SAMARITAN HEALTHCARE & HOSPICE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SAMARITAN HEALTHCARE & HOSPICE INC (EIN 22-2344036)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2013-01-17
- IRS object ID
- 201340179349300104
- Schema version
- 2011v1.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule L
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-01-17T08:42:39-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231406493 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MORISON COGEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 MONUMENT RD - SUITE 500 | AddressLine1 |
| City | BALA CYNWYD | City |
| State | PA | State |
| ZIP Code | 19004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222344036 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAMARITAN HEALTHCARE & HOSPICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAMA | NameControl |
| Phone | 8565961600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 EVES DRIVE NO 300 | AddressLine1 |
| City | MARLTON | City |
| State | NJ | State |
| ZIP Code | 08053 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARYANN BOCCOLINI | Name |
| Title | PRESIDENT | Title |
| Phone | 8565961600 | Phone |
| Date Signed | 2013-01-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH M KISTNER CPA | Name |
| PTIN | P00157086 | PTIN |
| Phone | 2674403000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARYANN BOCCOLINI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 EVES DRIVE NO 300 | AddressLine1 |
| City | MARLTON | City |
| State | NJ | State |
| ZIP Code | 08053 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 30655413 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SAMARITANHEALTHCARENJ.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1980 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | SAMARITAN IS THE PREEMINENT PROVIDER OF HOSPICE AND PALLIATIVE (COMFORT) CARE, GRIEF SUPPORT, EDUCATION, ADVOCACY, AND OTHER LIFE-ENHANCING SERVICES FOR THOSE WHOSE LIFE IS DRAWING TO A CLOSE. OUR REGISTERED NURSES (RN), LICENSED PRACTICAL NURSES (LPN), CERTIFIED HOME HEALTH AIDS (CHHA), SOCIAL WORKERS AND CLERGY PROVIDE UNPARALLELED HEALTHCARE SERVICES WITH RESPECT, DIGNITY AND COMPASSION FOR ALL PEOPLE AFFECTED BY SERIOUS, PROGRESSIVE ILLNESS OR GRIEF, CONTRIBUTING TO THE HEALTH AND WELL-BEING OF OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. SAMARITAN IS AN INDEPENDENT NOT-FOR-PROFIT, NON-SECTARIAN ORGANIZATION SERVING PEOPLE IN ATLANTIC, BURLINGTON, CAMDEN, GLOUCESTER AND MERCER COUNTIES WHO ARE COPING WITH SERIOUS END OF LIFE ILLNESS OR GRIEF. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 330 | TotalNbrEmployees |
| Total Nbr Volunteers | 432 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1099198 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1155537 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 24378948 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 22233351 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 490215 | InvestmentIncomePriorYear |
| Investment Income Current Year | 608315 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -39920 | OtherRevenuePriorYear |
| Other Revenue Current Year | -32717 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 25928441 | TotalRevenuePriorYear |
| Total Revenue Current Year | 23964486 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16720091 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 16458795 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 282706 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8620429 | OtherExpensePriorYear |
| Other Expenses Current Year | 6880816 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 25340520 | TotalExpensesPriorYear |
| Total Expenses Current Year | 23339611 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 587921 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 624875 | RevenuesLessExpensesCY |
| Total Assets BOY | 22403992 | TotalAssetsBOY |
| Total Assets EOY | 22169192 | TotalAssetsEOY |
| Total Liabilities BOY | 2534194 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2131752 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19869798 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20037440 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SAMARITAN IS THE PREEMINENT PROVIDER OF HOSPICE AND PALLIATIVE (COMFORT) CARE, GRIEF SUPPORT, EDUCATION, ADVOCACY, AND OTHER LIFE-ENHANCING SERVICES. WE PROVIDE UNPARALLELED SERVICES WITH RESPECT, DIGNITY AND COMPASSION FOR ALL PEOPLE AFFECTED BY SERIOUS, PROGRESSIVE ILLNESS OR GRIEF, CONTRIBUTING TO THE HEALTH AND WELL-BEING OF OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITY. GUIDED BY A DEEP SENSE OF COMMITMENT AND THE ETHIC OF HUMAN SERVICE, WE PROVIDE CARE THAT IS BOTH LIFE-GIVING AND LIVE-RECEIVING THROUGH THE INCORPORATION OF THE PHILOSOPHY, ART AND SCIENCE OF CARING. SAMARITAN IS AN INDEPENDENT NOT-FOR-PROFIT, NON-SECTARIAN ORGANIZATION SERVING PEOPLE IN ATLANTIC, BURLINGTON, CAMDEN, GLOUCESTER AND MERCER COUNTIES WHO ARE COPING WITH SERIOUS ILLNESS OR GRIEF. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 15778456 | Expense |
