2019-11-13T14:35:57-06:00 2018-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 221 WEST PHILADELPHIA ST 200 YORK PA 17401 990 2018-01-01 521710891 INTEGRACE INC INTE 4109702000 576 JOHNSVILLE ROAD ELDERSBURG MD 21784 RICHARD A WINTER ASSISTANT TREASURER 4109702000 2019-11-11 1 KERRI N BOGDA CPA P00760402 7178467000 50.211.1.210 2019-11-11 09:32:00 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2018 2020-03-31 21:24:44Z GERALD T GRANT 576 JOHNSVILLE ROAD ELDERSBURG MD 21784 6951741 0 X WWW.INTEGRACE.ORG X 1974 MD PARENT ENTITY TO NON-PROFIT PROVIDERS OF LONG-TERM CARE TO AGING PEOPLE. 13 12 43 15 0 8297 22611 19207 6102552 6409000 130811 48587 65649 68075 6321623 6544869 13035 12287 0 0 3804294 4271690 0 0 36929 1749171 2329512 5566500 6613489 755123 -68620 14654330 16462138 28663697 30676430 -14009367 -14214292 WE ARE AN ORGANIZATION GRACED BY THE PASSION, TALENT AND COMMITMENT OF OUR PEOPLE AND TOGETHER WE ARE CREATING COMMUNITY. 0 0 655416 12287 6409000 INTEGRACE PROVIDES MANAGEMENT AND ADMINISTRATIVE SERVICES IN THE AREAS OF MARKETING, HUMAN RESOURCES, FINANCE, INFORMATION TECHNOLOGY, FACILITY DEVELOPMENT, FUNDRAISING AND OPERATIONS TO ITS WHOLLY OWNED SUBSIDIARIES WHICH PROVIDE LONG-TERM CARE TO AGING PERSONS IN SUPPORT OF THE INTEGRACE MISSION TO SERVE AGING PERSONS. INTEGRACE ALSO PROVIDES SUPPORT TO LOCAL COMMUNITY ORGANIZATIONS. 655416 1 0 0 0 0 0 1 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 189 0 43 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X RICHARD A WINTER ASSISTANT TREASURER 4109702000 576 JOHNSVILLE ROAD ELDERSBURG MD 21784 BRUCE A CALVERT BOARD 0.40 1.60 X 0 0 0 CRAIG MEDLYN BOARD 0.40 1.60 X 0 0 0 DIXON HARVEY CHAIR 0.40 1.60 X X 0 0 0 FRED DEMERS VICE-CHAIR 0.40 1.60 X X 0 0 0 JACLYN HARRIS PRESIDENT 4.00 36.00 X X 461251 0 22173 LORNA HOUSE BOARD 0.40 1.60 X 0 0 0 STUART A SMITH III BOARD 0.40 1.60 X 0 0 0 RT REV EUGENE T SUTTON BOARD 0.40 1.60 X 0 0 0 SCOTT BEATTY BOARD 0.40 1.60 X 0 0 0 RAY VANHORN BOARD 0.40 1.60 X 0 0 0 PAUL BRIDGE BOARD (PASSED JULY 2018) 0.40 1.60 X 0 0 0 LINDA BURTON BOARD 0.40 1.60 X 0 0 0 RT REV CHILTON KNUDSEN BOARD 0.40 1.60 X 0 0 0 HALEY DONATO BOARD 0.40 1.60 X 0 0 0 JONATHAN T HANSEN CFO 4.00 36.00 X 293226 0 31685 SAINEY TAMBEDOU DIRECTOR CLINICAL ASSESS. 40.00 X 139651 0 6003 CYNTHIA A YINGLING VP INSTITUTE & NEURO-COG. OPS 40.00 X 178620 0 22987 SARAH LEWIS VP MISSION & CULTURE 40.00 X 225001 0 0 ROBERT ALBRIGHT VP FACILITIES DEVELOPMENT 40.00 X 185400 0 3717 DOMINICK VALENCIA VP TALENT MANAGEMENT 40.00 X 200754 0 16372 1683903 0 102937 9 0 1 0 UNIDINE 100 WASHINGTON ST STE 510 BOSTON MA 02118 DINING SERVICES 7951578 FUNCTIONAL PATHWAYS OF TENNESSEE LLC 10133 SHERRILL BLVD SUITE 200 KNOXVILLE TN 37932 THERAPY PROVIDER 3485531 DAVID C BULLOCK GENERAL CONTRACTOR INC 3370 LOWMAN LANE UNION BRIDGE MD 21791 GENERAL CONTRACTOR 395140 FRYE BROTHERS LLC 5635 WALLACE SYKESVILLE MD 21784 GENERAL CONTRACTOR 364271 CHESAPEAKE MEDICAL STAFFING INC 2401 YORK ROAD TIMONIUM MD 21093 MEDICAL STAFFING 358687 27 16188 3019 19207 MGT FEES-EXEMPT AFFIL. 