GOOD SAMARITAN HOSPICE OF PITTSBURGH: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SAMARITAN HOSPICE OF PITTSBURGH (EIN 25-1818793)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-10
- IRS object ID
- 201721309349302972
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule J
- Schedule N
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-10T15:29:20-07:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251818793 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SAMARITAN HOSPICE of PITTSBURGH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 7249338888 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3500 Brooktree Road Suite 320 | AddressLine1Txt |
| City | Wexford | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 150909277 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tammy Young | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7249338888 | PhoneNum |
| Signature | 2017-05-10 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Judy Connelly | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3500 Brooktree Road | AddressLine1Txt |
| Address Line2 | Suite 320 | AddressLine2Txt |
| City | Wexford | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15090 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,891,948 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.good-samaritanhospice.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | Home Hospice/Nursing: Establish and maintain programs which provide supportive care for terminally ill patients and their families; and to provide associated services including, but not limited to, operation of a Non-Profit Hospice. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 145 | TotalEmployeeCnt |
| Total Volunteers | 173 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $265,392 | PYContributionsGrantsAmt |
| CY Contributions Grants | $180,720 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,465,814 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,700,192 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$351 | PYInvestmentIncomeAmt |
| CY Investment Income | -$2,553 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$3,969 | PYOtherRevenueAmt |
| CY Other Revenue | $8,051 | CYOtherRevenueAmt |
| PY Total Revenue | $11,726,886 | PYTotalRevenueAmt |
| CY Total Revenue | $12,886,410 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,650,401 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,948,849 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $21,834 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,514,686 | PYOtherExpensesAmt |
| CY Other Expenses | $3,822,979 | CYOtherExpensesAmt |
| PY Total Expenses | $9,165,087 | PYTotalExpensesAmt |
| CY Total Expenses | $9,771,828 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,561,799 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,114,582 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,920,876 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,404,246 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $836,678 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $723,939 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,084,198 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,680,307 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The mission is to establish and maintain programs which provide supportive care for terminally ill patients and their families; and to provide associated services including, but not limited to, operations of a non-profit hospice. The goal is to empower the community to understand the blessings of hospice and how the service can help those in an extremely difficult time in their lives. For fiscal year ending 06/30/2016 a total of $10,470 in services was rendered as benevolent care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,227,465 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $12,700,192 | RevenueAmt |
| Desc | Good Samaritan Hospice (GSH) program service activities focus on educating individuals and organizations to hospice care, insurance coverage, advocacy, advance directives, coordination of care, patient, rights, pain and symptom management and to clarify confusion related to hospice care. In addition, GSH provides support to those facing serious illness through individual Reflections of Care meeting to listen to patient/family concerns, goals and wishes and facilitate problem-solving and decision making related to health care needs and desires. Family and community support is provided through Grief Support groups and other community activities. All these efforts occur to improve and enhance end of life care in our communities. Good Samaritan Hospice (GSH) offered education at no cost to members of the community in order to provide knowledge and comfort to patients, families, healthcare workers and future healthcare workers. Topics of education included Changes in Medicare Benefit, Advanced Directives, Changes in Hospice Regulation, Understanding of Today's Hospice (Values and Benefits), Overview of Facts and Myths in Hospice Care, and Hospice Care at End of Life, Pain and Symptom Management, the role of Palliative Care, Spirituality, Grief and Bereavement. Hospice staff members provided information to over 224 individuals and their family