2017-05-15T13:19:45-05:00 2016-06-30 420714325 RSM US LLP 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2015-07-01 530196647 THE WASHINGTON HOME AND COMMUNITY HOSPICE WASH 2029663720 3720 UPTON STREET NW WASHINGTON DC 20016 PHYLLIS C DILLINGER COO/CFO 2029663720 2017-05-15 1 JULIA FLANNERY CPA P00928918 4102469300 2015 2021-01-29 14:40:06Z PHYLLIS C DILLINGER 3720 UPTON STREET NW WASHINGTON DC 20016 20110811 0 X WWW.THEWASHINGTONHOME.ORG X 1888 DC THE WASHINGTON HOME AND COMMUNITY HOSPICES (THE WASHINGTON HOME), A NOT-FOR PROFIT 501 (C)(3) ORGANIZATION FOUNDED IN THE DISTRICT OF COLUMBIA IN 1888, PROVIDES HEALTHCARE TO PEOPLE WHO ARE AGING, CHRONICALLY ILL, OR LIVING WITH TERMINAL ILLNESSES. THE WASHINGTON HOME OPERATES TWO LINES OF BUSINESS; A 192 BED NURSING HOME FACILITY LOCATED IN THE DISTRICT OF COLUMBIA (THE DISTRICT) AND END OF LIFE HOSPICE CARE SERVICES IN THE DISTRICT OF COLUMBIA AND MARYLAND. 15 15 432 166 -1153 -1153 613270 459880 29400067 15299627 2006799 915434 3312196 3414951 35332332 20089892 0 0 0 0 22164610 20490914 0 0 489930 13257417 10894623 35422027 31385537 -89695 -11295645 55674063 50240679 3684844 10817521 51989219 39423158 THE WASHINGTON HOME AND COMMUNITY HOSPICES (THE WASHINGTON HOME), A NOT-FOR PROFIT 501 (C)(3) ORGANIZATION FOUNDED IN THE DISTRICT OF COLUMBIA IN 1888, PROVIDES HEALTHCARE TO PEOPLE WHO ARE AGING, CHRONICALLY ILL, OR LIVING WITH TERMINAL ILLNESSES. 0 0 18797000 8630000 LONG-TERM CARE - PROVIDE HEALTHCARE SERVICES FOR PEOPLE WHO ARE AGING OR CHRONICALLY ILL. IN FY 2016, 139 PATIENTS WERE SERVICED AT THE 192 BED NURSING FACILITY ALZHEIMER'S, LONG TERM, AND REHABILITATION CARE. 8311676 6669627 END OF LIFE CARE - PROVIDE HOSPICE SERVICES FOR PEOPLE WHO ARE LIVING WITH TERMINAL ILLNESSES. IN FY 2016, COMMUNITY HOSPICES ASSISTED 836 TERMINALLY ILL PATIENTS WITH PAIN RELIEF, SYMPTOM MANAGEMENT, EMOTIONAL SUPPORT, AND SPIRITUAL GUIDANCE. 27108676 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 29 0 1 432 1 1 1 0 0 0 0 1 1 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 DC MD X X PHYLLIS C DILLINGER 2028950105 3720 UPTON ST NW WASHINGTON DC 20016 SHARON COLLINS CASEY CHAIR 1.00 X X 0 0 0 JOAN LEWIS VICE CHAIR 1.00 X X 0 0 0 MARIJKE JURGENS-DUPREE SECRETARY 1.00 X X 0 0 0 OAK STRAWBRIDGE TREASURER 1.00 X X 0 0 0 KEITH EIG DIRECTOR 1.00 X 0 0 0 DAVID T CANHAM IV DIRECTOR 1.00 X 0 0 0 JAMES FIELD DIRECTOR 1.00 X 0 0 0 BURTON C GRAY JR DIRECTOR 1.00 X 0 0 0 ALAN S HELFER DIRECTOR 1.00 X 0 0 0 LESLIE ZIMBERG MARTIN DIRECTOR 1.00 X 0 0 0 BRIAN MCGREGOR DIRECTOR 1.00 X 0 0 0 MARY MCLOUGHLIN DIRECTOR 1.00 X 0 0 0 ROBIN G MOORE DIRECTOR 1.00 X 0 0 0 LARS OKESON DIRECTOR 1.00 X 0 0 0 SUSAN WOJCIK DIRECTOR 1.00 X 0 0 0 AVA SHIVERS CFO 40.00 X 166003 0 7788 NICOLE MOORE INTERIM CFO 40.00 X 120832 0 6411 TIMOTHY COX CEO 40.00 X 247851 0 11432 DR MARY MCDONALD CHIEF