2018-07-25T09:11:27-05:00 2017-12-31 420714325 RSM US LLP 230 N ELM ST STE 1100 GREENSBORO NC 27401 990 2017-01-01 581343313 HOSPICE & PALLIATIVE CARECENTER HOSP 3367683972 101 HOSPICE LANE WINSTONSALEM NC 27103 DAVE SHELTON CFO 3367683972 2018-07-25 1 ANNA C CHASE P01374907 3362724551 2017 2022-09-23 18:48:47Z LINDA W DARDEN 101 HOSPICE LANE WINSTONSALEM NC 27103 25216774 0 X WWW.HOSPICECARECENTER.ORG X 1978 NC HOSPICE & PALLIATIVE CARECENTER PROVIDES IN-HOME AND INPATIENT MEDICAL CARE FOR THE TERMINALLY ILL, TRAINS VOLUNTEERS TO ASSIST WITH FAMILIES OF PATIENTS, AND CONDUCTS EDUCATIONAL GRIEF SEMINARS FOR THE COMMUNITY. IN 2017, HOSPICE & PALLIATIVE CARECENTER CARED FOR 2,864 PATIENTS. 25 25 472 377 0 0 3037529 2413317 24562916 22637680 3974 5338 -99897 -144024 27504522 24912311 0 0 0 0 18337857 18377947 0 0 709564 7964758 7551964 26302615 25929911 1201907 -1017600 29713711 28963599 2427267 2718181 27286444 26245418 X HOSPICE & PALLIATIVE CARECENTER PROVIDES COMPASSIONATE CARE FOR THOSE INDIVIDUALS LIVING WITH A LIFE-LIMITING ILLNESS AND THEIR FAMILIES, THROUGH QUALITY MEDICAL, EMOTIONAL, SPIRITUAL, AND SOCIAL SUPPORT. 0 0 12390934 15586917 HOSPICE HOMECARE - PROVIDES MEDICAL CARE FOR TERMINALLY ILL PATIENTS, FOCUSING ON IMPROVING QUALITY OF LIFE, PHYSICAL AND EMOTIONAL COMFORT, DIGNITY AND PEACE OF MIND FOR PATIENTS AND THEIR FAMILIES. SKILLED PROFESSIONALS PROVIDE IN-HOME PATIENT SERVICES, INCLUDING NURSING HOMES, ASSISTED LIVING HOMES, GROUP HOMES, REST HOMES, AND RETIREMENT COMMUNITIES, REGARDLESS OF ABILITY TO PAY.IN 2017, HOSPICE & PALLIATIVE CARECENTER PROVIDED 97,967 DAYS OF CARE TO 1,873 PATIENTS IN THIS CAPACITY. 4603387 4222778 KATE B. REYNOLDS (KBR) HOSPICE HOME - 40-BED INPATIENT FACILITY THAT PROVIDES HOSPICE PATIENTS STATE OF THE ART CARE IN A BEAUTIFUL, HOME-LIKE SETTING. HOSPICE PATIENTS RECEIVING CARE AT HOME MAY BE ADMITTED TO THE KBR HOSPICE HOME WHEN NECESSARY MEDICAL CARE IS NOT EASILY MANAGED AT HOME, OR WHEN A CAREGIVER IS IN NEED OF RESPITE.IN 2017, KATE B. REYNOLDS HOSPICE HOME PROVIDED 8,004 DAYS OF CARE TO 991 PATIENTS. 2330336 2687638 ROWAN HOSPICE AND PALLIATIVE CARE-HOSPICE AND PALLIATIVE CARECENTER INVESTS IN AND MANAGES ROWAN HOSPICE. REVENUE INCLUDES REIMBURSMENTS FOR OPERATING AND MANAGEMENT EXPENSES. 88597 COMMUNITY PARTNERSHIP/COMMUNITY EDUCATION 220413 1750 GRIEF COUNSELING SERVICES 124421 COMPLEMENTARY THERAPIES 140347 PALLIATIVE CARE SERVICES 433431 142097 19758088 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 83 0 1 472 1 0 0 0 0 0 1 1 0 0 0 0 X 25 25 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NC X SUSAN BRANNOCK 3367683972 101 HOSPICE LANE WINSTONSALEM NC 27103 X TRACEY MARTIN CHAIR, HOSPICE FOUNDATION