2012-07-16T15:03:35-05:00 2011-12-31 231583249 WAGGONER FRUTIGER & DAUB LLP 5006 E TRINDLE RD SUITE 200 MECHANICSBURG PA 17050 990 2011-01-01 232106895 HOSPICE OF CENTRAL PENNSYLVANIA HOSP 7177321000 1320 LINGLESTOWN RD HARRISBURG PA 17110 DONALD R WERT 7177321000 2012-07-11 1 GEORGE W LANE CPA P00177023 7175061222 2012-07-11 2011 2016-02-24 21:20:13Z DONALD R WERT 1320 LINGLESTOWN RD HARRISBURG PA 17110 12060153 0 X WWW.HOSPICEOFCENTRALPA.ORG X 1979 PA HOSPICE OF CENTRAL PENNSYLVANIA PROVIDED PHYSICAL AND SUPPORTIVE CARE TO MORE THAN 1,000 PEOPLE FACING LIFE-LIMITING ILLNESS AND PROVIDED BEREAVEMENT SERVICES TO OVER 1,800 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. 16 15 126 115 0 0 1564054 3548693 7404286 8055972 48285 43992 3774 7472 9020399 11656129 0 0 0 0 4880097 5506392 1260 2199 313169 2972164 3319092 7853521 8827683 1166878 2828446 9732572 11704321 1554075 761451 8178497 10942870 X TO 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. 0 0 7640805 8063444 HOSPICE OF CENTRAL PENNSYLVANIA SERVED MORE THAN 1,000 PATIENTS AND FAMILIES AS THEY COPED WITH A VARIETY OF LIFE-LIMITING ILLNESSES IN 2011. OUR HIGHLY TRAINED INTERDISCIPLINARY TEAM IS LED BY A PHYSICIAN AND INCLUDES NURSES, SOCIAL WORKERS, HOSPICE AIDES, CHAPLAINS, VOLUNTEERS, PALLIATIVE MASSAGE THERAPISTS, 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 2011, OUR TEAM OF SPECIALLY TRAINED VOLUNTEERS PROVIDED NEARLY 10,000 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 2011, THE CAROLYN CROXTON SLANE RESIDENCE, OUR COMMUNITY'S ONLY HOSPICE RESIDENCE, PROVIDED CARE FOR MORE THAN 160 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 ALLOW 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 BE 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 2011, WE CONTINUED TO PROVIDE SERVICES TO INDIVIDUALS WHO HAD NO ABILITY TO PAY. 7640805 1 1 0 1 0 0 0 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 55 0 1 126 1 0 0 0 0 0 1 1 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA FL MD MA MI NJ NY NC OH SC VA CA IL AZ X X KAREN PARIS 7177321000 1320 LINGLESTOWN RD HARRISBURG PA 17110 X A THOMAS ANDREWS MD 1.00 X 0 0 0 MICHAEL BANGS 1.00 X 0 0 0 JOHN BOLGER 1.00 X 0 0 0 JANE BURKE 1.00 X 0 0 0 JOYCE BYLANDER 1.00 X 0 0 0 PETER KESSLER 1.00 X 0 0 0 MARGARET KREHER 1.00 X 0 0 0 LINDA PAGLIARULO 1.00 X 0 0 0 MAE SOBCZAK 1.00 X 0 0 0 NELSON SWARTS 1.00 X 0 0 0 JANE KOHN 1.00 X 0 0 0 DAWN MOFFETT 1.00 X 0 0 0 KENDRA RUHL 1.00 X 0 0 0 WILLIAM SPAHR 1.00 X 0 0 0 DONALD WERT 1.00 X 0 0 0 KAREN PARIS 45.00 X 156432 0 6980 L LYNNE BRITTON MD 32.00 X 119175 0 6001 275607 0 12981 2 0 1 0 0 193628 3355065 3548693 MEDICARE/MEDICAID PAYM 623000 7212915 7212915 PRIVATE INSURANCE, SEL 623000 833473 833473 ANNUAL MEETING 900099 9584 9584 8055972 52017 52017 340779 348804 -8025 -8025 -8025 55220 193628 55220 0 MISCELLANEOUS 900099 7472 7472 7472 11656129 8063444 0 43992 163412 16340 65365 81707 4505685 4036342 343229 126114 126569 114116 9345 3108 345659 301681 29575 14403 365067 317291 31776 16000 58467 58467 25298 25298 2199 2199 11057 11057 13608 13608 19912 2353 17559 70314 44983 22882 2449 107061 87587 17803 1671 308751 294165 14334 252 28648 23537 5111 38266 24873 12245 1148 192441 135214 52322 4905 195564 154519 41045 MEDICAL SUPPLIES AND SE 1884467 1884467 TELEPHONE 107359 90474 16285 600 OFFICE EQUIP RENTAL & M 80880 80880 OUTREACH 56477 56477 120522 31983 29926 58613 8827683 7640805 873709 