| Revenue | 19823801 | Revenue |
| Description | HOME/COMMUNITY CARE - PEOPLE CONFRONTING A SERIOUS PROGRESSIVE ILLNESS ARE OFTEN PLUNGED INTO UNFAMILIAR, CONFUSING AND STRESSFUL SITUATIONS. SPOUSES, ADULT CHILDREN, AND OTHER CAREGIVERS ARE SUDDENLY FACED WITH MEDICAL DECISIONS AND FINANCIAL AND LEGAL RESPONSIBILITIES FOR WHICH THEY ARE OFTEN UNTRAINED AND UNPREPARED. THESE STRESSES CAN DEPRIVE THEM OF THE ONE THING THEY NEED MOST: TIME TOGETHER.SAMARITAN HOME/COMMUNITY HOSPICE CARE HELPS PEOPLE FIND THE TIME THEY NEED TO FOCUS ON WHAT'S MOST IMPORTANT AT THIS STAGE OF LIFE: THE FRIENDS AND FAMILY THEY WANT TO BE WITH, THE FEELINGS THEY WANT TO SHARE, AND THE WORDS THEY NEED TO SAY. THE GOAL OF SAMARITAN'S CARE IS NOT TO CURE THE DISEASE, BUT TO CONTROL ITS EFFECTS SO THAT PATIENTS CAN SPEND THEIR LAST DAYS WITH DIGNITY IN THE PLACE WHERE THEY LIVE (HOME, ASSISTED LIVING OR NURSING HOME) AND REMAIN AS COMFORTABLE, ALERT AND PAIN-FREE AS POSSIBLE. CONSIDERED THE COMPASSIONATE MODEL FOR PEOPLE FACING LIFE-LIMITING ILLNESS OR INJURY, THE HOSPICE PHILOSOPHY OFFERS A TEAM-ORIENTED APPROACH TO EXPERT MEDICAL CARE, PAIN MANAGEMENT, AND EMOTIONAL AND SPIRITUAL SUPPORT EXPRESSLY TAILORED TO EACH PATIENT'S AND FAMILY'S NEEDS AND FAMILY NEEDS AND WISHES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2149965 | Expense |
| Revenue | 2385855 | Revenue |
| Description | INPATIENT - THE SAMARITAN INPATIENT HOSPICE CENTER PROVIDES THE COMFORT OF SHORT-TERM CONTINUOUS SAMARITAN CARE IN A HOME-LIKE SETTING FOR PAITENTS WHOSE PAIN, SYMPTOMS AND SPECIAL NEEDS REQUIRE A MORE ACUTE LEVEL OF HOSPICE CARE THAN IS RECOMMENDED WITHIN THE HOME. WHILE IN THE INPATIENT CENTER, YOU AND YOUR LOVED ONE WILL RECEIVE FROM SAMARITAN STAFF THE SAME SERVICES THAT YOU WOULD IN A HOME SETTING - PLUS THE MORE ACUTE 24-HOUR CARE YOUR LOVED ONE NOW REQUIRES. THE CENTER'S WELCOMING ENVIRONMENT ENCOURAGES FAMILIES AND FRIENDS TO FEEL "AT HOME" WHILE SPENDING QUALITY TIME - WHENEVER AND FOR AS LONG AS THEY WISH. FAMILY MEMBERS OF ALL AGES MAY VISIT 24 HOURS A DAY; FAMILY PETS ARE WELCOME BY APPOINTMENT. A SLEEPER RECLINER IN EACH BEDROOM ALLOWS A FAMILY MEMBER TO SPEND THE NIGHT AT BEDSIDE COMFORTABLY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 369571 | Expense |
| Revenue | 23695 | Revenue |
| Description | AS STATED IN SAMARITAN'S MISSION SUMMARY AND OUR RESPECTIVE EXEMPT PURPOSE ACHIEVEMENTS, AN IMPORTANT PART OF OUR COMPREHENSIVE SERVICE TO OUR COMMUNITY IS THE COMPASSIONATE SUPPORT FOR THE GRIEF THAT OUR PATIENTS AND FAMILIES EXPERIENCE. SAMARITAN PROVIDES SUCH SUPPORT ON A REGULAR BASIS THROUGH ITS CENTER FOR GRIEF SUPPORT, WHERE WE PROVIDE BEREAVEMENT, COUNSELING, CRISIS INTERVENTION/DEBRIEFING, SUPPORT GROUPS AND COMMUNITY OUTREACH PROGRAMS - ALL OFFERING HOPE FOR TOMORROW FOR THOSE GRIEVING TODAY. SAMARITAN SIMILARLY SERVES THE COMMUNITY THROUGH ITS TRANSITIONS PROGRAM, WHICH SERVES COMMUNITY MEMBERS WHO ARE COPING WITH LIFE-CHANGES CAUSED BY THEIR ADVANCED ILLNESS BUT WHO ARE NOT YET READY FOR HOSPICE CARE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 18297992 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 1 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 70 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 330 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NJ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYANN BOCCOLINI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8565523272 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 EVES DRIVE SUITE 300 | AddressLine1 |
| City | MARLTON | City |
| State | NJ | State |
| ZIP Code | 08053 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| CARL BUEHLER III | |||||||
| CHAIR | 2.00 | X | 0 | 0 | 0 | ||
| LIZ THOMAS | |||||||
| VICE CHAIR | 2.00 | X | 0 | 0 | 0 | ||
| MICHAEL BOZEK | |||||||
| TREASURER | 2.00 | X | 0 | 0 | 0 | ||
| CLIFF MANCINE | |||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | ||
| EDWARD BEHRENS | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| RHONDA J CATES | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| CHRISTOPHER A CHEKOURAS | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| ROY T FAZIO | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| JOHN C GILLESPIE ESQ | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| ALEXANDER J HATALA | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| ORSULA V KNOWLTON | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| MICHAEL T KORNETT | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| MICHAEL S KOTZEN | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| GARY LESNESKI ESQ | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| SHIRLEY RICHARDSON | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| JEWELLE SUTHERLAND MD | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| MARK VAN KOOY MD | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| JAMES WUJCIK | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| MARYANN BOCCOLINI | |||||||
