HEALTHSHARE OF SOUTHEASTERN PENNSYLVANIA INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHSHARE OF SOUTHEASTERN PENNSYLVANIA INC (EIN 45-5454875)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-09-17
- IRS object ID
- 201942609349300309
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-09-17T09:48:12-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 131639826 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EISNERAMPER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 NORTH 18TH STREET SUITE 3000 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 191032757 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455454875 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHSHARE EXCHANGE OF SOUTHEASTERN | BusinessNameLine1Txt |
| Business Name Line2 | PENNSYLVANIA INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 2153914905 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 N INDEPENDENCE MALL WEST NO 701 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19106 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARTIN LUPINETTI | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2155753758 | PhoneNum |
| Signature | 2019-09-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | HELEN M MARTIN | PreparerPersonNm |
| PTIN | P01330899 | PTIN |
| Phone | 2158818800 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.238.150.4 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-09-04 | IPDt |
| IP Tm | 10:36:12 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0EDE4F5BE59FB99924CAAEE7408372872BC47088 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | MARTIN LUPINETTI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 N INDEPENDENCE MALL WEST NO 701 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19106 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,368,873 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTHSHAREEXCHANGE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | HEALTHSHARE EXCHANGE WILL PROVIDE SECURE ACCESS TO HEALTH INFORMATION TO ENABLE PREVENTIVE AND COST-EFFECTIVE CARE; IMPROVE QUALITY OF PATIENT CARE; AND FACILITATE CARE TRANSITIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 30 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,800,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,992,500 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,687,146 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,259,456 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,638 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,771 | CYInvestmentIncomeAmt |
| PY Other Revenue | $154,737 | PYOtherRevenueAmt |
| CY Other Revenue | $105,146 | CYOtherRevenueAmt |
| PY Total Revenue | $6,648,521 | PYTotalRevenueAmt |
| CY Total Revenue | $7,368,873 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $72,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $338,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,973,883 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,686,699 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,915,754 | PYOtherExpensesAmt |
| CY Other Expenses | $4,493,083 | CYOtherExpensesAmt |
| PY Total Expenses | $4,961,637 | PYTotalExpensesAmt |
| CY Total Expenses | $7,518,282 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,686,884 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$149,409 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,423,649 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,633,515 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,497,511 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $856,786 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,926,138 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,776,729 | NetAssetsOrFundBalancesEOYAmt |
| Mission | HEALTHSHARE EXCHANGE WILL PROVIDE SECURE ACCESS TO HEALTH INFORMATION TO ENABLE PREVENTIVE AND COST-EFFECTIVE CARE; IMPROVE QUALITY OF PATIENT CARE; AND FACILITATE CARE TRANSITIONS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,502,463 | ExpenseAmt |
| Grant | $338,500 | GrantAmt |
| Revenue | $5,364,602 | RevenueAmt |
| Desc | ENHANCE HEALTHCARE ORGANIZATIONS' ABILITY TO SHARE AND MANAGE CLINICAL DATA AT EVERY STAGE OF THE CARE DELIVERY PROCESS THROUGH A HEALTH INFORMATION EXCHANGE. | Desc |
