2024-03-25T11:39:48-05:00 2023-06-30 990 2022-07-01 231972659 Hendorn Inc % ROGER YOST HEND 8142747677 1001 EAST SECOND STREET COUDERSPORT PA 16915 ROGER YOST CFO 5703213175 2024-03-25 ROGER YOST 999009999 2022 2023-04-26 12:10:37Z JANIE HILFIGER 1001 EAST SECOND STREET COUDERSPORT PA 16915 675338 false X WWW.COLEMEMORIAL.ORG/SERVICES-COLE-MANOR.ASPX X SEE SCHEDULE O 13 8 23 0 0 0 50000 57410 526269 617928 0 0 50533 0 626802 675338 0 0 0 0 685680 662401 0 0 0 217285 302478 902965 964879 -276163 -289541 557267 521750 300683 554707 256584 -32957 X SEE SCHEDULE O false false 964879 675338 SEE SCHEDULE O 964879 true true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false true 0 0 23 true false false false false false false false false false false false false X 13 8 true false false false true true true true true false false true true true true true true true true false X ROGER YOST 5703213175 1001 EAST SECOND STREET COUDERSPORT PA 16915 X DAVID LOPATOFSKY MD DIRECTOR 1.0 40.0 X 0 771589 108549 PATRICIA JACKSON-GEHRIS DIRECTOR 1.0 40.0 X 0 406065 47967 DANIEL GLUNK J 111022 DIRECTOR 1.0 40.0 X 0 386684 26533 JANIE HILFIGER PRESIDENT 1.0 50.0 X 0 292829 36438 MARY ANN RIGAS DIRECTOR 1.0 40.0 X 0 188516 43120 CARRIE ENNIS DIRECTOR 1.0 40.0 X 0 186923 27749 MELYNDA BUDD DIRECTOR & TREASURER 1.0 2.0 X X 0 0 0 MICHAEL CALLAHAN DO DIRECTOR 1.0 2.0 X 0 0 0 JOSHUA COSTA DIRECTOR 1.0 3.0 X 0 0 0 JOHN LEETE DIRECTOR & CHAIR 1.0 2.0 X X 0 0 0 CONNIE PERKINS J 111022 DIRECTOR 1.0 0.0 X 0 0 0 PATRICK LARSEN DIRECTOR & SECRETARY 1.0 2.0 X X 0 0 0 MATTHEW SPLAIN DIRECTOR 1.0 2.0 X 0 0 0 ELIZABETH WALLACE DIRECTOR & VICE CHAIR 1.0 2.0 X X 0 0 0 0 2232606 290356 0 false true false 0 57410 57410 RESIDENT SERVICE REVENUE 623000 617928 617928 617928 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 675338 617928 0 0 0 0 0 0 529157 529157 0 96644 96644 36600 36600 0 0 3045 3045 0 0 0 893 893 0 18625 18625 18198 18198 0 63412 63412 2751 2751 0 0 0 0 37994 37994 0 DIETARY SUPPLIES 85367 85367 REPAIRS AND MAINTENANCE 40409 40409 OTHER EXPENSES 10750 10750 PURCHASED SERVICES 7674 7674 13360 13360 964879 964879 0 0 0 6604 6906 0 0 0 3203 5984 0 0 0 0 0 0 0 0 0 0 748545 239383 547158 509162 0 0 0 0 0 0 0 0 0 0 557267 521750 8263 21267 0 0 13866 0 0 0 0 0 0 0 0 0 0 0 278554 533440 300683 554707 X 256584 -32957 0 0 256584 -32957 557267 521750 -289541 X X false true X true false X 1 0 0 0 0 57410 57410 617928 617928 0 0 0 0 0 0 0 675338 675338 0 0 0 675338 0 0 0 0 0 0 0 0 0 675338 675338 1.00000 0.00000 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 49302 49302 683730 234051 449679 15513 5331 10182 509162 0 OTHER LIABILITIES 533440 533440 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARIES. TAX BENEFITS ARE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES BASED ON TECHNICAL MERITS OF THE POSITION. SUCH TAX POSITIONS ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON ULTIMATE SETTLEMENT WITH THE TAX AUTHORITIES ASSUMING FULL KNOWLEDGE OF THE POSITION AND ALL RELEVANT FACTS. AS OF JUNE 30, 2023, UPMC DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS RECORDED. false true false false false false false false false MARY ANN RIGAS DIRECTOR 163582 22914 2020 16705 26415 231636 0 DANIEL GLUNK J 111022 DIRECTOR 234854 146894 4936 24949 1584 413217 0 PATRICIA JACKSON-GEHRIS DIRECTOR 296638 108900 527 34568 13399 454032 0 CARRIE ENNIS DIRECTOR 139201 47300 422 13145 14604 214672 0 DAVID LOPATOFSKY MD DIRECTOR 376650 340869 54070 75473 33076 880138 49312 JANIE HILFIGER PRESIDENT 178332 112000 2497 23886 12552 329267 0 SCHEDULE J, PART I, LINE 1 BENEFITS: UPMC MAY PROVIDE THE FOLLOWING BENEFITS TO CERTAIN EXECUTIVES WHEN THEY ARE NECESSARY TO ACHIEVE UPMC'S CHARITABLE MISSION