2015-11-11T08:40:30-06:00 2014-12-31 420714325 MCGLADREY LLP 230 N ELM ST STE 1100 GREENSBORO NC 27401 990 2014-01-01 581343313 HOSPICE & PALLIATIVE CARECENTER HOSP 3367683972 101 HOSPICE LANE WINSTONSALEM NC 27103 LINDA W DARDEN PRESIDENT & CEO 3367683972 2015-11-03 1 ADRIENNE MCKINNEY P00819656 3362724551 2014 2016-03-07 17:11:31Z LINDA W DARDEN 101 HOSPICE LANE WINSTONSALEM NC 27103 28221840 0 X WWW.HOSPICECARECENTER.ORG X 1978 NC HOSPICE & PALLIATIVE CARECENTER PROVIDES IN-HOME AND INPATIENT MEDICAL CARE FOR THE TERMINALLY ILL, TRAINS VOLUNTEERS TO ASSIST WITH FAMILIES OF PATIENTS, AND CONDUCTS EDUCATIONAL GRIEF SEMINARS FOR THE COMMUNITY. IN 2014, HOSPICE & PALLIATIVE CARECENTER CARED FOR 3,374 PATIENTS. 26 26 466 572 0 0 2193593 2826979 26221704 24873130 2508304 9159 11740 14391 30935341 27723659 0 0 0 0 19243993 17313844 7574 0 677725 9948144 10376685 29199711 27690529 1735630 33130 28640500 28410220 2967357 2703947 25673143 25706273 X HOSPICE & PALLIATIVE CARECENTER PROVIDES COMPASSIONATE CARE FOR THOSE INDIVIDUALS LIVING WITH A LIFE-LIMITING ILLNESS AND THEIR FAMILIES, THROUGH QUALITY MEDICAL, EMOTIONAL, SPIRITUAL, AND SOCIAL SUPPORT. 0 0 13729031 16662469 HOSPICE HOMECARE - PROVIDES MEDICAL CARE FOR TERMINALLY ILL PATIENTS, FOCUSING ON IMPROVING QUALITY OF LIFE, PHYSICAL AND EMOTIONAL COMFORT, DIGNITY AND PEACE OF MIND FOR PATIENTS AND THEIR FAMILIES. SKILLED PROFESSIONALS PROVIDE IN-HOME PATIENT SERVICES, INCLUDING NURSING HOMES, ASSISTED LIVING HOMES, GROUP HOMES, REST HOMES, AND RETIREMENT COMMUNITIES, REGARDLESS OF ABILITY TO PAY.IN 2014, HOSPICE & PALLIATIVE CARECENTER PROVIDED 112,636 DAYS OF CARE TO 2,000 PATIENTS IN THIS CAPACITY. 4615445 5312379 KATE B. REYNOLDS (KBR) HOSPICE HOME - 40-BED INPATIENT FACILITY THAT PROVIDES HOSPICE PATIENTS STATE OF THE ART CARE IN A BEAUTIFUL, HOME-LIKE SETTING. HOSPICE PATIENTS RECEIVING CARE AT HOME MAY BE ADMITTED TO THE KBR HOSPICE HOME WHEN NECESSARY MEDICAL CARE IS NOT EASILY MANAGED AT HOME, OR WHEN A CAREGIVER IS IN NEED OF RESPITE.IN 2014, KATE B. REYNOLDS HOSPICE HOME PROVIDED 9,400 DAYS OF CARE TO 1,042 PATIENTS. 43614 PALLIATIVE CARE SERVICES - PROGRAM PROVIDES PATIENTS WITH MEDICAL CARE FOCUSED ON THE RELIEF OF PAIN, SYMPTOMS, AND STRESS OF SERIOUS ILLNESS, REGARDLESS OF THE DIAGNOSIS. PALLIATIVE CARE SERVICES ARE PROVIDED SIMULTANEOUSLY WITH ALL OTHER MEDICAL TREATMENTS.IN 2014, THE PALLIATIVE CARE SERVICES PROGRAM POVIDED 19,330 DAYS OF CARE TO 332 PATIENTS. 