2014-02-10T14:55:55-06:00 2013-09-30 560587953 GILLIAM COBLE & MOSER LLP P O BOX 41196 GREENSBORO NC 274041196 990 2012-10-01 561249146 HOSPICE AT GREENSBORO INC HOSP 3366212500 2500 SUMMIT AVENUE GREENSBORO NC 27405 PATRICIA A SOENKSEN 3366212500 2014-02-03 1 SCOTT WILLIAMS P00024567 3362300350 2012 2015-11-30 17:44:51Z HOSPICE & PALLIATIVE CARE OF GREENSBORO PATRICIA A SOENKSEN 2500 SUMMIT AVENUE GREENSBORO NC 27405 22227691 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 1221577 1330835 21681005 20134207 465474 658725 30429 53727 23398485 22177494 0 0 0 0 12894997 13418367 0 0 398355 8929684 8681842 21824681 22100209 1573804 77285 25357268 26223593 2105082 2110981 23252186 24112612 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 16869230 19181490 HOSPICE IS A COMPREHENSIVE, TEAM-ORIENTED PROGRAM OF MEDICAL CARE, PAIN MANAGEMENT, EMOTIONAL AND SPIRITUAL SUPPORT PROVIDED FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 266183 110128 PALLIATIVE 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. 1006576 594276 KIDS 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. 177271 248681 COUNSELING AND EDUCATION CENTER (CEC) PROVIDES INDIVIDUAL AND GROUP COUNSELING FOR GRIEF AND LOSS FOR FAMILIES OF HOSPICE PATIENTS AND THE COMMUNITY. 177271 248681 18319260 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 65 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 BOB NEWTON 1.00 X 0 0 0 DR PATRICK WRIGHT 1.00 X 0 0 0 SUSAN SHUMAKER 1.00 X 0 0 0 TERRY AKIN 1.00 X 0 0 0 NOEL BURT 1.00 X 0 0 0 DR HOWARD CHUBBS 1.00 X 0 0 0 KARIN HENDERSON 1.00 X 0 0 0 RON JOHNSON 1.00 X 0 0 0 ANN LINEWEAVER 1.00 X 0 0 0 MARY MAGRINAT 1.00 X 0 0 0 DAVID MARKER 1.00 X 0 0 0 EVERETTE MILLS 1.00 X 0 0 0 CAROLYN RICE 1.00 X 0 0 0 DR HAYWOOD INGRAM 1.00 X 0 0 0 RALPH SHELTON 1.00 X 0 0 0 BONNIE MCALISTER 1.00 X 0 0 0 PATRICIA A SOENKSEN 40.00 X 166842 0 18157 JAMES T HAIGLER 40.00 X 115422 0 18177 JUAN C MONGUILOD 40.00 X 203175 0 32163 JOHN E FELDMANN 32.00 X 121386 0 17972 DONALD E HERTWECK 40.00 X 172544 0 28048 SUSAN COX 40.00 X 113476 0 22356 STEPHEN E MILLER 40.00 X 112896 0 9899 1005741 0 146772 7 0 1 0 BLUE CROSSBLUE SHIELD OF NORTH CAROLINA PO BOX 580017 CHARLOTTE NC 28258 HEALTH INSURANCE 1569994 PROCARE PBM 1267 PROFESSIONAL PARKWAY GAINESVILLE GA 30507 PHARMACY BENEFITS MANAGER 951095 CONE HEALTH 1200 NORTH ELM STREET GREENSBORO NC 27401 HEALTH SERVICES 707152 ADVANCED HOME CARE INC PO BOX 65081 CHARLOTTE NC 28265 DME AND IV THERAPY PROVIDER 657299 MAPLE GROVE HEALTH & REHAB CENTER 308 W MEADOWVIEW ROAD GREENSBORO NC 27406 LONG-TERM CARE FACILITY 367537 20 215028 1115807 78416 1330835 PER DIEM REIMBURSEMENTS 623000 16495979 16495979 PASS-THROUGH REVENUES(NET) 623000 3242653 3242653 PER VISIT REIMBURSEMENT 623000 395575 395575 20134207 660911 660911 2186 -2186 -2186 -2186 101370 215028 48011 53359 53359 MISCELLANEOUS REVENUE 900099 368 368 368 22177494 20134575 0 712084 274674 274674 9385465 7616646 1557353 211466 2958707 2332826 561113 64768 799521 630391 151628 17502 5356 5356 34750 34750 25831 853 24978 139531 139531 180023 89368 76322 14333 776540 429561 346391 588 319585 309438 10054 93 441426 441426 311809 227584 83128 1097 PATIENT SERVICES AND SU 6189463 6181469 7994 CONTINUING EDUCATION AN 123272 60551 62572 149 DUES AND SUBSCRIPTIONS 70875 70875 FUNDRAISING PROJECT COS 63381 63381 22100209 18319260 3382594 398355 750 750 3975867 3324623 380326 279488 3053620 1967613 1970295 1867679 103340 124093 9726654 4984399 3841376 4742255 12031694 13917092 25357268 26223593 2105082 2110981 2105082 2110981 X 18869006 19386043 874588 1152532 3508592 3574037 23252186 24112612 25357268 26223593 X 77285 861557 -78416 X 0 1 X 1 0 X 1202440 1524383 1545560 1221578 1330835 6824796 1202440 1524383 1545560 1221578 1330835 6824796 63625 6761171 217879 277432 452521 474893 660911 2083636 32585 172149 121434 30429 53727 410324 9318756 98095194 0.72550 0.77250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12052186 403116 1520257 37975 22897 13914687 10195897 230799 1675222 -30862 -18870 12052186 9485857 809168 -74170 -7222 -17736 10195897 6842247 1827015 875408 -40325 -18488 9485857 5736575 592288 538420 -13951 -11085 6842247 0.55400 0.25320 0.19280 1 0 323250 323250 5861595 2596176 3265419 6413 3439 2974 2792252 1924985 867267 743144 459799 283345 4742255 LONG TERM INVESTMENTS 12545895 F BENEFICIAL INTERESTS IN ENDOWMENT FUND 1371197 F 13917092 19615653 725710 135847 861557 18754096 3423398 3423398 22177494 18755227 0 18755227 3344982 3344982 22100209 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. CORKS FOR KIDS PATH 106321 4951 101370 8152 20234 6140 ANNUAL CAMPAIGN 140981 140981 2804 1 69096 69096 10681 316398 215028 101370 8152 20234 19625 48011 53359 X X 0 1 0 0 0 1 0 0 0 PATRICIA A SOENKSEN 136842 0 13050 0 16950 0 10486 0 7671 0 184999 0 0 0 JUAN C MONGUILOD 186175 0 0 0 17000 0 14708 0 17455 0 235338 0 0 0 DONALD E HERTWECK 169056 0 0 0 3488 0 10593 0 17455 0 200592 0 0 0 X 30 SELLING PRICE X 17907 SELLING PRICE X 5 8892 MARKET VALUE X 26 3032 SELLING PRICE X 41 5157 SELLING PRICE X ART & CRAFT SUPPLIES 3 SELLING PRICE X GIFT CARDS 69 19198 SELLING PRICE X MISCELLANEOUS GIFTS & TOYS 108 16911 SELLING PRICE X BURIAL PLOTS 4 7290 SELLING PRICE 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 INTERNAL REVENUE SERVICE. 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 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 18 THE 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: NONCASH CONTRIBUTIONS RECORDED ON TAX RETURN NOT ON FINANCIAL STATEMENTS -78,416.