HOSPICE OF CENTRAL PENNSYLVANIA: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF CENTRAL PENNSYLVANIA (EIN 23-2106895)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-15
IRS object ID
201301989349301050
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-07-15T15:15:26-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN231583249EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WAGGONER FRUTIGER & DAUB LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15006 E TRINDLE RD SUITE 200AddressLine1
CityMECHANICSBURGCity
StatePAState
ZIP Code17050ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232106895EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF CENTRAL PENNSYLVANIABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone7177321000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11320 LINGLESTOWN ROADAddressLine1
CityHARRISBURGCity
StatePAState
ZIP Code17110ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDONALD R WERTName
TitleTREASURERTitle
Phone7177321000Phone
Date Signed2013-07-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGEORGE W LANE CPAName
PTINP00177023PTIN
Phone7175061222Phone
Date Prepared2013-07-03DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDONALD R WERTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11320 LINGLESTOWN ROADAddressLine1
CityHARRISBURGCity
StatePAState
ZIP Code17110ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18217057GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICEOFCENTRALPA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionHOSPICE OF CENTRAL PENNSYLVANIA PROVIDED PHYSICAL AND SUPPORTIVE CARE TO MORE THAN 1,500 PEOPLE FACING LIFE-LIMITING ILLNESS AND PROVIDED BEREAVEMENT SERVICES TO OVER 2,700 CLIENTS. THE GOAL OF CARE IS TO PRESERVE THE DIGNITY, INTEGRITY, AND PERSONAL CHOICE OF THE DYING PATIENT. THE EMPHASIS OF HOSPICE CARE IS THE QUALITY, NOT QUANTITY, OF LIFE. MEDICAL INTERVENTIONS ARE DIRECTED TOWARD COMFORT AND PAIN CONTROL.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees193TotalNbrEmployees
Total Nbr Volunteers142TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3548693ContributionsGrantsPriorYear
Contributions Grants Current Year5158304ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8055972ProgramServiceRevenuePriorYear
Program Service Revenue CY12571764ProgramServiceRevenueCY
Investment Income Prior Year43992InvestmentIncomePriorYear
Investment Income Current Year73172InvestmentIncomeCurrentYear
Other Revenue Prior Year7472OtherRevenuePriorYear
Other Revenue Current Year5535OtherRevenueCurrentYear
Total Revenue Prior Year11656129TotalRevenuePriorYear
Total Revenue Current Year17808775TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5506392SalariesEtcPriorYear
Salaries Etc Current Year9037055SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year2199TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY2569TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year336952TotalFundrsngExpCurrentYear
Other Expense Prior Year3319092OtherExpensePriorYear
Other Expenses Current Year4912467OtherExpensesCurrentYear
Total Expenses Prior Year8827683TotalExpensesPriorYear
Total Expenses Current Year13952091TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2828446RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3856684RevenuesLessExpensesCY
Total Assets BOY11704321TotalAssetsBOY
Total Assets EOY15877375TotalAssetsEOY
Total Liabilities BOY761451TotalLiabilitiesBOY
Total Liabilities EOY890583TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10942870NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14986792NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE THOSE FACING A LIFE-LIMITING ILLNESS WITH COMPASSION, DIGNITY AND CARE THROUGH THE COORDINATED DELIVERY OF EMOTIONAL, PHYSICAL, AND SPIRITUAL CARE OF THE HIGHEST QUALITY. TO PROVIDE EQUAL ACCESS TO ALL WITH AN EMPHASIS ON QUALITY AND INDIVIDUALIZED CARE. TO PROVIDE BEREAVEMENT SUPPORT TO THOSE WHOSE LOVED ONE HAS DIED AND GENERAL INFORMATION ON DEATH AND DYING, GRIEF AND BEREAVEMENT, TO THE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12496214Expense
Revenue12577299Revenue
DescriptionHOSPICE OF CENTRAL PENNSYLVANIA SERVED MORE THAN 1,500 PATIENTS AND FAMILIES AS THEY COPED WITH A VARIETY OF LIFE-LIMITING ILLNESSES IN 2012. 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 THEIR FAMILY. DURING 2012, OUR TEAM OF SPECIALLY TRAINED VOLUNTEERS PROVIDED MORE THAN 13,600 HOURS OF SERVICE IN VARIOUS CAPACITIES.HOSPICE OF CENTRAL PENNSYLVANIA IS COMMITTED TO PROVIDING SERVICES IN A VARIETY OF SETTINGS INCLUDING AT HOME, IN A HOSPITAL, IN A NURSING HOME OR ASSISTED LIVING FACILITY, AND AT OUR HOSPICE RESIDENCE. IN 2012, THE CAROLYN CROXTON SLANE RESIDENCE, OUR COMMUNITY'S ONLY HOSPICE RESIDENCE, PROVIDED CARE FOR MORE THAN 180 CLIENTS WHO COULD NO LONGER REMAIN AT HOME.HOSPICE OF CENTRAL PENNSYLVANIA'S BEREAVEMENT DEPARTMENT IS FOCUSED ON SUPPORTING BEREAVED INDIVIDUALS AND FAMILIES THROUGH THE PROCESS OF GRIEVING THE LOSS OF A LOVED ONE. 