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Fayette Home Care: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
Fayette Home Care (EIN 25-1531065)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-04-25
IRS object ID
201311159349300216
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-04-25T11:14:56-00:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E St Louis St Suite 200AddressLine1
CitySpringfieldCity
StateMOState
ZIP Code65806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251531065EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameSteven HandyName
TitleAsst SecretaryTreasurerTitle
Date Signed2013-04-25DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian ToddName
Phone4178658701Phone
Date Prepared2013-04-25DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 West Berkeley StreetAddressLine1
CityUniontownCity
StatePAState
ZIP Code15401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7085613GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.uniontownhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionThe organization will provide skilled nursing, rehabilitation, home health services, hospice care and other related health care services to the general public confined to their homes or unable to leave their homes without assistance.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees102TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2061ContributionsGrantsPriorYear
Contributions Grants Current Year2688ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7284147ProgramServiceRevenuePriorYear
Program Service Revenue CY6967405ProgramServiceRevenueCY
Investment Income Prior Year28315InvestmentIncomePriorYear
Investment Income Current Year15534InvestmentIncomeCurrentYear
Other Revenue Prior Year4133OtherRevenuePriorYear
Other Revenue Current Year2139OtherRevenueCurrentYear
Total Revenue Prior Year7318656TotalRevenuePriorYear
Total Revenue Current Year6987766TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1075GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY83GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4990467SalariesEtcPriorYear
Salaries Etc Current Year4692790SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2426796OtherExpensePriorYear
Other Expenses Current Year2359370OtherExpensesCurrentYear
Total Expenses Prior Year7418338TotalExpensesPriorYear
Total Expenses Current Year7052243TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-99682RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-64477RevenuesLessExpensesCY
Total Assets BOY3057098TotalAssetsBOY
Total Assets EOY3708602TotalAssetsEOY
Total Liabilities BOY1611488TotalLiabilitiesBOY
Total Liabilities EOY3278874TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1445610NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY429728NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSee Schedule O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4117470Expense
Revenue4542782Revenue
DescriptionHome Health and Rehabilitation Services are specialized in-home medical services that have been ordered by a physician for a homebound patient after surgery or diagnosis. The services are typically short term geared to facilitating the patients recovery and return to independence as efficiently as possible. Fayette Home Care offers a variety of in-home skilled nursing care services including wound and dressing care, diabetic care, administration of injections, maternal/child care, etc. 23,952 skilled nursing visits were performed during fiscal year 2012. Rehabilitation Services help a patient restore certain functions and abilities. Physical, speech and occupational therapists are available to fit patient needs. 12,719 therapeutic visits in physical, speech and occupational therapy were performed in fiscal year 2012.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1362865Expense
Revenue2097818Revenue
DescriptionHospice Program provides care for those in the last stages of life - people who wish to remain in the warmth and familiarity of home. Medical attention is provided to patients with life-limiting illnesses. The program is designed for individuals with life expectancy of less than six months. The patients personal care is provided by a Home Health Aide who is supervised by a Registered Nurse. Medical equipment and necessities are supplied at no cost, if needed dietary counseling and physical, occupational and speech therapies are available. 235 patients were provided 14,281 days of hospice service during fiscal year 2012.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense379736Expense
Grants83Grants
Revenue279037Revenue
DescriptionDiversified Services provides registered nurses and licensed practical nurses, certified home health aides, sitters and housekeepers to enable people to continue living independently. Fayette Home Care staff coordinates with the clients physician to develop a plan of care, and their registered nurses will perform evaluations as necesary. 13,558 hours of service in the therapy, and medical social services were provided to 96 patients during fiscal year 2012.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp14247TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev47768TotalOfOtherProgramServiceRev
Total Program Service Expense5874318TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees102NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 W Berkeley StreetAddressLine1
CityUniontownCity
StatePAState
ZIP Code15401ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Robert Garrett
Chairman000.50XX000
Andrew Ferguson III
Vice Chairman000.50XX000
Sally Spegar
Secretary/Treasurer000.50XX000
Steven Handy
Asst. Secretary/Treasurer/CFO001.00XX0198515126296
David Hughes
Director000.50X000
Suzanne McMonagle
Director000.50X000
Josef Vanek MD
Director000.50X000
Paul Bacharach
Director/CEO001.00XX0295176184084
Vickie Hardy-Leone
Executive Director001.00XX010860834075
Dayna Cosgrove
Physical Therapist040.0010696000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org106960TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs602299TotalReportableCompFrmRltdOrgs
Total Other Compensation344455TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Redstone Rehab Services
113 Thornton Rd Suite DBrownsvillePA15417Physical Occupational Therapy534516
Cerner Corporation
2800 Rockcreek ParkwayKansas CityMO64141Information Technology318824
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions2688AllOtherContributions
Total Contributions2688TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Home Health Care62161069196376919637
Gross Rent Affiliated Exempt Organization5311204776847768
FieldValueIRS element (for citing)
Total Program Service Revenue6967405TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column14202TotalRevenueColumn
Exclusion$14,202ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities99179Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities97847Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1332Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1332TotalRevenueColumn
Exclusion$1,332ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCopying Fees, Etc.Description
Business Code900099BusinessCode
Total Revenue Column2139TotalRevenueColumn
Exclusion$2,139ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2139TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6987766TotalRevenueColumn
Related Or Exempt Function Income6967405RelatedOrExemptFunctionIncome
Exclusion$17,673ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total83Total
Program Services83ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3659789Total
Program Services3023468ProgramServices
Management And General636321ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total149223Total
Program Services123279ProgramServices
Management And General25944ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total606268Total
