2014-10-20T07:00:42-05:00 2013-12-31 232108173 REINSEL KUNTZ LESHER LLP PO BOX 8408 LANCASTER PA 176048408 990 2013-01-01 232122735 HOSPICE & COMMUNITY CARE HOSP 7172953900 PO BOX 4125 LANCASTER PA 176044125 STEVEN M KNAUB PRESIDENT & CEO 7173912402 2014-10-14 1 LEANNE K GORSUCH CPA P01408959 7173945666 2014-10-06 2013 2015-11-30 17:44:51Z STEVEN M KNAUB PO BOX 4125 LANCASTER PA 176044125 53524338 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 16 406 936 0 0 2258121 2291727 29184889 25325374 739899 1256484 132578 177057 32315487 29050642 0 0 0 0 22454547 21763597 0 0 628944 8421857 8001496 30876404 29765093 1439083 -714451 41577190 42012025 2218698 2151650 39358492 39860375 TO PROVIDE CARE AND COMFORT TO HELP PATIENTS AND FAMILIES LIVE BETTER AT END OF LIFE. 0 0 26723896 25360542 HOSPICE & COMMUNITY CARE IS DEDICATED TO PROVIDING CARE AND COMFORT TO HELP PATIENTS AND FAMILIES LIVE BETTER AT END OF LIFE. DURING 2013, HOSPICE & COMMUNITY CARE PROVIDED OVER 152,000 PATIENT DAYS OF HOSPICE CARE TO PATIENTS AND THEIR FAMILIES AND SERVED 3,004 PATIENTS DURING THE YEAR, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. NINE PERCENT OF THE PATIENT DAYS OF HOSPICE CARE WERE CHARITABLE CARE. PHYSICIANS COMPLETED ALMOST 15,000 HOSPICE AND PALLIATIVE CARE VISITS TO PATIENTS IN THEIR PRIVATE HOMES, NURSING HOMES, HOSPITALS AND HOSPICE INPATIENT UNITS. THE BEREAVEMENT PROGRAM SUPPORTED 8,606 INDIVIDUALS DURING 2013 THROUGH OVER 232 SUPPORT GROUPS, OVER 37,000 PIECES OF MAIL, OVER 4,500 TELEPHONE CALLS AND OVER 975 INDIVIDUAL VISITS. 26723896 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 0 0 0 1 1 1 0 0 0 1 0 0 0 0 1 X 84 2 1 406 1 0 0 0 0 0 1 1 0 0 0 1 0 X 20 16 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 THOMAS E MORELL VICE CHAIR 1.00 X X 0 0 0 JEFFREY C GISSLIN 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 ROBERT A BRANDT JR 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 BROOKE W HERR BOARD MEMBER 1.00 X 0 0 0 NANCY MAYER HUGHES ESQ BOARD MEMBER 1.00 X 0 0 0 WILLIAM J LAFFERTY JR BOARD MEMBER 1.00 X 0 0 0 KEVIN H MOSSER MD 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 JANE A SHIPE BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER A STUMP ESQ 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 236812 0 24805 JOAN HARROLD VICE PRESIDENT 40.00 X 216141 0 33933 BONNIE JESS LOPANE VICE PRESIDENT 40.00 X 113980 0 13974 SUSAN YOUNG VICE PRESIDENT-RETIRED 5/31/13 40.00 X 49111 0 8381 KRISTA KAE HAZEN VICE PRESIDENT/CFO 40.00 X 148895 0 14067 VALERIE PEIFER VICE PRESIDENT 36.00 X 74057 0 23949 BRENT KEENER VICE PRESIDENT 40.00 X 96697 0 32353 DONALD PLAYFOOT HOSPICE PHYSICIAN 40.00 X 138587 0 23464 MARIA HAYES HOSPICE PHYSICIAN 40.00 X 147730 0 19610 J ANDREW PROBOLUS HOSPICE PHYSICIAN 40.00 X 139285 0 20354 D THAIS MAGILL HOSPICE PHYSICIAN 40.00 X 141387 0 26069 FARIHA SARIJ HOSPICE PHYSICIAN 40.00 X 138570 0 28750 1641252 0 269709 13 0 1 0 VERIZON WIRELESS PO BOX 25505 LEHIGH VALLEY PA 180025505 CELLULAR SERVICE PROVIDER 156036 LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET PO BOX 355 LANCASTER PA 176043555 PROFESSIONAL HEALTHCARE SERVICES 146000 SUSQUEHANNA VALLEY EMS 126 KELLER AVENUE LANCASTER PA 17601 AMBULANCE SERVICES 142575 HOSPICE SYSTEMS INC 19337 US HIGHWAY 19N SUITE 450 CLEARWATER FL 33764 