| Total Program Service Expenses | $6,502,463 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 31 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 30 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTIN LUPINETTI PRESIDENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2153194905 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 N INDEPENDENCE MALL WEST STE | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19106 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ANDREA GELZER MD | |||||||
| CHAIRMAN | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KAY CARR | |||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| DENISE CROCE | |||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN CROUSHORE | |||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| ALLISON DAVENPORT | |||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN FREEMAN MD MS | |||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| JOANNE GROSSI | |||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| C WILLIAM HANSON III MD | |||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| KEN LEVITAN | |||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| NEIL LUBARSKY | |||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| REMY RICHMAN | |||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN SCOLES MD | |||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD SNYDER MD | |||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| MARTIN LUPINETTI | |||||||
| PRESIDENT | 40.00 | Yes (X) | $250,860 | $0 | $39,839 | ||
| PAM CLARKE | |||||||
| SENIOR DIRECTOR OF MEMBER SERVICES | 40.00 | $192,833 | $0 | $40,651 | Yes (X) | ||
| DANIEL WILT | |||||||
| SENIOR DIRECTOR OF INFORMATION TECHNOLOGY | 40.00 | $194,972 | $0 | $36,974 | Yes (X) | ||
| RAKESH MATHEW | |||||||
| PROGRAM MANAGER | 40.00 | $169,116 | $0 | $27,963 | Yes (X) | ||
| JENNIFER NATALE | |||||||
| DIRECTOR, ENTERPRISE IMPLEMENTATION AND ENGAGEMENT | 40.00 | $126,437 | $0 | $26,742 | Yes (X) | ||
| LAUREN CICCARONE | |||||||
| SENIOR PROJECT MANAGER | 40.00 | $129,025 | $0 | $22,942 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,063,243 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $195,111 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NEXTGEN HEALTHCARE INC | |||||
| PO BOX 809390 | CHICAGO | IL | 60680 | PROFESSIONAL TECH SVCS | $1,205,428 |
| AUDACIOUS INQUIRY LLC | |||||
| 5523 RESEARCH PARK DRIVE SUITE 370 | BALTIMORE | MD | 21228 | PROFESSIONAL TECH SVCS | $685,057 |
| ONPOINT HEALTH DATA | |||||
| 75 WASHINGTON AVENUE SUITE 1E | PORTLAND | ME | 04101 | PROFESSIONAL TECH SVCS | $319,181 |
| WISEWAYS SOLUTIONS | |||||
| 315 KRESSON ROAD | VOORHEES | NJ | 08043 | PROFESSIONAL TECH SVCS | $110,610 |
| INTEPRO SOLUTIONS INC | |||||
| 165 CYPRESS DRIVE | COLONIA | NJ | 07067 | PROFESSIONAL TECH SVCS | $106,165 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,992,500 | GovernmentGrantsAmt |
| Total Contributions | $1,992,500 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEMBERSHIP DUES | Desc |
| Business | 541900 | BusinessCd |
| Total Revenue Column | $5,259,456 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,259,456 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,259,456 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,771 | TotalRevenueColumnAmt |
| Exclusion | $11,771 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $105,146 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $105,146 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $105,146 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,368,873 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,364,602 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,771 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,500 | TotalAmt |
| Program Services | $338,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,699 | TotalAmt |
| Program Services | $218,024 | ProgramServicesAmt |
| Management And General | $72,675 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,971,124 | TotalAmt |
| Program Services | $1,517,143 | ProgramServicesAmt |
| Management And General | $453,981 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,154 | TotalAmt |
| Program Services | $42,866 | ProgramServicesAmt |
| Management And General | $14,288 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,966 | TotalAmt |
| Program Services | $173,290 | ProgramServicesAmt |
| Management And General | $52,676 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,756 | TotalAmt |