Program Services500857ProgramServices
Management And General105411ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total277510Total
Program Services229260ProgramServices
Management And General48250ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total282000Total
Management And General282000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

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

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total938Total
Management And General938ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total835187Total
Program Services829005ProgramServices
Management And General6182ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total39044Total
Program Services35140ProgramServices
Management And General3904ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total227153Total
Program Services204438ProgramServices
Management And General22715ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total28496Total
Program Services25646ProgramServices
Management And General2850ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total280065Total
Program Services271383ProgramServices
Management And General8682ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22046Total
Program Services19842ProgramServices
Management And General2204ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total165433Total
Program Services148891ProgramServices
Management And General16542ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total90811Total
Program Services81730ProgramServices
Management And General9081ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies264536264536
Bad Debt5465254652
Repairs and Maintenance42711384404271
Organizational Dues16719150471672

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9579Total
Program Services8621ProgramServices
Management And General958ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7052243Total
Program Services5874318ProgramServices
Management And General1177925ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY603774BOY
EOY587585EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY809462BOY
EOY809323EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY23018BOY
EOY15572EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY37869BOY
EOY45227EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1799326LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec865849LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1091549BOY
EOY933477EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY491426BOY
EOY294407EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY1023011EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3057098BOY
EOY3708602EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1115747BOY
EOY2919625EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY148499BOY
EOY158382EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY347242BOY
EOY200867EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1611488BOY
EOY3278874EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1445610BOY
EOY429728EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1445610BOY
EOY429728EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3057098BOY
EOY3708602EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-64477ReconcilationRevenueExpenses
Reconcilation Other Changes-951405ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10373CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6700CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7445CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2061CurrentTaxYearMinus1Year
Current Tax Year2688CurrentTaxYear
Total29267Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6447636CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6978292CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7174025CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7284147CurrentTaxYearMinus1Year
Current Tax Year6967405CurrentTaxYear
Total34851505Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6458009CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6984992CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7181470CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7286208CurrentTaxYearMinus1Year
Current Tax Year6970093CurrentTaxYear
Total34880772Total
FieldValueIRS element (for citing)
Public Support Total50934880772PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years51434CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40919CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31930CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25215CurrentTaxYearMinus1Year
Current Tax Year14202CurrentTaxYear
Total163700Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years51434CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40919CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31930CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25215CurrentTaxYearMinus1Year
Current Tax Year14202CurrentTaxYear
Total163700Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1105CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years711CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years970CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4133CurrentTaxYearMinus1Year
Current Tax Year2139CurrentTaxYear
Total9058Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6510548CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7026622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7214370CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7315556CurrentTaxYearMinus1Year
Current Tax Year6986434CurrentTaxYear
Total35053530Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99510PublicSupportPercentage509
Prior Year Support Percentage0.99300PriorYearSupportPercentage
Investment Income Percentage0.00470InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00670PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestPart III Line 12 Other income is made up of fees collected for chart coping for patient medical records.FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis672663OtherCostOrOtherBasis
Depreciation175327Depreciation
Book Value497336BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis929679OtherCostOrOtherBasis
Depreciation650273Depreciation
Book Value279406BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis168984OtherCostOrOtherBasis
Depreciation40249Depreciation
Book Value128735BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings933477TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionMalpractice Insurance ReceivableDescription
Book Value1023011BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1023011TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Estimated Third Party Settlements$121,075
Due to Affiliates$79,792
FieldValueIRS element (for citing)
Total Of Amounts200867TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierXIdentifier
Return Reference2ReturnReference
ExplanationThe organization adopted the provisions of Financial Accounting Standards Board FASB Interpretation No. 48 ASC 740, Accounting for Uncertainty in Income Taxes. Because no material uncertain tax positions were identified, a disclosure was not included in the footnotes to the financial statements.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Steven Handy
194855366010363330452332600
Paul Bacharach
286946823017017935753501108

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part III1It is the mission of Fayette Regional Health System and all related organizations, which include Fayette Home Care, to continually improve in order to provide the best care to our community, which will be accomplished through a balanced healthcare philosophy of access, clinical excellence and fiscal responsibility. Fayette Home Care provides skilled nursing, rehabilitation, home health services, hospice care and other related healthcare services for homebound patients.
