2013-10-31T14:13:22-05:00 2012-12-31 232108173 REINSEL KUNTZ LESHER LLP PO BOX 8408 LANCASTER PA 176048408 990 2012-01-01 232122735 HOSPICE & COMMUNITY CARE HOSP 7172953900 PO BOX 4125 LANCASTER PA 176044125 STEVEN M KNAUB 7173912402 2013-10-30 1 LEANNE K GORSUCH CPA P01408959 7173945666 2013-10-23 2012 2016-03-07 17:11:31Z STEVEN M KNAUB PO BOX 4125 LANCASTER PA 176044125 65370781 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. 21 19 440 952 0 0 2215435 2258121 28102623 29184889 1292042 739899 150133 132578 31760233 32315487 0 0 0 0 21488772 22454547 0 0 669844 7970514 8421857 29459286 30876404 2300947 1439083 54581677 41577190 17429360 2218698 37152317 39358492 X TO PROVIDE CARE AND COMFORT TO HELP PATIENTS AND FAMILIES LIVE BETTER AT END OF LIFE. 0 0 27654005 29204144 HOSPICE & COMMUNITY CARE IS DEDICATED TO PROVIDING CARE AND COMFORT TO HELP PATIENTS AND FAMILIES LIVE BETTER AT END OF LIFE. DURING 2012, HOSPICE & COMMUNITY CARE PROVIDED OVER 178,000 PATIENT DAYS OF HOSPICE CARE TO PATIENTS AND THEIR FAMILIES AND SERVED 2,928 PATIENTS DURING THE YEAR, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. TEN PERCENT OF THE PATIENT DAYS OF HOSPICE CARE WERE CHARITABLE CARE. PHYSICIANS COMPLETED OVER 15,300 HOSPICE AND PALLIATIVE CARE VISITS TO PATIENTS IN THEIR PRIVATE HOMES, NURSING HOMES, HOSPITALS AND HOSPICE INPATIENT UNITS. THE BEREAVEMENT PROGRAM SUPPORTED 8,537 INDIVIDUALS DURING 2012 THROUGH OVER 240 SUPPORT GROUPS, ALMOST 34,000 PIECES OF MAIL, OVER 4,500 TELEPHONE CALLS AND ALMOST 750 INDIVIDUAL VISITS. IN 2012, HOSPICE & COMMUNITY CARE OPENED A NEW OFFICE IN YORK COUNTY, PA TO EXPAND SERVICES IN THAT AREA. 27654005 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 85 2 1 440 1 0 0 0 0 0 1 1 0 0 0 0 X 21 19 0 0 0 0 0 0 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 1.00 X X 0 0 0 THOMAS E MORELL 1.00 X X 0 0 0 JEFFREY C GISSLIN 1.00 X X 0 0 0 ROBERT L FRYER JR 1.00 X X 0 0 0 THOMAS BEAVER III 1.00 X 0 0 0 ROBERT A BRANDT JR 1.00 X 0 0 0 WILLIAM BURKE 1.00 X 0 0 0 THOMAS S BUTER 1.00 X 0 0 0 STEPHANIE CARFLEY ESQ 1.00 X 0 0 0 NEVIN D COOLEY 1.00 X 0 0 0 BROOKE W HERR 1.00 X 0 0 0 DAVID J HESS 1.00 X 0 0 0 NANCY MAYER HUGHES ESQ 1.00 X 0 0 0 WILLIAM J LAFFERTY JR 1.00 X 0 0 0 J ROGER MOYER JR 1.00 X 0 0 0 DR RANDALL OYER MD 1.00 X 0 0 0 DAVID H PECK 1.00 X 0 0 0 JOEL L SAMITT DO 1.00 X 0 0 0 JANE A SHIPE 1.00 X 0 0 0 CHRISTOPHER A STUMP ESQ 1.00 X 0 0 0 LARRY ZOOK 1.00 X 0 0 0 STEVEN M KNAUB 40.00 X 226010 0 21306 JOAN HARROLD 40.00 X 205703 0 36057 BONNIE JESS LOPANE 40.00 X 111688 0 13279 SUSAN YOUNG 40.00 X 105645 0 18882 KRISTA KAE HAZEN 40.00 X 137641 0 13493 BRENT KEENER 40.00 X 92321 0 31436 DONALD PLAYFOOT 40.00 X 136385 0 22800 MARIA HAYES 40.00 X 138287 0 18035 J ANDREW PROBOLUS 40.00 X 135560 0 19508 D THAIS MAGILL 40.00 