2019-07-22T08:26:05-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2018-01-01 561452373 HOSPICE OF CLEVELAND COUNTY INC HOSP 7044874677 951 WENDOVER HEIGHTS DRIVE SHELBY NC 281503565 MYRA MCGINNIS PRESIDENT/CEO 7044874677 2019-07-22 1 JOHN NORMAN P01506766 7049985200 2019-07-11 67.137.57.251 2019-07-22 09:25:34 ED P E682848054A5964E43F461E45E3C8DD6D38CCA73 DE7838AFFED52625654E7EB43DBCD806CFD0FF8B 2018 2019-02-21 02:37:17Z HOSPICE CLEVELAND COUNTY MYRA MCGINNIS 951 WENDOVER HEIGHTS DRIVE SHELBY NC 281503565 12028703 0 X WWW.HOSPICECARES.CC X 1984 NC HOSPICE OF CLEVELAND COUNTY PROVIDES CARE AND SUPPORT TO PATIENTS WITH A LIFE-LIMITING ILLNESS. 15 15 186 149 0 0 517499 552491 11447013 10858379 224715 563291 68765 31854 12257992 12006015 0 0 0 0 6975223 6996935 0 0 19889 4893779 4393814 11869002 11390749 388990 615266 26178855 26002695 1212530 1343780 24966325 24658915 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 6216145 7191573 HOSPICE CLEVELAND COUNTY PROVIDES COMPREHENSIVE END OF LIFE HEALTHCARE FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES DURING THE FINAL STAGES OF ILLNESS. DURING 2018, HOSPICE CLEVELAND COUNTY PROVIDED 46,639 DAYS OF HOMECARE INCLUDING 10,562 DAYS OF NURSING HOME AND HOSPITAL INPATIENT CARE. HOSPICE CLEVELAND COUNTY SERVED 638 HOMECARE PATIENTS IN 2018. HOSPICE CLEVELAND COUNTY'S INTERDISCIPLINARY TEAMS CONSISTING OF PHYSICIANS, NURSES, HOSPICES AIDES, SOCIAL WORKERS, AND OTHER SUPPORTIVE PERSONNEL PROVIDED OVER 30,973 VISITS DURING 2018. 2880022 3492776 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 2018, HOSPICE CLEVELAND COUNTY PROVIDED 6,817 DAYS OF CARE IN THESE FACILITIES. HOSPICE CLEVELAND COUNTY SERVED 395 PATIENTS IN THE HOSPICE HOUSES IN 2018. 511577 174030 PALLIATIVE CARE CLEVELAND PROVIDES A PROGRAM OF PAIN CONTROL, SYMPTOM MANAGEMENT AND ASSISTANCE WITH DIFFICULT DECISION MAKING. DURING 2018, PALLIATIVE CARE CLEVELAND COUNTY SERVED 438 PATIENTS. 9607744 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 39 0 186 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 1 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 THOMAS WHITE BOARD MEMBER 1.00 X 0 0 0 KATIE BORDERS BOARD MEMBER 1.00 X 0 0 0 SCOTT FRANKLIN BOARD MEMBER 1.00 X 0 0 0 JENNIE LAMBERT BOARD MEMBER 1.00 X 0 0 0 LARRY DOOLEY BOARD MEMBER 1.00 X 0 0 0 ANDREA LESLIE-FITE BOARD MEMBER 1.00 X 0 0 0 JT SCRUGGS BOARD MEMBER 1.00 X 0 0 0 CHARLES WEBBER BOARD MEMBER 1.00 X 0 0 0 BECKY BROWN CHAIRMAN 1.00 X X 0 0 0 JOHN PORTER BOARD MEMBER 1.00 X 0 0 0 JONATHAN RHODES BOARD MEMBER 1.00 X 0 0 0 FORREST THOMPSON VICE CHAIRPERSON 1.00 X X 0 0 0 GREG GRIER SECRETARY 1.00 X X 0 0 0 PETE MOORE BOARD MEMBER 1.00 X 0 0 0 MYRA MCGINNIS PRESIDENT/CEO 45.00 X 150725 0 13188 PAM BENFIELD VP OF FINANCIAL SERVICES 46.00 X 84961 0 10143 THERESA ISAACS NURSE PRACTITIONER 48.00 X 105350 0 10685 ERIC PARKER NURSE PRACTITIONER 42.00 X 104154 0 7853 445190 0 41869 3 0 1 0 HOSPICE & PALLIATIVE CARE CHARLOTTE 1420 EAST SEVENTH STREET CHARLOTTE NC 28204 CONTRACTED PHYSICIAN SERVICES 105458 1 92821 20935 438735 247339 552491 PATIENT REVENUE 621610 10858379 10858379 10858379 574801 574801 