2015-08-03T13:23:45-05:00 2014-12-31 560517823 KOONCE WOOTEN & HAYWOOD LLP P O BOX 17806 RALEIGH NC 276197806 990 2014-01-01 561228779 HOSPICE OF WAKE COUNTY INC HOSP 9198280890 250 HOSPICE CIRCLE RALEIGH NC 27607 JOHN THOMA EXECUTIVE DIRECTOR 9198280890 2015-07-16 1 DAVID BOYCE P01368646 9197829265 2014 2016-02-25 16:41:14Z TRANSITIONS LIFECARE JOHN THOMA 250 HOSPICE CIRCLE RALEIGH NC 27607 27288231 0 X N/A X 1979 NC EMPOWERING INDIVIDUALS, FAMILIES AND COMMUNITIES TO EMBRACE MEANING AT END OF LIFE. 22 22 422 380 0 0 1250905 2143309 23520257 25138819 7706 6103 0 0 24778868 27288231 0 0 0 0 16792545 17798051 0 0 0 8167100 8581876 24959645 26379927 -180777 908304 18163272 18480605 4565300 3974329 13597972 14506276 EMPOWERING INDIVIDUALS, FAMILIES AND COMMUNITIES TO EMBRACE MEANING AT END OF LIFE. 0 0 23693974 25138819 HOSPICE PROVIDED AT HOME MEDICAL CARE FOR THE TERMINALLY ILL AND COUNSELING FOR OTHER FAMILY MEMBERS. 23693974 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 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 1 0 0 0 1 2 0 422 0 0 0 0 0 0 0 0 0 X 22 22 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 JOHN BASON BOARD MEMBER 2.00 X 0 0 0 CHARLES HODGES BOARD MEMBER 2.00 X 0 0 0 PAUL IMMANUEL BOARD MEMBER 2.00 X 0 0 0 JAMES BURGESS BOARD MEMBER 2.00 X 0 0 0 DONALD MCCUNNIFF BOARD MEMBER 2.00 X 0 0 0 BETH BLACK VICE PRESIDENT 2.00 X 0 0 0 PHILLIP MARK BLAKE BOARD MEMBER 2.00 X 0 0 0 RHONDA GILLESPIE RANEY BOARD MEMBER 2.00 X 0 0 0 BART NORMAN BOARD MEMBER 2.00 X 0 0 0 BRENDA GIBSON BOARD MEMBER 2.00 X 0 0 0 JENNIFER DIRIENZO TREASURER 2.00 X 0 0 0 BILLY DUNLAP BOARD MEMBER 2.00 X 0 0 0 TOMMY WILLIAMS BOARD MEMBER 2.00 X 0 0 0 FRANKLIN FREEMAN BOARD MEMBER 2.00 X 0 0 0 MONICA LALIBERTE BOARD MEMBER 2.00 X 0 0 0 WEST LAWSON BOARD MEMBER 2.00 X 0 0 0 VICKI ALLEN BOARD MEMBER 2.00 X 0 0 0 BOBBY SIMPSON PRESIDENT 2.00 X 0 0 0 STEPHEN TREMONT BOARD MEMBER 2.00 X 0 0 0 LINDA JEFFERSON BOARD MEMBER 2.00 X 0 0 0 CASANDRA SKINNER BOARD MEMBER 2.00 X 0 0 0 JOHN THOMA CHIEF EXECUTIVE OFFICER 40.00 X 133547 0 12673 ANTOINETTE MESSLER VICE PRESIDENT FINANCE 40.00 X 100566 0 13710 COOPER LINTON VICE PRESIDENT MARKETING & 40.00 X 96639 0 11206 LESLIE SUTTON HOSPICE PHYSICIAN 40.00 X 157722 0 16160 LAURA PATEL MEDICAL DIRECTOR 40.00 X 156624 0 377 MARK NICHOLS HOSPICE PHYSICIAN 40.00 X 157406 0 16164 STEPHEN MARSH HOSPICE PHYSICIAN 40.00 X 161562 0 19731 CHRISTINE KHANDELWAL HOSPICE PHYSICIAN 40.00 X 168037 0 2900 1132103 0 92921 7 0 1 0 0 2143309 2143309 PATIENT SERVICE REIMB 900099 25138819 25138819 25138819 6103 6103 27288231 25138819 0 6103 368340 368340 13964538 13344226 620312 386153 373045 13108 2079823 1864447 215376 999197 909900 89297 140045 127692 12353 118543 118543 29000 29000 320029 320029 878613 601438 277175 511142 320124 191018 817179 810380 6799 61066 61066 534009 534009 64424 13965 50459 PHARMACY 1725478 1725478 DURABLE MEDICAL EQUIPME 1650994 1650994 SKILLED NURSING-ROOM & 1112338 1112338 OUTPATIENT TREATMENTS 457943 457943 161073 61975 99098 26379927 23693974 2685953 0 94952 297983 986540 1207262 3120746 2959500 187324 218746 16221702 2884417 13595066 13337285 178644 459829 18163272 18480605 1838295 2172884 2725560 1800000 1445 1445 4565300 3974329 X 13073308 14238588 524664 267688 13597972 14506276 18163272 18480605 908304 0 X 0 0 0 X 11513754 2122443 1461854 1250905 2143309 18492265 11513754 2122443 1461854 1250905 2143309 18492265 18492265 11886 11273 6121 7640 6103 43023 18535288 107868264 0.99770 0.99680 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1712902 -10398 1702504 1570665 10505 131732 1712902 1742164 76886 -248385 1570665 1667084 161930 -86850 1742164 1563613 81764 21707 1667084 0.85000 0.15000 0 1 1 14688068 1831367 12856701 4561 507 4054 1421449 1052543 368906 107624 107624 13337285 DUE TO END OF LIFE COALITION 1445 1445 27288231 0 27288231 0 27288231 26379927 0 26379927 0 26379927 X X 0 0 0 0 0 0 0 0 0 LESLIE SUTTON HOSPICE PHYSICIAN 157722 0 0 0 0 0 6717 0 9443 0 173882 0 0 0 LAURA PATEL MEDICAL DIRECTOR 156624 0 0 0 0 0 0 0 377 0 157001 0 0 0 MARK NICHOLS HOSPICE PHYSICIAN 157406 0 0 0 0 0 6696 0 9468 0 173570 0 0 0 STEPHEN MARSH HOSPICE PHYSICIAN 161562 0 0 0 0 0 4002 0 15729 0 181293 0 0 0 CHRISTINE KHANDELWAL HOSPICE PHYSICIAN 168037 0 0 0 0 0 2114 0 786 0 170937 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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. 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 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 HOSPICE OF WAKE COUNTY FOUNDATION C 2143309 COST HOSPICE OF WAKE COUNTY FOUNDATION M 140371 FUNDRAISING FOR HOSPICE HOSPICE OF WAKE COUNTY FOUNDATION Q 302200 COST