HOSPICE OF CENTRAL PENNSYLVANIA: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF CENTRAL PENNSYLVANIA (EIN 23-2106895)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-12
- IRS object ID
- 201721329349302647
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-12T10:59:30-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 231311005 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BOYER & RITTER | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 HOUSE AVENUE | AddressLine1Txt |
| City | CAMP HILL | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232106895 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF CENTRAL PENNSYLVANIA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 7177321000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 LINGLESTOWN ROAD | AddressLine1Txt |
| City | HARRISBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17110 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GILBERT J BROWN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7177321000 | PhoneNum |
| Signature | 2017-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GEORGE W LANE CPA | PreparerPersonNm |
| PTIN | P00177023 | PTIN |
| Phone | 7177617210 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.201.234.14 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-05-10 | IPDt |
| IP Tm | 14:45:51 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AB97821741957B198F8CA8F52D3D2E6C977A1BF6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GILBERT J BROWN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 LINGLESTOWN ROAD | AddressLine1Txt |
| City | HARRISBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17110 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,620,614 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOSPICEOFCENTRALPA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF HOSPICE OF CENTRAL PENNSYLVANIA IS TO PROVIDE THE HIGHEST QUALITY OF EMOTIONAL, PHYSICAL, AND SPIRITUAL SUPPORT WITH COMPASSION AND RESPECT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 169 | TotalEmployeeCnt |
| Total Volunteers | 189 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,454,332 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,888,465 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,851,029 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,739,553 | CYProgramServiceRevenueAmt |
| PY Investment Income | $157,113 | PYInvestmentIncomeAmt |
| CY Investment Income | -$16,796 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,416 | PYOtherRevenueAmt |
| CY Other Revenue | $9,461 | CYOtherRevenueAmt |
| PY Total Revenue | $13,464,890 | PYTotalRevenueAmt |
| CY Total Revenue | $14,620,683 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,713,621 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,274,785 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $8,800 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $225,586 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,657,380 | PYOtherExpensesAmt |
| CY Other Expenses | $4,854,168 | CYOtherExpensesAmt |
| PY Total Expenses | $13,379,801 | PYTotalExpensesAmt |
| CY Total Expenses | $14,128,953 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $85,089 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $491,730 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,461,283 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,379,351 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $896,644 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $964,104 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,564,639 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,415,247 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR VISION IS A COMMUNITY THAT EMBRACES SPECIALIZED CARE AT THE END OF LIFE WITH THE SAME IMPORTANCE THAT IS GIVEN AT THE BEGINNING OF LIFE. OUR GUIDING PRINCIPLES ARE SERVICE - TO MAKE A DIFFERENCE IN THE LIVES OF OUR PATIENTS/FAMILIES, COMMUNITY, AND EACH OTHER; COMPASSION - TO CONSISTENTLY DEMONSTRATE THE ABILITY TO ENGAGE WITH THE COMMUNITY AND PROVIDE COMFORT AND SOLACE WHEN NEEDED; EXCELLENCE - TO STRIVE FOR SUPERIOR PERFORMANCE IN THE PROVISION OF CARE; WE RECOGNIZE THAT EXCELLENCE DOES NOT EQUAL PERFECTION; INCLUSION - TO CELEBRATE THE MANY DIFFERENCES, INCLUDING RACE, ETHNICITY, GENDER, AGE, SOCIO-ECONOMIC STATUS, NATIONAL ORIGIN, SEXUAL ORIENTATION, DISABILITY, AND RELIGION THAT ENRICH OUR VIBRANT COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,305,794 | ExpenseAmt |
| Revenue | $12,773,551 | RevenueAmt |
