CENTRE COUNTY CHILDRENS ADVOCACY CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CENTRE COUNTY CHILDRENS ADVOCACY CENTER (EIN 46-0871813)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202311359349301966
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-15T08:04:30-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11570 FRUITVILLE PIKE SUITE 400AddressLine1Txt
CityLANCASTERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460871813EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRE COUNTY CHILDREN'S ADVOCACY CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone8142317000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 EAST PARK AVENUEAddressLine1Txt
CitySTATE COLLEGECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRYAN ROACHPersonNm
Person TitleEXECUTIVE VP & CFOPersonTitleTxt
Phone8142317000PhoneNum
Signature2023-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBRYANPersonFirstNm
Person LastROACHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKERRI N BOGDA CPAPreparerPersonNm
PTINP00760402PTIN
Phone7177404863PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKATHLEEN RHINEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 EAST PARK AVENUEAddressLine1Txt
CitySTATE COLLEGECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$471,929GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MOUNTNITTANY.ORG/CHILDADVOCACYCENTERWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionMEET THE NEEDS OF THE CHILDREN AND FAMILIES IN OUR COMMUNITY BY PROVIDING A COMMUNITY-BASED, CHILD-FOCUSED CENTER THAT FACILITATES A COMPASSIONATE, MULTI-DISCIPLINARY APPROACH TO THE PREVENTION, IDENTIFICATION, INTERVENTION, AND TREATMENT OF CHILD ABUSE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$234,965PYContributionsGrantsAmt
CY Contributions Grants$281,665CYContributionsGrantsAmt
PY Program Service Revenue$179,607PYProgramServiceRevenueAmt
CY Program Service Revenue$190,264CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$414,572PYTotalRevenueAmt
CY Total Revenue$471,929CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$211,727PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$263,592CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$154,583PYOtherExpensesAmt
CY Other Expenses$170,308CYOtherExpensesAmt
PY Total Expenses$366,310PYTotalExpensesAmt
CY Total Expenses$433,900CYTotalExpensesAmt
PY Revenues Less Expenses$48,262PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$38,029CYRevenuesLessExpensesAmt
Total Assets BOY$451,827TotalAssetsBOYAmt
Total Assets EOY$672,001TotalAssetsEOYAmt
Total Liabilities BOY$30,267TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,021TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$421,560NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$643,980NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCENTRE COUNTY CHILDREN'S ADVOCACY CENTER ("CAC") IS A CHILD-FOCUSED, FACILITY-BASED PROGRAM IN WHICH REPRESENTATIVES FROM MANY DISCIPLINES WORK TOGETHER TO CONDUCT INTERVIEWS OF CHILDREN AND MAKE TEAM DECISIONS ABOUT INVESTIGATION, TREATMENT, MANAGEMENT, AND PROSECUTION OF CHILD ABUSE CASES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$293,845ExpenseAmt
Grant$0GrantAmt
Revenue$190,264RevenueAmt
DescCHILDREN'S ADVOCACY CENTER IS AN AFFILIATE OF MOUNT NITTANY HEALTH SYSTEM (HEALTH SYSTEM) WHICH INCLUDES AN ACUTE CARE HOSPITAL (MOUNT NITTANY MEDICAL CENTER), MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES, INC., CENTRE COUNTY CHILDREN'S ADVOCACY CENTER, AND THE FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER INC.AT THE CHILDREN'S ADVOCACY CENTER, OUR PRIMARY FOCUS IS ON THE WELL-BEING OF THE CHILD. OUR TEAM WORKS TOGETHER TO MAKE EACH CHILD FEEL SAFE AND SECURE, AND TO ENSURE THAT EACH CHILD IS GIVEN THE OPPORTUNITY TO SHARE THEIR ACCOUNT OF REPORTED ABUSE, NEGLECT, OR OTHER CRIMES THEY MAY HAVE BEEN VICTIM OR WITNESS TO.CONTINUED ON SCHEDULE O.DURING A VISIT TO THE CHILDREN'S ADVOCACY CENTER, CHILDREN SHARE THEIR ACCOUNT AS PART OF AN INVESTIGATION AND BEGIN THEIR JOURNEY TO HEALING. THE CHILDREN'S ADVOCACY CENTER BECAME FULLY OPERATIONAL ON FEBRUARY 21, 2014.SERVICES PROVIDED BY CAC INCLUDE THE FOLLOWING:- COORDINATION OF THE COUNTY'S MULTIDISCIPLINARY INVESTIGATIVE TEAM RESPONSE- CHILD AND FAMILY FRIENDLY FACILITIES- FORENSIC INTERVIEWING SERVICES- VICTIM ADVOCACY SUPPORT AND REFERRAL- SPECIALIZED FORENSIC MEDICAL EVALUATION AND TREATMENT- REFERRAL TO SPECIALIZED MENTAL HEALTH SERVICES- TRAINING, EDUCATION AND SUPPORT FOR CHILD ABUSE PROFESSIONALS- COMMUNITY EDUCATION AND OUTREACHFOR THE PERIOD FROM JULY 1, 2021 TO JUNE 30, 2022, CAC RECEIVED 270 REFERRALS FOR SERVICES. DURING THIS TIME PERIOD, THE CAC CONDUCTED 234 FORENSIC INTERVIEWS - 164 OF THESE INTERVIEWS WERE COVERED THROUGH GOVERNMENT REIMBURSEMENTS THROUGH CRIME VICTIMS COMPENSATION OR COUNTY GOVERNMENT.Desc
