Civic Intelligence

St. Clair Washington Physician Services

990 • Fiscal year 2016 • EIN 45-4663050

Jul 01, 2015 to Jun 30, 2016 • Filed on May 15, 2017

1000 Bower Hill RoadPittsburgh, PA 15243

(412) 942-1250

Siviq Scores

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

Liabilities / Assets

87th percentile

0.77x

Higher debt load relative to assets than 87% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

72nd percentile

0.35x

Higher debt load relative to revenue than 72% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

5th percentile

-66%

Higher net margin than 5% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

35th percentile

$0

Higher top officer pay than 35% of similar nonprofits.

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

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

25th percentile

-4.0%

Faster asset growth than 25% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

45th percentile

1.2%

Faster revenue growth than 45% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Assets

Down

$705,611

Down $29,205 (-4.0%) from 2015

Net Assets

Down

$160,051

Down $123,290 (-44%) from 2015

Liabilities

Up

$545,560

Up $94,085 (+21%) from 2015

Revenue

Up

$1,545,310

Up $17,856 (+1.2%) from 2015

Expenses

Up

$2,566,185

Up $213,815 (+9.1%) from 2015

Net Income

Down

-$1,020,875

Down $195,959 (-24%) from 2015

Historical Trend

Balance Sheet Trend

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

$1.0M$500K$0-$500KAssets 2012: $261,496Liabilities 2012: $0Net Assets 2012: $261,4962012Assets 2013: $367,488Liabilities 2013: $152,497Net Assets 2013: $214,9912013Assets 2014: $378,230Liabilities 2014: $173,979Net Assets 2014: $204,2512014Assets 2015: $734,816Liabilities 2015: $451,475Net Assets 2015: $283,3412015Assets 2016: $705,611Liabilities 2016: $545,560Net Assets 2016: $160,0512016Assets 2017: $788,970Liabilities 2017: $735,255Net Assets 2017: $53,7152017Assets 2018: $473,793Liabilities 2018: $435,475Net Assets 2018: $38,3182018Assets 2019: $470,539Liabilities 2019: $514,203Net Assets 2019: -$43,6642019Assets 2021: $139,862Liabilities 2021: $532,501Net Assets 2021: -$392,6392021Assets 2022: $3,575Liabilities 2022: $388,835Net Assets 2022: -$385,2602022Assets 2023: $0Liabilities 2023: $390,034Net Assets 2023: -$390,0342023Assets 2024: $240Liabilities 2024: $394,785Net Assets 2024: -$394,5452024

Highlighted filing

2016

Assets$705,611
Liabilities$545,560
Net Assets$160,051

Operations Trend

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

$4.0M$2.0M$0-$2.0MRevenue 2012: $510,255Expenses 2012: $628,623Net Income 2012: -$118,3682012Revenue 2013: $1,408,747Expenses 2013: $1,807,388Net Income 2013: -$398,6412013Revenue 2014: $1,326,973Expenses 2014: $2,026,240Net Income 2014: -$699,2672014Revenue 2015: $1,527,454Expenses 2015: $2,352,370Net Income 2015: -$824,9162015Revenue 2016: $1,545,310Expenses 2016: $2,566,185Net Income 2016: -$1,020,8752016Revenue 2017: $1,618,666Expenses 2017: $2,735,012Net Income 2017: -$1,116,3462017Revenue 2018: $1,463,194Expenses 2018: $2,740,483Net Income 2018: -$1,277,2892018Revenue 2019: $1,420,670Expenses 2019: $2,792,531Net Income 2019: -$1,371,8612019Revenue 2021: $187,685Expenses 2021: $282,587Net Income 2021: -$94,9022021Revenue 2022: $12,234Expenses 2022: $4,855Net Income 2022: $7,3792022Revenue 2023: $212Expenses 2023: $4,986Net Income 2023: -$4,7742023Revenue 2024: $67Expenses 2024: $4,578Net Income 2024: -$4,5112024

Highlighted filing

2016

Revenue$1,545,310
Expenses$2,566,185
Net Income-$1,020,875
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 15, 2017
Return Version
2015v3.0
Gross Receipts
$1,545,310
Mission and Program Overview

Mission

Our mission is to enhance the quality and availability of specialty physician services for members of the st. Clair hospital and the washington hospital communities.

