2017-02-03T09:36:11-06:00 2016-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2015-10-01 561249146 HOSPICE AT GREENSBORO INC HOSP 3366212500 2500 SUMMIT AVENUE GREENSBORO NC 27405 PATRICIA A SOENKSEN PRESIDENT/CEO 3366212500 2017-02-03 1 JOHN NORMAN P01506766 7049985200 2017-02-03 2015 2021-01-29 14:40:06Z HOSPICE & PALLIATIVE CARE OF GREENSBORO PATRICIA A SOENKSEN 2500 SUMMIT AVENUE GREENSBORO NC 27405 21300616 0 X WWW.HOSPICEGSO.ORG X 1979 NC THE ORGANIZATION PROVIDES NURSING AND SUPPORT TO THE TERMINALLY ILL AND THEIR FAMILIES 16 16 269 240 0 0 1674550 1340422 19965256 19848326 155663 99190 8145 12678 21803614 21300616 0 0 0 0 13040600 12969187 0 0 25919 8000522 7597751 21041122 20566938 762492 733678 14759107 14786644 2808824 2054181 11950283 12732463 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 16335823 19147278 HOSPICE IS A COMPREHENSIVE, TEAM-ORIENTED PROGRAM OF MEDICAL CARE, PAIN MANAGEMENT, EMOTIONAL AND SPIRITUAL SUPPORT PROVIDED FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 166933 149160 COUNSELING AND EDUCATION CENTER (CEC) PROVIDES INDIVIDUAL AND GROUP COUNSELING FOR GRIEF AND LOSS OF FAMILIES OF HOSPICE PATIENTS AND THE COMMUNITY. 826506 564566 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. 17329262 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 74 0 1 269 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 PATRICIA A SOENKSEN 3366212500 2500 SUMMIT AVENUE GREENSBORO NC 27405 MARY MAGRINAT CHAIR 1.00 X X 0 0 0 SUSAN F SHUMAKER 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 BONNIE MCALISTER VICE CHAIR 1.00 X X 0 0 0 REV DR ERIC D COLE BOARD MEMBER 1.00 X 0 0 0 JEFFREY JONES BOARD MEMBER 1.00 X 0 0 0 RICK MORGAN SEC./TREASURER 1.00 X X 0 0 0 JIM ROSKELLY 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 LISA MOORE DUCK BOARD MEMBER 1.00 X 0 0 0 RON JOHNSON BOARD MEMBER 1.00 X 0 0 0 MARY COPELAND BOARD MEMBER 1.00 X 0 0 0 ANNE MACNER BOARD MEMBER 1.00 X 0 0 0 DR BILL MORGAN BOARD MEMBER 1.00 X 0 0 0 ELLEN PANCOAST BOARD MEMBER 1.00 X 0 0 0 PATRICIA A SOENKSEN PRESIDENT/CEO 40.00 10.00 X 200981 0 52660 JAMES T HAIGLER JR CFO 40.00 2.00 X 141139 0 21983 JUAN C MONGUILOD CHIEF MEDICAL OFFICER 40.00 X 226567 0 57567 JOHN E FELDMANN PHYSICIAN 32.00 X 135160 0 34503 DONALD E HERTWECK PHYSICIAN 40.00 X 179503 0 46075 SUSAN COX CHIEF CLINICAL OFFICER 40.00 X 141926 0 29382 RISA S HANAU PHYSICIAN 40.00 X 109526 0 33561 ANNMARIE MAZZOCCHI ANEMONE PHYSICIAN 40.00 X 135653 0 8784 1270455 0 284515 10 0 1 0 PROCARE PBM 1267 PROFESSIONAL PARKWAY GAINESVILLE GA 30507 PHARMACY BENEFIT MANAGER 949723 ADVANCED HOME CARE INC 4001 PIEDMONT PARKWAY HIGH POINT NC 27265 DME, INFUSION SERVICES 849448 MOSES CONE HOSPITAL 1200 NORTH ELM ST GREENSBORO NC 27401 HOSPITAL AND PHYSICIAN SERVICES 819667 GOLDEN LIVING CENTER 1000 FIANNA WAY FT SMITH AR 729192256 ROOM AND BOARD CHARGES 354184 10 1340422 73919 1340422 NET PATIENT SERVICE REVENUE 623000 19848326 19848326 19848326 99190 99190 MISCELLANEOUS REVENUE 900099 12678 12678 12678 21300616 19861004 0 99190 700897 700897 8650808 7644822 997202 8784 2815219 2295580 516965 2674 802263 664163 137336 764 10289 10289 40241 40241 25863 25863 20573 20573 154925 48467 95600 10858 814982 400504 413890 588 326125 318718 7369 38 10487 10487 639463 639463 343612 240254 102200 1158 PATIENT SERVICES AND SU 5056874 5051033 5841 DUES AND SUBSCRIPTIONS 82988 10014 72974 CONTINUING EDUCATION AN 70476 16244 54030 202 FUNDRAISING PROJECT COS 853 853 20566938 17329262 3211757 25919 150 50 2728219 3359418 203662 195331 2046173 1750038 93008 114195 13336429 6733553 7050116 6602876 2265284 2412467 372495 352269 14759107 14786644 2213447 1838269 595377 215912 2808824 2054181 X 11360023 12174839 590260 557624 11950283 12732463 14759107 14786644 733678 48502 0 X X 0 1 X 1 0 X 1221578 1330835 4799556 1675709 1340422 10368100 1221578 1330835 4799556 1675709 1340422 10368100 10368100 474893 660911 1365291 155663 99190 2755948 30429 53727 1218 8145 12678 106197 13230245 100542074 0.78370 0.76080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13065586 146822 916479 194852 19796 13914239 13117019 536392 -486155 80630 21040 13065586 11567867 832749 779952 44335 19214 13117019 9705366 403116 1520257 37975 22897 11567867 7849077 230799 1675222 -30862 -18870 9804830 0.65000 0.28000 0.07000 1 0 1077796 1077796 7577804 4036132 3541672 4680829 2697421 1983408 6602876 LONG TERM INVESTMENTS 2412467 F 2412467 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 PRESIDENT/CEO 180704 0 19564 0 713 0 41900 0 10760 0 253641 0 0 0 JAMES T HAIGLER JR CFO 124952 0 15834 0 353 0 12153 0 9830 0 163122 0 0 0 JUAN C MONGUILOD CHIEF MEDICAL OFFICER 210402 0 16003 0 162 0 35981 0 21586 0 284134 0 0 0 JOHN E FELDMANN PHYSICIAN 132450 0 750 0 1960 0 27907 0 6596 0 169663 0 0 0 DONALD E HERTWECK PHYSICIAN 178341 0 1000 0 162 0 23458 0 22617 0 225578 0 0 0 SUSAN COX CHIEF CLINICAL OFFICER 125688 0 15869 0 369 0 18855 0 10527 0 171308 0 0 0 X 3 320 FMV X 17 3647 FMV X BURIAL PLOTS 14 58525 FMV X MEDICAL SUPPLIES 15 7297 FMV X GARDEN SUPPLIES 11 2088 FMV X ART SUPPLIES 3 1700 FMV X MAILING DISCOUNT 1 342 FMV 0 0 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTORS. 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 11 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 MY 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 11A, 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 1010038 INTERCOMPANY TRANSFER