AUTHORACARE COLLECTIVE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
AUTHORACARE COLLECTIVE (EIN 56-1249146)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-02-01
IRS object ID
201120329349300502
Schema version
2009v1.4
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)
Timestamp2011-02-01T08:20:13-06:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN561249146EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hospice and Palliative Care of 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 Signed2011-01-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBert DavisName
Phone3362300350Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Hospice & Palliative Care ofBusinessNameLine1
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 Receipts20608953GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.hospicegso.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionHospice and Palliative Care of Greensboro, Inc. (the "Organization") is a North Carolina nonprofit organization that provides nursing and psychosocial support to the terminally ill and their families in Guilford County and immediately surrounding areas. The Organization received Medicare and Medicaid certification in June 1985 and is reimbursed on a fee-for-service basis from Medicare, Medicaid and other third party coverage. The Agency is currently doing business as Hospice and Palliative Care of Greensboro, Beacon Place and Kids Path.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees238TotalNbrEmployees
Total Nbr Volunteers218TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1202440ContributionsGrantsPriorYear
Contributions Grants Current Year1524383ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17569979ProgramServiceRevenuePriorYear
Program Service Revenue CY18543147ProgramServiceRevenueCY
Investment Income Prior Year219634InvestmentIncomePriorYear
Investment Income Current Year276192InvestmentIncomeCurrentYear
Other Revenue Prior Year32585OtherRevenuePriorYear
Other Revenue Current Year239715OtherRevenueCurrentYear
Total Revenue Prior Year19024638TotalRevenuePriorYear
Total Revenue Current Year20583437TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10773323SalariesEtcPriorYear
Salaries Etc Current Year11204092SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year326302TotalFundrsngExpCurrentYear
Other Expense Prior Year7712005OtherExpensePriorYear
Other Expenses Current Year7370853OtherExpensesCurrentYear
Total Expenses Prior Year18485328TotalExpensesPriorYear
Total Expenses Current Year18574945TotalExpensesCurrentYear
Revenues Less Expenses Prior Year539310RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2008492RevenuesLessExpensesCY
Total Assets BOY18098995TotalAssetsBOY
Total Assets EOY20888106TotalAssetsEOY
Total Liabilities BOY1493538TotalLiabilitiesBOY
Total Liabilities EOY1808104TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16605457NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19080002NetAssetsOrFundBalancesEOY
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
Expense14756730Expense
Revenue17721783Revenue
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)
Expense373862Expense
Revenue318737Revenue
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)
Expense749555Expense
Revenue432445Revenue
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)
Expense125028Expense
Revenue137748Revenue
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 Exp125028TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev137748TotalOfOtherProgramServiceRev
Total Program Service Expense16005175TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees238NumberOfEmployees
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
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 DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Larry Roland
Board Chair1.00XX000
Bob Newton
Vice Chair1.00XX000
Alan Tutterow
Secretary/Treasurer1.00XX000
Noel Burt
Board Member1.00X000
Howard Chubbs
Board Member1.00X000
Griselda Clark
Board Member1.00X000
Ross Harris
Board Member1.00X000
Ron Johnson
Board Member1.00X000
Ann Lineweaver
Board Member1.00X000
David Marker
Board Member1.00X000
Everette Mills
Board Member1.00X000
Mohamed Mohamed
Board Member1.00X000
Carolyn Rice
Board Member1.00X000
Ralph Shelton
Board Member1.00X000
Patrick Wright
Board Member1.00X000
John G Redmond
Past Chair1.00XX000
Patricia Soenksen
President/CEO40.00X13550101583
Tab Haigler
CFO40.00X10055503878
Juan Monguilod
Employee40.00190000013571X
Nimish Gosrani
Employee40.0010515904750X
Donald Hertweck
Employee40.0014653906866X
Rita Layson
Employee26.0012129902846X
FieldValueIRS element (for citing)
Total Reportable Comp From Org799053TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation33494TotalOtherCompensation
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 Insurance1212607
Procare PBM
3090 Premiere ParkwayDuluthGA30097Pharmacy Benefits Manager894341
Advanced Home Care Inc
PO Box 65081CharlotteNC28265DME and IV Therapy Provider738028
Moses Cone Hospital
1200 North Elm StGreensboroNC27401Health Services637360
Camden Place
4007 W Wendover AveGreensboroNC27407Long-term Care Facility442135
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
All Other Contributions1524383AllOtherContributions
Noncash Contributions50406NoncashContributions
Total Contributions1524383TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Per Diem Reimbursement6230001518547015185470
Pass-through Revenues(62300026812532681253
Per Visit Reimbursemen623000676424676424
FieldValueIRS element (for citing)
Total Program Service Revenue18543147TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column277432TotalRevenueColumn
Exclusion$277,432ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other400Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1640Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1240Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1240TotalRevenueColumn
Exclusion-$1,240ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events196025GrossIncomeFundraisingEvents
Fundraising Direct Expenses23876FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column172149TotalRevenueColumn
Exclusion$172,149ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionChange in Beneficial IDescription
Business Code900099BusinessCode
Total Revenue Column67566TotalRevenueColumn
Related Or Exempt Function Income67566RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue67566TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20583437TotalRevenueColumn
Related Or Exempt Function Income18610713RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$448,341ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8180298Total
Program Services6813620ProgramServices
Management And General1176238ManagementAndGeneral
Fundraising190440Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2336942Total
Program Services1946510ProgramServices
Management And General336027ManagementAndGeneral
Fundraising54405Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total686852Total
Program Services572100ProgramServices
Management And General98762ManagementAndGeneral
Fundraising15990Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9524Total
Management And General9524ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39950Total
Management And General39950ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total62721Total
Management And General62721ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total20758Total
Management And General20758ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total281946Total
Program Services154210ProgramServices
Management And General120270ManagementAndGeneral
Fundraising7466Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total663244Total
Program Services492154ProgramServices
Management And General171090ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total227889Total
Program Services223023ProgramServices
Management And General4791ManagementAndGeneral
Fundraising75Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total429405Total
Program Services429405ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total230290Total
Program Services137558ProgramServices
Management And General92069ManagementAndGeneral
Fundraising663Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Inpatient and Consultin27354662735466
Medicines/Drugs/Supplie23176302317630
Patient Services116478116478
Miscellaneous6868426693342417750
Continuing Education515354032895261681

