Fayette Home Care: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Fayette Home Care (EIN 25-1531065)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-04-29
IRS object ID
201121199349301207
Schema version
2009v1.4
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)
Timestamp2011-04-29T15:47:27-00:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E St Louis Street Suite 200AddressLine1
CitySpringfieldCity
StateMOState
ZIP Code65806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251531065EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Fayette Home CareBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFAYENameControl
Phone7244305222Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 Youngstown RoadAddressLine1
CityLemont FurnaceCity
StatePAState
ZIP Code15456ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSteven HandyName
TitleAsst SecretaryTreasurerTitle
Date Signed2011-04-28DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian ToddName
Phone4178658701Phone
Date Prepared2011-04-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPaul BacharachNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 West Berkeley StreetAddressLine1
CityUniontownCity
StatePAState
ZIP Code15401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7360450GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.uniontownhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionThe organization will provide skilled nursing, rehabilitation, home health services, hospice care and other related health care services to the general public confined to their homes or unable to leave their homes without assistance.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees108TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year6700ContributionsGrantsPriorYear
Contributions Grants Current Year7445ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6978292ProgramServiceRevenuePriorYear
Program Service Revenue CY7174025ProgramServiceRevenueCY
Investment Income Prior Year33529InvestmentIncomePriorYear
Investment Income Current Year7904InvestmentIncomeCurrentYear
Other Revenue Prior Year711OtherRevenuePriorYear
Other Revenue Current Year970OtherRevenueCurrentYear
Total Revenue Prior Year7019232TotalRevenuePriorYear
Total Revenue Current Year7190344TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4664010SalariesEtcPriorYear
Salaries Etc Current Year4760428SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2384504OtherExpensePriorYear
Other Expenses Current Year2355033OtherExpensesCurrentYear
Total Expenses Prior Year7048514TotalExpensesPriorYear
Total Expenses Current Year7115461TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-29282RevenuesLessExpensesPriorYear
Revenues Less Expenses CY74883RevenuesLessExpensesCY
Total Assets BOY3284815TotalAssetsBOY
Total Assets EOY3446734TotalAssetsEOY
Total Liabilities BOY2091770TotalLiabilitiesBOY
Total Liabilities EOY2313100TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1193045NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1133634NetAssetsOrFundBalancesEOY
Mission DescriptionIt is the mission of Fayette Regional Health System and all related organizations, which include Fayette Home Care, to continually improve in order to provide the best care to our community, which will be accomplished through a balanced healthcare philosophy of access, clinical excellence and fiscal responsibility. Fayette Home Care provides skilled nursing, rehabilitation, home health services, hospice care and other related healthcare services for homebound patients.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3822951Expense
Revenue4973288Revenue
DescriptionHome Health and Rehabilitation Services are specialized in-home medical services that have been ordered by a physician for a homebound patient after surgery or diagnosis. The services are typically short term geared to facilitating the patients recovery and return to independence as efficiently as possible. Fayette Home Care offers a variety of in-home skilled nursing care services including wound and dressing care, diabetic care, administration of injections, maternal/child care, etc. 26,723 skilled nursing visits were performed during fiscal year 2010. Rehabilitation Services help a patient restore certain functions and abilities. Physical, speech and occupational therapists are available to fit patient needs. 12,317 theraputic visits in physical, speech and occupational therapy were performed in fiscal year 2010.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1143370Expense
Revenue1742059Revenue
DescriptionHospice Program provides care for those in the last stages of life - people who wish to remain in the warmth and familiarity of home. Medical attention is provided to patients with life-limiting illnesses. The program is designed for individuals with life expectancy of less than six months. The patients personal care is provided by a Home Health Aide who is supervised by a Registered Nurse. Medical equipment and necessities are supplied at no cost, if needed dietary counseling and physical, occupational and speech therapies are available. 203 patients were provided 12,272 days of hospice service during fiscal year 2010.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense567987Expense
Revenue434794Revenue
DescriptionDiversified Services provides registered nurses and licensed practical nurses, certified home health aides, sitters and housekeepers to enable people to continue living independently. Fayette Home Care staff coordinates with the clients physician to develop a plan of care, and their registered nurses will perform evaluations as necesary. 23,399 hours of service in the therapy, and medical social services were provided to 84 patients during fiscal year 2010.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp17956TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev23884TotalOfOtherProgramServiceRev
Total Program Service Expense5552264TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees108NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBarb Weiss Director of Accounting SNamePerson
Telephone Number7244305222TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 W Berkeley StreetAddressLine1
CityUniontownCity
StatePAState
ZIP Code15401ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Robert Garrett
Chairman001.00XX000
Andrew Ferguson III
Vice Chairman001.00XX000
Sally Spegar
Secretary/Treasurer001.00XX000
Steven Handy