To enhance the quality and availability of specialty physician services for members of the st. Clair hospital and the washington hospital communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$479,465$409,504▼ $69,961
Cash and Non-Interest-Bearing Accounts$56,928$131,256▲ $74,328
Accounts Receivable$126,096$102,364▼ $23,732
Prepaid Expenses and Deferred Charges$72,327$62,487▼ $9,840
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Total Assets$734,816$705,611▼ $29,205
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$338,789$297,724▼ $41,065
Accounts Payable and Accrued Expenses$112,686$247,836▲ $135,150
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$451,475$545,560▲ $94,085
Net Assets / Fund Balance
Unrestricted Net Assets$283,341$160,051▼ $123,290
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$283,341$160,051▼ $123,290
Total Liabilities and Net Assets / Fund Balance$734,816$705,611▼ $29,205

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$297,724$71,864$369,588
Equipment$111,780$78,131$189,911
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Chairperson
-President
-Director
-Secretary
-Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,545,310
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-1,020,875
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,867,700
Other Expenses$698,485
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,572,114$0$0$1,572,114
Occupancy$199,923$0$0$199,923
Fees for Services Other$145,943$0$0$145,943
Other Employee Benefits$125,813$0$0$125,813
Pension Plan Contributions$88,129$0$0$88,129
Insurance$86,352$0$0$86,352
Payroll Taxes$81,644$0$0$81,644
Depreciation Depletion$74,171$0$0$74,171
Office Expenses$41,634$0$0$41,634
Fees for Services Accounting$31,968$0$0$31,968
All Other Expenses$16,429$0$0$16,429
Other Expenses$11,383$0$0$11,383
Travel$9,205$0$0$9,205
Interest$2,311$0$0$2,311
Total Functional Expenses$2,566,185$0$0$2,566,185
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Rent$297,724
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
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
No

Governance Explanations

Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS AND KEY EMPLOYEES

Lines 15a and 15b officers and directors are not compensated and the organization did not have any compensated key employees.

Form 990, Part VI, Line 2 FAMILY OR BUSINESS RELATIONSHIP

The organization does not compensate or select board members. The organization has a conflict of interest policy and queries board members and officers each year about any business or family relationships. There have been no business or family relationships reported.

Form 990, Part VI, Line 6 Classes of members or stockholders

The organization has two members, st. Clair medical services, inc. And the washington hospital. Both of these members are exempt organizations under section 501(c)(3) of the internal revenue code and are pennsylvania nonprofit corporations. Each member has the power to appoint or elect an equal number of directors. The members have the power to make most business decisions.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The organization has two members, st. Clair medical services, inc. And the washington hospital. Both of these members are exempt organizations under section 501(c)(3) of the internal revenue code and are pennsylvania nonprofit corporations. Each member has the power to appoint or elect an equal number of directors. The members have the power to make most business decisions.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

The organization has two members, st. Clair medical services, inc. And the washington hospital. Both of these members are exempt organizations under section 501(c)(3) of the internal revenue code and are pennsylvania nonprofit corporations. Each member has the power to appoint or elect an equal number of directors. The members have the power to make most business decisions.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The 990 is prepared by the finance department of one of the member organizations. The form is then reviewed by an independent accounting firm. Prior to being filed, a full copy of the form 990 is provided to all members of the board of directors.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization's conflict of interest policy is monitored by the board of directors. Each year a conflict of interest statement must be completed by all current and former board members and officers. The questionnaire is distributed by the board and all responses must be received. Any exceptions or potential conflicts are reviewed by the board chairman. Any necessary action is determined by the chairman and addressed at the board level. Great care is taken by the board chairman to ensure that an independent board is in place. In the event that a conflict exists, that person is prohibited from voting on matters related to that issue.

Form 990, Part VI, Line 19 Required documents available to the public

The organization makes form 990 available to the public by request. The governing documents, conflict of interest policy and financial statements are not routinely available to the public.

Filing and Contact Details

Filer

Filer Name
St ClairWashington Physician Services
EIN
45-4663050
Phone
4129421250
Address
1000 Bower Hill Road, Pittsburgh, PA 15243

Signing Officer

Name
Alisa R Rucker
Title
Treasurer
Signed
2017-05-15
Discuss with paid preparer
No

Organization Details

Formed
2012
Legal Domicile
Pa
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
0

Preparer

Firm
Ernst & Young US LLP
Address
2100 One PPG Place, Pittsburgh, PA 15222
Preparer
James L Ziesche
Phone
4126447800
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 2A NUMBER OF EMPLOYEES

No employees are reported on this line because all employees are leased from one of our member organizations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Additional paid in capital - 897585;

Schedule A, Part I, Line 3 Reason for Public Charity Status

St. Clair / washington physician services' primary purpose is to provide medical care as described in section 170(b)(1)(a)(iii). Because it does not operate a "hospital facility" as defined in schedule h, st. Clair / washington physician services is not required to complete such schedule.

