2016-10-14T11:10:24-05:00 2015-12-31 232108173 REINSEL KUNTZ LESHER LLP PO BOX 8408 LANCASTER PA 176048408 990 2015-01-01 232122735 HOSPICE & COMMUNITY CARE HOSP 7172953900 PO BOX 4125 LANCASTER PA 176044125 STEVEN M KNAUB PRESIDENT & CEO 7173912402 2016-10-13 1 MOLLY L RAMOS CPA P00399762 7173945666 2016-09-27 2015 2017-02-10 21:41:12Z STEVEN M KNAUB PO BOX 4125 LANCASTER PA 176044125 67418637 0 X WWW.HOSPICECOMMUNITY.ORG X 1980 PA HOSPICE & COMMUNITY CARE PROVIDES CARE AND COMFORT TO HELP PATIENTS AND FAMILIES LIVE BETTER AT END OF LIFE. 20 17 432 884 0 0 2774042 2971751 25774660 27372665 854261 683902 180357 35086 29583320 31063404 0 0 0 0 20585230 21819849 0 0 606209 7343838 7895648 27929068 29715497 1654252 1347907 43715031 44638484 2087182 2337687 41627849 42300797 TO PROVIDE CARE AND COMFORT TO HELP PATIENTS AND FAMILIES LIVE BETTER AT END OF LIFE. 0 0 26473380 27398196 HOSPICE & COMMUNITY CARE IS DEDICATED TO PROVIDING CARE AND COMFORT TO HELP PATIENTS AND FAMILIES LIVE BETTER AT END OF LIFE. DURING THE CURRENT YEAR, HOSPICE & COMMUNITY CARE PROVIDED ALMOST 158,000 PATIENT DAYS OF HOSPICE CARE TO PATIENTS AND THEIR FAMILIES AND SERVED 3,031 PATIENTS DURING THE YEAR, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. SEVEN PERCENT OF THE PATIENT DAYS OF HOSPICE CARE WERE CHARITABLE CARE. PHYSICIANS COMPLETED OVER 14,000 HOSPICE AND PALLIATIVE CARE VISITS TO PATIENTS IN THEIR PRIVATE HOMES, NURSING HOMES, HOSPITALS, PHYSICIAN CLINIC AND HOSPICE INPATIENT UNIT. THE BEREAVEMENT PROGRAM SUPPORTED 8,445 INDIVIDUALS DURING THE CURRENT YEAR THROUGH 238 SUPPORT GROUPS, OVER 35,000 PIECES OF MAIL, OVER 4,500 TELEPHONE CALLS AND OVER 800 INDIVIDUAL VISITS. 26473380 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 1 1 0 0 1 0 0 0 0 1 X 100 1 1 432 1 0 0 0 0 0 1 1 0 0 0 1 0 X 20 17 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X STEVEN M KNAUB 7172953900 685 GOOD DRIVE LANCASTER PA 17601 GEOFFREY W EDDOWES CHAIR 1.00 X X 0 0 0 CHRISTOPHER A STUMP ESQ VICE CHAIR 1.00 X X 0 0 0 JANE A SHIPE SECRETARY 1.00 X X 0 0 0 DAVID J HESS TREASURER 1.00 X X 0 0 0 DEBRA A BRADLEY BOARD MEMBER 1.00 X 0 0 0 BARBARA O BRENEMAN BOARD MEMBER 1.00 X 0 0 0 WILLIAM BURKE BOARD MEMBER 1.00 X 0 0 0 THOMAS S BUTER BOARD MEMBER 1.00 X 0 0 0 NEVIN D COOLEY BOARD MEMBER 1.00 X 0 0 0 MARCIA A HANSEN BOARD MEMBER 1.00 X 0 0 0 BROOKE W HERR BOARD MEMBER 1.00 X 0 0 0 NANCY MAYER HUGHES ESQ BOARD MEMBER 1.00 X 0 0 0 TIM LAPP BOARD MEMBER 1.00 X 0 0 0 KEVIN H MOSSER MD BOARD MEMBER 1.00 X 0 0 0 THOMAS E MORELL BOARD MEMBER 1.00 X 0 0 0 J ROGER MOYER JR BOARD MEMBER 1.00 X 0 0 0 DR RANDALL A OYER MD BOARD MEMBER 1.00 X 0 0 0 DAVID H PECK BOARD MEMBER 1.00 X 0 0 0 GIL