2017-07-17T08:20:51-05:00 2016-12-31 560517823 KOONCE WOOTEN & HAYWOOD LLP P O BOX 17806 RALEIGH NC 276197806 990 2016-01-01 561228779 HOSPICE OF WAKE COUNTY INC HOSP 9198280890 250 HOSPICE CIRCLE RALEIGH NC 27607 JOHN THOMA EXECUTIVE DIRECTOR 9198280890 2017-06-21 1 DAVID BOYCE P01368646 9197829265 24.106.199.106 2017-06-21 10:01:53 ED P 27905ABC32CA1E202F6022D1FE8891B7D975BC7E 41288F6C7AAE1D4032381882839F2A53EAA0C62E 2016 2021-01-29 14:40:06Z TRANSITIONS LIFECARE JOHN THOMA 250 HOSPICE CIRCLE RALEIGH NC 27607 39124813 0 X N/A X 1979 NC TO CARE FOR INDIVIDUALS AND FAMILIES WITH COMPASSION, SUPPORT, AND EXPERTISE AS THEY NAVIGATE THE END OF LIFE OR LIFE-CHANGING ILLNESS. 21 21 523 362 0 0 1675273 2622856 30883629 36245869 4424 9645 0 137295 32563326 39015665 0 36028 0 0 21452633 26006031 0 0 656984 9767724 11247883 31220357 37289942 1342969 1725723 18453663 23535592 2604418 2371663 15849245 21163929 EMPOWERING INDIVIDUALS, FAMILIES AND COMMUNITIES TO EMBRACE MEANING AT END OF LIFE. 0 0 33365054 36028 36245869 HOSPICE PROVIDED AT HOME MEDICAL CARE FOR THE TERMINALLY ILL AS WELL AS PALLIATIVE CARE, GRIEF COUNSELING FOR HOSPICE FAMILIES AND THE COMMUNITY AND EDUCATIONAL PROGRAMS RELATING TO END OF LIFE CARE. 33365054 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 5 0 523 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X ANTOINETTE MESSLER 9198280890 250 HOSPICE CIRCLE RALEIGH NC 27607 POONAM ANEJA BOARD MEMBER 0.50 X 0 0 0 CHARLES HODGES PRESIDENT 0.50 X X 0 0 0 PAUL IMMANUEL BOARD MEMBER 0.50 X 0 0 0 JAMES BURGESS BOARD MEMBER 0.50 X 0 0 0 DONALD MCCUNNIFF BOARD MEMBER 0.50 X 0 0 0 BETH BLACK BOARD MEMBER 0.50 X 0 0 0 JOHN BASON BOARD MEMBER 0.50 X 0 0 0 RHONDA GILLESPIE RANEY VICE PRESIDENT 0.50 X X 0 0 0 BART NORMAN SECRETARY 0.50 X X 0 0 0 BRENDA GIBSON BOARD MEMBER 0.50 X 0 0 0 JENNIFER DIRIENZO BOARD MEMBER 0.50 X 0 0 0 BILLY DUNLAP BOARD MEMBER 0.50 X 0 0 0 TOMMY WILLIAMS TREASURER 0.50 X X 0 0 0 JOHN THOMA CHIEF EXECUTIVE OFFICER 40.00 X X 159331 0 12515 MATT DAVIS BOARD MEMBER 0.50 X 0 0 0 CASANDRA HOEKSTRA BOARD MEMBER 0.50 X 0 0 0 NICK KENNEY BOARD MEMBER 0.50 X 0 0 0 LINDA JEFFERSON BOARD MEMBER 0.50 X 0 0 0 LYNDA LOVELAND BOARD MEMBER 0.50 X 0 0 0 STEVE LYONS BOARD MEMBER 0.50 X 0 0 0 TRES PITTMAN BOARD MEMBER 0.50 X 0 0 0 CATHY O'DELL BOARD MEMBER 0.50 X 0 0 0 JASON SANDNER BOARD MEMBER 0.50 X 0 0 0 ROBIN SIMONTON BOARD MEMBER 0.50 X 0 0 0 ANTOINETTE MESSLER VICE PRESIDENT FINANCE 40.00 X 137623 0 13661 COOPER LINTON VICE PRESIDENT MARKETING & 40.00 X 116226 0 10511 LAURA PATEL CHIEF MEDICAL OFFICER 40.00 X 264536 0 11226 MELISSA GREEN SHORT VICE PRESIDENT OF HUMAN RESOURCES 40.00 X 17898 0 1047 KRISTYE BRACKETT VICE PRESIDENT OF PHILANTHROPY 40.00 X 131284 0 4454 LESLIE SUTTON HOSPICE PHYSICIAN 40.00 X 177018 0 8857 CHRISTINE M KHANDELWAL HOSPICE PHYSICIAN 40.00 X 190980 0 10435 STEPHEN S MARSH HOSPICE PHYSICIAN 40.00 X 171190 0 10987 CHRISTOPHER THOMPSON HOSPICE PHYSICIAN 40.00 X 176352 0 16219 STEPHEN YOUNG HOSPICE PHYSICIAN 40.00 X 150728 0 17866 1693166 0 117778 10 0 1 0 0 100311 25000 2497545 82000 2622856 PATIENT SERVICE REIMBURSEMENTS 900099 36245869 36245869 36245869 9645 9645 246443 109148 137295 137295 39015665 36245869 0 146940 36028 36028 861368 725630 135738 20273526 19352014 551851 369661 537623 520101 6610 10912 2833694 2462993 343005 27696 1499820 1297847 178136 23837 118986 64662 26765 27559 