192019 5011 COMMUNITY PARTNERSHIP/COMMUNITY EDUCATION 234528 2075 GRIEF COUNSELING SERVICES 107736 0 COMPLEMENTARY THERAPIES 2494308 2854668 REVENUE FROM ROWAN HOSPICE AND PALLIATIVE CARE 3028591 2861754 21373067 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 111 0 1 466 1 0 0 0 0 0 1 1 0 0 0 0 X 26 26 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NC X CAROLYN HINSON 3367683972 101 HOSPICE LANE WINSTONSALEM NC 27103 X MARGARET ANN HOFLER CHAIR 1.00 1.00 X X 0 0 0 TRACEY MARTIN VICE CHAIR 1.00 1.00 X X 0 0 0 MICHAEL ROBINSON SECRETARY 1.00 X X 0 0 0 ROBERT COIL TREASURER 1.00 X X 0 0 0 CHARLES H HAUSER PAST CHAIR 1.00 X X 0 0 0 STEPHEN D POE HOSPICE FOUNDATION CHAIR 1.00 1.00 X 0 0 0 RICHARD V BENNETT MEMBER 1.00 X 0 0 0 MARY F LYLES MD MEMBER 1.00 X 0 0 0 AARON SINGLETON MEMBER 1.00 X 0 0 0 ELMS L ALLEN MD MEMBER 1.00 X 0 0 0 CAMILLE BANKS-PAYNE MEMBER 1.00 X 0 0 0 KAREN CARBONE MD MEMBER 1.00 X 0 0 0 ALLEN CHAMOWITZ MD MEMBER 1.00 X 0 0 0 REV R CRAIG FORD MEMBER 1.00 X 0 0 0 THOMAS GROTE MD MEMBER 1.00 X 0 0 0 DONNY LAMBETH MEMBER 1.00 X 0 0 0 JEFF LINDSAY MEMBER 1.00 X 0 0 0 STEVE LINEBERGER MEMBER 1.00 X 0 0 0 KIMBERLY MOORE MEMBER 1.00 X 0 0 0 JAMES O'NEILL MEMBER 1.00 X 0 0 0 REV PRINCE RIVERS MEMBER 1.00 X 0 0 0 HERNANDO RAMIREZ SANTOS MEMBER 1.00 X 0 0 0 ROMAINE SARGENT MEMBER 1.00 X 0 0 0 TIM SECHREST MEMBER 1.00 X 0 0 0 SARA WALPOLE MEMBER 1.00 X 0 0 0 EDWIN L WELCH MEMBER 1.00 X 0 0 0 LINDA W DARDEN CHIEF EXECUTIVE OFFICER 35.00 X 149856 0 20853 BRIAN PAYNE CHIEF EXECUTIVE OFFICER 40.00 X 110937 0 8208 KATHERINE F CECIL VP FINANCE AND ADMIN 36.00 1.00 X 62019 0 6820 MICHAEL LALOR CHIEF MEDICAL OFFICER 35.00 X 248952 0 3661 BRENT SHARPE PHARMACIST 40.00 X 156036 0 10417 SUSAN SCOTT PHARMACIST 40.00 X 107362 0 11644 CHRISTINA TUCKER WILLIARD PHARMACIST 40.00 X 109354 0 7793 944516 0 69396 6 0 1 0 NC BAPTIST HOSPITAL MEDICAL CENTER BLVD WINSTONSALEM NC 27157 HOSPITAL 611355 FORSYTH MEMORIAL HOSPITAL 3333 SILAS CREEK PKWY WINSTONSALEM NC 28275 HOSPITAL 470716 WFBMC PALLIATIVE CARE MEDICAL CENTER BLVD WINSTONSALEM NC 27157 PHYSICIAN 332430 OAK FOREST HEALTH & REHAB 5680 WINDY HILL DRIVE WINSTONSALEM NC 27105 NURSING HOME 280097 ALLSCRIPTS 8529 SIX FORKS RD FORUM IV RALEIGH NC 27615 SOFTWARE SERVICES 218217 14 333767 487452 2005760 492847 2826979 PATIENT SERVICE REVENUE 621610 22018462 22018462 MANAGEMENT REVENUE 621610 2854668 2854668 24873130 10187 10187 342795 343823 -1028 -1028 -1028 99355 487452 154358 -55003 -55003 OTHER INCOME 621610 69394 7086 62308 69394 27723659 24880216 0 16464 X 1013911 655219 358692 12872785 10144007 2384121 344657 253611 203008 43926 6677 2068193 1661517 356242 50434 1105344 883325 195440 26579 114069 65954 48115 28600 28600 4125407 3726349 286022 113036 330948 269255 61693 533651 78381 415801 39469 322166 322166 383476 228628 154848 658573 609147 40305 9121 9713 10 9703 829979 346724 483255 110350 110350 PATIENT MEDICAL SUPPLIE 2598917 2598917 EQUIPMENT & MAINTENANCE 105969 63680 42289 OTHER EXPENSES 