| Desc | HOSPICE OF CENTRAL PA PROVIDED HOSPICE SERVICES TO MORE THAN 1,700 PATIENTS AND FAMILIES AS THEY COPED WITH A VARIETY OF LIFE-LIMITING ILLNESSES IN 2016. OUR HIGHLY TRAINED INTERDISCIPLINARY TEAM IS LED BY A PHYSICIAN AND INCLUDES NURSES, SOCIAL WORKERS, HOSPICE AIDES, CHAPLAINS, VOLUNTEERS, A PALLIATIVE MASSAGE THERAPIST AND A MUSIC PRACTITIONER. BY ADDRESSING PAIN AND SYMPTOM RELATED ISSUES, OUR STAFF IS ABLE TO ENHANCE QUALITY OF LIFE AND TO OFFER EMOTIONAL AND PRACTICAL SUPPORT TO THE PATIENT AS WELL AS THE PATIENT'S FAMILY. HOSPICE OF CENTRAL PA IS COMMITTED TO PROVIDING SERVICES IN WHATEVER LOCATION THE PATIENT CALLS HOME. THIS INCLUDES PRIVATE RESIDENCES, HOSPITALS, NURSING HOMES OR ASSISTED LIVING FACILITIES, AND AT OUR HOSPICE RESIDENCE. IN 2016, CAROLYN'S HOUSE, OUR HOSPICE RESIDENCE, CARED FOR APPROXIMATELY 219 CLIENTS WHO COULD NO LONGER REMAIN AT HOME.DURING 2016, OUR TEAM OF SPECIALLY TRAINED VOLUNTEERS PROVIDED MORE THAN 12,000 HOURS OF SERVICE IN VARIOUS CAPACITIES.IN JANUARY OF 2016 WE LAUNCHED OUR MEDICARE CARE CHOICES MODEL IN CONNECTION WITH THE CENTER FOR MEDICARE AND MEDICAID'S INNOVATION CENTER.IN DECEMBER OF 2016 OUR PROGRAM RECEIVED IT'S INITIAL ACCREDITATION, CALLED THE GOLD SEAL OF APPROVAL, FROM THE JOINT COMMISSION. THE ACCREDITATION PERIOD LASTS FOR THREE YEARS.HOSPICE OF CENTRAL PA HAS A LONG TRADITION OF AND ON-GOING COMMITMENT TO PROVIDING CARE REGARDLESS OF FINANCIAL STATUS. THROUGHOUT 2016, WE CONTINUED TO PROVIDE SERVICES TO INDIVIDUALS WHO HAD NO ABILITY TO PAY. HOSPICE OF CENTRAL PA'S JOURNEY PROGRAM IS FOCUSED ON SUPPORTING BEREAVED INDIVIDUALS AND FAMILIES THROUGH THE PROCESS OF GRIEVING THE LOSS OF A LOVED ONE. HCP SERVED OVER 3,500 JOURNEY PROGRAM CLIENTS IN 2016. WE DESIGN OUR SERVICES TO REASSURE A FAMILY MEMBER THAT GRIEVING IS A NORMAL PART OF LIFE AND THAT THEY ARE NOT ALONE IN HAVING FEELINGS OF SORROW. OUR SERVICES ARE INTENDED TO BENEFIT SURVIVORS FOR A MINIMUM OF 14 MONTHS FOLLOWING THE DEATH OF A LOVED ONE, OFFERING THEM SUPPORT THROUGH THE DIFFICULT FIRST YEAR AND ANNIVERSARY PERIOD. THE MAJORITY OF OUR CLIENTS WERE SERVED BY OUR AGENCY PRIOR TO THEIR LOVED ONE'S DEATH. HOWEVER, OUR COMMUNITY BEREAVEMENT PROGRAM AFFORDS US THE OPPORTUNITY TO OFFER THE SAME SERVICES TO ANY ADULT IN THE COMMUNITY WHO HAS EXPERIENCED A LOSS AND IS NOT SURE WHERE TO TURN. THE BEREAVEMENT SERVICES PROVIDED BY HCP INCLUDE:--INDIVIDUAL VISITS IN THE CLIENT'S HOME OR IN OUR OFFICES--PHONE CALLS--PERIODIC MAILINGS OF EDUCATIONAL/READING MATERIALS THAT ADDRESS A VARIETY OF ISSUES THAT MAY SURFACE IN GRIEF AND WHAT TO EXPECT AND CARDS TO REMEMBER OCCASIONS SPECIAL TO THE BEREAVED CLIENT.--A NUMBER OF SPECIFIC SUPPORT GROUPS HELD IN CARLISLE, HERSHEY, OR HARRISBURG--SOCIAL PROGRAMS SUCH AS A LADIES' LUNCH AND A MEN'S BREAKFAST HELD IN LOCAL RESTAURANTS AND A "WEEKEND AWAY" FOR WOMEN-- CAMP DRAGONFLY - TWO WEEKEND BEREAVEMENT CAMPS FOR CHILDREN AGES 6-16 | Desc |
| Total Program Service Expenses | $12,305,794 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 169 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GILBERT J BROWN CEO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7177321000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 LINGLESTOWN RD | AddressLine1Txt |
| City | HARRISBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17110 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MICHAEL BANGS | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN BOLGER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA BROBST | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANE BURKE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOYCE BYLANDER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CARRIE DELONE MD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DIANE FINE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL HAYWARD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANE KOHN | |||||||
| ASSISTANT SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WENDY MCCLINTOCK | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WILLIAM MILLER JR | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT MURPHY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY SIMMONDS MD FACP | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MAE SOBCZAK | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM SPAHR | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JACK STOVER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH TORCHIA MD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MEREDITH TULLI | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM WARD | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GILBERT J BROWN | |||||||
| CEO | 40.00 | Yes (X) | Yes (X) | $202,197 | $0 | $11,989 | |
| WILLIAM WILKISON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SARAH LOMAN | |||||||
| CCO | 40.00 | $120,287 | $0 | $4,299 | Yes (X) | ||
| DAVID WENNER | |||||||
