Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 937,365 | 1,019,262 | 1,714,969 | 4,308,037 | 761,636 | 8,741,269 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 937,365 | 1,019,262 | 1,714,969 | 4,308,037 | 761,636 | 8,741,269 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 8,741,269 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 937,365 | 1,019,262 | 1,714,969 | 4,308,037 | 761,636 | 8,741,269 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 24,556 | 24,382 | 5,535 | 5,376 | 7,431 | 67,280 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 8,813,897 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | CILCP'S INDEPENDENT LIVING AND CORE SERVICE PROGRAMS PROVIDE A WIDE RANGE OF SERVICES. USING RESOURCES AVAILABLE TO PERSONS WITH DISABILITIES, CILCPS EXPERIENCED STAFF ASSISTED 669 CONSUMERS IN NAVIGATING THEIR SERVICE PLANS AND PERSONAL GOALS, WHICH INCLUDES NURSING HOME TRANSITION. IN 2020 OUR STAFF COORDINATED TRANSITIONS FROM THE NURSING HOME TO THE COMMUNITY FOR 56 PEOPLE REFERRED HOME CARE SERVICES IS THE CILCP'S HOMECARE PROGRAM. CILCP HOME CARE SERVICES ASSISTS CONSUMERS BY PROVIDING IN-HOME, NON-MEDICAL DIRECT CARE SERVICES SO CONSUMERS ARE ABLE TO LIVE INDEPENDENTLY IN THEIR COMMUNITIES. IN 2020, 58 CONSUMERS WERE SERVED BY OUR DEDICATED DIRECT CARE WORKERS. DEAFBLIND SERVICES FOR LIVING WELL (DBLWS) MATCHED 55 CONSUMERS WITH SUPPORT SERVICES PROVIDERS (SSPS) AND TRAINED NEW SSPS THROUGHOUT THE YEAR. SSPS AID CONSUMERS WITH VISUAL ENVIRONMENTAL INFORMATION AND HUMAN GUIDING SERVICES TO BETTER THE ACCESSIBILITY OF CONMUNITY LIVING FOR INDIVIDUALS WHO ARE DEAFBLIND. CILCP AVERAGED 4-5 NEW CONSUMERS EVERY QUARTER FOR THIS SERVICE. SPECIALIZED SERVICES IS A STATE-WIDE PROJECT THAT PROVIDES TRAINING, ADVOCACY, COMMUNITY INTEGRATION AND OTHER TANGIBLE SUPPORTS TO ELIGIBLE NURSING HOME RESIDENTS ACROSS PENNSYLVANIA. 232 CONSUMERS RECEIVED SPECIALIZED SERVICES FROM CILCP IN 2019-2020 AS THE PROGRAM DREW TO A CLOSE AND MOVED TO A NEW BIDDER. HOME MODIFICATION AND ACCESS SERVICES ARE DESIGNED TO INCREASE CONSUMER INDEPENDENCE AND PREVENT CONSUMER HOSPITALIZATION OR NURSING HOME ENTRY. STAFF PROVIDE RESOURCES AND PROJECT MANAGEMENT SERVICES FROM START TO FINISH TO MAKE HOMES SAFE AND ACCESSIBLE. IN 2020, CILCP RECEIVED 113 REFERRALS AND 90 OF THOSE CONSUMERS RECEIVED HOME MODIFICATION SERVICES. CILCP ALSO OFFERS ADA TECHNICAL ASSISTANCE AND DISABILITY AWARENESS. THE CILCP HAS BEEN HIRED AS A CONSULTANT WITH THE PA COALITION AGAINST DOMESTIC VIOLENCE AND THE BUREAU OF MUSEUMS