2021-11-15T14:30:19-06:00 2021-06-30 341897225 HILL BARTH & KING LLC 3110 HIGHLAND ROAD HERMITAGE PA 16148 990 2020-07-01 250753320 GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA GEOR 7244589330 PO BOX 1058 GROVE CITY PA 16127 MICHELLE GERWICK CFO 7244589330 2021-11-15 1 MICHELLE GERWICK 999009999 DOMINIC MASTROPIETRO P00949738 7249817550 2021-11-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MICHELLE GERWICK PO BOX 1058 GROVE CITY PA 16127 21045137 0 X N/A X 1986 PA ORGANIZATION PROVIDES YEAR-ROUND 24 HOUR RESIDENTIAL TREATMENT SERVICES AND RELATED SERVICES TO OVER 185 ADOLESCENT DELINQUENT AND DEPENDENT YOUTH. 13 13 665 76 0 0 250923 381682 30024409 19696427 3537 -5701 0 962038 30278869 21034446 0 0 0 0 25944830 22706296 0 0 0 10177835 9114716 36122665 31821012 -5843796 -10786566 9022277 5724677 9229431 4374334 -207154 1350343 TO HELP AT-RISK YOUTH BECOME SUCCESSFUL, WELL ADJUSTED ADULTS, CAPABLE OF ACHIEVING A HIGHER DEGREE OF CITIZENSHIP AND A BETTER UNDERSTANDING OF RESPONSIBILITY TO SOCIETY, FAMILY, AND SELF. 0 0 13340887 10615020 SPECIAL NEEDS SERVICES - TO PROVIDE A STAFF-SECURE, SELF-CONTAINED AND HIGHLY STRUCTURED, PSYCHIATRIC-ORIENTED TREATMENT PROGRAM. THE PROGRAM ENSURES THE SAFETY AND SECURITY OF YOUTH. 4939753 3172674 REGULAR TREATMENT SERVICES - TO PROVIDE EACH RESIDENT WITH A STRUCTURED, FAIR, FIRM AND CONSISTENT ENVIRONMENT IN WHICH TO DEVELOP APPROPRIATE SOCIALIZATION SKILLS. 2920348 2500167 INTENSIVE SUPERVISION - DESIGNED TO MEET THE NEEDS OF HIGH RISK DELINQUENT AND DEPENDENT YOUTH WHO PRESENT BEHAVIORS WHICH ARE DANGEROUS TO THEMSELVES AND OTHERS AND CREATE A RISK TO THE COMMUNITY, SCHOOL PERSONNEL AND EACH OTHER. THIS UNIT IS DESIGNED TO PROVIDE MAXIMUM SUPERVISION, ACCOUNTABILITY, AND CARE PROVIDED IN A HIGHLY STRUCTURED SETTING. 3747512 4364903 3747512 4364903 24948500 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 22 0 665 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X MICHELLE GERWICK CFO 7244589330 233 GEORGE JUNIOR ROAD GROVE CITY PA 16127 BRENDA K MCBRIDE ESQ DIRECTOR 1.00 X 0 0 0 WILLIAM H ROMINE JR DIRECTOR 1.00 X 0 0 0 MARK V ALETTO ESQ DIRECTOR 1.00 X 0 0 0 DR DAVID J AYERS PHD DIRECTOR 1.00 X 0 0 0 EDWARD T BERTI SECRETARY/TREASURER 1.00 X X 0 0 0 PHILIP W GASIEWICZ VICE CHAIRMAN 1.00 X X 0 0 0 MARY A ODEM ESQ DIRECTOR 1.00 X 0 0 0 DALE R PERELMAN DIRECTOR 1.00 X 0 0 0 DANIEL TAYLOR DIRECTOR 1.00 X 0 0 0 DR DAVID R CHAMPION PHD DIRECTOR 1.00 X 0 0 0 JAMES P EPSTEIN ESQ CHAIRMAN 1.00 X X 0 0 0 BRENDA L MCNULTY DIRECTOR 1.00 X 0 0 0 GAYLE M YOUNG DIRECTOR 1.00 X 0 0 0 MICHELLE GERWICK CFO 16.00 24.00 X 95461 143191 30907 NATHAN GRESSEL CEO 10.00 30.00 X 61592 184778 28085 MARK DEMIDOVICH PSYCHIATRIST 40.00 X 302525 0 38639 JASON ROCK PSYCHIATRIST 40.00 X 299340 0 39471 ANDREA DONATUCCI VP SUPPORT/SERVICES 40.00 X 138191 0 26277 SANDY DILLON-DICK VP TREATMENT/RISK OFFICER 40.00 X 135903 0 8118 JOHN HORGAN VP OPERATIONS 40.00 X 122296 0 25046 1155308 327969 196543 5 0 1 0 CROWN BENEFITS ADMINISTRATION PO BOX 1049 INDIANA PA 15701 HOSPITALIZATION BENEFIT 2984284 GROVE CITY SCHOOL DISTRICT 511 HIGHLAND AVE GROVE CITY PA 16127 OFF CAMPUS TUITIONS 1397417 METZ CULINARY MANAGEMENT 2 WOODLAND DR DALLAS PA 18612 FOOD MANAGEMENT 1249809 STREAMLINE HEALTHCARE SOLUTIONS LLC 1 TRANS AM PLAZA DR SUITE 520 OAKBROOK TERRACE IL 60181 HEALTH