EXECUTIVE DIRECTOR

2013-06-03T13:27:34-05:00 2012-12-31 560517823 KOONCE WOOTEN & HAYWOOD LLP P O BOX 17806 RALEIGH NC 276197806 990 2012-01-01 561228779 HOSPICE OF WAKE COUNTY INC HOSP 9198280890 250 HOSPICE CIRCLE RALEIGH NC 27607 JOHN THOMA EXECUTIVE DIRECTOR 9198280890 2013-05-09 1 DAVID BOYCE P01368646 9197829265 2012 2016-03-07 17:11:31Z JOHN THOMA 250 HOSPICE CIRCLE RALEIGH NC 27607 24116388 0 X N/A X 1979 NC EMPOWERING INDIVIDUALS, FAMILIES AND COMMUNITIES TO EMBRACE MEANING AT END OF LIFE. 23 23 356 380 0 0 2122443 1461854 19575975 22648413 11273 6121 0 0 21709691 24116388 0 0 0 0 14941750 15441573 0 0 0 7076381 7824082 22018131 23265655 -308440 850733 18654046 18448147 5726030 4669398 12928016 13778749 EMPOWERING INDIVIDUALS, FAMILIES AND COMMUNITIES TO EMBRACE MEANING AT END OF LIFE. 0 0 21139358 22648413 HOSPICE PROVIDED AT HOME MEDICAL CARE FOR THE TERMINALLY ILL AND COUNSELING FOR OTHER FAMILY MEMBERS. 21139358 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 0 356 0 0 0 0 0 0 0 0 0 X 23 23 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 ERICK HAWKINS PRESIDENT 2.00 X 0 0 0 CHARLES HODGES BOARD MEMBER 2.00 X 0 0 0 LINDA JOHNSON BOARD MEMBER 2.00 X 0 0 0 RICK PRO BOARD MEMBER 2.00 X 0 0 0 VICKI ALLEN BOARD MEMBER 2.00 X 0 0 0 BETH BLACK BOARD MEMBER 2.00 X 0 0 0 PHILLIP MARK BLAKE BOARD MEMBER 2.00 X 0 0 0 DAVID MOYE 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 DAVID FINCH 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 JOHN MEDINGER SECRETARY 2.00 X 0 0 0 BOBBY SIMPSON VICE PRESIDENT 2.00 X 0 0 0 STEPHEN TREMONT BOARD MEMBER 2.00 X 0 0 0 CASANDRA WHITE BOARD MEMBER 2.00 X 0 0 0 K KEENER BOARD MEMBER 2.00 X 0 0 0 SUSAN ROUSE BOARD MEMBER 2.00 X 0 0 0 JOHN THOMA CHIEF EXECUTIVE OFFICER & 40.00 X 110100 0 12055 ANTOINETTE MESSLER VICE PRESIDENT FINANCE & O 40.00 X 98852 0 10948 DELANI MANN-JOHNSON HOSPICE PHYSICIAN 40.00 X 144055 0 6496 COOPER LINTON VICE PRESIDENT MARKETING & 40.00 X 93443 0 10744 DEB BLUE MEDICAL DIRECTOR 40.00 X 177656 0 13200 MARK NICHOLS HOSPICE PHYSICIAN 40.00 X 158434 0 13852 LESLIE SUTTON HOSPICE PHYSICIAN 40.00 X 153938 0 12201 936478 0 79496 5 0 1 0 0 1461854 1461854 PATIENT SERVICE REIMB 900099 22648413 22648413 22648413 6121 6121 24116388 22648413 0 6121 336142 336142 12192863 11609854 583009 315039 304359 10680 1680793 1486413 194380 916736 817657 99079 51180 48145 3035 18333 18333 32100 32100 101169 101169 122825 122825 809486 577653 231833 437824 251177 186647 683453 674254 9199 87583 43661 43922 538695 286520 252175 68414 35621 32793 PHARMACY 1402355 1402355 SKILLED NURSING-ROOM & 1385067 1385067 DURABLE MEDICAL EQUIPME 1297780 1297780 OUTPATIENT TREATMENTS 398610 398610 389208 296238 92970 23265655 21139358 2126297 0 464752 191476 1044753 1597591 2219422 2441709 44366 70136 15841029 1850374 14512100 13990655 368653 156580 18654046 18448147 1624846 1627393 4099739 3040560 1445 1445 5726030 4669398 X 12505108 13254151 422908 524598 12928016 13778749 18654046 18448147 850733 0 X 0 1 X 0 0 X 590727 706410 11513754 2122443 1461854 16395188 590727 706410 11513754 2122443 1461854 16395188 16395188 26669 17133 11886 11273 6121 73082 16468270 88114835 0.99560 0.99170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1742164 76886 -248385 1570665 1667084 161930 -86850 1742164 1563613 81764 21707 1667084 308651 1254962 1563613 123200 185451 308651 0.84000 0.16000 0 1 1 14572288 1078621 13493667 1268741 771753 496988 13990655 DUE TO END OF LIFE COALITION 1445 1445 X X 0 0 0 0 0 0 0 0 0 DELANI MANN-JOHNSON HOSPICE PHYSICIAN 144055 0 0 0 0 0 6496 0 0 0 150551 0 0 0 DEB BLUE MEDICAL DIRECTOR 177656 0 0 0 0 0 7454 0 5746 0 190856 0 0 0 MARK NICHOLS HOSPICE PHYSICIAN 158434 0 0 0 0 0 6378 0 7474 0 172286 0 0 0 LESLIE SUTTON HOSPICE PHYSICIAN 153938 0 0 0 0 0 6455 0 5746 0 166139 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 1461854 COST HOSPICE OF WAKE COUNTY FOUNDATION M 219266 FUNDRAISING FOR HOSPICE HOSPICE OF WAKE COUNTY FOUNDATION Q 283000 COST