AUTHORACARE COLLECTIVE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
AUTHORACARE COLLECTIVE (EIN 56-1249146)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-01-24
IRS object ID
201300249349300435
Schema version
2011v1.2
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)
Timestamp2013-01-24T14:02:51-06:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

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 Signed2013-01-21DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERT DAVIS JRName
PTINP00102185PTIN
Phone3362300350Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts23460133GrossReceipts
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 Employees244TotalNbrEmployees
Total Nbr Volunteers232TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1545560ContributionsGrantsPriorYear
Contributions Grants Current Year1221577ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20181851ProgramServiceRevenuePriorYear
Program Service Revenue CY21681005ProgramServiceRevenueCY
Investment Income Prior Year418039InvestmentIncomePriorYear
Investment Income Current Year465474InvestmentIncomeCurrentYear
Other Revenue Prior Year121434OtherRevenuePriorYear
Other Revenue Current Year30429OtherRevenueCurrentYear
Total Revenue Prior Year22266884TotalRevenuePriorYear
Total Revenue Current Year23398485TotalRevenueCurrentYear
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 Year12195256SalariesEtcPriorYear
Salaries Etc Current Year12894997SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year402018TotalFundrsngExpCurrentYear
Other Expense Prior Year7954227OtherExpensePriorYear
Other Expenses Current Year8929684OtherExpensesCurrentYear
Total Expenses Prior Year20149483TotalExpensesPriorYear
Total Expenses Current Year21824681TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2117401RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1573804RevenuesLessExpensesCY
Total Assets BOY22287334TotalAssetsBOY
Total Assets EOY25357268TotalAssetsEOY
Total Liabilities BOY1703837TotalLiabilitiesBOY
Total Liabilities EOY2105082TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20583497NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23252186NetAssetsOrFundBalancesEOY
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
Expense17038831Expense
Revenue20833795Revenue
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)
Expense402835Expense
Revenue226515Revenue
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)
Expense750448Expense
Revenue497733Revenue
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)
Expense125667Expense
Revenue123735Revenue
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 Exp125667TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev123735TotalOfOtherProgramServiceRev
Total Program Service Expense18317781TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109676NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees244NumberOfEmployees
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 (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BOB NEWTON
BOARD CHAIR1.00X000
DR PATRICK WRIGHT
VICE CHAIR1.00X000
SUSAN SHUMAKER
SECRETARY/TREASURER1.00X000
TERRY AKIN
BOARD MEMBER1.00X000
NOEL BURT
BOARD MEMBER1.00X000
DR HOWARD CHUBBS
BOARD MEMBER1.00X000
ROSS HARRIS
BOARD MEMBER1.00X000
KARIN HENDERSON
BOARD MEMBER1.00X000
RON JOHNSON
BOARD MEMBER1.00X000
ANN LINEWEAVER
BOARD MEMBER1.00X000
MARY MAGRINAT
BOARD MEMBER1.00X000
DAVID MARKER
BOARD MEMBER1.00X000
EVERETTE MILLS
BOARD MEMBER1.00X000
CAROLYNN RICE
BOARD MEMBER1.00X000
DR HAYWOOD INGRAM
BOARD MEMBER1.00X000
RALPH SHELTON
BOARD MEMBER1.00X000
PATRICIA A SOENKSEN
PRESIDENT/CEO40.00162775016604X
JAMES T HAIGLER
CFO40.00106200014406X
JUAN C MONGUILOD
EMPLOYEE40.00193018023734X
JOHN E FELDMANN
EMPLOYEE40.0010241209745X
DONALD E HERTWECK
EMPLOYEE40.00158921018717X
SUSAN COX
EMPLOYEE40.00100787016819X
FieldValueIRS element (for citing)
Total Reportable Comp From Org824113TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation100025TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
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 INSURANCE1405686
PROCARE PBM
3090 PREMIERE PARKWAYDULUTHGA30097PHARMACY BENEFITS MANAGER1006687
ADVANCED HOME CARE INC
PO BOX 65081CHARLOTTENC28265DME AND IV THERAPY PROVIDER713421
CONE HEALTH
1200 NORTH ELM STREETGREENSBORONC27401HEALTH SERVICES494788
CAMDEN PLACE
1 MARITHE COURTGREENSBORONC27407LONG-TERM CARE FACILITY487582
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Fundraising Events224466FundraisingEvents
All Other Contributions997111AllOtherContributions
Noncash Contributions64841NoncashContributions
Total Contributions1221577TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PER DIEM REIMBURSEMENT6230001766772717667727
PASS-THROUGH REVENUES62300034764343476434
PER VISIT REIMBURSEMEN623000536844536844
FieldValueIRS element (for citing)
Total Program Service Revenue21681005TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column474893TotalRevenueColumn
Exclusion$474,893ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3589Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other13008Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-9419Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-9419TotalRevenueColumn
Exclusion-$9,419ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events78296GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events224466CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses48640FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column29656TotalRevenueColumn
Exclusion$29,656ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column773TotalRevenueColumn
Related Or Exempt Function Income773RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue773TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23398485TotalRevenueColumn
Related Or Exempt Function Income21681778RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$495,130ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total427421Total
Program Services185032ProgramServices
Management And General242389ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8800011Total
Program Services7132450ProgramServices
Management And General1436680ManagementAndGeneral
Fundraising230881Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2899130Total
Program Services2299050ProgramServices
Management And General527540ManagementAndGeneral
Fundraising72540Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total768435Total
Program Services609380ProgramServices
Management And General139828ManagementAndGeneral
Fundraising19227Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15219Total
Management And General15219ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33500Total
Management And General33500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total121244Total
Management And General121244ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total24587Total
Management And General24587ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total193280Total
Program Services90994ProgramServices
Management And General89638ManagementAndGeneral
Fundraising12648Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total723994Total
Program Services474946ProgramServices
Management And General248166ManagementAndGeneral
Fundraising882Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total308560Total
Program Services299496ProgramServices
Management And General7842ManagementAndGeneral
Fundraising1222Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total437937Total
Program Services437937ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total246778Total
Program Services167202ProgramServices
Management And General78770ManagementAndGeneral
Fundraising806Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PATIENT SERVICES AND SU6599286656656032726
CONTINUING EDUCATION AN12695654734711031119
FUNDRAISING PROJECT COS6269362693
DUES AND SUBSCRIPTIONS3565035650

