AUTHORACARE COLLECTIVE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AUTHORACARE COLLECTIVE (EIN 56-1249146)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-02-10
IRS object ID
201420419349301612
Schema version
2012v2.1
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)
Timestamp2014-02-10T14:55:55-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560587953EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GILLIAM COBLE & MOSER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 41196AddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code274041196ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN561249146EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE AT GREENSBORO INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone3366212500Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NamePATRICIA A SOENKSENName
TitlePRESIDENT/CEOTitle
Phone3366212500Phone
Date Signed2014-02-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSCOTT WILLIAMSName
PTINP00024567PTIN
Phone3362300350Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HOSPICE & PALLIATIVE CARE OF GREENSBOROBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonPATRICIA A SOENKSENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12500 SUMMIT AVENUEAddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code27405ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22227691GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICEGSO.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES NURSING AND SUPPORT TO THE TERMINALLY ILL AND THEIR FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees265TotalNbrEmployees
Total Nbr Volunteers214TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1221577ContributionsGrantsPriorYear
Contributions Grants Current Year1330835ContributionsGrantsCurrentYear
Program Service Revenue Prior Year21681005ProgramServiceRevenuePriorYear
Program Service Revenue CY20134207ProgramServiceRevenueCY
Investment Income Prior Year465474InvestmentIncomePriorYear
Investment Income Current Year658725InvestmentIncomeCurrentYear
Other Revenue Prior Year30429OtherRevenuePriorYear
Other Revenue Current Year53727OtherRevenueCurrentYear
Total Revenue Prior Year23398485TotalRevenuePriorYear
Total Revenue Current Year22177494TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12894997SalariesEtcPriorYear
Salaries Etc Current Year13418367SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year398355TotalFundrsngExpCurrentYear
Other Expense Prior Year8929684OtherExpensePriorYear
Other Expenses Current Year8681842OtherExpensesCurrentYear
Total Expenses Prior Year21824681TotalExpensesPriorYear
Total Expenses Current Year22100209TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1573804RevenuesLessExpensesPriorYear
Revenues Less Expenses CY77285RevenuesLessExpensesCY
Total Assets BOY25357268TotalAssetsBOY
Total Assets EOY26223593TotalAssetsEOY
Total Liabilities BOY2105082TotalLiabilitiesBOY
Total Liabilities EOY2110981TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23252186NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24112612NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16869230Expense
Revenue19181490Revenue
DescriptionHOSPICE IS A COMPREHENSIVE, TEAM-ORIENTED PROGRAM OF MEDICAL CARE, PAIN MANAGEMENT, EMOTIONAL AND SPIRITUAL SUPPORT PROVIDED FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense266183Expense
Revenue110128Revenue
DescriptionPALLIATIVE CARE SERVICES IS A HOSPITAL-BASED CONSULTATION TEAM (PHYSICIAN, NURSE PRACTITIONER, NURSE LIAISON, SOCIAL WORKER AND CHAPLAIN) THAT ADDRESSES PALLIATIVE CARE NEEDS SUCH AS SYMPTOM AND PAIN MANAGEMENT, ASSISTANCE IN DETERMINING GOALS OF CARE, EMOTIONAL AND/OR SPIRITUAL SUPPORT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1006576Expense
Revenue594276Revenue
DescriptionKIDS PATH PROVIDES HOME CARE FOR MEDICALLY FRAGILE AND TERMINALLY ILL CHILDREN; COUNSELING AND SUPPORT FOR CHILDREN EXPERIENCING SERIOUS ILLNESS OR LOSS; AND CONSULTATION FOR ADULTS WHO CARE FOR CHILDREN EXPERIENCING GRIEF AND LOSS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense177271Expense
Revenue248681Revenue
DescriptionCOUNSELING AND EDUCATION CENTER (CEC) PROVIDES INDIVIDUAL AND GROUP COUNSELING FOR GRIEF AND LOSS FOR FAMILIES OF HOSPICE PATIENTS AND THE COMMUNITY.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp177271TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev248681TotalOfOtherProgramServiceRev
Total Program Service Expense18319260TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109665NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees265NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PATRICIA A SOENKSENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3366212500TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BOB NEWTON
PAST CHAIR1.00X000
DR PATRICK WRIGHT
CHAIR1.00X000
SUSAN SHUMAKER
SECRETARY/TREASURER1.00X000
TERRY AKIN
BOARD MEMBER1.00X000
NOEL BURT
BOARD MEMBER1.00X000
DR HOWARD CHUBBS
BOARD MEMBER1.00X000
KARIN HENDERSON
BOARD MEMBER1.00X000
RON JOHNSON
BOARD MEMBER1.00X000
ANN LINEWEAVER
BOARD MEMBER1.00X000
MARY MAGRINAT
VICE-CHAIR1.00X000
DAVID MARKER
BOARD MEMBER1.00X000
EVERETTE MILLS
BOARD MEMBER1.00X000
CAROLYN RICE
BOARD MEMBER1.00X000
DR HAYWOOD INGRAM
BOARD MEMBER1.00X000
RALPH SHELTON
BOARD MEMBER1.00X000
BONNIE MCALISTER
BOARD MEMBER1.00X000
PATRICIA A SOENKSEN
PRESIDENT/CEO40.00166842018157X
JAMES T HAIGLER
CFO40.00115422018177X
JUAN C MONGUILOD
EMPLOYEE40.00203175032163X
JOHN E FELDMANN
EMPLOYEE32.00121386017972X
