2023-08-10T09:05:42-05:00 2022-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2021-10-01 561249146 AUTHORACARE COLLECTIVE AUTH 3366212500 2500 SUMMIT AVENUE GREENSBORO NC 27405 LEIGH WILLIAMS CHIEF FINANCIAL OFFICER 3366212500 2023-08-07 1 LEIGH WILLIAMS 999009999 JOHN NORMAN P01506766 7049985200 2023-08-07 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KRISTEN YNTEMA 2500 SUMMIT AVENUE GREENSBORO NC 27405 46480397 0 X WWW.AUTHORACARE.ORG X 1979 NC THE ORGANIZATION PROVIDES CARE, SUPPORT AND EDUCATION TO THOSE AFFECTED BY LIFE-LIMITING ILLNESS OR LOSS. 17 17 514 230 0 0 1795587 6201819 38710404 39576981 146940 568456 7504 133141 40660435 46480397 24793 47089 0 0 31512290 33401280 0 0 1923053 8395246 8392027 39932329 41840396 728106 4640001 46483972 43473588 10746904 4399835 35737068 39073753 AUTHORACARE COLLECTIVE EMPOWERS PEOPLE TO BE ACTIVE PARTICIPANTS IN THEIR CARE JOURNEY, ENABLING THEM TO LIVE ON THEIR OWN TERMS THROUGH PERSONALIZED SUPPORT FOR MIND, BODY, AND SPIRIT. 0 0 25661240 39302883 HOSPICE MEETS THE PHYSICAL, PSYCHOLOGICAL, SOCIAL AND SPIRITUAL NEEDS FOR THE TERMINALLY ILL AND THEIR FAMILIES. 112976 47089 AUTHORACARE COLLECTIVE PROVIDES INDIVIDUAL AND GROUP COUNSELING FOR GRIEF AND LOSS OF FAMILIES OF HOSPICE PATIENTS AND THE COMMUNITY. 761968 274098 KIDS PATH PROVIDES HOME CARE FOR MEDICALLY FRAGILE AND TERMINALLY ILL CHILDREN, COUNSELING AND SUPPORT FOR CHILDREN EXPERIENCEING SERIOUS ILLNESS OR LOSS. 26536184 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 99 0 514 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LEIGH WILLIAMS 3366212500 2500 SUMMIT AVENUE GREENSBORO NC 27405 KENNETH REMPHER CHAIR 4.00 X X 0 0 0 MARY COPELAND VICE CHAIR 4.00 X X 0 0 0 BECY LOY SECRETARY/TREASURER 4.00 X X 0 0 0 CHAN CHANDLER BOARD MEMBER 1.00 X 0 0 0 KATHY COLVILLE BOARD MEMBER 1.00 X 0 0 0 LISA MOORE DUCK BOARD MEMBER 1.00 X 0 0 0 EDDIE GANT JR BOARD MEMBER 1.00 X 0 0 0 VANESSA HAYGOOD MD BOARD MEMBER 1.00 X 0 0 0 RON JOHNSON BOARD MEMBER 1.00 X 0 0 0 PAUL KLEVER BOARD MEMBER 1.00 X 0 0 0 DAVID KIBBE BOARD MEMBER 1.00 X 0 0 0 ANNE MACNER BOARD MEMBER 1.00 X 0 0 0 DR LAURA MURRAY BOARD MEMBER 1.00 X 0 0 0 BECKY NEIDUSKI BOARD MEMBER 1.00 X 0 0 0 ELLEN PANCOAST BOARD MEMBER 1.00 X 0 0 0 JOHN PETERSON JR BOARD MEMBER 1.00 X 0 0 0 REV MILTON WILLIAMS JR BOARD MEMBER 1.00 X 0 0 0 KRISTEN YNTEMA CEO 32.00 8.00 X 305185 0 45492 JAMES T HAIGLER JR FORMER CFO 38.00 2.00 X 67535 0 12028 CAROLINE H DURHAM FORMER CFO 38.00 2.00 X 205060 0 26383 LEIGH WILLIAMS CFO 38.00 2.00 X 0 0 0 JUAN-CARLOS MONGUILOD CHIEF MEDICAL OFFICER 40.00 X 291638 0 42044 MARIA C THURLOW VP NURSING 40.00 X 202747 0 20753 DONALD E HERTWECK PHYSICIAN 40.00 X 241918 0 41645 BETSY WALKER PHYSICIAN 40.00 X 236826 0 23206 JOHN E FELDMAN PHYSICIAN 40.00 X 230239 0 29088 MONICA CARTER PHYSICIAN 16.00 24.00 X 202579 0 4335 DEVIN GRIFFITH COO 40.00 X 191257 0 17671 2174984 0 262645 24 0 1 0 ALAMANCE HEALTH CARE CENTER 1987 HILTON ROAD BURLINGTON NC 27217 MEDICAL CARE 1001513 DELTA CARE RX PO BOX 2340 WINTERSVILLE OH 43953 PHARAMACY 