AUTHORACARE COLLECTIVE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
AUTHORACARE COLLECTIVE (EIN 56-1249146)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-01-30
IRS object ID
201510309349300736
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-01-30T15:14:13-06:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 NORTH TRYON ST SUITE 1000AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561249146EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE AT GREENSBORO INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone3366212500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 SUMMIT AVENUEAddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code27405ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPATRICIA A SOENKSENPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone3366212500PhoneNum
Signature2015-01-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN NORMANPreparerPersonNm
PTINP01506766PTIN
Phone7049985200PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE & PALLIATIVE CARE OF GREENSBOROBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerPATRICIA A SOENKSENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 SUMMIT AVENUEAddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code27405ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$25,079,345GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOSPICEGSO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES NURSING AND SUPPORT TO THE TERMINALLY ILL AND THEIR FAMILIESActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee265TotalEmployeeCnt
Total Volunteers214TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,330,835PYContributionsGrantsAmt
CY Contributions Grants$4,678,399CYContributionsGrantsAmt
PY Program Service Revenue$20,134,207PYProgramServiceRevenueAmt
CY Program Service Revenue$18,913,280CYProgramServiceRevenueAmt
PY Investment Income$658,725PYInvestmentIncomeAmt
CY Investment Income$1,363,892CYInvestmentIncomeAmt
PY Other Revenue$53,727PYOtherRevenueAmt
CY Other Revenue$44,433CYOtherRevenueAmt
PY Total Revenue$22,177,494PYTotalRevenueAmt
CY Total Revenue$25,000,004CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,418,367PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,850,056CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$347,961CYTotalFundraisingExpenseAmt
PY Other Expenses$8,681,842PYOtherExpensesAmt
CY Other Expenses$7,905,057CYOtherExpensesAmt
PY Total Expenses$22,100,209PYTotalExpensesAmt
CY Total Expenses$20,755,113CYTotalExpensesAmt
PY Revenues Less Expenses$77,285PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,244,891CYRevenuesLessExpensesAmt
Total Assets BOY$26,223,593TotalAssetsBOYAmt
Total Assets EOY$30,910,355TotalAssetsEOYAmt
Total Liabilities BOY$2,110,981TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,220,694TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$24,112,612NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,689,661NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,898,083ExpenseAmt
Revenue$18,566,341RevenueAmt
DescHOSPICE IS A COMPREHENSIVE, TEAM-ORIENTED PROGRAM OF MEDICAL CARE, PAIN MANAGEMENT, EMOTIONAL AND SPIRITUAL SUPPORT PROVIDED FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$272,538ExpenseAmt
Revenue$137,170RevenueAmt
DescPALLIATIVE CARE SERVICES IS A HOSPITAL-BASED CONSULTATION TEAM (PHYSICIAN, NURSE PRACTICIONER, NURSE LIASON, SOCIAL WORKER AND CHAPLAIN) THAT ADDRESSES PALLIATIVE CARE NEEDS SUCH AS SYMPTOM AND PAIN MANAGEMENT, ASSISTANCE IN DETERMINGING GOALS OF CARE, EMOTIONAL AND/OR SPIRITUAL SUPPORT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$908,914ExpenseAmt
Revenue$210,987RevenueAmt
DescKIDS 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.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$150,196ExpenseAmt
DescCOUNSELING AND EDUCATION CENTER (CEC) PROVIDES INDIVIDUAL AND GROUP COUNSELING FOR GRIEF AND LOSS OF FAMILIES OF HOSPICE PATIENTS AND THE COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$150,196TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$17,229,731TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document74IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee265EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PATRICIA A SOENKSENBusinessNameLine1
FieldValueIRS element (for citing)
Phone3366212500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 SUMMIT AVENUEAddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code27405ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DR PATRICK WRIGHT
CHAIR1.00Yes (X)Yes (X)$0$0$0
ROBERT NEWTON
BOARD MEMBER1.00Yes (X)$0$0$0
MARY MAGRINAT
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
SUSAN F SHUMAKER
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
TERRY AKIN
BOARD MEMBER1.00Yes (X)$0$0$0
NOEL BURT
BOARD MEMBER1.00Yes (X)$0$0$0
SHARON COULTER JAMES
BOARD MEMBER1.00Yes (X)$0$0$0
DR HAYWOOD INGRAM
BOARD MEMBER1.00Yes (X)$0$0$0
MRS ANN LINEWEAVER
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID MARKER
BOARD MEMBER1.00Yes (X)$0$0$0
BONNIE MCALISTER
BOARD MEMBER1.00Yes (X)$0$0$0
EVERETTE BUTCH MILLS
BOARD MEMBER1.00Yes (X)$0$0$0
CAROLYNN RICE
BOARD MEMBER1.00Yes (X)$0$0$0
RALPH SHELTON
BOARD MEMBER1.00Yes (X)$0$0$0
YOULAND WILLIAMS
BOARD MEMBER1.00Yes (X)$0$0$0
LISA MOORE DUCK
BOARD MEMBER1.00Yes (X)$0$0$0
PATRICIA A SOENKSEN
PRESIDENT/CEO40.00Yes (X)$194,228$0$20,340
JAMES T HAIGLER JR
CFO40.00Yes (X)$123,450$0$22,123
JUAN C MONGUILOD
CHIEF MEDICAL OFFICER40.00$209,495$0$39,624Yes (X)
JOHN E FELDMANN
PHYSICIAN32.00$123,718$0$22,304Yes (X)
DONALD E HERTWECK
PHYSICIAN40.00$191,093$0$32,345Yes (X)
SUSAN COX
CHIEF CLINICAL OFFICER40.00$123,252$0$17,431Yes (X)
STEPHEN E MILLER
