2015-01-30T15:14:13-06:00 2014-09-30 410746749 CLIFTONLARSONALLEN LLP 101 NORTH TRYON ST SUITE 1000 CHARLOTTE NC 28246 990 2013-10-01 561249146 HOSPICE AT GREENSBORO INC HOSP 3366212500 2500 SUMMIT AVENUE GREENSBORO NC 27405 PATRICIA A SOENKSEN PRESIDENT/CEO 3366212500 2015-01-28 1 JOHN NORMAN P01506766 7049985200 2013 2016-02-25 16:41:14Z HOSPICE & PALLIATIVE CARE OF GREENSBORO PATRICIA A SOENKSEN 2500 SUMMIT AVENUE GREENSBORO NC 27405 25079345 0 X WWW.HOSPICEGSO.ORG X 1979 NC THE ORGANIZATION PROVIDES NURSING AND SUPPORT TO THE TERMINALLY ILL AND THEIR FAMILIES 16 16 265 214 0 0 1330835 4678399 20134207 18913280 658725 1363892 53727 44433 22177494 25000004 0 0 0 0 13418367 12850056 0 0 347961 8681842 7905057 22100209 20755113 77285 4244891 26223593 30910355 2110981 3220694 24112612 27689661 X 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 15898083 18566341 HOSPICE IS A COMPREHENSIVE, TEAM-ORIENTED PROGRAM OF MEDICAL CARE, PAIN MANAGEMENT, EMOTIONAL AND SPIRITUAL SUPPORT PROVIDED FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 272538 137170 PALLIATIVE 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. 908914 210987 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. 150196 COUNSELING AND EDUCATION CENTER (CEC) PROVIDES INDIVIDUAL AND GROUP COUNSELING FOR GRIEF AND LOSS OF FAMILIES OF HOSPICE PATIENTS AND THE COMMUNITY. 150196 17229731 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 74 0 1 265 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X X PATRICIA A SOENKSEN 3366212500 2500 SUMMIT AVENUE GREENSBORO NC 27405 DR PATRICK WRIGHT CHAIR 1.00 X X 0 0 0 ROBERT NEWTON BOARD MEMBER 1.00 X 0 0 0 MARY MAGRINAT VICE CHAIR 1.00 X X 0 0 0 SUSAN F SHUMAKER SECRETARY/TREASURER 1.00 X X 0 0 0 TERRY AKIN BOARD MEMBER 1.00 X 0 0 0 NOEL BURT 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 MRS ANN LINEWEAVER BOARD MEMBER 1.00 X 0 0 0 DAVID MARKER BOARD MEMBER 1.00 X 0 0 0 BONNIE MCALISTER BOARD MEMBER 1.00 X 0 0 0 EVERETTE BUTCH MILLS BOARD MEMBER 1.00 X 0 0 0 CAROLYNN RICE BOARD MEMBER 1.00 X 0 0 0 RALPH SHELTON 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 PATRICIA A SOENKSEN PRESIDENT/CEO 40.00 X 194228 0 20340 JAMES T HAIGLER JR CFO 40.00 X 123450 0 22123 JUAN C MONGUILOD CHIEF MEDICAL OFFICER 40.00 X 209495 0 39624 JOHN E FELDMANN PHYSICIAN 32.00 X 123718 0 22304 DONALD E HERTWECK PHYSICIAN 40.00 X 191093 0 32345 SUSAN COX CHIEF CLINICAL OFFICER 40.00 X 123252 0 17431 STEPHEN E MILLER PHYSICIAN 40.00 X 168904 0 14502 1134140 0 168669 10 0 1 0 LOMAX CONSTRUCTION INC PO BOX 35169 GREENSBORO NC 27425 GENERAL CONTRACTOR 2367162 CONE HEALTH 1200 NORTH ELM STREET GREENSBORO NC 27401 HEALTHCARE 987272 PROCARE PBM 1267 PROFESSIONAL PARKWAY GAINESVILLE GA 30507 PHARMACY BENEFITS MANAGER 881036 ADVANCED HOME CARE INC PO BOX 65081 CHARLOTTE NC 28265 DME/IV 749695 GOLDEN LIVING CENTER 100 FIANNA WAY FT SMITH AR 72919 NURSING FACILITY 537703 20 66002 4612397 486357 4678399 PER