Civic Intelligence

Choices Healthcare

EIN 23-2122735 • 501(c)3 • Lancaster, PA

Profile

To provide personalized care and comfort to help patients and families live better with serious illness through end of life.

PO Box 4125Lancaster, PA 17604-4125

www.hospicecommunity.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

27th percentile

0.07x

Higher debt load relative to assets than 27% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

22nd percentile

0.11x

Higher debt load relative to revenue than 22% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

23rd percentile

-3.6%

Higher net margin than 23% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

88th percentile

26%

Faster asset growth than 88% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

81st percentile

28%

Faster revenue growth than 81% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$89,097,180

Up $18,566,271 (+26%) from 2023

Liabilities

Up

$6,209,340

Up $2,336,067 (+60%) from 2023

Net Assets

Up

$82,887,840

Up $16,230,204 (+24%) from 2023

Revenue

Up

$56,317,965

Up $12,411,313 (+28%) from 2023

Expenses

Up

$58,347,544

Up $18,972,738 (+48%) from 2023

Net Income

Down

-$2,029,579

Down $6,561,425 (-145%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0Assets 2010: $53,731,499Liabilities 2010: $17,841,720Net Assets 2010: $35,889,7792010Assets 2011: $54,581,677Liabilities 2011: $17,429,360Net Assets 2011: $37,152,3172011Assets 2012: $41,577,190Liabilities 2012: $2,218,698Net Assets 2012: $39,358,4922012Assets 2013: $42,012,025Liabilities 2013: $2,151,650Net Assets 2013: $39,860,3752013Assets 2014: $43,715,031Liabilities 2014: $2,087,182Net Assets 2014: $41,627,8492014Assets 2015: $44,638,484Liabilities 2015: $2,337,687Net Assets 2015: $42,300,7972015Assets 2016: $47,591,891Liabilities 2016: $2,382,088Net Assets 2016: $45,209,8032016Assets 2017: $50,874,145Liabilities 2017: $2,765,605Net Assets 2017: $48,108,5402017Assets 2018: $50,718,798Liabilities 2018: $3,056,929Net Assets 2018: $47,661,8692018Assets 2019: $56,647,862Liabilities 2019: $3,642,955Net Assets 2019: $53,004,9072019Assets 2020: $62,105,479Liabilities 2020: $4,426,104Net Assets 2020: $57,679,3752020Assets 2021: $68,034,775Liabilities 2021: $3,529,828Net Assets 2021: $64,504,9472021Assets 2022: $66,839,843Liabilities 2022: $3,742,507Net Assets 2022: $63,097,3362022Assets 2023: $70,530,909Liabilities 2023: $3,873,273Net Assets 2023: $66,657,6362023Assets 2024: $89,097,180Liabilities 2024: $6,209,340Net Assets 2024: $82,887,8402024

Highlighted filing

2024

Assets$89,097,180
Liabilities$6,209,340
Net Assets$82,887,840

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $29,423,7792010Expenses 2011: $29,459,2862011Expenses 2012: $30,876,4042012Revenue 2013: $29,050,642Expenses 2013: $29,765,093Net Income 2013: -$714,4512013Revenue 2014: $29,583,320Expenses 2014: $27,929,068Net Income 2014: $1,654,2522014Revenue 2015: $31,063,404Expenses 2015: $29,715,497Net Income 2015: $1,347,9072015Revenue 2016: $32,753,235Expenses 2016: $31,094,984Net Income 2016: $1,658,2512016Revenue 2017: $32,894,836Expenses 2017: $31,918,647Net Income 2017: $976,1892017Revenue 2018: $36,011,315Expenses 2018: $33,962,253Net Income 2018: $2,049,0622018Revenue 2019: $38,817,324Expenses 2019: $36,826,427Net Income 2019: $1,990,8972019Revenue 2020: $42,693,764Expenses 2020: $39,635,797Net Income 2020: $3,057,9672020Revenue 2021: $44,243,514Expenses 2021: $41,581,548Net Income 2021: $2,661,9662021Revenue 2022: $41,854,891Expenses 2022: $39,656,107Net Income 2022: $2,198,7842022Revenue 2023: $43,906,652Expenses 2023: $39,374,806Net Income 2023: $4,531,8462023Revenue 2024: $56,317,965Expenses 2024: $58,347,544Net Income 2024: -$2,029,5792024