| PHYSICIAN | 40.00 | $211,004 | $0 | $17,506 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $533,488 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $33,794 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $225,744 | FederatedCampaignsAmt |
| Fundraising | $265,111 | FundraisingAmt |
| All Other Contributions | $1,397,610 | AllOtherContributionsAmt |
| Total Contributions | $1,888,465 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | 623000 | $11,512,418 | $11,512,418 |
| PRIVATE INSURANCE, SELF PAY | 623000 | $1,227,135 | $1,227,135 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,739,553 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,562 | TotalRevenueColumnAmt |
| Exclusion | $129,562 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,697,265 | SecuritiesAmt |
| Other | $24,537 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,868,160 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$170,895 | SecuritiesAmt |
| Other | $24,537 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$146,358 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,537 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$170,895 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $131,771 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $265,111 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $131,771 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $9,461 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,461 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,461 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,620,683 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,773,551 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$41,333 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,186 | TotalAmt |
| Program Services | $42,837 | ProgramServicesAmt |
| Management And General | $128,511 | ManagementAndGeneralAmt |
| Fundraising | $42,838 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,632,218 | TotalAmt |
| Program Services | $6,817,739 | ProgramServicesAmt |
| Management And General | $731,107 | ManagementAndGeneralAmt |
| Fundraising | $83,372 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,148 | TotalAmt |
| Program Services | $78,591 | ProgramServicesAmt |
| Management And General | $6,317 | ManagementAndGeneralAmt |
| Fundraising | $240 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $693,210 | TotalAmt |
| Program Services | $602,947 | ProgramServicesAmt |
| Management And General | $80,554 | ManagementAndGeneralAmt |
| Fundraising | $9,709 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $650,023 | TotalAmt |
| Program Services | $569,024 | ProgramServicesAmt |
| Management And General | $70,726 | ManagementAndGeneralAmt |
| Fundraising | $10,273 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,660 | TotalAmt |
| Management And General | $15,660 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,606 | TotalAmt |
| Management And General | $67,606 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,260 | TotalAmt |
| Management And General | $21,260 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,376 | TotalAmt |
| Program Services | $145,729 | ProgramServicesAmt |
| Management And General | $53,212 | ManagementAndGeneralAmt |
| Fundraising | $5,435 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $365 | TotalAmt |
| Management And General | $365 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $442,755 | TotalAmt |
| Program Services | $328,046 | ProgramServicesAmt |
| Management And General | $75,330 | ManagementAndGeneralAmt |
| Fundraising | $39,379 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,909 | TotalAmt |
| Program Services | $105,299 | ProgramServicesAmt |
| Management And General | $23,811 | ManagementAndGeneralAmt |
| Fundraising | $9,799 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,654 | TotalAmt |
| Program Services | $438,948 | ProgramServicesAmt |
| Management And General | $22,580 | ManagementAndGeneralAmt |
| Fundraising | $126 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,411 | TotalAmt |
| Program Services | $33,132 | ProgramServicesAmt |
| Management And General | $989 | ManagementAndGeneralAmt |
| Fundraising | $290 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,364 | TotalAmt |
| Program Services | $200,391 | ProgramServicesAmt |
| Management And General | $47,534 | ManagementAndGeneralAmt |
| Fundraising | $4,439 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,408 | TotalAmt |
| Program Services | $212,075 | ProgramServicesAmt |
| Management And General | $94,993 | ManagementAndGeneralAmt |
| Fundraising | $3,340 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES AND SE | $2,645,485 | $2,645,485 | ||
| OUTREACH | $128,334 | $128,334 | ||