Total Program Service Expenses$293,845TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRYAN ROACH EXECUTIVE VP CFOPersonNm
Phone8142317000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 EAST PARK AVENUEAddressLine1Txt
CitySTATE COLLEGECityNm
State AbbreviationPAStateAbbreviationCd
ZIP16801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JACK INFIELD
CHAIR2.00Yes (X)Yes (X)$0$0$0
KATHLEEN RHINE
SECRETARY/TREASURER/CEO2.00Yes (X)Yes (X)$0$1,099,600$134,36738.00
PATRICIA BEST DED
DIRECTOR2.00Yes (X)$0$0$02.00
CHARLENE FRIEDMAN
DIRECTOR2.00Yes (X)$0$0$0
TOM KING
DIRECTOR2.00Yes (X)$0$0$0
KIMBERLY NEELY MS
DIRECTOR2.00Yes (X)$0$0$0
RACHEL SCHWAB MD
DIRECTOR2.00Yes (X)$0$243,057$54938.00
GINA WOSKOB
DIRECTOR2.00Yes (X)$0$0$0
JUDY GRAHAM
DIRECTOR (UNTIL 11/2021)2.00Yes (X)$0$0$0
BRYAN ROACH
EXECUTIVE VP & CFO2.00Yes (X)$0$599,631$49,02238.00
DIANA M MCWILLIAMS
EXECUTIVE DIRECTOR40.00Yes (X)$19,628$0$3,412
LANCE ROSE
FORMER CEO/OFFICER/DIRECTOR0.00$0$14,721$00.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$19,628TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,957,009TotReportableCompRltdOrgAmt
Total Other Compensation$187,350TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$281,665RelatedOrganizationsAmt
Total Contributions$281,665TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CLIENT SERVICE REVENUE624100$145,146$145,146
CPIP REVENUE624100$44,232$44,232
OTHER OPERATING REVENU624100$886$886
FieldValueIRS element (for citing)
Total Program Service Revenue$190,264TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$471,929TotalRevenueColumnAmt
Related Or Exempt Func Income$190,264RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$212,201TotalAmt
Program Services$120,782ProgramServicesAmt
Management And General$91,419ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$36,311TotalAmt
Program Services$19,971ProgramServicesAmt
Management And General$16,340ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$15,080TotalAmt
Program Services$8,294ProgramServicesAmt
Management And General$6,786ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,230TotalAmt
Management And General$7,230ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$79,981TotalAmt
Program Services$79,981ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,491TotalAmt
Program Services$313ProgramServicesAmt
Management And General$13,178ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$38,330TotalAmt
Program Services$38,330ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,914TotalAmt
Management And General$3,914ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,809TotalAmt
Program Services$7,809ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
GRANT EXPENSES$15,976$15,976
DUES AND SUBSCRIPTIONS$2,000$2,000
SPECIAL EVENTS$1,018$1,018
MEDICAL SUPPLIES$559$389$170

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$433,900TotalAmt
Program Services$293,845ProgramServicesAmt
Management And General$140,055ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$101,368BOYAmt
EOY$93,502EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$66,391BOYAmt
EOY$100,080EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$434,146LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$402,535LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$24,616BOYAmt
EOY$31,611EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$259,452BOYAmt
EOY$446,808EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$451,827BOYAmt
EOY$672,001EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,873BOYAmt
EOY$28,021EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,394BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,267BOYAmt
EOY$28,021EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$162,108BOYAmt
EOY$200,137EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$259,452BOYAmt
