Civic Intelligence

Pickaway Health Services

990 • Fiscal year 2013 • EIN 31-1438107

Jan 01, 2013 to Dec 31, 2013 • Filed on Oct 09, 2014

600 N Pickaway Street43113

(740) 420-8002

Siviq Scores

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

Liabilities / Assets

85th percentile

0.77x

Higher debt load relative to assets than 85% of similar nonprofits.

2013 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2013

Liabilities / Revenue

30th percentile

0.11x

Higher debt load relative to revenue than 30% of similar nonprofits.

2013 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2013

Net Margin

30th percentile

-1.2%

Higher net margin than 30% of similar nonprofits.

2013 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2013

Top Officer Pay

89th percentile

$475,780

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 4.3% of source-year revenue.

2013 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2013

Asset Growth

54th percentile

4.6%

Faster asset growth than 54% of similar nonprofits.

2013 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Up

$1,550,251

Up $6,788 (+0.4%) from 2011

Net Assets

Down

$350,821

Down $347,811 (-50%) from 2011

Liabilities

Up

$1,199,430

Up $354,599 (+42%) from 2011

Revenue

$11,180,232

No earlier filing loaded for comparison.

Expenses

Up

$11,316,707

Up $582,492 (+5.4%) from 2011

Net Income

-$136,475

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$2.0M$1.5M$1.0M$500K$0Assets 2010: $1,562,109Liabilities 2010: $784,684Net Assets 2010: $777,4252010Assets 2011: $1,543,463Liabilities 2011: $844,831Net Assets 2011: $698,6322011Assets 2013: $1,550,251Liabilities 2013: $1,199,430Net Assets 2013: $350,8212013Assets 2014: $1,174,182Liabilities 2014: $727,068Net Assets 2014: $447,1142014Assets 2016: $1,166,423Liabilities 2016: $1,016,611Net Assets 2016: $149,8122016Assets 2017: $1,347,777Liabilities 2017: $957,420Net Assets 2017: $390,3572017Assets 2018: $1,540,896Liabilities 2018: $893,194Net Assets 2018: $647,7022018

Highlighted filing

2013

Assets$1,550,251
Liabilities$1,199,430
Net Assets$350,821

Operations Trend

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

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $9,985,6902010Expenses 2011: $10,734,2152011Revenue 2013: $11,180,232Expenses 2013: $11,316,707Net Income 2013: -$136,4752013Revenue 2014: $11,484,175Expenses 2014: $11,387,882Net Income 2014: $96,2932014Revenue 2016: $14,150,490Expenses 2016: $14,281,162Net Income 2016: -$130,6722016Revenue 2017: $15,018,128Expenses 2017: $14,777,583Net Income 2017: $240,5452017Revenue 2018: $15,073,358Expenses 2018: $14,816,013Net Income 2018: $257,3452018

Highlighted filing

2013

Revenue$11,180,232
Expenses$11,316,707
Net Income-$136,475
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Oct 9, 2014
Return Version
2013v3.0
Gross Receipts
$11,180,232
Mission and Program Overview

Mission

To attract and retain qualified healthcare professionals to meet the expanding healthcare need of pickaway county in a manner that is compassionate, exceeds patient service expectations, and results in a financially self-sustaining organization.

To attract and retain qualified healthcare professionals to meet the expanding healthcare needs of pickaway county in a manner that is compassionate, exceeds patient service expectations and results in a financially self-sustaining organization.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$509,565$549,533▲ $39,968
Land, Buildings, and Equipment, Net$580,904$454,271▼ $126,633
Prepaid Expenses and Deferred Charges$8,304$311,022▲ $302,718
Investments Other Securities$211,904$211,763▼ $141
Cash and Non-Interest-Bearing Accounts$171,578$23,662▼ $147,916
Total Assets$1,482,255$1,550,251▲ $67,996
Liabilities
Accounts Payable and Accrued Expenses$994,818$1,199,430▲ $204,612
Total Liabilities$994,818$1,199,430▲ $204,612
Net Assets / Fund Balance
Unrestricted Net Assets$487,437$350,821▼ $136,616
Total Net Assets Fund Balance$487,437$350,821▼ $136,616
Total Liabilities and Net Assets / Fund Balance$1,482,255$1,550,251▲ $67,996