MEDICAL OFFICER 40.00 X 286703 0 9283 BEVERLY PAUKSTIS DIR. OF HOSPICE OPS 40.00 X 168122 0 11926 JANINE FINCK-BOYLE NURSING HOME ADMINISTRATOR 40.00 X 194638 0 7368 SHARON ODUMODU DIRECTOR OF NURSING 40.00 X 132269 0 4380 LANCE SEVERANCE DIR. OF PLANT OPS. 40.00 X 128785 0 12229 MOLLIE HAINES DIR. OF DEVELOPMENT 40.00 X 128755 0 2811 SIHAM ANDRAOS DIR. OF REIMBURSEMENT 40.00 X 118131 0 7259 CHARLES BOND DIR. OF THERAPEUTIC ACTIVITIES 40.00 X 121961 0 1933 1814050 0 82820 23 0 1 0 FILK INTERNATIONAL CORP 2400 YORKMONT ROAD CHARLOTTE NC 28217 FOOD PREPARATION/CAFETERIA 1839617 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 PATIENT REHABILITATION 1194660 PRESTIGE HEALTHCARE RESOURCES INC 6011 EMERSON STREET 209 BLADENSBURG MD 20710 NURSE STAFFING 545896 TRANSCEND HOSPICE MARKETING 1500 TIMBERWOLF DRIVE HOLLAND OH 43528 MARKETING 432788 INFOSTRUCTURES 1390 PICKARD DRIVE SUITE 330 ROCKVILLE MD 20850 IT SERVICES 275971 7 459880 211 459880 PATIENT SERVICE REVENU 621610 15299627 15299627 15299627 911244 911244 3400000 0 3400000 3400000 3400000 25109 0 20919 25109 -20919 4190 4190 OTHER INCOME 900099 14715 14715 INVESTMENT IN WASHINGT 531390 236 -1153 1389 14951 20089892 15299627 -1153 4331538 1160676 1029622 125812 5242 16339972 14494996 1771176 73800 40531 35955 4393 183 1706179 1513531 184942 7706 1243556 1103144 134796 5616 154746 28497 126249 82050 15110 66940 251429 46301 205128 2120921 1430730 684559 5632 354389 319920 33090 1379 428142 386499 39977 1666 159237 143749 14868 620 1115504 1077536 36449 1519 102042 92117 9528 397 1178187 1178187 333006 300616 31094 1296 PROVIDER TAX 1099657 992700 102679 4278 MEDICAL SUPPLIES AND DR 834488 834488 FUNDRAISING EXPENSES 371629 371629 BAD DEBT 3928 3928 2305268 2081050 215251 8967 31385537 27108676 3786931 489930 3600 3700 7052198 6181210 2521887 1741838 30762 16548 173329 313511 39723810 29643656 10729083 10080154 32306449 26468327 2334556 5083050 522199 352341 55674063 50240679 3150762 5315098 5000039 534082 502384 3684844 10817521 X 37537521 25519209 11122266 10574516 3329432 3329433 51989219 39423158 55674063 50240679 X -11295645 -1270180 -236 X 0 1 X 1 0 X 956767 758239 685447 613270 459880 3473603 32555307 30041437 34369505 29400067 15299627 141665943 33512074 30799676 35054952 30013337 15759507 145139546 0 0 0 145139546 3170959 3268930 4304163 5160708 4311244 20216004 3170959 3268930 4304163 5160708 4311244 20216004 36683033 34068606 39359115 35174045 20070751 165355550 0.87770 0.89800 0.12230 0.10200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13498699 -169737 410643 12918319 13997207 26534 525042 13498699 12706364 1356513 65670 13997207 12162746 966117 422499 12706364 12575716 -101378 311592 12162746 0.19350 0.25770 0.54880 0 0 57109 57109 31790356 22986024 8804332 1771052 989120 781932 6105293 5668512 436781 10080154 LIMITED PARTNERSHIPS 