PHYSICIAN40.00$168,904$0$14,502Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,134,140TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$168,669TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
LOMAX CONSTRUCTION INC
PO BOX 35169GREENSBORONC27425GENERAL CONTRACTOR$2,367,162
CONE HEALTH
1200 NORTH ELM STREETGREENSBORONC27401HEALTHCARE$987,272
PROCARE PBM
1267 PROFESSIONAL PARKWAYGAINESVILLEGA30507PHARMACY BENEFITS MANAGER$881,036
ADVANCED HOME CARE INC
PO BOX 65081CHARLOTTENC28265DME/IV$749,695
GOLDEN LIVING CENTER
100 FIANNA WAYFT SMITHAR72919NURSING FACILITY$537,703
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Fundraising$66,002FundraisingAmt
All Other Contributions$4,612,397AllOtherContributionsAmt
Noncash Contributions$486,357NoncashContributionsAmt
Total Contributions$4,678,399TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PER DIEM REIMBURSEMENTS623000$15,560,502$15,560,502
PASS-THROUGH REVENUES623000$2,865,951$2,865,951
PER VISIT REIMBURSEMENTS623000$486,827$486,827
FieldValueIRS element (for citing)
Total Program Service Revenue$18,913,280TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,365,291TotalRevenueColumnAmt
Exclusion$1,365,291ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,399OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,399OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,399TotalRevenueColumnAmt
Exclusion-$1,399ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$121,157FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$66,002ContriRptFundraisingEventAmt
Fundraising Direct Expenses$77,942FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,215TotalRevenueColumnAmt
Exclusion$43,215ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$1,218TotalRevenueColumnAmt
Related Or Exempt Func Income$1,218RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,218OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,000,004TotalRevenueColumnAmt
Related Or Exempt Func Income$18,914,498RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,407,107ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$527,174TotalAmt
Management And General$527,174ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,623,486TotalAmt
Program Services$7,223,172ProgramServicesAmt
Management And General$1,183,724ManagementAndGeneralAmt
Fundraising$216,590FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,918,402TotalAmt
Program Services$2,309,434ProgramServicesAmt
Management And General$540,539ManagementAndGeneralAmt
Fundraising$68,429FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$780,994TotalAmt
Program Services$616,485ProgramServicesAmt
Management And General$146,023ManagementAndGeneralAmt
Fundraising$18,486FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,771TotalAmt
Management And General$10,771ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$35,697TotalAmt
Management And General$35,697ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$36,121TotalAmt
Management And General$36,121ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$23,894TotalAmt
Management And General$23,894ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$176,661TotalAmt
Program Services$75,113ProgramServicesAmt
Management And General$86,702ManagementAndGeneralAmt
Fundraising$14,846FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$807,721TotalAmt
Program Services$411,969ProgramServicesAmt
Management And General$395,164ManagementAndGeneralAmt
Fundraising$588FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$307,082TotalAmt
Program Services$300,078ProgramServicesAmt
Management And General$6,892ManagementAndGeneralAmt
Fundraising$112FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,530TotalAmt
Management And General$4,530ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$502,403TotalAmt
Program Services$502,403ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$326,010TotalAmt
Program Services$225,465ProgramServicesAmt
Management And General$99,459ManagementAndGeneralAmt
Fundraising$1,086FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PATIENT SERVICES AND SU$5,549,072$5,541,905$7,167
CONTINUING EDUCATION AN$58,457$23,707$34,680$70
DUES AND SUBSCRIPTIONS$38,884$38,884
FUNDRAISING PROJECT COS$27,754$27,754

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,755,113TotalAmt
Program Services$17,229,731ProgramServicesAmt
Management And General$3,177,421ManagementAndGeneralAmt
Fundraising$347,961FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$750BOYAmt
EOY$150EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,324,623BOYAmt
EOY$2,442,918EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$279,488BOYAmt
EOY$1,417,615EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,967,613BOYAmt
EOY$1,907,383EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,867,679BOYAmt
EOY$1,768,534EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$124,093BOYAmt
EOY$69,551EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,928,277LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,480,636LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,742,255BOYAmt
EOY$7,447,641EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$13,917,092BOYAmt
EOY$15,463,842EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$392,721EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$26,223,593BOYAmt
EOY$30,910,355EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,110,981BOYAmt
EOY$2,041,667EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,179,027EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,110,981BOYAmt
EOY$3,220,694EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,386,043BOYAmt
EOY$22,299,633EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,152,532BOYAmt
