AUTHORACARE COLLECTIVE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AUTHORACARE COLLECTIVE (EIN 56-1249146)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-03-07
IRS object ID
201230679349300538
Schema version
2010v3.4
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)
Timestamp2012-03-07T12:05:39-06:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

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 Signed2012-03-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERT DAVIS JRName
Phone3362300350Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HOSPICE & PALLIATIVE CARE OF GREENSBBusinessNameLine1
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 Receipts22342715GrossReceipts
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 Employees246TotalNbrEmployees
Total Nbr Volunteers226TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1524383ContributionsGrantsPriorYear
Contributions Grants Current Year1545560ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18543147ProgramServiceRevenuePriorYear
Program Service Revenue CY20181851ProgramServiceRevenueCY
Investment Income Prior Year276192InvestmentIncomePriorYear
Investment Income Current Year418039InvestmentIncomeCurrentYear
Other Revenue Prior Year239715OtherRevenuePriorYear
Other Revenue Current Year121434OtherRevenueCurrentYear
Total Revenue Prior Year20583437TotalRevenuePriorYear
Total Revenue Current Year22266884TotalRevenueCurrentYear
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 Year11204092SalariesEtcPriorYear
Salaries Etc Current Year12195256SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year357948TotalFundrsngExpCurrentYear
Other Expense Prior Year7370853OtherExpensePriorYear
Other Expenses Current Year7954227OtherExpensesCurrentYear
Total Expenses Prior Year18574945TotalExpensesPriorYear
Total Expenses Current Year20149483TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2008492RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2117401RevenuesLessExpensesCY
Total Assets BOY20888106TotalAssetsBOY
Total Assets EOY22287334TotalAssetsEOY
Total Liabilities BOY1808104TotalLiabilitiesBOY
Total Liabilities EOY1703837TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19080002NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20583497NetAssetsOrFundBalancesEOY
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
Expense15574739Expense
Revenue18995932Revenue
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)
Expense556321Expense
Revenue594358Revenue
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)
Expense693436Expense
Revenue436421Revenue
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)
Expense117499Expense
Revenue132884Revenue
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 Exp117499TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev132884TotalOfOtherProgramServiceRev
Total Program Service Expense16941995TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 With109643NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees246NumberOfEmployees
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 CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BOB NEWTON
BOARD CHAIR1.00X000
DR PATRICT 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
DR MOHAMED MOHAMED
BOARD MEMBER1.00X000
CAROLYNN RICE
BOARD MEMBER1.00X000
RALPH SHELTON
BOARD MEMBER1.00X000
PATRICIA A SOENKSEN
PRESIDENT/CEO40.00139895015495X
JAMES T HAIGLER
CFO40.00105008013114X
JUAN C MONGUILOD
EMPLOYEE40.00177240021923X
NIMISH C GOSRANI
EMPLOYEE40.00140936016527X
DONALD E HERTWECK
EMPLOYEE40.00137020016594X
SUSAN COX
EMPLOYEE40.0085323016178X
PATRICIA GIBBONS
EMPLOYEE40.0092100012216X
FieldValueIRS element (for citing)
Total Reportable Comp From Org700099TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation83653TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
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 INSURANCE1471708
PROCARE PBM
3090 PREMIERE PARKWAYDULUTHGA30097PHARMACY BENEFITS MANAGER910685
CONE HEALTH
1200 NORTH ELM STREETGREENSBORONC27401HEALTH SERVICES802886
ADVANCED HOME CARE INC
PO BOX 65081CHARLOTTENC28265DME AND IV THERAPY PROVIDER638080
CAMDEN PLACE
1 MARITHE COURTGREENSBORONC27407LONG-TERM CARE FACILITY620503
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Fundraising Events6765FundraisingEvents
All Other Contributions1538795AllOtherContributions
Noncash Contributions79543NoncashContributions
Total Contributions1545560TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PER DIEM REIMBURSEMENT6230001626277316262773
PASS-THROUGH REVENUES(62300030231003023100
PER VISIT REIMBURSEMEN623000895978895978
FieldValueIRS element (for citing)
Total Program Service Revenue20181851TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column452521TotalRevenueColumn
Exclusion$452,521ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other34482Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-34482Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-34482TotalRevenueColumn
Related Or Exempt Function Income-34482RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events150557GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events6765CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses41349FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column109208TotalRevenueColumn
Exclusion$109,208ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column12226TotalRevenueColumn
Related Or Exempt Function Income12226RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue12226TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22266884TotalRevenueColumn
Related Or Exempt Function Income20159595RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$561,729ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total482824Total
Program Services205468ProgramServices
Management And General277356ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8267810Total
Program Services6834714ProgramServices
Management And General1231954ManagementAndGeneral
Fundraising201142Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2715618Total
Program Services2184807ProgramServices
Management And General468390ManagementAndGeneral
Fundraising62421Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total729004Total
Program Services586508ProgramServices
Management And General125739ManagementAndGeneral
Fundraising16757Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13250Total
Management And General13250ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total37138Total
Management And General37138ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total29367Total
Management And General29367ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total23383Total
Management And General23383ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total332297Total
Program Services170588ProgramServices
Management And General149087ManagementAndGeneral
Fundraising12622Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total586149Total
Program Services391482ProgramServices
Management And General194667ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total277219Total
Program Services270051ProgramServices
Management And General6844ManagementAndGeneral
Fundraising324Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total469748Total
Program Services469748ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total257162Total
Program Services172706ProgramServices
Management And General83624ManagementAndGeneral
Fundraising832Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PATIENT SERVICES AND SU561223456087353499
CONTINUING EDUCATION AN22398747188175905894
FUNDRAISING PROJECT COS6295662956
DUES AND SUBSCRIPTIONS2933729337

