2018-11-15T09:14:31-06:00 2018-06-30 341897225 HILL BARTH & KING LLC 3110 HIGHLAND ROAD HERMITAGE PA 16148 990 2017-07-01 250753320 GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA GEOR 7244589330 PO BOX 1058 GROVE CITY PA 16127 MICHELLE GERWICK CFO 7244589330 2018-11-09 1 DOMINIC MASTROPIETRO P00949738 7249817550 198.167.186.164 2018-11-09 10:04:53 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 997BE233E0CD46EDEF03582CD33D195BA686B376 2017 2019-02-21 02:37:17Z MICHELLE GERWICK PO BOX 1058 GROVE CITY PA 16127 33647521 0 X N/A X 1986 PA ORGANIZATION PROVIDES YEAR-ROUND 24 HOUR RESIDENTIAL TREATMENT SERVICES AND RELATED SERVICES TO OVER 500 ADOLESCENT DELINQUENT AND DEPENDENT BOYS. 12 12 1057 76 0 0 200395 215001 39362142 33429569 -17234 -1545 0 0 39545303 33643025 0 0 0 0 31277327 28708049 0 0 0 11979002 11649612 43256329 40357661 -3711026 -6714636 10348389 8260124 8716430 2833344 1631959 5426780 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 16468431 16942526 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. 10143096 7766356 REGULAR TREATMENT SERVICES - TO PROVIDE EACH RESIDENT WITH A STRUCTURED, FAIR, FIRM AND CONSISTENT ENVIRONMENT IN WHICH TO DEVELOP APPROPRIATE SOCIALIZATION SKILLS. 3420012 3540918 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. 3298254 5179769 3298254 5179769 33329793 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 25 0 1057 1 0 0 0 0 0 0 0 0 0 0 X 12 12 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 ROBERT C JACKSON JR DIRECTOR 1.00 X 0 0 0 MEGAN R TROXELL 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 NANNIE JEAN HAY DIRECTOR 1.00 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 RICHARD LOSASSO CEO 10.00 30.00 X 79387 238163 101046 MICHELLE GERWICK CFO 16.00 24.00 X 83662 125493 26493 JEFFREY T MORRIS COO 40.00 X 57425 0 11496 MARK DEMIDOVICH PSYCHIATRIST 40.00 X 275642 0 24675 JASON ROCK PSYCHIATRIST 40.00 X 272489 0 27585 TOM JONES HUMAN RESOURCES V.P. 40.00 X 148616 0 24867 ANDREA DONATUCCI VP SUPPORT/SERVICES 40.00 X 125168 0 23094 SANDY DILLON-DICK VP TREATMENT 40.00 X 122433 0 7057 1164822 363656 246313 5 0 1 0 CROWN BENEFITS ADMINISTRATION PO BOX 1049 INDIANA PA 15701 HOSPITALIZATION BENEFIT 4338530 GROVE CITY SCHOOL DISTRICT 511 HIGHLAND AVE GROVE CITY PA 16127 OFF CAMPUS TUITIONS 1035958 US FOOD SERVICE PO BOX 643190 PITTSBURGH PA 15264 FOOD SERVICES 572410 PHILADELPHIA INSURANCE COMPANY PO BOX 70251 PHILADELPHIA PA 19176 GENERAL LIABILITY/PROF INSURANCE 554618 METZ CULINARY MANAGEMENT 2 WOODLAND DR DALLAS PA 18612 FOOD MANAGEMENT 479877 5 215001 215001 215001 STUDENT SPECIAL NEEDS 611710 16942526 16942526 STUDENT REGULAR SERVICE 611710 7766356 7766356 INTENSIVE SUPERVISION 611710 3540918 3540918 STUDENT DRUG AND ALCOHOL 611710 2018728 2018728 DIAGNOSTIC SERVICES 611710 1154583 1154583 2006458 2006458 33429569 56 56 2895 4496 -1601 -1601 -1601 33643025 33427968 0 56 154986 154986 22682395 18778603 3903792 846995 685452 