2019-06-10T10:47:56-05:00 2018-12-31 560517823 KOONCE WOOTEN & HAYWOOD LLP P O BOX 17806 RALEIGH NC 276197806 990 2018-01-01 561228779 HOSPICE OF WAKE COUNTY INC HOSP 9198280890 250 HOSPICE CIRCLE RALEIGH NC 27607 JOHN THOMA EXECUTIVE DIRECTOR 9198280890 2019-06-04 1 DAVID BOYCE P01368646 9197829265 24.106.199.106 2019-06-04 09:49:20 ED P 0E72C79E3F294D61F191216DE413AF11847F8E18 97A7BDDEF89A126C22334604E14F7E0FE42F9C00 2018 2019-02-21 02:37:17Z TRANSITIONS LIFECARE JOHN THOMA 250 HOSPICE CIRCLE RALEIGH NC 27607 43888204 0 X N/A X 1979 NC TO CARE FOR INDIVIDUALS AND FAMILIES WITH COMPASSION, SUPPORT, AND EXPERTISE AS THEY NAVIGATE THE END OF LIFE OR LIFE-CHANGING ILLNESS. 19 19 611 409 0 0 2821425 2815348 36739804 40549234 16825 26998 75751 283833 39653805 43675413 0 0 0 0 29107264 32035175 0 0 849327 11629961 12396433 40737225 44431608 -1083420 -756195 23870127 23282606 3775235 3989746 20094892 19292860 TO CARE FOR INDIVIDUALS AND FAMILIES WITH COMPASSION, SUPPORT, AND EXPERTISE AS THEY NAVIGATE THE END OF LIFE OR LIFE-CHANGING ILLNESS. 0 0 39656291 40563194 HOSPICE PROVIDED AT HOME MEDICAL CARE FOR THE TERMINALLY ILL AS WELL AS PALLIATIVE CARE, GRIEF COUNSELING FOR HOSPICE FAMILIES AND THE COMMUNITY AND EDUCATIONAL PROGRAMS RELATING TO END OF LIFE CARE. 39656291 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 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 1 0 0 0 1 10 0 611 1 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X ANTOINETTE MESSLER 9198280890 250 HOSPICE CIRCLE RALEIGH NC 27607 JOHN BASON BOARD MEMBER 0.50 X 0 0 0 BETH BLACK BOARD MEMBER 0.50 X 0 0 0 SUSAN CATCHINGS BOARD MEMBER 0.50 X 0 0 0 ZEKE CREECH BOARD MEMBER 0.50 X 0 0 0 MATT DAVIS TREASURER 0.50 X X 0 0 0 BILLY DUNLAP BOARD MEMBER 0.50 X 0 0 0 PAUL IMMANUEL BOARD MEMBER 0.50 X 0 0 0 LINDA JEFFERSON BOARD MEMBER 0.50 X 0 0 0 CHARLES KABUGO-MUSOKE BOARD MEMBER 0.50 X 0 0 0 NICK KENNEY BOARD MEMBER 0.50 X 0 0 0 STEVE LYONS BOARD MEMBER 0.50 X 0 0 0 CATHY O'DELL BOARD MEMBER 0.50 X 0 0 0 TRES PITTMAN PRESIDENT 0.50 X X 0 0 0 RHONDA RANEY BOARD MEMBER 0.50 X 0 0 0 JASON SANDNER BOARD MEMBER 0.50 X 0 0 0 ROBIN SIMONTON SECRETARY 0.50 X X 0 0 0 JOHN THOMA CHIEF EXECUTIVE OFFICER 40.00 X X 203080 0 13657 TOM WILLIAMS VICE PRESIDENT 0.50 X X 0 0 0 ADAM WOLK BOARD MEMBER 0.50 X 0 0 0 LAURA PATEL CHIEF MEDICAL OFFICER 40.00 X 267480 0 11357 PETER N MCCANN CHIEF STRATEGY OFFICER-HEALTH CARE 40.00 X 24121 0 542 ANTOINETTE MESSLER SENIOR VP OF FINANCE AND OPERATIONS 40.00 X 144302 0 12866 MEGAN A DEMARIANO ASSOCIATE MEDICAL DIRECTOR 40.00 X 177889 0 13299 CHRISTINE M KHANDELWAL DIRECTOR OF INPATIENT PALLATIVE MEDICINE 40.00 X 211132 0 13948 STEPHEN S MARSH ASSOCIATE MEDICAL DIRECTOR 40.00 X 190819 0 17691 CHRISTOPHER THOMPSON HOSPICE AND PALLATIVE MEDICINE PHYSICIAN 40.00 X 191746 0 22879 LESLIE E SUTTON ASSOCIATE MEDICAL DIRECTOR 40.00 X 189206 0 16909 1599775 0 123148 8 0 1 0 0 19079 40000 27500 2728769 116914 2815348 PATIENT SERVICE REIMBURSEMENTS 900099 40549234 40549234 40549234 13038 13038 215978 202018 13960 13960 13960 294606 10773 283833 283833 43675413 40563194 0 296871 685639 685639 25492252 23826371 1160700 505181 668488 639347 15585 13556 3362283 3078576 219310 64397 1826513 1623301 169331 33881 7371 4505 2146 720 44050 44050 295868 