Highlighted filing

2024

Revenue$56,317,965
Expenses$58,347,544
Net Income-$2,029,579

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$89.1$6.21$82.9$56.3$58.3$2.03
2023Detailed filing. Detailed filing data is available for this year.$70.5$3.87$66.7$43.9$39.4$4.53
2022Detailed filing. Detailed filing data is available for this year.$66.8$3.74$63.1$41.9$39.7$2.20
2021Detailed filing. Detailed filing data is available for this year.$68.0$3.53$64.5$44.2$41.6$2.66
2020Detailed filing. Detailed filing data is available for this year.$62.1$4.43$57.7$42.7$39.6$3.06
2019Detailed filing. Detailed filing data is available for this year.$56.6$3.64$53.0$38.8$36.8$1.99
2018Detailed filing. Detailed filing data is available for this year.$50.7$3.06$47.7$36.0$34.0$2.05
2017Detailed filing. Detailed filing data is available for this year.$50.9$2.77$48.1$32.9$31.9$0.98
2016Detailed filing. Detailed filing data is available for this year.$47.6$2.38$45.2$32.8$31.1$1.66
2015Detailed filing. Detailed filing data is available for this year.$44.6$2.34$42.3$31.1$29.7$1.35
2014Detailed filing. Detailed filing data is available for this year.$43.7$2.09$41.6$29.6$27.9$1.65
2013Detailed filing. Detailed filing data is available for this year.$42.0$2.15$39.9$29.1$29.8$0.71
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$41.6$2.22$39.4$30.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$54.6$17.4$37.2$29.5
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$53.7$17.8$35.9$29.4
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 30, 2025
Return Version
2024v5.2
Gross Receipts
$80,212,759
Mission and Program Overview

Mission

To provide personalized care and comfort to help patients and families live better with serious illness through end of life.

Choices healthcare provides personalized, compassionate care and support for patients and families coping with serious illness through the end of life.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$53,609,892$68,439,974▲ $14,830,082
Land, Buildings, and Equipment, Net$9,312,306$11,706,981▲ $2,394,675
Accounts Receivable$2,982,144$5,184,919▲ $2,202,775
Savings and Temporary Cash Investments$1,021,560$0▼ $1,021,560
Other Notes and Loans Receivable, Net$482,232$686,036▲ $203,804
Prepaid Expenses and Deferred Charges$375,418$231,703▼ $143,715
Cash and Non-Interest-Bearing Accounts$187,396$160,481▼ $26,915
Pledges and Grants Receivable$196,321$158,824▼ $37,497
Total Assets$70,530,909$89,097,180▲ $18,566,271
Other Assets Total$2,363,640$2,528,262▲ $164,622
Liabilities
Accounts Payable and Accrued Expenses$2,535,313$4,763,703▲ $2,228,390
Other Liabilities$1,337,960$1,445,637▲ $107,677
Total Liabilities$3,873,273$6,209,340▲ $2,336,067
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$61,894,429$76,873,154▲ $14,978,725
Net Assets With Donor Restrictions$4,763,207$6,014,686▲ $1,251,479
Total Net Assets Fund Balance$66,657,636$82,887,840▲ $16,230,204
Total Liabilities and Net Assets / Fund Balance$70,530,909$89,097,180▲ $18,566,271

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,839,868$19,171,518$28,011,386
Equipment$780,264$2,007,744$2,788,008
Land$2,086,849-$2,086,849