| PRESIDENT | 40.00 | 208854 | 0 | 10200 | X | ||
| STEPHEN GOLDFINE | |||||||
| CHIEF MEDICAL DR | 40.00 | 207493 | 0 | 10151 | X | ||
| MARJORIE I IVINS | |||||||
| CLINICAL ADMIN | 40.00 | 141132 | 0 | 6896 | X | ||
| JOSEPH SAMPLES | |||||||
| VP FINANCE | 40.00 | 160322 | 0 | 7832 | X | ||
| IRA SMITH | |||||||
| HOSPICE PHYSICIAN | 32.00 | 141938 | 0 | 0 | X | ||
| BARBARA SHEPPARD | |||||||
| DIR OF QUALITY & COMPLIANC | 40.00 | 118827 | 0 | 5808 | X | ||
| EVA RUSSELL | |||||||
| DIRECTOR OF NURSING | 40.00 | 118049 | 0 | 5770 | X | ||
| JOANNE ROSEN | |||||||
| VP MARKETING & DEVELOPMENT | 40.00 | 111723 | 0 | 5462 | X | ||
| SUSAN MCCANN | |||||||
| VP HUMAN RESOURCES | 40.00 | 107017 | 0 | 5241 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1315355 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 57360 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Federated Campaigns | 99536 | FederatedCampaigns |
| Fundraising Events | 238064 | FundraisingEvents |
| All Other Contributions | 817937 | AllOtherContributions |
| Noncash Contributions | 43041 | NoncashContributions |
| Total Contributions | 1155537 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE/MEDICAID | 624100 | 20847657 | 20847657 |
| HMO/HIP | 624100 | 477308 | 477308 |
| BLUE CROSS/BLUE SHIELD | 624100 | 443520 | 443520 |
| SELF PAY | 624100 | 242333 | 242333 |
| PRIVATE INSURANCE | 624100 | 222533 | 222533 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 22233351 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 355558 | TotalRevenueColumn |
| Exclusion | $355,558 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6828465 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6575708 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 252757 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 252757 | TotalRevenueColumn |
| Exclusion | $252,757 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 59691 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 238064 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 107656 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -47965 | TotalRevenueColumn |
| Exclusion | -$47,965 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 22011 | GrossIncomeGaming |
| Gaming Direct Expenses | 7563 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14448 | TotalRevenueColumn |
| Exclusion | $14,448 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 800 | TotalRevenueColumn |
| Exclusion | $800 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 800 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23964486 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22233351 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $575,598 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 752882 | Total |
| Program Services | 595977 | ProgramServices |
| Management And General | 145673 | ManagementAndGeneral |
| Fundraising | 11232 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12132705 | Total |
| Program Services | 9653433 | ProgramServices |
| Management And General | 2296541 | ManagementAndGeneral |
| Fundraising | 182731 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 523726 | Total |
| Program Services | 402753 | ProgramServices |
| Management And General | 113673 | ManagementAndGeneral |
| Fundraising | 7300 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1861872 | Total |
| Program Services | 1404376 | ProgramServices |
| Management And General | 431226 | ManagementAndGeneral |
| Fundraising | 26270 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1187610 | Total |
| Program Services | 972152 | ProgramServices |
| Management And General | 197449 | ManagementAndGeneral |
| Fundraising | 18009 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30559 | Total |
| Management And General | 30559 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39544 | Total |
| Management And General | 39544 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 401769 | Total |
| Program Services | 83677 | ProgramServices |
| Management And General | 316673 | ManagementAndGeneral |
| Fundraising | 1419 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 178298 | Total |
| Program Services | 11440 | ProgramServices |
| Management And General | 166858 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176035 | Total |