members regarding their disease state, concerns, healthcare wishes and hospice and palliative care insurance options within the counties served, prior to their decision regarding care. Each encounter occurs in a location of the patients' choice and takes from 60 to 90 minutes. Often times, families request a follow-up visit to gain a greater understanding or involve additional family members. Students preparing to become Registered Nurses and Licensed Practical Nurses were also offered educational opportunities. Education was provided by offering nursing program students rotations at one of our 3-inpatient facility locations or with a nurse in the community setting. This education was provided to nursing students from Chatham University, Citizen's School of Nursing, Duquesne University, Beaver Valley Community College School of Nursing, University of Maryville, Indiana (CRNP) and Lenape Technical School of Nursing. A total of 1121.50 hours of professional training was offered to a total of 139 students free of charge. End of Life symptom management and psycho-social care training was provided to 32 Registered Nurses at Heritage Valley Health System and 16 at Butler Memorial Hospital, providing an additional 384 hours of free education. Grief support groups were offered in 3 counties and were open to the community at no charge. In addition to phone contacts and mailings for bereavement education to 1,540 hospice family members, a total of 38 grief support group sessions provided support and encouragement to 215 participants. Special Holiday Group Support sessions were also provided to 26 people. 400 individuals attended Memorial Services as well. Good Samaritan Hospice also participated in Community Health and Wellness Fairs by sharing information on hospice care, coping, grief, insurance benefits and general Q&A sessions. A total of 15 hours were dedicated to serving approximately150 people at these events. The Community Educators of GSH also offered free education at contracted facilities in our service areas of Allegheny, Beaver and Butler Counties. Education was provided to 26 members of Butler County Leadership class during their HealthCare Day experience. A tour of the Inpatient unit with education related to Hospice care, Hospice insurance opportunities (levels of care) and the benefits of Hospice care was provided and questions were answered throughout the training session. Hospice education was provided at no charge to the physical therapy class Slippery Rock University. Approximately 80 students attended a two hour class regarding their role in hospice care. Community education in the Beaver Valley area consisted of sessions every second Wednesday of the month for 11 months. Topics included questions asked regarding hospice by the participants, disease states, hospice insurance coverage, myths and facts, care of those with serious illnesses, etc. A total of 100 participants and 37 hours of training were completed. There was also an educational presentation at Concordia of the South Hills in Allegheny County. The topic was Palliative Care & Hospice and more than 25 independent living community residents attended. GSH also offered support to local chambers, local high schools, churches and community events. These services were all offered at no cost and often during weekends and evening hours. Camp Erin is a summer weekend bereavement camp for children and teens serving the needs of families in our Western Pennsylvania service area. This summer camp was a partnership of GSH, The Moyer Foundation (a national foundation dedicated to children in crisis), and Camp Kon-O-Kwee Spencer (our local YMCA camp). A total of 83 children ages 6-17 enjoyed this tuition-free overnight camp from Friday, June 17 through Sunday June 19. Camp was again a great success due to those who generously donated their time: 92 volunteers, of which 67 were the cabin Big Buddies. Volunteers donated over 4,000 hours of their time to train and make this three-day event a success. Family members and guardians joined the campers for the closing memorial service. The combined total budget for the camp for 2015 was $53,168.52. An annual camp reunion and community open house was provided in honor of Children's Grief Awareness Day in order to spread the word about child and adolescent grief within the community and in Western Pennsylvania. Approximately 70 people attended and 20 volunteers participated in the program, which was 2 hours in length. Our second largest community-centered activity was our Annual GSH 5KRun/Walk at North Park in Allegheny County, held in 2015 on Saturday, October 10th. A total of 32 volunteers dedicated their time from 1-7 hours of community service hours to the 5 K event. Volunteers assisted in both administrative preparations for the day's events and also man-power on the day of the race/walk. This event utilized approximately 155 hours of volunteer service to provide a positive, helpful way for patient families and community members to memorialize their loved ones, spend a healthy day outdoors with others in a beautiful county park location and promote hospice services among all ages. Our final community event involving educational opportunities and volunteers dedicated to hospice care in 2015 was the Second Annual Purse Gala, November 5, at the Lexus Club at PNC Park, Pittsburgh. New York Life co-hosted the event with Good Samaritan Hospice. This event drew 150 participants, with the assistance of 5 GSH volunteers. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $7,227,465 | 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 | Yes (1) | 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 | 0 | 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 | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | 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 | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 145 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tammy S Young | PersonNm |