75311 72897 745 1669 HOSPITALITY 57238 18919 22778 15541 92318 16385 67084 8849 27690529 21373067 5639737 677725 2813308 3995849 43066 9470955 8389877 2945022 3393808 145120 90349 134789 154415 19350153 7349618 12788228 12000535 93022 102637 206990 282750 28640500 28410220 2561409 2503925 7012 398936 200022 2967357 2703947 X 25256146 25435886 393522 270387 23475 0 25673143 25706273 28640500 28410220 33130 0 X X 0 1 X 1 0 X 2350063 2399398 3247773 2193593 2826979 13017806 2350063 2399398 3247773 2193593 2826979 13017806 1153646 11864160 34134 15922 8601 13331 10187 82175 307198 266696 380219 128851 161663 1244627 14344608 138402966 0.82710 0.84710 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2010 AMOUNT: $ 28,721. 2011 AMOUNT: $ 175,791. 2012 AMOUNT: $ 155,424. 2013 AMOUNT: $ 63,106. 2014 AMOUNT: $ 62,308. SPECIAL EVENTS INCOME - 2010 AMOUNT: $ 278,477. 2011 AMOUNT: $ 90,905. 2012 AMOUNT: $ 224,795. 2013 AMOUNT: $ 65,745. 2014 AMOUNT: $ 99,355. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 756977 756977 11778918 3041705 8737213 4330536 3574951 755585 2483722 732962 1750760 12000535 CAPITAL LEASE OBLIGATION 200022 200022 X 28226244 512288 512288 27713956 9703 9703 27723659 27742641 61814 61814 27680827 9703 9703 27690530 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE HOSPICE'S TAX POSITION AND CONCLUDED THAT HOSPICE HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, HOSPICE IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2011. PART XI, LINE 2D - OTHER ADJUSTMENTS: THE HOSPICE FOUNDATION REVENUE 631,853. LESS CONSOLIDATION ELIMINATIONS -119,565. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF INTEREST EXPENSE 9,703. PART XII, LINE 2D - OTHER ADJUSTMENTS: THE HOSPICE FOUNDATION EXPENSES 181,379. LESS CONSOLIDATION ELIMINATIONS -119,565. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF INTEREST EXPENSE 9,703. RACE/FITNESS WALK 213208 158553 54655 0 3029 1599 57366 GOLF TOURNAMENT 112982 84182 28800 0 5414 8533 10814 8 260617 244717 15900 0 10920 8986 47697 586807 487452 99355 19363 19118 115877 154358 -55003 X X 0 0 0 0 0 0 0 0 0 LINDA W DARDEN CHIEF EXECUTIVE OFFICER 149166 0 0 0 690 0 3904 0 16949 0 170709 0 0 0 MICHAEL LALOR CHIEF MEDICAL OFFICER 227051 0 205 0 21696 0 0 0 3661 0 252613 0 0 0 BRENT SHARPE PHARMACIST 155833 0 203 0 0 0 7917 0 2500 0 166453 0 0 0 BRIAN K PAYNE CEO 2854668 SERVICES MANAGER ALSO OF ROWAN HOSPICE AND PALLIATIVE CARE LLC WHICH RECEIVES SERVICES FROM THIS ORGANIZATION. THIS ORGANIZATION HAS A 50% INTEREST IN ROWAN HOSPICE AND PALLIATIVE CARE LLC. THE TOTAL AMOUNT LISTED ABOVE INCLUDES $169,351 IN FEES AND $2,685,317 IN SERVICES. 