Asst. Secretary/Treasurer/CFO040.00XX0198759122273
David Hughes
Director001.00X000
Suzanne McMonagle
Director001.00X000
Alvin Mundel
Director001.00X000
Richard Constantine
Director001.00X000
Paul Bacharach
Director/CEO040.00XX0306857180250
Vickie Hardy-Leone
Executive Director040.00XX010523631520
Dayna Sherbondy
Physical Therapist040.0011382000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org113820TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs610852TotalReportableCompFrmRltdOrgs
Total Other Compensation334043TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Redstone Rehab ServicesBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1113 Thornton Rd Suite DAddressLine1
CityBrownsvilleCity
StatePAState
ZIP Code15417ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPhysical Occupational TherapyDescriptionOfServices
Compensation484920Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants3646GovernmentGrants
All Other Contributions3799AllOtherContributions
Total Contributions7445TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Home Health Care62161071501417150141
Gross Rent Affiliated Exempt Organization5311202388423884
FieldValueIRS element (for citing)
Total Program Service Revenue7174025TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column31930TotalRevenueColumn
Exclusion$31,930ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities144974Securities
Other1106Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities144681Securities
Other25425Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities293Securities
Other-24319Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-24026TotalRevenueColumn
Exclusion-$24,026ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCopying Fees, Etc.Description
Business Code900099BusinessCode
Total Revenue Column970TotalRevenueColumn
Exclusion$970ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue970TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7190344TotalRevenueColumn
Related Or Exempt Function Income7174025RelatedOrExemptFunctionIncome
Exclusion$8,874ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3707422Total
Program Services2800688ProgramServices
Management And General906734ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total160522Total
Program Services121263ProgramServices
Management And General39259ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total614577Total
Program Services464268ProgramServices
Management And General150309ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total277907Total
Program Services209939ProgramServices
Management And General67968ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total302000Total
Management And General302000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1708Total
Management And General1708ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total752425Total
Program Services732845ProgramServices
Management And General19580ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total50085Total
Program Services45076ProgramServices
Management And General5009ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total152742Total
Program Services137468ProgramServices
Management And General15274ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total35913Total
Program Services32322ProgramServices
Management And General3591ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total282038Total
Program Services273266ProgramServices
Management And General8772ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9291Total
Program Services8362ProgramServices
Management And General929ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total199513Total
Program Services179562ProgramServices
Management And General19951ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total142816Total
Program Services128534ProgramServices
Management And General14282ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies291219291219
Bad Debt5696856968
Repairs and Maintenance53634482715363
Organizational Dues13562122061356
Miscellaneous11119100071112

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7115461Total
Program Services5552264ProgramServices
Management And General1563197ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY562004BOY
EOY735885EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY830444BOY
EOY987361EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY26557BOY
EOY23135EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY74971BOY
EOY24087EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1589440LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec697537LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1055151BOY
EOY891903EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY735688BOY
EOY784363EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3284815BOY
EOY3446734EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1681476BOY
EOY1796194EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY163578BOY
EOY180836EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY246716BOY
EOY336070EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2091770BOY
EOY2313100EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1193045BOY
EOY1133634EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1193045BOY
EOY1133634EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3284815BOY
EOY3446734EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2523CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9931CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10373CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6700CurrentTaxYearMinus1Year
Current Tax Year7445CurrentTaxYear
Total36972Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6479150CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6289979CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6447636CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6978292CurrentTaxYearMinus1Year
Current Tax Year7174025CurrentTaxYear
Total33369082Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6481673CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6299910CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6458009CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6984992CurrentTaxYearMinus1Year
Current Tax Year7181470CurrentTaxYear
Total33406054Total
FieldValueIRS element (for citing)
Public Support Total50933406054PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60847CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years81950CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51434CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40919CurrentTaxYearMinus1Year
