2019-05-15T12:01:37-05:00 2018-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2017-10-01 561249146 HOSPICE AT GREENSBORO INC HOSP 3366212500 2500 SUMMIT AVENUE GREENSBORO NC 27405 KRISTEN WITHER YNTEMA PRESIDENT/CEO 3366212500 2019-01-28 1 JOHN NORMAN P01506766 7049985200 2019-01-28 67.137.57.251 2019-01-28 09:09:54 ES P 9ACEB88934FFCCBD98C12E2F38B246F9B43CAC86 05D40396C64CAAEAD6B5F0229E39251D2935E1B1 2017 2019-02-21 02:37:17Z HOSPICE & PALLIATIVE CARE OF GREENSBORO KRISTEN WITHER YNTEMA 2500 SUMMIT AVENUE GREENSBORO NC 27405 22089022 0 X WWW.HOSPICEGSO.ORG X 1979 NC THE ORGANIZATION PROVIDES NURSING AND SUPPORT TO THE TERMINALLY ILL AND THEIR FAMILIES 16 16 260 297 0 0 1142464 1100874 19069968 20590044 124715 384134 7889 13970 20345036 22089022 0 1632 0 0 12926454 13710409 0 0 33236 7297630 7175377 20224084 20887418 120952 1201604 14740547 16001548 1694676 2039656 13045871 13961892 THE MISSION OF HOSPICE AND PALLIATIVE CARE OF GREENSBORO IS TO ENHANCE THE QUALITY OF LIFE BY PROVIDING EXPERT INTERDISCIPLINARY CARE, CONSULTATION, SUPPORT AND EDUCATION FOR THOSE AFFECTED BY SERIOUS ILLNESS, DEATH OR GRIEF. 0 0 16738764 19871399 HOSPICE IS A COMPREHENSIVE, TEAM-ORIENTED PROGRAM OF MEDICAL CARE, PAIN MANAGEMENT, EMOTIONAL AND SPIRITUAL SUPPORT PROVIDED FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 167121 894 171258 COUNSELING AND EDUCATION CENTER (CEC) PROVIDES INDIVIDUAL AND GROUP COUNSELING FOR GRIEF AND LOSS OF FAMILIES OF HOSPICE PATIENTS AND THE COMMUNITY. 460426 738 547387 KIDS PATH PROVIDES HOME CARE FOR MEDICALLY FRAGILE AND TERMINALLY ILL CHILDREN, COUNSELING AND SUPPORT FOR CHILDREN EXPERIENCEING SERIOUS ILLNESS OR LOSS, AND CONSULTATION FOR ADULTS WHO CARE FOR CHILDREN EXPERIENCING GRIEF AND LOSS. 17366311 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 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 63 0 260 1 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 X KRISTEN WITHER YNTEMA 3366212500 2500 SUMMIT AVENUE GREENSBORO NC 27405 JIM ROSKELLY CHAIR 2.00 X X 0 0 0 VANESSA HAYGOOD MD VICE-CHAIR 2.00 X X 0 0 0 JEFF JONES 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 SHARON COULTER JAMES BOARD MEMBER 1.00 X 0 0 0 RON JOHNSON BOARD MEMBER 1.00 X 0 0 0 RICK MORGAN SECRETARY/TREASURER 1.00 X X 0 0 0 ANNE MACNER BOARD MEMBER 1.00 X 0 0 0 KARLA MUNDEN BOARD MEMBER 1.00 X 0 0 0 ELLEN PANCOAST BOARD MEMBER 1.00 X 0 0 0 RICK PRO BOARD MEMBER 1.00 X 0 0 0 BARBARA RUBY BOARD MEMBER 1.00 X 0 0 0 YOULAND WILLIAMS BOARD MEMBER 1.00 X 0 0 0 REV MILTON WILLIAMS JR BOARD MEMBER 1.00 X 0 0 0 PATRICK WRIGHT MD BOARD MEMBER 1.00 X 0 0 0 RYAN NEWKIRK BOARD MEMBER 1.00 X 0 0 0 KRISTEN YNTEMA CEO 32.00 8.00 X 158689 0 15273 JAMES T HAIGLER JR CFO 38.00 2.00 X 128867 0 19924 JUAN-CARLOS MONGUILOD CHIEF MEDICAL OFFICER 40.00 X 230266 0 35296 DONALD E HERTWECK PHYSICIAN 40.00 X 200739 0 41238 ANNMARIE M ANEMONE PHYSICIAN 40.00 X 169729 0 26604 JOHN E FELDMAN PHYSICIAN 32.00 X 151776 0 18086 SUSAN COX CHIEF CLINICAL OFFICER 40.00 X 130856 0 12909 PAUL RUSS VP MARKETING DEVELOPMENT 16.00 24.00 X 109119 0 17238 1280041 0 186568 8 0 1 0 PROCARE PBM 1267 PROFESSIONAL PARKWAY GAINESVILLE GA 30507 PHARMACY BENEFIT MANAGER 1175222 ADVANCED HOME CARE INC 4001 PIEDMONT PARKWAY HIGH POINT NC 27265 DME, INFUSION SERVICES 647200 MOSES CONE HOSPITAL 1200 NORTH ELM ST GREENSBORO NC 27401 HOSPITAL AND PHYSICIAN SERVICES 532911 STARMOUNT HEALTH AND REHAB 109 S HOLDEN ROAD GREENSBORO NC 274071319 LTC FACILITY