DONALD E HERTWECK
EMPLOYEE40.00172544028048X
SUSAN COX
EMPLOYEE40.00113476022356X
STEPHEN E MILLER
EMPLOYEE40.0011289609899X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1005741TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation146772TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSSBLUE SHIELD OF NORTH CAROLINA
PO BOX 580017CHARLOTTENC28258HEALTH INSURANCE1569994
PROCARE PBM
1267 PROFESSIONAL PARKWAYGAINESVILLEGA30507PHARMACY BENEFITS MANAGER951095
CONE HEALTH
1200 NORTH ELM STREETGREENSBORONC27401HEALTH SERVICES707152
ADVANCED HOME CARE INC
PO BOX 65081CHARLOTTENC28265DME AND IV THERAPY PROVIDER657299
MAPLE GROVE HEALTH & REHAB CENTER
308 W MEADOWVIEW ROADGREENSBORONC27406LONG-TERM CARE FACILITY367537
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Fundraising Events215028FundraisingEvents
All Other Contributions1115807AllOtherContributions
Noncash Contributions78416NoncashContributions
Total Contributions1330835TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PER DIEM REIMBURSEMENTS6230001649597916495979
PASS-THROUGH REVENUES(NET)62300032426533242653
PER VISIT REIMBURSEMENT623000395575395575
FieldValueIRS element (for citing)
Total Program Service Revenue20134207TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column660911TotalRevenueColumn
Exclusion$660,911ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other2186Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-2186Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2186TotalRevenueColumn
Exclusion-$2,186ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events101370GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events215028CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses48011FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column53359TotalRevenueColumn
Exclusion$53,359ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column368TotalRevenueColumn
Related Or Exempt Function Income368RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue368TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22177494TotalRevenueColumn
Related Or Exempt Function Income20134575RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$712,084ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total274674Total
Management And General274674ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9385465Total
Program Services7616646ProgramServices
Management And General1557353ManagementAndGeneral
Fundraising211466Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2958707Total
Program Services2332826ProgramServices
Management And General561113ManagementAndGeneral
Fundraising64768Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total799521Total
Program Services630391ProgramServices
Management And General151628ManagementAndGeneral
Fundraising17502Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5356Total
Management And General5356ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total34750Total
Management And General34750ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25831Total
Management And General853ManagementAndGeneral
Fundraising24978Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total139531Total
Management And General139531ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total180023Total
Program Services89368ProgramServices
Management And General76322ManagementAndGeneral
Fundraising14333Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total776540Total
Program Services429561ProgramServices
Management And General346391ManagementAndGeneral
Fundraising588Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total319585Total
Program Services309438ProgramServices
Management And General10054ManagementAndGeneral
Fundraising93Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total441426Total
Program Services441426ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total311809Total
Program Services227584ProgramServices
Management And General83128ManagementAndGeneral
Fundraising1097Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PATIENT SERVICES AND SU618946361814697994
CONTINUING EDUCATION AN1232726055162572149
DUES AND SUBSCRIPTIONS7087570875
FUNDRAISING PROJECT COS6338163381

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22100209Total
Program Services18319260ProgramServices
Management And General3382594ManagementAndGeneral
Fundraising398355Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY750BOY
EOY750EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3975867BOY
EOY3324623EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY380326BOY
EOY279488EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3053620BOY
EOY1967613EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1970295BOY
EOY1867679EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY103340BOY
EOY124093EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9726654LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4984399LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3841376BOY
EOY4742255EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY12031694BOY
EOY13917092EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25357268BOY
EOY26223593EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2105082BOY
EOY2110981EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2105082BOY
EOY2110981EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18869006BOY
EOY19386043EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY874588BOY
EOY1152532EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3508592BOY