CARE 715471 PHILADELPHIA INSURANCE COMPANY PO BOX 70251 PHILADELPHIA PA 19176 GENERAL LIABILITY/PROF INSURANCE 552356 5 381682 50927 381682 SPECIAL NEEDS SERVICES 611710 10615020 10615020 REGULAR SERVICES 611710 3172674 3172674 INTENSIVE SUPERVISION 611710 2500167 2500167 DIAGNOSTIC SERVICES 611710 1105627 1105627 DRUG AND ALCOHOL SERVICES 611710 951302 951302 1351637 1351637 19696427 4990 10691 -5701 -5701 -5701 OTHER INCOME 900099 962038 962038 962038 21034446 20652764 0 0 149143 149143 17888783 14219972 3668811 747028 579622 167406 2676187 2124291 551896 1245155 986435 258720 35977 35977 124183 124183 1123226 448818 674408 2999382 2633023 366359 232097 218106 13991 105189 105189 642349 261320 381029 1081068 858640 222428 FOOD 1491271 1491271 SUPPLIES 634433 467929 166504 CAPITAL BUDGET EXPENSE 149727 137505 12222 COMMUNICATIONS 95962 74690 21272 399852 297735 102117 31821012 24948500 6872512 0 4076065 671434 2909898 2682429 72263 22000 97320 142860 7524393 5318439 1863521 2205954 3210 0 9022277 5724677 2037707 1824052 6682326 2103479 509398 446803 9229431 4374334 X -207154 1350343 -207154 1350343 9022277 5724677 X -10786566 12344063 X 0 1 X 1 1 1 X 7524393 5318439 2205954 2205954 TUITION PAYABLE 344892 DUE TO AFFILIATES 101911 446803 21040147 5701 5701 21034446 0 21034446 31826713 5701 5701 31821012 0 31821012 PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF EQUIPMENT PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF EQUIPMENT PART IV, LINE 2B PART IV, LINE 2B: AN ACCOUNT FOR EACH STUDENT IS MAINTAINED IN A COMPUTERIZED LEDGER SYSTEM WHICH IS RECONCILED TO THE BANK ACCOUNT MONTHLY. DEPOSITS FOR A STUDENT ARE MADE BY FAMILY AND FRIENDS USING A STUDENT FUND DEPOSIT TRIPLICATE FORM WHICH INCLUDES DETAILED INFORMATION ABOUT THE STUDENT SUCH AS HIS NAME, AMOUNT OF DEPOSIT, WHO DEPOSITED IT AND WHO MONEY WAS RECEIVED BY. LIKEWISE, A DETAILED TRACKING OF WITHDRAWALS INCLUDING SPECIFIC DOCUMENTATION IS MAINTAINED BY THE ORGANIZATION FOR EACH STUDENT. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E, PART I, LINE 3 THE ORGANIZATION HAS PUBLICIZED ITS RACIALLY NONDISCIMINATORY POLICY DURING THE PERIOD OF SOLICITATION AND REGISTRATION. SCHEDULE E, PART I, LINE 6 THE ORGANIZATION RECEIVED $395,942 FROM PENNSYLVANIA DEPARTMENT OF EDUCATION NATIONAL SCHOOL LUNCH PROGRAM DURING THE TAX YEAR. THE ORGANIZATION ALSO RECEIVED USDA COMMODITY IN VALUE OF $50,927 FROM PENNSYLVANIA DEPARTMENT OF AGRICULTURE DURING THE TAX YEAR. 1 X X X 0 1 0 0 0 0 0 0 0 MARK DEMIDOVICH PSYCHIATRIST 298304 0 0 0 4221 0 24600 0 14039 0 341164 0 0 0 JASON ROCK PSYCHIATRIST 293307 0 0 0 6033 0 25432 0 14039 0 338811 0 0 0 NATHAN GRESSEL CEO 58524 175572 0 0 3068 9206 3511 10534 3510 10530 68613 205842 0 0 MICHELLE GERWICK CFO 86039 129058 0 0 9422 14133 12363 18544 0 0 107824 161735 0 0 ANDREA DONATUCCI VP SUPPORT/SERVICES 136170 0 0 0 2021 0 12238 0 14039 0 164468 0 0 0 PART I, LINE 4B MICHELLE GERWICK (CFO) PARTICIPATES IN A 457(B) PLAN AND A 457(F) PLAN. RICHARD LOSASSO (FORMER CEO) PARTICIPATED IN A 457(B) PLAN. X 1 50927 COST OF DONATED FOOD 0 1 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE IRS FORM 990 IS FIRST REVIEWED BY THE AUDIT/FINANCE COMMITTEE. ONCE THAT DRAFT IS REVIEWED AT THAT LEVEL, ALONG WITH MANAGEMENT, THE 990 IS PROVIDED TO THE ENTIRE BOARD FOR REVIEW. IT IS AFTER THE ENTIRE BOARD