0 KATHERINE F CECIL VP FINANCE/ADMIN 2854668 SERVICES SAME AS ABOVE 0 LINDA W DARDEN CEO 2854668 SERVICES SAME AS ABOVE 0 X 7 3250 FMV AT DONATION DATE X 13481 FMV AT DONATION DATE X 11 343823 FMV AT DONATION DATE X 22 3878 FMV AT DONATION DATE X 1 2000 FMV AT DONATION DATE X ADVERTISING 34 68897 FMV AT DONATION DATE X PRINTING 4 28506 FMV AT DONATION DATE X FLOWERS 49 24770 FMV AT DONATION DATE X GIFT CARDS 111 3957 FACE VALUE X SPORTS TICKETS 8 285 FMV AT DONATION DATE 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 REVIEW PROCESS: WHEN THE FORM IS RECEIVED FROM THE PREPARING ACCOUNTING FIRM, THE ENTIRE FORM IS REVIEWED BY THE PRESIDENT/CEO OF HOSPICE & PALLIATIVE CARECENTER. THIS REVIEW CONSISTS OF CHECKS FOR REASONABLENESS AND DIFFERENCES IN INFORMATION REPORTED TO PREPARING ACCOUNTING FIRM AND FINAL DOCUMENT. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY SIGN A STATEMENT DISCLOSING WHETHER THEY ARE ENGAGED IN ANY ACTIVITIES THAT COULD BE CONSTRUED AS A CONFLICT OF INTEREST TO THE MISSION AND ACTIVITIES OF HOSPICE & PALLIATIVE CARECENTER. FORM 990, PART VI, SECTION B, LINE 15 DETERMINING COMPENSATION FOR THE ORGANIZATION CEO IS DONE BY THE GOVERNING BOARD OF DIRECTORS BY CONSULTING MARKET SURVEYS, PUBLISHED INDUSTRY STANDARDS, AND THE "HOSPICE & HOMECARE SALARY & BENEFITS REPORT". DETERMINING COMPENSATION FOR THE ORGANIZATION'S OTHER KEY EMPLOYEES IS DONE BY THE VP OF HUMAN RESOURCES BY CONSULTING MARKET SURVEYS, PUBLISHED INDUSTRY STANDARDS, AND THE "HOSPICE & HOMECARE SALARY & BENEFITS REPORT". FORM 990, PART VI, SECTION C, LINE 19 HOSPICE & PALLIATIVE CARECENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR ITS FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. DOCUMENTS OPEN TO PUBLIC INSPECTION ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, COLUMN F THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN COLUMN F, PART VII AND IS NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. FORM 990, PART VII, LINE 1A, COLUMN B: THE CHAIR AND VICE CHAIR OF HOSPICE & PALLIATIVE CARECENTER JOINTLY SERVE ON THE HOSPICE FOUNDATION AND HOSPICE & PALLIATE CARECENTER'S BOARD OF DIRECTORS. BOTH DIRECTORS DEVOTE APPROXIMATELY ONE HOUR PER WEEK TO EACH OF THE ORGANIZATIONS. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 3,726,349. MANAGEMENT AND GENERAL EXPENSES 286,022. FUNDRAISING EXPENSES 113,036. TOTAL EXPENSES 4,125,407. FORM 990, PART XII, LINE 2C: FINANCE COMMITTEE THE FINANCE COMMITTEE'S PROCESS OF EVALUATION HAS NOT CHANGED SINCE PRIOR YEAR. THE HOSPICE FOUNDATION 101 HOSPICE LANE WINSTONSALEM NC 27103 561823562 SUPPORT OF HOSPICE & PALLIATIVE CARECENTER NC 501(C)(3) LINE 11A, I HOSPICE & PALLIATIVE CARECENTER 1 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 THE HOSPICE FOUNDATION C 119565 CASH THE HOSPICE FOUNDATION R 1427817 CASH