| Phone | 7243526200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 613 North Pike Road | AddressLine1Txt |
| City | Cabot | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 160232215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| Keith Frndak | ||||||||
| Board Chairman/President | 5 | 45 | Yes (X) | Yes (X) | $0 | $630,065 | $70,313 | |
| Norm Mitry | ||||||||
| Vice Chairman | 1 | 1 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Ruth Redenbaugh | ||||||||
| Board Member | 1 | 4 | Yes (X) | $0 | $0 | $0 | ||
| Dr Ross Betts | ||||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| W Scott Hardy | ||||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Bryan Randall | ||||||||
| Board Member | 1 | 1 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Paul Rehkopf | ||||||||
| Board Member | 1 | 2 | Yes (X) | $0 | $0 | $0 | ||
| Christie Scott | ||||||||
| Board Member | 1 | 2 | Yes (X) | $0 | $0 | $0 | ||
| Martin J Trettel | ||||||||
| Board Member | 1 | 44 | Yes (X) | $0 | $173,460 | $30,218 | ||
| Tammy Young | ||||||||
| Board Member | 1 | 44 | Yes (X) | $0 | $86,555 | $5,696 | ||
| Dr John Reefer | ||||||||
| Board Member | 1 | 1 | Yes (X) | $0 | $0 | $0 | ||
| Ken DeFurio | ||||||||
| Board Member | 1 | 1 | Yes (X) | $0 | $0 | $0 | ||
| Rev Barry Keurulainen | ||||||||
| Board Member | 1 | 1 | Yes (X) | $0 | $0 | $0 | ||
| Judy Connelly | ||||||||
| Executive Director | 45 | 0 | Yes (X) | $106,062 | $0 | $6,921 | ||
| Anzie Kelley | ||||||||
| Former Executive Director | 0 | 0 | $45,221 | $0 | $4,174 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $151,283 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $890,080 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $117,322 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| Concordia Medical Equipment | |||||
| 615 N Pike Road | Cabot | PA | 16023 | Durable Medical Equipment | $713,634 |
| Procare BPM | |||||
| 1267 Professional Parkway | Gainesville | GA | 30507 | Pharmaceuticals | $631,717 |
| Concordia Visiting Nurses | |||||
| 613 N Pike Road | Cabot | PA | 16023 | Management Services Agreement | $162,094 |
| Dina C Dosch | |||||
| 1712 Holmes Drive | Sewickley | PA | 15143 | Physician Advisory Services | $137,354 |
| McKesson Technologies Inc | |||||
| PO Box 98347 | Chicago | IL | 606938347 | Point of Care Software | $115,805 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $19,611 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $34,590 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $126,519 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $180,720 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Hospice Care Services in the Community | 621610 | $9,446,690 | $9,446,690 | $0 | $0 |
| Hospice Inpatient Care Services | 623000 | $3,253,502 | $3,253,502 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,700,192 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $376 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $376 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $2,609 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $5,538 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$2,929 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,929 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$2,929 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Miscellaneous Income | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $8,051 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,051 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,051 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,886,410 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,705,690 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,805 | TotalAmt |
| Management And General | $305,805 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,495,288 | TotalAmt |
| Program Services | $3,837,401 | ProgramServicesAmt |
| Management And General | $657,887 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,651 | TotalAmt |
| Program Services | $189,907 | ProgramServicesAmt |
| Management And General | $42,744 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $514,496 | TotalAmt |
| Program Services | $416,145 | ProgramServicesAmt |
| Management And General | $98,351 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,609 | TotalAmt |
| Program Services | $322,282 | ProgramServicesAmt |
| Management And General | $78,327 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,004 | TotalAmt |
| Management And General | $254,004 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285 | TotalAmt |