SOFTWARE VENDOR 115115 KEYSTONE LAWN COMPANY INC 1151 FOUR STAR DRIVE MT JOY PA 17552 LANDSCAPING SERVICES 108506 5 59128 207603 2024996 308211 2291727 PATIENT FEES 624100 25165374 25165374 160000 160000 25325374 347156 347156 25101619 24181321 10970 920298 -10970 909328 -10970 920298 358704 207603 257014 101690 101690 53620 24391 29229 29229 MISCELLANEOUS 624100 46138 46138 46138 29050642 25360542 0 1398373 X 1029129 396478 560045 72606 16591777 15515031 791500 285246 471646 402774 63491 5381 2268514 2067965 151039 49510 1402531 1194071 186892 21568 10505 10505 19850 19850 1026 1026 43985 43985 3923482 3910448 11668 1366 71587 14142 57445 266005 202472 55302 8231 294032 265027 24562 4443 712465 594259 97510 20696 546413 513711 31231 1471 64512 48586 15865 61 1305552 1070552 195833 39167 377903 357855 15239 4809 FUNDRAISING EXPENSE 111522 111522 PRINTING 93837 52850 39108 1879 DUES & SUBSCRIPTIONS 58351 24585 33376 390 MISCELLANEOUS 46814 44806 1946 62 53655 47258 5861 536 29765093 26723896 2412253 628944 600 600 6471854 2039998 168162 72467 3362479 2756389 252686 73836 216208 177674 27967574 12083493 17092982 15884081 13309461 20304911 702758 702069 41577190 42012025 1509969 1505762 708729 645888 2218698 2151650 X 37946099 38448690 421122 283826 991271 1127859 39358492 39860375 41577190 42012025 X -714451 1148188 68146 X X 0 1 X 1 0 X 2270458 2129567 2215435 2258121 2291727 11165308 2270458 2129567 2215435 2258121 2291727 11165308 25129 11140179 537388 459656 693652 443310 347156 2481162 62660 43904 41083 19255 46138 213040 13859510 137502797 0.80380 0.77920 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: RESEARCH COMMUNITY EDUCATION - 2009 AMOUNT: $ 62,660. 2010 AMOUNT: $ 43,904. 2011 AMOUNT: $ 41,083. 2012 AMOUNT: $ 19,255. 2013 AMOUNT: $ 46,138. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 0 0 1 1026 1026 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. 18072874 14303 2497349 131673 34491 20418362 23390178 2617729 1689184 9593991 30226 18072874 26749966 3027692 212125 6558258 41347 23390178 24024167 2687305 1573032 1495767 38771 26749966 20114304 2831337 2646413 1534912 32975 24024167 0.94480 0.05520 0.00000 0 0 1724349 1724349 24792121 10925861 13866260 1451104 1157632 293472 15884081 CHARITABLE GIFT ANNUITIES 645888 645888 X 30434540 1148188 48613 75959 1272760 29161780 -111138 -111138 29050642 29932657 48613 118951 167564 29765093 0 29765093 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 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF PERPETUAL TRUSTS 45,269. DISTRIBUTIONS FROM PERPETUAL TRUSTS 30,690. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT EXPENSES ON SPECIAL EVENTS -75,777. DIRECT EXPENSES ON GAMING ACTIVITIES -24,391. LOSS ON SALE OF FIXED ASSETS -10,970. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT EXPENSES ON SPECIAL EVENTS 75,777. CHANGE IN VALUE OF GIFT ANNUITIES 7,813. DIRECT EXPENSES ON GAMING 24,391. LOSS ON SALE OF FIXED ASSETS 10,970. LABOR DAY AUCTION 496049 178030 318019 225154 SPRING FLING 41760 16528 25232 19581 1 28498 13045 15453 12279 566307 207603 358704 257014 257014 101690 53620 5000 18405 986 1 1.00000 53620 5000 18405 986 24391 29229 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 29229 X 0 1 X X X X X 0 0 0 0 0 0 0 1 0 STEVEN M KNAUB PRESIDENT/CEO 205420 