| Program Services | 7920 | ProgramServices |
| Management And General | 158810 | ManagementAndGeneral |
| Fundraising | 9305 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 546766 | Total |
| Program Services | 346540 | ProgramServices |
| Management And General | 200226 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 614210 | Total |
| Program Services | 588485 | ProgramServices |
| Management And General | 24698 | ManagementAndGeneral |
| Fundraising | 1027 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8188 | Total |
| Program Services | 1600 | ProgramServices |
| Management And General | 6088 | ManagementAndGeneral |
| Fundraising | 500 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 138838 | Total |
| Program Services | 72544 | ProgramServices |
| Management And General | 66294 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257895 | Total |
| Program Services | 89267 | ProgramServices |
| Management And General | 168628 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL EXPENSES | 2465880 | 2465880 | |
| INPATIENT SERVICES | 1102840 | 1102840 | |
| CONTRACT SERVICES | 252379 | 231152 | 21227 |
| TELEPHONE | 221437 | 196873 | 24564 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 446178 | Total |
| Program Services | 71083 | ProgramServices |
| Management And General | 350182 | ManagementAndGeneral |
| Fundraising | 24913 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23339611 | Total |
| Program Services | 18297992 | ProgramServices |
| Management And General | 4758913 | ManagementAndGeneral |
| Fundraising | 282706 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9707770 | BOY |
| EOY | 8370183 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2138728 | BOY |
| EOY | 2299383 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19409 | BOY |
| EOY | 10660 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 619772 | BOY |
| EOY | 317915 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3240460 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2868762 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 341288 | BOY |
| EOY | 371698 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9577025 | BOY |
| EOY | 10799353 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22403992 | BOY |
| EOY | 22169192 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2534194 | BOY |
| EOY | 2131752 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2534194 | BOY |
| EOY | 2131752 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19595619 | BOY |
| EOY | 19874986 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 197324 | BOY |
| EOY | 85599 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76855 | BOY |
| EOY | 76855 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19869798 | BOY |
| EOY | 20037440 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22403992 | BOY |
| EOY | 22169192 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 624875 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -457233 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1322815 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1025561 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 941317 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1099198 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1155537 | CurrentTaxYear |
| Total | 5544428 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1322815 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1025561 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 941317 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1099198 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1155537 | CurrentTaxYear |
| Total | 5544428 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 5544428 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 426395 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 451028 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 391614 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 336661 | CurrentTaxYearMinus1Year |
| Current Tax Year | 355558 | CurrentTaxYear |
| Total | 1961256 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 251561 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 148099 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 190926 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | -39920 | CurrentTaxYearMinus1Year |
| Current Tax Year | -32717 | CurrentTaxYear |
| Total | 517949 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 8023633 | TotalSupport |
| Gross Receipts From Admissions Etc | 116001153 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.69100 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.67150 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 76855 | BeginningOfYearBalance |
| End Of Year Balance | 76855 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 76105 | BeginningOfYearBalance |