| Program Services | $109,491 | ProgramServicesAmt |
| Management And General | $32,265 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,503 | TotalAmt |
| Program Services | $197,354 | ProgramServicesAmt |
| Management And General | $39,149 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,650 | TotalAmt |
| Program Services | $83,384 | ProgramServicesAmt |
| Management And General | $26,266 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,698 | TotalAmt |
| Program Services | $348,113 | ProgramServicesAmt |
| Management And General | $90,585 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,822 | TotalAmt |
| Program Services | $10,650 | ProgramServicesAmt |
| Management And General | $10,172 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,403 | TotalAmt |
| Program Services | $18,351 | ProgramServicesAmt |
| Management And General | $18,052 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,959,490 | TotalAmt |
| Program Services | $2,923,608 | ProgramServicesAmt |
| Management And General | $35,882 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,352 | TotalAmt |
| Program Services | $169,114 | ProgramServicesAmt |
| Management And General | $51,238 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,646 | TotalAmt |
| Program Services | $57,531 | ProgramServicesAmt |
| Management And General | $16,115 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,711 | TotalAmt |
| Program Services | $31,056 | ProgramServicesAmt |
| Management And General | $8,655 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,945 | TotalAmt |
| Program Services | $86,959 | ProgramServicesAmt |
| Management And General | $28,986 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,666 | TotalAmt |
| Program Services | $57,437 | ProgramServicesAmt |
| Management And General | $18,229 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TRAINING AND EDUCATION | $50,615 | $37,961 | $12,654 |
| BAD DEBTS | $41,529 | $31,147 | $10,382 |
| MEALS & ENTERTAINMENT | $36,609 | $28,653 | $7,956 |
| DUES AND SUBSCRIPTIONS | $24,400 | $12,200 | $12,200 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,044 | TotalAmt |
| Program Services | $9,631 | ProgramServicesAmt |
| Management And General | $3,413 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,518,282 | TotalAmt |
| Program Services | $6,502,463 | ProgramServicesAmt |
| Management And General | $1,015,819 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,601,958 | BOYAmt |
| EOY | $2,676,315 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $434,590 | BOYAmt |
| EOY | $401,730 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,036 | BOYAmt |
| EOY | $430,128 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $717,688 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $592,346 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,065 | BOYAmt |
| EOY | $125,342 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,423,649 | BOYAmt |
| EOY | $3,633,515 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $548,137 | BOYAmt |
| EOY | $667,147 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $841,471 | BOYAmt |
| EOY | $37,010 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,903 | BOYAmt |
| EOY | $152,629 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,497,511 | BOYAmt |
| EOY | $856,786 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,926,138 | BOYAmt |
| EOY | $2,776,729 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,926,138 | BOYAmt |
| EOY | $2,776,729 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,423,649 | BOYAmt |
| EOY | $3,633,515 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$149,409 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,713,242 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $355,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $965,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,871,937 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,992,500 | CurrentTaxYearAmt |
| Total | $6,897,679 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,419,500 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,075,023 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,690,011 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,687,146 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,259,456 | CurrentTaxYearAmt |