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20149483Total
Program Services16941995ProgramServices
Management And General2849540ManagementAndGeneral
Fundraising357948Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY750BOY
EOY748EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2952259BOY
EOY3252279EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY562297BOY
EOY555562EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1627988BOY
EOY1940239EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2186426BOY
EOY2076502EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY27588BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY74649BOY
EOY266654EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8667346LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4675393LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3962792BOY
EOY3991953EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9493357BOY
EOY10203397EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20888106BOY
EOY22287334EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1808104BOY
EOY1703837EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1808104BOY
EOY1703837EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15448491BOY
EOY16626256EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY565471BOY
EOY590265EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3066040BOY
EOY3366976EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19080002BOY
EOY20583497EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20888106BOY
EOY22287334EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2117401ReconcilationRevenueExpenses
Reconcilation Other Changes-613906ReconcilationOtherChanges
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 Years1567136CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3622341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1202440CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1524383CurrentTaxYearMinus1Year
Current Tax Year1545560CurrentTaxYear
Total9461860Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1567136CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3622341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1202440CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1524383CurrentTaxYearMinus1Year
Current Tax Year1545560CurrentTaxYear
Total9461860Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total6851AmountsSubstContributorsTotal
Public Support Total1709455009PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years407086CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years637329CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years217879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year277432CurrentTaxYearMinus1Year
Current Tax Year452521CurrentTaxYear
Total1992247Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years128299CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years248870CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32585CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year172149CurrentTaxYearMinus1Year
Current Tax Year121434CurrentTaxYear
Total703337Total
FieldValueIRS element (for citing)
Total Support12157444TotalSupport
Gross Receipts From Admissions Etc84810632GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.77770PublicSupportPertcentage170
Public Support Pertcent Prior Year0.78450PublicSupportPertcentPriorYear
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 Balance9485857BeginningOfYearBalance
Contributions809168Contributions
Investment Earnings Or Losses-74170InvestmentEarningsOrLosses
Grants Or Scholarships-7222GrantsOrScholarships
Administrative Expenses-17736AdministrativeExpenses
End Of Year Balance10195897EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Basis5027781OtherCostOrOtherBasis
Depreciation2198676Depreciation
Book Value2829105BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2720407OtherCostOrOtherBasis
Depreciation2175855Depreciation
Book Value544552BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis595908OtherCostOrOtherBasis
Depreciation300862Depreciation
Book Value295046BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3991953TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
LONG TERM INVESTMENTS9232929F
BENEFICIAL INTERESTS IN ENDOWMENT FUND970468F
FieldValueIRS element (for citing)
Total Of Book Value Securities10203397TotalOfBookValueSecurities
Total Revenue22266884TotalRevenue
Total Expenses20149483TotalExpenses
Excess Or Deficit For Year2117401ExcessOrDeficitForYear
Net Unrealized GL On Investments-534363NetUnrealizedGLOnInvestments
Other-$79,543OtherAmount
Total Adjustments-613906TotalAdjustments
Excess Or Deficit Per FS1503495ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18519331TotRevenueEtcAuditedFinclStmt
Other Revenues-534363OtherRevenues
Revenue Not Rptd F990-534363RevenueNotRptdF990
Revenue Subtotal19053694RevenueSubtotal
Other Revenues Not Included3213190OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3213190RevenueNotRptdOnFinStmt
Total Revenue Per Form99022266884TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17015836TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal17015836ExpensesSubtotal
Other Expenses Not Included3133647OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3133647ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020149483TotalExpensesPerForm990