Current Tax Year31930CurrentTaxYear
Total267080Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60847CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years81950CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51434CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40919CurrentTaxYearMinus1Year
Current Tax Year31930CurrentTaxYear
Total267080Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2174CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1556CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1105CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year711CurrentTaxYearMinus1Year
Current Tax Year970CurrentTaxYear
Total6516Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6544694CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6383416CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6510548CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7026622CurrentTaxYearMinus1Year
Current Tax Year7214370CurrentTaxYear
Total33679650Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99190PublicSupportPercentage509
Prior Year Support Percentage0.99070PriorYearSupportPercentage
Investment Income Percentage0.00790InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00890PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestPart III Line 12 Other income is made up of fees collected for chart coping for patient medical records.FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis28000OtherCostOrOtherBasis
Book Value28000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis607429OtherCostOrOtherBasis
Depreciation116203Depreciation
Book Value491226BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis927543OtherCostOrOtherBasis
Depreciation575967Depreciation
Book Value351576BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26468OtherCostOrOtherBasis
Depreciation5367Depreciation
Book Value21101BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings891903TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Estimated Third Party Settlements$121,075
Due to Affiliates$214,995
FieldValueIRS element (for citing)
Total Of Amounts336070TotalOfAmounts
Total Revenue7190344TotalRevenue
Total Expenses7115461TotalExpenses
Excess Or Deficit For Year74883ExcessOrDeficitForYear
Net Unrealized GL On Investments18160NetUnrealizedGLOnInvestments
Other-$152,453OtherAmount
Total Adjustments-134293TotalAdjustments
Excess Or Deficit Per FS-59410ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7206796TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments18160NetUnrealizedGainsInvestments
Revenue Not Rptd F99018160RevenueNotRptdF990
Revenue Subtotal7188636RevenueSubtotal
Investment Expenses Not Included1708InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt1708RevenueNotRptdOnFinStmt
Total Revenue Per Form9907190344TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7113753TotExpensesEtcAuditedFinclStmt
Expenses Subtotal7113753ExpensesSubtotal
Investment Expenses Not Included21708InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt1708ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907115461TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
X2- The organization adopted the provisions of Financial Accounting Standards Board FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes. Because no material uncertain tax positions were identified, a disclosure was not included in the footnotes to the financial statements.
XI8- Defined Benefit pension adjustment for the year was 152,453.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Steven Handy
1849541380510082128862328442
Paul Bacharach
2875821927516763633153507646

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
I3- Homecare relied on a related organization that used one or more of the methods described below to establish the top management officials compensation.
I4b-Participation in the Fayette Regional Health System 457f Plan the Plan is limited to Paul Bacharach and Steve Handy Participants. During the fiscal year ended June 30, 2010, 146,326 was contributed to the Plan on behalf of Paul Bacharach and 86,360 was contributed to the Plan on behalf of Steve Handy. The Plans accounting year is January 1st through December 31st. The Plan is administered by the Executive Committee of the Fayette Regional Health System FRHS Board of Directors. FRHS, as the employer of the Participants, pays all of the expenses of the administration of the Plan. Each Plan year, FRHS shall decide whether or not to make a contribution to the Plan, and the amount and allocation of the contribution. Contributions shall become vested on the Participants Vesting Date as long as the Participant is employed with FRHS on the Vesting Date. All distributions shall be made in a lump sum payment. The Trustee may invest the funds held in the Account of each Participant in accordance with each Participants direction. Title to and beneficial ownership of any assets which FRHS designated to pay benefits hereunder, shall at all times be subject to the general creditors of FRHS and a Participant and his Beneficiary shall have no property right in those assets.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 VI6/7A/7B- The sole member of Fayette Home CareFHC is the FHCs parent company, Fayette Regional Health System, a PA non-profit corporation. The sole member has power to aelect all of the Directorsexcept ex-officio Directors of the FHC bremove at any time one or more of the Directorsexcept for ex-officio Directors and/or officers of the Corporation without cause capprove all capital and operating budgets of the Corporation and amendments thereto dapprove all fundamental transactions of the Corporation, including without limitation, any amendments to articles of the Corporation and any merger, consolidation, division, transfer of all or substantially all assets, dissolution, or liquidation of the Corporation and e approve any and all amendments of the bylaws of the Corporation. The Sole Member of the Corporation may initiate any such action and/or amendments listed in c -
Form 990 VI6/7A/7Be above, as applicable, provided that any such actions and/or amendments must be approved by the Corporation and Sole Member prior to approved by the Corporation and Sole Member prior to implementation. The Corporation shall not unreasonably withhold its approval for any action and/or change recommended by the Sole Member.