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. MANY OF OUR BEREAVED CLIENTS ARE THOSE WHO DID NOT HAVE HOSPICE CARE PRIOR TO THEIR LOVED ONE'S DEATH. A WIDE VARIETY OF SERVICES ALLOWS FAMILIES TO SELECT THOSE ACTIVITIES OR MATERIALS THAT WILL BE MOST HELPFUL TO THEM. EVERY INDIVIDUAL GRIEVES DIFFERENTLY AND MAY BE RECEPTIVE TO ONLY CERTAIN TYPES OF INTERVENTION. EACH INDIVIDUAL'S NEEDS ARE ASSESSED WITH ONE OF OUR BEREAVEMENT COUNSELORS AND TOGETHER THEY DETERMINE WHICH SERVICES MAY ME MOST HELPFUL TO THEM. THE MENU OF SERVICES INCLUDES: --INDIVIDUAL VISITS IN THE CLIENT'S HOME OR IN ONE OF OUR OFFICES AND PERIODIC 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 --A MEMORIAL SERVICE THAT IS ATTENDED BY OUR FAMILIES, STAFF, AND VOLUNTEERSHOSPICE OF CENTRAL PENNSYLVANIA ALSO REACHES OUT TO THE COMMUNITY TO OFFER SPECIFIC SUPPORT GROUPS AND EDUCATION. WE PROVIDE SHORT TERM SESSIONS TO AREA SCHOOLS, BUSINESSES, AND CHURCHES FOLLOWING THE DEATH OF A CO-WORKER, STUDENT, OR PASTOR. OUR STAFF IS OFTEN INVITED TO PROVIDE EDUCATIONAL SESSIONS TO A NUMBER OF ORGANIZATIONS ON A VARIETY OF GRIEF ISSUES.HOSPICE OF CENTRAL PENNSYLVANIA HAS A LONG TRADITION OF PROVIDING CARE REGARDLESS OF FINANCIAL STATUS. THROUGHOUT 2012, WE CONTINUED TO PROVIDE SERVICES TO INDIVIDUALS WHO HAD NO ABILITY TO PAY.Description
Total Program Service Expense12496214TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109658NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees193NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KAREN PARISBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7177321000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11320 LINGLESTOWN RDAddressLine1
CityHARRISBURGCity
StatePAState
ZIP Code17110ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL BANGS
BOARD MEMBER1.00X000
JOHN BOLGER
BOARD MEMBER1.00X000
JANE BURKE
VICE CHAIR1.00X000X
JOYCE BYLANDER
BOARD MEMBER1.00X000
PETER KESSLER
BOARD MEMBER1.00X000
JANE KOHN
ASST SECRETARY1.00X000X
MARGARET KREHER
BOARD MEMBER1.00X000
DAWN MOFFETT
EX-OFFICIO1.00X000X
LINDA PAGLIARULO
BOARD MEMBER1.00X000
KENDRA RUHL
SECRETARY1.00X000X
MAE SOBCZAK
BOARD MEMBER1.00X000
WILLIAM SPAHR
CHAIR1.00X000X
DONALD WERT
TREASURER1.00X000X
DOUGLAS DYER
BOARD MEMBER1.00X000
WILLIAM MILLER JR ESQ
BOARD MEMBER1.00X000
SCOTT SEIG
BOARD MEMBER1.00X000
MARY SIMMONDS
BOARD MEMBER1.00X000
JOSEPH TORCHIA
BOARD MEMBER1.00X000
MEREDITH TULLI
BOARD MEMBER1.00X000
WILLIAM WILKISON
BOARD MEMBER1.00X000
KAREN PARIS
CEO45.0014686706404X
DIANE HOWARTH
COO40.0010099108150X
DAVID WENNER
PHYSICIAN40.0020065107572X
FieldValueIRS element (for citing)
Total Reportable Comp From Org448509TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation22126TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events216335FundraisingEvents
All Other Contributions4941969AllOtherContributions
Total Contributions5158304TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM6230001135907211359072
PRIVATE INSURANCE, SELF PAY62300012029501202950
ANNUAL MEETING90009997429742
FieldValueIRS element (for citing)
Total Program Service Revenue12571764TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column75133TotalRevenueColumn
Exclusion$75,133ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities321079Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities323040Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1961Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1961TotalRevenueColumn
Exclusion-$1,961ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events85242GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events216335CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses85242FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column5535TotalRevenueColumn
Related Or Exempt Function Income5535RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5535TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17808775TotalRevenueColumn
Related Or Exempt Function Income12577299RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$73,172ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total132076Total
Program Services13207ProgramServices
Management And General59434ManagementAndGeneral
Fundraising59435Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7635005Total
Program Services6987700ProgramServices
Management And General495537ManagementAndGeneral
Fundraising151768Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total111349Total
Program Services103994ProgramServices
Management And General6242ManagementAndGeneral
Fundraising1113Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total525575Total
Program Services475659ProgramServices
Management And General36642ManagementAndGeneral
Fundraising13274Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total633050Total
Program Services571022ProgramServices
Management And General45035ManagementAndGeneral
Fundraising16993Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16743Total
Management And General16743ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31250Total