HAS ACCESS TO REVIEW THE 990 THAT THE FORM IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND APPROVES THE CONFLICT OF INTEREST POLICY. AT THAT TIME, ALL DIRECTORS ARE REQUIRED TO AFFIRM THEIR COMPLIANCE WITH THE APPROVED POLICY. FORM 990, PART VI, SECTION B, LINE 15 PERIODICALLY, THE BOARD HIRES AN INDEPENDENT CONSULTING FIRM TO REVIEW COMPENSATION, INCLUDING THE ORGANIZATION'S CEO; CFO; AND KEY EMPLOYEES. THE MOST RECENT REVIEW WAS PERFORMED IN 2019. THE FIRM, IN ITS WRITTEN REPORT TO THE COMPENSATION COMMITTEE, RECOMMENDED SALARY RANGES FOR THESE POSITIONS. THE COMPENSATION COMMITTEE, UPON CONSIDERATION AND REVIEW, MADE ITS RECOMMENDATION TO THE FULL BOARD OF DIRECTORS. THE COMPENSATION AND BENEFITS COMMITTEE SHALL CONSIST OF THREE OR MORE DIRECTORS APPOINTED BY THE BOARD OF DIRECTORS, NONE OF WHOM SHALL BE EMPLOYED OR CONTRACTED, OR RELATED TO PERSONS EMPLOYED OR CONTRACTED, BY THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION. AT LEAST TWENTY-FOUR (24) HOURS ORAL OR WRITTEN NOTICE SHALL BE GIVEN FOR ALL MEMBERS OF THE COMPENSATION AND BENEFITS COMMITTEE. A QUORUM FOR CONDUCTING BUSINESS AT A MEETING OF THE COMPENSATION AND BENEFITS COMMITTEE SHALL BE A MAJORITY OF ITS MEMBERS. THE COMPENSATION AND BENEFITS COMMITTEE SHALL RECOMMEND TO THE BOARD OF DIRECTORS COMPENSATION AND BENEFITS FOR THE CEO OF THE CORPORATION AND THE COMPENSATION AND BENEFITS STRUCTURE FOR THE CORPORATION AND THE CORPORATIONS IT CONTROLS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION HAS ITS FEDERAL INCOME TAX FILINGS AVAILABLE FOR INSPECTION UPON REQUEST BY CONTACTING THE EXECUTIVE SECRETARY OF THE CEO AT (724) 458-9330. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE FOR INSPECTION UPON REQUEST BY CONTACTING THE EXECUTIVE SECRETARY OF THE CEO AT (724) 458-9330. FORM 990, PART XI, LINE 9: SUPPORT FROM AFFILIATES 10,306,313. CONTRIBUTIONS FROM AFFILIATES 2,809,063. SUPPORT TO AFFILIATES -771,313. GEORGE JUNIOR REPUBLIC PO BOX 1058 GROVE CITY PA 16127 251536204 PLANNER, POLICY-MAKER AND FUNDRAISER FOR GROUP OF AFFILIATED CORPORATIONS PA 501(C)(15) LINE 12D, III-O N/A 0 GEORGE JUNIOR REPUBLIC IN INDIANA PO BOX 1058 GROVE CITY PA 16127 351862303 PROVIDES IN-HOME SERVICES TO DELINQUENT/DEPENDENT YOUTH IN 501(C)(11) LINE 11 N/A 0 PREVENTATIVE AFTERCARE INC PO BOX 1058 GROVE CITY PA 16127 251700492 PROVIDES IN-HOME SERVICES TO DELINQUENT/DEPENDENT YOUTH PA 501(C)(11) LINE 11 N/A 0 GEORGE JUNIOR REPUBLIC REALTY PO BOX 1058 GROVE CITY PA 16127 251536204 HOLD AND MANAGE RESIDENTIAL TREATMENT CENTERS AND OTHER ASSETS PA 501(C)(15) LINE 12D, III-O N/A 0 REPUBLIC RISK RETENTION GROUP 1180 SAM RITTENBERG BLVD CHARLESTOWN SC 29407 201175924 SUPPORT PURPOSES OF GEORGE JUNIOR REPUBLIC SC 501(C)(14) LINE 12C, III-FI N/A 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 1 0 1 GEORGE JUNIOR REPUBLIC REALTY K 2362468 FAIR MARKET VALUE GEORGE JUNIOR IN INDIANA Q 402187 FAIR MARKET VALUE PREVENTATIVE AFTERCARE INC Q 354063 FAIR MARKET VALUE GEORGE JUNIOR REPUBLIC O 228613 FAIR MARKET VALUE GEORGE JUNIOR IN INDIANA O 52669 FAIR MARKET VALUE PREVENTATIVE AFTERCARE INC O 173375 FAIR MARKET VALUE GEORGE JUNIOR REPUBLIC E 2000000 FAIR MARKET VALUE GEORGE JUNIOR REPUBLIC Q 36816 FAIR MARKET VALUE GEORGE JUNIOR REPUBLIC REALTY S 2362468 FAIR MARKET VALUE GEORGE JUNIOR REPUBLIC S 9981595 FAIR MARKET VALUE