SAGER BOARD MEMBER 1.00 X 0 0 0 LARRY ZOOK BOARD MEMBER 1.00 X 0 0 0 STEVEN M KNAUB PRESIDENT/CEO 40.00 X 241742 0 24092 JOAN HARROLD VICE PRESIDENT 40.00 X 230626 0 31014 BONNIE JESS LOPANE VICE PRESIDENT 40.00 X 120187 0 12450 KRISTA KAE HAZEN VICE PRESIDENT/CFO 40.00 X 157068 0 14611 ANN MARIE ACKERMAN VICE PRESIDENT 40.00 X 129552 0 8255 BRENT KEENER VICE PRESIDENT 40.00 X 104869 0 26678 MARIA HAYES HOSPICE PHYSICIAN 40.00 X 162478 0 18570 JACK WRIGHT HOSPICE PHYSICIAN 40.00 X 150364 0 14001 J ANDREW PROBOLUS HOSPICE PHYSICIAN 40.00 X 152468 0 18830 D THAIS MAGILL HOSPICE PHYSICIAN 40.00 X 167792 0 24325 FARIHA SARIJ HOSPICE PHYSICIAN 40.00 X 149578 0 28038 1766724 0 220864 14 0 1 0 LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET PO BOX 355 LANCASTER PA 176043555 PROFESSIONAL HEALTHCARE SERVICES 212862 SUNCOAST SOLUTIONS 5771 ROOSEVELT BLVD CLEARWATER FL 33760 SOFTWARE PROVIDER 196273 BENCHMARK CONSTRUCTION CO INC PO BOX 806 BROWNSTOWN PA 17508 CONSTRUCTION SERVICES 194482 VERIZON WIRELESS PO BOX 25505 LEHIGH VALLEY PA 180025505 CELLULAR SERVICE PROVIDER 151494 KEYSTONE LAWN COMPANY INC 1151 FOUR STAR DRIVE MT JOY PA 17552 LANDSCAPING SERVICES 112069 6 44175 432620 2494956 312674 2971751 PATIENT FEES 624100 26739603 26739603 633062 633062 27372665 418948 418948 36255364 9875 35996655 3630 258709 6245 264954 264954 311542 432620 328683 -17141 -17141 52961 26265 26696 26696 MISCELLANEOUS 624100 25531 25531 25531 31063404 27398196 0 693457 X 1050510 408574 568897 73039 16742952 15522547 938126 282279 443802 374212 64687 4903 2094290 1868983 189445 35862 1488295 1259339 206866 22090 3820 3820 21000 21000 1293 1293 54398 54398 4029979 3989942 38750 1287 73625 17635 55990 328185 248572 68946 10667 213708 190579 19206 3923 680426 560182 99881 20363 564752 539014 24238 1500 67686 61506 5588 592 1109591 909864 166439 33288 326550 308578 13064 4908 FUNDRAISING EXPENSE 107139 107139 MISCELLANEOUS 90412 84023 6070 319 PRINTING 80334 34602 42396 3336 DUES & SUBSCRIPTIONS 78399 39067 38763 569 64351 54868 9338 145 29715497 26473380 2635908 606209 700 700 3401437 2474739 23210 13859 2738600 3283725 31520 29390 75531 186610 107624 170625 28272972 14321673 14852047 13951299 21798411 23877924 685951 649613 43715031 44638484 1398660 1645940 688522 691747 2087182 2337687 X 40343178 41078874 109230 71678 1175441 1150245 41627849 42300797 43715031 44638484 X 1347907 -575519 -99440 X X 0 1 X 1 0 X 2215435 2258121 2291727 2774042 2971751 12511076 2215435 2258121 2291727 2774042 2971751 12511076 472462 12038614 693652 443310 347156 349991 418948 2253057 41083 19255 46138 32492 25531 164499 14928632 137810539 0.80640 0.80290 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: RESEARCH COMMUNITY EDUCATION - 2011 AMOUNT: $ 41,083. 