2018-02-14T08:09:14-06:00 2017-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2016-10-01 561249146 HOSPICE AT GREENSBORO INC HOSP 3366212500 2500 SUMMIT AVENUE GREENSBORO NC 27405 KRISTEN WITHER YNTEMA PRESIDENT/CEO 3366212500 2018-02-13 1 JOHN NORMAN P01506766 7049985200 2018-02-13 67.137.57.251 2018-02-13 17:41:27 ES P 3EF7C45E2E2C715E0F0C48D8204FBF55436975B4 083604C8863E9728E453DE315415B04B8395F669 2016 2021-01-29 14:40:06Z HOSPICE & PALLIATIVE CARE OF GREENSBORO KRISTEN WITHER YNTEMA 2500 SUMMIT AVENUE GREENSBORO NC 27405 20345036 0 X WWW.HOSPICEGSO.ORG X 1979 NC THE ORGANIZATION PROVIDES NURSING AND SUPPORT TO THE TERMINALLY ILL AND THEIR FAMILIES 16 16 269 298 0 0 1340422 1142464 19848326 19069968 99190 124715 12678 7889 21300616 20345036 0 0 0 0 12969187 12926454 0 0 52959 7597751 7297630 20566938 20224084 733678 120952 14786644 14740547 2054181 1694676 12732463 13045871 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 16282122 18369237 HOSPICE IS A COMPREHENSIVE, TEAM-ORIENTED PROGRAM OF MEDICAL CARE, PAIN MANAGEMENT, EMOTIONAL AND SPIRITUAL SUPPORT PROVIDED FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 138376 183746 COUNSELING AND EDUCATION CENTER (CEC) PROVIDES INDIVIDUAL AND GROUP COUNSELING FOR GRIEF AND LOSS OF FAMILIES OF HOSPICE PATIENTS AND THE COMMUNITY. 616991 524874 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. 17037489 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 71 0 269 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 MARY MAGRINAT CHAIR 1.00 X X 0 0 0 VANESSA HAYGOOD BOARD MEMBER 1.00 X 0 0 0 SHARON COULTER JAMES BOARD MEMBER 1.00 X 0 0 0 DR HAYWOOD INGRAM BOARD MEMBER 1.00 X 0 0 0 PATRICK WRIGHT MD BOARD MEMBER 1.00 X 0 0 0 ROBIN REMSBURG PH D BOARD MEMBER 1.00 X 0 0 0 JEFFREY JONES BOARD MEMBER 1.00 X 0 0 0 RICK MORGAN SECRETARY/TREASURER 1.00 X X 0 0 0 JIM ROSKELLY VICE-CHAIR 1.00 X X 0 0 0 BARBARA RUBY BOARD MEMBER 1.00 X 0 0 0 YOULAND WILLIAMS BOARD MEMBER 1.00 X 0 0 0 LISA MOORE DUCK BOARD MEMBER 1.00 X 0 0 0 MARY COPELAND BOARD MEMBER 1.00 X 0 0 0 WILLIAM MORGAN MD BOARD MEMBER 1.00 X 0 0 0 ANNE MACNER BOARD MEMBER 1.00 X 0 0 0 REV MILTON WILLIAMS JR BOARD MEMBER 1.00 X 0 0 0 ELLEN PANCOAST BOARD MEMBER 1.00 X 0 0 0 PATRICIA A SOENKSEN CEO (THRU MARCH, 2017) 30.00 10.00 X 198880 0 25923 KRISTEN YNTEMA CEO 30.00 10.00 X 0 0 0 JAMES T HAIGLER JR CFO 38.00 2.00 X 133847 0 20347 JUAN-CARLOS MONGUILOD CHIEF MEDICAL OFFICER 40.00 X 223723 0 45933 DONALD E HERTWECK PHYSICIAN 40.00 X 209129 0 47991 ANNMARIE M ANEMONE PHYSICIAN 40.00 X 167715 0 28226 JOHN E FELDMAN PHYSICIAN 32.00 X 144257 0 18385 JOHN C ECKMAN IT DIRECTOR 40.00 X 112335 0 19481 SUSAN COX CHIEF CLINICAL OFFICER 40.00 X 139320 0 19452 1329206 0 225738 8 0 1 0 PROCARE PBM 1267 PROFESSIONAL PARKWAY GAINESVILLE GA 30507 PHARMACY BENEFIT MANAGER 891901 ADVANCED HOME CARE INC 4001 PIEDMONT PARKWAY HIGH POINT NC 27265 DME, INFUSION SERVICES 667542 MOSES