DIEM REIMBURSEMENTS 623000 15560502 15560502 PASS-THROUGH REVENUES 623000 2865951 2865951 PER VISIT REIMBURSEMENTS 623000 486827 486827 18913280 1365291 1365291 1399 -1399 -1399 -1399 121157 66002 77942 43215 43215 MISCELLANEOUS REVENUE 900099 1218 1218 1218 25000004 18914498 0 1407107 527174 527174 8623486 7223172 1183724 216590 2918402 2309434 540539 68429 780994 616485 146023 18486 10771 10771 35697 35697 36121 36121 23894 23894 176661 75113 86702 14846 807721 411969 395164 588 307082 300078 6892 112 4530 4530 502403 502403 326010 225465 99459 1086 PATIENT SERVICES AND SU 5549072 5541905 7167 CONTINUING EDUCATION AN 58457 23707 34680 70 DUES AND SUBSCRIPTIONS 38884 38884 FUNDRAISING PROJECT COS 27754 27754 20755113 17229731 3177421 347961 750 150 3324623 2442918 279488 1417615 1967613 1907383 1867679 1768534 124093 69551 12928277 5480636 4742255 7447641 13917092 15463842 0 392721 26223593 30910355 2110981 2041667 0 1179027 2110981 3220694 X 19386043 22299633 1152532 1682373 3574037 3707655 24112612 27689661 26223593 30910355 X 4244891 -608025 -59817 X X 0 1 X 1 0 X 1524383 1545560 1221578 1330835 4799556 10421912 1524383 1545560 1221578 1330835 4799556 10421912 10421912 277432 452521 474893 660911 1365291 3231048 172149 121434 30429 53727 1218 378957 14031917 98095194 0.74270 0.72550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13914687 832749 779952 44335 19214 15463839 12052186 403116 1520257 37975 22897 13914687 10195897 230799 1675222 -30862 -18870 12052186 9485857 809168 -74170 -7222 -17736 10195897 6842247 1827015 875408 -40325 -18488 9485857 0.54170 0.23900 0.21930 1 0 1077796 1077796 5650529 3183726 2466803 3157305 2296910 860395 3042647 3042647 7447641 LONG TERM INVESTMENTS 13909299 F BENEFICIAL INTERESTS IN ENDOWMENT FUND 1554543 F 15463842 X 21507900 -693387 85362 -608025 22115925 2884079 2884079 25000004 17930851 44123 44123 17886728 2868385 2868385 20755113 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. CORKS FOR KIDS PATH 114154 66002 48152 33819 9935 19590 3049 LIGHT UP A LIFE 73005 73005 50 100 11399 187159 66002 121157 33819 9985 19590 100 14448 77942 43215 X X 0 1 0 0 0 1 0 0 0 PATRICIA A SOENKSEN PRESIDENT/CEO 194228 0 0 0 0 0 11900 0 8440 0 214568 0 0 0 JUAN C MONGUILOD CHIEF MEDICAL OFFICER 209495 0 0 0 0 0 15159 0 24465 0 249119 0 0 0 DONALD E HERTWECK PHYSICIAN 191093 0 0 0 0 0 12915 0 19430 0 223438 0 0 0 STEPHEN E MILLER PHYSICIAN 168904 0 0 0 0 0 5780 0 8722 0 183406 0 0 0 X 17 5909 FMV X 11295 FMV X 14 7514 FMV X 38 10038 FMV X 17 6299 FMV X BARGAIN USE O 1 392721 FMV X OTHER - MISC 46 43591 FMV X OTHER-PROPERT 6 4605 FMV X OTHER - GARDE 10 2001 FMV X OTHER - OFFIC 5 1328 FMV X OTHER - GIFT 9 905 FMV X OTHER-TOYS 2 150 FMV 0 0 0 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: 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 18 THE 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 19 THE 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.