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$49,258,729$8,776,645▲ $6,554,036$1,288,983$63,226,480
2023$43,668,882$1,871,607▲ $4,975,788$1,229,250$49,258,729
2022$44,837,641$2,313,059▼ $2,456,159$1,001,598$43,668,882
2021$38,092,557$2,618,833▲ $5,101,844$959,872$44,837,641
2020$34,618,370$1,578,740▲ $2,798,655$895,799$38,092,557
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Steven M KnaubCEOPT$275,173$179,018$454,191
Debra VermetteVP CMOFT$268,370$88,366$356,736
Krista Kae HazenSr Vice President/CFOFT$203,309$117,983$321,292
Gilbert BrownPresidentFT$236,735$72,757$309,492
COLLEN HAZLETT-O'BRIENMedical DirectorFT$248,540$54,016$302,556
Maria OlenderMedical DirectorFT$261,257$33,110$294,367
Michael LinkCOOFT$200,599$79,117$279,716
Maria HayesHospice PhysicianPT$192,298$83,020$275,318
Brent KeenerVice President, HrFT$160,738$86,426$247,164
Johnathan TriantafyllouHospice PhysicianFT$234,237$11,933$246,170
Paige PayneVP, Pt CareFT$169,373$66,102$235,475
Bonnie Jess LopaneVP, Chief Development OfficerFT$152,527$78,427$230,954
Ryan DelongAssociate Medical DirectorPT$210,010$6,762$216,772
Susan ResavyVice President of Family ServicesFT$122,168$23,006$145,174

Board Members and Trustees

NameTitle
Geoffrey W EddowesChair
William WilkisonVice Chair
Adam MetzBoard Member
Alyssa Moyer MdBoard Member
Amy HelmuthBoard Member
Dara BachmanBoard Member
David Gasperack DoBoard Member
David GroffBoard Member
Dennis GriestBoard Member
Grace Nguyen BondBoard Member
Hank StraubBoard Member
J David SwartleyBoard Member
Jennifer MatlockBoard Member
Joshua Shipley MdBoard Member
Julia JacksonBoard Member
Kyle SnyderBoard Member
Leslie GorbeyBoard Member
Lori ReeseBoard Member
Lynn MillsBoard Member
Michael K CallahanBoard Member
Michael Ripchinski MdBoard Member
Richard BaileyBoard Member
Richard HogentoglerBoard Member
Robert L Fryer JrBoard Member
Shannon GieraschBoard Member
Stephanie CarfleyBoard Member
Patricia HigginsSecretary
Karen a BiondolilloTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Lancaster General HospitalProfessional Healthcare ServicesPO BOX 820212, Philadelphia, PA 19182-0212$513,598
Wellspan Health Dba York HospitalProfessional Healthcare ServicesPO BOX 645983, Cincinnati, OH 45264-5983$326,862
Ram Siding Company INCProfessional Construction Services1140 BEN FRANKLIN HWY E, Douglasville, PA 19518$265,943
Ms Hershey Medical CenterProfessional Healthcare ServicesPO BOX 856MC CA-410, Hershey, PA 17033-0856$261,158
Core Medical GroupProfessional Nursing ServicesPO BOX 306478, Nashville, TN 37230-6478$213,826
Revenue and Support

Revenue Composition

Contributions and Grants
$7,864,943
Program Service Revenue
$44,914,459
Investment Income
$3,555,024
Other Revenue
$-16,461
All Other Contributions
$6,496,193
Change in Net Assets
$-2,029,579

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table4,569$468,242Real Proceeds-auctio
Works of Art257$39,649Real Proceeds - Auction
Securities Publicly Traded5$21,976NET REAL VAL @ SALE
Cars and Other Vehicles3$4,550Sale Proceeds
Other Non Cash Contri Table2$405Fair Market Value
Total Noncash Contributions4,836$534,822-