X 138034 0 26042 FARIHA SARIJ 40.00 X 133340 0 28048 1560614 0 248886 13 0 1 0 LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET PO BOX 355 LANCASTER PA 176043555 PROFESSIONAL HEALTHCARE SERVICES 351938 VERIZON WIRELESS PO BOX 25505 LEHIGH VALLEY PA 180025505 CELLULAR SERVICE PROVIDER 149412 HOSPICE SYSTEMS INC 19337 US HIGHWAY 19N SUITE 450 CLEARWATER FL 33764 SOFTWARE VENDOR 119083 SUSQUEHANNA VALLEY EMS 126 KELLER AVENUE LANCASTER PA 17601 AMBULANCE SERVICES 113356 4 44666 178308 2035147 384912 2258121 PATIENT FEES 624100 28831389 28831389 353500 353500 29184889 443310 443310 33068497 32771908 296589 296589 296589 350344 178308 257145 93199 93199 46365 26241 20124 20124 MISCELLANEOUS 624100 19255 19255 19255 32315487 29204144 0 853222 X 1001899 371205 557460 73234 17136472 16010477 827622 298373 475812 410064 60306 5442 2485364 2222992 212244 50128 1355000 1154292 179176 21532 14569 14569 19750 19750 1682 1682 36396 36396 4227580 4200567 25738 1275 98368 13657 84711 303389 223947 65232 14210 280379 255914 20189 4276 664937 556385 89461 19091 572984 542395 29131 1458 74159 59767 11594 2798 1333250 1093264 199988 39998 337821 318615 14352 4854 FUNDRAISING EXPENSE 117181 117181 PRINTING 97567 41942 40851 14774 DUES & SUBSCRIPTIONS 71670 23094 47812 764 MISCELLANEOUS 65114 56723 8377 14 105061 97023 7596 442 30876404 27654005 2552555 669844 600 600 14444039 6471854 335647 168162 2806433 3362479 7991 252686 206704 216208 27935212 10842230 18322193 17092982 17485953 13309461 972117 702758 54581677 41577190 1469140 1509969 15250000 710220 708729 17429360 2218698 X 35787458 37946099 455935 421122 908924 991271 37152317 39358492 54581677 41577190 X 1439083 918462 -151370 X X 0 1 X 1 0 X 3194348 2270458 2129567 2215435 2258121 12067929 3194348 2270458 2129567 2215435 2258121 12067929 12067929 1039800 537388 459656 693652 443310 3173806 79642 62660 43904 41083 19255 246544 15488279 136672543 0.77920 0.65880 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: RESEARCH COMMUNITY EDUCATION - 2008 AMOUNT: $ 79,642. 2009 AMOUNT: $ 62,660. 2010 AMOUNT: $ 43,904. 2011 AMOUNT: $ 41,083. 2012 AMOUNT: $ 19,255. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 1678 0 1 1682 3360 0 EXPLANATION OF LOBBYING ACTIVITIES: 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. 23390178 2617729 1689184 9593991 30226 18072874 26749966 3027692 212125 6558258 41347 23390178 24024167 2687305 1573032 1495767 38771 26749966 20114304 2831337 2646413 1534912 32975 24024167 19564269 4245102 -2225066 1429671 40330 20114304 0.94520 0.05480 0.00000 0 0 1724349 1724349 24758195 9741946 15016249 1452668 1100284 352384 17092982 CHARITABLE GIFT ANNUITIES 708729 708729 X 33408758 918462 49353 967815 32440943 -125456 -125456 32315487 31202583 326179 326179 30876404 0 30876404 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 2009. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF PERPETUAL TRUSTS 18,217. DISTRIBUTIONS FROM PERPETUAL TRUSTS 31,136. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT EXPENSES ON SPECIAL EVENTS -99,215. DIRECT EXPENSES ON GAMING ACTIVITIES -26,241. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT EXPENSES ON SPECIAL EVENTS 99,215. CHANGE IN VALUE OF GIFT ANNUITIES 76,099. DIRECT EXPENSES ON GAMING 26,241. LOSS ON EARLY EXTINGUISHMENT OF DEBT 124,624. LABOR DAY AUCTION 483372 155267 328105 234170 SPRING FLING 45280 23041 22239 22975 528652 178308 350344 257145 257145 93199 46365 24925 1316 1 1.00000 46365 24925 1316 26241 20124 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 20124 X 0 1 X X X X X 0 0 0 0 0 0 0 1 0 STEVEN M KNAUB 187868 0 27500 0 10642 0 7578 0 13728 0 247316 0 30611 0 JOAN HARROLD 179516 0 10000 0 16187 0 6201 0 29856 0 241760 0 15188 0 KRISTA KAE HAZEN 123297 0 12500 0 1844 0 4874 0 8619 0 151134 0 12556 0 DONALD PLAYFOOT 133761 0 750 0 1874 0 4940 0 17860 0 159185 0 0 0 MARIA HAYES 134449 0 750 0 3088 0 4996 0 13039 0 156322 0 0 0 J ANDREW PROBOLUS 133252 0 750 0 1558 0 4969 0 14539 0 155068 0 0 0 D THAIS MAGILL 135016 0 750 0 2268 0 4670 0 21372 0 164076 0 0 0 FARIHA SARIJ 131883 0 750 0 707 0 4895 0 23153 0 161388 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 ARE ESTABLISHED BY THE EXECUTIVE DEVELOPMENT & COMPENSATION COMMITTEE AT THE END OF THE YEAR AND PAID THE FOLLOWING YEAR BASED UPON ORGANIZATION & INDIVIDUAL PERFORMANCE. BONUSES FOR NON-OFFICERS ARE ESTABLISHED BY SENIOR MANAGEMENT BASED UPON ORGANIZATION & INDIVIDUAL PERFORMANCE. ROSANNE OYER WIFE OF RANDALL OYER, A BOARD MEMBER 67915 EMPLOYED BY THE ORGANIZATION AS A PHYSICIAN. 0 GEOFFREY EDDOWES HOSPICE BOARD MEMBER 249156 OFFICER OF HORIZON HEALTHCARE SERVICES WHICH WAS A VENDOR OF THE ORGANIZATION. 0 X 10 217677 NET REAL VAL @ SALE X FOOD 6 4603 FAIR MARKET VALUE X MISCELLANEOUS 7 4702 FAIR MARKET VALUE X AUCTION ITEMS 3714 157930 REAL PROCEEDS-AUCTION 0 0 1 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: 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 952 VOLUNTEERS DURING 2012. 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 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. OTHER FEES FORM 990, PART IX, LINE 11G SUBCONTRACTOR FEES: PROGRAM SERVICE EXPENSES 4,200,567. MANAGEMENT AND GENERAL EXPENSES 25,738. FUNDRAISING EXPENSES 1,275. TOTAL EXPENSES 4,227,580. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF GIFT ANNUITIES -76,099. CHANGE IN VALUE OF PERPETUAL TRUSTS 18,217. DISTRIBUTIONS FROM PERPETUAL TRUSTS 31,136. LOSS ON EXTINGUISHMENT OF DEBT -124,624. 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 847805 82675 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