| FORM 990, PART VI, SECTION A, LINE 3 |
SPIRITRUST LUTHERAN HOME CARE & HOSPICE'S MANAGEMENT SERVICES ARE PROVIDED BY SPIRITRUST LUTHERAN, A TAX-EXEMPT AFFILIATE. SPIRITRUST LUTHERAN CHARGES SLHCH A MONTHLY FEE BASED ON A BUDGETED ALLOCATION OF THE EXPENSES OF THE CEO, COO, CFO & OTHER SENIOR LEADERS THAT PROVIDE OVERSIGHT AND SUPPORT TO SLHCH. |
| FORM 990, PART VI, SECTION A, LINE 6 |
THE MEMBERS OF SPIRITRUST LUTHERAN HOME CARE & HOSPICE ARE SPIRITRUST LUTHERAN AND DIAKON, PENNSYLVANIA NON-PROFIT CORPORATIONS. |
| FORM 990, PART VI, SECTION A, LINE 7A |
THE BOARD OF DIRECTORS SHALL BE COMPOSED OF TWENTY (20) MEMBERS, EIGHTEEN (18) OF WHOM SHALL BE ELECTED BY SPIRITRUST LUTHERAN AND TWO (2) OF WHOM SHALL BE ELECTED BY DIAKON. ONE OF THE SPIRITRUST LUTHERAN'S DIRECTORS SHALL BE THE CHIEF EXECUTIVE OFFICER OF SPIRITRUST LUTHERAN (OR HIS/HER DESIGNEE) WHO SHALL SERVE AS AN EX-OFFICIO SPIRITRUST LUTHERAN VOTING DIRECTOR. ONE OF THE DIAKON DIRECTORS SHALL BE THE CHIEF EXECUTIVE OFFICER OF DIAKON (OR HIS/HER DESIGNEE) WHO SHALL SERVE AS AN EX-OFFICIO VOTING DIAKON DIRECTOR. |
| FORM 990, PART VI, SECTION A, LINE 7B |
THE BOARD MAY NOT TAKE ANY OF THE ACTIONS LISTED BELOW WITHOUT AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERSHIP INTERESTS HELD BY THE MEMBERS: (I) INITIATE, CEASE, OR SIGNIFICANTLY MODIFY ANY FUND-RAISING ACTIVITIES OR PLANS FOR THE SOLICITATION OF CHARITABLE CONTRIBUTIONS OR FOR THE SOLICITATION OR ACCEPTANCE AS A GIFT OF ANY REAL PROPERTY OR INTEREST THEREIN; (II) CHANGE THE AREA SERVED BY SLHCH; (III) BORROW MORE THAN $100,000 UNDER TERMS WHICH PROVIDE FOR A REPAYMENT PERIOD IN EXCESS OF THREE MONTHS; (IV) ENTER INTO ANY LEASES WHICH WOULD OBLIGATE SLHCH TO MAKE RENTAL PAYMENTS IN EXCESS OF $40,000 PER YEAR; (V) PURCHASE INSURANCE POLICIES; (VI) UNDERTAKE ANY CAPITAL EXPENDITURES IN EXCESS OF $50,000 AND ANY CAPITAL EXPENDITURES INVOLVING RELATED PARTIES WHICH, IN THE AGGREGATE, EXCEED 100,000; (VII) ADOPT ANY ORIGINAL OR REVISED CAPITAL OR OPERATING BUDGETS WHICH WOULD RESULT IN ANY EXPENDITURE IN EXCESS OF $100,000 OVER ANTICIPATED REVENUE; (VIII) INITIATE, CEASE, OR SIGNIFICANTLY MODIFY ANY OF SLHCH'S LINES OF SERVICE, PRODUCTS, OR PROGRAMS; (IX) SELECT, REMOVE, OR REPLACE INDEPENDENT ACCOUNTANTS AND AUDITORS FOR SLHCH; (X) AUTHORIZE AND DESIGNATE OFFICERS OF THE CORPORATION TO EXECUTE A DEED OF ASSIGNMENT FOR THE BENEFIT OF CREDITORS, FILE A VOLUNTARY PETITION IN BANKRUPTCY, FILE AN ANSWER CONSENTING TO THE APPOINTMENT OF A RECEIVER, OR FILE AN ANSWER TO AN INVOLUNTARY PETITION IN BANKRUPTCY; (XI) REQUIRE CAPITAL CONTRIBUTIONS FROM MEMBERS CONSISTING OF MONEY, INTANGIBLE PROPERTY, OR LABOR OR SERVICES ACTUALLY RECEIVED BY OR PERFORMED FOR SLHCH OR FOR ITS BENEFIT, OR A COMBINATION THEROF IN ACCORDANCE WITH SECTION 5541 OF THE ACT AND PROVIDED THAT SUCH REQUIREMENTS IS PROPORTIONATE TO ALL MEMBERSHIP INTERESTS; (XII) REPAY CAPITAL CONTRIBUTIONS, IN WHOLE OR IN PART, TO ANY MEMBERS IN SUCH AMOUNT NOT TO EXCEED THE AMOUNT