| Contributions | 750 | Contributions |
| End Of Year Balance | 76855 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 75955 | BeginningOfYearBalance |
| Contributions | 150 | Contributions |
| End Of Year Balance | 76105 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 70820 | BeginningOfYearBalance |
| Contributions | 5135 | Contributions |
| End Of Year Balance | 75955 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1280144 | OtherCostOrOtherBasis |
| Depreciation | 1272813 | Depreciation |
| Book Value | 7331 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1834937 | OtherCostOrOtherBasis |
| Depreciation | 1595949 | Depreciation |
| Book Value | 238988 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 125379 | OtherCostOrOtherBasis |
| Book Value | 125379 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 371698 | TotalOfBookValueLandBuildings |
| Total Revenue | 23964486 | TotalRevenue |
| Total Expenses | 23339611 | TotalExpenses |
| Excess Or Deficit For Year | 624875 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -491507 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 34274 | DonatedServicesAndFacilities |
| Total Adjustments | -457233 | TotalAdjustments |
| Excess Or Deficit Per FS | 167642 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 23389645 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -491507 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 34274 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | -457233 | RevenueNotRptdF990 |
| Revenue Subtotal | 23846878 | RevenueSubtotal |
| Investment Expenses Not Included | 100528 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 17080 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 117608 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 23964486 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 23239083 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 23239083 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 100528 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 100528 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 23339611 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ORGANIZATION FOLLOWS FASB ACCOUNTING STANDARDS UPDATE NO. 2009-06, INCOME TAXES (TOPIC 740): IMPLEMENTATION GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND DISCLOSURE AMENDMENTS FOR NONPUBLIC ENTITIES TAXES. FASB ASC 740 PRESCRIBES GUIDANCE FOR THE FINANCIAL STATEMENT RECOGNITION,MEASUREMENT AND DISCLOSURE OF UNCERTAIN TAX POSITIONS. TAX POSITIONS MUST MEET A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD. THERE WERE NO TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY INCREASE OR DECREASE WITHIN THE NEXT YEAR. TAX YEARS FROM 2008 THROUGH 2011 REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT INCOME 16,280. OTHER INCOME 800. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 0 | AgreementRefFundraising |
| Licensed States | NJ | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA 2011 | NameOfEvent1 |
| Gross Receipts Event1 | 145530 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 119665 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 25865 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 178 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 35519 | RentFacilityCostsEvent1 |
| Entertainment Event1 | 4200 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 11308 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF 2011 | NameOfEvent2 |
| Gross Receipts Event2 | 152225 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 118399 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 33826 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 2155 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 15660 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 27314 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 250 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 11072 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 297755 | GrossReceiptsTotal |
| Charitable Contributions Total | 238064 | CharitableContributionsTotal |
| Gross Revenue Total Events | 59691 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 2333 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 51179 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 27314 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 4450 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 22380 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 107656 | DirectExpenseSummaryEvents |
| Net Income Summary | -47965 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 22011 | GrossRevenueOtherGaming |
| Cash Prizes Other Gaming | 3316 | CashPrizesOtherGaming |
| Non Cash Prizes Other Gaming | 2400 | NonCashPrizesOtherGaming |