EOY3574037EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23252186BOY
EOY24112612EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25357268BOY
EOY26223593EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses77285ReconcilationRevenueExpenses
Reconciliation Unrealized Invest861557ReconciliationUnrealizedInvest
Reconcilation Other Changes-78416ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1202440CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1524383CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1545560CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1221578CurrentTaxYearMinus1Year
Current Tax Year1330835CurrentTaxYear
Total6824796Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1202440CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1524383CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1545560CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1221578CurrentTaxYearMinus1Year
Current Tax Year1330835CurrentTaxYear
Total6824796Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total63625AmountsSubstContributorsTotal
Public Support Total1706761171PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years217879CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years277432CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years452521CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year474893CurrentTaxYearMinus1Year
Current Tax Year660911CurrentTaxYear
Total2083636Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32585CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years172149CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years121434CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30429CurrentTaxYearMinus1Year
Current Tax Year53727CurrentTaxYear
Total410324Total
FieldValueIRS element (for citing)
Total Support9318756TotalSupport
Gross Receipts From Admissions Etc98095194GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.72550PublicSupportPertcentage170
Public Support Pertcent Prior Year0.77250PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance12052186BeginningOfYearBalance
Contributions403116Contributions
Investment Earnings Or Losses1520257InvestmentEarningsOrLosses
Grants Or Scholarships37975GrantsOrScholarships
Administrative Expenses22897AdministrativeExpenses
End Of Year Balance13914687EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10195897BeginningOfYearBalance
Contributions230799Contributions
Investment Earnings Or Losses1675222InvestmentEarningsOrLosses
Grants Or Scholarships-30862GrantsOrScholarships
Administrative Expenses-18870AdministrativeExpenses
End Of Year Balance12052186EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance9485857BeginningOfYearBalance
Contributions809168Contributions
Investment Earnings Or Losses-74170InvestmentEarningsOrLosses
Grants Or Scholarships-7222GrantsOrScholarships
Administrative Expenses-17736AdministrativeExpenses
End Of Year Balance10195897EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6842247BeginningOfYearBalance
Contributions1827015Contributions
Investment Earnings Or Losses875408InvestmentEarningsOrLosses
Grants Or Scholarships-40325GrantsOrScholarships
Administrative Expenses-18488AdministrativeExpenses
End Of Year Balance9485857EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5736575BeginningOfYearBalance
Contributions592288Contributions
Investment Earnings Or Losses538420InvestmentEarningsOrLosses
Grants Or Scholarships-13951GrantsOrScholarships
Administrative Expenses-11085AdministrativeExpenses
End Of Year Balance6842247EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.55400BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.25320PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.19280TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis323250OtherCostOrOtherBasis
Book Value323250BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5861595OtherCostOrOtherBasis
Depreciation2596176Depreciation
Book Value3265419BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6413OtherCostOrOtherBasis
Depreciation3439Depreciation
Book Value2974BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2792252OtherCostOrOtherBasis
Depreciation1924985Depreciation
Book Value867267BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis743144OtherCostOrOtherBasis
Depreciation459799Depreciation
Book Value283345BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4742255TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
LONG TERM INVESTMENTS12545895F
BENEFICIAL INTERESTS IN ENDOWMENT FUND1371197F
FieldValueIRS element (for citing)
Total Of Book Value Securities13917092TotalOfBookValueSecurities
Tot Revenue Etc Audited Fincl Stmt19615653TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments725710NetUnrealizedGainsInvestments
Other Revenues135847OtherRevenues
Revenue Not Rptd F990861557RevenueNotRptdF990
Revenue Subtotal18754096RevenueSubtotal
Other Revenues Not Included3423398OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3423398RevenueNotRptdOnFinStmt
Total Revenue Per Form99022177494TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18755227TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal18755227ExpensesSubtotal
Other Expenses Not Included3344982OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3344982ExpensesNotRptdOnFinStmt
Total Expenses Per Form99022100209TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ENDOWMENT FUNDS ARE USED TO FUND CONTINUING OPERATIONS AND SPECIAL PROJECTS OF THE ORGANIZATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTERESTS IN ENDOWMENT FUNDS. 135,847.