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$454,271$842,714$1,296,985
Leasehold Improvements$0$27,716$27,716
Buildings$0$1,597$1,597
Other Securities$211,763--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
David Goldfarb MdPhysicianFT$445,238$30,542$475,780
Faryar Moshtaghi MdPhysicianFT$414,201$15,520$429,721
Yadwinder Singh MdPhysicianFT$321,671$36,716$358,387
Farooq Sattar MdPhysician/directorFT$313,652$35,716$349,368
Joy Leverich MdPhysicianFT$315,823$30,391$346,214
Kevin Sellers MdPhysicianFT$266,666$24,216$290,882
James Mosley MdPhysician/directorFT$180,247$32,161$212,408
Thomas SchererVP FinancePT-$130,879$130,879
Sally GaleckiExecutive DirectorFT$93,613$24,891$118,504

Board Members and Trustees

NameTitle
Tim ColburnPresident/CEO - Bhs
Andrew BinegarDirector
Christy AlonzoDirector
Jeremy NeffDirector
Larry ScheiberDirector
Madeline SandersDirector
Matt TootleDirector
Franklin ChristmanVillage of Ashville - Admi

Highest Paid Contractors

ContractorServicesLocationCompensation
Dell Perotadvanced ReceivablesBilling Services-$646,130
Ohio Healthwork HealthOcc Health Contractor-$218,211
James Cancer CenterOncology Services-$195,179
Deborah HarrisSurgery Coverage-$155,722
Revenue and Support

Revenue Composition

Contributions and Grants
$4,326,500
Program Service Revenue
$6,617,913
Investment Income
$0
Other Revenue
$235,819
Change in Net Assets
$-136,475
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,268,307
Other Expenses$4,048,400
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,344,884$341,162-$5,686,046
Fees for Services Other$1,452,857$5,892-$1,458,749
Office Expenses$870,504$130,074-$1,000,578
Current Officers, Directors, Trustees, and Key Employees$524,773$111,357-$636,130
Other Employee Benefits$405,934$71,635-$477,569
Other Expenses$388,483--$388,483
Payroll Taxes$336,600$29,269-$365,869
Insurance$265,706$13,984-$279,690
Depreciation Depletion$122,377$21,596-$143,973
Pension Plan Contributions$71,886$30,807-$102,693
Conferences and Meetings$39,859$6,489-$46,348
Fees for Services Accounting-$41,712-$41,712
Occupancy$13,114$1,457-$14,571
Travel$2,176$3,404-$5,580
Total Functional Expenses$10,507,869$808,838$0$11,316,707
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
No
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Pickaway health services is organized as a component unit of berger health system. Pickaway health services operates independently of the hospital.

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

Pickaway health services board of directors are approved by the board of directors of berger hospital. The only related entity member of the board is the berger health system president/ceo who serves as the secretary.

Form 990, Part VI, Section B, Line 11

The 2013 form 990 is reviewed for completeness and accuracy by both the executive director and cfo. The form 990 is provided to and reviewed by the board prior to filing the return with the irs.

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

The organization regularly and consistently monitors and enforces compliance with their conflict of interest policy by distributing annual questionnaires to the board members, directors, and officers. New board members complete a conflict of interest questionnaire annually. The questionnaires must be signed and returned to pickaway health services to be filed for further review by the president/ceo of berger health system and corporate compliance officer. At any time that an actual, apparent, or a potential conflict of interest is identified to the respective boards, whether through the voluntary submission of a conflicts of interest statement by a board member, or by a disclosure by a person other than the board member, the board shall review the matter to determine whether a conflict of interest exists. The conflicted board member shall not be present during any meeting in which the board conducts its evaluation, except to answer questions as may be necessary. Once all necessary information has been obtained, board members shall make a finding as to whether a conflict of interest indeed exists, and shall forward that finding to the respective boards for discussion and vote. The conflicted board member may not be present and must abstain from voting when this vote is taken.

Form 990, Part VI, Section B, Line 15

The organization's compensation for the executive director and other officers is determined based on the results of an independent compensation consultant and use of salary surveys. The executive director's compensation is reviewed and approved by the compensation committee. Documentation and recordkeeping with respect to deliberation and discussions is kept contemporaneously in the contracts for the officers and in the minutes of the board meetings. This process was last completed in 2013.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request and through the organization's website.

Filing and Contact Details

Filer

EIN
31-1438107
Phone
7404208002

Signing Officer

Name
Richard Filler
Title
CFO
Phone
7404208002
Signed
2014-10-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sally Galecki
Formed
1995
Legal Domicile
Oh
Voting Board Members
10
Independent Board Members
7
Employees
92
Volunteers
7

Preparer

Preparer
Bernie Ostrowski
Phone
6148493000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Contracted medical services: program service expenses 1,452,857. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,452,857. Contracted admin services: program service expenses 0. Management and general expenses 5,892. Fundraising expenses 0. Total expenses 5,892.

