EXECUTIVE DIRECTOR

2012-06-19T08:56:44-05:00 2011-12-31 560517823 KOONCE WOOTEN & HAYWOOD LLP P O BOX 17806 RALEIGH NC 276197806 990 2011-01-01 561228779 HOSPICE OF WAKE COUNTY INC HOSP 9198280890 250 HOSPICE CIRCLE RALEIGH NC 27607 JOHN THOMA EXECUTIVE DIRECTOR 9198280890 2012-05-30 1 DAVID BOYCE P01368646 9197829265 2011 2016-02-24 21:20:13Z JOHN THOMA 250 HOSPICE CIRCLE RALEIGH NC 27607 21709691 0 X N/A X 1979 NC EMPOWERING INDIVIDUALS, FAMILIES AND COMMUNITIES TO EMBRACE MEANING AT END OF LIFE. 14 14 353 300 0 0 12089101 2122443 16984800 19575975 11886 11273 0 0 29085787 21709691 0 0 0 0 12980107 14941750 0 0 0 6353414 7076381 19333521 22018131 9752266 -308440 19832024 18654046 6595568 5726030 13236456 12928016 EMPOWERING INDIVIDUALS, FAMILIES AND COMMUNITIES TO EMBRACE MEANING AT END OF LIFE. 0 0 20049016 19575975 HOSPICE PROVIDED AT HOME MEDICAL CARE FOR THE TERMINALLY ILL AND COUNSELING FOR OTHER FAMILY MEMBERS. 20049016 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 0 1 3 0 353 1 0 0 0 0 0 0 0 0 X 14 14 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 CHIP ANDERSON 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 ERIC YOUNG 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 BOARD MEMBER 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 JOHN THOMA CHIEF EXECUTIVE OFFICER & 40.00 X 113145 0 11813 ANTOINETTE MESSLER VICE PRESIDENT FINANCE & O 40.00 X 98319 0 11140 MARK PHILBRICK VICE PRESIDENT CLINICAL OP 40.00 X 100153 0 4311 COOPER LINTON VICE PRESIDENT MARKETING & 40.00 X 91164 0 10936 DEB BLUE MEDICAL DIRECTOR 40.00 X 176735 0 14307 DELANI MANN-JOHNSON HOSPICE PHYSICIAN 40.00 X 144018 0 14512 MARK NICHOLS HOSPICE PHYSICIAN 40.00 X 157375 0 13866 LESLIE SUTTON HOSPICE PHYSICIAN 40.00 X 152348 0 12782 1033257 0 93667 6 0 1 0 0 2122443 2122443 PATIENT SERVICE REIMB 900099 19575975 19575975 19575975 11273 11273 21709691 19575975 0 11273 542786 206563 336223 11440026 11028809 411217 306791 272240 34551 1769394 1545987 223407 882753 787541 95212 103905 93533 10372 25896 25896 30910 30910 89798 89798 779735 512653 267082 539388 302906 236482 650413 632722 17691 114546 57273 57273 547770 373572 174198 80789 43630 37159 PHARMACY 1219127 1219127 SKILLED NURSING-ROOM & 1214544 1214544 DURABLE MEDICAL EQUIPME 1162251 1162251 OUTPATIENT TREATMENTS 306437 306437 210872 199430 11442 22018131 20049016 1969115 0 472279 464752 1783725 1044753 2363836 2219422 39051 44366 15832865 1320765 15075317 14512100 97816 368653 19832024 18654046 1594423 1624846 5000000 4099739 1145 1445 6595568 5726030 X 12751480 12505108 484976 422908 13236456 12928016 19832024 18654046 -308440 0 X 0 1 0 X 0 X 619328 590727 706410 11513754 2122443 15552662 619328 590727 706410 11513754 2122443 15552662 15552662 63922 26669 17133 11886 11273 130883 15683545 77201747 0.99170 0.98640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1667084 161930 -86850 1742164 1563613 81764 21707 1667084 308651 1254962 1563613 123200 185451 308651 0 1 1 14572288 704972 13867316 1260577 615793 644784 14512100 DUE TO END OF LIFE COALITION 1445 1445 21709691 22018131 -308440 -308440 21709691 0 21709691 0 21709691 22018131 0 22018131 0 22018131 X X 0 0 0 0 0 0 0 0 0 DEB BLUE 176735 0 0 0 0 0 7454 0 6853 0 191042 0 0 0 DELANI MANN-JOHNSON 144018 0 0 0 0 0 5775 0 8737 0 158530 0 0 0 MARK NICHOLS 157375 0 0 0 0 0 6342 0 7524 0 171241 0 0 0 LESLIE SUTTON 152348 0 0 0 0 0 5929 0 6853 0 165130 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 1 0 0 0 1 0 0 HOSPICE OF WAKE COUNTY FOUNDATION C 2122443 COST HOSPICE OF WAKE COUNTY FOUNDATION L 230093 FUNDRAISING FOR HOSPICE HOSPICE OF WAKE COUNTY FOUNDATION P 333874 COST