| Management And General | $285 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,239 | TotalAmt |
| Management And General | $18,239 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $676,496 | TotalAmt |
| Program Services | $129,820 | ProgramServicesAmt |
| Management And General | $526,269 | ManagementAndGeneralAmt |
| Fundraising | $20,407 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,686 | TotalAmt |
| Program Services | $160 | ProgramServicesAmt |
| Management And General | $85,526 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,254 | TotalAmt |
| Program Services | $52,186 | ProgramServicesAmt |
| Management And General | $99,641 | ManagementAndGeneralAmt |
| Fundraising | $1,427 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,367 | TotalAmt |
| Program Services | $60,621 | ProgramServicesAmt |
| Management And General | $16,746 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,062 | TotalAmt |
| Program Services | $327,905 | ProgramServicesAmt |
| Management And General | $63,157 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,125 | TotalAmt |
| Program Services | $185,214 | ProgramServicesAmt |
| Management And General | $17,911 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,208 | TotalAmt |
| Program Services | $2,033 | ProgramServicesAmt |
| Management And General | $8,175 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,921 | TotalAmt |
| Program Services | $24,065 | ProgramServicesAmt |
| Management And General | $98,856 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,306 | TotalAmt |
| Management And General | $34,306 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Food Service Costs | $25,332 | $25,332 | $0 | $0 |
| Pharmacy & Medical Supplies | $1,511,455 | $1,511,455 | $0 | $0 |
| Dues & Subscriptions | $26,379 | $340 | $26,039 | $0 |
| Outside Transportation | $110,226 | $110,226 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,634 | TotalAmt |
| Program Services | $32,373 | ProgramServicesAmt |
| Management And General | $90,261 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,771,828 | TotalAmt |
| Program Services | $7,227,465 | ProgramServicesAmt |
| Management And General | $2,522,529 | ManagementAndGeneralAmt |
| Fundraising | $21,834 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,592,837 | BOYAmt |
| EOY | $2,585,613 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,144,863 | BOYAmt |
| EOY | $1,698,481 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,839 | BOYAmt |
| EOY | $62,910 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,123,322 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,066,080 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,090,337 | BOYAmt |
| EOY | $1,057,242 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,920,876 | BOYAmt |
| EOY | $5,404,246 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $648,622 | BOYAmt |
| EOY | $506,941 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,056 | BOYAmt |
| EOY | $216,998 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $836,678 | BOYAmt |
| EOY | $723,939 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,050,312 | BOYAmt |
| EOY | $4,649,918 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,886 | BOYAmt |
| EOY | $30,389 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,084,198 | BOYAmt |
| EOY | $4,680,307 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,920,876 | BOYAmt |
| EOY | $5,404,246 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,114,582 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$2,518,473 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 | $149,092 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $181,665 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $227,179 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $270,012 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $180,720 | CurrentTaxYearAmt |
| Total | $1,008,668 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,723,913 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,065,066 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,079,181 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,465,814 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,700,191 | CurrentTaxYearAmt |
| Total | $50,034,165 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,873,005 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,246,731 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,306,360 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,735,826 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,880,911 | CurrentTaxYearAmt |
| Total | $51,042,833 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $51,042,833 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $376 | CurrentTaxYearAmt |
| Total | $510 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $376 | CurrentTaxYearAmt |
| Total | $510 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,290 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,345 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,793 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,524 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,051 | CurrentTaxYearAmt |