EOY$1,682,373EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,574,037BOYAmt
EOY$3,707,655EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,112,612BOYAmt
EOY$27,689,661EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,223,593BOYAmt
EOY$30,910,355EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,244,891ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$608,025NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$59,817OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,524,383CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,545,560CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,221,578CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,330,835CurrentTaxYearMinus1YearAmt
Current Tax Year$4,799,556CurrentTaxYearAmt
Total$10,421,912TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,524,383CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,545,560CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,221,578CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,330,835CurrentTaxYearMinus1YearAmt
Current Tax Year$4,799,556CurrentTaxYearAmt
Total$10,421,912TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$10,421,912PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$277,432CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$452,521CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$474,893CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$660,911CurrentTaxYearMinus1YearAmt
Current Tax Year$1,365,291CurrentTaxYearAmt
Total$3,231,048TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$172,149CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$121,434CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,429CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,727CurrentTaxYearMinus1YearAmt
Current Tax Year$1,218CurrentTaxYearAmt
Total$378,957TotalAmt
FieldValueIRS element (for citing)
Total Support$14,031,917TotalSupportAmt
Gross Receipts Rltd Activities$98,095,194GrossReceiptsRltdActivitiesAmt
Public Support CY1700.74270PublicSupportCY170Pct
Public Support PY1700.72550PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,914,687BeginningYearBalanceAmt
Contributions$832,749ContributionsAmt
Investment Earnings Or Losses$779,952InvestmentEarningsOrLossesAmt
Grants Or Scholarships$44,335GrantsOrScholarshipsAmt
Administrative Expenses$19,214AdministrativeExpensesAmt
End Year Balance$15,463,839EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,052,186BeginningYearBalanceAmt
Contributions$403,116ContributionsAmt
Investment Earnings Or Losses$1,520,257InvestmentEarningsOrLossesAmt
Grants Or Scholarships$37,975GrantsOrScholarshipsAmt
Administrative Expenses$22,897AdministrativeExpensesAmt
End Year Balance$13,914,687EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,195,897BeginningYearBalanceAmt
Contributions$230,799ContributionsAmt
Investment Earnings Or Losses$1,675,222InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$30,862GrantsOrScholarshipsAmt
Administrative Expenses-$18,870AdministrativeExpensesAmt
End Year Balance$12,052,186EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,485,857BeginningYearBalanceAmt
Contributions$809,168ContributionsAmt
Investment Earnings Or Losses-$74,170InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$7,222GrantsOrScholarshipsAmt
Administrative Expenses-$17,736AdministrativeExpensesAmt
End Year Balance$10,195,897EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,842,247BeginningYearBalanceAmt
Contributions$1,827,015ContributionsAmt
Investment Earnings Or Losses$875,408InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$40,325GrantsOrScholarshipsAmt
Administrative Expenses-$18,488AdministrativeExpensesAmt
End Year Balance$9,485,857EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.54170BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.23900PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.21930TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,077,796OtherCostOrOtherBasisAmt
Book Value$1,077,796BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,650,529OtherCostOrOtherBasisAmt
Depreciation$3,183,726DepreciationAmt
Book Value$2,466,803BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,157,305OtherCostOrOtherBasisAmt
Depreciation$2,296,910DepreciationAmt
Book Value$860,395BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,042,647OtherCostOrOtherBasisAmt
Book Value$3,042,647BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,447,641TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LONG TERM INVESTMENTS$13,909,299F
BENEFICIAL INTERESTS IN ENDOWMENT FUND$1,554,543F
FieldValueIRS element (for citing)
Total Book Value Securities$15,463,842TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$21,507,900TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$693,387NetUnrealizedGainsInvstAmt
Other Revenue$85,362OtherRevenueAmt
Revenue Not Reported-$608,025RevenueNotReportedAmt
Revenue Subtotal$22,115,925RevenueSubtotalAmt
Other Revenues Not Included$2,884,079OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,884,079RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$25,000,004TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,930,851TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$44,123OtherExpensesIncludedAmt
Expenses Not Reported$44,123ExpensesNotReportedAmt
Expenses Subtotal$17,886,728ExpensesSubtotalAmt
Other Expenses Not Included$2,868,385OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,868,385ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,755,113TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENT FUNDS ARE USED TO FUND CONTINUING OPERATIONS AND SPECIAL PROJECTS OF THE ORGANIZATION.