10206 10206 41625 41625 123310 91834 9192 22284 481617 481617 1252332 856473 376990 18869 684027 459984 218043 6000 955892 944861 5825 5206 11749 11749 588283 588283 97616 36953 60663 DURABLE MEDICAL EQUIPME 2194349 2194349 PHARMACY 2161036 2161036 SKILLED NURSING-ROOM & 1747728 1747728 OUTPATIENT TREATMENTS 513597 513597 265530 142977 113331 9222 37289942 33365054 3267904 656984 148611 989562 1089545 2870000 82551 2391224 3578238 4035026 45024 87838 17045636 3998579 12890113 13047057 619581 114885 18453663 23535592 1452973 2046217 1150000 300000 1445 25446 2604418 2371663 X 15581557 17956587 267688 3207342 15849245 21163929 18453663 23535592 X 1725723 918 3588044 X 0 1 X 1 0 X 1461854 1250905 2143309 1675273 2869299 9400640 1461854 1250905 2143309 1675273 2869299 9400640 9400640 6121 7640 6103 4424 9645 33933 9434573 138436987 0.99640 0.99590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1391345 24001 73231 1488577 1702504 36090 -46546 300703 1391345 1712902 -10398 1702504 1570665 10505 131732 1712902 1742164 76886 -248385 1570665 0.82000 0.18000 0 1 1 14728722 2596112 12132610 4561 1115 3446 1649024 1401352 247672 663329 663329 13047057 DUE TO END OF LIFE COALITION 1445 DUE TO HOSPICE OF WAKE COUNTY FOUNDATION 24001 25446 39125731 918 109148 110066 39015665 0 39015665 37399091 109148 109148 37289943 0 37289943 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES SUMMER SALUTE 100113 100113 1500 CABIN FEVER 46594 46594 4400 14 99736 99736 103248 246443 246443 109148 109148 137295 0 HOSPICE OF WAKE COUNTY FOUNDATION INC 250 HOSPICE CIRCLE RALEIGH NC 27607 561867838 36028 CONTRIBUTIONS TO ENDOWMENT 1 X X 0 0 0 0 0 0 0 0 0 JOHN THOMA CHIEF EXECUTIVE OFFICER 159331 0 0 0 0 0 6417 0 6098 0 171846 0 0 0 ANTOINETTE MESSLER VICE PRESIDENT FINANCE 137623 0 0 0 0 0 5172 0 8489 0 151284 0 0 0 LAURA PATEL CHIEF MEDICAL OFFICER 264536 0 0 0 0 0 10437 0 789 0 275762 0 0 0 LESLIE SUTTON HOSPICE PHYSICIAN 177018 0 0 0 0 0 7558 0 1299 0 185875 0 0 0 CHRISTINE M KHANDELWAL HOSPICE PHYSICIAN 190980 0 0 0 0 0 7642 0 2793 0 201415 0 0 0 STEPHEN S MARSH HOSPICE PHYSICIAN 171190 0 0 0 0 0 7313 0 3674 0 182177 0 0 0 CHRISTOPHER THOMPSON HOSPICE PHYSICIAN 176352 0 0 0 0 0 2637 0 13582 0 192571 0 0 0 STEPHEN YOUNG HOSPICE PHYSICIAN 150728 0 0 0 0 0 4785 0 13081 0 168594 0 0 0 X 3 15000 X STONE FOR CAPITAL IMPROVEMENTS 1 67000 0 1 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE EXECUTIVE AND FINANCE COMMITTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST IS REVIEWED ANNUALLY IN BOARD MEETING AND EACH MEMBER IS REQUIRED TO SIGN THEIR UNDERSTANDING OF THE DOCUMENT. FORM 990, PART VI, SECTION B, LINE 15A FORM 990, PART VI, SECTION B, LINE 15: PRESIDENT OF THE BOARD AND THE EXECUTIVE COMMITTEE REVIEW THE CEO'S PERFORMANCE AND REVIEW COMPARABLE SALARIES IN THE INDUSTRY USING SALARY INFORMATION OBTAINED BY THE HUMAN RESOURCES DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON DEMAND. THEY CAN BE EMAILED OR VIEWED HARDCOPY IN THE OFFICE. WE HAVE MAILED HARDCOPY REQUESTS AS WELL. FORM 990, PART XI, LINE 9: TRANSFER OF OPERATIONS FROM HOWC FOUNDATION 3,588,044. HOSPICE OF WAKE COUNTY FOUNDATION INC 250 HOSPICE CIRCLE RALEIGH NC 27607 561867838 RAISES AND INVESTS FUNDS TO BE USED IN THE FUTURE BY HOSPICE OF WAKE COUNTY NC 501 (C)(3) 509 (A)(3) 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 HOSPICE OF WAKE COUNTY FOUNDATION B 36028 COST