2025-11-17T13:16:53-06:00 2024-12-31 341884125 CBIZ ADVISORS LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2024-01-01 474245056 DUBOIS HOME CARE DUBO 8143759100 212 S 8TH STREET DUBOIS PA 15801 KRISTIE JOHNSTON PRESIDENT 8143759100 2025-11-14 1 1 KRISTEN M BASS P01247587 6022646835 2025-11-14 2024 2025-03-06 01:10:19Z DOUGLAS WRIGHT 212 S 8TH STREET DUBOIS PA 15801 385021 0 X WWW.DUBOISCCCI.COM X 2015 PA LICENSED HOME CARE PROVIDER. 9 9 0 9 0 0 0 0 302152 372103 0 0 19883 12918 322035 385021 0 0 0 0 0 0 0 0 0 330851 409860 330851 409860 -8816 -24839 227846 214278 21534 32805 206312 181473 DUBOIS HOME CARE SUPPORTS THE DIGNITY OF ALL INDIVIDUALS AND STRIVES TO CREATE, FOR OUR CLIENTS, AN INDEPENDENT WAY OF LIFE IN THE COMFORT AND SAFETY OF THEIR OWN HOME. 0 0 364926 385021 DUBOIS HOME CARE OFFERS AN ENVIRONMENT OF SECURITY AND INDEPENDENCE FOR SENIORS BY PROVIDING OPTIONS FOR SUPPORTIVE CARE AND CLIENT CENTERED SERVICES IN THE COMFORT AND SAFETY OF THEIR OWN HOME. INDIVIDUALS MAINTAIN MAXIMUM INDEPENDENCE AT HOME THROUGH THE ASSISTANCE OF SERVICE PROVIDED IN EVERYDAY TASKS. WITHIN THE HOME CARE SERVICES EXISTS A CARVE-OUT FOR SERVICES CLASSIFIED AS CHARITY CARE. THERE WERE 16,976.25 HOURS OF HOME CARE SERVICES PROVIDED IN 2024, OF WHICH 15,461.75 WERE FOR LOW INCOME INDIVIDUALS UNDER THE MEDICAID PDA WAIVER PROGRAM. THERATE PAID UNDER THE PDA WAIVER PROGRAM IS $21.45 VS $25.45 PER HOUR FOR PRIVATE PAY, RESULTING IN CHARITY CARE OF $61,847.00 ($25.45 - $21.45 = 4.00 X 15,461.75 HOURS). 364926 1 0 0 0 0 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 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 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X MARGIE ROSS-DRYDEN - CHR CONSULTING SERVICES INC 2153285802 200 DRYDEN ROAD SUITE 3100 DRESHER PA 19025 X KRISTIE JOHNSTON PRESIDENT 0.78 14.55 X X 0 0 0 RICHARD KIRSCH VICE PRESIDENT 0.57 13.07 X X 0 0 0 ROBERT JAVENS PAST PRESIDENT 0.78 15.92 X X 0 0 0 MICHAEL CLEMENT SECRETARY/TREASURER 0.78 15.92 X X 0 0 0 ALISE BARR BOARD MEMBER 0.22 5.97 X 0 0 0 DENNIS ADAMSON BOARD MEMBER 0.40 5.58 X 0 0 0 DENNY MARTELLA BOARD MEMBER 0.57 10.05 X 0 0 0 JOHN ADAMS BOARD MEMBER 0.78 14.75 X 0 0 0 KELLI ALLISON BOARD MEMBER 0.40 7.92 X 0 0 0 KAREN BROWN EXECUTIVE DIRECTOR 1.00 40.00 X 0 0 0 0 0 0 0 0 0 0 DUBOIS VILLAGE 282 SOUTH 8TH STREET DUBOIS PA 15801 SENIOR CARE 342046 1 PATIENT SERVICES 621610 372103 372103 372103 OTHER REVENUE 621610 12918 12918 12918 385021 385021 0 0 X 3413 3413 370858 342046 28812 228 228 1294 1294 10349 10349 10035 10035 11322 11322 SUPPLIES 2361 1523 838 409860 364926 44934 0 200522 185251 27324 28210 0 817 227846 214278 19921 30592 1613 2213 21534 32805 X 206312 181473 206312 181473 227846 214278 -24839 0 X 0 0 0 X 5213 5213 383482 438919 363799 322035 385021 1893256 383482 438919 369012 322035 385021 1898469 0 0 0 1898469 17146 27573 41425 86144 400628 466492 410437 322035 385021 1984613 0.95660 0.95580 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 17,146. 2021 AMOUNT: $ 27,573. 2022 AMOUNT: $ 41,425. 0 DUE TO RELATED PARTY 2213 2213 FORM 990, PART VI, SECTION A, LINE 3 DUBOIS HOME CARE 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. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 342,046. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 342,046. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 28,812. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,812. DUBOIS CONTINUUM OF CARE COMMUNITY INC 200 SOUTH EIGHTH STREET DUBOIS PA 15801 251352326 CONTINUUM CARE PA 501(C)(3) LINE 10 NONE 0 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 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0