511120 6400000 6400000 MGT. FEES-INTEGRACE MG 511120 9000 9000 6409000 27558 27558 6000 0 6000 6000 6000 417639 1000 397610 0 20029 1000 21029 21029 4000 16188 9262 -5262 -5262 REBATES 900099 67337 67337 67337 6544869 6409000 0 116662 X 12287 12287 808335 41764 766571 2929282 151347 2777935 53425 2761 50664 229374 11851 217523 251274 12983 238291 423356 423356 23095 23095 5300 5300 786530 281 786249 102757 82151 20606 157441 1641 145217 10583 140588 140588 158748 158748 19389 17258 2131 247503 247503 172998 172998 22938 22938 BOOKS, DUES & SUBS. 39344 35735 3609 CONTINUING EDUCATION 16488 16488 SPECIAL EVENT EXPENSE 11306 11306 LICENSE, FEES & PERMITS 1731 1731 6613489 655416 5921144 36929 108215 1584 798 1717 56325 8563578 4566263 4160917 3997315 1161157 962565 14215 13750 9208109 11429801 14654330 16462138 533392 929125 1000000 875000 3091538 2814488 24038767 26057817 28663697 30676430 X -14889827 -14887085 484692 277025 395768 395768 -14009367 -14214292 14654330 16462138 -68620 -136305 0 X 0 1 X 1 0 X 14317 157033 50067 22611 19207 263235 6929905 6895515 6196547 6102552 6409000 32533519 6944222 7052548 6246614 6125163 6428207 32796754 500 1500 500 408 2908 0 500 1500 500 408 2908 32793846 52208 46174 40590 34011 33558 206541 52208 46174 40590 34011 33558 206541 83458 79224 79424 80898 71337 394341 7079888 7177946 6366628 6240072 6533102 33397636 0.98190 0.98120 0.00620 0.00590 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2014 AMOUNT: $ 983. 2015 AMOUNT: $ 6,082. 2016 AMOUNT: $ 4,115. 2017 AMOUNT: $ 334. INTEGRACE MGT - REIMB - 2014 AMOUNT: $ 9,000. 2015 AMOUNT: $ 9,000. CREDIT CARD REBATE - 2014 AMOUNT: $ 59,764. 2015 AMOUNT: $ 59,262. 2016 AMOUNT: $ 75,309. 2017 AMOUNT: $ 75,180. 2018 AMOUNT: $ 67,337. FUNDRAISING NON-CHARITABLE GROSS RECEIPTS - 2014 AMOUNT: $ 13,711. 2015 AMOUNT: $ 4,880. 2018 AMOUNT: $ 4,000. CANNON LEASE BUYOUT - 2017 AMOUNT: $ 5,384. X 1 0 637429 500 -139978 18952 478999 659801 1 63239 85612 637429 682077 3195 49327 74798 659801 730742 5954 -6517 48102 682077 754104 16238 25386 64986 730742 0.00000 0.82620 0.17380 0 0 1276906 1276906 5256955 2576435 2680520 2029717 1989828 39889 3997315 DUE FROM AFFILIATES 11429801 11429801 DUE TO AFFILIATES 26057817 26057817 6408564 -136305 -136305 6544869 0 6544869 6613489 0 6613489 0 6613489 PART II, LINE 3: THE CONSERVATION EASEMENT IS OF MINIMAL ACREAGE AND SUBSEQUENTLY IS NOT VALUED FOR INCLUSION IN THE FINANCIAL STATEMENTS. PART V, LINE 4: THE ENDOWMENT FUNDS FOR INTEGRACE, INC. ARE USED TO REIMBURSE EMPLOYEES FOR CONTINUING EDUCATION. GOLF TOURNAMENT 20188 16188 4000 5000 2444 1818 20188 16188 4000 5000 2444 1818 9262 -5262 0 