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21824681Total
Program Services18317781ProgramServices
Management And General3104882ManagementAndGeneral
Fundraising402018Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY748BOY
EOY750EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3252279BOY
EOY3975867EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY555562BOY
EOY380326EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1940239BOY
EOY3053620EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2076502BOY
EOY1970295EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY266654BOY
EOY103340EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8431179LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4589803LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3991953BOY
EOY3841376EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY10203397BOY
EOY12031694EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22287334BOY
EOY25357268EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1703837BOY
EOY2105082EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1703837BOY
EOY2105082EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16626256BOY
EOY18869006EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY590265BOY
EOY874588EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3366976BOY
EOY3508592EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20583497BOY
EOY23252186EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22287334BOY
EOY25357268EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1573804ReconcilationRevenueExpenses
Reconcilation Other Changes1094885ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years3622341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1202440CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1524383CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1545560CurrentTaxYearMinus1Year
Current Tax Year1221578CurrentTaxYear
Total9116302Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3622341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1202440CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1524383CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1545560CurrentTaxYearMinus1Year
Current Tax Year1221578CurrentTaxYear
Total9116302Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total14364AmountsSubstContributorsTotal
Public Support Total1709101938PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years637329CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years217879CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years277432CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year452521CurrentTaxYearMinus1Year
Current Tax Year474893CurrentTaxYear
Total2060054Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years248870CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32585CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years172149CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year121434CurrentTaxYearMinus1Year
Current Tax Year30429CurrentTaxYear
Total605467Total
FieldValueIRS element (for citing)
Total Support11781823TotalSupport
Gross Receipts From Admissions Etc94948656GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.77250PublicSupportPertcentage170
Public Support Pertcent Prior Year0.77770PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: REVENUE FROM SPECIAL EVENTS MISCELLANEOUS REVENUEGeneralExplanation

