses 2024: $127,337Net Income 2024: $7,5572024

Highlighted filing

2024

Revenue$134,894
Expenses$127,337
Net Income$7,557

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.0
Gross Receipts
$290,681
Mission and Program Overview

Mission

To promote and advance the efforts of free-standing ambulatory surgery centers in delivering cost effective, quality care to the residents of pennsylvania.

To promote and advance the efforts of free-standing ambulatory surgery centers in delivering cost effective quality care to the residents of pennsylvania.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$278,824$287,743▲ $8,919
Savings and Temporary Cash Investments$218,179$233,537▲ $15,358
Cash and Non-Interest-Bearing Accounts$94,186$97,695▲ $3,509
Prepaid Expenses and Deferred Charges$1,512--
Total Assets$592,701$618,975▲ $26,274
Liabilities
Deferred Revenue$29,250$34,450▲ $5,200
Total Liabilities$29,250$34,450▲ $5,200
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$563,451$584,525▲ $21,074
Total Net Assets Fund Balance$563,451$584,525▲ $21,074
Total Liabilities and Net Assets / Fund Balance$592,701$618,975▲ $26,274
Compensation and Service Providers

Board Members and Trustees

NameTitle
Connie HaasPresident
Helen DicksonPresident El
Patrick GarmanDirector
Tess StevensonExecutive Di
John GleasonSecretary
Ashley VerbitskyTreasurer
Susan ColliniVice Preside

Highest Paid Contractors

ContractorServicesLocationCompensation
Milliron Goodman LLCMngt, Lobbying200 NORTH THIRD STREET SUITE 1500, Harrisburg, PA 17101$101,811
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$122,719
Investment Income
$12,175
Other Revenue
$0
Change in Net Assets
$7,557
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$127,337
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Lobbying---$60,573
Fees for Services Management---$39,476
Conferences and Meetings---$17,190
Insurance---$1,605
Information Technology---$1,591
Fees for Services Accounting---$1,545
Fees for Service Investment Mgmnt Fees---$1,415
Office Expenses---$512
Other Expenses---$100
Total Functional Expenses$0$0$0$127,337
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
In-house lobbying only
No
Subject to proxy tax
Yes

Reported Spending and Taxes

Line ItemAmount
Current Year Nondeductible Lobbying and Political Cost$17,490
Total Nondeductible Lobbying and Political Cost$12,206
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

The association has a management service agreement with milliron goodman, llc, in which milliron goodman provides administrative services to the association, which includes membership/administration coordination, board and committee support, marketing and communications, meeting coordination technology management, and financial management. In return for these services, the association pays milliron goodman a monthly base fee.

Form 990, Page 6, Part VI, Line 6

Pasa is a member driven organization. To qualify for facility membership, the facility must be a licensed ambulatory surgical center located in the commonwealth of pennsylvania who are paid by medicare using the asc fee schedule and not paid using the hospital outpatient rates. An individual membership is available for persons who work in or are interested in the ambulatory surgery arena and are not eligible for an active facility membership.

Form 990, Page 6, Part VI, Line 7A

Members appoint the members of the governing body.

Form 990, Page 6, Part VI, Line 7B

Certain items for discussion require the entire memberships vote for approval.

Form 990, Page 6, Part VI, Line 11B

The management of the association reviews the form 990 and then distributes the form 990 to the entire board to review prior to filing.

Form 990, Page 6, Part VI, Line 12C

A conflict of interest statement is completed annually by officers and directors. The president and executive director monitor the policy. Family and business relationships are expressly mentioned in the policy. Board members and other interested persons shall disclose all facts material to the conflict. Any such person will not participate in or be present to hear discussions on the conflict except to disclose material facts and respond to questions. The person will not vote on any questions regarding the conflict.

Form 990, Page 6, Part VI, Line 19

The association makes its governing documents, conflict of interest policies, and financial statements available to public inspection upon request.

