Civic Intelligence

Healthy Community Pharmacy Inc

990 • Fiscal year 2016 • EIN 20-0519121

Jul 01, 2015 to Jun 30, 2016 • Filed on May 10, 2017

PO Box 2767York, PA 17405

(717) 851-3055

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2016

Liabilities / Revenue

55th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

1st percentile

-813%

Higher net margin than 1% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

100th percentile

$1,882,437

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 9809.5% of source-year revenue.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

2nd percentile

-98%

Faster revenue growth than 2% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Assets

Down

$0

Down $298,857 (-100%) from 2015

Net Assets

Down

$0

Down $155,990 (-100%) from 2015

Liabilities

Down

$0

Down $142,867 (-100%) from 2015

Revenue

Down

$19,190

Down $803,635 (-98%) from 2015

Expenses

Down

$175,180

Down $591,396 (-77%) from 2015

Net Income

Down

-$155,990

Down $212,239 (-377%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$800K$600K$400K$200K$0Assets 2010: $660,607Liabilities 2010: $56,423Net Assets 2010: $604,1842010Assets 2011: $624,626Liabilities 2011: $55,742Net Assets 2011: $568,8842011Assets 2012: $452,897Liabilities 2012: $64,574Net Assets 2012: $388,3232012Assets 2013: $322,361Liabilities 2013: $79,997Net Assets 2013: $242,3642013Assets 2014: $295,463Liabilities 2014: $195,722Net Assets 2014: $99,7412014Assets 2015: $298,857Liabilities 2015: $142,867Net Assets 2015: $155,9902015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016Assets 2017: $0Net Assets 2017: $02017

Highlighted filing

2016

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0M$1.0M$0-$1.0MExpenses 2010: $1,821,2342010Revenue 2011: $1,933,580Expenses 2011: $1,968,880Net Income 2011: -$35,3002011Expenses 2012: $1,233,0332012Expenses 2013: $1,245,7662013Revenue 2014: $1,122,916Expenses 2014: $1,265,539Net Income 2014: -$142,6232014Revenue 2015: $822,825Expenses 2015: $766,576Net Income 2015: $56,2492015Revenue 2016: $19,190Expenses 2016: $175,180Net Income 2016: -$155,9902016Revenue 2017: $02017

Highlighted filing

2016

Revenue$19,190
Expenses$175,180
Net Income-$155,990
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 10, 2017
Return Version
2015v3.0
Gross Receipts
$132,804
Mission and Program Overview

Mission

The purpose of Healthy Community Pharmacy, Inc. is to provide prescription drugs to uninsured members of the community of York and Adams County in South Central Pennsylvania.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$127,664$0▼ $127,664
Inventories for Sale or Use$24,590$0▼ $24,590
Prepaid Expenses and Deferred Charges$8,004$0▼ $8,004
Accounts Receivable$3,245$0▼ $3,245
Cash and Non-Interest-Bearing Accounts$400$0▼ $400
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Total Assets$298,857$0▼ $298,857
Other Assets Total$134,954$0▼ $134,954
Liabilities
Accounts Payable and Accrued Expenses$142,867--
Total Liabilities$142,867$0▼ $142,867
Net Assets / Fund Balance
Unrestricted Net Assets$155,990--
Total Net Assets Fund Balance$155,990$0▼ $155,990
Total Liabilities and Net Assets / Fund Balance$298,857$0▼ $298,857
Compensation and Service Providers

Board Members and Trustees

NameTitle
John PorterChairman
Bruce SolomonFormer Chair
Richard SeimFormer Vice Chair
Debra BradleyVice Chair
Barbara YarrishDirector
Chrysta StineDirector
Kevin H Mosser MDCEO-wsh
Michael F O'ConnorCFO-WellSpan H.
Bruce BartelsFormer CEO
Raymond RosenFormer Secretary
Robert GraupenspergerSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$112,007
Program Service Revenue
$20,797
Investment Income
$-113,614
Other Revenue
$0
Change in Net Assets
$-155,990

Audited Revenue Reconciliation

Revenue per Audited Statements
$-90,721
Revenue Not Reported on Financial Statements
$109,911
Other Revenue Adjustments
$109,911
Total Revenue per Audited Statements
$-90,721
Total Revenue per Form 990
$19,190
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$93,187
Other Expenses$81,993
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$69,070--$69,070
Other Employee Benefits$12,354--$12,354
Depreciation Depletion$10,401--$10,401
Occupancy$8,772--$8,772
Pension Plan Contributions$7,048--$7,048
Payroll Taxes$4,715--$4,715
Fees for Services Management-$4,693-$4,693
All Other Expenses$3,738--$3,738
Other Expenses$3,236--$3,236
Insurance$3,170--$3,170
Fees for Services Accounting-$1,922-$1,922
Office Expenses$1,551--$1,551
Information Technology-$1,482-$1,482
Interest$868--$868
Travel$146--$146
Fees for Services Other$117--$117
Total Functional Expenses$167,083$8,097$0$175,180

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$175,180
Total Expenses per Audited Statements$175,180
Total Expenses per Form 990$175,180
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder

WellSpan Health Care Services is the sole member of Healthy Community Pharmacy.

Form 990, Part VI, Line 7A: How Members or Shareholders Elect Governing Body

Directors shall be elected by the Member at its annual meeting and will hold office until their successors shall have been elected and qualified. Any Director may be removed with or without cause at any time by the Member. Vacancies in the Board of Directors shall be filled by the decision of a majority of the remaining Directors, although less than a quorum and subject to ratification by the Member, or by election by the member. A Director selected to fill a vacancy shall serve until the next annual meeting of the Member and until a successor is elected and qualified.

