2020-04-28T15:51:00-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2019-01-01 561452373 HOSPICE OF CLEVELAND COUNTY INC HOSP 7044874677 951 WENDOVER HEIGHTS DRIVE SHELBY NC 281503565 MYRA MCGINNIS PRESIDENT/CEO 7044874677 2020-04-28 1 JOHN NORMAN P01506766 7049985200 2020-04-27 67.137.57.251 2020-04-28 09:17:33 ED P 74360C0F9F998AEB88742761FB50F404B4DAF3FD DE7838AFFED52625654E7EB43DBCD806CFD0FF8B 2019 2020-09-23 17:36:50Z HOSPICE CLEVELAND COUNTY MYRA MCGINNIS 951 WENDOVER HEIGHTS DRIVE SHELBY NC 281503565 13258002 0 X WWW.HOSPICECARES.CC X 1984 NC HOSPICE OF CLEVELAND COUNTY PROVIDES CARE AND SUPPORT TO PATIENTS WITH A LIFE-LIMITING ILLNESS. 15 15 162 158 0 0 552491 689043 10858379 11874715 563291 650327 31854 27432 12006015 13241517 0 0 0 0 6996935 6806390 0 0 24908 4393814 5016269 11390749 11822659 615266 1418858 26002695 29314481 1343780 1482386 24658915 27832095 HOSPICE CLEVELAND COUNTY EXISTS TO PROVIDE HIGH QUALITY SKILLED COMPASSIONATE CARE AND SUPPORT FOR INDIVIDUALS WITH A LIFE-LIMITING ILLNESS, THEIR FAMILIES, AND THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. 0 0 6613140 9298490 HOSPICE CLEVELAND COUNTY PROVIDES COMPREHENSIVE END OF LIFE HEALTHCARE FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES DURING THE FINAL STAGES OF ILLNESS. DURING 2019, HOSPICE CLEVELAND COUNTY PROVIDED 50,875 DAYS OF HOMECARE INCLUDING 14,849 DAYS OF NURSING HOME AND HOSPITAL INPATIENT CARE. HOSPICE CLEVELAND COUNTY SERVED 825 HOMECARE PATIENTS IN 2019. HOSPICE CLEVELAND COUNTY'S INTERDISCIPLINARY TEAMS CONSISTING OF PHYSICIANS, NURSES, HOSPICES AIDES, SOCIAL WORKERS, AND OTHER SUPPORTIVE PERSONNEL PROVIDED OVER 30,890 VISITS DURING 2019. 2725588 2260778 HOSPICE CLEVELAND COUNTY OWNS AND OPERATES TWO HOSPICE HOUSES THAT PROVIDE HOSPICE INPATIENT AND RESIDENTIAL CARE FOR TERMINALLY ILL PATIENTS DURING THE FINAL STAGES OF ILLNESS. THE WENDOVER HOSPICE HOUSE HAS 16 BEDS AND THE TESTA FAMILY HOSPICE HOUSE HAS 8 BEDS. DURING 2019, HOSPICE CLEVELAND COUNTY PROVIDED 5,781 DAYS OF CARE IN THESE FACILITIES. HOSPICE CLEVELAND COUNTY SERVED 428 PATIENTS IN THE HOSPICE HOUSES IN 2019. 659705 315447 PALLIATIVE CARE CLEVELAND PROVIDES A PROGRAM OF PAIN CONTROL, SYMPTOM MANAGEMENT AND ASSISTANCE WITH DIFFICULT DECISION MAKING. DURING 2019, PALLIATIVE CARE CLEVELAND COUNTY SERVED 590 PATIENTS. 9998433 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 40 0 162 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X PAM BENFIELD 7044874677 951 WENDOVER HEIGHTS DRIVE SHELBY NC 28150 ALEX BELL TREASURER 1.00 X X 0 0 0 ANDREA LESLIE-FITE BOARD MEMBER 1.00 X 0 0 0 CHARLES WEBBER BOARD MEMBER 1.00 X 0 0 0 DONNA BERINGER BOARD MEMBER 1.00 X 0 0 0 GREG GRIER SECRETARY 1.00 X X 0 0 0 JT SCRUGGS BOARD MEMBER 1.00 X 0 0 0 JASON GLASS BOARD MEMBER 1.00 X 0 0 0 JENNIE LAMBERT VICE CHAIRPERSON 1.00 X X 0 0 0 JONATHAN RHODES BOARD MEMBER 1.00 X 0 0 0 KATIE BORDERS BOARD MEMBER 1.00 X 0 0 0 KEVIN BENNETT BOARD MEMBER 1.00 X 0 0 0 KYLE ALDINGER BOARD MEMBER 1.00 X 0 0 0 LARRY DOOLEY BOARD MEMBER 1.00 X 0 0 0 PETE MOORE CHAIRPERSON 1.00 X X 0 0 0 SCOTT FRANKLIN BOARD MEMBER 1.00 