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total115333Total
Management And General67501ManagementAndGeneral
Fundraising47832Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18574945Total
Program Services16005175ProgramServices
Management And General2243468ManagementAndGeneral
Fundraising326302Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY751BOY
EOY750EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2405365BOY
EOY2952259EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY350160BOY
EOY562297EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1982203BOY
EOY1627988EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2300198BOY
EOY2186426EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY28150BOY
EOY27588EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY56097BOY
EOY74649EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8299436LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4336644LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4133823BOY
EOY3962792EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY6842248BOY
EOY9493357EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18098995BOY
EOY20888106EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1493538BOY
EOY1808104EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1493538BOY
EOY1808104EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12564367BOY
EOY15448491EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY431380BOY
EOY565471EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3609710BOY
EOY3066040EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16605457BOY
EOY19080002EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18098995BOY
EOY20888106EOY
FieldValueIRS element (for citing)
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 Years1213060CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1567136CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3622341CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1202440CurrentTaxYearMinus1Year
Current Tax Year1554971CurrentTaxYear
Total9159948Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1213060CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1567136CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3622341CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1202440CurrentTaxYearMinus1Year
Current Tax Year1554971CurrentTaxYear
Total9159948Total
FieldValueIRS element (for citing)
Public Support Total1709159948PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years240533CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years407086CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years637329CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year217879CurrentTaxYearMinus1Year
Current Tax Year276192CurrentTaxYear
Total1779019Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years118027CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years128299CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years248870CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32585CurrentTaxYearMinus1Year
Current Tax Year209127CurrentTaxYear
Total736908Total
FieldValueIRS element (for citing)
Total Support11675875TotalSupport
Gross Receipts From Admissions Etc74362488GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.78450PublicSupportPertcentage170
Public Support Pertcent Prior Year0.81330PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 Balance6842247BeginningOfYearBalance
Contributions1827015Contributions
Investment Earnings Or Losses875408InvestmentEarningsOrLosses
Grants Or Scholarships-40325GrantsOrScholarships
Administrative Expenses-18488AdministrativeExpenses
End Of Year Balance9485857EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Balance0.57150BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.37380PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.05470TermEndowmentEOYBalance
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 Basis4723607OtherCostOrOtherBasis
Depreciation1930605Depreciation
Book Value2793002BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis585614OtherCostOrOtherBasis
Depreciation264626Depreciation
Book Value320988BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2666965OtherCostOrOtherBasis
Depreciation2141413Depreciation
Book Value525552BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3962792TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Long Term Investments8684153F