| Total | $42,003 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,880,316 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,252,137 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,315,187 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,748,368 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,889,338 | CurrentTaxYearAmt |
| Total | $51,085,346 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99917 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99873 | PublicSupportPY509Pct |
| Investment Income CY | 0.00001 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00001 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 | FormAndLineReferenceDesc |
| Explanation | The other income received in each of the five years presented was miscellaneous income. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $104,279 | OtherCostOrOtherBasisAmt |
| Book Value | $104,279 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,188,449 | OtherCostOrOtherBasisAmt |
| Depreciation | $505,798 | DepreciationAmt |
| Book Value | $682,651 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $830,594 | OtherCostOrOtherBasisAmt |
| Depreciation | $560,282 | DepreciationAmt |
| Book Value | $270,312 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,057,242 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to Affiliates | Desc |
| Amt | $216,998 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $216,998 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $12,920,296 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $0 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $33,886 | OtherRevenueAmt |
| Revenue Not Reported | $33,886 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,886,410 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,886,410 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,771,828 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,771,828 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $9,771,828 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 | The organization is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and has been recognized as tax exempt under Section 501(a) of the Code. Accordingly, no provision for income taxes has been provided. The Organization follows the guidance for accounting for uncertainty in income taxes recognized in an organization's consolidated financial statements that prescribes a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. The guidance also addresses derecognition, classification, interest and penalties, accounting in interim periods, and disclosure. Management has determined that this guidance had no material effect on the consolidated financial statements. The Organization's policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in general and administrative expenses. There were no interest or penalties recognized on the consolidated statements of operations and changes in net assets as a result of this guidance. Generally, tax returns for years ended June 30, 2013, and thereafter remain subject to examination by federal and state tax authorities. |
| Schedule D, Part XI, Line 2d | Net Assets Released from Restriction in the amount of $33,886. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Keith Frndak | ||||||||||||||
| Board Chairman | $0 | $502,721 | $0 | $75,100 | $0 | $52,244 | $0 | $64,787 | $0 | $5,526 | $0 | $700,378 | $0 | $0 |
| Martin J Trettel | ||||||||||||||
| Board Member | $0 | $153,237 | $0 | $3,100 | $0 | $17,123 | $0 | $22,608 | $0 | $7,610 | $0 | $203,678 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I | All board members of Good Samaritan Hospice of Pittsburgh serve on a purely volunteer basis. Any compensation to a board member by a related organization, reported on Part VII and Schedule J, is for his/her service as an employee of that organization and not for his/her service as a board member. |
| Schedule J, Part I, Line 3 | The organization reviews national and state salary surveys for various non-profit organizations. Compensation is then appropriately determined based upon experience and comparing to the benchmarks. |
| Schedule J, Part I, Line 4 | Keith Frndak and Martin Trettel participate in a supplemental non qualified 457 plan. |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | The Boards of Directors of Concordia Lutheran Health and Human Care, Heritage Valley Health System and Good Samaritan Hospice of Pittsburgh have determined that it would be in their best interests for Butler Healthcare Providers dba Butler Memorial Hospital to become a member of Good Samaritan Hospice of Pittsburgh; and Butler Healthcare Providers dba Butler Memorial Hospital desires to become a member of Good Samaritan in furtherance of its charitable purposes. | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2015-09-01 | DistributionDt |
| Fair Market Value Of Asset | $480,000 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | At Closing, Good Samaritan Hospice of Pittsburgh (GSH) used its best efforts based on the information available at that time to determine GSH's current Book Value. As of Closing (9/1/2015), GSH's Book Value was calculated to be $4.0 Million. Butler Healthcare Providers dba Butler Memorial Hospital bought into membership at 12% or $480,000. | MethodOfFMVDeterminationTxt |
