Civic Intelligence

Chblt Subsidiary Co

990 • Fiscal year 2015 • EIN 25-1640802

Jul 01, 2014 to Jun 30, 2015 • Filed on Mar 05, 2016

7 West State Street No 208Sharon, PA 16146

(724) 418-2640

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

18th percentile

0.00x

Higher debt load relative to assets than 18% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

83rd percentile

0.85x

Higher debt load relative to revenue than 83% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Net Margin

1st percentile

-4291%

Higher net margin than 1% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2015

Asset Growth

3rd percentile

-31%

Faster asset growth than 3% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

1st percentile

-100%

Faster revenue growth than 1% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Assets

Down

$1,534,407

Down $683,508 (-31%) from 2014

Net Assets

Down

$1,530,471

Down $199,698 (-12%) from 2014

Liabilities

Down

$3,936

Down $483,810 (-99%) from 2014

Revenue

Down

$4,654

Down $10,560,904 (-100%) from 2014

Expenses

Down

$204,352

Down $19,071,335 (-99%) from 2014

Net Income

Up

-$199,698

Up $8,510,431 (+98%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$100M$50M$0-$50M-$100MAssets 2010: $3,001,373Liabilities 2010: $36,996,541Net Assets 2010: -$33,995,1682010Assets 2011: $3,622,359Liabilities 2011: $47,213,900Net Assets 2011: -$43,591,5412011Assets 2012: $2,821,710Liabilities 2012: $57,805,775Net Assets 2012: -$54,984,0652012Assets 2014: $2,217,915Liabilities 2014: $487,746Net Assets 2014: $1,730,1692014Assets 2015: $1,534,407Liabilities 2015: $3,936Net Assets 2015: $1,530,4712015Assets 2016: $1,536,284Liabilities 2016: $3,936Net Assets 2016: $1,532,3482016

Highlighted filing

2015

Assets$1,534,407
Liabilities$3,936
Net Assets$1,530,471

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $22,419,7742010Expenses 2011: $24,609,9422011Expenses 2012: $25,526,6152012Revenue 2014: $10,565,558Expenses 2014: $19,275,687Net Income 2014: -$8,710,1292014Revenue 2015: $4,654Expenses 2015: $204,352Net Income 2015: -$199,6982015Revenue 2016: $3,618Expenses 2016: $1,741Net Income 2016: $1,8772016

Highlighted filing

2015

Revenue$4,654
Expenses$204,352
Net Income-$199,698
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Mar 5, 2016
Return Version
2014v6.0
Gross Receipts
$4,654
Mission and Program Overview

Mission

The mission of chblt subsidiary co., previously known as sharon regional physicians services, is to provide the highest quality, advanced healthcare services to all communities within our region.

The mission of the organization is to promote the health and well being of individuals in our community by providing advanced specialty care close to home.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$325,023$1,513,418▲ $1,188,395
Cash and Non-Interest-Bearing Accounts$965,707$20,989▼ $944,718
Total Assets$2,217,915$1,534,407▼ $683,508
Other Assets Total$927,185$0▼ $927,185
Liabilities
Other Liabilities$472,187$0▼ $472,187
Accounts Payable and Accrued Expenses$15,559$3,936▼ $11,623
Total Liabilities$487,746$3,936▼ $483,810
Net Assets / Fund Balance
Unrestricted Net Assets$1,730,169$1,530,471▼ $199,698
Total Net Assets Fund Balance$1,730,169$1,530,471▼ $199,698
Total Liabilities and Net Assets / Fund Balance$2,217,915$1,534,407▼ $683,508
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ronnie MignellaCardiologistFT$214,957$29,465$244,422
James RyanCardiologistFT$214,395$18,452$232,847
Jose MillanCardiologistFT$213,965$12,457$226,422
Brian ShannonOrthopedic SurgeonFT$149,611$3,806$153,417
Brandon MikolichCardiologistFT$147,248$4,514$151,762

Board Members and Trustees

NameTitle
Robert G LiptakChairman
John Janoso JrFormer President/CEO
Linde Finsrud WilsonFormer President/CEO
John DavidsonFormer Vice President
Matthew LiburdiFormer Vice President
Jeffrey a ChrobakFormer Vice President/CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$4,654
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-199,698
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$204,352
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 Other$371$8,071-$8,442
Other Expenses$750--$750
Occupancy$448--$448
Total Functional Expenses$196,281$8,071$0$204,352
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
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of the organization is christian h buhl legacy trust, previously known as sharon regional health services.

Form 990, Part VI, Section A, Line 7B

According to the organization's bylaws, the board must obtain the approval of christian h buhl legacy trust before any action on any of the following matters become 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 the 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 matters that by law would require the approval of members of a pennsylvania nonprofit corporation.

Form 990, Part VI, Section B, Line 11

The form 990 is submitted for internal review by the chairman as well as the board of directors of the christian h buhl legacy trust prior to filing.

Form 990, Part VI, Section B, Line 12C

Conflict of interest policy: the board of directors of chblt subsidiary co. Maintains a written policy defining conflict of interests of its directors and officers. All new directors and officers are oriented on 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 and consults with legal counsel. 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.

Form 990, Part VI, Section B, Line 15

The organization's ceo is compensated by christian h. Buhl legacy trust, a related organization. The compensation committee of the board of directors of christian h. Buhl legacy trust 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 positions at similar 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 other officers. The medical group management association (mgma) comparisons are used for benchmarking the physicians salaries.

Form 990, Part VI, Section C, Line 19

All documents of the organization are distributed upon request, as required by law.

Filing and Contact Details

Filer

Filer Name
Chblt Subsidiary Co
EIN
25-1640802
Phone
7244182640
Address
7 WEST STATE STREET NO 208, SHARON, PA 16146

Signing Officer

Name
Robert Liptak
Title
President
Phone
7244182640
Signed
2016-03-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert Liptak
Formed
1990
Legal Domicile
Pa
Voting Board Members
1
Independent Board Members
1
Employees
172
Volunteers
1

Preparer

Firm
Hill Barth & King LLC
Address
3110 HIGHLAND ROAD, HERMITAGE, PA 16148
Preparer
Dominic Mastropietro
Phone
7249817550
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