313169 50 50 1140109 3117810 301973 274476 851057 899634 85593 85537 4702444 854059 3879679 3848385 2552480 2680659 0 921631 797770 9732572 11704321 639582 761451 914493 1554075 761451 X 6895649 9804861 1235701 1090862 47147 47147 8178497 10942870 9732572 11704321 X 2828446 -64073 X X 0 1 1 X 0 X 1492167 1939347 1928695 1564054 3355065 10279328 1492167 1939347 1928695 1564054 3355065 10279328 406572 9872756 136527 76941 33767 48285 52017 347537 2407 2213 1360 3774 7472 17226 10644091 33631720 0.92750 0.86100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 185 185 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: LOBBYING EXPENDITURES ARE A PORTION OF THE ANNUAL DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO). PER THE NHPCO 3.03% OF THE DUES WERE USED FOR DIRECT COMMUNICATIONS WITH CERTAIN MEMBERS OF FEDERAL, STATE OR LOCAL GOVERNMENT TO INFLUENCE LEGISLATION. 47147 47147 47147 47147 47147 47147 47147 47147 0 0 362500 362500 3722229 524236 3197993 617715 329823 287892 3848385 INVESTMENTS-PERMANENTLY RESTRICTED 47147 UNCONDITIONAL PROMISE TO GIVE - RESTRICTED 750623 797770 11656129 8827683 2828446 -64073 -64073 2764373 11636219 -64073 55220 -8853 11645072 11057 11057 11656129 8871846 55220 55220 8816626 11057 11057 8827683 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 XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS DIRECT EXPENSE PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS DIRECT EXPENSE GOLF & TENNIS TOURNAMENT 217676 166559 51117 1240 8200 18171 23506 COMMUNITY GOLF 16599 16599 4 14573 10470 4103 4103 248848 193628 55220 1240 8200 18171 27609 55220 0 X X X 0 0 0 0 0 0 0 0 0 KAREN PARIS 156432 0 0 0 0 0 0 0 6980 0 163412 0 0 0 X 3 123913 FAIR MARKET VALUE 0 0 1 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THIS IS THE NUMBER OF STOCK CONTRIBUTIONS RECEIVED. THIRD PARTY USE: PART I, LINE 32B: IT IS THE ORGANIZATION'S POLICY TO IMMEDIATELY SELL ANY CONTRIBUTIONS OF SECURITIES. CONTRIBUTED SECURITIES ARE TRANSFERRED TO FIDELITY, THE ORGANIZATION'S INVESTMENT MANAGER, WHO SELLS THE SECURITIES. FORM 990, PART VI, SECTION B, LINE 11 A 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 12C THE 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 15 OUTSIDE DIRECTORS WITH EXPERIENCE IN COMPENSATION STUDIES COMPLETED A REVIEW OF CURRENT COMPENSATION LEVELS FOR ALL MEMBERS OF MANAGEMENT IN 2008. 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 MANAGEMENT POSITIONS. THE BOARD OF DIRECTORS, IN EXECUTIVE SESSION, APPROVED THE RECOMMENDATIONS FOR ANNUAL SALARY LEVELS. SOME OF THE SALARY INCREASES IMPLEMENTED IN 2009 WERE THE SECOND PHASE OF THE STUDY MENTIONED ABOVE. THE REMAINING INCREASES WERE BUDGETED AND INDIVIDUALLY ALLOCATED BASED ON MERIT. THE 2011 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 18 THE 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 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A(D) CEO COMPENSATION THE CEO'S BASE PAY IN 2011 WAS $110,000. THE DIFFERENCE IN THIS AMOUNT AND THE REPORTED AMOUNT ON FORM 990, PART VII, CONSISTS OF AN ADDITIONAL ONE-TIME PAYMENT, A PAYMENT FROM A DEFERRED COMPENSATION PLAN WHICH WAS REQUIRED BY A CHANGE IN FEDERAL REGULATIONS, AND AN INCREASE IN ACCRUED VACATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -64,073. NEITHER THE PROCESS FOR OVERSIGHT OF THE AUDIT OR THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS CHANGED FROM THE PRIOR YEAR.