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IRS990/InterestGrp/TotalAmt02311
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IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
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IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt00
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IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
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IRS990/LandBldgEquipBasisNetGrp/BOYAmt0479465
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0409504
IRS990/LandBldgEquipCostOrOtherBssAmt0559499
IRS990/LegalDomicileStateCd0PA
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0true
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MiscellaneousRevenueGrp/ExclusionAmt00
IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt00
IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/MissionDesc0OUR MISSION IS TO ENHANCE THE QUALITY AND AVAILABILITY OF SPECIALTY PHYSICIAN SERVICES FOR MEMBERS OF THE ST. CLAIR HOSPITAL AND THE WASHINGTON HOSPITAL COMMUNITIES.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
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IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt00
IRS990/NetAssetsOrFundBalancesBOYAmt0283341
IRS990/NetAssetsOrFundBalancesEOYAmt0160051
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/FundraisingAmt00
IRS990/OccupancyGrp/ManagementAndGeneralAmt00
IRS990/OccupancyGrp/ProgramServicesAmt0199923
IRS990/OccupancyGrp/TotalAmt0199923
IRS990/OfficeExpensesGrp/FundraisingAmt00
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt00
IRS990/OfficeExpensesGrp/ProgramServicesAmt041634
IRS990/OfficeExpensesGrp/TotalAmt041634
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt00
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt0897585
IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0125813
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0125813
IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc1MEMBERSHIP DUES
IRS990/OtherExpensesGrp/Desc2EQUIPMENT
IRS990/OtherExpensesGrp/FundraisingAmt00
IRS990/OtherExpensesGrp/FundraisingAmt10
IRS990/OtherExpensesGrp/FundraisingAmt20
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt00
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt10
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt20
IRS990/OtherExpensesGrp/ProgramServicesAmt062172
IRS990/OtherExpensesGrp/ProgramServicesAmt116994
IRS990/OtherExpensesGrp/ProgramServicesAmt211383
IRS990/OtherExpensesGrp/TotalAmt062172
IRS990/OtherExpensesGrp/TotalAmt116994
IRS990/OtherExpensesGrp/TotalAmt211383
IRS990/OtherLiabilitiesGrp/BOYAmt0338789
IRS990/OtherLiabilitiesGrp/EOYAmt0297724
IRS990/OtherRevenueMiscGrp/Desc00
IRS990/OtherRevenueMiscGrp/Desc10
IRS990/OtherRevenueMiscGrp/Desc20
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IRS990/OtherSalariesAndWagesGrp/FundraisingAmt00
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt00
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt01572114
IRS990/OtherSalariesAndWagesGrp/TotalAmt01572114
IRS990/OthNotesLoansReceivableNetGrp/BOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/FundraisingAmt00
IRS990/PaymentsToAffiliatesGrp/ManagementAndGeneralAmt00
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IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt00
IRS990/PayrollTaxesGrp/ProgramServicesAmt081644
IRS990/PayrollTaxesGrp/TotalAmt081644
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PensionPlanContributionsGrp/FundraisingAmt00
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt00
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt088129
IRS990/PensionPlanContributionsGrp/TotalAmt088129
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt00
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt072327
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt062487
IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt0BARRY ZAISER
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0621110
IRS990/ProgramServiceRevenueGrp/Desc0NEUROLOGY SERVICES
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt01545310
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt01545310
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt00
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IRS990/PymtTravelEntrtnmntPubOfclGrp/ManagementAndGeneralAmt00
IRS990/PymtTravelEntrtnmntPubOfclGrp/ProgramServicesAmt00
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0710316
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt01538218
IRS990/PYRevenuesLessExpensesAmt0-824916
IRS990/PYSalariesCompEmpBnftPaidAmt01642054
IRS990/PYTotalExpensesAmt02352370
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt01527454
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-1020875