SYKESVILLE FIRE DEPARTMENT 6680 SYKESVILLE ROAD SYKESVILLE MD 21784 521233455 501(C)(3) 12287 GENERAL COMMUNITY SUPPORT AND OPERATIONS 1 0 PART I, LINE 2: THE ORGANIZATION PROVIDED A GRANT TO THE LOCAL FIRE DEPARTMENT. THE FIRE DEPARTMENT IS A TAX EXEMPT INSTITUTION DEDICATED TO THE PUBLIC WELFARE OF THE COMMUNITY AND AS SUCH, THE ORGANIZATION DOES NOT MONITOR THE FUNDS ONCE THEY ARE ISSUED. X X X 0 0 0 0 0 0 0 0 0 JACLYN HARRIS PRESIDENT 454129 0 0 0 7122 0 993 0 21180 0 483424 0 0 0 JONATHAN T HANSEN CFO 292740 0 0 0 486 0 5500 0 26185 0 324911 0 0 0 CYNTHIA A YINGLING VP INSTITUTE & NEURO-COG. OPS 176077 0 0 0 2543 0 3270 0 19717 0 201607 0 0 0 SARAH LEWIS VP MISSION & CULTURE 223692 0 0 0 1309 0 0 0 0 0 225001 0 0 0 ROBERT ALBRIGHT VP FACILITIES DEVELOPMENT 180845 0 0 0 4555 0 3717 0 0 0 189117 0 0 0 DOMINICK VALENCIA VP TALENT MANAGEMENT 200159 0 0 0 595 0 1233 0 15139 0 217126 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B AFTER REVIEW BY THE CFO AND CEO, THE FORM 990 IS REVIEWED, BEFORE FILING, BY THE BOARD OF DIRECTORS' AUDIT COMMITTEE, WHICH INCLUDES THREE CERTIFIED PUBLIC ACCOUNTANTS. THE FORM 990 IS THEN PROVIDED TO THE OTHER MEMBERS OF THE GOVERNING BODY BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURE FORMS ARE DISTRIBUTED TO MEMBERS OF THE SENIOR LEADERSHIP TEAM IN JANUARY EACH YEAR. THE REMAINING MANAGEMENT STAFF AND TRUSTEE MEMBERS RECEIVE FORMS IN EARLY JUNE. THE COMPLETED FORMS ARE RETURNED TO HUMAN RESOURCES. A REPORT IS PREPARED SHOWING ALL CONFLICT OF INTEREST DISCLOSURES. THIS REPORT IS PRESENTED AT THE JULY MEETING OF THE AUDIT COMMITTEE. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THOSE WITH WHOM THERE IS A CONFLICT ABSTAIN FROM BEING INVOLVED IN DISCUSSIONS AND/OR DECISIONS REGARDING THE CONFLICT. FAMILY AND BUSINESS RELATIONSHIPS ARE TO BE REPORTED ON DISCLOSURE FORMS TO DETERMINE IF A REPORTABLE RELATIONSHP EXISTS. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT/CEO'S PERFORMANCE IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE. THE PRESIDENT/CEO PREPARES A COMPREHENSIVE REPORT SHOWING THE RESULTS OF HIS/HER WORK DURING THE PAST YEAR AND GOALS FOR THE COMING YEAR. THIS REPORT IS REVIEWED BY THE EXECUTIVE COMMITTEE WHICH DETERMINES THE ONGOING COMPENSATION FOR THE PRESIDENT/CEO THROUGH REVIEWING COMPARABLE SALARIES, PERFORMANCE, AND REPORTING THE PROCESS IN THE BOARD MINUTES. THE COMMITTEE GIVES THIS INFORMATION TO THE CFO WHO THEN SENDS IT TO THE VP OF HUMAN RESOURCES FOR PROCESSING. IN THE CASE OF A NEW CEO, A SEARCH FIRM IS USED TO NEGOTIATE SALARY AND BENEFITS DIRECTLY WITH THE CANDIDATE. THE SALARY IS NEGOTIATED TAKING INTO CONSIDERATION COMPARABLE SALARIES IN THE INDUSTRY TO DETERMINE A COMPENSATION PACKAGE WITHIN FAIR MARKET RANGE. THE PROCESS IS ALSO DOCUMENTED IN MINUTES DURING AN EXECUTIVE SESSION. COMPENSATION FOR OTHER KEY EMPLOYEES IS DETERMINED BY THE CEO USING SIMILAR METHODS. SENIOR MANAGEMENT POSITIONS ARE PAID ACCORDING TO RESPONSIBILITY IN THE COMPANY, EXPERIENCE, CREDENTIALS, AND MANAGEMENT AND LEADERSHIP SKILLS. ANNUAL COMPENSATION SURVEYS ARE REVIEWED BY THE HR DEPARTMENT AND RECOMMENDATIONS ARE MADE TO THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CATERING: PROGRAM SERVICE EXPENSES 281. MANAGEMENT AND GENERAL EXPENSES 40,549. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,830. CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 642,260. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 642,260. PURCHASED SPECIAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 65,479. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,479. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 37,961. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,961. FORM 990, PAGE 5, PART V, LINE 1A THE FILING ORGANIZATION, INTEGRACE, INC., IS THE PARENT COMPANY WITHIN A GROUP WITH OF SEVEN ENTITIES. AS THE PARENT, INTEGRACE, INC. PERFORMS A VARIETY OF MANAGEMENT FUNCTIONS, OF WHICH FILING FORMS 1099 IS ONE. INTEGRACE, INC. FILES ALL 1099 FORMS FOR THE WHOLE GROUP AND, AS SUCH, REPORTS ALL 1099S FOR THE GROUP. PLEASE SEE SCHEDULE R FOR A FULL LIST OF AFFILIATE COMPANIES. COPPER RIDGE INC 576 JOHNSVILLE RD ELDERSBURG MD 21784 521750659 OPERATES A LONG-TERM CARE FACILITY MD 501(C)(3) LINE 10 INTEGRACE INC 1 INTEGRACE HEALTH INC 576 JOHNSVILLE RD ELDERSBURG MD 21784 521234495 OUTPATIENT MEDICAL SERVICES MD 501(C)(3) LINE 10 INTEGRACE INC 1 FAIRHAVEN INC 576 JOHNSVILLE RD ELDERSBURG MD 21784 237405177 OPERATES NON-PROFIT HOMES FOR THE AGING MD 501(C)(3) LINE 10 INTEGRACE INC 1 INTEGRACE INSTITUTE INC 576 JOHNSVILLE RD ELDERSBURG MD 21784 522139438 OPERATES AN INSTITUE FOCUSING ON EDUCATION AND RESEARCH MD 501(C)(3) LINE 10 INTEGRACE INC 1 BAYLEIGH CHASE INC 576 JOHNSVILLE RD ELDERSBURG MD 21784 200495182 OPERATES A NON-PROFIT HOME FOR THE AGING MD 501(C)(3) LINE 10 INTEGRACE INC 1 BUCKINGHAM'S CHOICE INC 576 JOHNSVILLE RD ELDERSBURG MD 21784 521929311 OPERATES A NON-PROFIT HOME FOR THE AGING MD 501(C)(3) LINE 10 INTEGRACE INC 1 INTEGRACE MANAGEMENT INC 576 JOHNSVILLE RD ELERSBURG MD 21784 521547917 SENIOR LIVING CONSULTING SERVICES MD N/A C 16774 83189 1.00000 1 0 0 0 1 1 0 0 0 0 1 1 1 1 0 1 1 0 0 0 BAYLEIGH CHASE INC D 11251768 COST INTEGRACE HEALTH SERVICES D 1133095 COST INTEGRACE INSTITUTE INC D 444997 COST BUCKINGHAM'S CHOICE INC E 14184690 COST FAIRHAVEN INC E 13255451 COST COPPER RIDGE INC K 455006 COST BAYLEIGH CHASE INC L 1000000 COST BUCKINGHAM'S CHOICE INC L 2300000 COST FAIRHAVEN INC L 2500000 COST COPPER RIDGE INC L 600000 COST COPPER RIDGE INC O 161667 COST FAIRHAVEN INC O 161667 COST BAYLEIGH CHASE INC O 161667 COST BUCKINGHAM'S CHOICE INC O 161667 COST INTEGRACE INSTITUTE INC O 40417 COST INTEGRACE HEALTH SERVICES O 40417 COST