EOY$443,843EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$421,560BOYAmt
EOY$643,980EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$451,827BOYAmt
EOY$672,001EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$38,029ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$184,391OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$224,279CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$266,298CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$112,240CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$234,965CurrentTaxYearMinus1YearAmt
Current Tax Year$281,665CurrentTaxYearAmt
Total$1,119,447TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$224,279CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$266,298CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$112,240CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$234,965CurrentTaxYearMinus1YearAmt
Current Tax Year$281,665CurrentTaxYearAmt
Total$1,119,447TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,119,447PublicSupportTotal170Amt
Total Support$1,119,447TotalSupportAmt
Gross Receipts Rltd Activities$819,099GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1700.99910PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$340,252OtherCostOrOtherBasisAmt
Depreciation$327,915DepreciationAmt
Book Value$12,337BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$93,894OtherCostOrOtherBasisAmt
Depreciation$74,620DepreciationAmt
Book Value$19,274BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$31,611TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INTEREST IN NET ASSETS OF AFFILIATE$443,843
DUE FROM AFFLIATES$2,965
FieldValueIRS element (for citing)
Total Book Value Other Assets$446,808TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$656,320TotalRevEtcAuditedFinclStmtAmt
Other Revenue$184,391OtherRevenueAmt
Revenue Not Reported$184,391RevenueNotReportedAmt
Revenue Subtotal$471,929RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$471,929TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$433,900TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$433,900ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$433,900TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XI, LINE 2D - OTHER ADJUSTMENTS:FormAndLineReferenceDesc
ExplanationCHANGE IN INTEREST IN NET ASSETS OF THE FOUNDATION 184,391.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KATHLEEN RHINE
SECRETARY/TREASURER/CEO$0$818,048$0$262,763$0$18,789$0$124,052$0$10,315$0$1,233,967$0$0
BRYAN ROACH
EXECUTIVE VP & CFO$0$480,727$0$107,092$0$11,812$0$19,884$0$29,138$0$648,653$0$0
RACHEL SCHWAB MD
DIRECTOR$0$193,358$0$30,152$0$19,547$0$203$0$346$0$243,606$0$0
LANCE ROSE
FORMER CEO/OFFICER/DIRECTOR$0$0$0$0$0$14,721$0$0$0$0$0$14,721$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE CEO IS AN EMPLOYEE OF MOUNT NITTANY MEDICAL CENTER ("MNMC"). MNMC USES ALL OF THE METHODS UNDER LINE 3 OTHER THAN REVIEWING 990S OF OTHER ORGANIZATIONS TO ESTABLISH HIS COMPENSATION.
PART I, LINE 4BTHE FORMER CHIEF EXECUTIVE OFFICER, LANCE ROSE, RECEIVED A NONQUALIFIED RETIREMENT PLAN PAYMENT OF $14,721 DURING THE CALENDAR YEAR. THE CHIEF EXECUTIVE OFFICER, KATHLEEN RHINE, PARTICIPATES IN 457(F) NON-QUALIFIED RETIREMENT PLAN. CONTRIBUTIONS MADE DURING THE CALENDAR YEAR WERE $104,168. THERE WERE NO DISTRIBUTIONS DURING THE CALENDAR YEAR.
PART I, LINE 7THE EXECUTIVE TEAM MEMBERS OF MOUNT NITTANY MEDICAL CENTER AND THE MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES' (D/B/A MOUNT NITTANY PHYSICIAN GROUP) EXECUTIVE DIRECTOR RECEIVED A PORTION OF THEIR ANNUAL VARIABLE-PAY BASED UPON THE CONSOLIDATED OPERATING MARGIN, MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES' (D/B/A MOUNT NITTANY PHYSICIAN GROUP) OPERATING MARGIN, CONTRIBUTIONS, AND OTHER CORPORATE GOALS. THE CORPORATE GOALS FOCUSED ON (1) PROVIDING LOCALIZED CARE, INTEGRATED CARE, EFFICIENT CARE, AND ALIGNED CARE; (2) FINANCE; (3) QUALITY/PATIENT SAFETY; AND (4) THE WORK ENVIRONMENT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 2:SALARIES AND BENEFITS REPORTED ON PART IX ARE ALLOCATED EXPENSES FOR TIME THAT INDIVIDUALS WORK ON CHILDREN'S ADVOCACY CENTER ("CAC"). ALL EMPLOYEES ARE EMPLOYEES OF MOUNT NITTANY MEDICAL CENTER ("MNMC"), A RELATED ORGANIZATION. MNMC FILES ALL REQUIRED EMPLOYMENT TAX RETURNS UNDER ITS EIN 24-0795682.