| EIN | 250965274 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Butler Healthcare Providers | BusinessNameLine1Txt |
| Business Name Line2 | dba Butler Memorial Hospital | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hospital Way | AddressLine1Txt |
| City | Butler | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(c)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | 0 | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 1b | The independent board members are independent due to the definition of control. These members are employed by the minority members i.e. two (2) member hospitals. They serve purely on a volunteer basis. They are not compensated for their participation on the board of directors. |
| Form 990, Part VI, Section A, Line 3 | Good Samaritan Hospice (GSH) entered into a management services agreement with Concordia Community Support Services (CCSS) on 9/1/15. CCSS will perform management and policy functions and is committed to developing strong leadership so that GSH can assure efficient and competent operations of the Hospice Program for the benefit of GSH's members and the patients served. CCSS will be responsible for appointment of the administrator for the agency and supervise all aspects of the operations of the home health program. |
| Form 990, Part VI, Section A, Line 4 | The Articles of Incorporation and Bylaws were amended to address that there are three (3) members of Good Samaritan Hospice effective 9/1/2015. The three members include Concordia Lutheran Health and Human Care, Heritage Valley Health System, and Butler Healthcare Providers dba Butler Memorial Hospital all of which are Pennsylvania nonprofit corporations and public charities exempt from taxation under section 501(c)(3). |
| Form 990, Part VI, Section A, Line 6 | Concordia Lutheran Health and Human Care is a 66% member of Good Samaritan Hospice of Pittsburgh. Heritage Valley Health System is a 22% member of Good Samaritan Hospice of Pittsburgh. Butler Healthcare Providers dba Butler Memorial Hospital is a 12% member of Good Samaritan Hospice of Pittsburgh. |
| Form 990, Part VI, Section A, Line 7a | Concordia Lutheran Health & Human Care appoints/assigns 5 (five) members of the Good Samaritan Hospice of Pittsburgh board of directors. Heritage Valley Health System appoints/assigns 2 (two) members of the Good Samaritan Hospice of Pittsburgh board of directors. Butler Healthcare Providers dba Butler Memorial Hospital appoints/assigns 2 (two) members of the Good Samaritan Hospice of Pittsburgh board of directors. The Good Samaritan Hospice of Pittsburgh board of directors consists of a total of 9 members. |
| Form 990, Part VI, Section A, Line 7b | The three (3) members have reserved powers, the exercise of which shall require the affirmative vote or consent of at least 80% of the membership voting interest of the Corporation. |
| Form 990, Part VI, Section B, Line 11b | The Form 990 is prepared and reviewed by the CFO for Concordia Community Support Services. The return is reviewed by the CEO and CFO for Concordia Lutheran Health & Human Care, the majority member. The board is sent draft copies of the 990 prior to filing, in order to provide questions, comments, and feedback. Questions and comments are addressed accordingly. Upon board approval the final 990 is submitted to the taxing authorities. A copy of the final 990 is made available to all board members. |
| Form 990, Part VI, Section B, Line 12c | The corporate compliance officer attends at least 1 (one) board meeting a year. All officers, directors or trustees, and key employees are educated on compliance policies and procedures with the corporate compliance officer. Updates on corporate compliance are addressed in scheduled meetings during the year with all staff (including management). Specific corporate compliance goals and objectives are reviewed and evaluated on an ongoing basis during the year with the corporate compliance officer. Additionally, board members are required to disclose any potential conflict of interest prior to discussion on a topic where a conflict may exist. The Board will determine if a conflict exists and act accordingly, which may include the conflicted board member recusing himself/herself from discussion and any votes related to the matter. |
| Form 990, Part VI, Section B, Line 15 | The organization reviews national and state salary surveys for various non-profit organizations. Compensation is then appropriately determined based upon experience and comparing to the benchmarks. The Executive Director, Director of Operations and Clinical Director was reviewed during the fiscal year associated with this return. |
| Form 990, Part VI, Section C, Line 19 | Good Samaritan Hospice of Pittsburgh publishes an annual report that summarizes the financial and operational accomplishments of the organization, which is forwarded to Good Samaritan Hospice constituents and is available to the public upon request. The final Form 990 is available to the public upon request. A copy of the final 990 is made available to all board members. |
| Form 990, Part VII, Section A, Line 1a | All board members of Good Samaritan Hospice of Pittsburgh serve on a purely volunteer basis. Any compensation to a board member by a related organization, reported on Part VII and Schedule J, is for his/her service as an employee of that organization and not for his/her service as a board member. |