| Other Direct Expenses Other Gaming | 1847 | OtherDirectExpensesOtherGaming |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGaming |
| Volunteer Labor Prcnt Other Gaming | 1.00000 | VolunteerLaborPrcntOtherGaming |
| Gross Revenue Total Gaming | 22011 | GrossRevenueTotalGaming |
| Cash Prizes Total Gaming | 3316 | CashPrizesTotalGaming |
| Non Cash Prizes Total Gaming | 2400 | NonCashPrizesTotalGaming |
| Other Direct Expenses Total Gaming | 1847 | OtherDirectExpensesTotalGaming |
| Direct Expense Summary Gaming | 7563 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 14448 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | NJ | StatesWhereGamingConducted |
| Licensed | 1 | Licensed |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 1 | GamingWithNonmembers |
| Member Of Other Entity | 0 | MemberOfOtherEntity |
| Percentage Of Gaming Own Facility | 0.50000 | PercentageOfGamingOwnFacility |
| Percentage Of Gaming Othr Facility | 0.50000 | PercentageOfGamingOthrFacility |
Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JULIE WEITZMAN | BusinessNameLine1 |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 EVES DRIVE STE 300 | AddressLine1 |
| City | MARLTON | City |
| State | NJ | State |
| ZIP Code | 08053 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | 0 | ContractWith3rdPartyForGamRev |
| Charitable Distrib Required | 0 | CharitableDistribRequired |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARYANN BOCCOLINI | |||||||||||||
| 208854 | 0 | 0 | 0 | 0 | 0 | 10200 | 0 | 0 | 0 | 219054 | 0 | 0 | 0 |
| STEPHEN GOLDFINE | |||||||||||||
| 207493 | 0 | 0 | 0 | 0 | 0 | 10151 | 0 | 0 | 0 | 217644 | 0 | 0 | 0 |
| JOSEPH SAMPLES | |||||||||||||
| 160322 | 0 | 0 | 0 | 0 | 0 | 7832 | 0 | 0 | 0 | 168154 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARK VAN KOOY MD | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SAMARITAN BOARD MEMBER AND VIRTUA EXECUTIVE | Relationship |
| Description Of Transaction | SAMARITAN LEASES SPACES AT VIRTUA MEMORIAL FOR THE PROVISION OF INPATIENT CARE SERVICES AND ALSO PAYS FOR ANCILLIARY SERVICES NECESSARY FOR THE PROVISION OF CARE TOTALING $209,096 | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | AUCTION | 160 | 23224 | SALE OF ITEMS |
| X | SPONSOR | 5 | 11050 | SPONSOR COST/VALUE |
| X | FURNITURE | 1 | 43041 | FAIR MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT COPY OF THE FORM 990 WAS PREPARED BY THE OUTSIDE CPA FIRM, REVIEWED BY THE MANAGEMENT OF THE ORGANIZATION, AND THEN REVIEWED BY THE ORGANIZATION'S EXECUTIVE COMMITTEE PRIOR TO FILING WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12B | THE SAMARITAN BOARD OF TRUSTEES ENDORSES AN UPDATED POLICY THAT REQUIRES AN ANNUAL SUBMISSION AND REVIEW OF POTENTIAL CONFLICTS OF INTERESTS, FOR ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES. | |
| FORM 990, PART VI, SECTION B, LINE 12C | SAMARITAN ANNUALLY REVIEWS INTERESTS THAT COULD GIVE RISE TO CONFLICTS BY REQUIRING OFFICERS AND EMPLOYEES TO DISCLOSE RELATIONSHIPS IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICIES AND PROCEDURES. | |
| FORM 990, PART VI, SECTION B, LINE 15 | IN 2009, THE ORGANIZATION WAS USING COMPENSATION SPECIALISTS FROM HRADVANTAGE TO REVIEW ALL SALARIES AND COMPENSATION PRACTICES FOR INCREASES PROVIDED IN 2010. IN 2010 AND 2011, SAMARITAN DID NOT HAVE ANY REVIEW OF SALARIES BY AN OUTSIDE CONSULTANT. SAMARITAN'S HUMAN RESOURCE STAFF PARTICIPATE IN SALARY SURVEYS THROUGH 2-3 COMPANIES ANNUALLY AND RECEIVE THE RESULTS OF THESE SURVEYS. WHEN NEW POSITIONS ARE CREATED OR COMPENSATION ISSUES ARISE, THE ORGANIZATION USES THIS DATA AND CONSULT WITH THE OUTSIDE CONSULTANTS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | FURNISHED UPON REQUEST. | |
| FORM 990, PART VII, COLUMN B | THE WEEKLY HOURS SHOWN IN PART VII, SECTION 1A, COLUMN (B) REPRESENT THE AVERAGE OF THE TOTAL RECORDED ANNUAL HOURS SPENT BY ALL OF OUR BOARD MEMBERS DURING 2011 ATTENDING ON-SITE BOARD, COMMITTEE AND OTHER RELATED MEETINGS. IN ADDITION TO THESE HOURS, OUR BOARD MEMBERS ALSO CONTRIBUTE SIGNIFICANT TIME ON BOARD/COMMITTEE MEETING PREPARATION, AS WELL AS ATTEND SEVERAL ANNUAL AGENCY FUNCTIONS AND EVENTS HELD THROUGHOUT EACH YEAR. | AVERAGE HOURS PER WEEK |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -491,507. DONATED SERVICES AND USE OF FACILITIES: 34,274. TOTAL TO FORM 990, PART XI, LINE 5: -457,233. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII LINE 2C | THE ORGANIZATION HAS A COMITTEE THAT HAS OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THIS HAS NOT BEEN CHANGED SINCE THE PRIOR YEAR. | |
| SCHEDULE M, PART I, LINE 31 | THE GOAL OF SAMARITAN HOSPICE AS IT RELATES TO GIFT ACCEPTANCE IS TO UNIFORMLY TREAT DONORS AND THEIR GIFTS WITH FULL DISCLOSURE AND PROVIDE GUIDELINES FOR THE ACCEPTANCE AND STEWARDSHIP OF GIFTS. |
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