To promote the availability of high quality medical services in service areas covered by shs and its tax exempt affiliates. (see schedule o)

501(c)(3) charity; gifts are tax-deductible.
95¢ of each $1 spent went to programs.
Run by 7 volunteers and 2,291 employees.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

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FY2025 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
0 of 6
filings with a surplus
Average deficit $73.2M a year · 27% of revenue · last 6 filings
Concern: a surplus in 0 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
95%
of spending
Looks good: 95% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$19.9M
to officers and key staff · 5% of spending
Looks good: pay to officers and key staff is 5% of spending; 15% or less.
Pt VII · Sec A
Liabilities
$169.3M
100% of total assets
Concern: liabilities are 100% of assets; over 80%.
Pt X · Ln 26
Independent board members
8
of 12 voting members
Looks good: 8 of 12 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$337.5M
+9% vs prior year
Spent
$416.7M
To programs
95%
Net assets
$0
By yearFY2020–FY2025
Revenue
$337.5M
FY2025▲ +9%
Tap a bar for its year
Revenue by fiscal year
FY2020$200.5M
FY2021$225.9M
FY2022$263.8M
FY2023$277.4M
FY2024$308.5M
FY2025$337.5M
Expenses
$416.7M
FY2025▲ +9%
Tap a bar for its year
Expenses by fiscal year
FY2020$268.5M
FY2021$303.9M
FY2022$331.1M
FY2023$350.8M
FY2024$381.8M
FY2025$416.7M
Net assets
$0
FY2025
Tap a bar for its year
Net assets by fiscal year
FY2020$0
FY2021$1.0M
FY2022$0
FY2023$0
FY2024$0
FY2025$0

From the FY2025 Form 990 (year ending September 2025) · figures checked against the IRS filing · see the original

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Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Dec 1987.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

95 cents of each dollar spent went to programs.

Program services 95% · $395.6M Management & general 5% · $21.1M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

38 people listed on the 990; $19.9M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2024); the FY2025 filing did not itemize Part VII
Chief of Vascular Surgery&endo Vacular Med
$1,247,733Pt VII · Sec A
Chief of Orthopedic Surgery
$1,246,666Pt VII · Sec A
Radiation Oncology Chief & Cmio
$1,217,862Pt VII · Sec A
$1,207,713Pt VII · Sec A
Chief of Brain and Spine Services
$1,142,756Pt VII · Sec A
Trustee & Physician
$1,142,144Pt VII · Sec A
$1,116,019Pt VII · Sec A
Chief Cardiothoracic Surgery
$1,074,847Pt VII · Sec A

Richard Pin’s $1.2M as Chief of Vascular Surgery&endo Vacular Med is at the 63rd percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2025FY2024FY2023FY2022FY2021FY2020
Ivan Urits——$1,447,341$1,176,364——
Richard Pin$1,247,733$1,148,915$1,136,893$1,167,790$1,020,865$1,207,129
Rayford Kruger MD———$1,247,543$1,150,616$1,167,742
Michael Langworthy$1,246,666$1,148,860————
Matthew Phillips$1,142,756$1,152,601$1,101,295$1,170,884$1,200,855$1,227,997
Patrick Gagnon$1,217,862$1,081,994—$1,083,172$1,136,152$955,768
Ahmet Burakgazi$1,207,713—————
Edress Othman MD$1,142,144$1,119,364$1,109,821$939,784$875,447$925,098

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2Yes
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Improves access to quality medical care within its service areas.

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Provided by the organization

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3 programs · $375.3M · in their own filed words · FY2024
01

Specialists

See schedule o

$258.8Mprogram expense
02

Primary Care

See schedule o

$84.4Mprogram expense
03

Hospitalists

See schedule o

$32.1Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

By the numbers

The FY2025 990, line by line.

1The main four
Money inPt VIII
$337.5M
Ln 12
Fees for servicesLn 2g$337.6M
Gifts and grantsLn 1h$88K
Money outPt IX
$416.7M
Ln 25
Programscol B$395.6M
Managementcol C$21.1M
Owns and owesPt X
$0
net assets · Ln 32
Total assetsLn 16$169.3M
LiabilitiesLn 26$169.3M
PeoplePt VI, VII
38
listed · VII A
PaidVII A22
Voting boardVI 1a12
IndependentVI 1b8
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$88K
Government grantsLn 1e$87K
Fees for servicesLn 2g$337.6M
Gains on assetsLn 7−$404K
Total revenueLn 12$337.5M
Assets in detailPt X, end of year
InvestmentsLn 11–13$29.5M
Land, buildings, equipmentLn 10c$19.4M
Other assetsLn 15$84.6M
Total assetsLn 16$169.3M
LiabilitiesLn 26$169.3M
Net assetsLn 32$0
OperationsPt I, VI
EmployeesI 52,291
VolunteersI 67
Fiscal year endsHeaderSeptember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY25End FY25
InvestmentsLn 11–13$25.4M$29.5M
Land, buildings, equipmentLn 10c$17.2M$19.4M
Total assetsLn 16$163.0M$169.3M
LiabilitiesLn 26$163.0M$169.3M
Net assetsLn 32$0$0
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Pay of current officers, directors and key staffLn 5$15.6M$12.0M$3.6M
Pay of disqualified personsLn 6$426K$426K
Other salaries and wagesLn 7$281.6M$278.5M$3.2M
Pension plan contributionsLn 8$10.1M$9.6M$468K
Other employee benefitsLn 9$22.1M$20.1M$2.0M
Payroll taxesLn 10$15.2M$14.7M$473K
Management feesLn 11a$1.5M$1.5M
Legal feesLn 11b$186K$186K
Other fees for servicesLn 11g$18.9M$16.8M$2.1M
Advertising and promotionLn 12$13K$13K
Office expensesLn 13$1.5M$569K$930K
Information technologyLn 14$187K$185K$3K
OccupancyLn 16$15.5M$13.3M$2.2M
TravelLn 17$471K$451K$20K
Conferences, conventions and meetingsLn 19$899K$887K$11K
Depreciation, depletion and amortizationLn 22$3.1M$3.0M$79K
InsuranceLn 23$6.4M$6.4M
Other expenses (24a–d)Ln 24$22.9M$17.1M$5.8M
All other expensesLn 24e$199K$162K$37K
Total functional expensesLn 25$416.7M$395.6M$21.1M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 Latest Viewing $337.5M$416.7M−$79.2M$0 990 PDF
FY2024 $308.5M$381.8M−$73.3M$0 990 PDF
FY2023 $277.4M$350.8M−$73.4M$0 990 PDF
FY2022 $263.8M$331.1M−$67.4M$0 990 PDF
FY2021 $225.9M$303.9M−$78.0M$1.0M 990 PDF
FY2020 $200.5M$268.5M−$68.0M$0 990 PDF