Beneficial Interests in Endowment F809204C
FieldValueIRS element (for citing)
Total Of Book Value Securities9493357TotalOfBookValueSecurities
Total Revenue20583437TotalRevenue
Total Expenses18574945TotalExpenses
Excess Or Deficit For Year2008492ExcessOrDeficitForYear
Net Unrealized GL On Investments516458NetUnrealizedGLOnInvestments
Other-$50,405OtherAmount
Total Adjustments466053TotalAdjustments
Excess Or Deficit Per FS2474545ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18314024TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments516458NetUnrealizedGainsInvestments
Other Revenues1OtherRevenues
Revenue Not Rptd F990516459RevenueNotRptdF990
Revenue Subtotal17797565RevenueSubtotal
Other Revenues Not Included2785872OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2785872RevenueNotRptdOnFinStmt
Total Revenue Per Form99020583437TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15839479TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal15839479ExpensesSubtotal
Other Expenses Not Included2735466OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2735466ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018574945TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds: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: -50406. Rounding Adjustment: 1.
Part XII, Line 2d - Other Adjustments:Rounding: 1.
Part XII, Line 4b - Other Adjustments:Noncash Contributions: 50406. Inpatient and consulting charges, netted with revenue on financial statement: 2735466.
Part XIII, Line 4b - Other Adjustments:Inpatient and consulting charges, netted with revenue on financial statement: 2735466.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Corks for Kids PathNameOfEvent1
Gross Receipts Event175040GrossReceiptsEvent1
Gross Revenue Event175040GrossRevenueEvent1
Rent Facility Costs Event12155RentFacilityCostsEvent1
Food And Beverage Event111682FoodAndBeverageEvent1
Other Direct Expenses Event13395OtherDirectExpensesEvent1
Name Of Event2Light Up a LifeNameOfEvent2
Gross Receipts Event272759GrossReceiptsEvent2
Gross Revenue Event272759GrossRevenueEvent2
Other Direct Expenses Event26644OtherDirectExpensesEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events48226GrossReceiptsOtherEvents
Gross Revenue Other Events48226GrossRevenueOtherEvents
Gross Receipts Total196025GrossReceiptsTotal
Gross Revenue Total Events196025GrossRevenueTotalEvents
Rent Facility Costs Total Events2155RentFacilityCostsTotalEvents
Food And Beverage Total Events11682FoodAndBeverageTotalEvents
Other Direct Expenses Total Events10039OtherDirectExpensesTotalEvents
Direct Expense Summary Events23876DirectExpenseSummaryEvents
Net Income Summary172149NetIncomeSummary

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 (2 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
Juan Monguilod
182924000707600013571020357101560460
Donald Hertweck
146539000000068660153405000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationSchedule J, Part I, Line 4b. Juan Monguilod received $7,076 as a retirement plan match, $10,144 in cafeteria plan medical expenses, $155 in group term-life insurance, and $3,272 in dependent care benefits for the 2009 calendar year. Donal Hertweck received $6783 in cafeteria plan medical expenses, and $83 in group term-life insurance.Explanation

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990175NoncashContribsRptdF990
Method Of Determining RevenuesSelling PriceMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9903589NoncashContribsRptdF990
Method Of Determining RevenuesSelling PriceMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Method Of Determining RevenuesMarket ValueMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions37NumberOfContributions
Noncash Contribs Rptd F99010878NoncashContribsRptdF990
Method Of Determining RevenuesSelling PriceMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions32NumberOfContributions
Noncash Contribs Rptd F99013462NoncashContribsRptdF990
Method Of Determining RevenuesSelling PriceMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XArt & Craft Supplies231370Selling Price
XGift Cards138833Selling Price
XMiscellaneous Gifts & Toys6412099Selling 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 (5 entries)

IdentifierIdentifierExplanationExplanation
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.

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