2024-11-14T09:22:58-06:00 2023-12-31 341884125 CBIZ ADVISORS LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2023-01-01 251352326 DUBOIS CONTINUUM OF CARE COMMUNITY INC DUBO 8143759100 212 SOUTH 8TH STREET DUBOIS PA 15801 KRISTIE JOHNSTON PRESIDENT 8143759100 2024-11-13 1 1 KRISTEN M BASS P01247587 6022646835 2024-11-13 2023 2024-10-15 13:58:12Z KAREN BROWN 212 SOUTH 8TH STREET DUBOIS PA 15801 16534303 0 X WWW.DUBOISCCCI.COM X 1977 PA CONTINUING CARE RETIREMENT COMMUNITY. 9 9 330 52 0 0 384658 26458 13739144 15864907 66171 15483 442843 400900 14632816 16307748 0 0 0 0 7937760 7940664 0 0 0 8742532 8741220 16680292 16681884 -2047476 -374136 12794621 12013122 9038772 8629450 3755849 3383672 THE ORGANIZATION OPERATES A CONTINUING CARE RETIREMENT COMMUNITY, WITH 140 NURSING BEDS, 23 INDEPENDENT LIVING UNITS AND A 118-BED PERSONAL CARE FACILITY. 0 0 14833475 15890672 OPERATION OF CONTINUING CARE RETIREMENT COMMUNITY, FOCUSING ON LOWER-INCOME RESIDENTS FUNDED BY MEDICAID PROGRAMS OR PROVIDING CHARITY CARE TO FINANCIALLY INDIGENT RESIDENTS OF CLEARFIELD COUNTY, PENNSYLVANIA REQUIRING LONG TERM CARE SERVICES. DUBOIS CONTINUUM OF CARE COMMUNITY HAD A TOTAL CENSUS FOR LOW-INCOME MEDICAID RESIDENTS OF 24,181 DAYS IN 2023 (59.32% OF TOTAL RESIDENTS SERVED). THE REIMBURSEMENT FOR THESE RESIDENTS WAS AN AVERAGE OF $242.96 PER DAY, WHILE THE COST OF PROVIDING SERVICE TO THESE RESIDENTS WAS APPROXIMATELY $278.29 PER DAY. REIMBURSEMENT WAS APPROXIMATELY $854,207 LESS THAN THE COST TO PROVIDE SERVICES TO THESE LOW-INCOME MEDICAID ELIGIBLE RESIDENTS. THIS SHORTFALL CONSTITUTES "CHARITY CARE". 14833475 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 47 0 1 330 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 PA X MARGARET A ROSS-DRYDEN - CHR CONSULTING SERVICES INC 2153285802 200 DRYDEN ROAD SUITE 3100 DRESHER PA 19025 X KRISTIE JOHNSTON PRESIDENT 14.55 0.78 X X 0 0 0 RICHARD KIRSCH VICE PRESIDENT 13.07 0.57 X X 0 0 0 ROBERT JAVENS PAST PRESIDENT 15.92 0.78 X X 0 0 0 MICHAEL CLEMENT SECRETARY/TREASURER 15.92 0.78 X X 0 0 0 ALISE BARR BOARD MEMBER 5.97 0.22 X 0 0 0 ARTHUR KEITH SMITH BOARD MEMBER (LEFT IN 2023) 1.18 0.17 X 0 0 0 DENNIS ADAMSON BOARD MEMBER 5.58 0.40 X 0 0 0 DENNY MARTELLA BOARD MEMBER 10.05 0.57 X 0 0 0 JOHN ADAMS BOARD MEMBER 14.75 0.78 X 0 0 0 KELLI ALLISON BOARD MEMBER 7.92 0.40 X 0 0 0 KAREN BROWN EXECUTIVE DIRECTOR 40.00 1.00 X 0 0 0 0 0 0 0 0 0 0 PREMIER THERAPY 110 CENTRAL SQUARE DRIVE BEAVER FALLS PA 15801 THERAPY 954798 COMPASSIONATE CARE NURSING 21 OLLIE LANE DUBOIS PA 15801 AGENCY-NURSING 868146 NATIONAL HEALTH CARE 50 MAHONING ST SUITE 100 DUBOIS PA 15801 AGENCY-NURSING 697822 CHR CONSULTING SERVICES INC 200 DRYDEN ROAD SUITE 3100 DRESHER PA 19025 CONSULTING & MANAGMENT 651100 SHIFTMED LLC 7925 JONES BRANCH DRIVE SUITE 1100 MCLEAN VA 22102 HEALTHCARE STAFFING 336785 10 10355 16103 26458 RESIDENT SERVICES 623000 15486552 15486552 PA NURSING HOME ASSESS 623000 378355 378355 15864907 18714 18714 43885 18120 25765 25765 25765 205204 208435 -3231 -3231 -3231 REIMBURSEMENTS 900099 267849 267849 INDIVIDUAL LIVING SERV 623000 48728 48728 OTHER REVENUES 900099 41778 41778 16780 16780 375135 16307748 15890672 0 390618 X 6619673 6295159 324514 22121 22121 804064 774266 29798 494806 463333 31473 275149 275149 51313 51313 60369 60369 5032 5032 4302469 3669849 632620 485540 485540 305703 265559 40144 706190 620288 85902 242021 242021 DIETARY SUPPLIES 573362 573362 NURSING/ADMIN. SUPPLIES 487571 464475 23096 PHARMACY SUPPLIES 430151 430151 CREDIT LOSS EXPENSE 243164 243164 573186 306308 266878 16681884 14833475 1848409 0 573090 958305 35975 34230 1161316 1961741 74467 60786 259492 478655 26409259 19260009 7356155 7149250 207271 1206496 3126855 163659 12794621 12013122 1500390 1379123 80186 60024 4469469 0 0 4213291 2988727 2977012 9038772 8629450 X 3736140 3363963 19709 19709 3755849 3383672 12794621 12013122 X -374136 22149 -20190 X 0 1 X 1 0 X 239803 1300582 3705392 384658 26458 5656893 15360297 14197126 13197280 13739144 15908792 72402639 15600100 15497708 16902672 14123802 15935250 78059532 0 0 0 78059532 23065 9681 47762 48859 18714 148081 23065 9681 47762 48859 18714 148081 80034 71542 114717 421594 375135 1063022 15703199 15578931 17065151 14594255 16329099 79270635 0.98470 0.98830 0.00190 0.00180 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: REIMBURSEMENT - 2022 AMOUNT: $ 324,018. 