FORM 990, PART VI, SECTION A, LINE 7AAS THE PARENT ENTITY, MOUNT NITTANY HEALTH SYSTEM (MNHS) HAS THE POWER TO APPOINT AND REMOVE, OR APPROVE THE REMOVAL OF, ANY AND ALL TRUSTEES OF THE CORPORATION, WITH THE EXCEPTION OF EX-OFFICIO TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BMNHS HAS THE FOLLOWING POWERS: (A) TO APPOINT AND REMOVE, OR APPROVE THE REMOVAL OF, ANY AND ALL DIRECTORS OF THE CORPORATION, WITH THE EXCEPTION OF EX-OFFICIO DIRECTORS; (B) TO APPROVE THE ELECTION OF AND TO REMOVE ANY AND ALL OFFICERS OF THE CORPORATION; (C) TO DEVELOP AND APPROVE ALL ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION (INCLUDING ALL AMENDMENTS THERETO); (D) TO APPROVE THE INCURRENCE, RE-FINANCING, OR PREPAYMENT OF ANY INDEBTEDNESS OF THE CORPORATION; (E) TO APPROVE THE SECURING OF ANY MORTGAGE, DEED OF TRUST, PLEDGE, SECURITY INTEREST, OR OTHER ENCUMBRANCE OF THE CORPORATION OTHER THAN A PURCHASE MONEY SECURITY INTEREST IN ACQUIRED EQUIPMENT; (F) TO APPROVE ANY TRANSFER OF FUNDS FROM THE CORPORATION BY GRANT, GIFT, OR LOAN; (G) TO APPROVE ALL UNBUDGETED EXPENDITURES IN EXCESS OF 1% OF EACH SUCH BUDGET; (H) TO APPROVE ALL STRATEGIC PLANS OF THE CORPORATION; (I) TO SELECT THE INDEPENDENT AUDITORS AND LEGAL COUNSEL OF THE CORPORATION; (J) TO AMEND OR TO APPROVE AMENDMENTS, ALTERATIONS AND MODIFICATIONS TO OR REPEALS OF THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IN ACCORDANCE WITH SECTION 11.1; (K) TO APPROVE ALL MERGERS, CONSOLIDATIONS, DIVISIONS, SALES OF SUBSTANTIALLY ALL ASSETS, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, AND ALL OTHER FUNDAMENTAL CHANGE TRANSACTIONS, AS WELL AS ALL TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS; (L) TO ESTABLISH, TERMINATE, OR WITHDRAW FROM ANY SUBSIDIARY, JOINT VENTURE, OR OTHER PARTNERSHIP OR SHARED GOVERNANCE AGREEMENT; AND (M) TO TAKE ANY OTHER ACTION THAT IS RESERVED TO THE PARENT FROM TIME TO TIME BY THE CORPORATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PROVIDED BY MANAGEMENT TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO KEY MEMBERS OF THE ORGANIZATION INCLUDING BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. EACH PERSON MUST REPORT ANY POTENTIAL CONFLICTS OF INTEREST. REPORTED CONFLICTS ARE THEN REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND THE HEALTH SYSTEM'S AUDIT COMMITTEE. THE CONFLICT OF INTEREST REPORT IS THEN SUBMITTED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMPENSATION COMMITTEE FROM THE MOUNT NITTANY MEDICAL CENTER'S BOARD OF TRUSTEES REVIEWS COMPENSATION PAID TO THE EXECUTIVE MANAGEMENT TEAM IN CONJUNCTION WITH AN INDEPENDENT THIRD PARTY CONSULTING FIRM TO ENSURE COMPENSATION IS REASONABLE AND APPROPRIATE FOR DUTIES AND RESPONSIBILITES ASSIGNED. REVIEW AND APPROVAL OF COMPENSATION IS DOCUMENTED VIA MINUTES OF COMMITTEE MEETINGS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 49,205. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,205. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 30,776. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,776.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN NET ASSETS OF THE FOUNDATION 184,391.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MOUNT NITTANY HEALTH SYSTEM
1800 EAST PARK AVENUESTATE COLLEGEPA16803800663092PROVIDE MANAGEMENT AND ADMINISTRATIVE SUPPORT TO MNMC & SUBSIDIARIESPA501(C)(3)LINE 12A, IN/A0
MOUNT NITTANY MEDICAL CENTER
1800 EAST PARK AVENUESTATE COLLEGEPA16803240795682HEALTHCAREPA501(C)(3)LINE 30MOUNT NITTANY HEALTH SYSTEM
THE FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER
1800 EAST PARK AVENUESTATE COLLEGEPA16803571138956FUNDRAISING AND SUPPORT FOR MOUNT NITTANY MEDICAL CENTERPA501(C)(3)LINE 12A, I0MOUNT NITTANY MEDICAL CENTER
MOUNT NITTANY MEDICAL CENTER WORKMEN'S COMPENSATION SELF INSURANCE TRUST
1800 EAST PARK AVENUESTATE COLLEGEPA16803256440788PROVIDE WORKMEN'S COMPENSATION BENEFITS TO EMPLOYEES OF AFFILIATEPA501(C)(3)LINE 12A, I0MOUNT NITTANY MEDICAL CENTER
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
1800 EAST PARK AVENUESTATE COLLEGEPA16803510426500PROFESSIONAL SERVICES TO SUPPORT MNMCPA501(C)(3)LINE 100MOUNT NITTANY HEALTH SYSTEM
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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