2022-08-15T10:13:09-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-10-01 561249146 AUTHORACARE COLLECTIVE AUTH 3366212500 2500 SUMMIT AVENUE GREENSBORO NC 27405 LEIGH WILLIAMS CFO 3366212500 2022-08-12 1 LEIGH WILLIAMS 999009999 JOHN NORMAN P01506766 7049985200 2022-08-12 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z KRISTEN YNTEMA 2500 SUMMIT AVENUE GREENSBORO NC 27405 40660435 0 X WWW.AUTHORACARE.ORG X 1979 NC THE ORGANIZATION PROVIDES CARE, SUPPORT AND EDUCATION TO THOSE AFFECTED BY LIFE-LIMITING ILLNESS OR LOSS. 16 16 498 0 0 0 858576 1795587 35535177 38710404 7669 146940 548553 7504 36949975 40660435 39390 24793 0 0 29218445 31512290 0 0 1911533 8508278 8395246 37766113 39932329 -816138 728106 43703716 46483972 10514132 10746904 33189584 35737068 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 24428842 24793 38710404 HOSPICE MEETS THE PHYSICAL, PSYCHOLOGICAL, SOCIAL AND SPIRITUAL NEEDS FOR THE TERMINALLY ILL AND THEIR FAMILIES. 11728 AUTHORACARE COLLECTIVE PROVIDES INDIVIDUAL AND GROUP COUNSELING FOR GRIEF AND LOSS OF FAMILIES OF HOSPICE PATIENTS AND THE COMMUNITY. 804787 KIDS PATH PROVIDES HOME CARE FOR MEDICALLY FRAGILE AND TERMINALLY ILL CHILDREN, COUNSELING AND SUPPORT FOR CHILDREN EXPERIENCEING SERIOUS ILLNESS OR LOSS. 25245357 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 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 93 0 498 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KRISTEN WITHER YNTEMA 3366212500 2500 SUMMIT AVENUE GREENSBORO NC 27405 JOHN PETERSON JR VICE-CHAIR 4.00 X X 0 0 0 VANESSA HAYGOOD CHAIR 4.00 X X 0 0 0 BECKY LOY SECRETARY/TREASURER 1.00 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 MARY COPELAND 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 RON JOHNSON BOARD MEMBER 1.00 X 0 0 0 JEFFREY JONES BOARD MEMBER 1.00 X 0 0 0 PAUL KLEVER BOARD MEMBER 1.00 X 0 0 0 RICHARD LETVAK BOARD MEMBER 1.00 X 0 0 0 ANNE MACNER 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 KENNETH REMPHER 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 271111 0 39837 JAMES T HAIGLER JR FORMER CFO 38.00 2.00 X 122837 0 19156 CAROLINE H DURHAM FORMER CFO 38.00 2.00 X 195486 0 23287 JUAN-CARLOS MONGUILOD CHIEF MEDICAL OFFICER 40.00 X 268817 0 40408 MARIA C THURLOW VP NURSING 40.00 X 174769 0 19536 DONALD E HERTWECK PHYSICIAN 40.00 X 234739 0 36611 BETSY WALKER PHYSICIAN 40.00 X 232002 0 16293 JOHN E FELDMAN PHYSICIAN 40.00 X 241482 0 28015 MONICA CARTER PHYSICIAN 16.00 24.00 X 204138 0 3671 DEVIN GRIFFITH COO 40.00 X 142039 0 9628 PETER BARCUS FORMER CEO 32.00 8.00 X 199360 0 6990 2286780 0 243432 29 1 1 0 DELTA CARE RX PO BOX 2340 WINTERSVILLE OH 43953 PHARAMACY 1005577 CIGNA HEALTH & LIFE INSURANCE COMPANY 620 GREEN VALLEY RD GREENSBORO NC 27408 HEALTH INSURANCE 799266 MAPLE GROVE HEALTH & REHAB CENTER 308 W MEADOWVIEW ROAD GREENSBORO NC 27406 MEDICAL CARE 626461 ALAMANCE HEALTH CARE CENTER 1987 HILTON ROAD BURLINGTON NC 27217 MEDICAL CARE 580181 GREENHAVEN HEALTH & REHAB CENTER 801 GREENHAVEN DRIVE GREENSBORO NC 27406 MEDICAL CARE 