2024-11-14T09:34:39-06:00 2023-12-31 341884125 CBIZ ADVISORS LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2023-01-01 510513213 DUBOIS CONTINUUM OF CARE FOUNDATION 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 137363 0 X N/A X 2005 PA TO SUPPORT, ASSIST AND BENEFIT THE MISSION AND PURPOSE OF DUBOIS CONTINUUM OF CARE COMMUNITY, INC. 5 5 0 5 0 0 1392 7247 0 0 97865 72066 0 0 99257 79313 83351 10355 0 0 0 0 0 0 0 15236 14826 98587 25181 670 54132 1345752 1482742 0 0 1345752 1482742 TO SUPPORT, ASSIST AND BENEFIT THE MISSION AND PURPOSE OF DUBOIS CONTINUUM OF CARE COMMUNITY, INC. AND DUBOIS HOME CARE, INC. 0 0 10355 10355 TO SUPPORT, ASSIST AND BENEFIT THE MISSION AND PURPOSE OF DUBOIS CONTINUUM OF CARE COMMUNITY, INC. AND DUBOIS HOME CARE, INC.CIRCLE OF CARE WAS ESTABLISHED AS A FINANCIAL SUPPORT PROGRAM TO ASSIST RESIDENTS WHO MEET SPECIFIED CRITERIA. THIS PROGRAM SUPPLEMENTS THE INCOME OF RESIDENTS RESIDING IN THE PERSONAL CARE HOME IF THEY HAVE DEPLETED THEIR PERSONAL FUNDS. 10355 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 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 1.67 15.33 X X 0 0 0 GEORGE HEIGEL SECRETARY/TREASURER 1.45 X X 0 0 0 JOHN ADAMS BOARD MEMBER 1.17 15.53 X 0 0 0 MICHAEL CLEMENT BOARD MEMBER 0.35 16.70 X 0 0 0 KATIE HO BOARD MEMBER 0.50 X 0 0 0 ARTHUR KEITH SMITH BOARD MEMBER 0.50 1.35 X 0 0 0 0 0 0 0 0 0 0 0 7247 7247 25908 25908 104208 58050 46158 46158 46158 79313 0 0 72066 10355 10355 12759 12759 673 673 400 400 840 840 LICENSES 125 125 DUES & SUBSCRIPTIONS 29 29 25181 10355 14826 0 1266 31430 0 2196 12885 9666 4059 3219 1338319 1388948 2108 56949 1345752 1482742 0 0 X 1327895 1464885 17857 17857 1345752 1482742 1345752 1482742 54132 82858 0 X 0 1 X 1 0 X X 2 DUBOIS CONTINUUM OF CARE COMMUNITY INC 251352326 10 1 10355 0 DUBOIS HOME CARE 474245056 10 0 0 0 2 10355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART I, LINE 12G, COLUMN IV: THE DUBOIS CONTINUUM OF CARE FOUNDATION IS TO SUPPORT, ASSIST AND BENEFIT THE MISSION AND PURPOSE OF DUBOIS CONTINUUM OF CARE COMMUNITY, INC. DUBOIS HOME CARE OPERATES AS A CONTROLLED ENTITY OF DUBOIS CONTINUUM OF CARE COMMUNITY, INC. PART IV, SECTION A, LINE 1: THE SUPPORTED ORGANIZATIONS OF THE DUBOIS CONTINUUM OF CARE FOUNDATION ARE PART OF THE DUBOIS CONTINUUM OF CARE COMMUNITY. THESE ORGANIZATIONS, WHICH INCLUDE DUBOIS CONTINUUM OF CARE COMMUNITY, INC. AND ITS AFFILIATES, SUCH AS DUBOIS HOME CARE, HAVE BEEN CLOSELY ASSOCIATED WITH THE FOUNDATION. THE FOUNDATION'S SUPPORT FURTHERS THE MISSION OF THESE ENTITIES, WHICH SHARE ALIGNED GOALS OF PROVIDING HEALTH CARE AND OTHER RELATED SERVICES FOR RESIDENTS OF THE FACILITY AND THE SURROUNDING COMMUNITY. THIS LONG-STANDING RELATIONSHIP IS EVIDENCED BY SUSTAINED FINANCIAL AND OPERATIONAL SUPPORT AND COLLABORATION ON COMMUNITY-BASED HEALTHCARE INITIATIVES AND SUPPORTIVE CARE SERVICES. 17857 17857 17857 17857 17857 17857 17857 17857 237857 220000 17857 1.00000 0 0 2110 1618 492 10775 8048 2727 3219 X PART V, LINE 4: ENDOWMENT FUNDS ARE INTENDED TO BE USED FOR SUPPORTING DUBOIS CONTINUUM OF CARE COMMUNITY AND DUBOIS HOME CARE BY PROVIDING ASSISTANCE TO RESIDENTS AND ACTIVITY COSTS. 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. 1 DUBOIS CONTINUUM OF CARE COMMUNITY 200 SOUTH EIGHTH STREET DUBOIS PA 15801 251352326 501(C)(3) 10355 0 FACILITY IMPROVEMENTS AND RESIDENT EXPENSES 1 PART I, LINE 2 FOR ANY MONEY THAT IS PROVIDED THROUGH THE CIRCLE OF CARE, THE RESIDENT MUST COMPLETE AN APPLICATION. THIS APPLICATION IS REVIEWED BY THE BOARD AND ADMINISTRATIVE TEAM. IF ALL REQUIREMENTS ARE MET THEN THE RESIDENT CAN BE APPROVED FUNDS. THIS APPLICATION REMAINS WITH THE RESIDENTS CHART. THE APPLICANTS WHO ARE APPROVED FOR FUNDS ARE REVIEWED ON AN ANNUAL BASIS TO ENSURE THEY STILL MEET THE QUALIFICATIONS. THE APPLICANTS ASSETS AND CURRENT RESOURCES ARE REVIEWED THIS INCLUDES ANY REAL ESTATE THEY OWN, SAVINGS/CHECKING ACCOUNTS, CD'S, INVESTMENTS, LIFE INSURANCE, ANNUITIES, ETC. THEIR MONTHLY INCOME IS REVIEWED TO DETERMINE WHAT THEY ARE ABLE TO AFFORD BEFORE DECIDING ON HOW MUCH THE CIRCLE OF CARE WILL PROVIDE. FORM 990, PART VI, SECTION A, LINE 3 DUBOIS CONTINUUM OF CARE FOUNDATION ENTERED INTO AN ADMINISTRATIVE SERVICES AGREEMENT WITH DUBOIS CONTINUUM OF CARE COMMUNITY INC. FOR MANAGEMENT AND ACCOUNTING SERVICES. 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 BOARD MEMBERS WILL ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT OUTLINING ANY POTENTIAL CONFLICT OF INTEREST. IF AT ANY TIME THE DIRECTOR BECOMES AWARE OF ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE DIRECTOR SHALL IMMEDIATELY NOTIFY THE BOARD IN WRITING. IN THE EVENT OF A CONFLICT OF INTEREST, THE DIRECTOR WILL NOT PARTICIPATE IN THE VOTE. 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. DUBOIS CONTINUUM OF CARE COMMUNITY INC 200 SOUTH EIGHTH STREET DUBOIS PA 15801 251352326 CONTINUING CARE PA 501(C)(3) LINE 10 NA 0 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 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0