161543 3416159 2810223 605936 1607514 1329260 278254 453805 453805 133578 133578 1002628 643822 358806 3632404 3266888 365516 618056 583390 34666 107567 107567 706374 663641 42733 901136 691787 209349 FOOD 1736046 1734934 1112 SUPPLIES 1028333 819649 208684 STUDENT ACTIVITIES 319494 318653 841 CLOTHING 174044 174044 836147 674461 161686 40357661 33329793 7027868 0 1700628 694760 6242481 4996264 178226 96896 63289 69719 6231516 3886150 2048915 2345366 114850 57119 10348389 8260124 1974200 2052342 110937 97525 3159493 230081 3471800 453396 8716430 2833344 X 1631959 5426780 1631959 5426780 10348389 8260124 X -6714636 10509457 X X 0 1 X 0 1 1 X 6231516 3886150 2345366 2345366 TUITION PAYABLE 453396 453396 33644626 1601 1601 33643025 0 33643025 40359262 1601 1601 40357661 0 40357661 PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF EQUIPMENT ($1,601) PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF EQUIPMENT ($1,601) 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 $835,331 FROM PENNSYLVANIA DEPARTMENT OF EDUCATION NATIONAL SCHOOL LUNCH PROGRAM DURING THE TAX YEAR. THE ORGANIZATION ALSO RECEIVED USDA COMMODITY IN VALUE OF $53,167 FROM PENNSYLVANIA DEPARTMENT OF AGRICULTURE DURING THE TAX YEAR. X 1 1 X X X 0 1 0 0 0 0 0 0 0 RICHARD LOSASSO CEO 71589 214767 0 0 7798 23396 22390 67170 2872 8614 104649 313947 0 0 MICHELLE GERWICK CFO 75635 113452 0 0 8027 12041 10597 15896 0 0 94259 141389 0 0 MARK DEMIDOVICH PSYCHIATRIST 273779 0 0 0 1863 0 12600 0 12075 0 300317 0 0 0 JASON ROCK PSYCHIATRIST 268779 0 0 0 3710 0 15504 0 12081 0 300074 0 0 0 TOM JONES HUMAN RESOURCES V.P. 147837 0 0 0 779 0 12786 0 12081 0 173483 0 0 0 PART I, LINE 1A THE ORGANIZATION PAYS FOR A COUNTRY CLUB MEMBERSHIP FOR THE CEO. THESE PAYMENTS ARE INCLUDED ON FORM W-2 AS TAXABLE COMPENSATION. PART I, LINE 4B RICHARD LOSASSO (CEO) AND MICHELLE GERWICK (CFO) PARTICIPATE IN A 457(B) PLAN AND A 457(F) PLAN. X 23418 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 2013. 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 4,762,890. CONTRIBUTIONS FROM AFFILIATE 5,746,567. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR 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 OPERATE RESIDENTIAL TREATMENT CENTER AND PROVIDE IN-HOME SERVICES 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 1 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 1 GEORGE JUNIOR REPUBLIC REALTY K 2804051 FAIR MARKET VALUE GEORGE JUNIOR IN INDIANA Q 363750 FAIR MARKET VALUE PREVENTATIVE AFTERCARE INC Q 337813 FAIR MARKET VALUE GEORGE JUNIOR REPUBLIC O 227149 FAIR MARKET VALUE GEORGE JUNIOR REPUBLIC S 4762890 FAIR MARKET VALUE GEORGE JUNIOR IN INDIANA O 56704 FAIR MARKET VALUE PREVENTATIVE AFTERCARE INC O 129660 FAIR MARKET VALUE GEORGE JUNIOR REPUBLIC Q 36816 FAIR MARKET VALUE GEORGE JUNIOR REPUBLIC REALTY (LOAN GUARANTEE) D 2861344 FAIR MARKET VALUE GEORGE JUNIOR REPUBLIC D 57119 FAIR MARKET VALUE GEORGE JUNIOR REPUBLIC C 5746567 FAIR MARKET VALUE