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 Balance10195897BeginningOfYearBalance
Contributions230799Contributions
Investment Earnings Or Losses1675222InvestmentEarningsOrLosses
Grants Or Scholarships-30862GrantsOrScholarships
Administrative Expenses-18870AdministrativeExpenses
End Of Year Balance12052186EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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 Balance0.61540BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.31480PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.06980TermEndowmentEOYBalance
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 Basis5026212OtherCostOrOtherBasis
Depreciation2397157Depreciation
Book Value2629055BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6413OtherCostOrOtherBasis
Depreciation3009Depreciation
Book Value3404BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2332659OtherCostOrOtherBasis
Depreciation1766732Depreciation
Book Value565927BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis742645OtherCostOrOtherBasis
Depreciation422905Depreciation
Book Value319740BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3841376TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
LONG TERM INVESTMENTS10825371F
BENEFICIAL INTERESTS IN ENDOWMENT FUND1206323F
FieldValueIRS element (for citing)
Total Of Book Value Securities12031694TotalOfBookValueSecurities
Total Revenue23398485TotalRevenue
Total Expenses21824681TotalExpenses
Excess Or Deficit For Year1573804ExcessOrDeficitForYear
Net Unrealized GL On Investments1159726NetUnrealizedGLOnInvestments
Other-$64,841OtherAmount
Total Adjustments1094885TotalAdjustments
Excess Or Deficit Per FS2668689ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt20877860TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments997361NetUnrealizedGainsInvestments
Other Revenues162365OtherRevenues
Revenue Not Rptd F9901159726RevenueNotRptdF990
Revenue Subtotal19718134RevenueSubtotal
Other Revenues Not Included3680351OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3680351RevenueNotRptdOnFinStmt
Total Revenue Per Form99023398485TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18209171TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal18209171ExpensesSubtotal
Other Expenses Not Included3615510OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3615510ExpensesNotRptdOnFinStmt
Total Expenses Per Form99021824681TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 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 8 - OTHER ADJUSTMENTS:NONCASH CONTRIBUTIONS RECORDED ON TAX RETURN NOT ON FINANCIAL STATEMENTS -64,841.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTERESTS IN ENDOWMENT FUNDS 162,365.
PART XII, LINE 4B - OTHER ADJUSTMENTS:NONCASH CONTRIBUTIONS 64,841. PASS-THROUGH EXPENSES, NETTED WITH REVENUE ON FINANCIAL STATEMENT 3,615,510.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:PASS-THROUGH EXPENSES, NETTED WITH REVENUE ON FINANCIAL STATEMENT 3,615,510.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CORKS FOR KIDS PATHNameOfEvent1
Gross Receipts Event183569GrossReceiptsEvent1
Charitable Contributions Event15273CharitableContributionsEvent1
Gross Revenue Event178296GrossRevenueEvent1
Rent Facility Costs Event13660RentFacilityCostsEvent1
Food And Beverage Event118251FoodAndBeverageEvent1
Other Direct Expenses Event114333OtherDirectExpensesEvent1
Name Of Event2ANNUAL CAMPAIGNNameOfEvent2
Gross Receipts Event2152837GrossReceiptsEvent2
Charitable Contributions Event2152837CharitableContributionsEvent2
Other Direct Expenses Event23929OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events66356GrossReceiptsOtherEvents
Charitable Contrib Other Events66356CharitableContribOtherEvents
Other Direct Expenses Other Events8467OtherDirectExpensesOtherEvents
Gross Receipts Total302762GrossReceiptsTotal
Charitable Contributions Total224466CharitableContributionsTotal
Gross Revenue Total Events78296GrossRevenueTotalEvents
Rent Facility Costs Total Events3660RentFacilityCostsTotalEvents
Food And Beverage Total Events18251FoodAndBeverageTotalEvents
Other Direct Expenses Total Events26729OtherDirectExpensesTotalEvents
Direct Expense Summary Events48640DirectExpenseSummaryEvents
Net Income Summary29656NetIncomeSummary

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)

Base 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
1497250130500007348092560179379000
JUAN C MONGUILOD
19301800000102420134920216752000
DONALD E HERTWECK
1589210000063140124030177638000

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99025619NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions5NumberOfContributions
Noncash Contribs Rptd F9905435NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions20NumberOfContributions
Noncash Contribs Rptd F9902851NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions22NumberOfContributions
Noncash Contribs Rptd F9903789NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XART & CRAFT SUPPLIES32785SELLING PRICE
XGIFT CARDS4316412SELLING PRICE
XMISCELLANEOUS GIFTS & TOYS217465SELLING PRICE
XBOOKS AND PUBLICATIONS6485SELLING PRICE
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: VOLUME (AVERAGE DAILY CENSUS) TARGETS; NET MARGIN; MEDICATION COST PER DAY; EMPLOYEE TURNOVER RATES; AND EMPLOYEE SATISFACTION. 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 5:NET UNREALIZED GAINS ON INVESTMENTS: 1,159,726. NONCASH CONTRIBUTIONS RECORDED ON TAX RETURN NOT ON FINANCIAL STATEMENTS -64,841. TOTAL TO FORM 990, PART XI, LINE 5: 1,094,885.CHANGES IN NET ASSETS OR FUND BALANCES:

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