ROOM AND BOARD 266122 ADAMS FARM LIVING AND REHAB CENTER 5100 MACKAY ROAD JAMESTOWN NC 27282 LTC FACILITY ROOM AND BOARD 230529 14 235985 790141 74748 65536 1100874 NET PATIENT SERVICE REVENUE 623000 20590044 20590044 20590044 384134 384134 MISCELLANEOUS REVENUE 900099 13970 13970 13970 22089022 20590044 0 398104 1632 1632 566364 566364 9185323 7905132 1268236 11955 3206964 2666187 536127 4650 751758 620493 130323 942 9068 9068 34277 34277 74427 74427 55789 55789 158061 55254 89387 13420 841568 332790 508190 588 323599 311261 12338 7 7 661658 661658 84329 84329 PATIENT SERVICES AND SU 4804741 4795516 9225 CONTINUING EDUCATION AN 82354 9443 72709 202 DUES AND SUBSCRIPTIONS 44020 6945 37075 FUNDRAISING PROJECT COS 1479 1479 20887418 17366311 3487871 33236 50 3178700 4516106 180083 178438 2089735 2490285 100729 112773 12871700 7299217 6136960 5572483 2722247 2819646 332043 311817 14740547 16001548 1694676 2039656 1694676 2039656 X 12525976 13466102 519895 495790 13045871 13961892 14740547 16001548 1201604 -285583 0 X X 0 1 X 1 0 X 4799556 1675709 1340422 1142464 1100874 10059025 4799556 1675709 1340422 1142464 1100874 10059025 10059025 1365291 155663 99190 121803 384134 2126081 1218 8145 12678 7889 11532 41462 12226568 98389312 0.82270 0.80540 X 16385122 103398 196939 148465 23042 16513952 13914239 839128 1866314 213275 21284 16385122 13065586 146822 916479 194852 19796 13914239 13117019 536392 -486155 80630 21040 13065586 11567867 832749 779952 44335 19214 13117019 0.65000 0.24000 0.11000 1 0 1077796 1077796 7590302 3972838 3617464 4203602 3326379 877223 5572483 LONG TERM INVESTMENTS 2819646 F 2819646 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO FUND CONTINUING OPERATIONS AND SPECIAL PROJECTS OF HOSPICE AT GREENSBORO, INC. 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'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS 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 GUIDANCE HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. X X X X X 1 0 0 0 0 0 0 1 0 KRISTEN YNTEMA CEO 158557 0 0 0 132 0 0 0 15273 0 173962 0 0 0 JUAN-CARLOS MONGUILOD CHIEF MEDICAL OFFICER 214774 0 4000 0 11492 0 15921 0 19375 0 265562 0 0 0 DONALD E HERTWECK PHYSICIAN 186496 0 0 0 14243 0 14239 0 26999 0 241977 0 0 0 ANNMARIE M ANEMONE PHYSICIAN 167184 0 0 0 2545 0 8642 0 17962 0 196333 0 0 0 JOHN E FELDMAN PHYSICIAN 138096 0 0 0 13680 0 9914 0 8172 0 169862 0 0 0 PART I, LINE 4A SUSAN COX $34,087 SEVERANCE PAYMENT PART I, LINE 7 BONUSES WERE PAID TO MEMBERS OF THE LEADERSHIP TEAM WITH THE HIGHEST AMOUNT BEING $4,000. X 8309 X 1 100 X 18 2770 X BURIAL PLOTS 9 50885 X GARDENING SUPPLIES 4 1687 X GIFT CARDS 3 135 0 1 0 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 HOSPICE AT GREENSBORO. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND, ONCE APPROVED, IS REVIEWED WITH THE FULL BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL NEW EMPLOYEES SIGN A CONFLICT OF INTEREST POLICY. IN ADDITION, THE BOARD OF DIRECTORS REVIEW AND UPDATE THE CONFLICT OF INTEREST POLICY ANNUALLY BEFORE SIGNING THEMSELVES. 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 AVAIALBLE UPON REQUEST. PART XII LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HOSPICE FOUNDATION OF GREATER GREENSBORO 2500 SUMMIT AVENUE GREENSBORO NC 27405 471169471 FOUNDATION NC 501(C)(3) LINE 12A, I HOSPICE AT GREENSBORO 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 HOSPICE FOUNDATION OF GREATER GREENSBORO C 790141 INTERCOMPANY TRANSFER