| Form 990, Part XI, Line 9 | Net Value of Distribution to members during current fiscal year ($2,548,862) and changes in temporarily restricted fund in the current fiscal year $30,389. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Business Name Line2DisregardedEntityName/BusinessNameLine2Txt | Direct Controlling NADirectControllingNACd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Concordia Lutheran Health & Human Care | |||||||||||||
| 134 Marwood Road | Cabot | PA | 16023 | 250969458 | Provide skilled nursing, personal care, independent living and rehabilitation services | PA | 501(c)(3) | 509(a)(2) | Concordia Lutheran Ministries | 0 | |||
| Rebecca Residence | |||||||||||||
| 3746 Cedar Ridge Road | Allison Park | PA | 15101 | 250974311 | Provide skilled nursing, personal care, and rehabilitation services. | PA | 501(c)(3) | 509(a)(2) | Concordia Lutheran Health & Human Care | 0 | dba Concordia at Rebecca Residence | ||
| Concordia Lutheran Ministries | |||||||||||||
| 134 Marwood Road | Cabot | PA | 16023 | 205138278 | Manage, oversee, and carry out the purpose of the affiliated 501(c)(3) organizations | PA | 501(c)(3) | 509(a)(3) | 0 | N/A | |||
| Concordia Community Support Services | |||||||||||||
| 613 North Pike Road | Cabot | PA | 16023 | 473508524 | Provide oversight, management and strategic planning | PA | 501(c)(3) | 509(a)(3) | Concordia Lutheran Ministries | 0 | Suite B | ||
| Concordia Visiting Nurses | |||||||||||||
| 613 North Pike Road | Cabot | PA | 16023 | 421704067 | Provide home health care services | PA | 501(c)(3) | 509(a)(2) | Concordia Community Support Services | 0 | |||
| Concordia Tele-CareGivers | |||||||||||||
| 613 North Pike Road Suite A | Cabot | PA | 16023 | 251881783 | Provide private dute non-medical services | PA | 501(c)(3) | 509(a)(1) | Concordia Community Support Services | 0 | |||
| Concordia of Ohio | |||||||||||||
| 970 Sumner Parkway | Copley | OH | 44321 | 611682165 | Provide healthcare and retirement services in Ohio | OH | 501(c)(3) | 509(a)(2) | Concordia Lutheran Ministries | 0 | |||
| Concordia Lutheran Ministries Foundation | |||||||||||||
| 134 Marwood Road | Cabot | PA | 16023 | 205138266 | Raise and receive funds in futherance of the corporate mission and purposes of the affiliated org | PA | 501(c)(3) | 509(a)(3) | Concordia Lutheran Ministries | 0 | |||
| Concordia Visiting Nurses of Ohio | |||||||||||||
| 613 North Pike Road | Cabot | PA | 16023 | 463845269 | Home Health Services | OH | 501(c)(3) | 509(a)(2) | Concordia Community Support Services | 0 | |||
| Concordia of Monroeville | |||||||||||||
| 4363 Northern Pike | Monroeville | PA | 15146 | 251475192 | To provide skilled nursing, personal care, independent living and rehabilitation services | PA | 501(c)(3) | 509(a)(2) | Concordia Lutheran Ministries of Pittsburgh | 0 | |||
| Cedars Home Health Care Services | |||||||||||||
| 4363 Northern Pike | Monroeville | PA | 15146 | 251875508 | Home Health Services | PA | 501(c)(3) | 509(a)(2) | Concordia Tele-CareGivers | 0 | |||
| Concordia Lutheran Ministries of Pittsburgh | |||||||||||||
| 1300 Bower Hill Road | Pittsburgh | PA | 15243 | 270209886 | Provide skilled nursing, personal care, independent living , and rehabilitative services. | PA | 501(c)(3) | 509(a)(2) | Concordia Lutheran Ministries | 0 | dba Concordia of the South Hills | ||
| Concordia Physician Practice | |||||||||||||
| 134 Marwood Road | Cabot | PA | 16023 | 473951584 | To provide primary physician services | PA | 501(c)(3) | 509(a)(2) | Concordia Lutheran Ministries | 0 | |||
| Concordia Hospice of Washington | |||||||||||||
| 613 North Pike Road Suite B | Cabot | PA | 16023 | 812448411 | Provide inpatient and community hospice patient care | PA | 501(c)(3) PENDING | 509(a)(2) PENDING | Concordia Community Support Services | 0 | |||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence Pharmacy Services | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 North Pike Road | AddressLine1Txt |
| City | Cabot | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16023 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223885810 | EIN |
| Primary Activities | Provides institutional pharmacy services and consulting to the limited partnership | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concordia Providence LLC | BusinessNameLine1Txt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concordia Medical Equipment | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 North Pike Road | AddressLine1Txt |
| City | Cabot | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16023 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204386767 | EIN |
| Primary Activities | rental/sales of medical equipment and supplies | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concordia Lutheran Ministries | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Ownership | 0 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Additional time was needed to gather information and complete the Form 990. Extension was approved by the Department of the Treasury per correspondence received on January 30, 2017. | ExplanationTxt |