Management And General31250ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total2569Total
Fundraising2569Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total12250Total
Management And General12250ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total15123Total
Program Services11515ProgramServices
Management And General3608ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total21413Total
Program Services10183ProgramServices
Management And General11230ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total105328Total
Program Services67180ProgramServices
Management And General34491ManagementAndGeneral
Fundraising3657Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total43192Total
Management And General43192ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total183759Total
Program Services158338ProgramServices
Management And General23038ManagementAndGeneral
Fundraising2383Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total510475Total
Program Services496861ProgramServices
Management And General13349ManagementAndGeneral
Fundraising265Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30930Total
Program Services28439ProgramServices
Management And General2256ManagementAndGeneral
Fundraising235Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total208528Total
Program Services164241ProgramServices
Management And General40134ManagementAndGeneral
Fundraising4153Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total274087Total
Program Services214919ProgramServices
Management And General58714ManagementAndGeneral
Fundraising454Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES AND SE28750892875089
TELEPHONE1812041723898319496
OUTREACH130139130139
PRINTING AND STATIONERY7243153611888848182

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total200526Total
Program Services140117ProgramServices
Management And General28434ManagementAndGeneral
Fundraising31975Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13952091Total
Program Services12496214ProgramServices
Management And General1118925ManagementAndGeneral
Fundraising336952Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY50BOY
EOY50EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3117810BOY
EOY6523970EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY274476BOY
EOY202288EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY899634BOY
EOY1499769EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY85537BOY
EOY107440EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4895368LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1062587LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3848385BOY
EOY3832781EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2680659BOY
EOY2930716EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY797770BOY
EOY780361EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11704321BOY
EOY15877375EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY761451BOY
EOY890583EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY761451BOY
EOY890583EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9804861BOY
EOY13881132EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1090862BOY
EOY1058513EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY47147BOY
EOY47147EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10942870BOY
EOY14986792EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11704321BOY
EOY15877375EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3856684ReconcilationRevenueExpenses
Reconciliation Unrealized Invest187238ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1939347CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1928695CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1564054CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3355065CurrentTaxYearMinus1Year
Current Tax Year4941969CurrentTaxYear
Total13729130Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1939347CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1928695CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1564054CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3355065CurrentTaxYearMinus1Year
Current Tax Year4941969CurrentTaxYear
Total13729130Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total167262AmountsSubstContributorsTotal
Public Support Total17013561868PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years76941CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33767CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48285CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52017CurrentTaxYearMinus1Year
Current Tax Year75133CurrentTaxYear
Total286143Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2213CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1360CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3774CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7472CurrentTaxYearMinus1Year
Current Tax Year5535CurrentTaxYear
Total20354Total
FieldValueIRS element (for citing)
Total Support14035627TotalSupport