Form 990, Part VI, Line 7B: Describe Decisions of Governing Body Approval by Members or Shareholders

An affirmative action of the Member is required with regard to the following actions:a) Any capital expenditure or incurrence of indebtedness by the Corporation in excess of $100,000.b) Any material changes in the business purposes or the creation of new businesses.c) Dissolution or reorganization of the Corporation or any of its subsidiary corporations or partnerships.d) Merger or consolidation of the Corporation or any of its subsidiary corporations or partnerships.e) Disposition of over 10 percent of the assets of the Corporation.f) Adoption or change of certain provisions which are committed expressly to members of a nonprofit corporation by Section 5504 of the Nonprofit Corporation Law of 1988, as amended (the "Act"), as more fully set forth in Article XII, Section 12.1.

Form 990, Part VI, Line 11B: Form 990 Review Process

Management provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter.

Form 990, Part VI, Line 15B: Compensation Review and Approval Process for Officers and Key Employees

The Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The Chairman of the Board of Gettysburg Hospital shall participate. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for subordinate positions. The Committee is responsible for approving and authorizing payment of the performance awards. The Committee will approve and authorize payment of the President's performance awards. Integrated Healthcare Strategies, Inc., based in Minneapolis Minnesota is the external consultant to the committee. This consultant focuses exclusively on executive and physician compensation in the health care industry. In summary, the executive and physician compensation review process consists of the following: 1) Cash compensation reviewed annually 2) Cash compensation reviewed by external consultant biennially 3) external total compensation (cash, incentives, benefits, perquisites) reviewed by external consultant periodically 4) Process is integrated with compensation analysis for other WellSpan positions 5) Committee decisions are documented in minutes maintained in Human Resources.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

Governing documents, policies, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Healthy Community Pharmacy Inc
EIN
20-0519121
Phone
7178513055
Address
PO BOX 2767, YORK, PA 17405

Signing Officer

Name
Michael F O'Connor
Title
CFO
Signed
2017-05-10
Discuss with paid preparer
No

Organization Details

Principal Officer
Kevin H Mosser MD
Formed
2003
Legal Domicile
Pa
Voting Board Members
7
Independent Board Members
0
Employees
11

Preparer

Firm
WellSpan Health
Address
3350 WHITEFORD ROAD, YORK, PA 17402
Preparer
Jeffrey Schragg See Sch O
Phone
7038930600
Supplemental Narrative

Additional Explanations

Client Note 1

Client Note 1 - Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Jeffrey Schragg, PTIN P00234543

Signature Block - Paid Preparer Explanation

Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Jeffrey Schragg, PTIN P00234543

Part II Signature Block

Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Jeffrey Schragg, PTIN P00234543

Financial Statement Notes

Part X : FIN48 Footnote

In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2016.

Part XI, Line 4B: Other revenue amounts included on 990 but not included in F/S

Grant - Wellspan Health $109911

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt3CFO-WellSpan H.
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IRS990/MissionDesc0The purpose of Healthy Community Pharmacy, Inc. is to provide prescription drugs to uninsured members of the community of York and Adams County in South Central Pennsylvania.
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IRS990/OtherExpensesGrp/Desc2Real Estate Taxes
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IRS990/OtherExpensesGrp/TotalAmt24898
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IRS990/PrincipalOfficerNm0Kevin H Mosser MD
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0The purpose of Healthy Community Pharmacy, Inc. is to provide prescription drugs to uninsured members of the community of York and Adams County in South Central Pennsylvania. By the organization supporting the uninsured prescription needs it supports York Hospital, Gettysburg Hospital, WellSpan Specialty Services and WellSpan Medical Group in improving the health and welfare of all the residents of York and Adams Counties of Pennsylvannia.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1WellSpan Specialty Services is a supported organization which is not specifically mentioned in the governing documents of the Organization. The Organization's sole member is WellSpan Health Care Services. WellSpan Health Care Services and WellSpan Specialty Services share a common parent organization, WellSpan Health. The charitable purpose of WellSpan Health and all of its affiliates is to improve health through exceptional care for all, lifelong wellness and healthy communities in York, Adams, Lebanon and Lancaster counties. The Organization has designated WellSpan Specialty Services for uninsured prescription needs through its shared purpose and organizational relationship.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2Common control of the supporting organization and the supported organizations can be demonstrated by the relationship among the entities and the parent organization, WellSpan Health. The Directors of the Organization are elected by the sole member of the Organization, WellSpan Health Care Services. WellSpan Health is the sole member of WellSpan Health Care Services as well as the Organization's supported organizations, WellSpan Medical Group, WellSpan York Hospital, WellSpan Specialty Services, and WellSpan Gettysburg Hospital. As such, WellSpan Health appoints the directors of the boards for all four supported organizations as well as the sole member of the supporting organization. The common control is exercised by the parent, WellSpan Health, through its control of the Directors of the Boards for the entities involved.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Support Schedule: Additional Supplemental Information
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Part IV, Section A, Line 1: Description Of How Supported Organizations Are Desigated
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2Part IV, Section C, Line 1: Control Or Management Of Supported Orgs.
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0York Hospital
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1Gettysburg Hospital
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2Wellspan Medical Group
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt3WellSpan Specialty Services
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IRS990ScheduleD/FootnoteTextInd0X
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2016.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Grant - Wellspan Health $109911
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X : FIN48 Footnote
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S
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