| BEREAVEMENT AND VOLUNTE | $55,822 | $55,822 | ||
| EMPLOYEE RECRUITMENT & | $30,427 | $25,133 | $2,647 | $2,647 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,332 | TotalAmt |
| Program Services | $4,596 | ProgramServicesAmt |
| Management And General | $26,037 | ManagementAndGeneralAmt |
| Fundraising | $13,699 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,128,953 | TotalAmt |
| Program Services | $12,305,794 | ProgramServicesAmt |
| Management And General | $1,597,573 | ManagementAndGeneralAmt |
| Fundraising | $225,586 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50 | BOYAmt |
| EOY | $50 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,962,427 | BOYAmt |
| EOY | $3,258,853 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,155 | BOYAmt |
| EOY | $44,840 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,726,062 | BOYAmt |
| EOY | $1,329,034 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,003 | BOYAmt |
| EOY | $96,656 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,374,050 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,064,237 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,547,127 | BOYAmt |
| EOY | $3,309,813 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,045,459 | BOYAmt |
| EOY | $4,340,105 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,461,283 | BOYAmt |
| EOY | $12,379,351 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,894 | BOYAmt |
| EOY | $964,104 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,750 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $896,644 | BOYAmt |
| EOY | $964,104 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,990,088 | BOYAmt |
| EOY | $10,630,943 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $527,404 | BOYAmt |
| EOY | $737,157 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,147 | BOYAmt |
| EOY | $47,147 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,564,639 | BOYAmt |
| EOY | $11,415,247 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,461,283 | BOYAmt |
| EOY | $12,379,351 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $491,730 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $358,878 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,941,969 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,234,502 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,434,298 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,454,332 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,888,465 | CurrentTaxYearAmt |
| Total | $11,953,566 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,941,969 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,234,502 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,434,298 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,454,332 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,888,465 | CurrentTaxYearAmt |
| Total | $11,953,566 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,199,760 | SubstantialContributorsTotAmt |
| Public Support Total170 | $10,753,806 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $75,133 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $84,252 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $170,265 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $153,164 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $129,562 | CurrentTaxYearAmt |
| Total | $612,376 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,535 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,715 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,964 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,416 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,998 | CurrentTaxYearAmt |
| Total | $54,628 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $12,620,570 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $59,246,834 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.85210 | PublicSupportCY170Pct |
| Public Support PY170 | 0.89860 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $512 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $512 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LOBBYING EXPENDITURES ARE A PORTION OF THE ANNUAL DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO). PER THE NHPCO $515 OF THE DUES WERE USED FOR DIRECT COMMUNICATIONS WITH CERTAIN MEMBERS OF FEDERAL, STATE OR LOCAL GOVERNMENT TO INFLUENCE LEGISLATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $362,500 | OtherCostOrOtherBasisAmt |
| Book Value | $362,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,918,677 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,218,989 | DepreciationAmt |
| Book Value | $2,699,688 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,092,873 | OtherCostOrOtherBasisAmt |