2023 AMOUNT: $ 267,849. INDIVIDUAL LIVING SERVICES - MISC - 2019 AMOUNT: $ 18,315. 2020 AMOUNT: $ 17,879. 2021 AMOUNT: $ 17,693. 2022 AMOUNT: $ 48,807. 2023 AMOUNT: $ 48,728. MAINTENANCE FEE - 2019 AMOUNT: $ 15,750. 2020 AMOUNT: $ 12,750. 2021 AMOUNT: $ 24,750. 2022 AMOUNT: $ 24,500. 2023 AMOUNT: $ 16,780. OTHER MISCELLANEOUS - 2019 AMOUNT: $ 45,969. 2020 AMOUNT: $ 40,913. 2021 AMOUNT: $ 72,274. 2022 AMOUNT: $ 24,269. 2023 AMOUNT: $ 41,778. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 230188 230188 20654503 14365507 6288996 559036 424707 134329 4879812 4469795 410017 85720 85720 7149250 RESIDENTS' SECURITY DEPOSITS 17219 THIRD PARTY PAYOR SETTLEMENTS 92574 REFUNDABLE ADVANCE, EMPLOYEE RETENTION CREDIT 2810270 DUE TO RELATED PARTY 56949 2977012 X PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION AND IS RECOGNIZED AS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE CODE AND THE COMMONWEALTH ACT OF MAY 5, 1933, KNOWN AS THE NONPROFIT ORGANIZATION LAW AND, ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. THE ORGANIZATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD APPLIED TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. THE ORGANIZATION HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY AS A TAX POSITION; HOWEVER, THE ORGANIZATION HAS DETERMINED THAT SUCH A TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2020. FORM 990, PART VI, SECTION A, LINE 3 DUBOIS CONTINUUM OF CARE COMMUNITY ("DCCCI") HAS ENGAGED CHR CONSULTING SERVICES, INC. ("CHR"), AN UNRELATED THIRD PARTY MANAGEMENT COMPANY TO OVERSEE ITS DAY-TO-DAY OPERATIONS, INCLUDING MANAGEMENT AND FINANCIAL OVERSIGHT. KAREN BROWN, EXECUTIVE DIRECTOR, AND MARK TAMI, ADMINISTRATOR, ARE EMPLOYEES OF CHR AND ARE COMPENSATED FOR THE SERVICES THEY PROVIDE TO DCCCI. IN 2023, THEY RECEIVED THE FOLLOWING TOTAL COMPENSATION AND BENEFITS FROM CHR AS EMPLOYEES FOR SERVICES PROVIDED TO DCCCI. KAREN BROWN: $129,612 MARK TAMI: $131,367 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND IS REVIEWED BY THE ORGANZIATION'S MANAGEMENT TEAM AND BOARD PRESIDENT. A COPY IS DISTRIBUTED TO THE BOARD PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE DISCLOSURES ARE REVIEWED ANNUALLY BY THE BOARD AND AS NEW CONFLICTS ARISE. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION'S EXECUTIVE DIRECTOR IS COMPENSATED AS AN EMPLOYEE OF CHR CONSULTING SERVICES, INC. ("CHR"), AN UNRELATED THIRD PARTY MANAGEMENT COMPANY. THEIR COMPENSATION IS RECOMMENDED TO THE BOARD BY THE MANAGEMENT COMPANY. THE BOARD DECIDES TO ACCEPT THE RECOMMENDATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION, BY-LAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON IN-PERSON, VERBAL OR WRITTEN REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,450,453. MANAGEMENT AND GENERAL EXPENSES 471,410. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,921,863. ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 1,155,495. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,155,495. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 63,901. MANAGEMENT AND GENERAL EXPENSES 161,210. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 225,111. FORM 990, PART XI, LINE 9: CUMULATIVE CHANGE IN ADOPTION OF ASC 326 -20,190. DUBOIS CONTINUUM OF CARE FOUNDATION 212 SOUTH EIGHTH STREET DUBOIS PA 15801 510513213 CHARITABLE FOUNDATION PA 501(C)(3) LINE 12A, I DUBOIS CONTINUUM OF CARE COMMUNITY INC 1 DUBOIS HOME CARE 212 SOUTH EIGHTH STREET DUBOIS PA 15801 474245056 IN-HOUSE NURSING CARE PA 501(C)(3) LINE 10 DUBOIS CONTINUUM OF CARE COMMUNITY INC 1 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0