PART XI, LINE 4B - OTHER ADJUSTMENTS:NONCASH CONTRIBUTIONS 78,416. PASS-THROUGH EXPENSES, NETTED WITH REVENUE ON FINANCIAL SATEMENT 3,344,982.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PASS-THROUGH EXPENSES, NETTED WITH REVENUE ON FINANCIAL STATEMENT 3,344,982.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CORKS FOR KIDS PATHNameOfEvent1
Gross Receipts Event1106321GrossReceiptsEvent1
Charitable Contributions Event14951CharitableContributionsEvent1
Gross Revenue Event1101370GrossRevenueEvent1
Rent Facility Costs Event18152RentFacilityCostsEvent1
Food And Beverage Event120234FoodAndBeverageEvent1
Other Direct Expenses Event16140OtherDirectExpensesEvent1
Name Of Event2ANNUAL CAMPAIGNNameOfEvent2
Gross Receipts Event2140981GrossReceiptsEvent2
Charitable Contributions Event2140981CharitableContributionsEvent2
Other Direct Expenses Event22804OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events69096GrossReceiptsOtherEvents
Charitable Contrib Other Events69096CharitableContribOtherEvents
Other Direct Expenses Other Events10681OtherDirectExpensesOtherEvents
Gross Receipts Total316398GrossReceiptsTotal
Charitable Contributions Total215028CharitableContributionsTotal
Gross Revenue Total Events101370GrossRevenueTotalEvents
Rent Facility Costs Total Events8152RentFacilityCostsTotalEvents
Food And Beverage Total Events20234FoodAndBeverageTotalEvents
Other Direct Expenses Total Events19625OtherDirectExpensesTotalEvents
Direct Expense Summary Events48011DirectExpenseSummaryEvents
Net Income Summary53359NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PATRICIA A SOENKSEN
PRESIDENT/CEO136842013050016950010486076710184999000
JUAN C MONGUILOD
EMPLOYEE186175000170000147080174550235338000
DONALD E HERTWECK
EMPLOYEE16905600034880105930174550200592000

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99030NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99017907NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions5NumberOfContributions
Noncash Contribs Rptd F9908892NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions26NumberOfContributions
Noncash Contribs Rptd F9903032NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions41NumberOfContributions
Noncash Contribs Rptd F9905157NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsMethod Of Determining RevenuesMethodOfDeterminingRevenuesNoncash Contribs Rptd F990NoncashContribsRptdF990
XART & CRAFT SUPPLIES3SELLING PRICE
XGIFT CARDS69SELLING PRICE19198
XMISCELLANEOUS GIFTS & TOYS108SELLING PRICE16911
XBURIAL PLOTS4SELLING PRICE7290
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 INTERNAL REVENUE SERVICE.
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 HOSPITAL AND HEALTHCARE COMPENSATION SERVICE IN COOPERATION WITH THE NATIONAL ASSOCIATION FOR HOMECARE & HOSPICE (NAHC). 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 POSITIONS AND A PAY SCALE FOR ALL NON-EXEMPT POSITIONS. COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS DETERMINED THROUGH THE USE OF THIS SCHEDULE. EACH IS REVIEWED ANNUALLY BY COMPARING TO BENCHMARK POSITION WITHIN THE HOSPICE MARKET AND RELATED SALARY AND WAGE DATA. WHERE NEEDED, APPROPRIATE AND FEASIBLE, PAY RANGES MAY 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.ORG. 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 AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:NONCASH CONTRIBUTIONS RECORDED ON TAX RETURN NOT ON FINANCIAL STATEMENTS -78,416.CHANGES IN NET ASSETS OR FUND BALANCES:

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