15000 0 15000 15000 15000 11510 -11510 -11510 -11510 13321 20935 8149 5172 5172 11717 3029 8688 8688 STORE MISC INCOME 453220 2884 2884 HOSPICE ITEMS - NET 900099 90 90 20 20 2994 12006015 10858379 0 595145 235686 235686 5252897 4549102 686954 16841 127432 110866 16566 978872 851619 127253 402048 349782 49218 3048 1278 1278 43737 43737 286477 195715 90762 29087 29087 130221 59828 70393 100139 87121 13018 225050 118298 106752 149304 144585 4719 23374 10290 13084 481182 337870 143312 41487 12299 29188 PURCHASED SERVICES 1545133 1545133 SUPPLIES 768231 749245 18986 BAD DEBT EXPENSES 225744 225744 THRIFT STORE EXPENSES 217907 217907 125463 13253 112210 11390749 9607744 1763116 19889 5944184 2500 3613332 9893946 47067 23410 1093881 1126786 24788 25131 43507 58622 11561105 5813729 6122033 5747376 9241531 9057478 48532 67446 26178855 26002695 917071 1009642 295459 334138 1212530 1343780 X 24680684 24414899 122382 80757 163259 163259 24966325 24658915 26178855 26002695 X 615266 -747267 -63055 -112354 X X 0 1 X 1 0 X 824110 313180 345339 517499 552491 2552619 824110 313180 345339 517499 552491 2552619 274818 2277801 259024 217005 272029 246245 589801 1584104 -74 -74 277 349 12943 2994 16563 4153212 58438919 0.54840 0.58730 X 0 0 0 0 0 0 0 0 1 223 223 0 PART II-B, LINE 1: THE ORGANIZATION BELONGS TO THE NATIONAL HOSPICE & PALLIATIVE CARE ORGANIZATION. A PORTION OF THE DUES PAID TO THE ORGANIZATION WERE USED FOR SPECIFIC LOBBYING PURPOSES. 546022 786624 -97555 10585 1224506 425311 55489 65222 546022 412449 11046 12862 11046 425311 398923 35730 -11474 10730 412449 300821 87961 19660 9519 398923 0.82570 0.17430 0 0 810679 810679 8296307 4165555 4130752 799004 485056 313948 1612237 1163118 449119 42878 42878 5747376 ESTIMATED THIRD PARTY LIABILITY 334138 334138 X 11639824 -366191 -366191 12006015 0 12006015 11172842 0 11172842 217907 217907 11390749 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, 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT FEES -63,055. THRIFT STORE EXPENSES -217,907. LOSS ON BENEFICIAL INTEREST -85,229. PART XII, LINE 4B - OTHER ADJUSTMENTS: THRIFT STORE EXPENSES 217,907. CHICKEN DINNER 23471 10150 13321 3734 1764 HEARTS FOR HOPSICE 6028 6028 1628 1 4757 4757 1023 34256 20935 13321 3734 4415 8149 5172 1 1 X X X X 0 0 0 0 0 0 0 0 0 MYRA MCGINNIS PRESIDENT/CEO 148641 0 500 0 1584 0 4549 0 8639 0 163913 0 0 0 X 16449 SALES VALUE - FMV X 230890 SALES VALUE - FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATIONS PRESIDENT/CEO WILL REVIEW AND APPROVE THE FORM 990 AND WILL PRESENT IT TO THE FINANCE COMMITTEE. THE FINANCE COMMITTEE WILL THEN PRESENT THE PREPARED FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED. 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 -157. CHANGE IN ENDOWMENT HELD BY OTHERS -6,809. CHANGE IN ALLOWANCE FOR UNCOLLECTIBLE PLEDGES -8,500. TRANSFER OF SPENDABLE PORTION OF ENDOWMENT TO FOREVER FUND -10,286. NET ASSETS RELEASED FROM RESTRICTIONS FOR RESPITE CARE -1,373. WRITE OFF OF UNCOLLECTIBLE PLEDGES -500. GAIN/LOSS ON BENEFICIAL INTEREST -85,229. OTHER RESTRICTED CONTRIBUTIONS 500. 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.