| Total | $18,131,136 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,132,742 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,430,023 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,655,011 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,559,083 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,251,956 | CurrentTaxYearAmt |
| Total | $25,028,815 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $25,028,815 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,501 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,379 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,530 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,638 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,771 | CurrentTaxYearAmt |
| Total | $34,819 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,501 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,379 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,530 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,638 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,771 | CurrentTaxYearAmt |
| Total | $34,819 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $154,737 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $105,146 | CurrentTaxYearAmt |
| Total | $259,883 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,137,243 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,433,402 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,663,541 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,720,458 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,368,873 | CurrentTaxYearAmt |
| Total | $25,323,517 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98840 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99110 | PublicSupportPY509Pct |
| Investment Income CY | 0.00140 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00140 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,044 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,795 | DepreciationAmt |
| Book Value | $46,249 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,991 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,951 | DepreciationAmt |
| Book Value | $3,040 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $601,653 | OtherCostOrOtherBasisAmt |
| Depreciation | $525,600 | DepreciationAmt |
| Book Value | $76,053 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $125,342 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED RENT | Desc |
| Amt | $152,629 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $152,629 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $7,368,873 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,368,873 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,368,873 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,518,282 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,518,282 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,518,282 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE INTERNAL REVENUE SERVICE HAS CLASSIFIED HSX AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("CODE"); AS AN ORGANIZATION, CONTRIBUTIONS TO WHICH ARE DEDUCTIBLE UNDER SECTION 170(C) OF THE CODE; AND AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION AS DEFINED IN SECTION 509(A) OF THE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY, IF HSX HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A GOVERNMENT AUTHORITY. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY HSX AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2018 AND 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE INTEREST AND PENALTIES RELATED TO INCOME TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE, IF SUCH INTEREST AND PENALTIES ARE INCURRED. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| ACTS RETIREMENT-LIFE COMMUNITIES INC | ||||||||
| 1936 WEST POINT PIKE PO BOX 90 | WEST POINT | PA | 19486 | 231900132 | 501(C)(3) | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| ATTLEBORO VILLAGE-WILMAC CORPORATION | ||||||||
| 209 N BEAVER STREET | YORK | PA | 17401 | 232821349 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| BUCKINGHAM VALLEY REHABILITATION AND NURSING CENTER | ||||||||
| 802 DURGAM ROAD | NEWTOWN | PA | 18940 | 822548797 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| CHELTENHAM NURSING & REHABILITATION CENTER | ||||||||
| 600 W CHELTENHAM AVE | PHILADELPHIA | PA | 19126 | 232995232 | 501(C)(3) | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| DEER MEADOWS HOME HEALTH AND SUPPORT SERVICES | ||||||||