2012 AMOUNT: $ 19,255. 2013 AMOUNT: $ 46,138. 2014 AMOUNT: $ 32,492. 2015 AMOUNT: $ 25,531. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1293 1293 0 PART II-B, LINE 1: THE ORGANIZATION HAS RECEIVED NOTICE FROM THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION THAT A PORTION OF THEIR ANNUAL DUES ARE RELATED TO LOBBYING ACTIVITIES. 22200669 2239541 63226 628476 38691 23836269 20418362 1209889 1014381 402999 38964 22200669 18072874 247793 2497349 365163 34491 20418362 23390178 2617729 1689184 9593991 30226 18072874 26749966 3027692 212125 6558258 41347 23390178 0.95170 0.04830 0.00000 0 0 1724349 1724349 24872562 12991658 11880904 1676061 1330015 346046 13951299 CHARITABLE GIFT ANNUITIES 691747 691747 X 30657576 -575519 11962 -28169 -591726 31249302 -185898 -185898 31063404 29984628 11962 257169 269131 29715497 0 29715497 PART X, LINE 2: HOSPICE FOLLOWS THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ACCORDING TO THE PRINCIPLES OF ASC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY HOSPICE, INCLUDING WHETHER THE ENTITY IS EXEMPT FROM INCOME TAXES. MANAGEMENT EVALUATED THE TAX POSITIONS TAKEN AND CONCLUDED THAT HOSPICE HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, HOSPICE IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF PERPETUAL TRUSTS -59,580. DISTRIBUTIONS FROM PERPETUAL TRUSTS 31,411. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT EXPENSES ON SPECIAL EVENTS -159,633. DIRECT EXPENSES ON GAMING ACTIVITIES -26,265. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT EXPENSES ON SPECIAL EVENTS 159,633. CHANGE IN VALUE OF GIFT ANNUITIES 71,271. DIRECT EXPENSES ON GAMING 26,265. LABOR DAY AUCTION 624457 347141 277316 8459 17711 254822 SPRING FLING 72548 51493 21055 10059 600 18117 1 47157 33986 13171 870 5253 12792 744162 432620 311542 9329 33023 600 285731 328683 -17141 52961 2500 22727 1038 1 1.00000 52961 2500 22727 1038 26265 26696 PA 1 0 1 0 1.00000 STEVEN KNAUB 685 GOOD DRIVE LANCASTER PA 17604 0 BONNIE JESS LOPANE THE ORGANIZATION DOES NOT HAVE A DEDICATED "GAMING MANAGER". BONNIE JESS LOPANE, AS VICE PRESIDENT OF DEVELOPMENT & COMMUNITY RELATIONS, OVERSEES THE LABOR DAY AUCTION RAFFLE, WHICH CONSTITUTES LESS THAN 1% OF HER DUTIES. X 1 26696 X 0 1 X X X X X 0 0 0 0 0 0 0 1 0 STEVEN M KNAUB PRESIDENT/CEO 203480 0 25000 0 13262 0 8498 0 15594 0 265834 0 0 0 JOAN HARROLD VICE PRESIDENT 197700 0 17500 0 15426 0 8010 0 23004 0 261640 0 0 0 KRISTA KAE HAZEN VICE PRESIDENT/CFO 139267 0 15000 0 2801 0 5606 0 9005 0 171679 0 0 0 MARIA HAYES HOSPICE PHYSICIAN 156336 0 2500 0 3642 0 5843 0 12727 0 181048 0 0 0 JACK WRIGHT