2024-05-13T08:04:22-05:00 2023-06-30 990 2022-07-01 454663050 ST CLAIRWASHINGTON PHYSICIAN SERVICES STCL 4129421250 1000 BOWER HILL ROAD PITTSBURGH PA 15243 Eric J Luttringer CPA SVP, CFO, Director 4129421250 2024-05-13 Eric Luttringer CPA XXX-XX-XXXX 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Barry Zaiser 1000 BOWER HILL ROAD PITTSBURGH PA 15243 212 0 X N/A X 2012 PA OUR MISSION IS TO ENHANCE THE QUALITY AND AVAILABILITY OF SPECIALTY(CONTINUED ON SCHEDULE O) PHYSICIAN SERVICES FOR MEMBERS OF THE ST. CLAIR HOSPITAL AND THE WASHINGTON HOSPITAL COMMUNITIES. THE ORGANIZATION IS CURRENTLYY IN PROCESS OF WIND-DOWN FOR EVENTUAL DISSOLUTION. 0 0 0 0 0 0 10401 0 1833 212 0 0 0 0 12234 212 0 0 0 0 0 0 0 0 0 4855 4986 4855 4986 7379 -4774 3575 0 388835 390034 -385260 -390034 X 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. THE ORGANIZATION IS CURRENTLY IN PROCESS OF WIND-DOWN FOR EVENTUAL DISSOLUTION. 0 0 4986 ST. CLAIR/WASHINGTON PHYSICIAN SERVICES PROVIDED NEUROLOGY SERVICES TO MEMBERS OF THE COMMUNITY PRIMARILY LOCATED IN THE SOUTHWESTERN REGION OF PENNSYLVANIA, WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. ST. CLAIR/WASHINGTON PHYSICIAN SERVICES FILED ARTICLES OF DISSOLUTIONAND ENTERED A WIND-UP AGREEMENT ON July 24, 2020 TO CEASE DOINGBUSINESS EFFECTIVE July 31, 2020. ASSETS COMPRISED OF LEASEHOLDIMPROVEMENTS, EQUIPMENT, AND PREPAID ASSETS WERE TRANSFERRED TO AMEMBER, ST. CLAIR MEDICAL SERVICES, INC (SCMS), A SECTION 501(C)(3)ORGANIZATION, AT NET BOOK VALUE ON THIS DATE. ADDITIONALLY, PATIENTSWERE OFFERED CONTINUATION OF CARE AT SCMS. WIND-DOWN ACTIVITIES WERESTILL UNDERWAY AS OF June 30, 2023 AND INCLUDE, COLLECTION OFOUTSTANDING RECEIVABLES AND DISBURSEMENT OF ASSETS TO SATISFY THIRDPARTY LIABILITES AND WIND-DOWN EXPENSES. 4986 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X Eric J Luttringer SR VP & CFO 4129421250 1000 Bower Hill Road Pittsburgh PA 15243 X BARRY ZAISER PRESIDENT-through 7/2020 1.00 X X 0 0 0 JOHN SULLIVAN MD BOARD MEMBER-through 7/2020 1.00 X 0 0 0 0 0 0 0 0 0 0 0 NEUROLOGY SERVICES 621110 212 212 212 212 212 0 0 4986 4986 4986 4986 0 0 3542 33 3575 0 388835 390034 388835 390034 X -385260 -390034 -385260 -390034 3575 0 -4774 0 X 0 0 0 X Schedule A, Part I, Line 3-Reason for Public Charity Status St. Clari/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. PART V, LINE 2A - NUMBER OF EMPLOYEES ST. CLAIR/WASHINGTON PHYSICIAN SERVICES DOES NOT CURRENTLY HAVE ANY EMPLOYEES DUE TO WIND-DOWN FOR DISSOLUTION. Form 990, Part VI, Section A, line 6 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. Form 990, Part VI, Section A, line 7a THE MEMBERS EACH HAVE THE POWER TO APPOINT OR ELECT AN EQUAL NUMBER OF DIRECTORS, AND HAVE THE RIGHT TO MAKE MOST BUSINESS DECISIONS. Form 990, Part VI, Section A, line 7b THE MEMBERS EACH HAVE THE POWER TO APPOINT OR ELECT AN EQUAL NUMBER OF DIRECTORS, AND HAVE THE RIGHT TO MAKE MOST BUSINESS DECISIONS. Form 990, Part VI, Section B, line 11b THIS FORM 990 IS PREPARED INTERNALLY AND REVIEWED BY MANAGEMENT. THE DRAFT FORM 990 IS PROVIDED TO EACH BOARD MEMBER FOR REVIEW VIA A SECURE WEBSITE PRIOR TO FILING. Form 990, Part VI, Section B, line 12c CONFLICTS ARE MONITORED THROUGH AN ANNUAL SURVEY COMPLETED BY BOARD MEMBERS AND OFFICERS. THE CORPORATE COMPLIANCE OFFICER ALSO REVIEW THE SURVEYS AND MANAGES ENFORCEMENT OF THE ST. CLAIR POLICIES. ENFORCEMENT OF THE CORPORATION'S POLICY IS MANAGED BY THE BOARD PRESIDENT AND BOARD CHAIR, TO WHOM ALL CONFLICTS ARE REPORTED. TO THE EXTENT ANY CONFLICTS ARE IDENTIFIED, SUCH BOARD MEMBERS OR OFFICERS ARE EXCLUDED FROM PARTICIPATING IN THE DECISION MAKING PROCESS. Form 990, Part VI, Section B, line 15 OFFICERS AND DIRECTORS ARE NOT COMPENSATED AND THE ORGANIZATION DID NOT HAVE ANY COMPENSATED KEY EMPLOYEES. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.