| 8301 ROOSEVELT BLVD | PHILADELPHIA | PA | 19152 | 260622238 | 501(C)(3) | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| DEPAUL HEALTHCARE LP | ||||||||
| 409 STENTO AVE | FLOURTOWN | PA | 19031 | 232960868 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| MAJESTIC OAKS REHABILITATION AND NURSING CENTER | ||||||||
| 333 NEWTOWN ROAD | WARMINSTER | PA | 18974 | 464681617 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| MARQUIS HEALTHCARE SERVICES | ||||||||
| 600 S WYCOMBE AVE | YEADON | PA | 19050 | 822894985 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| MANOR CARE HEALTH SERVICES KING OF PRUSSIA LLC | ||||||||
| 600 W VALLEY FORGE RD | KING OF PRUSSIA | PA | 19406 | 260610645 | 501(C)(3) | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| MANOR CARE HEALTH SERVICES MONTGOMERYVILLE LLC | ||||||||
| 640 BETHLEHEM PIKE | MONTGOMERYVILLE | PA | 18936 | 260614451 | 501(C)(3) | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| MANOR CARE HEALTH SERVICES OXFORD VALLEY LLC | ||||||||
| 1480 OXFORD VALLEY RD | YARDLEY | PA | 19067 | 260614171 | 501(C)(3) | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| MANOR CARE HEALTH SERVICES WALLINGFORD LLC | ||||||||
| 115 S PROVIDENCE RD | WALLINGFORD | PA | 19086 | 260610542 | 501(C)(3) | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| MANOR CARE HEALTH SERVICES YEADON LLC | ||||||||
| 14 LINCOLN AVE | YEADON | PA | 19050 | 260621815 | 501(C)(3) | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| MANOR CARE HEALTH SERVICES HUNTINGDON VALLEY LLC | ||||||||
| 3430 HUNTINGTON PIKE | HUNTINGDON VALLEY | PA | 19006 | 260610582 | 501(C)(3) | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| MANOR CARE HEALTH SERVICES POTTSTOWN LLC | ||||||||
| 724 N CHARLOTTE ST | POTTSTOWN | PA | 19464 | 260610645 | 501(C)(3) | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| MIMA HEALTHCARE CARE PAVILION | ||||||||
| 6212 WALNUT ST | PHILADELPHIA | PA | 19139 | 813457149 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| NATIONWIDE HEALTHCARE SERVICES | ||||||||
| 260 CHAMBERSBRIDGE ROAD | BRICK | NJ | 08723 | 263999886 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| TEL HAI RETIREMENT COMMUNITY | ||||||||
| 1200 TEL HAI CIRCLE PO BOX 190 | HONEY BROOK | PA | 19344 | 232039189 | 501(C)(3) | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| THE HILL AT WHITEMARSH | ||||||||
| 400 FOX HOUND DRIVE | LAFAYETTE HILL | PA | 19444 | 830344521 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| ALLIANCE CANCER SPECIALISTS PC | ||||||||
| 915 LAWN AVE SUITE 202 | SELLERSVILLE | PA | 18960 | 452552343 | $4,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| CLARKE AND GARDNER INTERNAL MEDICINE | ||||||||
| 300 EAST LANCASTER AVENUE SUITE 100 | WYNNEWOOD | PA | 19096 | 233053586 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| COMMUNITY HEALTH AND DENTAL CARE INC | ||||||||
| 351 W SCHUYLKILL ROAD SUITE G-15 A | POTTSTOWN | PA | 19465 | 202764402 | $6,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| DELAWARE VALLEY COMMUNITY HEALTH | ||||||||
| 1412-22 FAIRMOUNT AVE | PHILADELPHIA | PA | 19130 | 232077750 | $6,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| ESPERANZA HEALTH CENTER | ||||||||
| 4417 NORTH 6TH STREET | PHILADELPHIA | PA | 19140 | 232480701 | 501(C)(3) | $4,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| GREATER PHILADELPHIA HEALTH ACTION INC | ||||||||
| 1401 S 31ST STREET | PHILADELPHIA | PA | 19146 | 237082074 | 501(C)(3) | $4,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| LA COMUNIDAD HISPANA | ||||||||
| 731 WEST CYPRESS ST | KENNETT SQUARE | PA | 19348 | 232041915 | 501(C)(3) | $4,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| LOWER MERION FAMILY MEDICINE | ||||||||
| 145 N NARBERTH AVE | NARBERTH | PA | 19072 | 233092571 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| PROJECT HOME | ||||||||
| 1415 FAIRMOUNT AVENUE | PHILADELPHIA | PA | 19130 | 232555950 | 501(C)(3) | $2,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| PUBLIC HEALTH MANAGEMENT CORPORATION | ||||||||
| CENTRE SQUARE EAST 1500 MARKET | PHILADELPHIA | PA | 19102 | 237221025 | 501(C)(3) | $6,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | STREET |
| ABINGTON LANSDALE HOSPITAL JEFFERSON HEALTH | ||||||||