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 FISCAL YEAR 2011, 2012 AND 2013 RETURNS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. 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 ORGANIZATIONS FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTERESTS IN ENDOWMENT FUNDS 85,362.
PART XI, LINE 4B - OTHER ADJUSTMENTS:NONCASH CONTRIBUTIONS 93,636. PASS-THROUGH EXPENSES, NETTED WITH REVENUE ON FINANCIAL STATEMENTS 2,868,385. NONCASH PRIZES GIVEN PER SCHEDULE G -33,819. FUNDRAISING EXPENSES NETTED ON STATEMENT OF REVENUE LINE 8B -44,123.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES NETTED ON STATEMENT OF REVENUE LINE 8B 44,123.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PASS-THROUGH EXPENSES NETTED WITH REVENUE ON FINANCIAL STATEMENTS 2,868,385.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1CORKS FOR KIDS PATHNameOfEvent1Amt
Gross Receipts Event1$114,154GrossReceiptsEvent1Amt
Charitable Contri Event1$66,002CharitableContriEvent1Amt
Gross Revenue Event1$48,152GrossRevenueEvent1Amt
Non Cash Prizes Event1$33,819NonCashPrizesEvent1Amt
Rent Facility Costs Event1$9,935RentFacilityCostsEvent1Amt
Food And Beverage Event1$19,590FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$3,049OtherDirectExpensesEvent1Amt
Name Of Event2LIGHT UP A LIFENameOfEvent2Amt
Gross Receipts Event2$73,005GrossReceiptsEvent2Amt
Gross Revenue Event2$73,005GrossRevenueEvent2Amt
Rent Facility Costs Event2$50RentFacilityCostsEvent2Amt
Entertainment Event2$100EntertainmentEvent2Amt
Other Direct Expenses Event2$11,399OtherDirectExpensesEvent2Amt
Gross Receipts Total$187,159GrossReceiptsTotalAmt
Charitable Contributions Tot$66,002CharitableContributionsTotAmt
Gross Revenue Total Events$121,157GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$33,819NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$9,985RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$19,590FoodAndBeverageTotalEventsAmt
Entertainment Total Events$100EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$14,448OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$77,942DirectExpenseSummaryEventsAmt
Net Income Summary$43,215NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PATRICIA A SOENKSEN
PRESIDENT/CEO$194,228$0$0$0$0$0$11,900$0$8,440$0$214,568$0$0$0
JUAN C MONGUILOD
CHIEF MEDICAL OFFICER$209,495$0$0$0$0$0$15,159$0$24,465$0$249,119$0$0$0
DONALD E HERTWECK
PHYSICIAN$191,093$0$0$0$0$0$12,915$0$19,430$0$223,438$0$0$0
STEPHEN E MILLER
PHYSICIAN$168,904$0$0$0$0$0$5,780$0$8,722$0$183,406$0$0$0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution17ContributionCnt
Noncash Contributions Rpt F990$5,909NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$11,295NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution14ContributionCnt
Noncash Contributions Rpt F990$7,514NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution38ContributionCnt
Noncash Contributions Rpt F990$10,038NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution17ContributionCnt
Noncash Contributions Rpt F990$6,299NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (7 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)BARGAIN USE O1$392,721FMV
Yes (X)OTHER - MISC46$43,591FMV
Yes (X)OTHER-PROPERT6$4,605FMV
Yes (X)OTHER - GARDE10$2,001FMV
Yes (X)OTHER - OFFIC5$1,328FMV
Yes (X)OTHER - GIFT9$905FMV
Yes (X)OTHER-TOYS2$150FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CALL 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 15THE 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: QUALITY, EMPLOYEE SATISFACTION, EMPLOYEE TURNOVER RATES, VOLUME (AVERAGE DAILY CENSUS) TARGETS, NET MARGIN, AND MEDICATION COST PER DAY. 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 18THE ORGANIZATION'S TAX FORMS ARE ALL AVAILABLE ON THE WEBSITE WWW.GUIDESTAR.OR. THEY ARE ALSO AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAIALBLE UPON REQUEST.
FORM 990, PART XI, LINE 9:NONCASH CONTRIBUTIONS NOT INCLUDED ON FINANCIAL STATEMENTS -93,636. NONCASH PRIZES INCLUDED IN SCHEDULE G NOT INCLUDED ON FINANCIAL STATEMENTS 33,819.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.