Spirit Physician Services Inc

Nonprofit profile at a glance

EIN
251766971
IRS 990 coverage
2009–2022
Forms available
Form 990 2022
Location
Hershey, PA, USA
Phone
7177632100
Rating
66
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$19,520,640
Expenses
$43,204,967
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2022. Amounts in USD.

Leadership & pay

18 people listed

Executive titles in this filing

  • DONALD MCKENNA (DIRECTOR / PRESIDENT)
  • ROSS DARROW (VICE PRESIDENT, TREASURER)
  • STEPHEN MASSINI (FMR DIR (THRU 6/22) / PSH CEO)

Highest reported compensation

  • STEPHEN MASSINI (FMR DIR (THRU 6/22) / PSH CEO): $1,661,502 total reported compensation
  • THOMAS STOESSEL (DIRECTOR / PSH EVP): $1,180,877 total reported compensation
  • PETER DILLON MD (FMR DIR (THRU 6/22) / PSH EVP): $1,074,328 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2022. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Spirit physician services, inc. Supports penn state health holy spirit medical center's mission as a community health system.

What it reported doing in 2022

June 30, 2023 spirit physicians services, inc. (spsi) merged with and into penn state health community medical group, llc (cmg) and spsi ceased existence as a separate entity. Cmg is the surviving entity of the merger. Spirit physician services, inc's. Family health centers offer preventative diagnostic and therapeutic medical services on an outpatient basis. The family health centers provide an outreach to community residents with medical conditions which, if not properly treated in an outpatient setting, might ultimately require more expensive and critical inpatient care. Thus, the clinics reduce hospital admissions, days of stay and surgical rates. Penn state health holy spirit medical center ob/gyn offers free introductory sessions to the creighton model fertility caretm system and naprotechnology. This is a fully integrated approach to women's health that is completely pro-life in its outlook and the techniques it employs. It is particularly useful for evaluating and treating infertility, recurrent pregnancy loss, endometriosis, irregular periods, pms, ovarian cysts, and polycystic ovary syndrome, as well as for family planning.cvsi is a group of cardiovascular heart surgeons. This group uses robotics during specific surgeries.general surgery is a group of general surgeons. This group performs a large assortment of general surgery and trauma surgery procedures.orthopedic practice is a group of orthopedic physicians. This group performs a large assortment of office procedures, orthopedic surgery, and trauma surgery procedures.dermatology practice is a group of dermatology physicians. This group performs general dermatology care and skin cancer screenings and mohs surgery for skin cancer which allows the greatest amount of healthy tissue while removing basal cell or squamous cell carcinomas.infectious disease practice is a group of board-certified, fellowship-trained disease specialist physicians. This group focuses on all types of infections, including those caused by bacteria, viruses, fungi, and parasites of the sinuses, heart, lungs, urinary tract, bones, and pelvic organs. They also have insight into the use of antibiotics and their potential adverse effects.uncompensated carespirit physician services, inc. (spsi) recognizes that its mission is to serve all the members of the community with respect to the provision of healthcare services and healthcare education. Spsi provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. In this regard, spsi provides free care or subsidized care, to persons covered by governmental programs at or below cost and provides various health activities and programs in support of the communities where spsi practices.a. Charity carethe primary concern of spsi is the delivery of health care to all the citizens of the greater harrisburg area and south central Pennsylvania, regardless of their ability to pay. The unreimbursed cost of charity care represents the cost spsi incurs by providing free or discounted services to those who cannot afford to pay. B. Medicare/medicaidrecognizing its mission to the community, services are provided to the elderly (medicare) and the poor (medicaid). Spsi provides care, below cost, to persons covered by these governmental programs. To the extent reimbursement is below the cost of providing healthcare, spsi is furthering its mission to the entire community. The unreimbursed value of medicare and/or medicaid is equal to the cost of providing services less the amount of reimbursement received under the program. C. Other uncompensated patient servicesin addition, spsi provides other patient services for which full payment is not received. Community health, education and outreachspirit physician services, inc. Strives to serve as partners to the communities in which they are located. Spsi provides care to the community through reduced price services and free programs throughout the year based upon activiti

Operating model

Revenue model
Earned-program. 98% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 82
  • Transparency & Controls: 60
  • Accountability: 47
  • Sustainability: 8
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 80.4%; rating input score 80
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 25%; rating input score 25; 6th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -121.3%; rating input score 0; 0th percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 2.4%; rating input score 70; 70th percentile among comparable filings

Growth

  • Program expense growth: 5.3% per year; rating input score 100; 49th percentile among comparable filings
  • Revenue growth: 5.6% per year; rating input score 100; 53rd percentile among comparable filings
  • Asset growth: 7.6% per year; rating input score 100; 53rd percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 80.4% of spending went to programs
  • Governance: 1 of 4 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $34.8M in reported program spending
  • Leadership: top reported pay $1.7M · 18 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $9.5M reported
  • Consistency: 25 of 25 current checks pass
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 14 filing years from 2009 to 2022
  • Contacts: How to reach this organization
  • Related organizations: 14 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Accountability: Independent voting board scored 25/100.
  • High — Sustainability: Operating margin scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.