214491 47102 34275 323227 323227 1411513 902065 471561 37887 877029 421228 447992 7809 1041816 1029030 12308 478 59230 59230 600872 300436 300436 117991 58848 59143 SKILLED NURSING-ROOM & 2570134 2570134 DURABLE MEDICAL EQUIPME 2179876 2179876 PHARMACY 1661318 1661318 OUTPATIENT TREATMENTS 512524 512524 693614 311014 231457 151143 44431608 39656291 3925990 849327 98876 84900 1595380 1996446 1955490 1304257 4123530 4246867 73989 98665 19953266 4975058 15553255 14978208 339377 311725 130230 261538 23870127 23282606 2253663 2186634 89440 78460 1428327 1723207 3805 1445 3775235 3989746 X 18396011 17809204 1698881 1483656 20094892 19292860 23870127 23282606 -756195 -45837 0 X X 0 1 X 1 0 X 2143309 1675273 2869299 2905950 3069954 12663785 2143309 1675273 2869299 2905950 3069954 12663785 12663785 6103 4424 9645 11484 13038 44694 12708479 169557355 0.99650 0.99640 X 1867362 346204 -150418 -40000 2103148 1488577 151884 226901 1867362 1391345 24001 73231 1488577 1702504 36090 -46546 300703 1391345 1712902 -10398 1702504 0.77000 0.23000 0 1 1 17871252 3444555 14426697 18441 3265 15176 2063573 1527238 536335 14978208 DUE TO END OF LIFE COALITION 1445 1445 43640349 -45837 10773 -35064 43675413 0 43675413 44442381 10773 10773 44431608 0 44431608 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES CABIN FEVER 42755 42755 SUMMER SALUTE 125061 125061 7 126790 126790 10773 294606 294606 10773 10773 283833 X X 0 0 0 0 0 0 0 0 0 JOHN THOMA CHIEF EXECUTIVE OFFICER 203080 0 0 0 0 0 7644 0 6013 0 216737 0 0 0 LAURA PATEL CHIEF MEDICAL OFFICER 267480 0 0 0 0 0 10979 0 378 0 278837 0 0 0 ANTOINETTE MESSLER SENIOR VP OF FINANCE AND OPERATIONS 144302 0 0 0 0 0 5848 0 7018 0 157168 0 0 0 MEGAN A DEMARIANO ASSOCIATE MEDICAL DIRECTOR 177889 0 0 0 0 0 7306 0 5993 0 191188 0 0 0 CHRISTINE M KHANDELWAL DIRECTOR OF INPATIENT PALLATIVE MEDI 211132 0 0 0 0 0 8491 0 5457 0 225080 0 0 0 STEPHEN S MARSH ASSOCIATE MEDICAL DIRECTOR 190819 0 0 0 0 0 7884 0 9807 0 208510 0 0 0 CHRISTOPHER THOMPSON HOSPICE AND PALLATIVE MEDICINE PHYSI 191746 0 0 0 0 0 8039 0 14840 0 214625 0 0 0 LESLIE E SUTTON ASSOCIATE MEDICAL DIRECTOR 189206 0 0 0 0 0 8108 0 8801 0 206115 0 0 0 X 16 44766 X BURIAL PLOTS 7 64690 X MISCELLANEOUS 2 3358 X DONATED SERVICES 2 3100 X GIFT CARDS 1 1000 0 1 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE EXECUTIVE AND FINANCE COMMITTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST IS REVIEWED ANNUALLY IN BOARD MEETING AND EACH MEMBER IS REQUIRED TO SIGN THEIR UNDERSTANDING OF THE DOCUMENT. FORM 990, PART VI, SECTION B, LINE 15A FORM 990, PART VI, SECTION B, LINE 15: PRESIDENT OF THE BOARD AND THE EXECUTIVE COMMITTEE REVIEW THE CEO'S PERFORMANCE AND REVIEW COMPARABLE SALARIES IN THE INDUSTRY USING SALARY INFORMATION OBTAINED BY THE HUMAN RESOURCES DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON DEMAND. THEY CAN BE EMAILED OR VIEWED HARDCOPY IN THE OFFICE. WE HAVE MAILED HARDCOPY REQUESTS AS WELL. FORM 990, PART XII, LINE 2C: THE AUDIT OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HOSPICE OF WAKE COUNTY FOUNDATION INC 250 HOSPICE CIRCLE RALEIGH NC 27607 561867838 RAISES AND INVESTS FUNDS TO BE USED IN THE FUTURE BY HOSPICE OF WAKE COUNTY NC 501 (C)(3) 509 (A)(3) 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0