Filing and Contact Details

Filer

Filer Name
Pennsylvania Ambulatory Surgery
EIN
25-1629314
Phone
7173453326
Address
PO BOX 57, HARRISBURG, PA 17108-0057

Signing Officer

Name
Helen Dickson
Title
President
Phone
7173453326
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Helen Dickson
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
6

Preparer

Firm
Brown Plus
Address
195 STOCK STREET STE 311, HANOVER, PA 17331
Preparer
Ashley Hershey CPA
Phone
7176377300
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1PRESIDENT EL
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
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IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
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IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt0THE ASSOCIATION TAKES A PROACTIVE APPROACH TO LEGISLATIVE ISSUES AFFECTING THE PRACTICE IN WHICH THEIR MEMBERS PARTICIPATE.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ASSOCIATION HAS A MANAGEMENT SERVICE AGREEMENT WITH MILLIRON GOODMAN, LLC, IN WHICH MILLIRON GOODMAN PROVIDES ADMINISTRATIVE SERVICES TO THE ASSOCIATION, WHICH INCLUDES MEMBERSHIP/ADMINISTRATION COORDINATION, BOARD AND COMMITTEE SUPPORT, MARKETING AND COMMUNICATIONS, MEETING COORDINATION TECHNOLOGY MANAGEMENT, AND FINANCIAL MANAGEMENT. IN RETURN FOR THESE SERVICES, THE ASSOCIATION PAYS MILLIRON GOODMAN A MONTHLY BASE FEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PASA IS A MEMBER DRIVEN ORGANIZATION. TO QUALIFY FOR FACILITY MEMBERSHIP, THE FACILITY MUST BE A LICENSED AMBULATORY SURGICAL CENTER LOCATED IN THE COMMONWEALTH OF PENNSYLVANIA WHO ARE PAID BY MEDICARE USING THE ASC FEE SCHEDULE AND NOT PAID USING THE HOSPITAL OUTPATIENT RATES. AN INDIVIDUAL MEMBERSHIP IS AVAILABLE FOR PERSONS WHO WORK IN OR ARE INTERESTED IN THE AMBULATORY SURGERY ARENA AND ARE NOT ELIGIBLE FOR AN ACTIVE FACILITY MEMBERSHIP.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2MEMBERS APPOINT THE MEMBERS OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CERTAIN ITEMS FOR DISCUSSION REQUIRE THE ENTIRE MEMBERSHIPS VOTE FOR APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE MANAGEMENT OF THE ASSOCIATION REVIEWS THE FORM 990 AND THEN DISTRIBUTES THE FORM 990 TO THE ENTIRE BOARD TO REVIEW PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5A CONFLICT OF INTEREST STATEMENT IS COMPLETED ANNUALLY BY OFFICERS AND DIRECTORS. THE PRESIDENT AND EXECUTIVE DIRECTOR MONITOR THE POLICY. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE POLICY. BOARD MEMBERS AND OTHER INTERESTED PERSONS SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT. ANY SUCH PERSON WILL NOT PARTICIPATE IN OR BE PRESENT TO HEAR DISCUSSIONS ON THE CONFLICT EXCEPT TO DISCLOSE MATERIAL FACTS AND RESPOND TO QUESTIONS. THE PERSON WILL NOT VOTE ON ANY QUESTIONS REGARDING THE CONFLICT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ASSOCIATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO PUBLIC INSPECTION UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0true
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0592701
IRS990/TotalAssetsEOYAmt0618975
IRS990/TotalAssetsGrp/BOYAmt0592701
IRS990/TotalAssetsGrp/EOYAmt0618975
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt0127337
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt029250
IRS990/TotalLiabilitiesEOYAmt034450
IRS990/TotalLiabilitiesGrp/BOYAmt029250
IRS990/TotalLiabilitiesGrp/EOYAmt034450
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0563451
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0584525
IRS990/TotalProgramServiceRevenueAmt0122719
IRS990/TotalRevenueGrp/ExclusionAmt012175
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0122719
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0134894
IRS990/TotalVolunteersCnt06
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0592701
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0618975
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 57
IRS990/USAddress/CityNm0HARRISBURG
IRS990/USAddress/StateAbbreviationCd0PA
IRS990/USAddress/ZIPCd0171080057
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0WWW.PASA-ASF.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0HELEN DICKSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum07173453326
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PENNSYLVANIA AMBULATORY SURGERY
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0ASSOCIATION
ReturnHeader/Filer/BusinessNameControlTxt0PENN
ReturnHeader/Filer/EIN0251629314
ReturnHeader/Filer/PhoneNum07173453326
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 57
ReturnHeader/Filer/USAddress/CityNm0HARRISBURG
ReturnHeader/Filer/USAddress/StateAbbreviationCd0PA
ReturnHeader/Filer/USAddress/ZIPCd0171080057
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0251644159
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BROWN PLUS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0195 STOCK STREET STE 311
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0HANOVER
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd017331
ReturnHeader/PreparerPersonGrp/PhoneNum07176377300
ReturnHeader/PreparerPersonGrp/PreparationDt02025-11-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ASHLEY HERSHEY CPA
ReturnHeader/ReturnTs02025-11-17T12:52:17-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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