Audited Revenue Reconciliation

Revenue per Audited Statements
$56,798,980
Revenue Not Reported on Financial Statements
$-481,015
Revenue Not Reported on Form 990
$3,366,008
Other Revenue Adjustments
$-566,620
Total Revenue per Audited Statements
$60,164,988
Total Revenue per Form 990
$56,317,965
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$44,820,924
Other Expenses$13,526,620
Total Fundraising Expense$1,405,878
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$30,886,593$2,209,172$730,642$33,826,407
Fees for Services Other$7,307,889$59,065$22,872$7,389,826
Other Employee Benefits$4,338,842$393,323$116,021$4,848,186
Payroll Taxes$2,296,433$372,489$48,861$2,717,783
Current Officers, Directors, Trustees, and Key Employees$965,497$1,294,260$153,810$2,413,567
Travel$998,331$35,236$9,746$1,043,313
Pension Plan Contributions$874,674$126,624$13,683$1,014,981
Information Technology$815,594$103,121$18,749$937,464
Occupancy$730,407$174,305$21,579$926,291
Depreciation Depletion$619,649$192,593$25,121$837,363
Office Expenses$445,141$91,656$21,908$558,705
Insurance$460,950$12,384$470$473,804
Fees for Services Accounting-$146,777-$146,777
Advertising$84,249$60,793-$145,042
Other Expenses$93,705$42,862$3,285$139,852
Conferences and Meetings$118,218$11,628$3,943$133,789
Fees for Services Legal-$70,071-$70,071
Fees for Service Investment Mgmnt Fees-$64,730-$64,730
All Other Expenses$52,731$8,835$222$61,788
Fees for Services Lobbying$815--$815
Total Functional Expenses$51,363,519$5,578,147$1,405,878$58,347,544

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$58,846,965
Total Expenses per Form 990$58,347,544
Expenses per Audited Statements$58,261,939
Expenses Not Reported on Form 990$585,026
Expenses Not Reported on Financial Statements$85,605
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
Yes
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$834,086
Fundraising Gross Income$738,698
Gaming Gross Income$55,880
Gaming Direct Expenses$21,359
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Labor Day Auction$1,255,785$533,689$429,808$103,881
Wine Dine$373,923$91,500$81,393$10,107
Total Events$2,094,413$738,698$834,086$-95,388
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation$970,067
Charitable Gift Annuities$252,573
Operating Lease Liability$222,997
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 7A

Wellspan health shall be permitted to appoint two persons of their choosing to the board.

Form 990, Part VI, Section B, Line 11B

The audit committee of the board, acting on behalf of the board, initially reviewed the form 990 and asked any questions of management. A copy was then distributed electronically to the full board prior to filing.

Form 990, Part VI, Section B, Line 12C

Board members and officers are required to complete a new conflict of interest statement on a yearly basis. The policy is reviewed annually at a board meeting. The audit committee is responsible for monitoring and enforcing compliance with the policy.

Form 990, Part VI, Section B, Line 15

A compensation committee made up of board members meets at least annually to review and approve the salaries for the president, ceo, coo and all vice presidents. Industry benchmarks are used for comparison purposes.

Form 990, Part VI, Section C, Line 18

990 available upon request to the organization's fiscal office.

Form 990, Part VI, Section C, Line 19

Governing documents, conflict of interest policy and financial statements are maintained in the fiscal office of the organization. Copies of such documents are available upon request.

Filing and Contact Details

Filer

Filer Name
Choices Healthcare
EIN
23-2122735
Phone
7172953900
Address
PO BOX 4125, LANCASTER, PA 17604-4125

Signing Officer

Name
Michael Link
Title
Current President & CEO
Phone
7173912402
Signed
2025-10-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Link
Formed
1980
Legal Domicile
Pa
Voting Board Members
28
Independent Board Members
28
Employees
611
Volunteers
1,490

Preparer

Firm
Rkl Llp
Address
3501 CONCORD ROAD STE 250, YORK, PA 17402
Preparer
Douglas L Berman CPA
Phone
7178433804
Supplemental Narrative

Additional Explanations

990 Part I Line 6

Choices healthcare had an aggregate of 1,490 volunteers during the year. These volunteers served in many different roles including: patient/family volunteers in home hospice, our inpatient and residential facilities and nursing homes; pet therapy; music support; bereavement support; office support; greeting and welcoming visitors; development and fundraising; community relations and education; and grounds maintenance.