| Depreciation | $845,248 | DepreciationAmt |
| Book Value | $247,625 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,309,813 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $15,011,187 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $358,878 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $52,886 | OtherRevenueAmt |
| Revenue Not Reported | $411,764 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,599,423 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $21,260 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $21,260 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,620,683 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,160,579 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $52,886 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $52,886 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,107,693 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $21,260 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $21,260 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,128,953 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE EARNINGS ON THE ENDOWMENT FUNDS ARE UNRESTRICTED AND ARE USED FOR THE ORGANIZATION'S GENERAL EXPENSES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENTS DIRECT EXPENSE |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENTS DIRECT EXPENSE |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF & TENNIS TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $191,614 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $138,728 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $52,886 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $32,412 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $19,456 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,018 | OtherDirectExpensesEvent1Amt |
| Event2 | GALA | Event2Nm |
| Gross Receipts Event2 | $172,630 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $93,745 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $78,885 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $25,395 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $23,490 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $30,000 | EntertainmentEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $24,636 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $24,636 | CharitableContriOtherEventsAmt |
| Gross Receipts Total | $388,880 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $257,109 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $131,771 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $57,807 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $42,946 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $30,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,018 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $131,771 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GILBERT J BROWN | ||||||||||||||
| CEO | $187,197 | $0 | $15,000 | $0 | $0 | $0 | $6,000 | $0 | $5,989 | $0 | $214,186 | $0 | $0 | $0 |
| DAVID WENNER | ||||||||||||||
| PHYSICIAN | $206,004 | $0 | $5,000 | $0 | $0 | $0 | $12,787 | $0 | $4,719 | $0 | $228,510 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE AUDIT COMMITTEE OF HOSPICE OF CENTRAL PENNSYLVANIA WILL REVIEW THE INITIAL DRAFT OF THE FORM 990. AFTER ANY CHANGES OR CORRECTIONS ARE MADE, A COPY WILL BE SENT TO EACH BOARD MEMBER FOR REVIEW BEFORE THE FORM IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD IS REQUIRED TO SIGN A STATEMENT ANNUALLY STATING EITHER THAT THEY HAVE NO CONFLICTS OF INTEREST OR TO DISCLOSE ANY RELATIONSHIPS THAT MIGHT GIVE RISE TO A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | MARKET SALARY SURVEY INFORMATION WAS OBTAINED FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT FOR SIMILAR POSITIONS IN HOSPICES AND HEALTH CARE PROVIDERS OF COMPARABLE SIZE. CURRENT COMPENSATION LEVELS WERE COMPARED TO THOSE PRESENT IN THE RELEVANT MARKETPLACE. CONSIDERATION WAS GIVEN TO YEARS OF EXPERIENCE, JOB PERFORMANCE, YEARS OF SERVICE, AND INTERNAL EQUITY. CEO INPUT WAS OBTAINED FOR ALL NON-CEO POSITIONS. THE BOARD OF DIRECTORS APPROVED THE RECOMMENDATIONS OF THE PERSONNEL COMMITTEE FOR SALARY RANGES BY POSITION. BOARD ACTIONS ARE DOCUMENTED IN MEETING MINUTES THAT ARE PREPARED CONTEMPORANEOUSLY. THE SALARY RECOMMENDATIONS WERE IMPLEMENTED. SALARY RATES CHANGED IN JANUARY 2016. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE FORM 990 IS AVAILABLE UPON REQUEST AND ON GUIDESTAR WEBSITE, AND THE FORM 1023 IS AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XII, LINE 2C: | NEITHER THE PROCESS FOR OVERSIGHT OF THE AUDIT OR THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS CHANGED FROM THE PRIOR YEAR. |
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