HOSPICE PHYSICIAN 147348 0 2500 0 516 0 0 0 14001 0 164365 0 0 0 J ANDREW PROBOLUS HOSPICE PHYSICIAN 147575 0 2500 0 2393 0 5053 0 13777 0 171298 0 0 0 D THAIS MAGILL HOSPICE PHYSICIAN 163227 0 3500 0 1065 0 5958 0 18367 0 192117 0 0 0 FARIHA SARIJ HOSPICE PHYSICIAN 144141 0 2500 0 2937 0 5472 0 22566 0 177616 0 0 0 PART I, LINE 1A EMPLOYEES WHO RECEIVED TAXABLE LIFE INSURANCE BENEFITS WERE GIVEN A PAYMENT TO COVER THESE TAXES WHICH WAS TREATED AS TAXABLE COMPENSATION. PART I, LINE 1B NO FORMAL WRITTEN POLICY WAS IN PLACE DURING 2015, BUT THE AMOUNT OF TAX GROSS-UP PAYMENTS ARE DONE BY A STANDARD CALCULATION FOR THOSE RECEIVING TAXABLE LIFE INSURANCE BENEFITS. THE ORGANIZATION IMPLEMENTED A FORMAL WRITTEN POLICY USING THE SAME CALCULATION IN EARLY 2016. PART I, LINE 7 BONUSES FOR OFFICERS WERE ESTABLISHED BY THE EXECUTIVE DEVELOPMENT & COMPENSATION COMMITTEE AT THE END OF 2014 AND PAID IN JANUARY 2015 BASED UPON 2014 ORGANIZATIONAL & INDIVIDUAL PERFORMANCE. BONUSES FOR NON-OFFICERS WERE ESTABLISHED BY SENIOR MANAGEMENT BASED ON PERFORMANCE. STEVEN M KNAUB PRESIDENT/CEO SPLIT-DOLLAR LIFE INSURANCE POLICY X 10368 0 1 1 JOAN HARROLD VICE PRESIDENT SPLIT-DOLLAR LIFE INSURANCE POLICY X 19022 0 1 1 29390 ROSANNE OYER WIFE OF RANDALL OYER, A BOARD MEMBER 55344 EMPLOYED BY THE ORGANIZATION AS A PHYSICIAN. 0 BOB BRANDT FORMER HOSPICE DIRECTOR 194482 SIGNIFICANT OWNER OF BENCHMARK CONSTRUCTION, A VENDOR OF THE ORGANIZATION 0 DEBRA BRADLEY HOSPICE BOARD MEMBER 555957 DIRECTOR OF WELLSPAN HEALTH CARE SERVICES WHOSE SUBSIDIARY WAS A VENDOR OF THE ORGANIZATION. 0 KEVIN MOSSER HOSPICE BOARD MEMBER 555957 DIRECTOR OF WELLSPAN HEALTH CARE SERVICES WHOSE SUBSIDIARY WAS A VENDOR OF THE ORGANIZATION. 0 X 226 15089 REAL PROCEEDS - AUCTION X 4 11500 SALE PROCEEDS X 7 63954 NET REAL VAL @ SALE X AUCTION ITEMS 4464 216156 REAL PROCEEDS-AUCTIO X MISCELLANEOUS 5 4035 FAIR MARKET VALUE X FOOD 2 1940 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): WITH THE EXCEPTION OF THE ARTWORK AND AUCTION ITEMS, NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF CONTRIBUTIONS - NOT NUMBER OF ITEMS RECEIVED. ARTWORK AND AUCTION ITEMS ARE TOTAL AMOUNT OF ITEMS RECEIVED. 990 PART I LINE 6 HOSPICE & COMMUNITY CARE HAD AN AGGREGATE OF 884 VOLUNTEERS DURING THE YEAR. THESE VOLUNTEERS SERVED IN MANY DIFFERENT ROLES INCLUDING: PATIENT/FAMILY VOLUNTEERS IN HOME HOSPICE, OUR INPATIENT UNIT AND NURSING HOMES; PET THERAPY; MUSIC SUPPORT; BEREAVEMENT SUPPORT; OFFICE SUPPORT; GREETING AND WELCOMING VISITORS; DEVELOPMENT AND FUNDRAISING; COMMUNITY RELATIONS AND EDUCATION; AND GROUNDS MAINTENANCE. THE ORGANIZATION ALSO HAD VOLUNTEER OPPORTUNITIES FOR TEENS TO PROVIDE COMPANIONSHIP TO PATIENTS IN BOTH OUR INPATIENT UNIT AND IN NURSING HOMES. 