X 0 0 0 MYRA MCGINNIS PRESIDENT/CEO 46.00 X 168628 0 15150 PAM BENFIELD VP OF FINANCIAL SERVICES 45.00 X 90446 0 11728 ERIC PARKER NURSE PRACTITIONER 41.00 X 103977 0 11832 JASON BEAM VP OF ADMINISTRATIVE SERVICES 46.00 X 101313 0 12080 PATRICIA MCMURRY VP OF ACCESS 44.00 X 101787 0 12071 THERESA ISAACS NURSE PRACTITIONER 44.00 X 106026 0 12144 672177 0 75005 5 0 1 0 HOSPICE AND PALLIATIVE CARE CHARLOTTE RE 7845 LITTLE AVENUE CHARLOTTE NC 28226 CONTRACTED PHYSICIAN SERVICES 133781 1 84466 38207 566370 290987 689043 PATIENT REVENUE 621610 11874715 11874715 11874715 650906 650906 15000 0 15000 15000 15000 579 -579 -579 -579 26507 38207 15906 10601 10601 MISCELLANEOUS 900099 1831 1831 1831 13241517 11874715 0 677759 462174 462174 5166218 4673310 472219 20689 138848 113853 24995 626397 513646 112751 412753 334238 74296 4219 13421 13421 46545 46545 354699 264397 90302 31584 31584 122509 50918 71591 103367 89929 13438 196296 86545 109751 154477 150171 4306 22635 11017 11618 451268 306339 144929 40170 12792 27378 PURCHASED SERVICES 2051885 2051885 SUPPLIES 775431 754607 20824 BAD DEBT EXPENSES 275342 275342 THRIFT STORE EXPENSES 256038 256038 120602 21822 98780 11822659 9998433 1799318 24908 2500 3760 9893946 11660122 23410 14833 1126786 1141310 25131 27858 58622 72838 11512766 6195835 5747376 5316931 9057478 11011599 67446 65230 26002695 29314481 1009642 1100464 334138 381922 1343780 1482386 X 24414899 27577829 244016 254266 24658915 27832095 26002695 29314481 X 1418858 1520002 -74786 309106 X X 0 1 X 1 0 X 313180 345339 517499 552491 697286 2425795 313180 345339 517499 552491 697286 2425795 2425795 217005 272029 246245 589801 665906 1990986 277 349 12943 2994 1831 18394 4435175 58291911 0.54690 0.54840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 722 722 0 PART II-B, LINE 1: THE ORGANIZATION BELONGS TO THE NATIONAL HOSPICE & PALLIATIVE CARE ORGANIZATION AND THE ASSOCIATION FOR HOME AND HOSPICE CARE OF NORTH CAROLINA. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS WAS USED FOR SPECIFIC LOBBYING PURPOSES. 1224506 617904 278362 2120772 546022 786624 -97555 10585 1224506 425311 55489 65222 546022 412449 11046 12862 11046 425311 398923 35730 -11474 10730 412449 0.89000 0.11000 0 0 810679 810679 8231904 4423121 3808783 818805 520952 297853 1651378 1251762 399616 5316931 ESTIMATED THIRD PARTY LIABILITY 381922 381922 X 14444707 1520002 -316812 1203190 13241517 0 13241517 11291279 0 11291279 531380 531380 11822659 PART V, LINE 4: TO SUPPORT OPERATIONS AS NEEDED. PART X, LINE 2: THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE IMPLEMENTATION OF THIS STANDARD HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT FEES -74,786. THRIFT STORE EXPENSES -256,038. GAIN ON BENEFICIAL INTEREST 259,495. BAD DEBT EXP -275,342. OTHER NET ASSETS RELEASED 29,861. ROUNDING -2. PART XII, LINE 4B - OTHER ADJUSTMENTS: THRIFT STORE EXPENSES 256,038. BAD DEBT EXP 275,342. CHICKEN DINNER 41790 25640 16150 6478 1764 HEARTS FOR HOSPICE 10017 10017 1628 1 7050 2550 4500 3825 58857 38207 20650 10303 3392 13695 6955 1 1 X X X X 0 0 0 0 0 0 0 0 0 MYRA MCGINNIS PRESIDENT/CEO 