Form 990 Part VI6/7A/7B- The sole member of Fayette Home CareFHC is the FHCs parent company, Fayette Regional Health System, a PA non-profit corporation. The sole member has power to aelect all of the Directorsexcept ex-officio Directors of the FHC bremove at any time one or more of the Directorsexcept for ex-officio Directors and/or officers of the Corporation without cause capprove all capital and operating budgets of the Corporation and amendments thereto dapprove all fundamental transactions of the Corporation, including without limitation, any amendments to articles of the Corporation and any merger, consolidation, division, transfer of all or substantially all assets, dissolution, or liquidation of the Corporation and e approve any and all amendments of the bylaws of the Corporation. The Sole Member of the Corporation may initiate any such action and/or amendments listed in c - e above, as applicable, provided that any such actions and/or amendments must be approved by the Corporation and Sole Member prior to approved by the Corporation and Sole Member prior to implementation. The Corporation shall not unreasonably withhold its approval for any action and/or change recommended by the Sole Member.
Form 990 Part VI11B- The 990 was presented to all voting members of the Finance and Audit Committee of the organizations parent for review at the April 2012 Board Meeting. After review by the Finance and Audit Committee, a full copy of the 990 was made available to the entire Board of Fayette Home Care.
Form 990 Part VI12C-The Business Ethics department of the organization periodically reviews all potential conflicts, transactions and relationships to see if substantive. All potential new conflicts are reviewed by the Business Ethics department and the concept is covered at annual training. The department will report all actual or possible conflicts to the FRHS Executive Committe of the Board for evaluation. the Committee shall determine whether a conflict exists. The Committee is empowered to take corrective action as necessary, including refraining from participation in certain Board discussions.
Form 990 Part VI15A/15B- Fayette Home Cares Executive Directors compensation is subject to the same review as the parent organizations senior management. An Executive Committee is responsible for overall compensation, the organizations philosopy and establishes the guidelines, rules and procedures necessary for the proper and efficient administration of the Executive Compensation Program which covers the CEO, CFO, Vice Presidents of the parent and Executive Director of Fayette Home Care. This committee is independent from management and includes a comparison of pay rates with peer institutions. These Committee meetings are documented in meeting minutes. August 24, 2009 is the last time executive compensation was reviewed by the Committee.
Form 990 Part VI19-The organizations governing documents, conflicts of interest policy, and financial statements are available by contacting the Presidents office or the Accounting Services department. Upon request, a copy will be mailed to the requestee.
Form 990 Part VII1A-Steve Handy and Paul Bacharach serve 1 hour per week for the Fayette Home Care board. Additionally, they serve 1 hour per week on the following related organizations boards Uniontown Hospital and Fayette Regional Health System. Robert Garrett serves .5 hour per week for the Fayette Home Care board. Additionally, he serves 1 hour per week on the Uniontown Hospital and Fayette Regional Health System boards, both of which are related organizations. Vickie Leone serves 1 hour per week on the Fayette Home Care board. She is also a highly compensated employee of Fayette Regional Health System a related organization. Sally Spegar also serves on the Uniontown Hospital Auxiliary, another related organization, board .5 hour per week.
Form 990 Part XI5- Other changes in net assets is comprised of Change in Unrealized Gain and Loss 11,615 and Defined Benefit Pension Adjustment 939,790.
Form 990 Part XII2B- Fayette Home Cares financial statements were reviewed as part of the annual audit of its parent Fayette Regional Health System and related organizations consolidated audited financials.
Form 990 Part III Program Service AccomplishmentsLine 4d Other ActivitiesProgram Service Expenses 14,247, Grants and allocations 0, Revenue 47,768 Fayette Home Care receives rental payments from FRHS an affiliated related exempt organiztion for space used by FRHS billers.