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 -79,543.
PART XII, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED LOSSES ON INVESTMENT -493,625. CHANGE IN BENEFICIAL INTEREST IN ENDOWMENT FUNDS -40,738.
PART XII, LINE 4B - OTHER ADJUSTMENTS:NONCASH CONTRIBUTIONS 79,543. INPATIENT AND CONSULTING CHARGES, NETTED WITH REVENUE ON FINANCIAL STATEMENT 3,133,647.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:INPATIENT AND CONSULTING CHARGES, NETTED WITH REVENUE ON FINANCIAL STATEMENT 3,133,647.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CORKS FOR KIDS PATHNameOfEvent1
Gross Receipts Event192623GrossReceiptsEvent1
Charitable Contributions Event16765CharitableContributionsEvent1
Gross Revenue Event185858GrossRevenueEvent1
Other Direct Expenses Event131678OtherDirectExpensesEvent1
Name Of Event2LIGHT UP A LIFENameOfEvent2
Gross Receipts Event264699GrossReceiptsEvent2
Gross Revenue Event264699GrossRevenueEvent2
Other Direct Expenses Event29671OtherDirectExpensesEvent2
Gross Receipts Total157322GrossReceiptsTotal
Charitable Contributions Total6765CharitableContributionsTotal
Gross Revenue Total Events150557GrossRevenueTotalEvents
Other Direct Expenses Total Events41349OtherDirectExpensesTotalEvents
Direct Expense Summary Events41349DirectExpenseSummaryEvents
Net Income Summary109208NetIncomeSummary

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 (4 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
1248950150000006312091830155390000
JUAN C MONGUILOD
1772400000013359085640199163000
NIMISH C GOSRANI
1409360000012689038370157462000
DONALD E HERTWECK
1370200000012525040690153614000

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99020740NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions32NumberOfContributions
Noncash Contribs Rptd F99013735NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions16NumberOfContributions
Noncash Contribs Rptd F9902015NoncashContribsRptdF990
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 SUPPLIES156991SELLING PRICE
XGIFT CARDS5118894SELLING PRICE
XMISCELLANEOUS GIFTS & TOYS7712678SELLING PRICE
XMISCELLANEOUS SERVICE84490SELLING 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)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
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 12C
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: 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 B, LINE 15
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 18
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -534,363. NONCASH CONTRIBUTIONS RECORDED ON TAX RETURN NOT ON FINANCIAL STATEMENTS -79,543. TOTAL TO FORM 990, PART XI, LINE 5: -613,906.FORM 990, PART XI, LINE 5:

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