0 20000 0 11392 0 7719 0 17086 0 261617 0 0 0 JOAN HARROLD VICE PRESIDENT 194068 0 8000 0 14073 0 6421 0 27512 0 250074 0 0 0 KRISTA KAE HAZEN VICE PRESIDENT/CFO 133323 0 13000 0 2572 0 5266 0 8801 0 162962 0 0 0 DONALD PLAYFOOT HOSPICE PHYSICIAN 137234 0 0 0 1353 0 5032 0 18432 0 162051 0 0 0 MARIA HAYES HOSPICE PHYSICIAN 147260 0 0 0 470 0 5323 0 14287 0 167340 0 0 0 J ANDREW PROBOLUS HOSPICE PHYSICIAN 136949 0 0 0 2336 0 5067 0 15287 0 159639 0 0 0 D THAIS MAGILL HOSPICE PHYSICIAN 138419 0 0 0 2968 0 4489 0 21580 0 167456 0 0 0 FARIHA SARIJ HOSPICE PHYSICIAN 135712 0 0 0 2858 0 5061 0 23689 0 167320 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 THE AMOUNT OF TAX GROSS-UP PAYMENTS ARE DONE BY A STANDARD CALCULATION FOR THOSE RECEIVING TAXABLE LIFE INSURANCE BENEFITS. PART I, LINE 7 BONUSES FOR OFFICERS WERE ESTABLISHED BY THE EXECUTIVE DEVELOPMENT & COMPENSATION COMMITTEE AT THE END OF 2012 AND PAID IN JANUARY 2013 BASED UPON 2012 ORGANIZATION & INDIVIDUAL PERFORMANCE. ROSANNE OYER WIFE OF RANDALL OYER, A BOARD MEMBER 74242 EMPLOYED BY THE ORGANIZATION AS A PHYSICIAN. 0 GEOFFREY EDDOWES HOSPICE BOARD MEMBER 151183 OFFICER OF HORIZON HEALTHCARE SERVICES WHICH WAS A VENDOR OF THE ORGANIZATION. 0 DEBRA BRADLEY HOSPICE BOARD MEMBER 159609 DIRECTOR OF WELLSPAN HEALTH CARE SERVICES WHOSE SUBSIDIARY WAS A VENDOR OF THE ORGANIZATION. 0 KEVIN MOSSER HOSPICE BOARD MEMBER 159609 DIRECTOR OF WELLSPAN HEALTH CARE SERVICES WHOSE SUBSIDIARY WAS A VENDOR OF THE ORGANIZATION. 0 X 6 114920 NET REAL VAL @ SALE X AUCTION ITEMS 4124 181237 REAL PROCEEDS-AUCTIO X MISCELLANEOUS 11 4656 FAIR MARKET VALUE X FOOD 6 4358 FAIR MARKET VALUE X MULCH 1 3040 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): WITH THE EXCEPTION OF THE AUCTION ITEMS, NUMBER OF CONTRIBUTIONS IS BASED ON NUMBER OF CONTRIBUTIONS - NOT NUMBER OF ITEMS RECEIVED. AUCTION ITEMS ARE TOTAL AMOUNT OF AUCTION ITEMS RECEIVED. 990 PART I LINE 6 HOSPICE & COMMUNITY CARE HAD AN AGGREGATE OF 936 VOLUNTEERS DURING 2013. THESE VOLUNTEERS SERVED IN MANY DIFFERENT ROLES INCLUDING: PATIENT/FAMILY VOLUNTEERS IN HOME HOSPICE, OUR INPATIENT UNITS 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 UNITS 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. 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 NURSING: PROGRAM SERVICE EXPENSES 920. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 920. PHARMACY: PROGRAM SERVICE EXPENSES 1,965,104. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,965,104. EQUIPMENT: PROGRAM SERVICE EXPENSES 1,073,137. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,073,137. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 720,423. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 720,423. RETIREMENT PLAN FEES: PROGRAM SERVICE EXPENSES 34,161. MANAGEMENT AND GENERAL EXPENSES 5,008. FUNDRAISING EXPENSES 754. TOTAL EXPENSES 39,923. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 116,703. MANAGEMENT AND GENERAL EXPENSES 6,660. FUNDRAISING EXPENSES 612. TOTAL EXPENSES 123,975. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF GIFT ANNUITIES -7,813. CHANGE IN VALUE OF PERPETUAL TRUSTS 45,269. DISTRIBUTIONS FROM PERPETUAL TRUSTS 30,690. 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 699982 119060 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