OBJECTIVES: FIRST-CLASS OR CHARTER TRAVEL; TRAVEL FOR COMPANIONS; TAX INDEMNIFICATION OR GROSS UP PAYMENTS; AND/OR BUSINESS CLUB DUES OR INITIATION FEES. PROVISION OF ANY SUCH BENEFITS IS PREDICATED ON COMPLIANCE WITH THE ORGANIZATION'S POLICIES, IS SUBJECT TO REVIEW AND APPROVAL PROCESSES, AND IS TREATED AS TAXABLE INCOME TO THE EXECUTIVES WHERE REQUIRED UNDER THE INTERNAL REVENUE CODE. SCHEDULE J, PART I, LINE 4B ALL PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE DISCLOSED IN SCHEDULE J WITH CORRESPONDING AMOUNTS DISCLOSED WITHIN THE TOTAL AMOUNT IN SCHEDULE J COLUMN C "RETIREMENT AND OTHER DEFERRED COMPENSATION". DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE ("CODE"), CERTAIN OFFICERS AND KEY EMPLOYEES ARE LIMITED IN THE AMOUNT OF BENEFITS WHICH MAY BE RECEIVED UNDER A TAX QUALIFIED RETIREMENT PROGRAM. LIKE MANY EMPLOYERS, UPMC SUPPLEMENTS ITS RETIREMENT BENEFITS THROUGH A SUPPLEMENTAL RETIREMENT PROGRAM. THE SUPPLEMENTAL RETIREMENT PROGRAM IS SUBJECT TO MULTI YEAR VESTING WHICH PLACES THE OFFICERS AND KEY EMPLOYEES' RETIREMENT BENEFIT AT RISK OF FORFEITURE IF THE VESTING REQUIREMENTS ARE NOT SATISFIED. ONCE VESTED HOWEVER, PROVISIONS OF THE CODE REQUIRE THAT THE VESTED AMOUNTS BE REPORTED ON THE FORM 990 AND THE VESTED OFFICER OR KEY EMPLOYEE INCLUDE IN CURRENT INCOME THE VALUE OF HER OR HIS SUPPLEMENTAL RETIREMENT BENEFIT. NOTWITHSTANDING THE TAX REQUIREMENT TO RECOGNIZE THE VESTED AMOUNT OF THE SUPPLEMENTAL RETIREMENT BENEFIT AS CURRENT INCOME FOR FICA TAXATION AND REPORTING PURPOSES, THIS BENEFIT, WHICH GENERALLY HAS BEEN EARNED OVER THE EMPLOYEES' ENTIRE CAREER, HAS NOT AND WILL NOT BE DISTRIBUTED UNTIL THE OFFICER OR KEY EMPLOYEE RETIRES OR SEPARATES FROM SERVICE FROM UPMC. THE SUPPLEMENTAL RETIREMENT PROGRAM PROVIDES FOR THE CURRENT DISTRIBUTION OF ONLY THE AMOUNT NECESSARY TO SATISFY ANY INCOME TAX LIABILITY RESULTING FROM THE VESTING DURING ACTIVE EMPLOYMENT. FINALLY, IT SHOULD BE NOTED THAT IN ACCORDANCE WITH IRS INSTRUCTIONS, A SUBSTANTIAL PORTION OF THE AMOUNT REPORTED ON THE FORM 990 ATTRIBUTABLE TO SUPPLEMENTAL RETIREMENT PROGRAM VESTING HAS BEEN REPORTED IN PREVIOUSLY FILED FORMS 990. Part III Statement of Program Service Accomplishments HENDORN, INC. EIN: 23-1972659 FOR THE FISCAL YEAR ENDING JUNE 30, 2023 HENDORN, INC PROVIDES ASSISTED LIVING FOR OLDER ADULTS IN COUDERSPORT, PA, THROUGH THE OPERATION OF COLE MANOR, A RESIDENTIAL FACILITY. THE MISSION AT COLE MANOR IS TO PROVIDE OUR RESIDENTS WITH THE HIGHEST QUALITY OF CARE POSSIBLE AND TO ENHANCE OUR RESIDENTS' QUALITY OF LIFE BY CREATING A HOME-LIKE SETTING THAT FOSTERS INDEPENDENCE, DIGNITY AND CHOICE. WE CONTINUALLY STRIVE TO IMPROVE AND ARE COMMITTED TO OUR VISION: TO BE THE PERSONAL CARE HOME OF CHOICE IN THE COMMUNITY WE SERVE BY DELIVERING QUALITY SERVICES IN A WARM, FRIENDLY AND HOME-LIKE SETTING. CHARLES COLE MEMORIAL HOSPITAL (AKA UPMC COLE) IS THE FEDERALLY TAX-EXEMPT PARENT OF HENDORN, INC. HENDORN OPERATES COLE MANOR WHICH SERVES APPROXIMATELY 20 RESIDENTS ANNUALLY, WITH AN AVERAGE OF 4 RESIDENTS RECEIVING CHARITY CARE FOR THE SERVICES PROVIDED TO THEM. HENDORN PROVIDES FOOD AND SHELTER TO THE RESIDENTS UNDER A SHORT TERM ASSISTED LIVING RENTAL AGREEMENT. Part VI Governance, Management, and Disclosure Section A: Governing Body and Management Question 2: Multiple UPMC Officers, Directors, and/or Key Employees have business relationships by virtue of the fact that they are also Officers, Directors, and/or Key Employees of UPMC subsidiaries and affiliates, which are not separately disclosed below. Question 6: Hendron, Inc. has one sole member, the federally tax-exempt entity UPMC. Question 7A: The parent entity of Hendron, Inc., UPMC, has the ability to appoint board