18201 F FUND OF FUNDS 2476498 F FIRST EAGLE OVERSEAS I 2588351 F 5083050 CASH HELD FOR RESIDENTS 43438 AMOUNT HELD FOR OTHERS 458946 502384 X 18819476 -1270180 -1270180 20089656 236 236 20089892 31385537 0 31385537 0 31385537 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED FOR INDIGENT PATIENT CARE, CLINICAL TRAINING TO IMPROVE CARE FOR RESIDENTS AND HOSPICE PATIENTS, CANCER PATIENTS UNDER HOSPICE CARE AND SUPPLEMENTS TO GENERAL NEEDS (HEALTH AND ECONOMIC) OF OUR PATIENTS. PART X, LINE 2: THE WASHINGTON HOME HAS ADOPTED THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS POLICY, THE WASHINGTON HOME MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WOULD BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS EVALUATED THE WASHINGTON HOME'S TAX POSITIONS AND HAS CONCLUDED THAT THE WASHINGTON HOME HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH PROVISIONS OF THIS GUIDANCE. THE WASHINGTON HOME IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE JUNE 30, 2012. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN FROM K-1 WASHINGTON CENTURY FUND 236. X X X 0 0 0 0 0 0 0 0 0 AVA SHIVERS CFO 166003 0 0 0 0 0 2925 0 4863 0 173791 0 0 0 TIMOTHY COX CEO 247851 0 0 0 0 0 0 0 11432 0 259283 0 0 0 DR MARY MCDONALD CHIEF MEDICAL OFFICER 286703 0 0 0 0 0 0 0 9283 0 295986 0 0 0 BEVERLY PAUKSTIS DIR. OF HOSPICE OPS 168122 0 0 0 0 0 3488 0 8438 0 180048 0 0 0 JANINE FINCK-BOYLE NURSING HOME ADMINISTRATOR 194638 0 0 0 0 0 1195 0 6173 0 202006 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE BOARD. THE 990 UNDERGOES SEVERAL LEVELS OF REVIEW FROM SENIOR MANAGEMENT PRIOR TO SUBMITTAL OF ALL INFORMATION. THE FINAL IS REVIEWED BY THE CEO AND CFO AND PRESENTED TO THE AUDIT COMMITTEE UPON REQUEST. QUESTIONS OR CONCERNS ARE ADDRESED WITH THE MANAGEMENT TEAM IN CONJUCTION WITH THE AUDITORS. FORM 990, PART VI, SECTION B, LINE 12C THE WASHINGTON HOME HAS AN ETHICS POINT HOTLINE FOR COMPLIANCE, ETHICS AND HIPPA AT WWW.THEWASHINTONHOME.ETHICSPOINT.COM. EMPLOYEES, VOLUNTEERS OR RESIDENTS CAN REPORT SUSPECTED ILLEGAL ACTIVITY OR POTENTIAL FRAUD WHICH TIES INTO OUR CONFLICT OF INTEREST. ALL NEW EMPLOYEES SIGN THE CONFLICT OF INTEREST STATEMENT UPON HIRE AS WELL AS NEW BOARD OF DIRECTORS OR ADVISORY BOARD MEMBERS. ALSO, THE CEO AND GOVERNANCE COMMITTEE REVIEW THE BOARD OF DIRECTORS AND SUBMIT ANY POTENTIAL CONFLICT TO THE EXECUTIVE COMMITTEE. EMPLOYEES ARE REVIEWED BY HR AND SENT TO THE ADMINISTRATOR FOR THE WASHINGTON HOME AND EXECUTIVE DIRECTOR FOR COMMUNITY HOSPICES. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE BASED ON A SURVEY OF OTHER NON-PROFITS; ADDITIONAL COMPENSATION (I.E. BONUS) IS BOARD APPROVED. THE WASHINGTON HOME HAS AN INTERNAL SALARY SCALE (BASED ON POSITION AND JOB GRADE). FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9: INCOME FROM K-1 WASHINGTON CENTURY FUND -236.