161307 0 5737 0 1584 0 5089 0 10061 0 183778 0 0 0 X 17167 SALES VALUE - FMV X 273820 SALES VALUE - FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION TYPICALLY PRESENTS THE FORM 990 TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED. FOR TAX REPORTING YEAR 2019, THIS WAS NOT POSSIBLE DUE TO THE COVID-19 PANDEMIC. ORGANIZATION STAFF HAVE REVIEWED AND APPROVED THE FORM 990 AND WILL PRESENT THE FORM 990 TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS AS SOON AS REGULAR MONTHLY MEETINGS RESUME FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY THAT COVERS ALL EMPLOYEES AND BOARD MEMBERS. EACH YEAR THE CONFLICT OF INTEREST POLICY IS REVIEWED BY EMPLOYEES THROUGH AN ON-LINE EDUCATION MODULE CALLED HCC CORPORATE COMPLIANCE. SENIOR LEADERSHIP AND ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE, SIGN, AND DATE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. ALL DISCLOSURES BY BOARD MEMBERS ARE REVIEWED AND APPROVED BY THE BOARD CHAIRPERSON. FORM 990, PART VI, SECTION B, LINE 15 ALL BOARD MEMBERS EVALUATE THE PRESIDENT/CEO THROUGH AN ON-LINE EVALUATION WEBSITE, PROVIDING RATINGS FOR EACH JOB RESPONSIBILITY. THE SCORES ARE AGGREGATED BY SENIOR STAFF AND THEN PRESENTED TO THE PERSONNEL COMMITTEE FOR REVIEW. THE COMPENSATION INCREASE IS DETERMINED BY USING THE ORGANIZATION'S COMPENSATION RATING SYSTEM, WHICH TIES EVALUATION SCORES TO SALARY INCREASES. THE COMMITTEE ALSO REVIEWS COMPARATIVE SALARY DATA FROM SURVEYS CONDUCTED BY INDEPENDENT VENDORS. THE PERSONNEL COMMITTEE PRESENTS THE EVALUATION RESULTS AND COMPENSATION RECOMMENDATION TO THE BOARD FOR APPROVAL. THE PRESIDENT/CEO DOES A REVIEW OF SALARY SURVEYS TO ESTABLISH SALARY RANGE GUIDELINES FOR ALL POSITIONS. THESE SALARY RANGES ARE THEN APPROVED BY THE PERSONNEL COMMITTEE. AN ANNUAL PERFORMANCE REVIEW IS COMPLETED EACH YEAR AND ANY ADJUSTMENT TO COMPENSATION IS DETERMINED AT THAT TIME. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS FOR REVIEW OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS MUST BE SUBMITTED TO HOSPICE OF CLEVELAND COUNTY, INC. IN WRITING AND MUST INCLUDE THE NAME, ADDRESS, AND TELEPHONE NUMBER OF THE INDIVIDUAL OR ENTITY MAKING THE REQUEST. ALL REQUESTS ARE SUBMITTED TO THE PRESIDENT/CEO FOR REVIEW. THE DOCUMENTS ARE MADE AVAILABLE WITHIN TWO WEEKS OF RECEIPT OF THE WRITTEN REQUEST. THE DOCUMENTS ARE AVAILABLE FOR REVIEW AT THE HOSPICE OF CLEVELAND COUNTY. INC. ADMINISTRATIVE OFFICE BUILDING. FORM 990, PART XI, LINE 9: CHANGE IN DISCOUNT FOR PLEDGES RECEIVABLE 923. CHANGE IN ENDOWMENT HELD BY OTHERS 29,596. CHANGE IN ALLOWANCE FOR UNCOLLECTIBLE PLEDGES 9,000. TRANSFER OF SPENDABLE PORTION OF ENDOWMENT TO FOREVER FUND -9,844. NET ASSETS RELEASED FROM RESTRICTIONS FOR RESPITE CARE -7,722. WRITE OFF OF UNCOLLECTIBLE PLEDGES -9,000. GAIN/LOSS ON BENEFICIAL INTEREST 259,495. OTHER RESTRICTED CONTRIBUTIONS 6,797. OTHER NET ASSETS RELEASED 29,861. FORM 990, PART XII, LINE 2C DURING THE YEAR, THE ORGANIZATION DID NOT CHANGE ITS PROCESS FOR OVERSEEING THE ANNUAL AUDIT AND THE PROCESS FOR SELECTING AN INDEPENDENT ACCOUNTANT TO PERFORM THE ANNUAL AUDIT.