990 PART V LINES 7A &7B DONOR WAS NOTIFIED THROUGH ACKNOWLEDGEMENT OF GIFT AND/OR TICKET OF THE TAX DEDUCTIBLE PORTION. FORM 990, PART VI, SECTION A, LINE 2 DIRECTORS NEVIN COOLEY AND ROGER MOYER HAVE A BUSINESS RELATIONSHIP. DIRECTORS DEBRA BRADLEY AND KEVIN MOSSER HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 7A EPHRATA COMMUNITY HOSPITAL AND WELLSPAN HEALTH SHALL EACH BE PERMITTED TO APPOINT TWO PERSONS OF THEIR CHOOSING TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 THE AUDIT COMMITTEE OF THE BOARD, ACTING ON BEHALF OF THE BOARD, DID A DETAILED REVIEW OF THE FORM 990 WITH MANAGEMENT. A COPY WAS DISTRIBUTED ELECTRONICALLY TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A NEW CONFLICT OF INTEREST STATEMENT ON A YEARLY BASIS. THE POLICY IS REVIEWED ANNUALLY AT A BOARD MEETING. THE AUDIT COMMITTEE IS RESPONSIBLE FOR MONITORING AND ENFORCING COMPLIANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION COMMITTEE MADE UP OF BOARD MEMBERS MEETS AT LEAST ANNUALLY TO REVIEW AND APPROVE THE SALARIES FOR THE PRESIDENT/CEO AND ALL VICE PRESIDENTS. INDUSTRY BENCHMARKS ARE USED FOR COMPARISON PURPOSES. FORM 990, PART VI, SECTION C, LINE 18 990 AVAILABLE UPON REQUEST TO THE ORGANIZATION'S FISCAL OFFICE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED IN THE FISCAL OFFICE OF THE ORGANIZATION. COPIES OF SUCH DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHARMACY: PROGRAM SERVICE EXPENSES 2,219,099. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,219,099. EQUIPMENT: PROGRAM SERVICE EXPENSES 822,457. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 822,457. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 790,055. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 790,055. RETIREMENT PLAN FEES: PROGRAM SERVICE EXPENSES 36,753. MANAGEMENT AND GENERAL EXPENSES 6,160. FUNDRAISING EXPENSES 768. TOTAL EXPENSES 43,681. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 121,578. MANAGEMENT AND GENERAL EXPENSES 32,590. FUNDRAISING EXPENSES 519. TOTAL EXPENSES 154,687. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF GIFT ANNUITIES -71,271. CHANGE IN VALUE OF PERPETUAL TRUSTS -59,580. DISTRIBUTIONS FROM PERPETUAL TRUSTS 31,411. SCHEDULE G PART III LINE 11 THE ORGANIZATION OPERATES A RAFFLE AVAILABLE TO THE GENERAL PUBLIC. PALLIATIVE MEDICINE CONSULTANTS 685 GOOD DRIVE LANCASTER PA 17604 261209794 PROVIDES HEALTH CARE TO PERSONS WITH CHRONIC OR ADVANCED ILLNESSES PA 1154732 127698 HOSPICE & COMMUNITY CARE HOSPICE OF LANCASTER COUNTY 685 GOOD DRIVE LANCASTER PA 17604 383914355 PROVIDE HOSPICE CARE (CURRENTLY INACTIVE) PA 0 0 HOSPICE & COMMUNITY CARE