2017-11-13T13:38:48-06:00 2016-12-31 390859910 baker tilly virchow krause llp 221 west philadelphia st 200 york PA 17401 990 2016-01-01 521710891 Integrace Inc INTE 4109702000 576 JOHNSVILLE ROAD ELDERSBURG MD 21784 Jonathan T Hansen cfo 4109702000 2017-11-06 1 Kerri N Bogda P00760402 7178467000 12.207.72.3 2017-11-06 14:53:22 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 ED9739DB62D12D6ED8F3CBFB514EE7098A20FB50 2016 2017-02-10 21:41:12Z JOnathan T hansen 576 JOHNSVILLE ROAD ELDERSBURG MD 21784 7013964 0 X www.integrace.org X 1974 MD PARENT ENTITY TO NON-PROFIT PROVIDERS of LONG-TERM CARE TO AGING PEOPLE. 17 16 51 16 61 0 157033 50067 6895515 6196547 52494 116501 72933 79830 7177975 6442945 162491 12000 0 0 4946113 3803244 0 0 42112 2678993 2146438 7787597 5961682 -609622 481263 15330071 16866932 28018406 29114397 -12688335 -12247465 We are an organization graced by the passion, talent and commitment of our people and together we are creating community. 0 0 1277243 12000 6196547 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. 1277243 1 1 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 1 175 0 1 51 1 0 0 0 0 0 1 1 0 0 0 0 X 17 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X Jonathan t Hansen CFO 4109702000 576 JOHNSVILLE ROAD Eldersburg MD 21784 Rev Ann Boyd Vice-Chair 0.40 1.80 X X 0 0 0 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 Edward L Waddell Board 0.40 1.80 X 0 0 0 Fred Demers Board 0.40 1.60 X 0 0 0 Gene CParker Jr Board (resigned July '16) 0.40 1.60 X 0 0 0 Jaclyn Harris President 4.00 36.00 X X 405399 0 25053 Lorna House Board 0.40 1.60 X 0 0 0 Stuart A Smith III Immediate Past Chair 0.40 1.60 X 0 0 0 Rev Angela Shepherd Board (Term Exp. June '16) 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 0.40 1.60 X 0 0 0 phil burgess board 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 gallagher board 0.40 1.60 X 0 0 0 Jayson R Luckenbaugh cfo/dir. of bus. analytics 4.00 36.00 X 232185 0 13910 Jonathan T Hansen Cfo (BEgan Dec. '16) 4.00 36.00 X 10577 0 0 David J Pagano VP of Clinical Operations 38.00 2.00 X 229159 0 11268 Sainey Tambedou director clinical assess. standards & compliance 40.00 X 131348 0 4191 Cynthia A Yingling VP of Brand Strategy & Dev 40.00 X 165635 0 23006 Tamara Marie Curry VP of Operations 40.00 X 175311 0 16301 Robert Albright VP Facilities Development 40.00 X 162984 0 13267 terri l storms Executive Director 40.00 X 123063 0 2431 1635661 0 109427 14 0 1 0 UNIDINE 100 WASHINGTON ST STE 510 BOSTON MA 02118 DINING SERVICES 12771607 functional Pathways of Tennessee llc 10133 sherrill blvd suite 200 knoxville TN 37932 Therapy Provider 3401240 plano-coudon llc 2101 washington blvd baltimore MD 21230 Construction svc. 1721026 JD Eckardt Company 11525 Dams 5 Road Clear Spring MD 21722 Construct., Renov. 481025 s gates construction 442 camelot blvd falling waters WV 25419 Construct., Renov. 348736 16 15803 34264 50067 mgt fees-EXEMPT AFFIL. 511120 6187547 6187547 MGT. FEES - iNTEGRACE 511120 9000 9000 6196547 34651 61 34590 6000 0 6000 6000 6000 641420 559570 81850 81850 81850 5855 15803 11449 -5594 -5594 Rebates 900099 75309 75309 Other Income 511120 3115 3115 Resident Assn. Mgmt Fe 511120 1000 1000 79424 6442945 6196547 61 196270 12000 12000 927561 95534 832027 2346066 241632 2104434 66853 6885 59968 223794 44440 179354 238970 34689 204281 80452 80452 29410 29410 4434 4434 414416 414416 94709 88027 6682 214976 1572 189226 24178 165812 165812 160964 160964 26769 22456 4313 646844 646844 193647 193647 21926 21926 BOOKS, DUES & SUBS. 38302 33967 4335 Special Event Expense 29251 29251 Continuing Education 23562 20958 2604 LICENSE, FEES & PERMITS 964 964 5961682 1277243 4642327 42112 27591 62672 7893807 1012 240749 81309 8522454 4213301 4485429 4309153 1080038 1074148 13753 12704 1588704 11325934 15330071 16866932 745275 638611 1250000 1000000 3598288 3352493 22424843 24123293 28018406 29114397 X -13528697 -13103663 444594 460430 395768 395768 -12688335 -12247465 15330071 16866932 481263 -40393 0 X 0 1 X 1 0 X 35444 27948 14317 157033 50067 284809 7809463 7873582 6929905 6895515 6196547 35705012 7844907 7901530 6944222 7052548 6246614 35989821 1550 3438 500 1500 500 7488 0 1550 3438 500 1500 500 7488 35982333 43301 31627 52208 46174 40590 213900 43301 31627 52208 46174 40590 213900 106705 122378 83458 79224 79424 471189 7994913 8055535 7079888 7177946 6366628 36674910 0.98110 0.98040 0.00580 0.00670 X Schedule A, Part III, Line 12, Explanation of Other Income: miscellaneous revenue - 2012 Amount: $ 97,705. 