AND HISTORIC SITES TO CONDUCT SITE SURVEYS, ASSESS ACCESSIBILTY, AND PROVIDE FEEDBACK. UNIQUE HIGHLIGHTS OF 2020 SERVICES: CILCP STAFF COMPLETED MONTHLY COVID STATUS CALLS WITH CONSUMERS AND PROVIDED A VARIETY OF CONSUMER NEEDS- SOME EXAMPLES INCLUDE- ASSISTING WITH FOOD BANK VISITS, HELPING TO WRITE LETTERS TO HOUSING AUTHORITY, PROVIDING MASKS, GLOVES, AND TOILET PAPER. CILCP ASSISTED CONSUMERS IN CONNECTING WITH EACH OTHER FOR PEER SUPPORT WHEN THEY HAVE GONE THROUGH SIMILAR LIFE EXPERIENCES. CONSUMERS AND YOUTH HAVE ATTENDED PEER-MENTORING MEETINGS AND YOUTH HAVE ONGOING BIWEEKLY MEETINGS (YACC, A YOUTH PEER GROUP) TO OFFER ONE ANOTHER PEER SUPPORT. ADDITIONALLY, CILCP HAS SOCIAL MEDIA PRESENCE TO CONNECT CONSUMERS. CILCP OFFERED TRAININGS TO INFORM CONSUMERS OF COMMUNITY HEALTH CHOICES (CHC) AND ITS IMPACT ON WAIVER SERVICES. CONSUMERS RECEIVED ADVOCACY SUPPORT AND ASSISTANCE APPLYING FOR WAIVER SERVICES. CILCP STAFF ASSISTED CONSUMERS WITH APPLYING FOR 811 HOUSING PROGRAMS IN BOTH DAUPHIN AND CUMBERLAND COUNTIES, ASSISTED CONSUMERS WITH APPLYING FOR HCBS, HELPED FILL OUT APPLICATIONS FOR NUMEROUS SERVICES, CONTACTED FINANCIAL INSTITUTIONS FOR REQUESTED FINANCIAL INFORMATION, ENCOURAGED CONSUMERS TO TURN IN ALL NEEDED PAPERWORK, AND ASSISTED WITH MAKING NEEDED COPIES. CILCP STAFF PROVIDED A TRAINING VIDEO RESOURCE TO ASSIST A CONSUMER TO COMMUNICATE MORE EFFECTIVELY WITH HIS HOMECARE ATTENDANTS AND PROVIDED OPPORTUNITIES AND OPTIONS FOR CONSUMERS TO SEEK AND APPLY FOR COMMUNITY SERVICES THROUGH FACEBOOK, WEBSITE, ZOOM, ETC. CILCP PROVIDED ADVOCACY TRAINING TO A GRASSROOTS GROUP OF CONSUMERS WHO ARE DEAFBLIND TO SUPPORT EACH OTHER IN DEVELOPING STRATEGIC SUPPORT OF SHARED GOALS TO FIGHT FOR THE CONTINUATION OF SUPPORT SERVICE PROVIDERS. AS A RESULT, THE FIRST DEAFBLIND RUN ADVOCACY GROUP IN PA WAS FORMED. THEY CALL THEMSELVES 'I WANT TO SEE.' THIS GROUP HAS BEEN ACTIVE IN ADVOCATING FOR CONTINUATION OF SSP SERVICES THAT ENDED 12/31/2020. THEY ORGANIZED A COMMUNITY EVENT IN PITTSBURGH WITH STATE REPRESENTATIVE MILLER AS A GUEST SPEAKER. THEY CONTINUE TO ACTIVELY ADVOCATE TO CONTINUE SSP SERVICES. THEY ACTIVELY FIGHT FOR THE CONTINUATION OF THE PROGRAM AND PASSAGE OF LEGISLATION TO DEVELOP THE SSP AS A PROFESSION. CILCP FACILITATED YACC (YOUTH PEER GROUP) GROUP MEETINGS AND ADVOCACY TRAINING, AND DIRECTED CONSUMERS TO ONGOING COMMUNITY SUPPORT GROUPS. CILCP STAFF CONTINUED SUPPORT OF CONSUMER GOALS WITH A FOCUS ON QUARANTINE RELATED SKILLS AND SUPPORT. TEAM MEMBERS HELPED FILL OUT APPLICATIONS FOR