500681 22 798380 997207 3995 1795587 NET PATIENT SERVICE REVENUE 623000 38710404 38710404 38710404 146940 146940 MISCELLANEOUS REVENUE 900099 7504 7504 7504 40660435 38710404 0 154444 24793 24793 2238513 1298837 939676 22200157 17036875 3835437 1327845 1189645 895531 246675 47439 4101650 -225856 4242792 84714 1782325 1280948 398730 102647 50614 50614 331121 43677 287444 443752 2268 441484 159958 38215 53809 67934 505682 6551 499131 853455 246202 552619 54634 574100 536650 21348 16102 103612 7757 95855 916688 258281 568778 89629 153344 153344 MEDICINE AND DME 2898768 2895417 3351 MISCELLANEOUS 673862 315153 257441 101268 PATIENT CARE 492492 492492 DUES AND SUBSCRIPTIONS 237798 91566 126911 19321 39932329 25245357 12775439 1911533 10722258 12737310 10128648 9387912 108200 113000 272100 370449 28583628 15809880 13306333 12773748 8887312 10842914 278865 258639 43703716 46483972 5581621 6573955 816908 68503 4115603 4104446 10514132 10746904 X 32776573 35314115 413011 422953 33189584 35737068 43703716 46483972 728106 1819378 0 X 0 1 X 1 0 X 1142464 1100874 705850 858576 1795587 5603351 1142464 1100874 705850 858576 1795587 5603351 5603351 121803 384134 208723 7669 146940 869269 7889 11532 17857 548553 7504 593335 7065955 137679349 0.79300 0.78380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26423886 65750 6226920 229422 3937098 28550036 16402831 7063928 3170526 213399 26423886 16513952 61073 7430 156576 23048 16402831 16385122 103398 196939 148465 23042 16513952 13914239 839128 1866314 213275 21284 16385122 0.76970 0.08410 0.14620 1 0 2154952 2154952 18732165 9200958 9531207 1975449 1570280 405169 5721062 5038642 682420 12773748 LONG TERM INVESTMENTS 10842914 F 10842914 PPP LOAN 4104446 4104446 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 8 1142 FMV MEDICATIONS. FOOD, SHELTER AND CLOTHING 84 23651 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 1 0 0 0 0 0 0 1 0 KRISTEN YNTEMA CEO 259852 0 6000 0 5259 0 14959 0 24878 0 310948 0 0 0 JUAN-CARLOS MONGUILOD CHIEF MEDICAL OFFICER 248815 0 5500 0 14502 0 18126 0 22282 0 309225 0 0 0 DONALD E HERTWECK PHYSICIAN 217848 0 0 0 16891 0 11870 0 24741 0 271350 0 0 0 JOHN E FELDMAN PHYSICIAN 211964 0 0 0 29518 0 15125 0 12890 0 269497 0 0 0 BETSY WALKER PHYSICIAN 230559 0 0 0 1443 0 9898 0 6395 0 248295 0 0 0 CAROLINE H DURHAM FORMER CFO 160022 0 5500 0 29964 0 11484 0 11803 0 218773 0 0 0 MONICA CARTER PHYSICIAN 202970 0 0 0 1168 0 387 0 3284 0 207809 0 0 0 PETER BARCUS FORMER CEO 33270 0 0 0 166090 0 306 0 6684 0 206350 0 0 0 MARIA C THURLOW VP NURSING 166019 0 5500 0 3250 0 8153 0 11383 0 194305 0 0 0 DEVIN GRIFFITH COO 132766 0 5101 0 4172 0 0 0 9628 0 151667 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 A, LINE 7A MOSES H. CONE MEMORIAL HOSPITAL APPOINTS EIGHT OF THE SIXTEEN MEMBERS OF THE BOARD OF DIRECTORS DUE TO THEIR INVESTMENT IN AUTHORACARE COLLECTIVE. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD WILL RECEIVE A COPY VIA EMAIL OF THE FINALIZED 990 PRIOR TO FILING. 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