FORM 990, PART XII, LINE 2C:

Berger health system assumes responsibility for the oversight of the audit and the selection of the independent accountant. This process has not changed from the prior year.

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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/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3PHYSICIAN/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4VILLAGE OF ASHVILLE - ADMI
IRS990/Form990PartVIISectionAGrp/TitleTxt5PHYSICIAN/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7PRESIDENT/CEO - BHS
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10EXECUTIVE DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11VP FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt12PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt13PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt14PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt15PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt16PHYSICIAN
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IRS990/InsuranceGrp/TotalAmt0279690
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IRS990/MissionDesc0TO ATTRACT AND RETAIN QUALIFIED HEALTHCARE PROFESSIONALS TO MEET THE EXPANDING HEALTHCARE NEEDS OF PICKAWAY COUNTY IN A MANNER THAT IS COMPASSIONATE, EXCEEDS PATIENT SERVICE EXPECTATIONS AND RESULTS IN A FINANCIALLY SELF-SUSTAINING ORGANIZATION. ALSO, TO BE THE PREMIER GROUP OF HEALTHCARE PROFESSIONALS OF CHOICE WITHIN PICKAWAY AND SURROUNDING COUNTIES.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/NetAssetsOrFundBalancesEOYAmt0350821
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-141
IRS990/NondeductibleContributionsInd00
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IRS990/OccupancyGrp/ProgramServicesAmt013114
IRS990/OccupancyGrp/TotalAmt014571
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0130074
IRS990/OfficeExpensesGrp/ProgramServicesAmt0870504
IRS990/OfficeExpensesGrp/TotalAmt01000578
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IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
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IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0405934
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0477569
IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc1BAD DEBT EXPENSE
IRS990/OtherExpensesGrp/ProgramServicesAmt0668716
IRS990/OtherExpensesGrp/ProgramServicesAmt1388483
IRS990/OtherExpensesGrp/TotalAmt0668716
IRS990/OtherExpensesGrp/TotalAmt1388483
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IRS990/OtherRevenueMiscGrp/Desc1PURCHASE DISCOUNTS
IRS990/OtherRevenueMiscGrp/Desc2BILLING SERVICE
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IRS990/ProgramServiceRevenueGrp/Desc0PHYSICIAN SERVICES
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IRS990/ProgSrvcAccomActy2Grp/Desc0THE OB/GYN PRACTICE OFFERS A FULL RANGE OF SERVICES CONSISTENT WITH THE CHARITABLE PURPOSE OF A 501(C)(3) ENTITY.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt02185262
IRS990/ProgSrvcAccomActy2Grp/GrantAmt00
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IRS990/ProgSrvcAccomActy3Grp/Desc0INTERNAL MEDICINE OFFERS A FULL RANGE OF SERVICES CONSISTENT WITH THE CHARITABLE PURPOSE OF A 501(C)(3) ENTITY.
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IRS990/ProgSrvcAccomActy3Grp/RevenueAmt01571129
IRS990/ProgSrvcAccomActyOtherGrp/Desc0OTHER PROGRAM SERVICES INCLUDE GASTROENTEROLOGY, PULMONOLOGY, ONCOLOGY, OCCUPATIONAL HEALTH, PEDIATRICS, SURGERY AND THE NP'S. THESE SPECIALTY PRACTICES OFFER A FULL RANGE OF SERVICES WITHIN THEIR AREA OF SPECIALTY CONSISTENT WITH THE CHARITABLE PURPOSE OF A 501(C)(3) ENTITY.
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IRS990/PYOtherRevenueAmt0480582
IRS990/PYProgramServiceRevenueAmt06594060
IRS990/PYRevenuesLessExpensesAmt0-217901
IRS990/PYSalariesCompEmpBnftPaidAmt07358202
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IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt010979561
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-136475
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/RelatedOrganizationsAmt04326500
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt02019958
IRS990ScheduleA/CertificationInd0X
IRS990ScheduleA/Contribution35ControlledInd00
IRS990ScheduleA/ContributionControllerInd00
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IRS990ScheduleA/Form990ScheduleAPartIVGrp/ExplanationTxt0SUPPORT TO BERGER HEALTH SYSTEM IS PROVIDED BY CONDUCTING STRATEGIC HEALTHCARE PLANNING AND OTHERWISE OPERATING EXCLUSIVELY FOR THE BENEFIT AND SUPPORT OF BERGER HOSPITAL.
IRS990ScheduleA/Form990ScheduleAPartIVGrp/FormAndLineReferenceDesc0PART 1, NONMONETARY SUPPORT:
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IRS990ScheduleA/SupportedOrgInformationGrp/EIN0316400103
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IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc06

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