SERVICES, CONTACTED FINANCIAL INSTITUTIONS FOR REQUESTED FINANCIAL INFORMATION, ENCOURAGED CONSUMERS TO TURN IN ALL NEEDED PAPERWORK, AND ASSISTED WITH MAKING NEEDED COPIES. TEAM MEMBERS PROVIDED A TRAINING VIDEO TO ASSIST A CONSUMER COMMUNICATE MORE EFFECTIVELY WITH HIS HOMECARE ATTENDANTS AND PROVIDED OPPORTUNITIES AND OPTIONS FOR CONSUMERS TO SEEK AND APPLY FOR COMMUNITY SERVICES THROUGH FACEBOOK, WEBSITE, ZOOM, ETC. CILCP PROVIDED INFORMATION ABOUT THE PA ABLE ACCOUNT AND ASSISTED A CONSUMER IN APPLYING AND OBTAINING THE ACCOUNT. TEAM MEMBERS PROVIDED TRAINING TO CONSUMERS TO ASSIST THEM IN LEARNING HOW TO IDENTIFY THEIR COMMUNICATION NEEDS AND REQUEST ACCOMMODATIONS AND ACCESS ASSISTIVE TECHNOLOGY. CILCP ASSISTED CONSUMERS IN LEARNING AND USING DISTANCE COMMUNICATION TECHNOLOGY (I.E. ZOOM, GOOGLE MEETS, GROUPME), AND SUPPORTED CONSUMERS IN ACCESSING OVER SERVICES. CILCP PROVIDED ONGOING SUPPORT TO A CONSUMER, WHO WAS NO LONGER WITH THE AGENCY'S NHT SERVICES, IN TRANSITIONING TO THE COMMUNITY. AFTER THE CONSUMER TRANSITIONED, THE MANAGED CARE ORGANIZATION COULD NOT LOCATE AN AGENCY TO PROVIDE HER PERSONAL ASSISTANCE SERVICES. CILCP STAFF ADVOCATED FROM LOCAL SERVICE LEVEL TO STATE LEVEL FOR HER TO RECEIVE SERVICES. ALTHOUGH ALL HER HOURS ARE NOT FILLED, SHE DOES HAVE SOME PERSONAL ASSISTANCE SERVICES NOW, AFTER OVER 6 MONTHS IN THE COMMUNITY WITH NO SERVICE. CILCP STAFF OFFER STAGING SERVICES FOR SETTING UP RESIDENCE AND FURNISHINGS FOR NHT PARTICIPANTS. CILCP CONTINUED TO PROVIDE 3, 6- AND 12-MONTH FOLLOW-UPS WITH CONSUMERS WHO TRANSITIONED INTO THE COMMUNITY. CILCP ASSISTED A FEW CONSUMER ADVOCATES WITH ATTENDING IN PERSON AND CALL INS TO MEDICAL ASSISTANCE ADVISORY COMMITTEE MANAGED LONG TERM SERVICES AND SUPPORTS SUB-COMMITTEE TO ADDRESS CONCERNS THEY OR FRIENDS HAVE BEEN EXPERIENCING WHEN ACCESSING WAIVER SERVICES. CILCP HAS 2 BOARD MEMBERS WHO PARTICIPATED IN SYSTEM ADVOCACY WITH CILCP STAFF IN THE EFFORT TO ACHIEVE EQUAL ASSESS IN THE COMMUNITY. |
| FORM 990, PAGE 6, PART VI, LINE 11B | PREPARER REPRESENTATIVE COMES TO A BOARD MEETING AND EXPLAINS AND SOLICITS QUESTIONS FROM THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | STAFF MEETING AND ANNUAL BOARD REVIEW |
| FORM 990, PAGE 6, PART VI, LINE 15A | CEO COMPENSATION IS SET BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | CFO/DIRECTOR OF HUMAN RESOURCES GIVES SUGGESTED CHANGES TO CEO BASED ON MARKET AND FUNDS AVAILALBE. CEO MAKES FINAL DETERMINATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| Software ID: | |
| Software Version: |