2013 Amount: $ 59,011. 2014 Amount: $ 983. 2015 Amount: $ 6,082. 2016 Amount: $ 4,115. INTEGRACE mgt - REIMB - 2012 Amount: $ 9,000. 2013 Amount: $ 9,000. 2014 Amount: $ 9,000. 2015 Amount: $ 9,000. special event income - 2013 Amount: $ 54,367. VISA REBATE - 2014 Amount: $ 59,764. 2015 Amount: $ 59,262. 2016 Amount: $ 75,309. FUNDRAISING NON-CHARITABLE GROSS RECEIPTS - 2014 Amount: $ 13,711. 2015 Amount: $ 4,880. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 0 682077 3195 49327 74798 659801 730742 5954 -6517 48102 682077 754104 16238 25386 64986 730742 600832 27509 143467 17704 754104 527176 32984 65448 24776 600832 0.00000 0.59980 0.40020 0 0 1276905 1276905 5234178 2294703 2939475 2006300 1918598 87702 5071 5071 4309153 due from affiliates 11325934 11325934 DUE TO AFFILIATES 24123293 24123293 6409567 -40393 -4434 -44827 6454394 -11449 -11449 6442945 5968697 11449 11449 5957248 4434 4434 5961682 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. Part XI, Line 2d - Other Adjustments: Investment Fees -4,434. Part XI, Line 4b - Other Adjustments: FUNDRAISING EVENT EXPENSES -11,449. Part XII, Line 2d - Other Adjustments: FUNDRAISING EVENT EXPENSES 11,449. Part XII, Line 4b - Other Adjustments: investment fees 4,434. GOLF TOURNAMENT 21658 15803 5855 5000 5449 1000 21658 15803 5855 5000 5449 1000 11449 -5594 0 SYKESVILLE FIRE DEPARTMENT 6680 SYKESVILLE ROAD SYKESVILLE MD 21784 521233455 501(c)(3) 12000 GENERAL COMMUNITY SUPPORT AND OPERATIONS 1 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 1 0 Jaclyn Harris President 401835 0 0 0 3564 0 6166 0 18887 0 430452 0 0 0 Jayson R Luckenbaugh cfo/dir. of bus. analytics 231676 0 0 0 509 0 4661 0 9249 0 246095 0 0 0 David J Pagano VP of Clinical Operations 227051 0 0 0 2108 0 3053 0 8215 0 240427 0 0 0 Cynthia A Yingling VP of Brand Strategy & Dev 164110 0 0 0 1525 0 3467 0 19539 0 188641 0 0 0 Tamara Marie Curry VP of Operations 174488 0 0 0 823 0 2817 0 13484 0 191612 0 0 0 Robert Albright VP Facilities Development 160774 0 0 0 2210 0 3297 0 9970 0 176251 0 0 0 Part I, Line 7 The decision to award a bonus to the President/CEO is determined by contract and the Executive Committee of the Board. Bonuses to other key leadership are reviewed and granted by the President/CEO on a discretionary basis. bonuses are paid based on achievement of strategic initiatives outlined in the organization's strategic plan. Form 990, Part VI, Section B, line 11b THE PROCESS TO REVIEW THE FORM 990 INCLUDES THE FINANCE STAFF AND MANAGEMENT REVIEWING THE RETURN FOR ACCURACY AND COMPLETENESS. THE FINAL RETURN DRAFT IS POSTED TO A BOARD-SHARE WEBSITE FOR ACCESS TO ALL BOARD MEMBERS. THE BOARD IS INFORMED AT THE OCTOBER BOARD MEETING THAT THE RETURN IS AVAILABLE FOR THEIR REVIEW AD IS GIVEN AT LEAST ONE WEEK TO LET MANAGEMENT KNOW OF ANY QUESTIONS AND/OR EDITS. ONCE THE DEADLINE HAS PASSED, THE RETURN IS FILED. 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, 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) 9 Integrace Inc 1 Integrace Health INC 576 JOHNSVILLE RD ELDERSBURG MD 21784 521234495 OUTPATIENT MEDICAL SERVICES MD 501(C)(3) 9 Integrace Inc 1 FAIRHAVEN INC 576 JOHNSVILLE RD ELDERSBURG MD 21784 237405177 OPERATEs NON-PROFIT HOMES FOR THE AGING MD 501(C)(3) 9 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) 9 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) 9 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) 9 Integrace Inc 1 Integrace Management INC 576 JOHNSVILLE RD ELERSBURG MD 21784 521547917 SENIOR LIVING CONSULTING SERVICES MD N/A C 22411 75586 1.00000 1 0 0 0 1 1 0 0 0 0 1 1 1 1 0 1 1 0 1 0 Integrace Institute inc D 721350 COST INTEGRACE MANAGEMENT inc D 540163 COST Integrace Health Inc D 1194977 COST Bayleigh Chase Inc L 1000000 COST buckingham's choice inc L 2331279 COST fairhaven inc L 2255507 COST copper ridge inc L 600762 COST fairhaven inc E 290656 COST buckingham's choice inc E 117120 COST Bayleigh Chase Inc E 154348 COST buckingham's choice inc E 9043721 COST fairhaven inc E 14925224 COST copper ridge inc O 185512 COST FAIrhaven inc O 185512 COST BAyleigh Chase Inc O 185512 COST BUckingham's choice inc O 185512 COST