CONE HOSPITAL 1200 NORTH ELM ST GREENSBORO NC 27401 HOSPITAL AND PHYSICIAN SERVICES 415295 ASHTON PLACE 5533 BURLINGTON ROAD MCLEANSVILLE NC 27301 ROOM AND BOARD CHARGES 281321 GOLDEN LIVING CENTER 1000 FIANNA WAY FT SMITH AR 729192256 ROOM AND BOARD CHARGES 278683 15 820119 322345 92079 1142464 NET PATIENT SERVICE REVENUE 623000 19069968 19069968 19069968 121803 121803 2912 0 2912 2912 2912 MISCELLANEOUS REVENUE 900099 7889 7889 7889 20345036 19077857 0 124715 556450 556450 8710070 7675306 1007110 27654 2917145 2415076 493350 8719 742789 616281 124288 2220 6969 6969 55288 55288 146857 146857 39256 39256 153156 50947 90794 11415 800600 391727 408285 588 306802 300589 6213 1074 1074 660831 660831 315223 215574 98611 1038 PATIENT SERVICES AND SU 4695179 4688058 7121 CONTINUING EDUCATION AN 58246 8281 49566 399 DUES AND SUBSCRIPTIONS 57223 14819 42404 FUNDRAISING PROJECT COS 926 926 20224084 17037489 3133636 52959 50 50 3359418 3178700 195331 180083 1750038 2089735 114195 100729 12794747 6657787 6602876 6136960 2412467 2722247 352269 332043 14786644 14740547 1838269 1694676 215912 0 2054181 1694676 X 12174839 12525976 557624 519895 12732463 13045871 14786644 14740547 120952 192456 0 X X 0 1 X 1 0 X 1330835 4799556 1675709 1340422 1142464 10288986 1330835 4799556 1675709 1340422 1142464 10288986 10288986 660911 1365291 155663 99190 121803 2402858 53727 1218 8145 12678 7889 83657 12775501 97931037 0.80540 0.78370 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13914239 839128 1866314 213275 21284 16385122 13065586 146822 916479 194852 19796 13914239 13117019 536392 -486155 80630 21040 13065586 11567867 832749 779952 44335 19214 13117019 9705366 403116 1520257 37975 22897 11567867 0.47000 0.24000 0.29000 1 0 1077796 1077796 7576066 3623719 3952347 4140885 3034068 1106817 6136960 LONG TERM INVESTMENTS 2722247 F 2722247 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 0 0 0 0 0 0 0 0 0 PATRICIA A SOENKSEN CEO (THRU MARCH, 2017) 194119 0 4761 0 0 0 13477 0 12446 0 224803 0 0 0 JAMES T HAIGLER JR CFO 128738 0 3921 0 1188 0 8980 0 11367 0 154194 0 0 0 JUAN-CARLOS MONGUILOD CHIEF MEDICAL OFFICER 219842 0 3881 0 0 0 16063 0 29870 0 269656 0 0 0 DONALD E HERTWECK PHYSICIAN 191962 0 263 0 16904 0 14184 0 33807 0 257120 0 0 0 ANNMARIE M ANEMONE PHYSICIAN 167452 0 263 0 0 0 5879 0 22347 0 195941 0 0 0 JOHN E FELDMAN PHYSICIAN 144060 0 197 0 0 0 9877 0 8508 0 162642 0 0 0 SUSAN COX CHIEF CLINICAL OFFICER 132991 0 3894 0 2435 0 9203 0 10249 0 158772 0 0 0 X 1257 X 4846 X 2 145 X 4 240 X 18 4676 X BURIAL PLOTS 23 77338 X GIFT CARDS 5 3471 X ELECTRONICS 1 107 0 0 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: STRATEGIC PLANNING, QUALITY MEASURES AND FINANCIAL PERFORMANCE. 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 BENCHMARK 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 1 0 0 1 1 1 1 1 1 1 1 HOSPICE FOUNDATION OF GREATER GREENSBORO C 551507 INTERCOMPANY TRANSFER