Gross Receipts From Admissions Etc40874309GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.96620PublicSupportPertcentage170
Public Support Pertcent Prior Year0.92750PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$622OtherActivitiesAmount
Total Lobbying Expenditures IIB622TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationLOBBYING EXPENDITURES ARE A PORTION OF THE ANNUAL DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO). PER THE NHPCO 8.43% OF THE DUES WERE USED FOR DIRECT COMMUNICATIONS WITH CERTAIN MEMBERS OF FEDERAL, STATE OR LOCAL GOVERNMENT TO INFLUENCE LEGISLATION.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance47147BeginningOfYearBalance
End Of Year Balance47147EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance47147BeginningOfYearBalance
End Of Year Balance47147EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance47147BeginningOfYearBalance
End Of Year Balance47147EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance47147BeginningOfYearBalance
End Of Year Balance47147EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance47147BeginningOfYearBalance
End Of Year Balance47147EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis362500OtherCostOrOtherBasis
Book Value362500BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3821160OtherCostOrOtherBasis
Depreciation658632Depreciation
Book Value3162528BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis711708OtherCostOrOtherBasis
Depreciation403955Depreciation
Book Value307753BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3832781TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt18069005TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments187238NetUnrealizedGainsInvestments
Other Revenues85242OtherRevenues
Revenue Not Rptd F990272480RevenueNotRptdF990
Revenue Subtotal17796525RevenueSubtotal
Investment Expenses Not Included12250InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt12250RevenueNotRptdOnFinStmt
Total Revenue Per Form99017808775TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14025083TotExpensesEtcAuditedFinclStmt
Other Expenses Included85242OtherExpensesIncluded
Expenses Not Rptd F99085242ExpensesNotRptdF990
Expenses Subtotal13939841ExpensesSubtotal
Investment Expenses Not Included212250InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt12250ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013952091TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF & TENNIS TOURNAMENTNameOfEvent1
Gross Receipts Event1208912GrossReceiptsEvent1
Charitable Contributions Event1143521CharitableContributionsEvent1
Gross Revenue Event165391GrossRevenueEvent1
Non Cash Prizes Event12826NonCashPrizesEvent1
Rent Facility Costs Event18276RentFacilityCostsEvent1
Food And Beverage Event117907FoodAndBeverageEvent1
Other Direct Expenses Event136382OtherDirectExpensesEvent1
Name Of Event2COMMUNITY GOLFNameOfEvent2
Gross Receipts Event257701GrossReceiptsEvent2
Charitable Contributions Event257701CharitableContributionsEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events34964GrossReceiptsOtherEvents
Charitable Contrib Other Events15113CharitableContribOtherEvents
Gross Revenue Other Events19851GrossRevenueOtherEvents
Other Direct Expenses Other Events19851OtherDirectExpensesOtherEvents
Gross Receipts Total301577GrossReceiptsTotal
Charitable Contributions Total216335CharitableContributionsTotal
Gross Revenue Total Events85242GrossRevenueTotalEvents
Non Cash Prizes Total Events2826NonCashPrizesTotalEvents
Rent Facility Costs Total Events8276RentFacilityCostsTotalEvents
Food And Beverage Total Events17907FoodAndBeverageTotalEvents
Other Direct Expenses Total Events56233OtherDirectExpensesTotalEvents
Direct Expense Summary Events85242DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KAREN PARIS
CEO146867000000064040153271000
DAVID WENNER
PHYSICIAN200651000000075720208223000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE DRAFT OF THE 990 WAS PROVIDED DIRECTLY TO EACH BOARD MEMBER FOR REVIEW. AT A REGULAR BOARD MEETING, THE DRAFT WAS APPROVED PRIOR TO BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD IS REQUIRED TO SIGN A STATEMENT EVERY YEAR 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 15OUTSIDE DIRECTORS WITH EXPERIENCE IN COMPENSATION STUDIES WORKED WITH THE PERSONNEL COMMITTEE TO COMPLETE A REVIEW OF CURRENT COMPENSATION LEVELS AND CREATED PAY RANGES FOR ALL STAFF POSITIONS IN 2012. 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. THE 2012 RATE INCREASES WERE APPROVED DURING THE BUDGET APPROVAL PROCESS. BOARD ACTIONS ARE DOCUMENTED IN MEETING MINUTES THAT ARE PREPARED CONTEMPORANEOUSLY. THE SALARY RECOMMENDATIONS WERE IMPLEMENTED.
FORM 990, PART VI, SECTION C, LINE 18THE 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 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
NEITHER THE PROCESS FOR OVERSIGHT OF THE AUDIT OR THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS CHANGED FROM THE PRIOR YEAR.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.