members to Hendron, Inc. as stipulated in the by-laws of Hendron, Inc. Part VI Governance, Management, and Disclosure Section B: Policies Question 11: A full copy of the form 990 is provided to each board of directors member prior to filing. Question 12c: UPMC requires all of its key employees and non-employed personnel to comply with its conflict of interest policies when they engage in UPMC-related business. People covered by the policies include: -UPMC entity board members, board committee members, and corporate officers -UPMC physicians and non-physician employees who hold a position of influence -Non-employed members of the UPMC medical staff who hold a position of influence of trust -Individuals conducting clinical research at UPMC, whether or not they are employed by UPMC These people are required to complete a questionnaire at least annually. An electronic form has been developed to capture the data from the questionnaire and to monitor completion. The information, along with other data, is used to capture individual and institutional relationships so that potential conflicts of interest can be identified. If a potential conflict is identified regarding a specific UPMC activity the corporate compliance department, with the assistance of the legal department, evaluate the activity in relation to the potential conflict. If a perceived or actual conflict is determined to exist and a decision is made to proceed with the activity, a written plan designed to prevent the conflict from influencing decisions related to the activity is developed. The process is ultimately overseen by a conflict of interest committee of the UPMC board of directors on behalf of all UPMC subsidiaries, including Hendron, Inc. Question 15a and b: UPMC has established a rigorous compensation review process for its top executives which includes review by its executive compensation committee in a process intended to satisfy the "rebuttable presumption of reasonableness" set forth in the regulations to section 4958 of the internal revenue code. UPMC gives authority to those executives to establish the compensation of executives of other subsidiaries and business units, including those of Hendron, Inc. Part VI Governance, Management, and Disclosure Section C: Disclosure Question 19: Upon request, management determines public disclosure applicability. PART XII FINANCIAL STATEMENTS AND REPORTING QUESTION 2B : THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PERFORMED BY EY FOR UPMC AND ALL SUBSIDIARIES. THE ENTIRE SYSTEM'S FINANCIAL STATEMENTS, OF WHICH THIS ORGANIZATIONS IS PART OF, ARE POSTED ON THE UPMC WEBSITE. (WWW.UPMC.COM) THE FINANCIAL STATEMENT AUDIT DURING THE 990 FILING PERIOD IS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2022. 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EI SWIFT SPRAOI HO C MACRADI LTD Northwood Avenue Santry Demesne Dublin 9 EI D09 C523 INACTIVE EI SWIFT SPRAOI HO C MACRADI DEVELOPMENT LTD Northwood Avenue Santry Demesne Dublin 9 EI D09 C523 INACTIVE EI SPORTS SURGERY C false false true false false false false false false true false true true true true false false false false FORM 990, SCHEDULE R, PART II, III, & IV THE ENTITIES MARKED WITH AN ASTERISK ARE NOT TECHNICALLY "RELATED PARTIES", AS DEFINED BY THE IRS FORM 990 INSTRUCTIONS, OF THE FILING ORGANIZATION. HOWEVER, THEY ARE LISTED ON SCHEDULE R TO REFLECT THAT THEY ARE PART OF THE UPMC SYSTEM OF ENTITIES, AS THEY ALL SHARE UPMC AS THE ULTIMATE PARENT. SCHEDULE R - RELATED ORGANIZATIONS THERE ARE ORGANIZATIONS INCLUDED IN THE UPMC GROUP FORM 990 TAX RETURN FOR FISCAL YEAR 2023 WHICH ARE "RELATED" TO HENDORN, INC (SEE PRIOR NOTE). THESE ORGANIZATIONS ARE NOT REQUIRED TO BE LISTED IN SCHEDULE R.