OF CAPITAL CONTRIBUTION IN ACCORDANCE WITH SECTION 5541 OF THE ACT AND PROVIDED THAT SUCH REPAYMENT IS PROPORTIONATE TO ALL MEMBERSHIP INTERESTS; (XIII) AMEND THE SLHCH ARTICLES OF INCORPORATION OR BYLAWS SUBJECT TO THE RESTRICTIONS; (XIV) SELL, RELINQUISH, OR OTHERWISE AUTHORIZE OR CHANGE IN CONTROL OF MORE THAN 30% OF THE ASSETS OF SLHCH SUBJECT TO THE GUIDELINES; (XV) AUTHORIZE FUNDAMENTAL CHANGES TO SLHCH, INCLUDING THE ADOPTION OF A PLAN OF DISSOLUTION OF SLHCH; THE ADOPTION OF A PLAN OF MERGER, CONSOLIDATION, DIVISION, CONVERSION OR AFFILIATION WITH ANOTHER ENTITY; AND CHANGE THE CURRENT SLHCH CORPORATE ORGANIZATIONAL STRUCTURE SUBJECT TO THE GUIDELINES; (XVI) MAKE AN ADMISSION OF A NEW MEMBER OR TRANSFER OF A MEMBERSHIP INTEREST SUBJECT TO THE GUIDELINES, |
| FORM 990, PART VI, SECTION B, LINE 11B |
SPIRITRUST LUTHERAN HOME CARE & HOSPICE HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 TO REVIEW BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C |
SPIRITRUST LUTHERAN HOME CARE & HOSPICE ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A CONFLICTS OF INTEREST FORM, WHICH IS KEPT ON FILE BY THE ORGANIZATION. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE/SHE RECUSES THEMSELVES FROM VOTING. IF CONFLICTS ARE MADE KNOWN WITH OTHER EMPLOYEES IN THE ORGANIZATION, A PLAN IS DEVELOPED FOR THAT EMPLOYEE TO AVOID INFLUENCING DECISION MAKING IN THE AREA OF CONFLICT. THIS PLAN IS DEVELOPED BY THE EMPLOYEE'S MANAGER AND APPROVED BY THE DEPARTMENT DIRECTOR. THIS PLAN WILL BE AGREED UPON BY THE EMPLOYEE AND MONITORED BY THE MANAGER. |
| FORM 990, PART VI, SECTION B, LINE 15B |
SPIRITRUST LUTHERAN HOME CARE & HOSPICE'S CEO IS PAID BY SPIRITRUST LUTHERAN. SPIRITRUST LUTHERAN UTILIZES SALARY SURVEY INFORMATION TO DETERMINE THE COMPENSATION AMOUNTS OF ALL EMPLOYEES WITHIN THE ORGANIZATION, INCLUDING THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES. THE SALARY SURVEY INFORMATION ENSURES THAT PAY RATES ARE COMPETITIVE. SALARY RANGES FOR JOB CLASSES ARE ADJUSTED BASED ON THE SALARY SURVEY INFORMATION AND THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. A BUDGETED MERIT INCREASE PERCENTAGE IS ALSO SUBJECT TO BOARD APPROVAL. THE ORGANIZATION'S COMPENSATION PROCESS TAKES PLACE ANNUALLY AT THE NOVEMBER BOARD MEETING AND IS NOTED IN THE MINUTES. AN EXECUTIVE SESSION FOLLOWS THE BOARD MEETING TO DISCUSS THE ANNUAL EVALUATION AND COMPENSATION INCREASE FOR THE EXECUTIVE DIRECTOR. |
| FORM 990, PART VI, SECTION C, LINE 18 |
SPIRITRUST LUTHERAN HOME CARE & HOSPICE MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 |
THE CONSOLIDATED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY, ARE ALSO AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: |
TEMPORARILY RESTRICTED CONTRIBUTIONS 62,761. REDUCTION OF NON-CONTROLLING INTEREST -1,130,000. |
| FORM 990, PART XII, LINE 2C: |
THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE PROCESS IS CONSISTENT WITH PRIOR YEARS AND HAS NOT CHANGED. |
Attach to Form 990 or 990-EZ.