Form 990, Part III, Line 4d Program Service Expenses 14,247, Grants and allocations 0, Revenue 47,768 Fayette Home Care receives rental payments from FRHS an affiliated related exempt organiztion for space used by FRHS billers. Form 990 Part III Line 1 It is the mission of Fayette Regional Health System and all related organizations, which include Fayette Home Care, to continually improve in order to provide the best care to our community, which will be accomplished through a balanced healthcare philosophy of access, clinical excellence and fiscal responsibility. Fayette Home Care provides skilled nursing, rehabilitation, home health services, hospice care and other related healthcare services for homebound patients. Form 990 Part VI Section A Line 6/7A/7B - The sole member of Fayette Home CareFHC is the FHCs parent company, Fayette Regional Health System, a PA non-profit corporation. The sole member has power to aelect all of the Directorsexcept ex-officio Directors of the FHC bremove at any time one or more of the Directorsexcept for ex-officio Directors and/or officers of the Corporation without cause capprove all capital and operating budgets of the Corporation and amendments thereto dapprove all fundamental transactions of the Corporation, including without limitation, any amendments to articles of the Corporation and any merger, consolidation, division, transfer of all or substantially all assets, dissolution, or liquidation of the Corporation and e approve any and all amendments of the bylaws of the Corporation. The Sole Member of the Corporation may initiate any such action and/or amendments listed in c - e above, as applicable, provided that any such actions and/or amendments must be approved by the Corporation and Sole Member prior to approved by the Corporation and Sole Member prior to implementation. The Corporation shall not unreasonably withhold its approval for any action and/or change recommended by the Sole Member. Form 990 Part VI Section B Line 11B - The 990 was presented to all voting members of the Finance and Audit Committee of the organizations parent for review at the April 2012 Board Meeting. After review by the Finance and Audit Committee, a full copy of the 990 was made available to the entire Board of Fayette Home Care. Form 990 Part VI Section B Line 12C -The Business Ethics department of the organization periodically reviews all potential conflicts, transactions and relationships to see if substantive. All potential new conflicts are reviewed by the Business Ethics department and the concept is covered at annual training. The department will report all actual or possible conflicts to the FRHS Executive Committe of the Board for evaluation. the Committee shall determine whether a conflict exists. The Committee is empowered to take corrective action as necessary, including refraining from participation in certain Board discussions. Form 990 Part VI Section B Line 15A/15B - Fayette Home Cares Executive Directors compensation is subject to the same review as the parent organizations senior management. An Executive Committee is responsible for overall compensation, the organizations philosopy and establishes the guidelines, rules and procedures necessary for the proper and efficient administration of the Executive Compensation Program which covers the CEO, CFO, Vice Presidents of the parent and Executive Director of Fayette Home Care. This committee is independent from management and includes a comparison of pay rates with peer institutions. These Committee meetings are documented in meeting minutes. August 24, 2009 is the last time executive compensation was reviewed by the Committee. Form 990 Part VI Section C Line 19 -The organizations governing documents, conflicts of interest policy, and financial statements are available by contacting the Presidents office or the Accounting Services department. Upon request, a copy will be mailed to the requestee. Form 990 Part VII Section A Line 1A -Steve Handy and Paul Bacharach serve 1 hour per week for the Fayette Home Care board. Additionally, they serve 1 hour per week on the following related organizations boards Uniontown Hospital and Fayette Regional Health System. Robert Garrett serves .5 hour per week for the Fayette Home Care board. Additionally, he serves 1 hour per week on the Uniontown Hospital and Fayette Regional Health System boards, both of which are related organizations. Vickie Leone serves 1 hour per week on the Fayette Home Care board. She is also a highly compensated employee of Fayette Regional Health System a related organization. Sally Spegar also serves on the Uniontown Hospital Auxiliary, another related organization, board .5 hour per week. Form 990 Part XI Line 5 - Other changes in net assets is comprised of Change in Unrealized Gain and Loss 11,615 and Defined Benefit Pension Adjustment 939,790. Form 990 Part XII Line 2B - Fayette Home Cares financial statements were reviewed as part of the annual audit of its parent Fayette Regional Health System and related organizations consolidated audited financials.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Fayette Regional Health System
500 W Berkeley StUniontownPA15401251451183Healthcare ManagementPA501c311bN/Afalse
Uniontown Hospital
500 W Berkeley StUniontownPA15401250965588HealthcarePA501c33falseFayette Regional Health System

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

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