877525 BLUMENTHAL JEWISH NURSING & REHAB CENTER 3724 WIRELESS DR GREENSBORO NC 27455 NURSING HOME ROOM & BOARD 763212 COMPASS HEALTHCARE AND REHAB HAWFIELDS 2502 S NC HWY 119 MEBANE NC 27302 NURSING HOME ROOM & BOARD 462440 CIGNA HEALTH & LIFE INSURANCE COMPANY PO BOX 782447 PHILADELPHIA PA 19178 GROUP HEALTH INSURANCE 435562 21 4115603 2086216 6201819 NET PATIENT SERVICE RE 623000 39576981 39576981 39576981 568456 568456 MISCELLANEOUS REVENUE 900099 133141 133141 133141 46480397 39576981 0 701597 47089 47089 2456213 1533110 923103 23768454 15415221 7132281 1220952 1108198 716748 334208 57242 4152020 2693752 1262033 196235 1916395 1239141 587375 89879 96799 96799 366739 57263 297872 11604 371344 77 371267 93909 51910 24428 17571 450502 22949 426443 1110 970706 256611 644561 69534 662528 599505 40304 22719 166534 9770 156764 553903 108148 436539 9216 140106 140106 MEDICINE AND DME 2819276 2819276 MISCELLANEOUS 948207 343196 402717 202294 PATIENT CARE 512080 512080 DUES AND SUBSCRIPTIONS 239394 110338 104359 24697 41840396 26536184 13381159 1923053 12737310 15284695 9387912 6188182 113000 130300 370449 296345 26477452 14175135 12773748 12302317 10842914 9033336 258639 238413 46483972 43473588 6573955 4394835 68503 5000 4104446 0 10746904 4399835 X 35314115 38666866 422953 406887 35737068 39073753 46483972 43473588 4640001 -1303316 0 X 0 1 X 1 0 X 1100874 705850 858576 1795587 6201819 10662706 1100874 705850 858576 1795587 6201819 10662706 10662706 384134 208723 7669 146940 547839 1295305 11532 17857 548553 7504 133141 718587 12676598 118609381 0.84110 0.79300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 28550036 45905 -7016193 71638 -1758148 23266258 26423886 65750 6226920 229422 3937098 28550036 16402831 7063928 3170526 213399 26423886 16513952 61073 7430 156576 23048 16402831 16385122 103398 196939 148465 23042 16513952 0.75710 0.18350 0.05940 1 0 2094009 2094009 18732165 9685062 9047103 1961876 1643594 318282 3689402 2846479 842923 12302317 LONG TERM INVESTMENTS 9033336 F 9033336 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO FUND CONTINUING OPERATIONS AND SPECIAL PROJECTS OF AUTHORACARE COLLECTIVE. PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") WITH EXEMPTION FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THEIR TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THE STANDARD HAS HAD NO IMPACT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS. 1 MEDICAL, DENTAL AND HOSPITAL EXPENSES 3 0 943 FMV MEDICATIONS. FOOD, SHELTER AND CLOTHING 107 0 46146 FMV GROCERIES, CREMATIONS, UTILITIES, RENT, HOME REPARS, TRANSPORTATION. PART I, LINE 2: THE ORGANIZATION NEVER GIVES CASH DIRECTLY TO PATIENTS. IN INSTANCES WHERE THERE IS A THIRD PARTY EXPECTING PAYMENT, THE ORGANIZATION REQUIRES AN INVOICE AND PROOF THAT THE VENDOR IS A LEGAL ENTITY BEFORE WRITING A CHECK DIRECTLY TO THAT PARTY. GAS CARDS ARE UTILIZED FOR TRANSPORTATION EXPENSES, AND GROCERY STORE GIFT CARDS ARE UTILIZED FOR FOOD PURCHASES. X X X X X X 1 0 0 0 0 0 0 1 0 KRISTEN YNTEMA CEO 271086 0 25219 0 8880 0 19754 0 25738 0 