Form 990 VI7-The 990 was presented to all voting members of the Finance and Audit Committee of the organizations parent for review at the April 2011 Board Meeting.
Form 990 VI11- The 990 was presented to all voting members of the Finance and Audit Committee of the organizations parent for review at the April 2011 Board Meeting. After review by the Finance and Audit Committee, a full copy of the 990 was made available to the entire Board of Fayette Home Care.
Form 990 VI12C-The Business Ethics department of the organization periodically reviews all potential conflicts, transactions and relationships to see if substantive. All potential new conflicts are reviewed by the Business Ethics department and the concept is covered at annual training. The department will report all actual or possible conflicts to the FRHS Executive Committe of the Board for evaluation. the Committee shall determine whether a conflict exists. The Committee is empowered to take corrective action as necessary, including refraining from participation in certain Board discussions.
Form 990 VI15A/15B- Fayette Home Cares Executive Directors compensation is subject to the same review as the parent organizations senior management. An Executive Committee is responsible for overall compensation, the organizations philosopy and establishes the guidelines, rules and procedures necessary for the proper and efficient administration of the Executive Compensation Program which covers the CEO, CFO, Vice Presidents of the parent and Executive Director of Fayette Home Care. This committee is independent from management and includes a comparison of pay rates with peer institutions. These Committee meetings are documented in meeting minutes. August 24, 2009 is the last time executive compensation was reviewed by the Committee.
Form 990 VI19-The organizations governing documents, conflicts of interest policy, and financial statements are available by contacting the Presidents office or the Accounting Services department. Upon request, a copy will be mailed to the requestee.
Form 990 VII1A- Each director devotes and additional 1 hour per week on related organizations.
Form 990 XI2B- Fayette Home Cares financial statements were reviewed as part of the annual audit of its parent Fayette Regional Health System and related organizations consolidated audited financials.
Form 990 Part III Program Service AccomplishmentsLine 4d Other ActivitiesProgram Service Expenses 17,956, Grants and allocations 0, Revenue 23,884 Fayette Home Care receives rental payments from FRHS an affiliated related exempt organiztion for space used by FRHS billers.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Fayette Regional Health System
500 W Berkeley StUniontownPA15401251451183Healthcare ManagementPA501c311bN/A
Uniontown Hospital
500 W Berkeley StUniontownPA15401250965588HealthcarePA501c33N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Fayette Health Management
211 Easy StreetUniontownPA15401208383875HealthcarePAN/AC Corp79558623169651.00000
Fayette Medical Associates Inc
211 Easy StreetUniontownPA15401251770366HealthcarePAN/AC Corp-62481311182221.00000
Fayette Speciality Associates Inc
211 Easy StreetUniontownPA15401030465736HealthcarePAN/AC Corp-69155422486471.00000
Hospital Care Associates
211 Easy StreetUniontownPA15401208705746HealthcarePAN/AC Corp-432834673891.00000
Fayette Anesthesia Providers
211 Easy StreetUniontownPA15401208384016HealthcarePAN/AC Corp-7535414223641.00000
Fayette Physician Hospital Organization Inc
500 W Berkeley StreetUniontownPA15401251844471HealthcarePAN/AC Corp1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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