| 100 MEDICAL CAMPUS DRIVE | LANSDALE | PA | 19446 | 263359979 | 501(C)(3) | $7,500 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| ABINGTON MEMORIAL HOSPITAL JEFFERSON HEALTH | ||||||||
| 1200 OLD YORK RD | ABINGTON | PA | 19001 | 231352152 | 501(C)(3) | $7,500 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| GRAND VIEW HOSPITAL | ||||||||
| 700 LAWN AVENUE | SELLERSVILLE | PA | 18960 | 231352181 | 501(C)(3) | $7,500 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| PENN MEDICINE CHESTER COUNTY HOSPITAL | ||||||||
| 3025 MARKET STREET SUITE 400 | PHILADELPHIA | PA | 19104 | 231352685 | 501(C)(3) | $7,500 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| PENN MEDICINE - UNIVERSITY OF PENNSYLVANIA | ||||||||
| 3025 MARKET STREET SUITE 400 | PHILADELPHIA | PA | 19104 | 231352685 | 501(C)(3) | $7,500 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| PENN MEDICINE - PENNSYLVANIA HOSPITAL | ||||||||
| 3025 MARKET STREET SUITE 400 | PHILADELPHIA | PA | 19104 | 231352685 | 501(C)(3) | $7,500 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| PENN MEDICINE - PREBYTERIAN HOSPITAL | ||||||||
| 3025 MARKET STREET SUITE 400 | PHILADELPHIA | PA | 19104 | 231352685 | 501(C)(3) | $7,500 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| CAREGIVERS AMERICA HOME HEALTH SERVICES LLC | ||||||||
| 718 SOUTH STATE STREET | CLARKS SUMMIT | PA | 18411 | 208167059 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| RESIDENTIALIST HOUSECALL MEDICAL GROUP | ||||||||
| 23181 VERDUGO DRIVE SUITE 103A | LAGUNA HILLS | CA | 92653 | 474053626 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| COMMUNITY WELFARE COUNCIL OF NEWTOWN INC PICKERING MANOR | ||||||||
| 226 NORTH LINCOLN AVE | NEWTOWN | PA | 18940 | 510244585 | 501(C)(3) | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | |
| SOUTHEASTERN HEALTH SERVICES OF PENNSYLVANIA LLC | ||||||||
| 1501 GRUNDYS LANE - SUITE 100 | BRISTOL | PA | 19007 | 232470584 | $10,000 | ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2018 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 24 | Total501c3OrgCnt |
| Total Other Org | 16 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARTIN LUPINETTI | ||||||||||||||
| PRESIDENT | $203,222 | $0 | $47,638 | $0 | $0 | $0 | $8,189 | $0 | $31,650 | $0 | $290,699 | $0 | $0 | $0 |
| PAM CLARKE | ||||||||||||||
| SENIOR DIRECTOR OF MEMBER SERVICES | $150,129 | $0 | $42,704 | $0 | $0 | $0 | $6,034 | $0 | $34,617 | $0 | $233,484 | $0 | $0 | $0 |
| DANIEL WILT | ||||||||||||||
| SENIOR DIRECTOR OF INFORMATION TECHN | $164,355 | $0 | $30,617 | $0 | $0 | $0 | $7,946 | $0 | $29,028 | $0 | $231,946 | $0 | $0 | $0 |
| RAKESH MATHEW | ||||||||||||||
| PROGRAM MANAGER | $149,321 | $0 | $19,795 | $0 | $0 | $0 | $6,539 | $0 | $21,424 | $0 | $197,079 | $0 | $0 | $0 |
| JENNIFER NATALE | ||||||||||||||
| DIRECTOR, ENTERPRISE IMPLEMENTATION | $115,035 | $0 | $11,402 | $0 | $0 | $0 | $4,175 | $0 | $22,567 | $0 | $153,179 | $0 | $0 | $0 |
| LAUREN CICCARONE | ||||||||||||||
| SENIOR PROJECT MANAGER | $118,263 | $0 | $10,762 | $0 | $0 | $0 | $4,841 | $0 | $18,101 | $0 | $151,967 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | ONCE THE FORM 990 IS COMPLETED BY THE TAX PREPARERS, IT WILL BE SHARED, REVIEWED AND DISCUSSED BY THE FINANCE AND AUDIT COMMITTEE VIA CONFERENCE OR CONFERENCE CALL. ONCE THEY HAVE APPROVED IT AND WITH THEIR RECOMMENDATION, IT WILL BE SENT TO THE FULL BOARD OF TRUSTEES FOR COMMENT AND APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL INTERESTED PARTIES ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST AS SOON AS IT IS KNOWN. EACH MEMBER OF THE BOARD OF TRUSTEES, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND HSX MANAGEMENT ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR TOP OFFICERS IS DETERMINED AFTER CAREFULLY CONSIDERING THE PERSON'S QUALIFICATIONS AND ACHIEVEMENTS. THE CHAIR OF THE BOARD, ALONG WITH THE VICE CHAIR, PROVIDES A PERFORMANCE EVALUATION AND RECOMMENDS ANY SALARY INCREASE. THE CHAIR OF THE BOARD HAS FINAL APPROVAL OF THE EXECUTIVE DIRECTOR'S COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC BY REQUEST TO THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION AT THE ADDRESS AND PHONE NUMBER LISTED ON THE FORM 990. |
| PART XII, LINE 2C | THE AUDIT COMMITTEE ASSUMES THE RESPONSIBILITY FOR SELECTING AN INDEPENDENT ACCOUNTANT AND FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. THE PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR. |