Form 990, Part IX, Line 11G

Pharmacy: program service expenses 2,256,818. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,256,818. Equipment: program service expenses 1,419,457. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,419,457. Other purchased services: program service expenses 3,470,650. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,470,650. Retirement plan fees: program service expenses 72,504. Management and general expenses 10,530. Fundraising expenses 1,758. Total expenses 84,792. Professional fees: program service expenses 88,460. Management and general expenses 15,550. Fundraising expenses 2,108. Total expenses 106,118. Bank fees: program service expenses 0. Management and general expenses 32,985. Fundraising expenses 19,006. Total expenses 51,991.

FORM 990, PART XI, LINE 9:

Change in value of gift annuities -30,991. Change in value of perpetual trusts 43,699. Distributions from perpetual trusts 34,047. Acquired net assets from hospice of central pennsylvania 14,912,181.

Schedule G Part III Line 11

The organization operates a raffle available to the general public.

Financial Statement Notes

PART X, LINE 2:

The organization has obtained a determination letter from the internal revenue service stating that the organization is considered a public charity, exempt from federal income tax under section 501(c)(3) of the internal revenue code. Management believes that the organization continues to be operated in such a manner that it is exempt from federal and state income taxes. The organization follows the standards for accounting for uncertainty in income taxes according to the principles of asc 740, income taxes, which prescribes a recognition threshold and measurement attribute for the combined financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken by the organization, including whether the entity is exempt from income taxes. Management evaluated the tax positions taken and concluded that the organization had taken no uncertain tax positions that require recognition or disclosure in the combined financial statements. Therefore, no provision or liability for income taxes has been included in the combined financial statements. With few exceptions, the organization is no longer subject to income tax examinations by the u.s. Federal, state, or local tax authorities for years before 2021.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Change in value of perpetual trusts 43,699. Distributions from perpetual trusts 34,047. Change in value of gift annuities -30,991.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Direct expenses on gaming activities -21,359. Direct expenses on special events -321,646. In-kind revenue from special events -221,896. Loss on disposal of fixed assets -1,719.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Direct expenses on special events 543,542. Direct expenses on gaming 21,359. Loss on disposal of fixed assets 1,719.

Raw XML AppendixShowing 400 of 1,281 raw XML fields

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/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2RAM SIDING COMPANY INC
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IRS990/ContractorCompensationGrp/ServicesDesc4PROFESSIONAL NURSING SERVICES
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IRS990/Desc0CHOICES HEALTHCARE PROVIDES PERSONALIZED, COMPASSIONATE CARE AND SUPPORT FOR PATIENTS AND FAMILIES COPING WITH SERIOUS ILLNESS THROUGH THE END OF LIFE. DURING THE CURRENT YEAR, CHOICES HEALTHCARE PROVIDED OVER 228,000 PATIENT DAYS OF HOSPICE CARE TO PATIENTS AND THEIR FAMILIES AND SERVED 4,780 HOSPICE PATIENTS DURING THE YEAR, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. FOUR PERCENT OF THE PATIENT DAYS OF HOSPICE CARE WERE CHARITABLE CARE. OUR HIGHLY TRAINED INTERDISCIPLINARY TEAM OF PHYSICIANS, NURSE PRACTITIONERS, NURSES, SOCIAL WORKERS, HOSPICE AIDES, CHAPLAINS, VOLUNTEERS, MUSIC THERAPISTS AND MASSAGE THERAPISTS PROVIDE VISITS AND SUPPORT TO HOSPICE AND PALLIATIVE PATIENTS IN PRIVATE HOMES, NURSING HOMES, HOSPITALS, HOSPICE INPATIENT CENTER AND HOSPICE RESIDENCE. THE BEREAVEMENT PROGRAMS SUPPORTED 12,877 BEREAVED INDIVIDUALS DURING THE CURRENT YEAR THROUGH SUPPORT GROUPS, TELEPHONE CALLS AND VISITS.
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