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Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support J · Pay O · Explanations
See the full FY2025 990 (6 parts)
Part I · Summary $337,488,438 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $680,961$88,321
I-9 Program service revenuePrior year $307,753,685$337,647,532
I-10 Investment incomePrior year $1,435−$404,024
I-11 Other revenuePrior year $99,895$156,609
I-12 Total revenuePrior year $308,535,976$337,488,438
I-13 Grants and similar amounts paidPrior year $0$0
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $318,839,519$344,978,265
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $62,977,429$71,745,566
I-18 Total expensesPrior year $381,816,948$416,723,831
I-19 Revenue less expensesPrior year −$73,280,972−$79,235,393
Part VI · Governance 8 of 12 board members independent, 1 to look at
VI-1a Voting members of the governing body12
VI-1b Independent voting members8
VI-2 Family or business relationship among officers or directorsYes
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $337,488,438 across 7 lines filed
VIII-1e Government grants$87,041
VIII-1f All other contributions, gifts and grants$1,280
VIII-1h Total contributions, gifts and grants$88,321
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $337,647,532$337,647,532
VIII-6 Net rental income or lossExcluded from tax $156,609$156,609
VIII-7 Net gain or loss on sales of assetsExcluded from tax −$404,024−$404,024
VIII-12 Total revenueRelated to mission $337,647,532 · Unrelated business $0 · Excluded from tax −$247,415$337,488,438
Part IX · Statement of functional expenses $416,723,831 across 19 lines filed
IX-5 Pay of current officers, directors and key staffPrograms $11,966,186 · Management $3,614,890$15,581,076
IX-6 Pay of disqualified personsPrograms $426,323$426,323
IX-7 Other salaries and wagesPrograms $278,460,657 · Management $3,153,628$281,614,285
IX-8 Pension plan contributionsPrograms $9,617,509 · Management $468,290$10,085,799
IX-9 Other employee benefitsPrograms $20,131,983 · Management $1,980,047$22,112,030
IX-10 Payroll taxesPrograms $14,685,984 · Management $472,768$15,158,752
IX-11a Management feesPrograms $1,489,118$1,489,118
IX-11b Legal feesManagement $185,779$185,779
IX-11g Other fees for servicesPrograms $16,794,555 · Management $2,137,780$18,932,335
IX-12 Advertising and promotionManagement $13,219$13,219
IX-13 Office expensesPrograms $569,360 · Management $929,748$1,499,108
IX-14 Information technologyPrograms $184,671 · Management $2,658$187,329
IX-16 OccupancyPrograms $13,328,837 · Management $2,220,808$15,549,645
IX-17 TravelPrograms $451,354 · Management $19,770$471,124
IX-19 Conferences, conventions and meetingsPrograms $887,358 · Management $11,300$898,658
IX-22 Depreciation, depletion and amortizationPrograms $3,025,245 · Management $79,026$3,104,271
IX-23 InsurancePrograms $6,351,272$6,351,272
IX-24 Other expenses (24a–d)Programs $17,086,651 · Management $5,777,635$22,864,286
IX-24e All other expensesPrograms $162,187 · Management $37,235$199,422
IX-25 Total functional expensesPrograms $395,619,250 · Management $21,104,581 · Fundraising $0$416,723,831
Part X · Balance sheet $169,282,089 assets, 13 lines filed
X-4 Accounts receivableStart of year $20,117,441$23,113,449
X-9 Prepaid expenses and deferred chargesStart of year $5,436,872$5,042,336
X-10c Land, buildings and equipment, netStart of year $17,244,818$19,354,449
X-11 Publicly traded securitiesStart of year $25,441,635$29,492,196
X-14 Intangible assetsStart of year $7,666,514$7,666,514
X-15 Other assetsStart of year $87,133,659$84,613,145
X-16 Total assetsStart of year $163,040,939$169,282,089
X-17 Accounts payable and accrued expensesStart of year $63,548,188$73,957,869
X-25 Other liabilitiesStart of year $99,492,751$95,324,220
X-26 Total liabilitiesStart of year $163,040,939$169,282,089
X-27 Net assets without donor restrictionsStart of year $0$0
X-32 Total net assets or fund balancesStart of year $0$0
X-33 Total liabilities and net assetsStart of year $163,040,939$169,282,089
Part XI · Reconciliation of net assets $0 net assets at year end
XI-1 Total revenue$337,488,438
XI-2 Total expenses$416,723,831
XI-3 Revenue less expenses−$79,235,393
XI-4 Net assets at start of year$0
XI-9 Other changes in net assets$79,235,393
XI-10 Net assets at end of year$0

Form 990 e-file (XML) FY2025 from the IRS · Classification, formation year and address from the IRS Business Master File

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