MEMBER 1.00 1.00 X X 0 0 0 AARON SINGLETON VICE CHAIR, HOSPICE FOUNDATION MEMBER 1.00 1.00 X X 0 0 0 MELISSA PHIPPS SECRETARY 1.00 X X 0 0 0 TIM SECHREST TREASURER 1.00 X X 0 0 0 MARGARET ANN HOFLER PAST CHAIR 1.00 X X 0 0 0 JOHN HUNT MEMBER, HOSPICE FOUNDATION CHAIR 1.00 1.00 X 0 0 0 PETER JURAN AT LARGE 1.00 X 0 0 0 STEVE LINEBERGER AT LARGE 1.00 X 0 0 0 SARA WALPOLE AT LARGE 1.00 X 0 0 0 CAMILLE BANKS-PAYNE MEMBER 1.00 X 0 0 0 DR STEVEN BLOCK MEMBER 1.00 X 0 0 0 BEVERLY BRADSTOCK MEMBER 1.00 X 0 0 0 REV R CRAIG FORD MEMBER 1.00 X 0 0 0 SHARON GENTRY MEMBER 1.00 X 0 0 0 RICHARD GOTTLIEB MEMBER 1.00 X 0 0 0 DR GARY GREEN MEMBER 1.00 X 0 0 0 JENNIFER HOULIHAN MEMBER 1.00 X 0 0 0 DR SIR WALTER MACK JR MEMBER 1.00 X 0 0 0 DAVID MATTHEWS MEMBER 1.00 X 0 0 0 KIMBERLY MOORE MEMBER 1.00 X 0 0 0 HERNANDO RAMIREZ-SANTOS MEMBER 1.00 X 0 0 0 TANNER ROBINSON MEMBER 1.00 X 0 0 0 SCOTT TEMPLETON MEMBER 1.00 X 0 0 0 JOHN VOGLER MEMBER 1.00 X 0 0 0 CANDICE WOOTEN BROWN MEMBER 1.00 X 0 0 0 LINDA DARDEN CEO 35.00 5.00 X 202176 0 20374 DAVE SHELTON CFO 39.00 1.00 X 132021 0 25111 MICHAEL LALOR CHIEF MEDICAL OFFICER 35.00 5.00 X 239444 0 26165 BRENT SHARPE PHARMACIST 40.00 X 164468 0 8218 TIMOTHY CORBETT PHYSICIAN 40.00 X 207534 0 35515 CATHY SHORE PHYSICIAN 23.00 X 159220 0 24903 VIRGINIA WHITE SR VICE PRESIDENT 40.00 X 127758 0 11617 SUSAN SCOTT PHARMACIST 40.00 X 113310 0 15016 1345931 0 166919 11 0 1 0 LUTHERAN HOME-FORSYTH COUNTY INC DBA T 7449 FAIR OAKS DRIVE CLEMMONS NC 27012 NURSING HOME 239367 NETSMART TECHNOLOGIES INC 3333 SILAS CREEK PKWY WINSTONSALEM NC 27103 SOFTWARE 181991 NC BAPTIST HOSPITAL MEDICAL CENTER BLVD WINSTONSALEM NC 27157 HOSPITAL 179550 NEXT MEDICAL STAFFING LLC 3905 CLEMMONS ROAD CLEMMONS NC 27012 CONTRACT LABOR NURSES 175888 SILAS CREEK REHABILITATION 3350 SILAS CREEK PARKWAY WINSTONSALEM NC 27103 NURSING HOME 170312 12 200720 525140 731127 956330 58303 2413317 PATIENT SERVICE REVENUE 621610 19950042 19950042 MANAGEMENT REVENUE 621610 2687638 2687638 22637680 5687 5687 28092 28441 -349 -349 -349 89417 525140 276022 -186605 -186605 OTHER INCOME 621610 42581 1750 40831 42581 24912311 22639430 0 -140436 X 645293 265610 379683 13427680 10576434 2454053 397193 252182 206801 38123 7258 2962646 2346726 533621 82299 1090146 855701 204739 29706 67419 14827 52592 37100 37100 2627806 2202423 344992 80391 138102 87005 51097 485635 86145 374355 25135 260434 260434 372754 214793 157961 545543 512329 31418 1796 1060 1060 274 274 530176 258259 271917 92716 92716 PATIENT MEDICAL SUPPLIE 1983124 1983124 EQUIPMENT & MAINTENANCE 107653 71219 36434 HOSPITALITY 64492 18576 25292 20624 CONTINUING EDUCATION 50045 20484 16489 13072 187631 124363 62275 993 25929911 19758088 