350677 0 0 0 JUAN-CARLOS MONGUILOD CHIEF MEDICAL OFFICER 249264 0 19800 0 22574 0 17629 0 24415 0 333682 0 0 0 DONALD E HERTWECK PHYSICIAN 214731 0 700 0 26487 0 16284 0 25361 0 283563 0 0 0 BETSY WALKER PHYSICIAN 231959 0 700 0 4167 0 12222 0 10984 0 260032 0 0 0 JOHN E FELDMAN PHYSICIAN 210091 0 700 0 19448 0 15115 0 13973 0 259327 0 0 0 CAROLINE H DURHAM FORMER CFO 167095 0 18975 0 18990 0 11950 0 14433 0 231443 0 0 0 MARIA C THURLOW VP NURSING 175619 0 19125 0 8003 0 10406 0 10347 0 223500 0 0 0 DEVIN GRIFFITH COO 166655 0 14085 0 10517 0 6038 0 11633 0 208928 0 0 0 MONICA CARTER PHYSICIAN 200817 0 700 0 1062 0 787 0 3548 0 206914 0 0 0 PART I, LINE 4A DURING 2020, THE ORGANIZATION MADE SEVERANCE PAYEMENTS TO PETER BARCUS IN THE AMOUNT OF $166,090. PART I, LINE 7 BONUSES WERE PAID TO THE LEADERSHIP TEAM BASED ON EMPLOYEE NET PROMOTER SCORES, FINANCIAL OUTCOMES, AND ADMISSIONS WITHIN 24 HOURS OF REFERRAL. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS THE TAX RETURN BEFORE IT IS SIGNED AND FILED. THE FINANCE COMMITTEE ALSO REVIEWS THE TAX RETURN AFTER IT IS SIGNED BUT BEFORE IT IS FILED FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED AND DISCUSSED WITH ALL EMPLOYEES AT GENERAL ORIENTATION. EMPLOYEES ARE REQUIRED TO SIGN AN ACKNOWLEDGEMENT INDICATING THEY HAVE RECEIVED AND READ THE POLICY. PERIODICALLY AT STAFF MEETINGS, THE POLICY IS REVIEWED. ANNUALLY, THE BOARD OF DIRECTORS MUST SIGN AN ACKNOWLEDGEMENT INDICATING THAT THEY HAVE RECEIVED AND READ THE POLICY. ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST AND RECUSE THEMSELVES FROM INPUT, DECISION MAKING OR VOTING RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S SALARY IS EVALUATED BY THE BOARD OF DIRECTORS ANNUALLY. THE CEO'S BASE SALARY IS DETERMINED USING BENCHMARK MARKET DATA OBTAINED FROM THE HOSPICE SALARY AND BENEFITS REPORT PUBLISHED BY THE HOSPITAL AND HEALTHCARE COMPENSATION SERVICE IN COOPERATION WITH THE NATIONAL ASSOCIATION FOR HOMECARE AND HOSPICE. THIS IS THE MOST COMPREHENSIVE SURVEY DONE BY HOSPICE ORGANIZATIONS AND IT IS WIDELY USED. AT THE BEGINNING OF EVERY FISCAL YEAR, THE BOARD CHAIR AND THE CEO JOINTLY DEVELOP QUANTIFIABLE OBJECTIVES TO MEASURE AND EVALUATE THE CEO'S PERFORMANCE. THESE INCLUDE INDICATORS SUCH AS: QUALITY, EMPLOYEE SATISFACTION, EMPLOYEE TURNOVER RATES, VOLUME (AVERAGE DAILY CENSUS) TARGETS, NET MARGIN, AND MEDICATION COST PER DAY. THE ORGANIZATION MAINTAINS A SALARY SCHEDULE FOR ALL EXEMPT AND NON-EXEMPT POSITIONS. COMPENSATION FOR OFFICERS AND OTHER KEY EMPLOYEES IS DETERMINED THROUGH THE USE OF THIS SCHEDULE. EACH IS REVIEWED ANNUALLY BY COMPARING TO BENCHMARKS POSITIONS WITHIN THE HOSPICE MARKET AND RELATED SALARY AND WAGE DATA. WHERE NEEDED, APPROPRIATE, AND FEASIBLE, PAY RANGES MAY BE MODIFIED, WITH BOARD APPROVAL, TO MORE CLOSELY REFLECT THE MARKET. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. AUTHORACARE FOUNDATION 2500 SUMMIT AVENUE GREENSBORO NC 27405 471169471 FOUNDATION NC 501(C)(3) LINE 12A, I AUTHORACARE COLLECTIVE 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0