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RentalIncomeOrLossGrp/PersonalAmt00
IRS990/RentalIncomeOrLossGrp/RealAmt00
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt01545310
IRS990/RoyaltiesGrp/FundraisingAmt00
IRS990/RoyaltiesGrp/ManagementAndGeneralAmt00
IRS990/RoyaltiesGrp/ProgramServicesAmt00
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt0111780
IRS990ScheduleD/EquipmentGrp/DepreciationAmt078131
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0189911
IRS990ScheduleD/FederalIncomeTaxLiabilityAmt00
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0297724
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt071864
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0369588
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0297724
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Deferred Rent
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0409504
IRS990ScheduleD/TotalLiabilityAmt0297724
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0NO EMPLOYEES ARE REPORTED ON THIS LINE BECAUSE ALL EMPLOYEES ARE LEASED FROM ONE OF OUR MEMBER ORGANIZATIONS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1LINES 15A AND 15B OFFICERS AND DIRECTORS ARE NOT COMPENSATED AND THE ORGANIZATION DID NOT HAVE ANY COMPENSATED KEY EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION DOES NOT COMPENSATE OR SELECT BOARD MEMBERS. THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY AND QUERIES BOARD MEMBERS AND OFFICERS EACH YEAR ABOUT ANY BUSINESS OR FAMILY RELATIONSHIPS. THERE HAVE BEEN NO BUSINESS OR FAMILY RELATIONSHIPS REPORTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION HAS TWO MEMBERS, ST. CLAIR MEDICAL SERVICES, INC. AND THE WASHINGTON HOSPITAL. BOTH OF THESE MEMBERS ARE EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE PENNSYLVANIA NONPROFIT CORPORATIONS. EACH MEMBER HAS THE POWER TO APPOINT OR ELECT AN EQUAL NUMBER OF DIRECTORS. THE MEMBERS HAVE THE POWER TO MAKE MOST BUSINESS DECISIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION HAS TWO MEMBERS, ST. CLAIR MEDICAL SERVICES, INC. AND THE WASHINGTON HOSPITAL. BOTH OF THESE MEMBERS ARE EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE PENNSYLVANIA NONPROFIT CORPORATIONS. EACH MEMBER HAS THE POWER TO APPOINT OR ELECT AN EQUAL NUMBER OF DIRECTORS. THE MEMBERS HAVE THE POWER TO MAKE MOST BUSINESS DECISIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION HAS TWO MEMBERS, ST. CLAIR MEDICAL SERVICES, INC. AND THE WASHINGTON HOSPITAL. BOTH OF THESE MEMBERS ARE EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE PENNSYLVANIA NONPROFIT CORPORATIONS. EACH MEMBER HAS THE POWER TO APPOINT OR ELECT AN EQUAL NUMBER OF DIRECTORS. THE MEMBERS HAVE THE POWER TO MAKE MOST BUSINESS DECISIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE 990 IS PREPARED BY THE FINANCE DEPARTMENT OF ONE OF THE MEMBER ORGANIZATIONS. THE FORM IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. PRIOR TO BEING FILED, A FULL COPY OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED BY THE BOARD OF DIRECTORS. EACH YEAR A CONFLICT OF INTEREST STATEMENT MUST BE COMPLETED BY ALL CURRENT AND FORMER BOARD MEMBERS AND OFFICERS. THE QUESTIONNAIRE IS DISTRIBUTED BY THE BOARD AND ALL RESPONSES MUST BE RECEIVED. ANY EXCEPTIONS OR POTENTIAL CONFLICTS ARE REVIEWED BY THE BOARD CHAIRMAN. ANY NECESSARY ACTION IS DETERMINED BY THE CHAIRMAN AND ADDRESSED AT THE BOARD LEVEL. GREAT CARE IS TAKEN BY THE BOARD CHAIRMAN TO ENSURE THAT AN INDEPENDENT BOARD IS IN PLACE. IN THE EVENT THAT A CONFLICT EXISTS, THAT PERSON IS PROHIBITED FROM VOTING ON MATTERS RELATED TO THAT ISSUE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE ORGANIZATION MAKES FORM 990 AVAILABLE TO THE PUBLIC BY REQUEST. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT ROUTINELY AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9ADDITIONAL PAID IN CAPITAL - 897585;
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10ST. CLAIR / WASHINGTON PHYSICIAN SERVICES' PRIMARY PURPOSE IS TO PROVIDE MEDICAL CARE AS DESCRIBED IN SECTION 170(B)(1)(A)(III). BECAUSE IT DOES NOT OPERATE A "HOSPITAL FACILITY" AS DEFINED IN SCHEDULE H, ST. CLAIR / WASHINGTON PHYSICIAN SERVICES IS NOT REQUIRED TO COMPLETE SUCH SCHEDULE.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part V, Line 2a NUMBER OF EMPLOYEES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS AND KEY EMPLOYEES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 2 FAMILY OR BUSINESS RELATIONSHIP
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Line 6 Classes of members or stockholders
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Line 7a Members or stockholders electing members of governing body
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Line 11b Review of form 990 by governing body

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