5462259 709564 2089071 2141715 13501598 13018262 1668154 1744917 87660 82782 170926 120133 19614178 8392225 11510967 11221953 502823 484896 182512 148941 29713711 28963599 2362351 2718181 64916 2427267 2718181 X 27060762 26011701 225682 233717 27286444 26245418 29713711 28963599 -1017600 -23426 0 X X 0 1 X 1 0 X 2193593 2826979 2584936 3037529 2413317 13056354 2193593 2826979 2584936 3037529 2413317 13056354 510228 12546126 13331 10187 4035 4295 5687 37535 128851 161663 118135 158303 131998 698950 13792839 123066271 0.90960 0.85090 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2013 AMOUNT: $ 63,106. 2014 AMOUNT: $ 62,308. 2015 AMOUNT: $ 48,485. 2016 AMOUNT: $ 48,593. 2017 AMOUNT: $ 42,581. SPECIAL EVENTS INCOME - 2013 AMOUNT: $ 65,745. 2014 AMOUNT: $ 99,355. 2015 AMOUNT: $ 69,650. 2016 AMOUNT: $ 109,710. 2017 AMOUNT: $ 89,417. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 756977 756977 12013380 3908182 8105198 4338980 3489211 849769 2504841 994832 1510009 11221953 X 26553555 -23426 1000 1664730 1642304 24911251 1060 1060 24912311 26011041 1000 81190 82190 25928851 1060 1060 25929911 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE HOSPICE'S TAX POSITION AND CONCLUDED THAT HOSPICE HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: THE HOSPICE FOUNDATION REVENUE 2,395,857. LESS CONSOLIDATION ELIMINATIONS -731,127. PART XII, LINE 2D - OTHER ADJUSTMENTS: THE HOSPICE FOUNDATION EXPENSES 812,317. LESS CONSOLIDATION ELIMINATIONS -731,127. SPEAKER SERIES 266683 237966 28717 382 34897 75155 18576 HOSPICE HOPE RUN 163170 133170 30000 1629 2643 2000 31184 8 184704 154004 30700 12133 15566 15399 38952 2200 25306 614557 525140 89417 12133 17577 50296 41595 79355 75066 276022 -186605 X X 0 0 0 0 0 0 0 0 0 LINDA DARDEN CEO 200886 0 0 0 1290 0 5096 0 15278 0 222550 0 0 0 DAVE SHELTON CFO 130041 0 0 0 1980 0 6801 0 18310 0 157132 0 0 0 MICHAEL LALOR CHIEF MEDICAL OFFICER 238994 0 0 0 450 0 2256 0 23909 0 265609 0 0 0 BRENT SHARPE PHARMACIST 164468 0 0 0 0 0 8218 0 0 0 172686 0 0 0 TIMOTHY CORBETT PHYSICIAN 207534 0 0 0 0 0 3750 0 31765 0 243049 0 0 0 CATHY SHORE PHYSICIAN 159220 0 0 0 0 0 0 0 24903 0 184123 0 0 0 LINDA W DARDEN CEO 2688000 SERVICES MANAGER ALSO OF ROWAN HOSPICE AND PALLIATIVE CARE LLC WHICH RECEIVES SERVICES FROM THIS ORGANIZATION. THIS ORGANIZATION HAS A 50% INTEREST IN ROWAN HOSPICE AND PALLIATIVE CARE LLC. THE TOTAL AMOUNT LISTED ABOVE INCLUDES $194,000 IN FEES AND $2,494,000 IN SERVICES. 0 X 300 FMV AT DONATION DATE X 1730 FMV AT DONATION DATE X 12 27916 FMV AT DONATION DATE X 68 16260 FMV AT DONATION DATE X 15 713 FMV AT DONATION DATE X RAFFLE PRIZES 264 7114 FMV AT DONATION DATE X FLOWERS 30 2720 FMV AT DONATION DATE X DECOR 6 1550 FMV AT DONATION DATE 0 1 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS IN COLUMN B REFLECTS THE NUMBER OF ITEMS RECEIVED. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: WHEN THE FORM IS RECEIVED FROM THE PREPARING ACCOUNTING FIRM, THE ENTIRE FORM IS REVIEWED BY THE CFO OF HOSPICE & PALLIATIVE CARECENTER. THIS REVIEW CONSISTS OF CHECKS FOR REASONABLENESS AND DIFFERENCES IN INFORMATION REPORTED TO PREPARING ACCOUNTING FIRM AND FINAL DOCUMENT. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY SIGN A STATEMENT DISCLOSING WHETHER THEY ARE ENGAGED IN ANY ACTIVITIES THAT COULD BE CONSTRUED AS A CONFLICT OF INTEREST TO THE MISSION AND ACTIVITIES OF HOSPICE & PALLIATIVE CARECENTER. FORM 990, PART VI, SECTION B, LINE 15 DETERMINING COMPENSATION FOR THE ORGANIZATION CEO IS DONE BY THE GOVERNING BOARD OF DIRECTORS BY CONSULTING MARKET SURVEYS, PUBLISHED INDUSTRY STANDARDS, AND THE "HOSPICE & HOMECARE SALARY & BENEFITS REPORT". DETERMINING COMPENSATION FOR THE ORGANIZATION'S OTHER KEY EMPLOYEES IS DONE BY THE VP OF HUMAN RESOURCES BY CONSULTING MARKET SURVEYS, PUBLISHED INDUSTRY STANDARDS, AND THE "HOSPICE & HOMECARE SALARY & BENEFITS REPORT". FORM 990, PART VI, SECTION C, LINE 19 HOSPICE & PALLIATIVE CARECENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR ITS FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. DOCUMENTS OPEN TO PUBLIC INSPECTION ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART VII, SECTION A, COLUMN F THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN COLUMN F, PART VII AND IS NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. FORM 990, PART VII, LINE 1A, COLUMN B: THE CHAIR AND VICE CHAIR OF HOSPICE & PALLIATIVE CARECENTER JOINTLY SERVE ON THE HOSPICE FOUNDATION AND HOSPICE & PALLIATE CARECENTER'S BOARD OF DIRECTORS. BOTH DIRECTORS DEVOTE APPROXIMATELY ONE HOUR PER WEEK TO EACH OF THE ORGANIZATIONS. THE CHAIR OF THE HOSPICE FOUNDATION JOINTLY SERVES ON THE FOUNDATION'S AND HOSPICE & PALLIATIVE CARECENTER'S BOARDS OF DIRECTORS, AND DEVOTES APPROXIMATELY ONE HOUR PER WEEK TO EACH OF THE ORGANIZATIONS. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,202,423. MANAGEMENT AND GENERAL EXPENSES 344,992. FUNDRAISING EXPENSES 80,391. TOTAL EXPENSES 2,627,806. FORM 990, PART XII, LINE 2C: FINANCE COMMITTEE THE FINANCE COMMITTEE'S PROCESS OF EVALUATION HAS NOT CHANGED SINCE PRIOR YEAR. THE HOSPICE FOUNDATION 101 HOSPICE LANE WINSTONSALEM NC 27103 561823562 SUPPORT OF HOSPICE & PALLIATIVE CARECENTER NC 501(C)(3) LINE 12A, I HOSPICE & PALLIATIVE CARECENTER 1 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 THE HOSPICE FOUNDATION C 731127 CASH THE HOSPICE FOUNDATION R 70749 CASH THE HOSPICE FOUNDATION S 1000000 CASH